scholarly journals IMOVE—An Intuitive Concept Mobility Systems for Perioperative Transfer and Induction of Anaesthesia for Special Needs Children

Sensors ◽  
2020 ◽  
Vol 20 (17) ◽  
pp. 4901
Author(s):  
Hwan Ing Hee ◽  
Kiang Loong Ng ◽  
Manolo STA Cruz ◽  
Aloysius Tan ◽  
Haoyong Yu
Keyword(s):  
Hospital Staff ◽  
Standing Position ◽  
Ease Of Use ◽  
Disruptive Behaviour ◽  
Operating Table ◽  
Special Needs Children ◽  
Healthcare Staff ◽  
Children And Parents ◽  
Intuitive Concept ◽  
Induction Of Anaesthesia

Children with autistic spectrum disorder (ASD) often exhibit uncontrollable disruptive behaviour during transfer to the operating room and operating table and at the induction of anaesthesia (sleep). This process often involves the physical restraining of children. These children are then lifted onto the operating table by healthcare staff after being anaesthetized. This predisposes children to fall risk and hospital staff to musculoskeletal injuries. We developed two concept mobility devices, IMOVE-I and -II, based on robotics systems comprising of restraint modules and multi-positional modality (sitting, supine, Trendelenburg). The aim was to intuitively secure children to facilitate the safe induction of sleep and ease of transfer onto operating tables upon sleep. IMOVE-I loads the child in standing position using a dual arm restraint module that is activated by trained healthcare staff. IMOVE-II loads the child in the sitting position by motivating the self-application of restraints. Opinions were obtained from 21 operating theatre healthcare staff with experience in the care of ASD children and parents with ASD children. The mean satisfaction rating of IMOVE-I was 5.62 (95% CI 5.00, 6.27) versus 8.10 (95% CI 7.64, 8.55) in IMOVE-II, p < 0.001. IMOVE-II is favoured over IMOVE-I in system operation and safety, ease of use and module functionality.

scholarly journals Influence of Nature at the Time of the Pandemic: An Experience-Based Survey at the Time of SARS-CoV-2 to Demonstrate How Even a Short Break in Nature Can Reduce Stress for Healthcare Staff

2021 ◽  
pp. 193758672199111
Author(s):  
Marco Gola ◽  
Monica Botta ◽  
Anna Lisa D’Aniello ◽  
Stefano Capolongo
Keyword(s):  
Scientific Community ◽  
Well Being ◽  
Hospital Staff ◽  
Green Spaces ◽  
Profile Of Mood States ◽  
Evidence Based ◽  
Healthcare Staff ◽  
Daily Lives ◽  
Multidisciplinary Working ◽  
The Moment

Aim: The current COVID-19 pandemic has been causing significant upheavals in the daily lives of citizens and consequently also their mood (stress, distraction, anxiety, etc.), especially during the lockdown phase. The aim of the investigation is to evaluate the benefits of 20–30 minutes in contact with nature. Background: The Scientific Community, also through the evidence-based design approach, has already demonstrated the importance of greenery and nature on the psychophysical well-being of people and, in a moment of emergency, contact with the nature can be therapeutic and quite influential on the mental health of staff subject to stress. Method: During the lockdown, an Italian multidisciplinary working group promoted an experience-based survey, based on the Profile of Mood States methodology, for measuring the psychophysical well-being of hospital staff. Results: The author collected 77 questionnaires. The benefits that users have obtained from the experience in nature have been investigated by comparing the type of stresses they were subjected to and highlighting various peculiarities in the data analysis associated with the type of green in which they carried out the survey, the healthcare areas in which they worked during the pandemic emergency, and the moment in which the survey was conducted. Conclusions: The study has highlighted that a short break in green spaces strongly influenced the mental and psychophysical well-being of hospital staff, emphasizing the importance of nearby green spaces in architectures for health. Even a brief break in nature can regenerate users, especially in times of a stressful health emergency.

scholarly journals Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy

2020 ◽  
Vol 30 ◽  
Author(s):  
A. Lasalvia ◽  
C. Bonetto ◽  
S. Porru ◽  
A. Carta ◽  
S. Tardivo ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Psychological Impact ◽  
Hospital Staff ◽  
Psychological Problems ◽  
Administrative Staff ◽  
Healthcare Staff ◽  
North East ◽  
Post Traumatic ◽  
Traumatic Distress ◽  
The Impact

