Academic literature on the topic 'Patients'
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Journal articles on the topic "Patients"
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Afnan, Mohammed Abdullah Alharbi, and Ahmad AbdulJabbar Aljubailan Haneen. "Effect of patient population on the risk of heparin-induced thrombocytopenia." International Journal of Healthcare Sciences 11, no. 1 (June 2, 2023): 45–49. https://doi.org/10.5281/zenodo.7997080.
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<strong>Abstract:</strong> 744 patients from 3 different clinical settings were evaluated as follows: unfractionated heparin (UFH) during or after cardiac surgery (n=100), UFH after orthopedic surgery (n=100, = 205) and molecular weight heparin (LMWH ) after orthopedic surgery (n = 439). In the activation assay, the frequency of HIT-IgG formation varied from a minimum of 3.2% in orthopedic patients receiving LMWH to a maximum of 20% in cardiac patients receiving UFH; per antigen assay, the corresponding frequencies ranged from 7.5% to 50%. However, in patients who developed HIT-IgG and received UFH, the probability of HIT was higher in orthopedic patients than in cardiac patients (according to the activation assay: 52.6% vs. 5%; odds ratio 21.1). [95% CI, 2.2-962.8]; P = .001; nach Antigen-Assay: 34,5 % vs. 2,0 %; Odds Ratio, 25,8 [95 % KI, 3,2-1141]; P < 001). It is concluded that there is an unexpected dissociation between the frequency of HIT-IgG formation and the risk of HIT, which depends on the patient population. <strong>Keywords:</strong> orthopedic patients, cardiac patients, cardiac surgery, patient population. <strong>Title:</strong> Effect of patient population on the risk of heparin-induced thrombocytopenia <strong>Author:</strong> Afnan Mohammed Abdullah Alharbi, Haneen Ahmad AbdulJabbar Aljubailan <strong>International Journal of Healthcare Sciences</strong> <strong>ISSN 2348-5728 (Online)</strong> <strong>Vol. 11, Issue 1, April 2023 - September 2023</strong> <strong>Page No: 45-49</strong> <strong>Research Publish Journals</strong> <strong>Website: www.researchpublish.com</strong> <strong>Published Date: 02-June-2023</strong> <strong>DOI: https://doi.org/10.5281/zenodo.7997080</strong> <strong>Paper Download Link (Source)</strong> <strong>https://www.researchpublish.com/papers/effect-of-patient-population-on-the-risk-of-heparin-induced-thrombocytopenia</strong>
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Ghafar, Ali Mahmoudi, Mahmoudvand Hormuz, Adeli Mahin, Taghadosi Amin, and Bahmani Mahmoud. "Evaluation of Respect for Patient's Rights from the Viewpoint of Hospitalized Surgical Patinents in Shohada Ashayer Hospital of Khorramabad City, Iran in 2015-2016." International Journal of Current Pharmaceutical Review and Research 8, no. 1 (December 30, 2017): 49–52. https://doi.org/10.5281/zenodo.12678397.
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One of the most important branches of medical science, until past time, law and consequently to medical ethics. Patients'satisfaction of their rights, one of the most important indicators of effectiveness, efficiency, productivity and quality ofhealthcare services. The goal of this study was to Check the Observance of the rights of patients in surgical patientsadmitted to Shohaday Ashayer hospital in 2015-2016 from the perspective of patients. This cross-sectional studyincluded 800 patients admitted to Shohada Ashayer Hospital in 2015 and 2016. Respecting patient’s bill of rights fromtheir viewpoint was determined by a questionnaire using a Likert scale from one (strongly disagree) to five (stronglyagree). The results obtained in this study showed that the rate of patients' rights in all aspects of the %15.8 patient's viewwas poor, from the %67.4 patient's perspective was middle, and from the %16.8 patient's view was good. Most patients'satisfaction with their rights in respect to the axis of the right to choose and decide freely and the lowest levels ofsatisfaction was at the core of respect for patient privacy and confidentiality principle. Level of satisfaction in all axeswas significantly associated with age, type of substrate in the third axis, history of hospitalization in the fourth axis andduration of hospital stay in the second axis(P<0.O5). Between gender and place of residence and educational level foundno significant relaion(P>O.O5). In total, based on the obtained results and comparing them with the results of otherstudies, it may be concluded that respecting patient’s bill of rights from the viewpoint of patients is considered as optimaland to enhance the implementation of the Charter as well as patient satisfaction is essential that solutions be identifiedbarriers to implementation.
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Shams, Salima. "ENSEIGNEMENT AUX PATIENTS : Counselling pour les patients atteints d’un cancer de la bouche." Canadian Oncology Nursing Journal 34, no. 2 (April 30, 2024): 238–44. http://dx.doi.org/10.5737/23688076342238.
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L’objectif du présent article est de résumer les aspects centraux des soins aux patients atteints d’un cancer avancé de la bouche avec métastases dans la région de la tête et du cou. Ces patients sont traités par approche multimodale. L’intervention chirurgicale limite leur capacité de parler et d’avaler, tandis que la chimiothérapie et la radiothérapie peuvent entraîner nausées et vomissements, diarrhée, mucite, cystite, déshydratation, néphrotoxicité, dermatite, dépression médullaire et carences alimentaires entraînant une perte de poids. Il est possible de contrer ces effets toxiques à l’aide de mesures d’autosoins. Dans le cadre de leurs interventions d’enseignement, les infirmières en oncologie pourraient transmettre aux patients et aux familles les connaissances nécessaires à l’application de ces mesures d’autosoins. Mots-clés : cancer avancé de la bouche, cancer de la tête et du cou, counselling, mesures d’autosoins
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J, P. Singh, Kariwal Peeyush, B. Gupta S, and P. Shrotria V. "Patient Satisfaction Level in a Rural Tertiary Care Hospital, Bareilly." PJSR 8, no. 1 (June 1, 2015): 39–45. https://doi.org/10.5281/zenodo.8249686.
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The primary goal of the tertiary care hospital as a highest level of health care provision is to provide best possible health care to the patients. Patient satisfaction is one of the established yardsticks to measure success of the services being provided in the health facilities. The study was aimed to study satisfaction of outdoor patients regarding behavior of hospital’s personnel, provision of basic services & facilities in the hospital and also to find out the relation of bio-social variables with the level of satisfaction of hospital staffs. A hospital based cross sectional study was carried out in a tertiary care hospital, Bareilly during January - March 2014 among outdoor patients reporting for corresponding. Study subjects was selected by systematic random sampling method and interviewed using a pre-tested & semi-structured interview schedule. Data entry and analysis were done using the Epi- info statistical software. A total of 292 OPD patients were included in the study. Majority of them were satisfied with the services & facilities available as well as with the behavior of hospital staffs. Statistically significant relation was seen between behavior of doctors and class III & IV staffs with satisfaction level, gender & cleanliness, gender & behavior of doctors and class III/IV employees and also education & behavior of doctors.
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B N, Beena Ullala Mata, Rameshwara G N, Naveen Kumar G, and Raghavendra B. "Effects of Computerized Patient Records on Patients." Bonfring International Journal of Man Machine Interface 3, no. 3 (July 31, 2015): 25–29. http://dx.doi.org/10.9756/bijmmi.8068.
