E-Government Adoption Among Citizens: The Case Study of Health Care Workers in a Rural Turkish Hospital

2013 ◽  
Author(s):  
Abdullah Naralan ◽  
Ali Kemal elik ◽  
Selluk Bakan
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Care Workers

COVID-19 Infodemic Case Studies: How Social Media Shared Information Rapidly to Global Health Care Teams (Preprint)

2020 ◽  
Author(s):  
Amanda Tomlinson ◽  
Ian Brooks ◽  
Ian Brooks ◽  
Ashley Rogers ◽  
William David Freeman ◽  
...  
Keyword(s):  
Health Care ◽  
Social Media ◽  
Case Studies ◽  
Health Care Workers ◽  
News Media ◽  
Scientific Information ◽  
Global Distribution ◽  
Clinical Knowledge ◽  
Care Workers

BACKGROUND The COVID-19 pandemic has led to a health care infodemic. While social media is useful for rapidly spreading clinical and scientific information. The accuracy of the scientific information shared on social media is a concern.We used a social media aggregator and searched social media platforms for public posts for 2 case studies. We measured the reach of social media posts related to the global coronavirus disease 2019 (COVID-19) pandemic, the number of times the posts were shared, the number of countries the posts reached, and the speed of dissemination. Our 2 health care examples demonstrate the rapid global distribution of clinical knowledge across the medical community through social media in less than 1 week. OBJECTIVE To demonstrate the rapid global distribution of clinical knowledge through social media. METHODS To identify posts for this study, we used the social media aggregator Crimson Hexagon, which allowed searches of more than 1.4 trillion public posts, including 100% of Twitter. For case study 1, we searched Twitter for retweets of the original @CMichaelGibson post. For case study 2, we searched YouTube, Twitter, forums, comments, blogs, Reddit, and Tumblr for public posts between March 22 and April 3, 2020, with the following search string: “intubationbox” OR “intubation box” OR “intubationboxes” OR “intubation boxes” OR “aerosolbox” OR “aerosolboxes” OR “aerosol box” OR “aerosol boxes.” This search yielded 26,402 posts, of which 11,578 had an identifiable location. RESULTS Social Media Case Study 1 On March 16, 2020, @CMichaelGibson tweeted about a comparison of different do-it-yourself mask materials from a University of Cambridge research article (Figure 1). This tweet (with the hashtag #macgyvercare) was heavily retweeted and gave interesting results. Within 3 days the post had been shared by people in 53 countries, and within a week, 79 countries. During this time, the US and the Centers for Disease Control and Prevention had not commented on the utility of masks for the public or on a universal need for health care workers to wear masks except during procedures with a high risk of aerosolization. Social Media Case Study 2 On March 22, 2020, a Taiwanese news portal reported a story about Dr Lai Hsien-Yung, an anesthesiologist at the Mennonite Christian Hospital (Hualien, Taiwan), who built an improvised, low-cost, aerosol box to help give health care workers additional protection against aerosol exposure to the novel coronavirus when intubating patients. He described his idea for a simple yet ingenious plexiglass box on his Facebook page.1 The #aerosolbox idea soon spread across other platforms, including Twitter.2 Repostings and retweets of this idea and variations of it spread to hospitals and universities around the globe. This concept was later described by physicians in Boston, who wrote a letter to the editor that was published in the April 3, 2020, issue of the New England Journal of Medicine.3 The idea that was initially posted on March 22 on Facebook subsequently spread through news media and social media to 6 continents (Figure 2), was modified and implemented in hospitals around the globe, and was ultimately described in a leading medical journal. That all this occurred within only 12 days is a testament of the reach and impact of social media. Also, within the same 12-day span, from March 22 to April 3, information about #aerosolbox was shared publicly over 26,400 times on social media by people in 110 countries. These numbers include only posts that have search terms defined in English and that are shared publicly and have an identifiable location. The box described in #aerosolbox, however, was not without its limitations. A peer-reviewed article published on May 12, 2020, described an in situ observational simulation in which the box posed potential hazards, including longer intubation times for patients and damage to personal protection equipment from the edges of the box, which could increase exposure to the virus.4 CONCLUSIONS Social media is a powerful tool for the dissemination of digital health information. Such information traveled far and fast during the COVID-19 pandemic and underwent considerable online feedback while spreading, often transforming into news articles and traditional academic peer-reviewed publication.

