scholarly journals Assessing the Outcomes of an Animal-Assisted Intervention in a Paediatric Day Hospital: Perceptions of Children and Parents

Animals ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. 1788
Author(s):  
Adriana Ávila-Álvarez ◽  
Jerónimo Pardo-Vázquez ◽  
Iván De-Rosende-Celeiro ◽  
Rita Jácome-Feijoo ◽  
Gabriel Torres-Tobío
Keyword(s):  
Outpatient Care ◽  
Hospital Care ◽  
Emotional State ◽  
Longitudinal Design ◽  
Day Hospital ◽  
Positive Perception ◽  
Self Assessment ◽  
Children And Parents ◽  
Quasi Experimental ◽  
Animal Assisted Intervention

There is a growing interest in the use of animal-assisted intervention (AAI) as a non-pharmacological strategy to improve child welfare in hospitals. However, the efficacy of implementation of programmes based on activities with dogs in a paediatric day hospital is not known. An intra-subject quasi-experimental longitudinal design was used for the purpose of assessing the feasibility of such an intervention, as well as exploring the perceptions of its outcomes by children and parents/guardians. A total of 55 children in outpatient care at a paediatric day hospital participated in an AAI session. The application of this intervention was feasible. Self-assessment by the paediatric patients revealed a statistically significant improvement in their emotional state after the session, which was large in size. Parents confirmed this improvement in their child, perceiving significant changes in their mood, which were large in size. This study suggests that AAI is an effective approach when it comes to promoting the emotional welfare of children during their stay in hospital care environments. Participating in recreational occupations with dogs could contribute in a relevant and efficient way to the development of significant and gratifying experiences and to a more positive perception of healthcare centres on the part of children.

scholarly journals Comparing modular and personal service delivery in specialised outpatient care: A survey of haematology and oncology patient preferences

2019 ◽  
Vol 32 (4) ◽  
pp. 209-217
Author(s):  
Katariina Silander ◽  
Paulus Torkki ◽  
Antti Peltokorpi ◽  
Maija Tarkkanen ◽  
Aino Lepäntalo ◽  
...  
Keyword(s):  
Patient Preferences ◽  
Outpatient Care ◽  
Hospital Care ◽  
Care Delivery ◽  
Day Hospital ◽  
Oncology Patients ◽  
Oncology Patient ◽  
Haematology Patients ◽  
Logistic Regressions ◽  
Delivery Models

Background Oncology and haematology are shifting from inpatient to outpatient care, requiring new care delivery models. This study compares preferences of oncology patients treated by named nurses in a traditional specialty-focused day hospital and haematology patients treated without named nurses in a modularised day hospital. Methods Questionnaires to explore patient preferences on number of treating nurses and named nurses, and satisfaction in day hospital care were distributed to 300 haematology and 410 oncology patients. Binomial logistic regressions were performed to study how background variables influenced preferences for having (i) a named nurse or (ii) maximum three treating nurses in the day hospital. Results In 2016, 156 (52%) haematology and 289 (70%) oncology surveys were completed and returned. Both groups were satisfied with day hospital care. Haematology patients preferred named nurses less often than oncology patients (odds ratio (OR) = 0.09, p < 0.0005). Haematology patients were less likely to prefer a maximum of three treating nurses (OR = 0.12, p < 0.0005). Conclusion This study suggests that patients can be satisfied with outpatient care with or without named nurses. However, as several factors affect patient satisfaction and experience, more in-depth research is needed to understand how modularisation and patient preferences may be linked.

scholarly journals The Impact of the COVID-19 Pandemic on Antibiotic Prescribing Trends in Outpatient Care: A Nationwide, Quasi-Experimental Approach

Antibiotics ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 1040
Author(s):  
Tânia Magalhães Silva ◽  
Marta Estrela ◽  
Eva Rebelo Gomes ◽  
Maria Piñeiro-Lamas ◽  
Adolfo Figueiras ◽  
...  
Keyword(s):  
Public Health ◽  
Outpatient Care ◽  
Experimental Approach ◽  
National Level ◽  
Series Data ◽  
Antibiotic Prescribing ◽  
Prescribing Trends ◽  
Quasi Experimental ◽  
The Impact