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Purnamasidhi, Cokorda. "Hematological profile of Patients in Udayana University General Hospital." International Journal of Medical Reviews and Case Reports 4, Reports in Microbiology, Infecti (2020): 1. http://dx.doi.org/10.5455/ijmrcr.hematological-profile-patients.
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OSUNMAKINDE, Bukola Toyin (RN DNA BNSc M.Sc. Nursing), and Mary Ayodeji (RN RM RPHN BNSc M.Sc. Nursing) GBENGA-EPEBINU. "Comparison of Nursing Care Satisfaction Among Orthopaedic Patients in Two Selected Teaching Hospitals in Osun State." International Journal of Academic Research in Business, Arts & Science ( IJARBAS.COM ) 2, no. 8 (August 19, 2020): 12–22. https://doi.org/10.5281/zenodo.5186427.
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The provision of quality health services is a crucial competitive advantage of health service providers. Nursing care plays a major role in the health care services. Orthopaedic patients require a greater level of care as a result of several possible complications, increased vulnerability, potential cardio-pulmonary compromise and requirement of general concerns. The study therefore compared nursing care satisfaction among orthopaedic patients in two selected teaching hospitals in Osun State. The study adopted the descriptive research design of the survey type. The population study comprised all patients scheduled for elective and emergency, Orthopaedics surgeries in Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife and Ladoke Akintola University Teaching Hospital (LAUTECH), Osogbo during the study period. All the available patients were recruited within two months of data collection. A standardized tool of the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ) was adapted for data collection. The instrument was validated by subjecting it to be reviewed by experts of nursing education and Tests & Measurement. The findings of the study revealed that 66.0% of the patients in OAUTHC had moderate level of satisfaction with nursing while 62.5% of the patients in LAUTECH also had moderate level of satisfaction with nursing. It was also revealed that there was no difference in patient’s level of satisfaction with nursing care in OAUTHC and LAUTECH. It was recommended among others that nursing care in the two hospitals (OAUTHC and LAUTECH) in Osun State should be adequately improved so as to achieve high level of the patient’s satisfaction with nursing care. <strong>Keywords</strong>: Comparison, patient satisfaction, nursing care, orthopaedic patients,
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MOHAMMED, AYED ALSEFRI, AYED ALSEFRI MORAD, and SALEM ALHARBI ABDULLAH. "Influence of the patient population on the risk of heparin-induced thrombocytopenia." International Journal of Life Sciences Research 10, no. 4 (December 22, 2022): 82–86. https://doi.org/10.5281/zenodo.7472536.
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<strong>Abstract:</strong> 744 patients from 3 different clinical settings were evaluated as follows: unfractionated heparin (UFH) during or after cardiac surgery (n=100), UFH after orthopedic surgery (n=100, = 205) and molecular weight heparin (LMWH) after orthopedic surgery (n = 439). In the activation assay, the frequency of HIT-IgG formation varied from a minimum of 3.2% in orthopedic patients receiving LMWH to a maximum of 20% in cardiac patients receiving UFH; per antigen assay, the corresponding frequencies ranged from 7.5% to 50%. However, in patients who developed HIT-IgG and received UFH, the probability of HIT was higher in orthopedic patients than in cardiac patients (according to the activation assay: 52.6% vs. 5%; odds ratio 21.1). [95% CI, 2.2-962.8]; P = .001; nach Antigen-Assay: 34,5 % vs. 2,0 %; Odds Ratio, 25,8 [95 % KI, 3,2-1141]; P < 001). It is concluded that there is an unexpected dissociation between the frequency of HIT-IgG formation and the risk of HIT, which depends on the patient population. <strong>Keywords:</strong> cardiac patients, heparin-induced thrombocytopenia, patient population. <strong>Title:</strong> Influence of the patient population on the risk of heparin-induced thrombocytopenia <strong>Author:</strong> MOHAMMED AYED ALSEFRI, MORAD AYED ALSEFRI, ABDULLAH SALEM ALHARBI <strong>International Journal of Life Sciences Research</strong> <strong>ISSN 2348-313X (Print), ISSN 2348-3148 (online)</strong> <strong>Vol. 10, Issue 4, October 2022 - December 2022</strong> <strong>Page No: 82-86</strong> <strong>Research Publish Journals</strong> <strong>Website: www.researchpublish.com</strong> <strong>Published Date: 22-December-2022</strong> <strong>DOI: https://doi.org/10.5281/zenodo.7472536</strong> <strong>Paper Download Link (Source)</strong> <strong>https://www.researchpublish.com/papers/influence-of-the-patient-population-on-the-risk-of-heparin-induced-thrombocytopenia</strong>
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Usha, Banerjee, Sharma Anchal, and Flinsi Maryline. "Safety Against Fall Every time (SAFE) (Fall prevention Campaign)." World Journal of Advanced Research and Reviews 19, no. 3 (September 30, 2023): 1140–45. https://doi.org/10.5281/zenodo.11890807.
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Falls are the second-leading cause of unintentional injuries or deaths worldwide. Inpatient falls result in significant physical and economic burdens for patients as well as for medical organizations. From January to November 2022, the number of fall incidents was 25. The causes identified were ineffective PFE, no hourly rounds, especially during night shifts, poor IPR with assigned patients, lack of awareness regarding disease conditions and medication administered, not giving effective PFE when the level of care changes, and not providing proper fall prevention education to the patient attendant. Group director nursing has initiated a campaign titled “SAFE” (Safety Against Fall Every time) in the month of November. The campaign was conducted till January 2023.Numerous campaign activities were planned to reduce the incidence of patient fall and to reinforce the compliance to fall prevention protocols. Various fun activities such as pocket charts, spin wheel, dart, quiz activities, poster competitions were planned to encourage participation of the staff in the campaign and to enhance learning. Daily audits were conducted to ensure correct assessment of vulnerable patients & AFRAT (Apollo fall risk assessment tool) monitoring. Daily briefing was held in all the three shifts on PFE & prevention of patient fall. Team leaders of the unit has been instructed to ensure hourly rounds specially during night shifts. The percentage of fall incidence in Jan to Nov 2022 was 62% which was reduced to 32% in Dec to Jun2023.Daily audits on hourly rounds, assessment of vulnerable patient, AFRAT scoring and patient & family education was continued to ensure a culture of safety among the staff nurses.
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Pauline, Joyce. "Patient Satisfaction with Care as Managed by the Physician Associate or the Doctor as Part of a Pilot Project in Ireland." Journal of Health and Medical Sciences 2, no. 2 (June 19, 2019): 218–23. https://doi.org/10.31014/aior.1994.02.02.40.
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Objective: The objective of this study was to examine if patients, visiting a hospital outpatient’s clinic, were satisfied about the care delivered when a PA instead of a doctor is the provider. Methods: The study methodology was a descriptive quantitative approach using an eight-item survey and an option to include free text comments. Results: There was no difference in satisfaction levels between consultations with doctors or PAs, as part of a pilot project introducing the PA role. Conclusions: In Ireland, patients are just as satisfied with the care they received from PAs and doctors. Findings are consistent with findings in other countries where the PA role is embedded. In meeting the patient's needs, an important aspect of care given by both doctor and PA seems to be keeping the patient informed and behaving in a professional manner.