Abstract Aims Healthcare workers exposed to coronavirus 2019 (COVID-19) patients could be psychologically distressed. This study aims to assess the magnitude of psychological distress and associated factors among hospital staff during the COVID-19 pandemic in a large tertiary hospital located in north-east Italy. Methods All healthcare and administrative staff working in the Verona University Hospital (Veneto, Italy) during the COVID-19 pandemic were asked to complete a web-based survey from 21 April to 6 May 2020. Symptoms of post-traumatic distress, anxiety and depression were assessed, respectively, using the Impact of Event Scale (IES-R), the Self-rating Anxiety Scale (SAS) and the Patient Health Questionnaire (PHQ-9). Personal socio-demographic information and job characteristics were also collected, including gender, age, living condition, having pre-existing psychological problems, occupation, length of working experience, hospital unit (ICUs and sub-intensive COVID-19 units vs. non-COVID-19 units). A multivariable logistic regression analysis was performed to identify factors associated with each of the three mental health outcomes. Results A total of 2195 healthcare workers (36.9% of the overall hospital staff) participated in the study. Of the participants, 35.7% were nurses, 24.3% other healthcare staff, 16.4% residents, 13.9% physicians and 9.7% administrative staff. Nine per cent of healthcare staff worked in ICUs, 8% in sub-intensive COVID-19 units and 7.6% in other front-line services, while the remaining staff worked in hospital units not directly engaged with COVID-19 patients. Overall, 63.2% of participants reported COVID-related traumatic experiences at work and 53.8% (95% CI 51.0%–56.6%) showed symptoms of post-traumatic distress; moreover, 50.1% (95% CI 47.9%–52.3%) showed symptoms of clinically relevant anxiety and 26.6% (95% CI 24.7%–28.5%) symptoms of at least moderate depression. Multivariable logistic regressions showed that women, nurses, healthcare workers directly engaged with COVID-19 patients and those with pre-existing psychological problems were at increased risk of psychopathological consequences of the pandemic. Conclusions The psychological impact of the COVID-19 pandemic on healthcare staff working in a highly burdened geographical of north-east Italy is relevant and to some extent greater than that reported in China. The study provides solid grounds to elaborate and implement interventions pertaining to psychology and occupational health.

scholarly journals A concept mobility device with multi-positional configurations and child-kind restraint for safe perioperative transfer and induction of anaesthesia in children with autistic spectrum disorder – a cross sectional study 

2020 ◽  
Author(s):  
Hwan Ing Hee ◽  
Ying Ching Lim ◽  
Tracy Tan ◽  
Sharon Wan ◽  
Olivia Wijeweera ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Survey Study ◽  
Operating Table ◽  
Clinical Environment ◽  
Cross Sectional ◽  
Autistic Spectrum ◽  
Children With Asd ◽  
Parents And Children ◽  
Induction Of Anaesthesia ◽  
Mobility Device

Abstract Background : Transfer into operating room, onto operating table and mask induction of anaesthesia are major challenge faced by children with Autistic Spectrum Disease (ASD). In a pilot study, parents observed that perioperative transfer becomes unsafe and difficult when children with ASD becomes uncooperative. Method : A CHILD-KIND CONCEPT mobility system comprising of multi-positioning seat configurations and restraining module was developed with inputs from multi-disciplinary healthcare professionals and parents with children with ASD. To appeal to children and motivate child-machine interaction, the seat configurations and restraining module are designed to take the form of child-friendly, non-threatening, fun and familiar items. The sitting configuration, sitting to supine transformation, the restraint modules resemble racing-car seat, reclining motion of a home massage chair, safety restraints found in airplanes and amusement rides respectively. Healthcare professionals (HCP) involved in the perioperative patient care, parents of ASD children and children (neurotypical and ASD) experience the use of the system in a non-clinical environment and participated in a survey study. The acceptance of its functionality (HCP, parents) for perioperative transfer and induction of anaesthesia, rating of the user experience and likes and dislikes of (parents and children) were obtained. Results: Thirty-two HCP, 30 parents and 23 children participated. Majority of parents and HCP opined the use of the system enables improvement in the management of perioperative movement (90.0% parents, 100% HCP), safe perioperative movement (86.7% parents, 96.9% HCP) and promotes ease of anaesthesia induction (76.7% parents, 90.6% HCP) for uncooperative combative ASD children. Overall, 90.6% HCP and 76.7% of parents would recommend its frequent use in their own practice and their ASD children respectively; 93.8% HCP and 86.7% parents would recommend it to other HCP and parents for use in other ASD children. Attractiveness and multi-functionality are attributes endorsed by parents and children. Children endorse its use for induction of anaesthesia (73.9%), dental chair (82.6%), intra-hospital transfer (95.7%). Conclusion : A child-kind mobility device that integrates appeal with functionality of restraint and multi-positional transformation has a potential to promote safe perioperative movement and ease of induction of anaesthesia in anxious uncooperative ASD children. Trial registration : None

