Academic literature on the topic 'Waiting room education'

Unintentional injuries are the leading cause of childhood mortality in the United States. Study aims included educating families about injury prevention and improving satisfaction with the waiting room experience. Two hundred caregivers with young children in the waiting room of an underserved pediatric primary care clinic participated in brief individual education sessions and received a toolkit containing small safety items and content highlighting age-appropriate safety topics. Participants completed 2 follow-up surveys, and most caregivers (94%) reported learning new information about injury prevention and thought that the intervention resulted in a better waiting room experience (91%). Of those who completed the 2-week follow-up survey (84%), 93.5% made changes at home and 42.7% bought new safety equipment. Injury prevention education can be effectively provided in the waiting room of a pediatric primary care clinic by improving reported caregiver safety knowledge and behaviors as well as satisfaction with the waiting room experience.

Objective: This study fills the gap in literature by examining the design elements preferred in psychotherapy waiting rooms. Background: Studies have examined waiting rooms in hospitals and doctors’ offices, but there is little published literature on waiting rooms in psychotherapy offices. Waiting rooms in psychotherapy offices may affect clients’ perceived quality of care and their comfort level. Method: Psychotherapists in Connecticut and Rhode Island were interviewed and agreed to have the waiting rooms (20 in total) of their practices photographed. Then, in a within-subjects design, 250 participants (225 retained for analyses) from MTurk answered questions about the quality of care and comfort in the environment expected in those 20 waiting rooms. Results: Factor analytic results showed that waiting rooms that were welcoming and comfortable as well as large and spacious rated higher for the quality of care and comfort in the environment anticipated by the participant; those that were cramped and crowded rated lower. Few therapists reported any design education about counseling environments and none about the waiting room. Conclusion: Information from this study can guide the design of psychotherapy waiting rooms and enhance healthcare experience.

Objective: Free clinics provide free or reduced fee healthcare to individuals who lack access to primary care and are socio-economically disadvantaged in the USA. Free clinic patients may have health education needs, but experience barriers to attending health education programmes. In an attempt to reach out to free clinic patients who might not otherwise attend health education classes, this project examined the efficacy of student-led health education classes conducted in the waiting room prior to a patient’s appointment with a provider. Design: The classes had two areas of focus: women’s health and health information. Health educators and Spanish interpreters were graduate and undergraduate students. Setting: This study was conducted in the waiting room of a free clinic in the Intermountain West region of the USA. Method: The health education classes were held 22 times in total from late August to early December 2014. Results: While the survey-based assessment of the programme did not show a difference in levels of health consciousness, health information seeking and health attitudes, the programme potentially increased interest in attending the health education classes. Conclusion: There were some challenges associated with the implementation of a health education class in the waiting room setting, particularly in regards to environments, evaluation and interpretation services. Future projects are needed to address challenges associated with conducting a health education class in a waiting room setting. In addition, a variety of health topics, evidence-based evaluation and interpreter services are key for future success.

The UBC Children’s Dental Program (CDP) has provided free basic dental treatment for high caries risk children, from marginalized populations, since the mid-1970s. Children are referred to the program by Health Authority Staff in metro Vancouver. Treatment is provided by senior dental students under the supervision of UBC Pediatric Dentistry instructors. However, the students have limited time to provide health education to the accompanying caregivers. Therefore, this project developed a ʺwaiting-room basedʺ dental health education program (DHEP) to engage the caregivers of participating children. Our main objectives were to assess the feasibility and acceptability of the DHEP and its short term effectiveness in changing parental dental health related behaviours. A situational analysis using structured interviews was performed with the caregivers and other stakeholders of the CDP: Health Authority Staff, UBC Pediatric Dentistry instructors and participating dental students. After the assessment of caregivers’ dental knowledge, dental behaviours, attitudes as well as preferences about a dental educational program, the DHEP was developed and implemented in the waiting rooms at UBC’s two children’s dental clinics. Follow-up phone calls with the caregivers assessed their short term self-reports of changes in dental health related behaviours. Comparisons before and after being exposed to our DHEP were made using Chi-square tests; significance was set at P<0.05. Of the 80 caregivers who received the DHEP, the follow-up rate was 81% (67/80). Significant increases in proportions (from 12% to 79%) of caregivers brushing their children’s teeth and brushing before bed (54% to 85%) were self-reported. An improvement in caregiver-reported child’s snacking habits was also observed. Decreases (from 93% to 69%) in giving children sugar- iii containing beverages and in consuming sugar-containing foods as snacks (from 94% to 31%) were also noted. A caregiver-centred DHEP implemented in the waiting rooms of UBC’s dental clinics proved to be a feasible strategy for oral health education. The program was well-accepted by the caregivers, who reported significant short-term improvements in their children’s dental health behaviours. Therefore, appropriate oral health education provided to caregivers in the waiting room is a recommendation for the CDP.
Dentistry, Faculty of
Graduate

