Aikaterini Kontara, Εleni-Chrysovalantou Mpouli, P. Kolovos
Mobile health (mhealth) is a novel technology of e-health with applications available for health services as well, affecting the provision of care in a wide range of diseases and group of patients. The contribution of telecommunications and technological applications to surgical care has been documented in the scientific literature. The purpose of this study was to describe mobile phones’ applications in the care provision to surgical patient. A review of the contemporary literature was conducted on the database PubMed/Medline and the search engine Google Scholar with keywords. Data were extracted according to eligibility criteria, analyzed and synthesized. The literature review revealed that mobile phones’ applications are evident during the perioperative care, especially preoperatively and in postoperative follow up. These applications were found to have a positive impact on the surgical patient, the health personnel and the health care organizations, enhancing safety and quality as well as a patient-centered model of the care provided. Moreover, these findings form the basis for further research in the care continuum, from hospital to post hospitalization care.
{"title":"Mobile phones’ applications (Apps) in care provision to surgical patient","authors":"Aikaterini Kontara, Εleni-Chrysovalantou Mpouli, P. Kolovos","doi":"10.24283/hjns.202143","DOIUrl":"https://doi.org/10.24283/hjns.202143","url":null,"abstract":"Mobile health (mhealth) is a novel technology of e-health with applications available for health services as well, affecting the provision of care in a wide range of diseases and group of patients. The contribution of telecommunications and technological applications to surgical care has been documented in the scientific literature. The purpose of this study was to describe mobile phones’ applications in the care\u0000provision to surgical patient. A review of the contemporary literature was conducted on the database PubMed/Medline and the search engine Google Scholar with keywords. Data were extracted according to eligibility criteria, analyzed and synthesized. The literature review revealed that mobile phones’ applications are evident during the perioperative care, especially preoperatively and in postoperative follow up. These applications were found to have a positive impact on the surgical patient, the health\u0000personnel and the health care organizations, enhancing safety and quality as well as a patient-centered model of the care provided. Moreover, these findings form the basis for further research in the care continuum, from hospital to post hospitalization care.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134621692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: During healthcare management in hospitals, many unforeseen events can affect patient's surgical safety and experience, causing discomfort both him and his family, simultaneously wasting surgery resources and reducing its efficiency.Healthcare professionals in every hospital should consider perioperative care of patient as an important issue and its systematic improvement should be required. The aim of this review was to highlight the Lean Management and Six Sigma methods in patients’ perioperative care. Material-Method: A systematic review was conducted in the electronic databases Medline / Pubmed,Scopus, Embase and Cochrane Library from 2015 to 2020. The keywords were lean management, six sigma, lean / six sigma surgery, lean / six sigma perioperative care. The inclusion criteria were studies directly related to the subject in English, published in peer-reviewed journals. Results: The search strategy was applied to 896 studies, 889 of which were excluded and 7 of which met the inclusion criteria.Lean and Six Sigma methodologies increased the efficiency of the operating room staff, as well as the financial performance of the entire operating unit. Process mapping, leadership, and staff satisfaction are keys to enhancepatient’s safety. Conclusions: The implementation of Lean / Six Sigma in health services has great potential. It is proposed the institutional adoption of this methodology, with additional research of its practical, educational and financial benefits after wide implementation.
