Relevant bibliographies by topics / Hospital-based clinical staff

Academic literature on the topic 'Hospital-based clinical staff'

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Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Hospital-based clinical staff"

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Jack, Barbara, Jackie Oldham, and Anne Williams. "Do hospital-based palliative care clinical nurse specialists de-skill general staff?" International Journal of Palliative Nursing 8, no. 7 (July 2002): 336–40. http://dx.doi.org/10.12968/ijpn.2002.8.7.10674.

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Dewi, Pratiti Swesti Komala, Christyana Sandra, and Eri Witcahyo. "RESOURCES REQUIRED IN CLINICAL PATHWAY FOR TYPHOID FEVER TREATMENT AT KALIWATES GENERAL HOSPITAL IN 2017." Jurnal Administrasi Kesehatan Indonesia 7, no. 2 (October 28, 2019): 155. http://dx.doi.org/10.20473/jaki.v7i2.2019.155-161.

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Background: A clinical pathway is a concept of an integrated service which describes the stages of healthcare services from the admission until the return of patients based on the medical service standards and evidence-based nursing care with measurable results. Kaliwates General Hospital is an accredited hospital with a clinical pathway. Typhoid case was the highest disease in 2017 at Kaliwates General Hospital.Aims: This study aims to describe the resources at Kaliwates General Hospital in the implementation of clinical pathways, especially typhoid fever treatment.Method: This study was a descriptive and qualitative study. Nine respondents were selected using purposive sampling, including one internist and the quality team at Kaliwates General Hospital. The variables studied include human resource factors, budget factors, method factors, and time factors.Results: The results suggested that the human resources at Kaliwates General Hospital had high commitment, motivation, and moderate knowledge in the implementation of clinical pathways. All equipment and documents were considered adequate. The communication among the implementers was good, but compliance and training for staffs were considered less prominent. The task division of each staff was fairly distributed even though the pharmacy unit perceived that the division was quite unfair.Conclusion: The implementation of the clinical pathway for typhoid fever treatment at Kaliwates General Hospital runs quite well. The hospital must identify and plan staff training regularly, prepare the job description appropriately, and perform performance appraisal based on the job description that has been developed.Keywords: clinical pathway, typhoid fever, resource.
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Laustsen, Sussie, Elisabeth Lund, Bo Martin Bibby, Brian Kristensen, Ane Marie Thulstrup, and Jens Kjølseth Møller. "Cohort Study of Adherence to Correct Hand Antisepsis Before and After Performance of Clinical Procedures." Infection Control & Hospital Epidemiology 30, no. 2 (February 2009): 172–78. http://dx.doi.org/10.1086/593206.

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Objective.To investigate the rate of adherence by hospital staff members to the correct use of alcohol-based hand rub before and after performance of clinical procedures.Design.A cohort study conducted during the period from 2006 through 2007 and 2 cross-sectional studies conducted in 2006 and 2007.Setting.Århus University Hospital, Skejby, in Århus, Denmark.Participants.Various hospital staff members.Methods.Following an ongoing campaign promoting the correct use of alcohol-based hand rub, we observed rates of adherence by hospital staff to the correct use of alcohol-based hand rub. Observations were made before and after each contact with patients or patient surroundings during 5 weekdays during the period from 2006 through 2007 in 10 different hospital units. A logistic regression model was used to estimate the rate of adherence to the correct use of alcohol-based hand rub before and after performance of a clinical procedure.Results.A total of 496 participants were observed during 22,906 opportunities for hand hygiene (ie, 11,177 before and 11,729 after clinical procedures) that required the use of alcohol-based hand rub. The overall rates of adherence to the correct use of alcohol-based hand rub were 62.3% (6,968 ofthe 11,177 opportunities) before performance and 68.6% (8,041 ofthe 11,729 opportunities) after performance of clinical procedures. Compared with male participants, female participants were significantly better at adhering to the correct use of alcohol-based hand rub before performance (odds ratio [OR] 1.51 [95% confidence interval {CI}, 1.09–2.10]) and after performance (OR, 1.73 [95% CI, 1.27–2.36]) of clinical procedures. In general, the rate of adherence was significantly higher after the performance of clinical procedures, compared with before (OR, 1.43 [95% CI, 1.35–1.52]). For our cohort of 214 participants who were observed during 14,319 opportunities, the rates of adherence to the correct use of alcohol-based hand rub were 63.2% (4,469 of the 7,071 opportunities) before performance and 69.3% (5,021 of the 7,248 opportunities) after performance of clinical procedures, and these rates increased significantly from 2006 to 2007, except for physicians.Conclusion.We found a high and increasing rate of adherence to the correct use of alcohol-based hand rub before and after performance of clinical procedures following a campaign that promoted the correct use of alcohol-based hand rub. More hospital staff performed hand hygiene with alcohol-based hand rub after performance of clinical procedures, compared with before performance. Future campaigns to improve the rate of adherence to the correct use of alcohol-based hand rub ought be aware that certain groups of hospital staff (eg, male staff members) are known to exhibit a low level of adherence to the correct use of alcohol-based hand rub.
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Yellowlees, Peter, and Craig Kennedy. "Telemedicine applications in an integrated mental health service based at a teaching hospital." Journal of Telemedicine and Telecare 2, no. 4 (December 1, 1996): 205–9. http://dx.doi.org/10.1258/1357633961930086.