scholarly journals PENGEMBANGAN KOMUNITAS DALAM MEWUJUDKAN LINGKUNGAN RAMAH ANAK BERKEBUTUHAN KHUSUS

2021 ◽  
Vol 9 (2) ◽  
pp. 116-122
Author(s):  
Pairan Pairan ◽  
Savira Auliya Abdullah
Keyword(s):  
Community Development ◽  
Special Needs ◽  
Qualitative Method ◽  
Health Workers ◽  
Group Discussion ◽  
Special Needs Children ◽  
Social Functions ◽  
Persons With Disabilities ◽  
Non Profit ◽  
Children And Parents

Abstract. Special needs children as a part of the group with social welfare problems need to get more attention to the fulfillment of their rights and needs in accomplishing their social functions. A problem that faced by persons with disabilities, especially for special needs children, is unfriendly environmental conditions. Yayasan Peduli Kasih ABK, a non-profit organization which has concern on disability issues commited to create a friendly environment for special needs in Mulyorejo Surabaya. they create the environment by providing services and organizing activities that can help families with special needs, community, and health workers to optimize early detection and basic treatment for special needs children. By the qualitative method, this study discusses the process of creating a special needs friendly environment through community development. The result of this study showed that the activities starting from group discussion, gathering the participation of special needs and families, socialization, assesment, counselling, training for health workers, talent assistance for children and parents. The activities as a whole can be interpreted as a community development because community awareness and concern raise through the participation of all components in society, that are local government, community health workers, the community itself, and families with special needs altogether make a change by utilizing resources from the community so that independence arise. Abstrak. Anak berkebutuhan khusus (ABK) sebagai salah satu bagian dari kelompok penyandang masalah kesejahteraan sosial perlu memperoleh perhatian lebih terkait pemenuhan hak-hak serta kebutuhan dalam proses melaksanakan fungsi sosialnya. Permasalahan yang dihadapi oleh penyandang disabilitas, khususnya bagi anak berkebutuhan khusus salah satunya adalah kondisi lingkungan yang belum ramah. Yayasan Peduli Kasih ABK, sebuah lembaga non-profit yang memiliki perhatian terhadap isu disabilitas berkomitmen untuk menciptakan lingkungan yang ramah anak berkebutuhan khusus di wilayah Kecamatan Mulyorejo Surabaya melalui penyediaan layanan dan penyelenggaraan kegiatan yang dapat membantu keluarga dengan ABK, masyarakat, dan fasilitas kesehatan untuk optimalisasi deteksi dini serta penanganan dasar bagi ABK. Dengan metode kualitatif, penelitian ini membahas proses mewujudkan lingkungan ramah ABK melalui upaya pengembangan komunitas. Hasil penelitian menunjukkan bahwa aktvitas yang diinisiasi mulai dari diskusi kelompok, menghimpun partisipasi ABK dan keluarga, sosialisasi, assesment dan konsultasi psikologis, pelatihan bagi kader dan tenaga kesehatan, hingga pendampingan minat dan bakat bagi ABK dan orang tua secara utuh dapat dimaknai sebagai upaya pengembangan komunitas, karena kesadaran dan kepedulian komunitas tumbuh melalui adanya partisipasi seluruh komponen masyarakat yaitu pemerintah lokal, tenaga kesehatan setempat, komunitas warga, dan keluarga dengan anak berkebutuhan khusus untuk mewujudkan suatu perubahan dengan mendayagunakan sumber yang berasal dari komunitas sehingga timbul kemandirian.