Coronavirus disease 2019 (COVID-19) has spread globally and is currently having a damaging impact on nearly all countries in the world. The implementation of stringent measures to stop COVID-19 dissemination had an influence on healthcare services and associated procedures, possibly causing antibiotic consumption fluctuations. This paper aims to evaluate the immediate and long-term impact of the COVID-19 pandemic on antibiotic prescribing trends in outpatient care of the Portuguese public health sector, including in primary healthcare centers and hospitals, as well as on specific antibiotic groups known to be closely associated with increased resistance. Segmented regression analysis with interrupted time series data was used to analyze whether the COVID-19 pandemic had an impact in antibiotic prescribing tendencies at a national level. The outcomes from this quasi-experimental approach demonstrate that, at the beginning of the pandemic, a significant, immediate decrease in the overall antibiotic prescribing trends was noticed in the context of outpatient care in Portugal, followed by a statistically non-significant fall over the long term. The data also showed a significant reduction in the prescription of particular antibiotic classes (antibiotics from the Watch group, 3rd-generation cephalosporins, fluoroquinolones, and clarithromycin) upon COVID-19 emergence. These findings revealed an important disruption in antibiotics prescribing caused by the current public health emergency.

scholarly journals Good, bad or indifferent: a longitudinal multi-methods study comparing four modes of training for healthcare professionals in one Australian state

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e021264 ◽  
Author(s):  
Priya Martin ◽  
Saravana Kumar ◽  
LuJuana Abernathy ◽  
Matthew Browne
Keyword(s):  
Healthcare Professionals ◽  
Longitudinal Design ◽  
Mode Of Delivery ◽  
Face To Face ◽  
Supervision Training ◽  
Australian State ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Training Delivery

ObjectivesThe aim of the study was to compare the differences in learning outcomes for supervision training of healthcare professionals across four modes namely face-to-face, videoconference, online and blended modes. Furthermore, changes sustained at 3 months were examined.Design/methodsA multimethods quasi-experimental longitudinal design was used. Data were collected at three points—before training, immediately after training and at 3 months post-training. Quantitative and qualitative data were collected through anonymous surveys and reflective summaries, respectively.ResultsParticipants reported an increase in supervision knowledge and confidence immediately after training that was sustained at 3 months with all four modalities of training. Using analysis of variance, we found these changes were sustained at 3 months postcompletion (confidence p<0.01 and knowledge p<0.01). However, there was no statistically significant difference in outcomes between the four modes of training delivery (confidence, p=0.22 or knowledge, p=0.39). Reflective summary data highlighted the differences in terminology used by participant to describe their experiences across the different modes, the key role of the facilitator in training delivery and the merits and risks associated with online training.ConclusionsWhen designed and delivered carefully, training can achieve comparable outcomes across all four modes of delivery. Regardless of the mode of delivery, the facilitator in training delivery is critical in ensuring positive outcomes.

PENINGKATAN KEMAMPUAN PENALARAN SISWA MELALUI MODEL PROBLEM BASED LEARNING (PBL) DITINJAU DARI KEMAMPUAN AKADEMIK SISWA DI SMA

2019 ◽  
Vol 5 (1) ◽  
pp. 30-42
Author(s):  
Indra Drajat Sopwan
Keyword(s):  
Model Problem ◽  
Statistical Tests ◽  
Problem Based Learning ◽  
Sampling Technique ◽  
Academic Ability ◽  
Self Assessment ◽  
Reasoning Abilities ◽  
School Year ◽  
Quasi Experimental ◽  
Study Population