{"title":"Implementation of lean management/Six Sigma in patients’ perioperative care","authors":"M. Kapritsou, M. Gamvrouli, Vasiliki Papanikolaou","doi":"10.24283/hjns.202144","DOIUrl":"https://doi.org/10.24283/hjns.202144","url":null,"abstract":"Aim: During healthcare management in hospitals, many unforeseen events can affect patient's surgical safety and experience, causing discomfort both him and his family, simultaneously wasting surgery resources and reducing its efficiency.Healthcare professionals in every hospital should consider perioperative care of patient as an important issue and its systematic improvement should be required. The aim of this review was to highlight the Lean Management and Six Sigma methods in patients’\u0000perioperative care.\u0000Material-Method: A systematic review was conducted in the electronic databases Medline / Pubmed,Scopus, Embase and Cochrane Library from 2015 to 2020. The keywords were lean management, six sigma, lean / six sigma surgery, lean / six sigma perioperative care. The inclusion criteria were studies directly related to the subject in English, published in peer-reviewed journals.\u0000Results: The search strategy was applied to 896 studies, 889 of which were excluded and 7 of which met the inclusion criteria.Lean and Six Sigma methodologies increased the efficiency of the operating room staff, as well as the financial performance of the entire operating unit. Process mapping, leadership, and staff satisfaction are keys to enhancepatient’s safety.\u0000Conclusions: The implementation of Lean / Six Sigma in health services has great potential. It is proposed the institutional adoption of this methodology, with additional research of its practical, educational and financial benefits after wide implementation.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"2010 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127355886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The effectiveness of sex education programs depends,to a great extent, on the effectiveness of the instructor. The instructor’s education in the area is crucial to the success of the program. Aim: The purpose of this study was to evaluate the effectiveness of a sexeducationintervention to sex educators (school teachers and health visitors) in Primary Education in Cyprus and the investigation of the effectiveness of their cooperation in teaching the subject. Methodology: The sample of the educational intervention consisted of 18 people (12 health visitors and 6 primary school teachers).The research tools used were the semi-structured questionnaire, the Greek self-esteem measurement scale, the observation and the interview protocols.For the statistical analysis of the data, the statistical package of data analysis SPSS version 22 was used, namely the frequency distribution methods (cumulative frequency), t-test analysis for dependent samples and qualitative analysis of the interviews. Results: The results revealed that there were differences in the averages (means) before and after the educational intervention in the perceptions of the sample about the characteristics of the sex education instructor (20.27 / 23.00) and the level that the sample ranks itself in these characteristics (18.88 / 21.33), which were statistically significant (p = 0.40, p = 0.03 respectively). In addition, it was found that the majority of the sample wants to cooperate in the teaching of sex education. Conclusions: The findings suggest that the educational intervention applied was effective as it improved the perceptions, knowledge, skills, abilities and comfort of the sample in teaching sex education. In addition, for more effective teaching of sex education,the need for cooperation of teachers and health visitors was identified.Therefore, it can be assumed that both pre and in-service trainingin the area of sex education as well as encouragement of cooperation between professionals will improve the effectiveness of sex education programs in schools.
导言:性教育课程的有效性在很大程度上取决于教师的有效性。教师在该领域的教育对项目的成功至关重要。目的:本研究的目的是评估塞浦路斯小学教育中性教育者(学校教师和卫生巡视员)的性教育干预措施的有效性，并调查他们在教学中合作的有效性。方法:教育干预的样本包括18人(12名卫生访视员和6名小学教师)。研究工具为半结构化问卷、希腊自尊量表、观察法和访谈法。对于数据的统计分析，使用数据分析的统计软件包SPSS version 22，即频率分布法(累积频率)，因缘样本的t检验分析和访谈的定性分析。结果:调查对象对性教育指导员特征的认知(20.27 / 23.00)和自身在这些特征上的排名(18.88 / 21.33)在教育干预前后的平均值(均值)有差异，差异有统计学意义(p = 0.40, p = 0.03)。此外，调查发现，大多数样本希望在性教育教学中合作。结论:教育干预有效地提高了被试性教育的认知、知识、技能、能力和舒适度。此外，为了更有效地进行性教育教学，确定了教师和保健视察员合作的必要性。因此，我们可以假设，性教育领域的职前和在职培训以及鼓励专业人员之间的合作将提高学校性教育项目的有效性。
{"title":"The effectiveness of sex education intervention in Primary school teachers and health visitors in Cyprus","authors":"Anastasia Christofi","doi":"10.24283/hjns.202145","DOIUrl":"https://doi.org/10.24283/hjns.202145","url":null,"abstract":"Introduction: The effectiveness of sex education programs depends,to a great extent, on the effectiveness of the instructor. The instructor’s education in the area is crucial to the success of the program.\u0000Aim: The purpose of this study was to evaluate the effectiveness of a sexeducationintervention to sex educators (school teachers and health visitors) in Primary Education in Cyprus and the investigation of the effectiveness of their cooperation in teaching the subject.\u0000Methodology: The sample of the educational intervention consisted of 18 people (12 health visitors and 6 primary school teachers).The research tools used were the semi-structured questionnaire, the Greek self-esteem measurement scale, the observation and the interview protocols.For the statistical analysis of the data, the statistical package of data analysis SPSS version 22 was used, namely the frequency distribution methods (cumulative frequency), t-test analysis for dependent samples and qualitative\u0000analysis of the interviews.