Dissertations / Theses on the topic "Patients"
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Simard, Virginie. "Relations entre les comportements interpersonnels du psychothérapeute, la motivation des clients face à la thérapie et leur santé mentale /." Chicoutimi : Trois-Rivières : Université du Québec à Chicoutimi ; Université du Québec à Trois-Rivières, 2005. http://dx.doi.org/doi:10.1522/24604870.
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Thèse (M.Ps.) -- Université du Québec à Chicoutimi, 2005.<br>"Mémoire présenté à l'Université du Québec à Chicoutimi comme exigence partielle de la maîtrise en psychologie offerte à l'Université du Québec à Chicoutimi en vertu d'un protocole d'entente avec l'Université du Québec à Trois-Rivières." Comprend des réf. bibliogr. : f. [103]-115. Document électronique également accessible en format PDF.
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Peng, Siwei, and 彭思玮. "Medication nonadherence among hypertension patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48425230.
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Optimal effect of medical treatment requires patients' adherence to those treatments, which plays a even greater role than the medical decision made by physicians. With the epidemiological dynamic evolving, chronic disease becomes the major burden of healthcare, such as AIDS, hypertension, COPD, tuberculosis, asthma, epilepsy, schizophrenia, depression and diabetes, which make the adherence especially medication adherence a sightworthy issue because the risk of poor adherence with the complexity and duration of treatment with both of them are inherent to chronic diseases. Among patients with hypertension, medication nonadherence contributes to poorly controlled blood pressure as an significant yet unrecognized role. With the mediator of negative outcomes of further development of vascular disorders, including stroke, heart failure, renal insufficiency and coronary diseases, medication nonadherence to antihypertensives become the root of all devil in terms of healthcare.
In terms of healthcare utilization, it costs approximately 396 to 792 million dollars per year and creates a significant burden. Effect factors for medication nonadherence among hypertension patients include knowledge about hypertension, beliefs about hypertension, perceived beliefs about medication, inadequate self-management behaviors, physician-patient relationship, social support and healthcare policy. The achievements of current single level interventions are not satisfactory, therefore multiple level interventions are calling for attention.Everyone in the healthcare system are responsible to alter the situation. A comprehensive healthcare system that consummates all the effect factors is the effective and efficient solution.<br>published_or_final_version<br>Public Health<br>Master<br>Master of Public Health
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Pernet, Adeline. "Coproduire un soin sûr et efficace : le développement des capabilités des patients en radiothérapie." Thesis, Paris, CNAM, 2013. http://www.theses.fr/2013CNAM0906/document.
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Cette recherche traite de la participation des patients à la sécurité des soins en radiothérapie, qui se définit comme les actions mises en œuvre par les patients pour réduire la probabilité d’erreurs médicales et/ou pour atténuer les effets des erreurs lorsqu’elles surviennent effectivement. La sécurité des patients en radiothérapie est devenue une priorité centrale pour les politiques publiques suite aux accidents récents survenus à Épinal, Toulouse ou Grenoble pour les plus emblématiques. Dans ce contexte, la participation des patients peut être un moyen d'amélioration de la sécurité des soins. L’objectif général de cette étude est de comprendre la dynamique constructive des capabilités des patients dans la coproduction d’un soin sûr et efficace. Les capabilités des patients se définissent comme les contributions réelles faites par ces derniers et visant à assurer la sécurité et l'efficacité des soins.L'étude est menée dans les services de radiothérapie d’un hôpital et d'un centre de lutte contre le cancer. Plusieurs méthodes ont été combinées pour analyser l'activité de travail des manipulateurs, des patients et de l’activité conjointe entre ces deux partenaires : des observations des séances de traitement, des entretiens semi- directifs avec des manipulateurs et des patients, des auto- et allo -confrontations avec des manipulateurs et des entretiens d'explicitation avec des patients.Les résultats décrivent les contributions effectives mises en œuvre par les patients, et montrent que la coopération du patient agit comme une barrière de sécurité supplémentaire qui renforce la sécurité et l'efficacité du traitement. L'environnement et la durée de radiothérapie (traitement répétitif sur plusieurs semaines) sont des ressources externes qui fournissent une opportunité créative pour le patient d’apprendre de la situation et de l'évaluer en observant ce qui se passe. L'étude s’attache également à analyser les facteurs qui permettent (facteurs dits « positifs ») ou au contraire empêchent (facteurs dits « négatifs ») de convertir les capacités des patients en capabilités, c’est-à-dire en contributions effectives. Les facteurs de conversion positifs sont relatifs aux patients (connaissance des risques associés aux soins, motivation personnelle), au collectif manipulateur-patient (objectif commun, synchronisation cognitive, synchronisation opératoire) et aux manipulateurs (construction d’une relation de confiance, encouragement et renforcement positif). Cependant, les capabilités des patients ne sont pas toujours optimisées et les fortes pressions temporelles rencontrées par les manipulateurs dans leur pratique peuvent empêcher leur développement.Cette étude a permis de montrer qu’il y a une volonté conjointe des professionnels et des patients d’aller ensemble vers une meilleure coopération. Elle montre également que la coopération du patient est une nécessité qui reste encore méconnue et sous-exploitée, alors qu’elle permettrait probablement de réduire le nombre de situations et des comportements à risques des patients. Cette participation active, si elle ne doit en aucun cas être exigée et être une source d’anxiété supplémentaire pour le patient, mérite d’être développée et encouragée<br>This research deals with patient participation to patient safety, which can be defined as the actions taken by patients to reduce the likelihood of medical errors and / or mitigate the effects of errors when they do occur. Patient safety in radiotherapy has become a central priority for public policies further to the recent accidents arisen at Épinal, Toulouse and Grenoble for the most symbolic. In this context, patient participation may be a way of improvement of patient safety. The general objective of this study is to understand the constructive dynamics of patient capabilities in the co-production of a safe and effective care. Patient capabilities are defined as the actual contributions made by patients to ensure the safety and effective of care.The study was conducted in the radiotherapy departments of a public hospital and of a cancer center. Several methods have been combined to analyze the work activity of radiographers, of patients and of joint activity between the two partners : observations of treatment sessions, semi-structured interviews with manipulators and patients, self- and allo-confrontations with radiographers and elicitation interviews with patients.The results describe the actual contributions carried out by patients and show that patient cooperation acts as an additional safety barrier for patient safety. The environment of care and the duration of radiotherapy (repetitive and long treatment) constitute external resources, which provide a creative opportunity for the patient to learn from the situation and to evaluate it by observing what happens. The study also attempts to analyze the factors that allow ("positive" factors) or prevent ("negative" factors) patient capacities to become capabilities, i.e. actual contributions. The positive conversion factors are relative to the patients (knowledge of risks associated to care, personal motivation), to the collective (common objective, cognitive synchronization, operative synchronization) and to radiographers (construction of a trust relationship, encouragement and positive strengthening). However, patient capabilities are not always optimized and the strong work-related temporal pressures can prevent their development.This study highlights that there is a common will of professionals and patients to go together towards a better cooperation. It also shows that patient cooperation is a necessity that remains still unknown and underexploited, while it would likely reduce the number of risky situations and patients’ risky behaviors. Even if this active participation should not be required and be an additional source of anxiety for the patient, it should be developed and encouraged
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Gross, Olivia. "Experts et expertise : le cas des patients : Contribution à la caractérisation du patient-expert et de son expertise." Thesis, Paris 13, 2014. http://www.theses.fr/2014PA131003.