The research was to analyze the improvement of students' reasoning students through the model Problem Based Learning (PBL) in terms of academic ability in high school. This research is a quasi experimental. This research was designed using a factorial design experiment. The study population was all students of class XI IPA at SMAN 1 Darma in the 2014/2015 school year as much as 5 classes. Sampling by using cluster random sampling technique. The research sample of grade XI IPA 1 and XI IPA 3 as an experimental class and XI IPA 2 as the control class. The collection of data with the test description, method of observation (assessment of performance capability of reasoning, observation sheets PBL, and self assessment) and documentation. Test the hypothesis by using parametric statistical tests in this case to test the hypothesis using the t test improvement was obtained p <0.05 is 0.044 <0.05, which means there is increasing students' reasoning skills and two-way ANOVA test to determine the application of PBL models include: (1 ) There are differences in reasoning abilities of students who apply models that do not apply the PBL and PBL models (p <0,05; 0,000 <0,05). (2) There is no difference in reasoning abilities of students based on academic ability (p> 0,05; 0,203> 0,05). (3) There is no interaction between the model PBL and academic skills with reasoning (p> 0,05; 0,981> 0,05).

PENINGKATAN KEMAMPUAN PENALARAN SISWA MELALUI MODEL PROBLEM BASED LEARNING (PBL) DITINJAU DARI KEMAMPUAN AKADEMIK SISWA DI SMA

2020 ◽  
Vol 6 (2) ◽  
pp. 73-86
Author(s):  
Indra Drajat Sopwan
Keyword(s):  
Model Problem ◽  
Statistical Tests ◽  
Problem Based Learning ◽  
Sampling Technique ◽  
Academic Ability ◽  
Self Assessment ◽  
Reasoning Abilities ◽  
School Year ◽  
Quasi Experimental ◽  
Study Population

The research was to analyze the improvement of students' reasoning students through the model Problem Based Learning (PBL) in terms of academic ability in high school. This research is a quasi experimental. This research was designed using a factorial design experiment. The study population was all students of class XI IPA at SMAN 1 Darma in the 2014/2015 school year as much as 5 classes. Sampling by using cluster random sampling technique. The research sample of grade XI IPA 1 and XI IPA 3 as an experimental class and XI IPA 2 as the control class. The collection of data with the test description, method of observation (assessment of performance capability of reasoning, observation sheets PBL, and self assessment) and documentation. Test the hypothesis by using parametric statistical tests in this case to test the hypothesis using the t test improvement was obtained p <0.05 is 0.044 <0.05, which means there is increasing students' reasoning skills and two-way ANOVA test to determine the application of PBL models include: (1 ) There are differences in reasoning abilities of students who apply models that do not apply the PBL and PBL models (p <0,05; 0,000 <0,05). (2) There is no difference in reasoning abilities of students based on academic ability (p> 0,05; 0,203> 0,05). (3) There is no interaction between the model PBL and academic skills with reasoning (p> 0,05; 0,981> 0,05).

scholarly journals A Child’s Perception of Their Developmental Difficulties in Relation to Their Adult Assessment. Analysis of the INPP Questionnaire

2020 ◽  
Vol 10 (4) ◽  
pp. 156
Author(s):  
Alina Demiy ◽  
Agata Kalemba ◽  
Maria Lorent ◽  
Anna Pecuch ◽  
Ewelina Wolańska ◽  
...  
Keyword(s):  
Human Health ◽  
Present State ◽  
Motor Coordination ◽  
Health Problems ◽  
Scientific Conference ◽  
Self Assessment ◽  
Children And Parents ◽  
Significant Difference ◽  
The Mean ◽  
The Individual

