Nurses’ self‐assessments of adherence to guidelines on safe medication preparation and administration in long‐term elderly care

2019 ◽  
Vol 34 (1) ◽  
pp. 108-117 ◽  
Author(s):  
Markus Karttunen ◽  
Sami Sneck ◽  
Jari Jokelainen ◽  
Satu Elo
Keyword(s):  
Elderly Care ◽  
Adherence To Guidelines ◽  
Safe Medication ◽  
Self Assessments

scholarly journals Ikääntyneiden turvallinen lääkehoito – mittarin kehittämisprosessi

Gerontologia ◽  
2017 ◽  
Vol 31 (2) ◽  
pp. 87-99 ◽  
Author(s):  
Markus Karttunen ◽  
Maria Kääriäinen ◽  
Jari Jokelainen ◽  
Satu Elo
Keyword(s):  
Pilot Study ◽  
Scoping Review ◽  
Online Survey ◽  
Development Process ◽  
Response Rate ◽  
Elderly Care ◽  
Medication Administration ◽  
Essential Information ◽  
Safe Medication

Tutkimuksen tarkoituksena oli kehittää turvallisen lääkehoidon toteuttamista arvioiva mittari. Mittarin sisältö laadittiin turvallisen lääkehoidon toteuttamisen osa-alueiden mukaisesti kirjallisuuskatsauksen avulla. Osa-alueita ovat: oikea lääke, oikea tarve lääkkeelle, oikea annos, oikea potilas, oikea lääkkeen antotapa, oikea lääkkeen käyttökuntoon saattaminen, oikea lääkkeen antoaika, oikea potilaan ohjaus, oikea lääkehoidon seuranta ja vaikutusten arviointi, oikea lääkehoidon dokumentointi ja kirjaaminen, oikea aseptiikka. Osa-alueista laadittiin mittari, joka käsitti 123 kysymystä. Asiantuntijapaneeli (n=7) arvioi mittarin sisältöä ja väittämien rakenteita. Pilot-testauksen aineisto kerättiin webropol-kyselynä yhden kaupungin kunnallisissa ikääntyneiden pitkäaikaishoidon yksiköissä lääkehoitoon osallistuvalta hoitohenkilökunnalta (N = 294). Vastausprosentti oli 24 %. Pilot-testauksessa arvioitiin vastaamiseen kuluvaa aikaa ja sähköisen kyselyn toimivuutta. Mittarin sisäisen johdonmukaisuuden arvioinnissa käytettiin Tarkkonen Rho -kerrointa, joka osoitti mittarin sisäisen johdonmukaisuuden hyväksi. Asiantuntijapaneelin arvioinnissa ja pilot-testauksessa saatiin tärkeää tietoa kehitetyn mittarin sisällöstä, selkeydestä, vastaamiseen kuluvasta ajasta ja käytettävyydestä. Turvallinen lääkehoito -mittari todettiin muokkauksen jälkeen turvallisen lääkehoidon toteuttamisen periaatteet hyvin huomioivaksi, toimivaksi ja luotettavaksi. Development process of the Safe medication – scale for elderly careThe aim of this study was to develop a safe medication administration assessment scale. The content of the scale was built according to divisions of safe medication administration by using scoping review method. The divisions are: right drug, right action, right dose, right patient, right route, right form, right time, right counselling, right response, right documentation, right aseptic. The scale consisted of 123 items. A panel of experts (n=7) determined the content of the scale and the structures of the items. The material for the pilot study was collected from the staff (N=294) of the communal long term elderly care wards of one town by using webropol questionnaire. The response rate was 24 %. The time used for responding and the usability of the online survey were evaluated. Tarkkonen’s rho was used for estimation of reliability and the internal consistency was noted to be good. The appraisal of the panel of experts and the pilot study produced essential information of the content and the clarity of the scale. After final editing the Safe Medication – scale was noted to be functional and reliable.

The use of mystery guests by the Dutch Health Inspectorate: Results of a pilot study in long-term intramural elderly care

Health Policy ◽  
2015 ◽  
Vol 119 (6) ◽  
pp. 821-830 ◽  
Author(s):  
Samantha A. Adams ◽  
Katharina T. Paul ◽  
Corry Ketelaars ◽  
Paul Robben
Keyword(s):  
Pilot Study ◽  
Elderly Care ◽  
Dutch Health

scholarly journals CARE: Context-awareness for elderly care

2020 ◽  
Author(s):  
Simon Klakegg ◽  
Kennedy Opoku Asare ◽  
Niels van Berkel ◽  
Aku Visuri ◽  
Eija Ferreira ◽  
...  
Keyword(s):  
Nursing Home ◽  
Context Awareness ◽  
Care Service ◽  
Elderly Care ◽  
Sensor Data ◽  
Context Aware ◽  
Integrated Technology ◽  
Potential Impact ◽  
Post Hoc

AbstractWe present CARE, a context-aware tool for nurses in nursing homes. The system utilises a sensors infrastructure to quantify the behaviour and wellbeing (e.g., activity, mood, social and nurse interactions) of elderly residents. The sensor data is offloaded, processed and analysed in the cloud, to generate daily and long-term summaries of residents’ health. These insights are then presented to nurses via an Android tablet application. We aim to create a tool that can assist nurses and increase their awareness to residents’ needs. We deployed CARE in a local nursing home for two months and evaluated the system through a post-hoc exploratory analysis and interviews with the nurses. The results indicate that CARE can reveal essential insights on the wellbeing of elderly residents and improve the care service. In the discussion, we reflect on our understanding and potential impact of future integrated technology in elderly care environments.