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Les nouvelles technologies de l’information rendent l’accès au savoir possible, des forum et des réseaux sociaux permettent aux malades de s’organiser, le monde associatif se structure, et dans cette dynamique, des patients sont considérés des experts de leur maladie chronique. Toutefois, la nature de leur expertise reste floue et polémique et appelle à être caractérisée. Pour caractériser ce phénomène, nous avons utilisé comme cadre conceptuel le socioconstructivisme et l’individualisme méthodologique. A partir d’une première grille d’analyse issue d’une recension des écrits sur les notions d’expert et d’expertise, il a été procédé à des entretiens avec 12 patients reconnus socialement comme ayant une pratique d’expert ainsi qu’à des entretiens avec des professionnels de santé qui les côtoient en différentes circonstances. La première grille d’analyse ayant permis d’identifier les domaines à explorer, nous avons procédé à l’analyse qualitative et compréhensive des récits de vie des patients et mis en évidence leur motivation, éthique, déontologie, rapport au savoir, modalités d’apprentissages, savoirs, actions, compétences, traits de personnalité, et leur rapport aux soins et à leurs soignants. Deux types de patients-experts émergent qui se consacrent soit aux problématiques biomédicales, soit à l’accompagnement social et au système de soins. Ces deux types de patients-experts ont en commun d’être des acteurs sociaux passionnés et altruistes, qui poursuivent l’objectif d’améliorer la prise en charge de la maladie et/ou sa prévention, qui déploient à cet effet des compétences interculturelles, émotionnelles et de l’autonomie, et qui assurent des rôles d’interface, de porte-voix et d’éclaireurs. Ces acteurs motivés, qui participent à identifier des problématiques de santé et à les élucider, intéressent la santé publique dans la mesure où nos résultats interrogent le type de fonctions qu’ils pourraient occuper dans le système de santé et la forme que pourrait prendre la valorisation de leurs actions<br>New information technology provides access to knowledge; thanks to forums and social networks, patients can organize, constructing a community in which some patients are considered experts in their chronic disease. The nature of that expertise is unclear and controversial, however, and demands characterizations. To characterize this phenomenon we employed social constructivism and methodological individualism as a conceptual framework. Using an initial analysis grid taken from a literature review on the concepts of expert and expertise, we interviewed twelve patients socially acknowledged as having expert experience, as well as health professionals with whom they have contact in a variety of circumstances
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Nizamova, Mika, and Zarah Barrett. "Vårdmiljöns betydelse för patientens välbefinnande." Thesis, Sophiahemmet Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3934.
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SAMMANFATTNING Bakgrund Upplevelsen av hälsa och välbefinnande är beroende av hur miljön vi befinner oss i är utformad. Ett av sjuksköterskans ansvarsområden är att se efter att vårdmiljön uppfyller patientens behov. Vårdmiljön kan utformas av flera olika aspekter såsom ljud, ljus och natur vilka alla har förmågan att kunna skapa en känsla av trygghet. Sjukvårdsreformatorn F. Nightingale menade att den fysiska miljön var lika viktig som den psykiska och sociala omgivningen för att återfinna hälsa samt förebygga sjukdomar. Syfte Syftet med denna litteraturöversikt var att beskriva aspekter i vårdmiljön som främjar patientens välbefinnande. Metod Metoden som valdes för denna studie var en icke-systematisk litteraturöversikt. Databassökningar gjordes i PubMed, CINAHL, Academic Search Elite samt manuella sökningar. Ett urval av 17 vetenskapliga artiklar gjordes efter noggrann granskning. Artiklarna som användes var både kvalitativa och kvantitativa, dessa har kvalitetsgranskats med hjälp av Sophiahemmets Högskolas bedömningsunderlag. Integrerad dataanalys användes som metod. Resultat En hälsofrämjande vårdmiljö påverkar patientens välbefinnande och autonomi under tiden de vårdas på sjukhus. Det första intrycket vid besök på sjukhus är det som utgörs av den fysiska miljön. Vidare framkom att enkelrum ledde till minskat buller, bättre sömn samt stärkt socialt stöd och personlig integritet. Fönster och utsikt över naturen skapade en känsla av fridfullhet då naturen kunde hjälpa till att stärka patientens inre kraft genom distraktion. Naturligt ljus ökade välmåendet och förbättrade sömnen. En välkomnande vårdmiljö med ”mysighetsfaktor” och avskildhet ökade känslan av hemtrevlighet vilket förbättrar välbefinnandet hos patienterna och ökade dessutom närvaron av anhöriga vilka utgjorde ett stort stöd för patienterna. Slutsats Genom en ökad kunskap om vårdmiljöns betydelse för patientens välbefinnande, kan åtgärder vidtas för hur allmänna utrymmen utformas. Vårdmiljön kan antingen stödja eller hindra patientens återhämtningsprocess och har kapaciteten att främja patientens livskvalitet. Denna studie ger en inblick i vårdmiljöns betydelse och bidrar med lärdomar som vidare kan tillämpas i vårt framtida kliniska arbete inom professionen. Nyckelord: Patienters nöjdhet, patientens acceptans av vård, patienter, miljödesign, vårdmiljö.<br>ABSTRACT Background The design of the environment affects our experience of health and well-being. One of the nurse's responsibilities is to ensure that the care environment meets the patient's needs. The care environment can be designed by several different factors such as sound, light and nature. All with a capacity to provide a feeling of security. According to healthcare reformer F. Nightingale, the physical environment was equally important to the psychological and social environment in order to regain health and prevent disease. Aim The purpose of this literature review was to describe aspects of the care environment that promote the patient’s well-being. Method The method used was non-systematic literature review. Database searches were performed in PubMed, CINAHL, Academic Search Elite as well as manual searches. A selection of 17 scientific articles was made after careful review. The articles were of both quantitative and qualitative research methods, these have been quality checked with the help of Sophiahemmet University’s assessment data. They were analysed based on the integrated data analysis method. Results A health-promoting care environment affects the patient's well-being and autonomy while they are being cared for in hospital. The first impression when visiting a hospital is that of the physical environment. Furthermore, it turned out that single rooms led to reduced noise, better sleep and strengthened social support and personal integrity. Windows and views of nature created a feeling of peace as nature could help strengthen the patient's inner power through distraction. Natural light as well as artificial light increased the well- being and improved sleep. A welcoming care environment with a “cosiness factor” and privacy increased the feeling of homeliness, which improves the well-being of the patients and also increased the presence of relatives who constituted a great support for the patients. Conclusion Through increased knowledge on the importance of the care environment for the well- being of the patient, measures can be taken focusing on the design of public spaces in this environment. The care environment can either support or hinder the patient's recovery process and has the ability to promote the patient’s quality of life. This study provides an insight into the importance of the care environment and contributes with lessons that can be further applied in our future clinical work within the profession. Keywords: Patient satisfaction, patient acceptance of health care, patients, environment design, health facility environment.
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Kshetri, Kanak Bikram. "Modelling patient states in intensive care patients." Thesis, Massachusetts Institute of Technology, 2011. http://hdl.handle.net/1721.1/76985.