\u0000Results: The results revealed that there were differences in the averages (means) before and after the educational intervention in the perceptions of the sample about the characteristics of the sex education instructor (20.27 / 23.00) and the level that the sample ranks itself in these characteristics (18.88 / 21.33), which were statistically significant (p = 0.40, p = 0.03 respectively). In addition, it was found that the\u0000majority of the sample wants to cooperate in the teaching of sex education.\u0000Conclusions: The findings suggest that the educational intervention applied was effective as it improved the perceptions, knowledge, skills, abilities and comfort of the sample in teaching sex education. In addition, for more effective teaching of sex education,the need for cooperation of teachers and health visitors was identified.Therefore, it can be assumed that both pre and in-service trainingin the area\u0000of sex education as well as encouragement of cooperation between professionals will improve the effectiveness of sex education programs in schools.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134143176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Given the fact that migration is increasingly becoming part of the lives of European citizens and there is an unprecedented flow of refugees and migrants to Europe, the impact of migration on public health and the health of migrants and refugees, must be recognized as an important issue for public health policy making. These people are exposed to a variety of experiences, which affect their health and increase their susceptibility to various diseases during all stages of the migration progress. The purpose of this literature review was to investigate the impact of refugee-migration flow in Europe on public health. The access of these people to health services is an important aspect of their integration into society and of safeguarding public health. However, today, few EU countries provide equal access to health services for both migrants and refugees, as well as for the wider population of the host country. The range of health issues that can be associated with the migration of the populations is inevitably wide. This includes communicable and non-communicable diseases as well as work-related injuries. Further development of guidelines on access to health services is therefore needed, in order to improve the level of health and to avoid the emergence of secondary cases. Thus, the integration of refugees and migrants into the host countries will be reinforced and therefore public health will be safeguarded.
{"title":"Refugee-migration crisis in Europe and public health","authors":"Eleni Kazantzidou","doi":"10.24283/hjns.202142","DOIUrl":"https://doi.org/10.24283/hjns.202142","url":null,"abstract":"Given the fact that migration is increasingly becoming part of the lives of European citizens and there is an unprecedented flow of refugees and migrants to Europe, the impact of migration on public health and the health of migrants and refugees, must be recognized as an important issue for public health policy making. These people are exposed to a variety of experiences, which affect their health and increase their susceptibility to various diseases during all stages of the migration progress. The purpose of this literature review was to investigate the impact of refugee-migration flow in Europe on public health. The access of these people to health services is an important aspect of their integration into society and of safeguarding public health. However, today, few EU countries provide equal access to health services for both migrants and refugees, as well as for the wider population of the host country. The range of health issues that can be associated with the migration of the populations is inevitably wide. This includes communicable and non-communicable diseases as well as work-related injuries. Further development of guidelines on access to health services is therefore needed, in order to improve the level of health and to avoid the emergence of secondary cases. Thus, the integration of refugees and migrants into the host\u0000countries will be reinforced and therefore public health will be safeguarded.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128914914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
According to the World Health Organization (WHO) cancer is the second leading cause of death worldwide and accounts for approximately 9.6 million deaths in 2018. Pain is particularly common and extremely worrying for these patients, especially in metastases. Such a situation imposes an approach that would improve the quality of life and would provide specialized medical care which is, according to WHO, the definition of Palliative Care. There have been many efforts to recognize and establish the human right of pain relief, in order to promote the enforcement of human dignity and the protection of Public Health. However, from the thorough study of the literature on this subject, it emerges that much more could be done in that direction. There is a lag firstly in health policy making to prevent and adopt palliative care in health care and health systems. Secondly, there is also a lag in continuing education of health professionals in the treatment and management of pain, and the information of patients and their relatives about their rights. Another obstacle is the problem in opioid accessibility, that are in the treatment of pain, and finally there are social, cultural and economic problems that are to be resolved. Relief from pain, especially in patients with end-stage cancer, is a major public health and community issue. Good cooperation of all (health scientists, scientists, patients, relatives, governments, international organizations) and the exchange of knowledge and information can overall bring very important changes that would go beyond any obstacles and would bring us one step closer to conquering the relief from pain at the end of life.