scholarly journals Pemilihan Taman Kanak-kanak Menggunakan Metode Weighted Product di Kecamatan Sungai Kunjang Samarinda

2018 ◽  
Vol 5 (4) ◽  
pp. 465
Author(s):  
Septya Maharani ◽  
Shinta Hermawati ◽  
Indah Fitri Astuti ◽  
Marisa Khairina
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Special Needs Children ◽  
Attribute Weights ◽  
Children And Parents ◽  
Product Method ◽  
The Right ◽  
Tuition Fee ◽  
Selection Of

<p class="MsoBodyText" style="margin-top: .4pt;">Taman kanak-kanak (TK) yang semakin banyak dan ketatnya persaingan dalam dunia pendidikan untuk menunjukkan yang terbaik, membuat para orang tua tergesa-gesa dalam memilih TK tanpa disesuaikan dengan kebutuhan anak dan orang tua. Metode yang digunakan untuk permasalahan pemilihan (TK) ini adalah metode Weighted Product (WP) dimana rating setiap atribut harus dipangkatkan dulu dengan bobot atribut yang bersangkutan untuk menentukan solusi alternatif terbaik. Sistem ini dapat memberikan rekomendasi TK yang sesuai dengan harapan orang tua untuk menjadi pertimbangan dalam memilih TK yang tepat, khususnya di Kecamatan Sungai Kunjang, Samarinda yang terdapat 28 TK. Telah dihasilkan Sistem Pendukung Keputusan Pemilihan Taman Kanak-Kanak dengan menggunakan kriteria: lokasi, biaya SPP, biaya masuk, fasilitas, batas tampung kelas, jumlah pengajar, akreditasi TK, status TK, dan menerima anak berkebutuhan khusus. Telah dilakukan perhitungan metode Weighted Product (WP) dengan pengujian perbandingan perhitungan manual dan sistem dan memiliki nilai yang sama. Dalam penelitian ini tingkat akurasi tidak dilakukan,  disebabkan peneliti hanya melakukan perangkingan terhadap beberapa  TK di Kecamtan Sungai Kunjang, dan hasil dari penelitian merupakan dari salah satu orang tua atau user sebagai pengguna, dimana hasilnya didapatkan bahwa diperolah nilai perangkingan teringgi adalah TK (A14) dengan nilai 0.0438. </p><p class="MsoBodyText" style="margin-top: .4pt;"> </p><p class="MsoBodyText" style="margin-top: .4pt;"> </p><p class="MsoBodyText" style="margin-top: .4pt;"><em><strong> Abstract</strong></em></p><p><em>Number of kindergartens and tight competition in the education world to show the best, makes the parents hasty in choosing a kindergarten without being tailored to the needs of children and parents. The method used for this kindergarten selection problem is the Weighted Product (WP) where the rating of each attribute must be raised first with the corresponding attribute weights to determine the best alternative solution. This system can provide recommendation of kindergarten in accordance with the expectations of parents to be considered in choosing the right schools, especially in Sungai Kunjang subdistrict, Samarinda, which has 28 kindergartens. A selection of Kindergarten Decision Support System has been generated using criteria: location, tuition fee, entrance fee, facilities, class limit, number of teachers, kindergarten accreditation, kindergarten status and receiving special needs children. The weight product method has been calculated by comparing comparisons and has the same value. In this study the level of accuracy was not carried out, because researchers only carried out ranking against several kindergarten in Sungai Kunjang District, and the results of the study were from one parent or user as a user, where the results were obtained that the highest ranking was TK (A14) with value of 0.0438.</em></p>

Beep or alert: evaluating WhatsApp vs pagers for communication between hospital staff

2021 ◽  
Vol 27 (1) ◽  
pp. 32-38
Author(s):  
Muhammad WS Baqai ◽  
Ummey Hani ◽  
Noman Shahzad ◽  
Rehman Alvi
Keyword(s):  
Statistical Significance ◽  
Tertiary Care ◽  
Hospital Staff ◽  
Ease Of Use ◽  
University Hospital ◽  
Categorical Variables ◽  
Clinical Communication ◽  
Emergency Situations ◽  
Interns And Residents ◽  
Hospital Policies