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Thesis (M. Eng.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 2011.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (p. 71-74).<br>Extensive bedside monitoring in hospital Intensive Care Units (ICU) has resulted in a deluge of information on patient physiology. Consequently, clinical decision makers have to reason with data that is simultaneously large and high-dimensional. Mechanisms to compress these datasets while retaining their salient features are in great need. Previous work in this area has focused exclusively on supervised models to predict specific hazardous outcomes like mortality. These models, while effective, are highly specific and do not generalize easily to other outcomes. This research describes the use of non-parametric unsupervised learning to discover abstract patient states that summarize a patient's physiology. The resulting model focuses on grouping physiologically similar patients instead of predicting particular outcomes. This type of cluster analysis has traditionally been done in small, low-dimensional, error-free datasets. Since our real-world clinical dataset affords none of these luxuries, we describe the engineering required to perform the analysis on a large, high-dimensional, sparse, noisy and mixed dataset. The discovered groups showed cohesiveness, isolation and correspondence to natural groupings. These groups were also tested for enrichment towards survival, Glasgow Coma Scale values and critical heart rate events. In each case, we found groups which were enriched and depleted towards those outcomes.<br>by Kanak Bikram Kshetri.<br>M.Eng.
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凌綽姿 and Cheuk-chi Ling. "Evidence-based pain education programme for cancer patients with pain." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43251365.
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Chumbley, Gillian Mary. "Patients' evaluation of patient controlled analgesia after surgery." Thesis, St George's, University of London, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.249438.
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Le, May Andree Christine. "Nurse-patient touch and wellbeing of elderly patients." Thesis, King's College London (University of London), 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.392280.
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Morrical, Kathy Jo S. "Readiness to learn as described by adults experiencing a change in health/illness status." Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1272425.
Full textBooks on the topic "Patients"
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Association of British Pharmaceutical Industry. and Long-Term Medical Conditions Alliance, eds. Medicines & patients: Patient information. London: Association of the British Pharmaceutical Industry, 1997.
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Banks, Linda Jo. Patient care guidelines for tube feeding patients. Des Moines, Iowa: Briggs Corp., 1989.
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Sue, Bell, and National Cancer Alliance, eds. ' Patient-centred cancer services'?: What patients say. Oxford: National Cancer Alliance, 1996.
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Alliance, National Cancer, ed. "Patient-centred cancer services"?: What patients say. Oxford: National Cancer Alliance, 1996.
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Alliance, National Cancer, ed. "Patient-centred cancer services"?: What patients say. Oxford: National Cancer Alliance, 1996.
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Roberts, Helen. The patient patients: Women and their doctors. London: Pandora Press, 1985.
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Alliance, National Cancer, ed. " Patient-centred cancer services"?: What patients say. Oxford: National Cancer Alliance, 1996.
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Andrews, Ivy. Patient's charter standard: Discharge of patients from hospital. Harrow: A & M Enterprises for Mount Vernon Hospital NHS Trust and the National Hospital for Neurology and Neurosurgery, 1993.
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L, Shortridge Dennis, and Watson Phyllis M. 1947-, eds. Patients first: Experiences of a patient-focused pioneer. Chicago, Ill: Health Administration Press, 1996.
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Association, Canadian Pharmacists, ed. Patient self-care: Helping patients make therapeutic choices. Ottawa, Ontario: Canadian Pharmacists Association, 2002.
Find full textBook chapters on the topic "Patients"
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Sheridan, Susan, Heather Sherman, Allison Kooijman, Evangelina Vazquez, Katrine Kirk, Nagwa Metwally, and Flavia Cardinali. "Patients for Patient Safety." In Textbook of Patient Safety and Clinical Risk Management, 67–79. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_6.
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AbstractUnsafe care results in over 2 million deaths per year and is considered one of the world’s leading causes of death. In 2019, the 72nd World Health Assembly issued a call to action, The Global Action on Patient Safety, that called for Member States to democratize healthcare by engaging with the very users of the healthcare system—patients, families, and community members—along with other partners—in the “co-production” of safer healthcare.The WHO’s Patients for Patient Safety (PFPS) Programme, guided by the London Declaration, addresses this global concern by advancing co-production efforts that demonstrate the powerful and important role that civil society, patients, families, and communities play in building harm reduction strategies that result in safer care in developing and developed countries. The real-world examples from the PFPS Programme and Member States illustrate how civil society as well as patients, families, and communities who have experienced harm from unsafe care have harnessed their wisdom and courageously partnered with passionate and forward-thinking leaders in healthcare including clinicians, researchers, policy makers, medical educators, and quality improvement experts to co-produce sustainable patient safety initiatives. Although each example is different in scope, structure, and purpose and engage different stakeholders at different levels, each highlights the necessary building blocks to transform our healthcare systems into learning environments through co-production of patient safety initiatives, and each responds to the call made in the London Declaration, the WHO PFPS Programme, and the World Health Assembly to place patients, families, communities, and civil society at the center of efforts to improve patient safety.
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von Kummer, Rüdiger, Luigi Bozzao, Claude Manelfe, S. Bastianello, and H. Zeumer. "Patient Scans: Patients 1–20." In Early CT Diagnosis of Hemispheric Brain Infarction, 7–87. Berlin, Heidelberg: Springer Berlin Heidelberg, 1995. http://dx.doi.org/10.1007/978-3-642-79893-1_3.
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Skeil, Debbie. "Patients’ feelings about patients." In Practitioner Research in Health Care, 149–71. Boston, MA: Springer US, 1995. http://dx.doi.org/10.1007/978-1-4899-6627-8_9.
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Yeates, James. "Patients." In Animal Welfare in Veterinary Practice, 1–31. West Sussex, UK: John Wiley & Sons, Ltd., 2013. http://dx.doi.org/10.1002/9781118782958.ch1.
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Johnson, Malcolm L. "Patients." In Conflicts in the National Health Service, 72–98. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003282228-4.
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Moyé, Lemuel A. "Patients, Patience, and P Values." In Statistical Reasoning in Medicine, 20–47. New York, NY: Springer New York, 2000. http://dx.doi.org/10.1007/978-1-4757-3292-4_2.
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Kilcullen, Jack K. "Overview." In Three Patients, 3–6. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-1-4615-0939-4_1.
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Karakozov, Michael. "Russia." In Three Patients, 67–72. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-1-4615-0939-4_10.
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Tan, Ian K. S. "Hong Kong." In Three Patients, 73–75. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-1-4615-0939-4_11.
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Roy-Shapira, Aviel. "Israel." In Three Patients, 77–82. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-1-4615-0939-4_12.
Full textConference papers on the topic "Patients"
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Cheng, Marvin H., Po-Lin Huang, Hao-Chuan Chu, Li-Han Peng, and Ezzat Bakhoum. "Virtual Interaction Between Patients and Occupational Therapists Using an Assistive Robotic Device With Cyber-Physical System." In ASME 2018 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/imece2018-87289.
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In this paper, we propose to design, develop, and study a cyber-physical system that enables patients and therapists to virtually interact for rehabilitation activities with assistive robotic devices. The targeted users of this system are post-stroke patients. On the patient’s side, an assistive robotic device can generate the force that the therapist applies to the patient. On the therapist’s side, another robotic device can reproduce the responsive force generated by the patient. With this system, the interaction can be virtually established. In addition, by integrating real human trajectories, the proposed assistive robotic system can help patients to perform rehabilitation activities in their own pace. Such an assistive robotic system and virtual interacting scheme can minimize both patient’s and therapist’s traveling time. The assistive functions of this light weight design can also help patients to in their ADLs.
