Psychosocial Implications of Limb Lengthening and Reconstruction Orthopedic Surgery: A Literature Review

A fervent interest in improving patient care, quality of life, and outcomes in adolescent patients undergoing limb Lengthening/ Reconstruction Surgeries (LLRS) has guided the exploration of how psychosocial markers in adolescence may be viewed as crucial to achieving enhanced healthcare delivery. This systematic literature review stems from a retrospective pilot study which investigated the importance of psychosocial aspects in the care of children, adolescents, and young adults who have undergone multiple LLRS. It was determined that such patients value psychosocial support given by their surgeons and caregivers, further promoting psychosocial maturation [1]. Currently, prospective investigation is in the process of being explored as yet another outgrowth of this seminal pilot study. Specifically, the current review seeks to explore the literature relevant to aspects of psychosocial development fundamental to enhancing outcomes of a chronic, orthopedic medical condition. The dearth of studies applying a biosocial lens to this subspecialized field of orthopedic surgery and care supports the need for such expanded investigation.

Nurses’ attitudes toward quality improvement in hospitals: Implications for nursing management systems

Background & Aim: Quality improvement in hospitals is a systematically widely used framework that improves patient care quality delivered by health care professionals. This study assessed the attitude of nurses toward Quality Improvement. Methods & Materials: A quantitative research approach was used. A total of 361 nurses working in two government hospitals and two private hospitals in the Philippines were selected using convenience sampling. The data collected using a self-administered questionnaire was started in March-April 2019. To identify the association between nurse demographic characteristics and perceived quality improvement, an independent sample t-test, a one-way analysis of variance with a post-hoc Tukey HSD test, and a Pearson’s product-moment correlation were conducted using SPSS. Results: Nurses have high positive quality improvement attitude scores. The age, salary, and hospital type, influence quality improvement attitude scores. Conclusion: Nurses have a positive attitude towards qualitative improvement. In addition, nurses’ age, salary, and public hospitals' work have a positive qualitative improvement than nurses working in private hospitals.

Quality Evaluation of Health Information Systems: A Systematic Literature Review (Preprint)

BACKGROUND Evaluating Health Information System (HIS) quality is strategically advantageous for improving patient care quality. Nevertheless, there is little research evidence identifying and describing what standards, processes, and tools are used to evaluate HIS quality. OBJECTIVE This study aims to illustrate, detail, and discuss the current scenario regarding the standards, norms, processes, and tools used to evaluate HIS quality. METHODS We conduct a systematic literature review (SLR) using review guidelines focused on software and systems. We examined seven electronic databases (Scopus, ACM, ScienceDirect, Google Scholar, IEEE Xplorer, the Web of Science and PubMed) to search and select primary studies. Three researchers and three collaborators participated in the review and quality assessment process of the studies. RESULTS We identified 17 primary studies that have been published in journals and conferences. We found that most of the primary studies address quality evaluation from a management perspective. Second, there is little explicit and pragmatic evidence on the processes and tools that allow evaluation of HIS quality. CONCLUSIONS To promote quality evaluation of HISs, it is necessary to define mechanisms and methods that operationalize the standards and norms of HISs. Additionally, it is necessary to create metrics that measure the quality of the most critical components and processes of HISs. CLINICALTRIAL Does not apply to our study

Patient Experiences With Transfer for Community Hospital Inpatient Admission From an Academic Emergency Department

Emergency department (ED) crowding continues to be a major challenge and has important ramifications for patient care quality. One strategy to decrease ED crowding has been to implement alternative pathways to traditional hospital admission. Through a survey-based retrospective cohort study, we aimed to assess the patient experience for those who agreed to transfer and admission to an affiliated community hospital from a large, academic center’s ED. In all, 85% of participants rated their overall experience as either great or good, 92% did not find it hard to make the decision to be transferred, and 95% found the transfer process itself to be easy.

Dimensions of authentic leadership and patient care quality

Purpose The purpose of this study is to investigate the causal relationships between the dimensions of authentic leadership and patient care quality in the nursing profession of Ghana. Design/methodology/approach The study used explanatory and cross-sectional survey designs. The data were obtained from 400 respondents, consisting of 200 nurses and 200 patients in selected general hospitals. The analysis was done using descriptive statistics, correlation and multi-linear regression techniques. Findings The study found that all four dimensions of authentic leadership, namely, self-awareness, internalized moral perspective, balanced processing and relational transparency positively correlated with patient care quality, however, only internalized moral perspective and self-awareness have positive significant association with patient care quality and internalized moral perspective being the highest predictor. Thus, the results suggest that authentic leadership can positively predict patient care quality. Practical implications The study contributes to the understanding of how dimensions of authentic leadership practices affect patient care quality. This understanding is relevant to academics in general and Ghanaian policymakers in particular. Originality/value The research makes a significant contribution to the existing authentic leadership literature by establishing that the dimensions of authentic leadership predict patient care quality with an internalized moral perspective being the highest predictor followed by self-awareness. Furthermore, the authors anticipate that the outcomes of this research, which so far is the first study in the Ghanaian context, can significantly shape nursing leadership discourse, practices and policies in Ghana and in other developing countries to improve patient care quality.

Management of peritoneal dialysis under COVID-19: The experience in Sichuan Province People’s Hospital, China

The outbreak of coronavirus disease 2019 (COVID-19) is becoming a severe challenge to China and the whole world. By now, there is no report about medical support to peritoneal dialysis (PD) patient during COVID-19 pandemic. In this essay, we summed up our safety measures on how to protect PD patients and our staffs, and our experience on how to ensure the dialysis treatment of PD patients during the pandemic period. Using of telehealth has potential to improve patient care quality. As a result, by applying all the actions and efforts above, most of patients got enough medical support. According to the patient survey, 11 patients (3.3% of the total) reduced their treatment of dialysis exchange due to the shortage of PD solution or the affection of the pandemic. None of the PD patient and staff reported COVID-19. We successfully prevented COVID-19 transmission and ensured medical safety in our PD patients during the crisis.