scholarly journals Studying robots outside the lab: HRI as ethnography

2019 ◽  
Vol 10 (1) ◽  
pp. 117-127 ◽  
Author(s):  
Lasse Blond
Keyword(s):  
Elderly Care ◽  
Real Life ◽  
Implementation Process ◽  
Field Studies ◽  
Ethnographic Study ◽  
South Korean ◽  
Ethnographic Studies ◽  
Assistive Robot ◽  
Socially Assistive Robot

Abstract As more and more robots enter our social world, there is a strong need for further field studies of humanrobot interaction. Based on a two-year ethnographic study of the implementation of a South Korean socially assistive robot in Danish elderly care, this paper argues that empirical and ethnographic studies will enhance the understanding of the adaptation of robots in real-life settings. Furthermore, the paper emphasizes how users and the context of use matters to this adaptation, as it is shown that roboticists are unable to control how their designs are implemented and how the sociality of social robots is inscribed by its users in practice. This paper can be seen as a contribution to long-term studies of HRI. It presents the challenges of robot adaptation in practice and discusses the limitations of the present conceptual understanding of human-robot relations. The ethnographic data presented herein encourage a move away from static and linear descriptions of the implementation process toward more contextual and relational accounts of HRI.

scholarly journals POOR ADHERENCE TO GUIDELINES FOR LONG-TERM OXYGEN THERAPY

CHEST Journal ◽  
2009 ◽  
Vol 136 (4) ◽  
pp. 96S ◽  
Author(s):  
Alessia Verduri ◽  
Licia Ballerin ◽  
Marzia Simoni ◽  
Leonardo Fabbri ◽  
Pietro Roversi ◽  
...  
Keyword(s):  
Oxygen Therapy ◽  
Poor Adherence ◽  
Adherence To Guidelines ◽  
Long Term Oxygen Therapy

Long-Term Efficacy of Trilostane Administered Twice Daily in Dogs With Pituitary-Dependent Hyperadrenocorticism

2006 ◽  
Vol 42 (4) ◽  
pp. 269-276 ◽  
Author(s):  
Dolores Perez Alenza ◽  
Carolina Arenas ◽  
Mari Luz Lopez ◽  
Carlos Melian
Keyword(s):  
Total Daily Dose ◽  
Final Dose ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Once Daily ◽  
Safe Medication ◽  
Mean Survival Time ◽  
Daily Dose ◽  
The Mean

Trilostane is considered an efficacious and safe medication for canine pituitary-dependent hyperadrenocorticism (PDH). Its recommended frequency of administration is once daily. In this prospective study, the efficacy, toxicity, and long-term outcome of trilostane administered twice daily per os were evaluated in 44 dogs with PDH. Mean initial dose was 3.1 mg/kg q 12 hours, and mean final dose was 3.2 mg/kg q 12 hours. The final total daily dose was lower than previously reported for once-daily administration. The mean survival time for affected dogs was 930 days.

scholarly journals Telemedicine in long-term elderly care facilities as “social accountability” in the context of Covid-19

2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Carolina Pimentel Bertasso ◽  
Amanda Cristina Netto Guerra ◽  
Fernanda Pereira ◽  
Lissa Nakazato ◽  
Lara Godela Delatore ◽  
...  
Keyword(s):  
Public Health ◽  
Medical Students ◽  
Medical Care ◽  
Elderly Care ◽  
Social Accountability ◽  
World Health ◽  
Local Health ◽  
Care Facilities ◽  
Daily Contact

Abstract: Introduction: The World Health Organization defined the compulsory need to redirect all educational, research and public health service activities of medical schools to meet all priority health needs, attributing to them this social responsibility role. Due to the emergency situation in the public health system caused by the COVID-19 pandemic, as a measure of social accountability, remote medical care services and online education were adopted in order to continue following the curricular program and to provide assistance to local city governments. Experience report: Two months before graduation, medical students followed-up on the monitoring of residents and COVID-19 healthcare professionals of forty-three ILPIs (Long-Term Elderly Care Facilities) in the city of Sao Jose do Rio Preto, state of Sao Paulo, Brazil. The medical students made daily telephone calls to all these ILPI units, requesting information, generally from the head nurses and owners, about the main COVID-19 symptoms that were detected in the residents and employees of these facilities. All the collected information was discussed daily with the teacher in charge of mentoring the program, fed into an online database and into a work schedule chart, then relayed to the local Municipal Health Secretariat. A COVID-19 contingency plan was devised by the team, authorized by the Local Health Secretariat and then presented to the ILPIs, aiming to offer them the best guidance throughout the pandemic. Discussion: the COVID-19 pandemic revealed the Health Education System’s fragilities, limitations and capacity to adapt to this crisis, thus largely contributing to improving the training of new medical doctors. During the program, medical students faced many challenges, especially regarding the difficulty to contact some ILPIs by telephone, omitted or erroneous information provided by employees in these facilities and delays in reporting suspected cases. In spite of this scenario, daily contact with these facilities allowed the team to identify the ILPIs that were more adequately prepared and the ones that needed auditing and further supervision. Also, this daily contact established a bond between the team and the ILPIs. Conclusion: During the pandemic, it was possible to perform actions according to the logic of social accountability, demonstrating that remote online medical practice is a tool capable of both maintaining interns in contact with the practical aspects of medical care and providing medical assistance to the community and to the local government.

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