Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA1505
I. Lalić, A. V. Dugac, T. Zovko, A. Šajnić, Vida John, Ana Mustac, Milica Tepavac, D. Tješić-Drinković, D. Tješić-Drinković, M. Samaržija
{"title":"Does lung transplantation affect on the improvement of psychological status in patients with adult cystic fibrosis?","authors":"I. Lalić, A. V. Dugac, T. Zovko, A. Šajnić, Vida John, Ana Mustac, Milica Tepavac, D. Tješić-Drinković, D. Tješić-Drinković, M. Samaržija","doi":"10.1183/13993003.CONGRESS-2018.PA1505","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1505","url":null,"abstract":"","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89640237","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}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA1514
A. Włodarska, A. Doboszyńska
Introduction: The most common cause of respiratory disorders in sleeping children is the Obstructive Sleep Apnoea Syndrome (OSAS). Passive smoking is among factors predisposing to obstructive sleep apnoea (OSA). Apnoea leads to disturbance of the structure of sleep. Complications and sequels of untreated OSAS are, among others: arterial hypertension, growth and body weight deficiency, and behavioural disorders. Purpose: Determination of a correlation between exposure to tobacco smoke (passive smoking) and development of respiratory disorders in children during sleep. Materials and methods. 160 school-aged children (6-18 years) were included in the study. The inclusion criterion was exposure to tobacco smoke at home (90 subjects). The control group were school-aged children who had had no contact with tobacco smoke at home (70 subjects). Exclusion criterion: obese children (BMI over 24) and children with impaired patency of the nose. Each child had a polygraphic examination done at home. Results: In the study group the presence of obstructive sleep apnoea was confirmed in 4% (8/160) of subjects (including 7 having contact with tobacco smoke at home), with the AHI>5 and occurrence of diurnal and nocturnal symptoms. In the group exposed to tobacco smoke the following were noted more often: concentration problems 38.9% (35/90), tiredness/lethargy 46.7% (42/90), and irritability/hyperactivity 36.7% (33/90). On the other hand, no statistically significant differences were found in nocturnal symptoms: waking up, snoring and sleep apnoea. Conclusions: Passive smoking causes respiratory disorders during sleep. Children exposed to tobacco smoke more often demonstrate concentration problems, tiredness and hyperactivity.
{"title":"The effect of tobacco smoke on paediatric respiratory disorders during sleep","authors":"A. Włodarska, A. Doboszyńska","doi":"10.1183/13993003.CONGRESS-2018.PA1514","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1514","url":null,"abstract":"Introduction: The most common cause of respiratory disorders in sleeping children is the Obstructive Sleep Apnoea Syndrome (OSAS). Passive smoking is among factors predisposing to obstructive sleep apnoea (OSA). Apnoea leads to disturbance of the structure of sleep. Complications and sequels of untreated OSAS are, among others: arterial hypertension, growth and body weight deficiency, and behavioural disorders. Purpose: Determination of a correlation between exposure to tobacco smoke (passive smoking) and development of respiratory disorders in children during sleep. Materials and methods. 160 school-aged children (6-18 years) were included in the study. The inclusion criterion was exposure to tobacco smoke at home (90 subjects). The control group were school-aged children who had had no contact with tobacco smoke at home (70 subjects). Exclusion criterion: obese children (BMI over 24) and children with impaired patency of the nose. Each child had a polygraphic examination done at home. Results: In the study group the presence of obstructive sleep apnoea was confirmed in 4% (8/160) of subjects (including 7 having contact with tobacco smoke at home), with the AHI>5 and occurrence of diurnal and nocturnal symptoms. In the group exposed to tobacco smoke the following were noted more often: concentration problems 38.9% (35/90), tiredness/lethargy 46.7% (42/90), and irritability/hyperactivity 36.7% (33/90). On the other hand, no statistically significant differences were found in nocturnal symptoms: waking up, snoring and sleep apnoea. Conclusions: Passive smoking causes respiratory disorders during sleep. Children exposed to tobacco smoke more often demonstrate concentration problems, tiredness and hyperactivity.","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79997351","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}
Pub Date : 2018-09-15DOI: 10.1183/13993003.congress-2018.pa1502
L. Mccormick, Carol A. Wong, M. Kerr, Y. Babenko-Mould
{"title":"The structure and characteristics of hospital-based programs for COPD: a scoping review","authors":"L. Mccormick, Carol A. Wong, M. Kerr, Y. Babenko-Mould","doi":"10.1183/13993003.congress-2018.pa1502","DOIUrl":"https://doi.org/10.1183/13993003.congress-2018.pa1502","url":null,"abstract":"","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78574287","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}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA1503