Background/Aims A timely and effective communication system between hospital staff is vital for teamwork, patient safety and optimal clinical outcomes. This study compared staff perceptions of WhatsApp compared to traditional pagers for clinical communication in one of the largest tertiary care hospitals in Pakistan. Methods A questionnaire regarding factors such as the ease of use and reliability of each communication modality was distributed to interns and residents at the Aga Khan University Hospital in Karachi, Pakistan. Descriptive statistics were computed for percentages, frequencies and statistical significance of categorical variables. Results A total of 163 participants completed the survey. Of these, 95.1% preferred WhatsApp for storing information for later reference, 58.6% considered WhatsApp to be faster in terms of response, and 52.1% found WhatsApp easier to use than pagers. However, 60.7% chose pagers as better suited for emergency situations and 92.6% were concerned that WhatsApp could potentially compromise patient data security. Overall, participants preferred the development of a bespoke app for hospital communications instead. Conclusions WhatsApp was regarded as easier to use and more accessible than pagers, but it was not deemed to be compliant with hospital policies. Productive communication could be optimised with the use of a tailor-made app dedicated solely to clinical communication.

scholarly journals Premedication with Oral Midazolam in Children—an Assessment of Psychomotor Function, Anxiolysis, Sedation and Pharmacokinetics

1994 ◽  
Vol 22 (5) ◽  
pp. 539-544 ◽  
Author(s):  
R. D. M. Jones ◽  
A. R. Visram ◽  
J. P. Kornberg ◽  
M. G. Irwin ◽  
W. M. S. Gunawardene
Keyword(s):  
Psychomotor Performance ◽  
Significant Decline ◽  
Ease Of Use ◽  
Psychomotor Function ◽  
Clinical Environment ◽  
Intelligence Scale ◽  
Oral Midazolam ◽  
Induction Of Anaesthesia

We studied 30 children, aged 4 to 12 years, undergoing elective circumcision, premedicated with midazolam 0.5 mg.kg−1 and atropine 0.02 mg.kg−1 by mouth. A modified postbox test and the coding component of the Wechsler intelligence scale (WISC-R) was used to assess the preoperative effect of premedication on psychomotor function. Mood and sedation were also scored and related to serum midazolam concentrations. The children showed a significant decline in psychomotor performance 30 and 60 minutes after premedication when compared with their best unmedicated performance recorded the previous evening. This decline in psychomotor performance was only weakly associated with serum midazolam concentrations (r = 0.1). The postbox toy ratio is a suitable measurement of psychomotor performance in children because of its simplicity and ease of use in the clinical environment, although it may suffer the “test-retest” limitations of similar types of assessment. The sedative and anxiolytic effects of midazolam provide a quiet environment for a smooth induction of anaesthesia.

scholarly journals RCT comparing the clinical effectiveness of conventional instructor-facilitated cardiac compression training to technology enhanced training using high-fidelity mannequins-A pilot study

2021 ◽  
Vol 11 (8) ◽  
pp. 69
Author(s):  
Alison Pighills ◽  
Rachel Waye ◽  
Stephanie Taylor ◽  
Vicki Braithwaite ◽  
Daniel Lindsay ◽  
...  
Keyword(s):  
Pilot Study ◽  
Controlled Trial ◽  
Clinical Effectiveness ◽  
Training Group ◽  
Hospital Staff ◽  
Training System ◽  
High Fidelity ◽  
Healthcare Staff ◽  
Skill Levels ◽  
Cardiac Compression