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Psychiatric applications have predominated in Australian telemedicine in recent years. This paper describes the development of the first telemedicine system for an integrated mental health service based at a teaching hospital. Much effort was devoted to training and education for staff. Within about six weeks of the system being installed, over 80 of all clinical administrative staff, from all the mental health disciplines of the integrated service, had completed a formal training programme. Applications within the service included direct clinical work and the use of videoconferencing in preference to standard telephony over short distances. Applications external to the service, over distances of thousands of kilometres, included clinical supervision and teaching. Evaluation is continuing.
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Marini, Gabriele, Benjamin Tag, Jorge Goncalves, Eduardo Velloso, Raja Jurdak, Daniel Capurro, Clare McCarthy, William Shearer, and Vassilis Kostakos. "Measuring Mobility and Room Occupancy in Clinical Settings: System Development and Implementation." JMIR mHealth and uHealth 8, no. 10 (October 27, 2020): e19874. http://dx.doi.org/10.2196/19874.

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Background The use of location-based data in clinical settings is often limited to real-time monitoring. In this study, we aim to develop a proximity-based localization system and show how its longitudinal deployment can provide operational insights related to staff and patients' mobility and room occupancy in clinical settings. Such a streamlined data-driven approach can help in increasing the uptime of operating rooms and more broadly provide an improved understanding of facility utilization. Objective The aim of this study is to measure the accuracy of the system and algorithmically calculate measures of mobility and occupancy. Methods We developed a Bluetooth low energy, proximity-based localization system and deployed it in a hospital for 30 days. The system recorded the position of 75 people (17 patients and 55 staff) during this period. In addition, we collected ground-truth data and used them to validate system performance and accuracy. A number of analyses were conducted to estimate how people move in the hospital and where they spend their time. Results Using ground-truth data, we estimated the accuracy of our system to be 96%. Using mobility trace analysis, we generated occupancy rates for different rooms in the hospital occupied by both staff and patients. We were also able to measure how much time, on average, patients spend in different rooms of the hospital. Finally, using unsupervised hierarchical clustering, we showed that the system could differentiate between staff and patients without training. Conclusions Analysis of longitudinal, location-based data can offer rich operational insights into hospital efficiency. In particular, they allow quick and consistent assessment of new strategies and protocols and provide a quantitative way to measure their effectiveness.
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De Pedro-Gómez, Joan, José Miguel Morales-Asencio, Miquel Bennasar-Veny, Guillem Artigues-Vives, Catalina Perelló-Campaner, and Patricia Gómez-Picard. "Determining factors in evidence-based clinical practice among hospital and primary care nursing staff." Journal of Advanced Nursing 68, no. 2 (August 16, 2011): 452–59. http://dx.doi.org/10.1111/j.1365-2648.2011.05733.x.

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Petrik, M. E., and L. M. Heitshusen. "TRAINING DIETETIC CLINICAL STAFF FOR COMPUTER-BASED DOCUMENTATION IN A LARGE TERTIARY CARE HOSPITAL." Journal of the American Dietetic Association 103 (September 2003): 134. http://dx.doi.org/10.1016/s0002-8223(08)70213-x.