Chun Kit Lo, Y. Chan, M. W. Choi, P. F. Chan, Yuen Yee Chan, Chung Leung Henry Poon, C. Chu
Introduction: Tracheostomy(T) is regarded as a “high-risk, low-incidence” care. Mismanagement leading to airway occlusion could be fatal. In nursing, T is introduced as airway management. More deeply knowledge like T tube or its emergency management are usually not included. The handover communication and observation were also found inadequate. Aims: The aims are to (i)improve handover communication and documentation and (ii)prevent complications and have the preparedness of in the management of tracheostomy emergency. Methods: The T care working process was reengineered in a systematic approach(Fig.1) carried out(1/5 to 31/12/2017) in respiratory wards. It included:(1)T records and observation chart for assessing and assisting the management of patients with complex health conditions;(2)Nursing care report for reminding and recording the intervention of T care provided;(3)Emergency workflow poster and bedside emergency equipment box for better airway emergency preparedness;(4)Regular training in indication and anatomy of T and the standard of care and emergency management. Result: There were 38 admissions of T cases during study period. Staff’s T knowledge and self-efficacy of performing T care were evaluated(N=31). Both of them showed with a great improvement with statistically significant (P Conclusion: The project could achieve the aims (i)&(ii).
{"title":"Contemporary tracheostomy clinical management in respiratory wards: A continuous quality improvement program","authors":"Chun Kit Lo, Y. Chan, M. W. Choi, P. F. Chan, Yuen Yee Chan, Chung Leung Henry Poon, C. Chu","doi":"10.1183/13993003.CONGRESS-2018.PA1503","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1503","url":null,"abstract":"Introduction: Tracheostomy(T) is regarded as a “high-risk, low-incidence” care. Mismanagement leading to airway occlusion could be fatal. In nursing, T is introduced as airway management. More deeply knowledge like T tube or its emergency management are usually not included. The handover communication and observation were also found inadequate. Aims: The aims are to (i)improve handover communication and documentation and (ii)prevent complications and have the preparedness of in the management of tracheostomy emergency. Methods: The T care working process was reengineered in a systematic approach(Fig.1) carried out(1/5 to 31/12/2017) in respiratory wards. It included:(1)T records and observation chart for assessing and assisting the management of patients with complex health conditions;(2)Nursing care report for reminding and recording the intervention of T care provided;(3)Emergency workflow poster and bedside emergency equipment box for better airway emergency preparedness;(4)Regular training in indication and anatomy of T and the standard of care and emergency management. Result: There were 38 admissions of T cases during study period. Staff’s T knowledge and self-efficacy of performing T care were evaluated(N=31). Both of them showed with a great improvement with statistically significant (P Conclusion: The project could achieve the aims (i)&(ii).","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82511702","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}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA1506
I. Lalić, A. V. Dugac, T. Zovko, A. Šajnić, Vida John, Ana Mustac, Milica Tepavac, D. Tješić-Drinković, D. Tješić-Drinković, M. Samaržija
Objectives: Living with chronic illness such as cystic fibrosis (CF) is accompanied by medical and psychological difficulties. To identify and treat depression and anxiety in CF, the CF Foundation and the European CF Society invited a panel of experts, including physicians, psychologists, psychiatrists, nurses, social workers, a pharmacist, parents and an individual with CF, to develop consensus recommendations for clinical care. The aim of this study was to assess anxiety and depression by using validated mental health survey data. Methods: CF patients were recruited from adult CF centre in Zagreb, Croatia from October 2016 to December 2017. 22 patients (13 female, 9 male, mean age 24, 18-33 years) completed the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder 7-item scale (GAD-7). Results: 82% and 59% of our patients had a normal anxiety and depression score (0-4), 41% of patients have symptoms of anxiety, and 18% of the patients have symptoms of depression (score between 5 and 9). No one had any serious anxiety and/or depression present. Conclusions: Anxiety and depression are serious complication of chronic illnesses such as cystic fibrosis. Our results highlight the need for improved early identification and management strategies for psychological illnesses in adult CF patients. Research efforts are needed to identify effective strategies for delivering anxiety and depression treatment in CF patients and to assess their risks and benefits. Furthermore, strategies that help patients maintain or even improve lung function may be an interesting topic for further studies to learn more about resources and successful coping strategies.