{"title":"Pain relief as human right to patients with terminal stage cancer","authors":"Evaggelos Aliferis, Stamatia Gkarani - Papadatou","doi":"10.24283/hjns.202131","DOIUrl":"https://doi.org/10.24283/hjns.202131","url":null,"abstract":"According to the World Health Organization (WHO) cancer is the second leading cause of death worldwide and accounts for approximately 9.6 million deaths in 2018. Pain is particularly common and extremely worrying for these patients, especially in metastases. Such a situation imposes an approach that would improve the quality of life and would provide specialized medical care which is, according to WHO, the definition of Palliative Care. There have been many efforts to recognize and establish the human right of pain relief, in order to promote the enforcement of human dignity and the protection of Public Health. However, from the thorough study of the literature on this subject, it emerges that much more could be done in that direction. There is a lag firstly in health policy making to prevent and adopt palliative care in health care and health systems. Secondly, there is also a lag in continuing education of health professionals in the treatment and management of pain, and the information of patients and their relatives about their rights. Another obstacle is the problem in opioid accessibility, that are in the treatment of pain, and finally there are social, cultural and economic problems that are to be resolved. Relief from pain, especially in patients with end-stage cancer, is a major public health and community issue. Good cooperation of all (health scientists, scientists, patients, relatives, governments, international organizations) and the exchange of knowledge and information can overall bring very important changes\u0000that would go beyond any obstacles and would bring us one step closer to conquering the relief from pain at the end of life.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128411702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nowadays more than ever, the need for financial evaluation in the field of health stems from the need to make scientifically sound decisions to pursue a rational health policy with an emphasis on allocating the scarce resources available amongst competing alternative uses. The economic evaluation of health technology consists of the input-output analysis of any intervention related to the promotion, prevention and restoration of health, and is substantiated mainly through cost-minimization analysis, cost-effectiveness analysis, cost-utility analysis and cost-benefit analysis. Cost-impact analyses in the field of health provide substantiated answers not only on the basis of economic, but also social and technological criteria, in order to coincide with the rapid developments of our times. The present article aims to highlight and analyze the basic methods of economic evaluation of Health Technologies with their particular characteristics, as well as to attribute advantages and disadvantages of each method. The material for this work is the result of a thorough search through the literature, both in Greek and foreign languages, and through online sources.