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Ghamri, Ranya Alawy, Noor Jamal Baamir, and Basma Salah Bamakhrama. "Cardiovascular health and lifestyle habits of hospital staff in Jeddah: A cross-sectional survey." SAGE Open Medicine 8 (January 2020): 205031212097349. http://dx.doi.org/10.1177/2050312120973493.

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Objectives: Cardiovascular disease is a major cause of morbidity and mortality worldwide. Cardiovascular disease was responsible for over 17.9 million deaths in 2016, accounting for 31% of deaths globally and 37% of deaths in Saudi Arabia. With a lifetime risk exceeding 60% for the general population, healthcare professionals are continuously monitoring the health of others but often do not find time to care for themselves. This study aimed to assess the prevalence of cardiovascular risk factors; medical conditions, such as, hypertension and diabetes mellitus; stress; and attitudes and barriers against healthy lifestyle choices among healthcare professionals at King Abdulaziz University Hospital. Methods: A cross-sectional study based on a self-administered questionnaire was conducted among the staff at King Abdulaziz University Hospital over a period of 12 weeks. A validated questionnaire was adopted from a study that had previously been conducted in the United Kingdom. Results: The study included 400 healthcare workers, of whom, 78% were clinical staff and 22% were non-clinical staff. Approximately, two-thirds of the clinical staff were aged ⩽25 years, whereas 43.2% of the non-clinical staff were aged 26–35 years. Most of the clinical staff (70.5%) were female, compared to 56.8% of the non-clinical staff. Significantly higher rates of hypertension and smoking were observed among the non-clinical staff than among the clinical staff. However, no other significant differences were observed in the prevalence of diseases between the groups. Overall, poor lifestyle, in terms of low compliance with the recommended dietary and physical activity guidelines, was observed in both groups. Conclusion: The prevalence of cardiovascular risk factors among the clinical staff at King Abdulaziz University Hospital was not markedly different from that among the non-clinical staff, except the prevalence of hypertension and smoking, which was significantly higher among the non-clinical staff. Further studies that include staff from other institutions are recommended.
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Hills, Madeleine, Stephanie Wai Khuan Teoh, and Tamara Lebedevs. "Evaluation of the effectiveness and staff acceptance of education strategies to improve medication safety." Pharmacy Education 22, no. 1 (May 28, 2022): 428–35. http://dx.doi.org/10.46542/pe.2022.221.428435.

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Background: The pharmacy department at the study site provides ongoing education on medication safety to the hospital staff through a variety of means. Objectives: The study aimed to evaluate and compare various forms of education and the clinical impact and satisfaction reported by staff. Methods: A survey was disseminated to staff across the hospital, and 81 responses were collected. Results: Staff preferred learning through a combination of teaching methods rather than individual modalities. The majority of respondents stated that they felt their knowledge of medication safety improved after education and that the content was actionable. Most staff also agreed or strongly agreed that education positively impacted their clinical practice. Staff preferences regarding education were also themed around different learning modalities, quick and concise messages, topics of medication updates, and relevance to practice. Preferences of the hospital staff will be aligned with education strategies based on this evaluation.
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Laustsen, Sussie, Elisabeth Lund, Bo Martin Bibby, Brian Kristensen, Ane Marie Thulstrup, and Jens Kjølseth Møller. "Effect of Correctly Using Alcohol-Based Hand Rub in a Clinical Setting." Infection Control & Hospital Epidemiology 29, no. 10 (October 2008): 954–56. http://dx.doi.org/10.1086/590393.

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We evaluated hand antisepsis in clinical practice at Aarhus University Hospital in Skejby, Denmark. The rate of compliance with the correct use of alcohol-based hand rub exceeded 55% of all routine clinical procedures observed. With the correct use of alcohol-based hand rub by hospital staff, bacterial counts were reduced by 90% before and 82% after a clinical procedure; with incorrect use, the bacterial counts were reduced by 60% before and 54% after a clinical procedure.
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Books on the topic "Hospital-based clinical staff"

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Ciaran, Scott Hill, and Stein Michael, eds. The hands-on guide for junior doctors. Chichester: John Wiley, 2011.

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Michael, Stein, and Hill Ciaran, eds. The hands-on guide for junior doctors. 4th ed. Chichester, West Sussex, UK: Wiley-Blackwell, 2011.