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Otani, Kagari, and Yasunobu Ito. "Acquisition and sharing of knowledge and skills of visiting nurses in Japan." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002554.
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The purpose of this study is to clarify, through ethnographic research, how nurses acquire and share their knowledge and skills of home nursing in clinical settings. The field research took place at a visiting nurse station in Nagoya, Japan between 2013 and November 2021. Research method used were participant observations and interviews at visiting nurse station and patients’ homes. One of the authors is an assistant professor of nursing at a university’s Nurse and Health department who also leads students in the clinical training at the visiting nurse station. The research data were acquired from periodical nurse station visits and from accompanying nurses in their activities.visiting nurses considered patients and family as partners, and they explored the preferred care together with the patient to create tailored care. We showed the following in a paper at AHFE-HSSE conference in 2021: the visiting nurses read into the patient’s societal background, life and beliefs, and visiting nurses analyzed the living style patients wish for, in order to propose the method which materialize this kind of living. The value co-created by the nurses and patient formulated the “normal living style” wished to be sustained by the patient (Otani and Ito 2021).Incidentally, in nursing education in Japan, universities nursing faculties and nursing schools educate students in basic knowledge and skills of nursing in wards to home nursing in Japan. The co-creative practices and techniques of visiting nursing care need to be learned while working in a clinical setting after the nurse is licensed. The paper revealed the following: The visiting nurse "co-created" with the patient to produce a nursing technique that fit the patient's needs based on the "sticky information" (von Hippel 1994) obtained in the patient's home. At the visiting nurse station, the nurses reported new information obtained at the patient's home or communicated to the patient during daily conferences. The nurse illustrated and demonstrated the nursing techniques that fit the patient to colleague nurses.In addition, the nurses had a joint conference with physical, occupational, and speech therapists working in the same station. The participants reported to each other the new information the patient during their stay at the patient's home, and described the techniques of each specialist that fit the patients. The information revealed in the conference was recorded into the patient's medical chart each time. The nursing skills created in the patient's home through co-creation with the patient are sticky information that is difficult to transfer, but they are shared and accumulated through gestural demonstrations at conferences by the health professionals.
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Mo, Zhiwei. "On the Product Service System Design of Diabetes Management for Patients." In Human Interaction and Emerging Technologies (IHIET-AI 2022) Artificial Intelligence and Future Applications. AHFE International, 2022. http://dx.doi.org/10.54941/ahfe100922.
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The increasing number of chronic patients is still a problem for the Italian medical system. In the age of digitalization, digital technology offers many opportunities for helping these patients solve problems, through advanced technologies such as the Internet of Things, big data, and cloud computing, smart devices can be used to collect and analyze the health information of diabetic patients, and transmit it to medical institutions in a form of visual models for obtaining reasonable treatment recommendations timely. This smart product can analyze the patient's health data in real time, meet the needs of the patient, and facilitate the connection between the patient and various medical institutions. This paper studies the product service system centered on diabetic patients, designs a smart device with blood sugar testing, and provides an Italian localized solution.
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Zuenkova, Julya, and Dmitry Kicha. "THE SIMULATION MODELLING METHODS FOR ORGANIZATION OF THE ONCOLOGY PATIENTS ROUTING." In 1st INTERNATIONAL Conference on Chemo and BioInformatics. Institute for Information Technologies, University of Kragujevac,, 2021. http://dx.doi.org/10.46793/iccbi21.247z.
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Patient routing is a key tool for ensuring the availability and quality of cancer care, ensuring early detection of pathology and timely treatment. Mathematical and simulation modeling methods allow to predict the bottlenecks of patient flows and plan the optimal distribution of healthcare resources. Goal to optimize patients’ pathways for oncology care using the simulation modelling methods. Materials and methods Patient routing was presented in the logic of discrete events, the average resource utilization, the patient’s stay time were described, the bottlenecks of the system were determined. Simulation modeling methods were used to build the optimal organization of oncology care services in the region. Results The average waiting time at the pre-hospital stage was 10 days, the average hospitalization time for X-ray therapy was 24 bed days, the throughput of the X-ray therapy room was 6 patients per week, the average duration of the X-ray therapy session per patient was 10 minutes. With the help of simulation modeling methods, a multimodal system of oncodermatology care was created and put into practice, which allowed to reduce the patient’s waiting time for treatment to 0.7 days, increasing the throughput of the entire system.
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Blebea, Nicoleta Mirela. "NUTRITIONAL THERAPY IN CLINICAL MANAGEMENT OF ONCOLOGICAL PATIENTS." In NORDSCI Conference Proceedings. Saima Consult Ltd, 2021. http://dx.doi.org/10.32008/nordsci2021/b1/v4/28.
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Nutritional therapy helps patients with cancer to maintain their weight within normal limits, maintain tissue integrity and reduce the side effects of cancer therapies. Nutritional oncology deals with both prevention and patient support during treatment, in convalescence and in palliative situations. Cancer patients need full support from the team of health professionals (oncologists, nurses and dietitians). The following basic elements should not be missing from the cancer patient's diet: water, protein intake, animal and vegetable fats, as well as vitamins and minerals. The diet of cancer patients should be closely monitored, as body weight should be kept within normal limits, ie a body mass index (BMI) between 19 and 24 (the calculation is made by dividing the weight by the square of the height). The oncologist should therefore be aware of the adverse effects of malnutrition on patient outcomes and view nutritional support as an essential component of the clinical management, chemotherapy, radiation therapy, antiemetic treatment, and treatment for pain.
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Vagg, Tamara, Aine Curran, David Morrissy, Barry Plant, and Sabin Tabirca. "THE VIRTUAL DOCTOR: AN INTERACTIVE WEB BASED TOOL TO SUPPORT UNSCHEDULED VISITS FOR CYSTIC FIBROSIS (CF) PATIENTS." In eLSE 2020. University Publishing House, 2020. http://dx.doi.org/10.12753/2066-026x-20-206.
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Cystic Fibrosis (CF) patients need to meet with their Multidisciplinary Team (MDT) approximately every four months. In-between these scheduled visits, patients may contact the Multidisciplinary Team (MDT) via phone to express any health-related concerns. This often requires a phone evaluation before organizing an unscheduled appointment. Due to the sporadic nature of these phone calls, resources and time are often heavily affected. With the predicted increase of the adult CF patient population, there is a need for better ways to manage and educate patients on their condition. The aim of this ICT intervention is to reduce this effect by creating an online virtual Dr, that can be accessed by the patient from their own home. This Virtual Doctor (Dr) will generate a report and an initial evaluation that will be sent to the MDT to action. The patient is also provided with a response outlining when the team will be in contact. The system includes a Dr avatar with facial animations and 3D scene. The voice of the avatar is generated using Node.js along with the Amazon Web Services Polly. The Web Speech API speech recognition is used to provide the ability to recognize voice context from an audio input; in this case the patient's computer microphone. This allows for the patient's interaction with the avatar and the documentation of the answers. These answers are scored and used as a comparison to the patient's baseline health status. The patient's answers and scores are stored within a database and sent via email to the MDT for evaluation. The score informs the Virtual Dr's response and MDT report. It is anticipated that this tool will be of benefit to both patients and medical staff. By creating such a system, patients can learn about their own condition and health status, while improving time and resource management. A prototype of the system has been created in preparation for pilot testing with adult CF patients.