{"title":"Economic evaluation of health technologies","authors":"Elpiniki Biskanaki","doi":"10.24283/hjns.202132","DOIUrl":"https://doi.org/10.24283/hjns.202132","url":null,"abstract":"Nowadays more than ever, the need for financial evaluation in the field of health stems from the need to make scientifically sound decisions to pursue a rational health policy with an emphasis on allocating the scarce resources available amongst competing alternative uses. The economic evaluation of health technology consists of the input-output analysis of any intervention related to the promotion, prevention and restoration of health, and is substantiated mainly through cost-minimization analysis, cost-effectiveness analysis, cost-utility analysis and cost-benefit analysis. Cost-impact analyses in the field of health provide substantiated answers not only on the basis of economic, but also social and technological criteria, in order to coincide with the rapid developments of our times. The present article aims to highlight and analyze the basic methods of economic evaluation of Health Technologies with their particular characteristics, as well as to attribute advantages and disadvantages of each method.\u0000The material for this work is the result of a thorough search through the literature, both in Greek and foreign languages, and through online sources.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123552163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Extreme distancing during quarantine and social isolation in periods of serious infections, such as COVID-19, affected society and the social life of the population worldwide, changing cultural habits while it was found to be associated with mental and social health problems such as depression and anxiety. It was found that the elderly is the portion of the population that is at greater risk in the COVID-19 epidemic and if they get sick, they have a greater risk of dying. This group is particularly vulnerable to infections due to a weakened immune system, comorbidities, including respiratory diseases, hypertension, diabetes and coronary heart disease. The balance that has been accomplished in the past between age-related disorders and good quality of life and health is now under high pressure. It is therefore very important to protect the elderly and if isolation can reduce the transmission of the disease and save their lives, it should be implemented, in order to maintain their quality of life as much as possible. Compliance with the instructions and recommendations of the WHO and other national, regional, international organizations can significantly reduce the risk of spreading the disease. This study examines the impact of the coronavirus pandemic on the elderly and how this disease has affected their mental health and well-being. Our goal is also to comprehend the factors associated with depressive symptoms in older people during the disease.
{"title":"The impact of coronavirus on mental health and welfare of the elderly","authors":"A. Papageorgiou, A. Skitsou, G. Charalambous","doi":"10.24283/hjns.202134","DOIUrl":"https://doi.org/10.24283/hjns.202134","url":null,"abstract":"Extreme distancing during quarantine and social isolation in periods of serious infections, such as COVID-19, affected society and the social life of the population worldwide, changing cultural habits while it was found to be associated with mental and social health problems such as depression and anxiety. It was found that the elderly is\u0000the portion of the population that is at greater risk in the COVID-19 epidemic and if they get sick, they have a greater risk of dying. This group is particularly vulnerable to infections due to a weakened immune system, comorbidities, including respiratory diseases, hypertension, diabetes and coronary heart disease. The balance that has been accomplished in the past between age-related disorders and good quality of life and health is now under high pressure. It is therefore very important to protect the elderly and if isolation can reduce the transmission of the disease and save their lives, it should be implemented, in order to maintain their quality of life as much as possible.\u0000Compliance with the instructions and recommendations of the WHO and other national, regional, international organizations can significantly reduce the risk of spreading the disease. This study examines the impact of the coronavirus pandemic on the elderly and how this disease has affected their mental health and well-being. Our goal is also to comprehend the factors associated with depressive symptoms in older people during the disease.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131648864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The relationship developing between Human Rights and health is dynamic, two-way, interdependent and in some cases conflicting. The challenges within health professionals in health care in a multicultural society are inevitable, as health users "carry" different cultures. The refusal of health users to perform medical procedures vital to their health, mainly for religious reasons, raises both legal and moral issues as well as practical ones. The refusal to transfuse blood for religious reasons must, on the one hand, follow the ethical principles governing health professionals and, on the other, the content of the relevant rights of health users, in order to avoid induced moral, legal and practical conflicts on both sides. To this end, based on the literature review, the application and enjoyment of the rights of the members involved under the cultural perspective of health professionals are considered of primary importance. The cultural competence training of health professionals will be a key element of individualization and holistic approach to managing the challenges, as well as removing the inequalities required by health care in a multicultural society.