Hearing Loss and Speech Privacy in the Health Care Setting: A Case Study

2008 ◽  
Vol 19 (03) ◽  
pp. 215-225 ◽  
Author(s):  
David A. Zapala ◽  
David B. Hawkins
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Health Care Workers ◽  
Oral Communication ◽  
Careful Study ◽  
Patient Privacy ◽  
Care Workers ◽  
Clinical Environments ◽  
Healthcare Insurance

Ensuring speech privacy has become an important consideration in the design of health care environments. The Healthcare Insurance Portability and Accountability Act requirements include the establishment of reasonable technical and procedural methods to protect patient privacy. However, specific standards for meeting speech privacy requirements are not currently established. This article presents a case study of two clinical environments, one where speech privacy was judged by health care workers to be adequate and one where speech privacy was judged to be inadequate. Careful study of both environments revealed three factors that led to the perception of inadequate speech privacy. First, sound attenuation between adjacent rooms was slightly poorer by 5 dB in the inadequate environments. Second, ambient noise levels were lower by 9 dB in the inadequate environment. Finally, geriatric patients with hearing loss prompted health care workers to increase their speech intensity, decrease language complexity, and decrease the speed at which speech was articulated. These factors made it more probable that speech was overheard and understood. Existing methods to calculate speech privacy in health care settings need to consider the effect of hearing loss on the acoustics of the oral communication transaction. El aseguramiento de la privacidad para el lenguaje se ha convertido en una consideración importante en el diseño de ambiente de atención en salud. Los requisitos de la Ley de Responsabilidad y Portabilidad de Seguros de Salud incluyen el establecimiento de métodos técnicos y de procedimiento para proteger razonablemente la privacidad del paciente. Sin embargo, los estándares específicos para cumplir los requisitos de privacidad para el lenguaje no están actualmente establecidos. Este artículo presenta un estudio de caso de dos ambientes clínicos, uno donde la privacidad para el lenguaje se juzgó adecuada por parte de trabajadores de salud, y otro donde se consideró que la privacidad para el lenguaje era inadecuada. Un estudio cuidadoso de ambos ambientes reveló tres factores que condujeron a la percepción de una privacidad inadecuada para el lenguaje. Primero, la atenuación del sonido entre habitaciones adyacentes fue levemente menor de 5 dB para los ambientes inadecuados. Segundo, los niveles de ruido ambiental fueron 9 dB más bajos en el ambiente inadecuado. Finalmente, los pacientes geriátricos con hipoacusia pidieron al personal de salud que aumentaran la intensidad de su lenguaje, que disminuyeran la complejidad del mismo, y que disminuyeran la velocidad a la cuál se articulaba el lenguaje. Estos factores hicieron que fuera posible que el lenguaje se oyera y entendiera mejor. Los métodos actuales para calcular la privacidad en el lenguaje en establecimientos de salud deben considerar el efecto de la hipoacusia en la acústica de la transacción oral de la comunicación.

Reducing post-cesarean wound infection at Muhororo Hospital by increasing hand hygiene practice

2016 ◽  
Vol 24 (4) ◽  
pp. 357-362 ◽  
Author(s):  
Adelphine Nibamureke ◽  
Egide Kayonga Ntagungira ◽  
Eva Adomako ◽  
Victor Pawelzik ◽  
Rex Wong
Keyword(s):  
Health Care ◽  
Problem Solving ◽  
Hand Hygiene ◽  
Health Care Workers ◽  
Hand Hygiene Compliance ◽  
Hygiene Practice ◽  
Content Type ◽  
Care Workers ◽  
Hygiene Compliance