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Kim, Jonghyeok, Hosung Kwon, Jonghyeon Kim, Jinsoo Park, Soong-Un Choi, and Sookyung Kim. "PillGood: Automated and Interactive Pill Dispenser Using Facial Recognition for Safe and Personalized Medication." In Thirty-First International Joint Conference on Artificial Intelligence {IJCAI-22}. California: International Joint Conferences on Artificial Intelligence Organization, 2022. http://dx.doi.org/10.24963/ijcai.2022/854.
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Safety of taking medicine prescribed differently to each patient in hospital relies on the discernment of medical professionals who deals with measuring pill quantity, packaging, and distributing. It is difficult and time consuming to keep track of medication record of each patient. Also, medication safety is prone to be in risk due to the human error. To help patients get accurate medication following their prescription plan with minimizing human labors and mistakes, we developed PillGood, an automated smart pill dispenser system using facial recognition technique. PillGood provides real-time and personalized guidance to take the correct medicine by alarming patients and distributing exact quantity of pills at specific time following each patient's prescription table. The system notify patients through mobile app and speaker when they need to take the medicine, and detect who the patient is through the machine learning based face recognition. Then, based on each patient's prescribing information, the controller distributes pills to each patient. Results show that PillGood enable highly accurate personalized pill dispensation followed by precise face recognition, benefiting both patients and medical professionals. Videos for demonstrating the system can be found on https://youtu.be/Wx7bXxRGjXA
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Bane, Mark C. "Disability Glare Testing of Patients with Hereditary Retinal Disorders." In Noninvasive Assessment of the Visual System. Washington, D.C.: Optica Publishing Group, 1993. http://dx.doi.org/10.1364/navs.1993.nsua.3.
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Low vision clinicians realize that environmental factors have a significant influence on visual performance. Visually impaired patients frequently report that glare increases the difficulty of visual tasks, and it has been shown that glare compounds problems with orientation and mobility.1,2 It is difficult for low vision clinicians to evaluate patient glare problems, because the lighting conditions that are available in clinical settings seldom represent the range of those in a patient's everyday life.
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Kröckel, Pavlina. "Generative AI in Assisting Patients with Syringomyelia and Hydrocephalus: A Preliminary Comparison of Chatgpt and Gemini." In 37th Bled eConference. University of Maribor Press, 2024. http://dx.doi.org/10.18690/um.fov.4.2024.39.
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Patients have been relying on online resources for more information on their symptoms and diagnosis. Existing research has examined Generative AI (GenAI), mostly via ChatGPT as a way of providing more information or even comfort to patients. However, research is scarce on the appropriateness of GenAI to support and inform patients with rare conditions. These patients often find themselves in a difficult-to-navigate maze especially because they have never heard of their condition before the diagnosis and the information online can be overwhelming. In this pre-study, we demonstrate the potential of GenAI to provide support to patients concerning their diagnoses. We work with a patient who has two rare neurological conditions – syringomyelia and hydrocephalus. Utilizing a qualitative and quantitative methodology, including the Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) and the Flesch Kincaid Reading Ease (FRE) score, we analyzed the patient’s feedback to a series of prompts derived from their medical reports. The results demonstrate the potential of generative AI as a valuable support for patients, with preliminary findings indicating that Gemini excels in certain aspects such as understandability, actionability, readability, and is more trustworthy, making it an effective tool for patient education in this context.
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Khan, Dodo, Low Tan Jung, Manzoor Ahmed Hashmani, and Moke Kwai Cheong. "Blockchain Enabled Diabetic Patients’ Data Sharing and Real Time Monitoring." In 11th International Conference on Embedded Systems and Applications (EMSA 2022). Academy and Industry Research Collaboration Center (AIRCC), 2022. http://dx.doi.org/10.5121/csit.2022.120620.
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According to the World Health Organization worldwide diabetes report, the number of diabetic patients has surged from 108 million in the 1980s to 422 million in 2014. According to researchers, the numbers will continue to climb in the next decades. Diabetes is a sickness that requires long-term self-care and close monitoring to be appropriately put under control. As a result, continuous monitoring of blood sugar levels has the potential to save millions of lives. This paper proposes a Blockchain-based platform that connects the patients, healthcare practitioners (HP), and caregivers for a continuous monitoring and care ofdiabetic patients. It lets the patients to securely connected to HP for the purpose of remote patient monitoring (telemedicine), whilst preserving patient data privacy using the blockchain technology. IoT sensors are used to read sugar levels and store these data in a tamper-proof immutable ledger (Hyperledger). This platform provides an End-to-End movement of the patient's data. That is, from the point where it is formed (sensors) to the point it ends up in the HP side. It gives patient a control-and-track function to maintain/track data movement. It provides a unique feature in allowing the patient to keep track of the private data and to pick who they want to share the data with and for how long (and for what reason). The platform is developed in two stages. Initially, the concept is implemented using the Hyperledger Fabric. Then, a Blockchain based on a novel Proof-of-Review (PoR) consensus model is included on to provide efficient performance and scalability in the Hyperledger fabric. Essentially, this proposed platform is to alleviate the pain points in traditional healthcare systems in the scopes of information exchange, data security, and privacy maintenance for real-time diabetic patient monitoring.
Reports on the topic "Patients"
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DiBenedetti, Dana B., T. Michelle Brown, Carla Romano, Claire Ervin, Sandy Lewis, and Sheri Fehnel. Conducting Patient Interviews Within a Clinical Trial Setting. RTI Press, August 2018. http://dx.doi.org/10.3768/rtipress.2018.op.0054.1808.
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Qualitative data centered on patients’ experiences and perspectives typically go uncollected in clinical trial settings. Yet patients’ treatment experiences offer complementary insights and context on topics such as disease management, treatment gaps, and previous treatments outside of those gathered in traditional patient-reported outcome questionnaires. Qualitative interviews can capture patients’ perceptions of treatment needs, more fully explore meaningful changes experienced as a result of treatment, and reveal outcomes that are most important to patients. Asking patients detailed questions can provide insight into the “why” of a patient’s expressed thought or feeling. The inclusion of patient interviews within clinical trials is a relatively new and evolving field of research. This article delineates the types of data that may be collected during interviews with clinical trial participants and outlines two approaches to conducting qualitative research in the clinical trial setting, with a focus on maximizing the value of the resulting data.
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Brown, Antoinette Y. Improving delirium management in hospitalized elderly patients. University of Missouri - Columbia, 2024. https://doi.org/10.32469/10355/106341.