Introduction: Healthcare professionals often provide substandard chest compression following cardiac arrest. This is deemed a preventable harm because this skill can be acquired. The recent development of technology-enhanced cardiac compression training devices provides an alternative to traditional instructor-facilitated training. This pilot study compared the effectiveness of conventional and technology-enhanced training modalities.Methods: A pilot randomised controlled trial design was used in a regional hospital in Queensland. Following baseline assessment, healthcare staff were randomised to one of three groups: traditional instructor-facilitated training; high-fidelity mannequin training and continuous access to the training system to practise skills; and, high-fidelity mannequin training with no further access to the training system to practise skills. The primary outcome, cardiac compression skill levels, was analysed using analysis of co-variance, adjusting for predictive co-variates. Secondary measures were analysed using inferential statistics or presented descriptively.Results: Between January and February 2017, 502 healthcare staff were recruited. At baseline, 21\% were competent in cardiac compression, increasing to 38% on reassessment. The mode of training did not affect skill level (F(92,392) = 0.061, p = .94), however, participants in the high-fidelity mannequin training group who practised their skills had statistically significantly higher reassessment scores (z = -2.34, p = .019). Baseline score and the number of times participants practised their skills were significant predictors of reassessment scores (F(2,392) = 7.73, p = .001).Conclusions: Most hospital staff who may need to perform cardiac compression were not competent in this skill. Neither training modality was more effective. Both training and practise increased cardiac compression skill levels, indicating that frequent, low-dose training is required.

Perioperative care

2010 ◽  
Author(s):  
Andrew F Smith ◽  
Allan M Cyna
Keyword(s):  
Blood Pressure ◽  
Perioperative Period ◽  
Operating Table ◽  
Blood Pressure Cuff ◽  
Profound Impact ◽  
Pressure Cuff ◽  
Free Induction ◽  
Induction Of Anaesthesia ◽  
Patient Stress

The perioperative period can be a life-changing event for many patients, the effects of which can be lifelong for better or worse. The anaesthetist’s communication at this time can have a profound impact on the care of their patients in the matter of both short-term cooperation and long-term perceptions of their hospital experience. Induction of anaesthesia is a stressful time for many patients, young and old. There is an inevitable loss of control when the patient hands this over temporarily to the anaesthetist. In order to enhance cooperation, anaesthetists will reap unexpected benefits by avoiding the use of negative language. Well-meaning staff may, however, sabotage an otherwise smooth induction by telling patients, ‘There is nothing to worry about’ with the implicit suggestion that there is ‘something to worry about’. Unfortunately such well-meaning statements, even when directed at children, tend to yield the opposite effect of what is intended. Patient stress at this time increases suggestibility such that comments frequently function as inadvertent suggestions—be they positive or negative. This can be utilized to enhance the anaesthetist’s ability to provide a smooth, safe and stress-free induction. A typical series of pre-induction communications may go something like, … ‘Don’t worry we won’t drop you’. As the patient is transferred from a trolley to the operating table. ‘The blood pressure cuff gets really tight and may hurt and try not to move while it’s pumping up’. ‘That noise over there is just the nurse checking the drill!’… Explaining what is happening in simple straightforward non-technical language, and at the same time communicating in a positive way, is invariably the more useful approach. For example, …‘Welcome to the operating room Mr P ’. ‘You can relax as we move you to this other bed—you are quite safe’. ‘We will place some monitoring leads on so we can keep you safe and comfortable. A pulse monitor gently placed on your finger, an ECG on your chest and a blood pressure cuff on your arm. As the blood pressure cuff tightens and we take its reading this often allows patients to relax knowing how closely we are looking after them’. …

scholarly journals Social stigmatisation among COVID-19 patients: addressing a potential source of COVID-19 transmission to healthcare staff in cardiac emergency and cardiac care units

2020 ◽  
pp. 1-2
Author(s):  
Farhan Ali ◽  
Sheikh Muhammad Ebad Ali
Keyword(s):  
Hospital Staff ◽  
Cardiac Care ◽  
Healthcare Staff ◽  
Root Cause ◽  
Potential Source ◽  
Exponential Increase ◽  
Routine Work ◽  
General Wards ◽  
Cardiac Emergency ◽  
Emergency Doctors

During our routine work, we noticed an increased incidence of COVID-19 diagnoses among patients in the cardiac unit, which led to an exponential increase in COVID-19 cases among hospital staff. We found that patients hid their symptoms from the emergency doctors and attributed those symptoms to cardiac or other causes. Social stigmatisation appeared to be the root cause for hiding their symptoms. Hence, we recommended a strategy to introduce psychological counselling of patients who were suspected to be infected with COVID-19, with a normal cardiac workup to overcome social stigmatisation and save our general wards from COVID-19.

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