This study involved a comparison of the perception of developmental difficulties in a child by the parents, the teacher, and through the child’s self-assessment. Based on the Institute for Neuro-Psychological Psychology (INPP) questionnaire according to S. Goddard Blythe, three groups were examined: schoolchildren, parents, and teachers. Each of them answered a set of 21 questions and assessed the degree of occurrence of a given difficulty for the child on a scale from 0 to 4. The questions concerned psychomotor problems related to balance, motor coordination and concentration, as well as school skills. In total, 49 questionnaires from children and parents and 46 from teachers were used for the study. The mean answer to each question was calculated within the following groups: child–parent, child–teacher, and parent–teacher. The sum of the children’s answer points was significantly higher than the sum of the parents’ answer points (p = 0.037). Children assessed their developmental difficulties more strongly than teachers, but this difference was not statistically significant. The individual difficulties of the children were assessed significantly more seriously or more gently than by the National Scientific Conference “Human health problems—causes, present state, ways for the future” speeches by 44 teacher participants on 5 June 2020. Parents and teachers also assessed the children’s difficulties significantly differently (p = 0.044). The biggest difference in answers concerned the question of maintaining attention. The obtained results indicate a significant difference in the perception of difficulties occurring in the same child by the teacher and the parent. The child’s behavior in school and home environments may be different and, depending on the requirements, assessed differently. Children perceive their difficulties much more seriously than adults. Talking and the support of adults can make it easier for a child to overcome developmental difficulties.

Modularising outpatient care delivery: A mixed methods case study at a Finnish University Hospital

2018 ◽  
Vol 31 (4) ◽  
pp. 195-204 ◽  
Author(s):  
Katariina Silander ◽  
Paulus Torkki ◽  
Antti Peltokorpi ◽  
Aino Lepäntalo ◽  
Maija Tarkkanen ◽  
...  
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Health Care Delivery ◽  
Outpatient Care ◽  
Hospital Care ◽  
Care Delivery ◽  
University Hospital ◽  
Care Providers ◽  
Mixed Methods Case Study

Background Modularisation is a potential means to develop health care delivery by combining standardisation and customisation. However, little is known about the effects of modularisation on hospital care. The objective was to analyse how modularisation may change and support health care delivery in specialised hospital care. Methods A mixed methods case study methodology was applied using both qualitative and quantitative data, including interviews, field notes, documents, service usage data, bed count and personnel resource data. Data from a reference hospital’s unit were used to understand the context and development of care delivery in general. Results The following outcome themes were identified from the interviews: balance between demand and supply; support in shift from inpatient to outpatient care; shorter treatment times and improved management of service production. Modularisation supported the shift from inpatient towards outpatient care. Changes in resource efficiency measures were both positive and negative; the number of patients per personnel decreased, while the number of visits per personnel and the bed utilisation rate increased. Conclusions Modularisation may support health care providers in classifying patients and delivering services according to patients’ needs. However, as the findings are based on a single university hospital case study, more research is needed.

PHYSICAL ACTIVITY AND FUNCTIONAL FITNESS AS WELL AS LEVEL OF DEPRESSION IN SENIORS

2020 ◽  
Vol 30 (89) ◽  
pp. 47-54
Author(s):  
Edyta Mikołajczyk ◽  
Alicja Gałązka
Keyword(s):  
Physical Activity ◽  
Chronic Diseases ◽  
Emotional State ◽  
Well Being ◽  
The Elderly ◽  
Health State ◽  
Functional Fitness ◽  
State Of Health ◽  
Self Assessment ◽  
Motivating Factor

Aim. The aim of the study was to determine the level of motor activity, functional and motion fitness of seniors above the age of 60 as well as to examine the relationship between physical activity and the level of depression in this group of people. Material and methods. The study covered a group of 50 participants above the age of 60. The Seven-day Physical Activity Recall, ADL, IADL and GDS scales, as well as the Tinetti test and the authors’ specially designed questionnaire were used. Results. Analysis of the results showed a relationship between age, education as well as chronic diseases and the level of undertaken physical activity. A significant relationship was found between the level of activity and functional and motion performance as well as the emotional state of the elderly. There was no relationship between gender, place of residence and self-assessment of health state and the level of physical activity. The most important motivating factor for performing physical activity in seems to be the improvement of well-being, and the most frequently indicated barrier, is state of health. Conclusions. The level of physical activity is related to functional and locomotor fitness and the emotional state of the elderly. There is a correlation between age, education and the occurrence of chronic diseases and the level of physical activity. The most important motivating factor for undertaking activity seems to be the improvement of well-being, the most frequently indicated barrier is state of health.

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