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Delirium is the leading complication in hospitalized older adults associated with increased mortality, adverse inpatient outcomes, and decreased functionality (McCusker et al., 2003). Delirium is a syndrome with various presentations, it can occur over a brief period, and patients may exhibit hallucinations or violence unpredictably (Tomlinson et al., 2017). Prevalence of delirium varies greatly secondary to patient demographics and comorbidities; the elderly and individuals with multiple chronic disease processes have an increased risk for inpatient delirium (Fuchs et al., 2020). Prevalence rates are highest in the ICU setting at 83.3%; however, the prevalence of developing delirium in intermediate care areas is 39.8% for elderly (age [greater than] 65 years) patients (Fuchs et al., 2020). The incidence rate of delirium for post-operative elderly (age [greater than] 60) patients is close to 19% (Ospina et al., 2018). With the increased length of stay (LOS), adverse outcomes, and risk for hospital-acquired infections, delirium-associated costs are exorbitant. In 2019 the U.S. spent over 82 billion dollars on delirium-associated hospital expenses (Kinchin et al., 2022). According to Rohatgi et al. (2019), early detection of delirium can be ascertained by thorough nursing assessments reducing the duration of acute episodes and limiting the severity of accompanying symptoms. Failure to thoroughly screen for and detect delirium can impact the clinical management of the hospitalized patient and negatively impact patient outcomes (Tomlinson et al., 2016). It is paramount that nursing staff providing direct patient care can accurately assess and implement appropriate interventions for older hospitalized patients with delirium to promote optimal patient outcomes.
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Ciapponi, Agustín. Does medication review for hospitalised patients reduce morbidity and mortality? SUPPORT, 2017. http://dx.doi.org/10.30846/170316.
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Medication review is sometimes used to prevent adverse drug events in adult hospitalised patients. It can be defined as a systematic assessment of the pharmacotherapy of an individual patient that aims to optimise patient medication.
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Mertz, Lynn. Reducing Health Disparities in Patients with a High Patient Adversity Index. Washington, DC: AARP Thought Leadership, June 2024. http://dx.doi.org/10.26419/int.00056.030.
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Zozaya, Néboa, Luisa Avendano, and Roberto Saldaña. Optimizing the involvement of EFCCA patients in medicines-related decision making. Fundación Weber, December 2024. https://doi.org/10.37666/wp11-2024.
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Patient participation in drug decision-making is key to improving treatments. The European Federation of Crohn’s and Ulcerative Colitis Associations (EFCCA), in collaboration with the Weber Foundation, set up this pioneering initiative aimed at bridging the gap between the real needs of patients and the authorities’ expectations regarding their contributions, in order to optimize the participation of patient associations in the health technology assessment (HTA) process. Unlike traditional models, which primarily involve experts engaging patients for their insights, EFCCA has taken the lead in collaborating with experts to improve the assessment of healthcare technologies for IBD. The initiative highlights the need to include the patient perspective from the beginning of the process, providing training to enhance their input. It also stresses the importance of transparency and the credibility of patient associations. As the regulatory framework evolves, this transformation requires collaboration from all parties to create a more equitable healthcare system. Collaboration and knowledge will also be key to strengthening patient influence in HTA and ensuring decisions that are more responsive to their needs. This initiative has been financially supported by Pfizer.
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Manitoba Indigenous Tuberculosis History Project (MITHP). Missing Patients Research Guide. Manitoba Indigenous Tuberculosis History Project (MITHP), Department of History, University of Winnipeg, February 2024. http://dx.doi.org/10.36939/ir.202402141551.
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This Missing Patients Research Guide contains directions for finding out more about Indigenous patients who entered tuberculosis (TB) sanatoriums and hospitals in Manitoba and never returned home. Part One of the guide presents helpful start-up information. First it explains how to gather useful details including names, dates, and locations that will help in the search as well as how to move forward with your research. Then it outlines three useful “Research Tips”: all of the various names of TB treatment hospitals in Manitoba commonly attended by Indigenous patients; instructions for undertaking database searches using keywords; and techniques for linking information between Indian Residential Schools and hospitals. Last, a “Research Case Study” demonstrates some of the techniques and challenges you may encounter when researching Vital Statistics and Indian Residential School records by looking at the lives of three TB patients, Elie Caribou, Joseph Michel, and Albert Linklater. Part Two of the guide explains how to research the location of patient burials associated with nine hospitals where Indigenous patients were treated in Manitoba, including treatment for TB: Dynevor Indian Hospital, Clearwater Lake Indian Hospital, Brandon Indian Sanatorium, Ninette Sanatorium, St. Boniface / St. Vital Sanatorium, Fort Churchill Military Hospital, Norway House Indian Hospital, Fisher River Indian Hospital and Pine Falls Indian Hospital at Fort Alexander. Some of the general research information found in Part One is repeated under the individual hospitals and sanatoriums along with the specific information that may assist in searching for missing patients at each location. At the end of the guide, in Appendix A, you will find a checklist to help you in your research. Appendix B provides contact information for the organizations mentioned in this guide so that you can reach out by phone, email, or mail. Appendix C discusses accessing the records held by The National Centre for Truth and Reconciliation.
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Starkey, Sandra, and Jean L. Parsons. Exploring Patient Centered Care Through the Design of Personal Storage for Patients. Ames: Iowa State University, Digital Repository, 2014. http://dx.doi.org/10.31274/itaa_proceedings-180814-914.
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Abramson, Lisa. The relationship of patients' perceptions of physicians' communication style to patient satisfaction. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.6004.
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Hynes, Denise, Jose Arruda, Michael Berbaum, Ifeanyi Chukwudozie, Michael Fischer, Marian Fitzgibbon, Anna Porter, and Linda Schiffer. Evaluating a Patient-Centered Medical Home for Patients Receiving Dialysis for Kidney Disease. Patient-Centered Outcomes Research Institute® (PCORI), August 2019. http://dx.doi.org/10.25302/5.2019.ih.12115420.
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Sokol-Hessner, Lauge, C. Matthew Stewart, Ritu Sharma, Allen Zhang, Thomas H. Gallagher, Allen Kachalia, Eric B. Bass, and Marisa Clifton. Programs for Responding to Harms Experienced by Patients During Clinical Care. Agency for Healthcare Research and Quality (AHRQ), April 2025. https://doi.org/10.23970/ahrqepc_mhs4harms.
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Objectives. This rapid review synthesizes the current literature on the effectiveness of programs used by healthcare organizations to respond after patients experience harm during their care. We focused on communication and resolution programs (CRPs) that included communication with the patient and family, event review, quality improvement, and in a qualifying subset of events, an apology for causing harm and an offer of compensation. Methods. We searched PubMed and the Cochrane Library for systematic reviews and primary studies published from January 1, 2010, to July 2024, supplemented by a targeted review of grey literature. Findings. We retrieved 2,419 citations, of which 8 primary studies and no systematic reviews were eligible for review. The studies focused on medical malpractice experience and financial outcomes, including time to resolution, cost to healthcare organizations, and rate of claims. The effects of CRP implementation on these outcomes were decreases or no significant changes, with no significant increases being reported. Evidence was lacking or limited for CRPs’ effects on other aspects of patient, family, or clinician outcomes or experience; patient safety; quality of care; communication and relationships between patients, families, and organizations; and interprofessional communication. Conclusions. Despite their patient-centered design, studies of CRPs’ effects have focused on organizational liability and cost outcomes rather than patient-oriented outcomes. CRPs appear to have positive or neutral effects on the measured outcomes, with no significant negative effects. Our findings support the implementation of CRPs while highlighting the need for more research about patient, family, and clinician-oriented outcomes.