Background Antenatal education and pregnancy-related health information can be delivered in several forms. However, women living in disadvantaged circumstances can have difficulties engaging with it. Since the inception of digital media, pregnant women have demonstrated interest in using this medium for health education. However, it is unclear if disadvantaged women can easily access and engage with digital media to obtain accurate information related to their pregnancies. In addition, there remains speculation as to the effectiveness of digital media for antenatal education. The purpose of this research work was to determine whether digital media is the most effective medium for health education in socially disadvantaged women. Methodology Data from a prospectively recruited pregnancy cohort attending a tertiary public hospital in the northern suburbs of Adelaide, South Australia (STOP study; n=1300 nulliparous women) were used to characterise the social wellbeing, mental health and physical health issues affecting this disadvantaged antenatal population. Digital media use by health professionals (n=40) was assessed and barriers for the use of technology explored using qualitative methods. Two new antenatal digital education interventions were developed and then trialled in the population of pregnant women; an android digital mobile application (the Health-e Babies App) (n= 100) and a PowerPoint presentation for use in the antenatal clinic waiting room (n=102) using both qualitative and quantitative methodologies. Results Of the STOP Study participants, the Socio-Economic Index (SEI 29, Decile 1 in Australia) indicates this population is amongst the most socially disadvantaged in the country. In relation to mental health, 32% (n=416) reported high risk Antenatal Risk Questionnaire scores, 30.1%, (n=382) medium to high anxiety and 46.9% (n=590) high levels of perceived stress during pregnancy. In addition, pre-conception binge alcohol consumption and drug abuse was reported by 14.1% (n=183) of participants while dietary intake did not meet the recommended dietary guidelines before or during pregnancy. The Health-e Baby study cohort preferred face-to-face education with a health professional in combination with digital technology. However, 50% (n=20) of midwives had reservations about the use of digital media as a means of antenatal education. Women who completed the Health-e Baby Study (n=30) reported that they really liked the app. During the 10 week trial women accessed the app 18 times on average, with a mean length of time per episode of 5.7 min. The inability for some participants to complete the study (n=70), enabled the exploration of probable causes and the development of strategies to encourage engagement with apps in the future. In relation to the PowerPoint presentation, 86.3% (n=88) reported they watched it, 59.8% (n=61) stated that they learned new information and 45.4% (n=40/88) recalled the information. This suggests that this form of waiting room education has the potential to effectively inform given sufficient exposure time. Conclusion Disadvantaged pregnant women want relevant, hospital specific, research-based information via multiple media. Face-to-face with a healthcare provider and digital media are their preferred options. However, tailoring information to the specific needs of individuals is required for the socio-economically disadvantaged.
Thesis (Ph.D.) -- University of Adelaide, School of Medicine, 2021