{"title":"Anxiety and depression in adult patients with cystic fibrosis in Croatia: results from adult CF centre","authors":"I. Lalić, A. V. Dugac, T. Zovko, A. Šajnić, Vida John, Ana Mustac, Milica Tepavac, D. Tješić-Drinković, D. Tješić-Drinković, M. Samaržija","doi":"10.1183/13993003.CONGRESS-2018.PA1506","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1506","url":null,"abstract":"Objectives: Living with chronic illness such as cystic fibrosis (CF) is accompanied by medical and psychological difficulties. To identify and treat depression and anxiety in CF, the CF Foundation and the European CF Society invited a panel of experts, including physicians, psychologists, psychiatrists, nurses, social workers, a pharmacist, parents and an individual with CF, to develop consensus recommendations for clinical care. The aim of this study was to assess anxiety and depression by using validated mental health survey data. Methods: CF patients were recruited from adult CF centre in Zagreb, Croatia from October 2016 to December 2017. 22 patients (13 female, 9 male, mean age 24, 18-33 years) completed the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder 7-item scale (GAD-7). Results: 82% and 59% of our patients had a normal anxiety and depression score (0-4), 41% of patients have symptoms of anxiety, and 18% of the patients have symptoms of depression (score between 5 and 9). No one had any serious anxiety and/or depression present. Conclusions: Anxiety and depression are serious complication of chronic illnesses such as cystic fibrosis. Our results highlight the need for improved early identification and management strategies for psychological illnesses in adult CF patients. Research efforts are needed to identify effective strategies for delivering anxiety and depression treatment in CF patients and to assess their risks and benefits. Furthermore, strategies that help patients maintain or even improve lung function may be an interesting topic for further studies to learn more about resources and successful coping strategies.","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"312 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75686723","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}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA1508
A. Trupković, A. Šajnić, T. Zovko, Kristina Vuger, Vida John
{"title":"Hidden tuberculosis - team work in preventing the spread of infection","authors":"A. Trupković, A. Šajnić, T. Zovko, Kristina Vuger, Vida John","doi":"10.1183/13993003.CONGRESS-2018.PA1508","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1508","url":null,"abstract":"","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77021200","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}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA1516
A. Hodžić, A. Šajnić, Kornelija Erdelja, Ana Podnar, I. Barišić, Kristina Pauker, T. Zovko, Slađana Režić, Zrinka Pukljak Iricanin
{"title":"Relationship of anxiety and depression with sociodemographic characteristics in hospitalized patients with chronic obstructive pulmonary disease","authors":"A. Hodžić, A. Šajnić, Kornelija Erdelja, Ana Podnar, I. Barišić, Kristina Pauker, T. Zovko, Slađana Režić, Zrinka Pukljak Iricanin","doi":"10.1183/13993003.CONGRESS-2018.PA1516","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1516","url":null,"abstract":"","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79786111","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}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA1517
Selman Çelik, H. Özkan
Objective: we aimed to determine the factors affecting the psychosocial adjustment of individuals with COPD, health care adaptation, occupational environment, family environment, sexual relations, extended family relationships, social environment and psychological pressure. Material and Methot: The study was conducted with the participation of 230 patients between August-October 2017 in the COPD clinic of Research Hospital. The data were collected using the COPD Asseement Test (CAT), Psychosocial Adaptation-Self-Report Scale (PAIS-SR) and the interview form. Results: The mean age was 66 ± 10 and 76.5% male and 77% were married, 52.2% primary school graduates and 64.3% low socioeconomic status, and 67.8% did not participate in social activities, 88.3% of the patients were found to have poor psychosocial compliance, the worst harmonized psychosocial areas were health care orientation, occupational environment and the best fit was wide family relationships. Conclusions: In this study, female gender, being over 60-75 years old, being single, having no children, low education level, working status, poor living conditions, living alone, low socioeconomic status, quitting smoking due to COPD, getting information about the COPD, number of diseases accompanying COPD, physical loss of power, frequency of admission to the hospital, having ancillary devices and ancillary person, participation in social activities and shy to go out, high level of insomnia, level of symptoms seen and frequency, were identified as factors that changed adjustment. Suggested that controlling symptoms of COPD and accompanying diseases, supporting patients to participate in social activity groups increase patients’ psychosocial compliance to COPD.
