Addressing the Silence: a Need for Peripheral Intravenous Education in North America

2018 ◽  
Vol 23 (3) ◽  
pp. 157-165 ◽  
Author(s):  
Mark R. Hunter ◽  
Christine Vandenhouten ◽  
Andrea Raynak ◽  
Andrea K. Owens ◽  
Judy Thompson
Keyword(s):  
Health Care ◽  
Hospitalized Patients ◽  
Shared Responsibility ◽  
Health Care Institution ◽  
Competency Assessment ◽  
Evidence Based ◽  
Intravenous Therapy ◽  
Convenience Sample ◽  
Care Institution ◽  
Health Care Institutions

Abstract Background: Greater than 90% of hospitalized patients receive some form of peripheral intravenous therapy for the delivery of fluids, medication, or parenteral nutrition. Nurses are the largest group of clinicians responsible for the placement and management of peripheral intravenous therapies. The literature suggests that many graduate nurses lack the confidence, knowledge, and ability to not only place peripheral intravenous catheters, but also adequately maintain peripheral intravenous sites. This fact, combined with the increasing acuity of hospitalized patients with multiple comorbidities, makes peripheral intravenous placement and management even more challenging. This drove a team of researchers to explore the current state of peripheral intravenous education in health care institutions and examine potential gaps in ongoing professional development and competency assessment. Methods: A convenience sample of United States and Canadian health care institution representatives were recruited to participate in a 12-item web-based questionnaire regarding peripheral intravenous education and staff competency. Participants were recruited via the Association for Vascular Access listserv, newsletter, and annual meeting. Members were also asked to forward the recruitment e-mail to other health care institutions to ensure a representative sample. Results: A total of 611 health care institution representatives participated in the study. The large majority (80%) worked in a health care institution with more than 150 beds. Over half (67%) indicated that they provide peripheral intravenous education to their staff using varying modalities to deliver the education. The majority (54%) of health care institutions reported spending between 1 and 5 hours on peripheral intravenous education while, alarmingly, 38% reported spending less than 1 hour on peripheral intravenous education for their staff. Despite these numbers, over half of the participants (58%) believe peripheral intravenous education is a shared responsibility between pre-licensure nursing schools and health care institutions. Discussion: The study highlights the varying level of peripheral intravenous education and competency evaluation of staff working in health care institutions. The results suggest the need for an evidence-based, standardized peripheral intravenous curriculum that could be used in both health care institutions and nursing education programs. Conclusion: Currently, there are inconsistencies in the peripheral intravenous education and competency programs used in health care institutions. The authors will use the results of this study to design and examine the effects of a standardized, evidence-based peripheral intravenous curriculum to assist health care professionals responsible for peripheral intravenous education and competency assessment. Given the risk for complications from peripheral intravenous therapy, it is hoped that improved peripheral intravenous education will reduce potential complications and improve patient outcomes.

Pain in hospitalized patients in a third-level health care institution

2018 ◽  
Vol 46 (1) ◽  
pp. 19-25
Author(s):  
Marcela Andrea Erazo-Muñoz ◽  
Claudia Carolina Colmenares-Mejía
Keyword(s):  
Health Care ◽  
Hospitalized Patients ◽  
Health Care Institution ◽  
Care Institution

scholarly journals IMPROVEMENT OF THE COORDINATION PROCESS OF PERSONNEL ACTIVITIES IN STRUCTURAL DEPARTMENTS OF MEDICAL INSTITUTION

2021 ◽  
Author(s):  
Svitlana Kramarchuk ◽  
Nadiya Lubkey
Keyword(s):  
Health Care ◽  
Individual Characteristics ◽  
Health Care Institution ◽  
Psychological Climate ◽  
Medical Institution ◽  
Care Institution ◽  
Health Care Institutions ◽  
Communication Processes ◽  
The Matrix ◽  
The Individual

The article deals with issue of ensuring effective coordination of the personnel activities in health care institutions. The author proposes to apply models which allow solving a large number of management tasks by applying the principle of optimization for ensure the mutually agreed functioning of the structural departments of medical institution. The purpose of the article is to develop methods and proposals for improving the coordination of personnel activities in the structural departments in health care institutions. Sociological methods are proposed to be used to achieve this goal. The article presents the author’s matrix of the relationship between the processes in the health care institution as a result of the provision of medical services, as well as the matrix of responsibility for the processes in the health care institution. Heads of structural departments of medical institutions must have the necessary information about the condition of the managed facility to implement the effective processes of the institution. Therefore the coordination of the structural departments of medical institution is associated with information and communication processes. The methods of monitoring the mutually agreed functioning of the structural departments of the medical institution should depend on the nature of operations and information about the condition of the managed facilities. In the article own vision of the mechanism of formation of a favorable social and psychological climate in the staff of the medical institution is offered. At the first stage it is necessary to analyze the staff of the selected health care institution, to identify the individual characteristics of each employee, the possibility of grouping people into groups of competencies and similar individual qualities. The next stage involves the separation of methods of influence on individual structural departments of the medical institution. It is advisable to take into account informal factors and interests of individuals, groups of employees and the whole team. The last stage involves the implementation of selected methods and their application individually to each member of staff or structural department in accordance with the results of the socio-psychological analysis of the team.