O presente trabalho pretende recolher informação sobre o balanced scorecard implementado nos três blocos operatórios dos Hospitais do SNS que no ano de 2013 alcançaram os melhores resultados (% de utilização) ao nível da capacidade utilizada do bloco operatório e, a partir dos dados obtidos, desenvolver um balanced scorecard que possa ser aplicado de uma forma genérica à globalidade dos blocos operatórios dos hospitais do SNS. É um facto que o aumento das listas de espera cirúrgicas é uma preocupação sempre presente na agenda política. Ao longo dos anos, através de programas diversos de combate às listas de espera, tem-se tentado reduzir o tempo de espera cirúrgica para níveis aceitáveis, centrando-se os holofotes da gestão hospitalar na eficiência dos blocos operatórios. O balanced scorecard surge como um modelo de gestão para medir a performance das organizações. Desenvolvido pelos Professores Robert Kaplan e David Norton, em 1992, este modelo apresenta quatro perspetivas: clientes, financeira, processos internos e aprendizagem e crescimento. Para cada uma destas perspetivas são definidos objetivos e indicadores, que possibilitam a medição e o acompanhamento da estratégia da organização. Pretende-se, em suma, construir um BSC para o bloco operatório que possa ser replicado noutros Hospitais, como uma ferramenta de suporte à gestão estratégica e que concorra para o alinhamento entre as visões (por vezes antagónicas) dos grupos profissionais presentes no Hospital.
This work intends to gather information on the balanced scorecard implemented in the three operating theaters in SNS hospitals which in 2013 achieved the best results (% utilization) at the level of capacity utilization of the operating room and, from the data obtained, develop one balanced scorecard that can be applied in a general way to the whole of the operating theaters in SNS hospitals. It is a fact that increased surgical waiting lists is an ever-present concern on the political agenda. Over the years, through various programs to combat waiting lists has been tried to shorten surgical waiting to acceptable levels by focusing the spotlight on the efficiency of hospital management of operating theaters. The balanced scorecard emerges as a management model to measure the performance of organizations. Developed by Professors Robert Kaplan and David Norton in 1992, this model has four perspectives: customer, financial, internal processes and learning and growth. For each of these perspectives objectives and indicators that enable measuring and monitoring the strategy of the organization are defined. It is intended, in short, build a BSC for the operating room that can be replicated in other hospitals, as a support tool for strategic management and contributes to the alignment between the views (sometimes conflicting) professional groups present in the Hospital.

INTRODUCTION: The child is a being that requires periodic monitoring for evaluation, growth and development. Assisting the human being at this stage of the life cycle is essential to prevent diseases and reduce the incidence of health problems and reach the maximum potential for growth and development through childcare consultation. Therefore, in the first year of life, at least seven consultations are recommended. OBJECTIVE: To report the experience of nursing students at the Primary Health Care Unit with the development of a health education on The Importance of Childcare Consultation with a group of pregnant women. METHODOLOGY: The present work is a descriptive study, of the experience report type. Held in a Primary Health Care Unit in the city of Fortaleza-CE, from 10/04/2018 to 10/18/2018 during the subject Supervised Curriculum Internship in Nursing III - Child Health where a health education was carried out with a group of pregnant women about childcare. RESULTS: Health education was divided into 3 moments and was carried out in the UAPS meeting room with a group of pregnant women waiting for the prenatal consultation as the target audience. FINAL CONSIDERATIONS: The experience in the field helped us to put into practice what was seen in theory, meeting the personal needs of each individual involved and providing us with a more specific knowledge about different areas. The purpose of the activity was to promote the necessary care, taking information to those who need it.

The use of social media for information dissemination for education, environmental movement, natural disasters, emergency, election campaign, grass root movements, non-profit organisations, public health communication, and marketing for health promotion, e-governance, and political revolutions is well known. The economic significance of the health and medical tourism sector in the global healthcare business should not be underestimated. Internet is playing a leading role as a platform for the dissemination of medical tourism business information. In this century, more and more actual and potential tourists are accessing the internet and social media applications to find and disseminate factual information regarding medical tourism facilitators, destinations, super-speciality hospitals, specialist doctors and nurses, quality and accreditation, accommodation facility, cost, waiting period for surgery and sharing their positive and negative experiences to inform potential medical tourists. Healthcare providers and medical tourists acquire information, create, collaborate, communicate and disseminate healthcare and medical tourism related information through the Word-of-Social-Media (WoSM) tools such as FaceBook, Flickr, Twitter, Blogs, Forums, YouTube patient testimonials, Google Plus, LinkedIn, Photo and video sharing, Alexa and mobile applications. Therefore social media has a great potential as an information source and a knowledge dissemination tool for tourism industry to network and create clusters locally and globally, to exploit new innovative technologies for interaction and collaboration between the healthcare providers as well as the medical tourists. The main contribution of this chapter is to explore and discuss the role and use of social media applications for knowledge dissemination by hospitals and the medical tourists in the global business of medical tourism in India.

Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.