{"title":"Denial of medical care: the example of blood transfusion refusal for religious reasons under the view of the cultural competence of health professionals","authors":"Fani Pegiou, Hariklia Pitsou","doi":"10.24283/hjns.202133","DOIUrl":"https://doi.org/10.24283/hjns.202133","url":null,"abstract":"The relationship developing between Human Rights and health is dynamic, two-way, interdependent and in some cases conflicting. The challenges within health professionals in health care in a multicultural society are inevitable, as health users \"carry\" different cultures. The refusal of health users to perform medical procedures vital to their health, mainly for religious reasons, raises both legal and moral issues\u0000as well as practical ones. The refusal to transfuse blood for religious reasons must, on the one hand, follow the ethical principles governing health professionals and, on the other, the content of the relevant rights of health users, in order to avoid induced moral, legal and practical conflicts on both sides. To this end, based on the literature review, the application and enjoyment of the rights of the members involved under the cultural perspective of health professionals are considered of primary importance. The cultural competence training of health professionals will be a key element of individualization and holistic approach to managing the challenges, as well as removing the inequalities required by health care in a multicultural society.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133298699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: In recent years, the Greek Government and Health Organizations have tried to inspire and promote the improvement of quality, effectiveness and efficiency of hospitals through Total Quality Management (TQM). Aim: The aim was to define the results of this improvement effort using quality indexes of hospital unit services and focusing on patients coming to hospital’s emergency rooms (ER). Methods: Firstly, randomized and anonymous questionnaires were used to collect the data. Participants (N = 200), aged 20 to 60 years, came as patients in the Emergency Department of Hippocratio, Thessaloniki’s General Hospital during from 1/10/18 to 31/12/2018. Participants in the survey were asked to answer on a 5-point Likert scale as follows: 1=Not at all, 2=Little, 3=Pretty much, 4=Very much, 5=Very much. Statistical analysis of the survey data was performed with the IBM statistical package - SPSS Statistics v. 24.0 version for Windows. Results: The results emphasize the importance of evaluating the quality of care provided by assessing patients’ satisfaction through indicators in the Emergency Department of Hippocratio General Hospital in Thessaloniki. In particular, patients' satisfaction as they enter the Emergency Department was found higher concerning the medical-nursing services provided than the interaction with the administrative staff due to lack of staff. Conclusions: Despite the shortcomings of the hospital, the general level of quality of its services was considered to be sufficient in all areas. Therefore, potential improvements in service quality could be suggested to hospital unit management and lead to a general improvement in the visitor - patient experience.
近年来，希腊政府和卫生组织试图通过全面质量管理(TQM)激励和促进医院质量、效益和效率的提高。目的:目的是使用医院单位服务的质量指标来定义这种改进工作的结果，并关注到医院急诊室(ER)的患者。方法:首先采用随机、匿名问卷法进行数据收集。参与者(N = 200)，年龄在20至60岁之间，于2018年10月1日至2018年12月31日在塞萨洛尼基综合医院希波克拉底的急诊科就诊。调查要求参与者按照李克特5分制回答以下问题:1=完全不喜欢，2=很少喜欢，3=差不多喜欢，4=非常喜欢，5=非常喜欢。使用IBM统计软件包SPSS Statistics v. 24.0 for Windows对调查数据进行统计分析。结果:通过对塞萨洛尼基希波克拉底综合医院急诊科患者满意度的指标评估，结果强调了评估所提供护理质量的重要性。特别是，由于人手不足，患者进入急诊科时对提供的医疗护理服务的满意度高于与行政人员的互动。结论:尽管该医院存在不足，但其服务质量总体水平在所有方面都是足够的。因此，服务质量的潜在改进可以向医院单位管理层提出，并导致访客-患者体验的普遍改善。
{"title":"Quality in Healthcare Services and quality indexes in the Emergency Department (ED)","authors":"Emmanouela Angeli, George Baliozoglou","doi":"10.24283/hjns.202125","DOIUrl":"https://doi.org/10.24283/hjns.202125","url":null,"abstract":"Introduction: In recent years, the Greek Government and Health Organizations have tried to inspire and promote the improvement of quality, effectiveness and efficiency of hospitals through Total Quality Management (TQM). Aim: The aim was to define the results of this improvement effort using quality indexes of hospital unit services and focusing on patients coming to hospital’s emergency rooms (ER). Methods: Firstly, randomized and anonymous questionnaires were used to collect the data. Participants (N = 200), aged 20 to 60 years, came as patients in the Emergency Department of Hippocratio, Thessaloniki’s General Hospital during from 