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Michael, Stein, Teo James T. H, and Donald Anna, eds. The hands-on guide for junior doctors. 3rd ed. Malden, Mass., USA: Blackwell Pub., 2006.

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Brunt, Barbara A. Evidence-based competency management for the obstetrics unit. 2nd ed. Marblehead, MA: HCPro, 2008.

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Evidence-based competency management for the obstetrics unit. 2nd ed. Marblehead, MA: HCPro, 2008.

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Office, General Accounting. Health care: School-based health centers can expand access for children : report to the Chairman, Committee on Government Operations, House of Representatives. Washington, D.C: The Office, 1994.

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Building and Sustaining a Hospital-Based Nursing Research Program. Springer Publishing Company, Incorporated, 2015.

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Stein, Mike, and Anna Donald. Hands-On Guide for Junior Doctors. Wiley & Sons, Incorporated, John, 2009.

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Stein, Mike, Anna Donald, and Ciaran Scott Hill. Hands-On Guide for Junior Doctors. Wiley & Sons, Incorporated, John, 2011.

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Stein, Mike, and Anna Donald. Hands-On Guide for Junior Doctors. Wiley & Sons, Incorporated, John, 2008.

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Book chapters on the topic "Hospital-based clinical staff"

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Wani, Tafheem Ahmad, Antonette Mendoza, and Kathleen Gray. "Bring-Your-Own-Device Usage Trends in Australian Hospitals – A National Survey." In Healthier Lives, Digitally Enabled. IOS Press, 2021. http://dx.doi.org/10.3233/shti210002.

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Background: Healthcare is among the leading industries which drives the use of personal devices for work purposes (BYOD). However, allowing BYOD for healthcare workers comes at a cost, as it puts sensitive information assets such as patient data residing on personal devices at risk of potential data breaches. Objective: Previous review of the literature has highlighted the dearth of empirical studies in hospital settings regarding BYOD usage. As such, this paper aims to report BYOD usage trends in Australian hospitals through a national survey, first of its kind in Australia. Methods: An anonymous survey was conducted online among health IT personnel, asking them about their experiences about BYOD usage in their hospitals. 28 responses were collected based on public Australian hospitals, which included 21 hospital groups and 7 standalone hospitals, likely to represent more than 100 hospitals in total. Survey responses were quantitatively analysed through descriptive statistical analysis and cross tabulation. Results: BYOD is allowed in majority of the hospitals, and among all major staff groups, with doctors being the leading group. Participants ranked reasons for allowing BYOD, and most of them were related to improvement in clinical productivity, efficiency and mobility for clinical staff. Challenges were generally related to data security such as patient data breaches and compliance with data security laws, according to them. More than two thirds of hospitals had a cybersecurity officer employed, and CIOs were the most dominant group who held responsibility for managing BYOD within the hospital. Conclusion: This paper provides a starting point for better understanding of BYOD usage in a complex healthcare environment based on empirical evidence, one which highlights the security-usability conundrum, confirming previous literature themes.
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Rovini, Erika, Dario Esposito, Carlo Maremmani, Paolo Bongioanni, and Filippo Cavallo. "Empowering Patients in Self-Management of Parkinson's Disease through Cooperative ICT Systems." In Advances in Medical Technologies and Clinical Practice, 251–77. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-9530-6.ch010.

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The objective of this chapter is to demonstrate the technical feasibility and medical effectiveness of personalised services and care programmes for Parkinson's disease, based on the combination of mHealth applications, cooperative ICTs, cloud technologies and wearable integrated devices, which empower patients to manage their health and disease in cooperation with their formal and informal caregivers, and with professional medical staff across different care settings, such as hospital and home. The presented service revolves around the use of two wearable inertial sensors, i.e. SensFoot and SensHand, for measuring foot and hand performance in the MDS-UPDRS III motor exercises. The devices were tested in medical settings with eight patients, eight hyposmic subjects and eight healthy controls, and the results demonstrated that this approach allows quantitative metrics for objective evaluation to be measured, in order to identify pre-motor/pre-clinical diagnosis and to provide a complete service of tele-health with remote control provided by cloud technologies.
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Vrel, Jean-Patrick, Samy Oulmane, Adrien Boukobza, Anita Burgun, and Rosy Tsopra. "A COVID-19 Decision Support System for Phone Call Triage, Designed by and for Medical Students." In Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210226.