Purpose Post-cesarean wound infection (PCWI) is a common post-operative complication that can negatively affect patients and health systems. Poor hand hygiene practice of health care professionals is a common cause of PCWI. This case study aims to describe how strategic problem solving was used to introduce an alcohol-based hand rub in a district hospital in Rwanda to improve hand hygiene compliance among health care workers and reduce PCWI. Design/methodology/approach Pre- and post-intervention study design was used to address the poor hand hygiene compliance in the maternity unit. The hospital availed an alcohol-based hand rub and the team provided training on the importance of hand hygiene. A chart audit was conducted to assess the PCWI, and an observational study was used to assess hand hygiene compliance. Findings The intervention successfully increased hand hygiene compliance of health care workers from 38.2 to 89.7 per cent, p < 0.001, and was associated with reduced hospital-acquired infection rates from 6.2 to 2.5 per cent, p = 0.083. Practical implications This case study describes the implementation process of a quality improvement project using the eight steps of strategic problem solving to introduce an alcohol-based hand rub in a district hospital in Rwanda. The intervention improved hand hygiene compliance among health care workers and reduced PCWI using available resources and effective leadership skills. Originality/value The results will inform hospitals with similar settings of steps to create an environment that enables hand hygiene practice, and in turn reduces PCWI, using available resources and strategic problem solving.

scholarly journals Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study

2011 ◽  
Vol 11 (Suppl 2) ◽  
pp. S11 ◽  
Author(s):  
Sumeet Sodhi ◽  
Hastings Banda ◽  
Damson Kathyola ◽  
Barry Burciul ◽  
Sandy Thompson ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Educational Outreach ◽  
Clinical Tool ◽  
Care Workers ◽  
Outreach Intervention

scholarly journals A case study of an influenza vaccination program for health care workers in Vietnam

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Nga T. Ha ◽  
Thoa T. M. Nguyen ◽  
Tung X. Nguyen ◽  
Phu D. Tran ◽  
Hang M. Nguyen ◽  
...  
Keyword(s):  
Health Care ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Vaccination Program ◽  
Care Workers

scholarly journals ‘It is a question of determination’: a case study of monitoring and evaluation of integrated family planning services in urban areas of Togo

2019 ◽  
Vol 3 ◽  
pp. 1451
Author(s):  
Helen Baker ◽  
Roger Rochat ◽  
Kenneth Hepburn ◽  
Monique Hennink ◽  
Macoumba Thiam ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Reproductive Health ◽  
Health Care Workers ◽  
Urban Areas ◽  
Monitoring And Evaluation ◽  
Family Planning Services ◽  
Patient Level ◽  
Care Workers

Background: Integrating family planning into postabortion and postpartum services can increase contraceptive use and decrease maternal and child death; however, little information exists on the monitoring and evaluation of such programs. This article draws on research completed by the EngenderHealth’s AgirPF project in three urban areas of Togo on the extent to which monitoring and evaluation systems of health services, which operated within the AgirPF project area in Togo, captured integrated family planning services. Methods: This mixed methods case study used 25 health facility assessments with health service record review in hospitals, large community clinics, a dispensary, and private clinics and 41 key informant interviews with health faculty, individuals working at reproductive health organizations, individuals involved in reproductive health policy and politics, health care workers, and health facility directors. Results: The study found the reporting system for health care was labor intensive and involved multiple steps for health care workers. The system lacked a standardized method to record family planning services as part of other health care at the patient level, yet the Ministry of Health required integrated family planning services to be reported on district and partner organization reporting forms. Key informants suggested improving the system by using computer-based monitoring, streamlining the reporting process to include all necessary information at the patient level, and standardizing what information is needed for the Ministry of Health and partner organizations. Conclusion: Future research should focus on assessing the best methods for recording integrated health services and task shifting of reporting. Recommendations for future policy and programming include consolidating data for reproductive health indicators, ensuring type of information needed is captured at all levels, and reducing provider workload for reporting.

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