1/10/18 to 31/12/2018. Participants in the survey were asked to answer on a 5-point Likert scale as follows: 1=Not at all, 2=Little, 3=Pretty much, 4=Very much, 5=Very much. Statistical analysis of the survey data was performed with the IBM statistical package - SPSS Statistics v. 24.0 version for Windows. Results: The results emphasize the importance of evaluating the quality of care provided by assessing patients’ satisfaction through indicators in the Emergency Department of Hippocratio General Hospital in Thessaloniki. In particular, patients' satisfaction as they enter the Emergency Department was found higher concerning the medical-nursing services provided than the interaction with the administrative staff due to lack of staff. Conclusions: Despite the shortcomings of the hospital, the general level of quality of its services was considered to be sufficient in all areas. Therefore, potential improvements in service quality could be suggested to hospital unit management and lead to a general improvement in the visitor - patient experience.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124516115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Intas, Despoina-Maria Lianaki, E. Lahana, P. Stergiannis
The rising average age of passengers, the chronic illnesses that passengers suffer from and the stress of flying are just some of the factors that contribute to emergencies in flight. Passengers at risk are those with heart or respiratory problems. Cardiopulmonary arrest, burns and gastrointestinal problems are the main reasons for first aid. The purpose of this review is to present the most common emergency health problems that may occur during a flight, as well as the first aid equipment available on the aircraft. To achieve this goal, a literature review of articles related to this field in Pubmed and Google Scholar databases was carried out in the period 2010-2020. Most conditions are treated by the crew with a simple painkiller. However, there are more complex conditions that require a different treatment, such as oxygen administration to patients with respiratory problems. In some cases, medical advice and assistance is sought from passengers who are healthcare professionals. Some companies require crews to be trained and certified every two years for the use of automated external defibrillators, as well as cardiopulmonary resuscitation. All aircrafts have an emergency medical kit with a limited number of drugs and universal precaution kit in cases where there is a risk of communicable disease. Due to the spread of COVID-19, the World Health Organization has issued specific guidelines for both protecting crews from the virus and treating a passenger who may have been infected with the virus.
{"title":"First Aid during Civil Aviation Flights: Peculiarities in the COVID-19 era","authors":"G. Intas, Despoina-Maria Lianaki, E. Lahana, P. Stergiannis","doi":"10.24283/hjns.202123","DOIUrl":"https://doi.org/10.24283/hjns.202123","url":null,"abstract":"The rising average age of passengers, the chronic illnesses that passengers suffer from and the stress of flying are just some of the factors that contribute to emergencies in flight. Passengers at risk are those with heart or respiratory problems. Cardiopulmonary arrest, burns and gastrointestinal problems are the main reasons for first aid. The purpose of this review is to present the most common emergency health problems that may occur during a flight, as well as the first aid equipment available on the aircraft. To achieve this goal, a literature review of articles related to this field in Pubmed and Google Scholar databases was carried out in the period 2010-2020.\u0000Most conditions are treated by the crew with a simple painkiller. However, there are more complex conditions that require a different treatment, such as oxygen administration to patients with respiratory problems. In some cases, medical advice and assistance is sought from passengers who are healthcare professionals. Some companies require crews to be trained and certified every two years for the use of automated external defibrillators, as well as cardiopulmonary resuscitation. All aircrafts have an emergency medical kit with a limited number of drugs and universal precaution kit in cases where there is a risk of communicable disease. Due to the spread of COVID-19, the World Health Organization has issued specific guidelines for both protecting crews from the virus and treating a passenger who may have been infected with the virus.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123639796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：