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During spring 2020, SARS-CoV-2 pandemic induced shortage of medical equipment, hospital capacity and staff. To tackle this issue, medical students have been strongly involved in early patient triage through medical phone call regulation. Here, we present an intelligent web-based decision support system for COVID-19 phone call regulation, developed by and for, medical students to help them during this difficult but crucial task. The system is divided into 5 tabs. The first tab displays administrative information, clinical data related to life-threatening emergency, and personalized recommendations for patient management. The second tab displays a PDF report summarizing the clinical situation; the third tab displays the guidelines used for establishing the recommendations, and the fourth tab displays the overall algorithm in the form of a decision tree. The fifth tab provided a short user guide. The system was assessed by 21 medical staff. More than 90% of them appreciated the navigation and the interface, and found the content relevant. 90,5% of them would like to use it during the medical regulation. In the future, we plan to use this system during simulation-based medical learning for the initial medical training of medical students.
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Thanos, Loukas, Parisis Gallos, Emmanouil Zoulias, and John Mantas. "Investigating the Success of “Asklepieio Voulas” Hospital Information System." In Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210245.

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Hospital Information Systems assessment is important to ensure the quality of provided healthcare services. This research evaluates the success of the clinical information system used in the General Hospital “Asklepieio Voulas”. A questionnaire was developed based on the DeLone & McLean information systems success model, and used on February 2020, to record the users’ opinions regarding the information system. The reliability of the questionnaire was tested by applying Cronbach’s alpha analysis, descriptive statistics was calculated for all variables of the questionnaire, and new variables was created to investigate the relationships between the model’s factors. Correlation analysis between the factors and linear multiple regression analysis between some of the factors of the DeLone & McLean success model were conducted 218 users responded to the survey, 56.3% of them were medical doctors, 24.1% nurses, and 19.6% other staff of the hospital. Results highlight that the users of the system are satisfied with it. A77.3% of the participants believe that they perform their work more easily when using the system, while 89.3% of the participants believe that the system is useful in their work. According to the results of the model, system quality and information quality seems to be related with the system usage. Information quality plays the most important role in the use of the system while the system quality plays the most important role in user satisfaction. Based on the users’ opinions, the “Asklepieio Voulas” Hospital Information System can be assumed as successful.
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Quimbaya, Alexandra Pomares, Rafael A. González, Wilson Ricardo Bohórquez, Oscar Muñoz, Olga Milena García, and Dario Londoño. "A Systemic, Participative Design of Decision Support Services for Clinical Research." In E-Health and Telemedicine, 371–90. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-8756-1.ch019.

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Development of IT-based services to support decision-making in healthcare should be guided by the following considerations: rigor, relevance, user-centered participation and inclusion of the best practices for IT-based service systems. In this paper, the balance between rigor and relevance is achieved by following the design science research methodology; user-centered participation is tackled from the socio-technical tradition in information systems; best practices considered in the planning, design and implementation of the services are informed by the MOF framework. Moreover, and considering the premise that these pillars should holistically converge, this research has been approached from a systemic stance where iterative, participative, socio-technical activities have allowed the effective collaboration between information systems researchers, clinical researchers, medical staff and administrative hospital personnel. This paper argues for a move towards enhancing systemic, participative, design-centered service systems engineering by reporting a case which applies these concepts for providing decision-support services, enabled by data and text mining techniques, to contribute to clinical research and administration by being able to search electronic health records where narrative text hides meaningful information that would otherwise require a time-consuming human revision of these records.
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Atwood, Emily C., Grace Sollender, Erica Hsu, Christine Arsnow, Victoria Flanagan, Joanna Celenza, Bonny Whalen, and Alison V. Holmes. "A Qualitative Study of Family Experience With Hospitalization for Neonatal Abstinence Syndrome." In Opioid Addiction, 113–19. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/9781610022798-a_qualitative.