Clinical and epidemiological characteristics of chickenpox in the adult population at the present stage

2020 ◽  
pp. 17-24
Author(s):  
Ekaterina Peredelskaya ◽  
Tatyana Safyanova ◽  
Mikhail Druchanov
Keyword(s):  
Health Care ◽  
Adult Population ◽  
Final Diagnosis ◽  
Health Care Institution ◽  
Federal State ◽  
Economic Damage ◽  
Clinical Hospital ◽  
Care Institution ◽  
High Level ◽  
Epidemiological Characteristics

Chickenpox is an urgent problem, as it is widely spread with a high level of morbidity and an increasing share in the structure of the General infectious pathology with significant economic damage. The aim of the study is to study the epidemiological and clinical features of chickenpox in adults hospitalized in Krai government-owned publicy funded health care institution «City clinical hospital No. 5, Barnaul» for the period 2008‑2018. Content analysis included statistical reporting forms No. 2 of Federal state statistical supervision «Data on infectious and parasitic diseases» in the city of Barnaul during the period 2008‑2018 of medical archival documents adult infectious Department Krai government-owned publicy funded health care institution «City clinical hospital №5, Barnaul» for the same period. Data processing was performed using calculation of intensive and extensive indicators, calculation of the arithmetic mean (X) and standard error of the average (m). Calculations were made using the STATISTICA-10 program. Consistently high rates were recorded, with an average of 64.32 ± 3.46 per 100,000 population. The percentage of hospitalized adults averaged 18.5% during the study period. Adults aged 18‑30 were more likely to be admitted to the hospital (90.3%); 41.6% were students. Adults with moderate severity were hospitalized more often (70.6%); 7 patients (1.3%) had complications: aphthous stomatitis (3 cases), pustulosis (2 cases), and pneumonia (2 cases). Patients with severe severity of the disease accounted for 2.4%, the premorbid background was burdened in 48% (HIV infection, tuberculosis). In 35% of patients with severe severity, the final diagnosis of Herpes zoster was made, all patients older than 40 years, stayed in the hospital for 20‑25 days.

Feto-maternal outcomes of women with Rhesus iso-immunization in a Nigerian tertiary health care institution.

2017 ◽  
Vol 01 (01) ◽  
Author(s):  
George Uchenna Eleje ◽  
Chito Pachella Ilika ◽  
Chukwuemeka Okwudili Ezeama ◽  
Joseph Chinedu Umeobika ◽  
Charlotte Blanche Oguejiofor
Keyword(s):  
Health Care ◽  
Health Care Institution ◽  
Maternal Outcomes ◽  
Care Institution

scholarly journals Clinical and epidemiological characteristics of chickenpox in children aged 0–17 in Barnaul

2021 ◽  
Vol 13 (1) ◽  
pp. 66-70
Author(s):  
E. A. Peredelskaya ◽  
T. V. Safyanova ◽  
M. M. Druchanov
Keyword(s):  
Health Care ◽  
Infectious Diseases ◽  
Bacterial Flora ◽  
Health Care Institution ◽  
Federal State ◽  
Parasitic Diseases ◽  
Clinical Hospital ◽  
Care Institution ◽  
Period Data ◽  
Epidemiological Characteristics

Introduction. Chickenpox is one of the most common infectious diseases in childhood. It is considered a benign disease, but both children and adults can lead to the development of serious complications.Purpose: to study the epidemiological and clinical features of chickenpox in children aged 0–17 years, hospitalized in the Krai government-owned publicy funded health care institution “City clinical hospital No. 11, Barnaul”, for the period 2008–2018.Materials and methods. The materials of the study were data from statistical reporting forms No. 2 of the Federal state statistical observation “Information on infectious and parasitic diseases” in Barnaul for 2008–2018, and medical archive documentation of the children’s infectious diseases Department of the Krai government-owned publicy funded health care institution “City clinical hospital No. 11, Barnaul” for the same period. Data processing was performed using calculation of intensive and extensive indicators, calculation of the arithmetic mean (X) and standard error of the average (m). Calculations were made using the STATISTICA-10 program.Results. The incidence of chickenpox is consistently high, and children aged 3 to 6 years dominated the structure of hospitalized patients with the diagnosis of «chickenpox». All patients were not vaccinated against this infection. Patients developed complications due to the layering of secondary bacterial flora. Summary. Chickenpox is an infectious disease that can be severe, especially in patients with a heavy premorbid background. There is a tendency to” grow up” the infection, which emphasizes the need to discuss specific prevention of the disease.

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