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BACKGROUND AND OBJECTIVES Although the incidence of neonatal abstinence syndrome (NAS) in the United States quintupled between 2000 and 2012, little is known about the family perspective of the hospital stay. We interviewed families to understand their experiences during the newborn hospitalization for NAS and to improve family-centered care. METHODS A multidisciplinary team from 3 hospital units composed open-ended interview questions based on a literature review, clinical experience, and an internal iterative process. Trained investigators conducted semi-structured interviews with 20 families of newborns with NAS at hospital discharge. Interviews were recorded and transcribed verbatim. Two investigators independently analyzed each transcript, identified themes via an inductive qualitative approach, and reached a consensus on each code. The research team sorted the themes into broader domains through an iterative process that required consensus of 4 team members. RESULTS Five domains of family experience were identified: parents’ desire for education about the course and treatment of NAS; parents valuing their role in the care team; quality of interactions with staff (supportive versus judgmental) and communication regarding clinical course; transfers between units and inconsistencies among providers; and external factors such as addiction recovery and economic limitations. CONCLUSIONS Families face many challenges during newborn hospitalization for NAS. Addressing parental needs through improved perinatal education, increased involvement in the care team, consistent care and communication, and minimized transitions in care could improve the NAS hospital experience. The results of this qualitative study may allow for improvements in family-centered care of infants with NAS.
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Tapuria, Archana, Maria Kordowicz, Mark Ashworth, Ewan Ferlie, Vasa Curcin, Rositsa Koleva-Kolarova, Julia Fox-Rushby, Sylvia Edwards, Tessa Crilly, and Charles Wolfe. "IT Evaluation of Foundation Healthcare Group Vanguard Project." In Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210246.

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The aim of the Foundation Healthcare Group (FHG) Vanguard model was to develop a sustainable local hospital model between two National Health Service (NHS) Trusts (a London Teaching Hospital Trust and a District General Hospital Trust) that makes best use of scarce resources and can be replicated across the NHS, UK. The aim of this study was to evaluate the provision, use and implementation of the IT infrastructure; based on qualitative interviews and focused mainly on the perspectives of the IT staff and the clinicians’ perspectives. In total 24 interview transcripts, along with ‘Acute Care Collaboration’ questionnaire responses, were analysed using a thematic framework for IT infrastructure, sharing themes across the vascular, paediatric and cardiovascular strands of the FHG programme. Findings indicated that Skype for Business had been an innovative and helpful development widely available to be used between the two Trusts. Clinicians initially reported lack of IT support and infrastructure expected at the outset for a national Vanguard project, but later appreciated that remote access to most clinical applications between the two Trusts became operational. The Local Care Record (LCR), an IT project was perceived to have been delivered successfully in South London. Shared technology reduced patient travelling time by providing locally based shared care. Spreading and scaling-up innovations from the Vanguard sites was the aspiration and challenge for system leaders.
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Summers, Martin. "“Mechanisms of the Negro Mind”." In Madness in the City of Magnificent Intentions, 125–52. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190852641.003.0006.

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This chapter is the first of three that covers Saint Elizabeths during the tenure of one of its most famous superintendents, William Alanson White, who led the hospital from 1903 to 1937. White represented a new approach to mental illness. Dynamic psychiatry moved beyond contemplating mental disorders based on static descriptions of symptoms and, instead, stressed the importance of assessing individuals—including constitution, life experiences, conscious and unconscious memories—and their interactions with their social environments. This chapter provides a bird’s-eye view of how this individualization of mental disease both meshed and was in tension with the race-based comparative psychology research that White encouraged at Saint Elizabeths. Despite their engagement in research that presupposed the existence of distinct black and white psyches, members of the hospital’s clinical staff were ultimately unable to reify race as a scientific category of human difference.
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Rovini, Erika, Dario Esposito, Carlo Maremmani, Paolo Bongioanni, and Filippo Cavallo. "Empowering Patients in Self-Management of Parkinson's Disease Through Cooperative ICT Systems." In Wearable Technologies, 637–63. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-5484-4.ch028.

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The objective of this chapter is to demonstrate the technical feasibility and medical effectiveness of personalised services and care programmes for Parkinson's disease, based on the combination of mHealth applications, cooperative ICTs, cloud technologies and wearable integrated devices, which empower patients to manage their health and disease in cooperation with their formal and informal caregivers, and with professional medical staff across different care settings, such as hospital and home. The presented service revolves around the use of two wearable inertial sensors, i.e. SensFoot and SensHand, for measuring foot and hand performance in the MDS-UPDRS III motor exercises. The devices were tested in medical settings with eight patients, eight hyposmic subjects and eight healthy controls, and the results demonstrated that this approach allows quantitative metrics for objective evaluation to be measured, in order to identify pre-motor/pre-clinical diagnosis and to provide a complete service of tele-health with remote control provided by cloud technologies.
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Lloyd, Marjorie. "Mental health nursing in a rehabilitation and recovery context." In Fundamentals of Mental Health Nursing. Oxford University Press, 2009. http://dx.doi.org/10.1093/oso/9780199547746.003.0012.

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In this chapter we return to the story of Anthony and his brother David, who we originally met in Chapter 4, and Joyce, who first appears in Chapter 5. Previously we considered the role of the mental health nurse in working with people experiencing acute mental health crisis. This chapter seeks to consider how as mental health nurses we might go on to work with these people to support their rehabilitation and reintegration into the community. The chapter opens by outlining some key principles of recovery and proceeds to demonstrate how these ideas might be implemented in working with both Anthony and Joyce. “The way I was feeling my sadness was mine. When I was in hospital staff rarely took time to find out what this was like for me. Not taking the time often fuelled what I was thinking: ‘I’m not worth finding out about.’ Nigel Short (2007: 23)” This service user describes how it feels to live with mental illness continuously throughout their lives, not just while they are in hospital. Professional staff may contribute to this feeling if care planning becomes too focused upon symptoms and treatment rather than person-centred care and recovery. In this context, recovery should not be seen as a new concept; rather it can be traced back at least 200 years to one of the earliest asylums, the Tuke Retreat in Yorkshire. “For it was a critical appraisal of psychiatric practice that inspired the Tuke at York to establish a clinical philosophy and therapeutic practice based on kindness, compassion, respect and hope of recovery. Roberts and Wolfson (2004: 37).” Later, during the 1960s, The Vermont Project (an American psychiatric facility) also published research on successful rehabilitative practice that was based upon ‘faith, hope and love’ (Eldred et al. 1962: 45). However, much of the current focus upon recovery practices is based on longitudinal studies in America, services in Ohio, service users were asked to identify what was important to them. This resulted in the Emerging Best Practices document that is recommended guidance in the UK today (NIMHE 2004).
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Conference papers on the topic "Hospital-based clinical staff"

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Sallam, Naglaa, Reham Hassan, Alaedine Shurrab, Yasser Al Deeb, and Mujahed Shraim. "Reducing the Incidence of Exposure to Blood and Body Fluids." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0184.

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Methods: We used a Pareto chart to identify priority areas for our project based on magnitude of incidence of BBF exposures. A driver diagram was developed with four main primary drivers including risk awareness, attitudes and practice, staff experience, and leadership engagement. Intervention ramps and changes were implemented using multiple PDSA cycles addressing staff knowledge and awareness about BBF exposure prevention and management using surveys and learning brochures and assessment of staff compliance with safe practice. The project included the following measures (i) outcome measure: number of days between BBF exposure incidents; (ii) Process measures: BBF exposure risk awareness score, attitude and practice score, and proportion of staff compliant with BBF exposure safe practice; (iii) BBF reporting exposure score and proportion of staff satisfied with BBF exposure prevention and management policy. Ethical approval of the project was not required. Results: About 80% of BBF exposure incidents were due to needlestick injuries. Emergency unit, operating theatre, hemodialysis unit, laboratory unit, and utility services accounted for 80% of all BBF exposure incidents. Around 47% of the incidents occurred among nurses. Our project was associated with increase in attitude and safe practice score form 75% to 100%. The compliance with safe practice increased from 77% to 86%, and reporting of exposure increased from 75% to 100%. Staff satisfaction increased from 65% at baseline to 96%. Knowledge about prevention and management of BBF exposure (safe practice) increased from 60% to 92% in the hemodialysis unit. However, the median number of days between BBF exposures increased from 13 days at baseline to 18 days in May 2019. Conclusion: Our quality improvement project has identified the priorities clinical areas accounting for the majority of BBF exposure incident. The initial phase of the project in hemodialysis unit was associated with significant increase in knowledge scores about prevention and management of BBF exposure, compliance with safe practice, and staff satisfaction. In addition, the project was associated with significant increase in reporting of BBF exposure, which explains why we were not able to increase the median number of days between BBF exposures to 50 days. We have started spreading our interventions and change ideas to other units in Al-Khor general Hospital. Quality improvement projects can reduce the incidence of BBF exposure having the priority areas identified and the relevant drivers are addressed appropriately
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