{"title":"Investigation of The Factors Affecting Psychosocial Adjustment To COPD","authors":"Selman Çelik, H. Özkan","doi":"10.1183/13993003.CONGRESS-2018.PA1517","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1517","url":null,"abstract":"Objective: we aimed to determine the factors affecting the psychosocial adjustment of individuals with COPD, health care adaptation, occupational environment, family environment, sexual relations, extended family relationships, social environment and psychological pressure. Material and Methot: The study was conducted with the participation of 230 patients between August-October 2017 in the COPD clinic of Research Hospital. The data were collected using the COPD Asseement Test (CAT), Psychosocial Adaptation-Self-Report Scale (PAIS-SR) and the interview form. Results: The mean age was 66 ± 10 and 76.5% male and 77% were married, 52.2% primary school graduates and 64.3% low socioeconomic status, and 67.8% did not participate in social activities, 88.3% of the patients were found to have poor psychosocial compliance, the worst harmonized psychosocial areas were health care orientation, occupational environment and the best fit was wide family relationships. Conclusions: In this study, female gender, being over 60-75 years old, being single, having no children, low education level, working status, poor living conditions, living alone, low socioeconomic status, quitting smoking due to COPD, getting information about the COPD, number of diseases accompanying COPD, physical loss of power, frequency of admission to the hospital, having ancillary devices and ancillary person, participation in social activities and shy to go out, high level of insomnia, level of symptoms seen and frequency, were identified as factors that changed adjustment. Suggested that controlling symptoms of COPD and accompanying diseases, supporting patients to participate in social activity groups increase patients’ psychosocial compliance to COPD.","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78160350","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}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA1504
A. Trupković, A. Šajnić, T. Zovko, Kristina Vuger, Vida John
Introduction: Fear affects the mental state of the patient during invasive and therapeutic procedures. Can we intervene in the development of anxiety? Objective: 1) How many patients had the presence of fear and worry before bronchoscopy, 2) How many patients had the presence of stress after bronchoscopy, which segments were most feared, 3) How many patients reported that they would want more oral than written instructions about the procedure Methods: Data were collected from three months, the target group were all patients who came to the diagnostic bronchoscopy in Clinic for lung disease (N=50). Anonymous survey was conducted on a sample of 50 subjects, both sexes. We used Likert9s five-stage scale for stress and fear where 1 means no stress or fear, and 5 the strongest intensity of stress or fear. Results: 1) Prior to the procedure, respondents reported the level of fear 3=40% and level 4=30%, all participants were concerned about the procedure 100% (N=50), 2) After the procedure, respondents reported the level of stress 3=54% and level 4=12%, 60% of respondents reported fear due to the passage of the instrument through the throat (N=50). 3) 92% respondents find it more useful to have oral information about the procedure (N=50). Conclusion: Fear is the reason for the heavy submission of the diagnostic procedure bronchoscopy. Based on the results we came to the conclusion that active listening and counseling can reduce anxiety. Further work should focus on conversation nurses with the patients, more detail verbally explains the principle of the procedure, learn the breathing exercises and monitor nonverbal communication in conversation with the patients.
{"title":"The role of a nurse active listening and counseling skills are imperative orientation toward patient","authors":"A. Trupković, A. Šajnić, T. Zovko, Kristina Vuger, Vida John","doi":"10.1183/13993003.CONGRESS-2018.PA1504","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1504","url":null,"abstract":"Introduction: Fear affects the mental state of the patient during invasive and therapeutic procedures. Can we intervene in the development of anxiety? Objective: 1) How many patients had the presence of fear and worry before bronchoscopy, 2) How many patients had the presence of stress after bronchoscopy, which segments were most feared, 3) How many patients reported that they would want more oral than written instructions about the procedure Methods: Data were collected from three months, the target group were all patients who came to the diagnostic bronchoscopy in Clinic for lung disease (N=50). Anonymous survey was conducted on a sample of 50 subjects, both sexes. We used Likert9s five-stage scale for stress and fear where 1 means no stress or fear, and 5 the strongest intensity of stress or fear. Results: 1) Prior to the procedure, respondents reported the level of fear 3=40% and level 4=30%, all participants were concerned about the procedure 100% (N=50), 2) After the procedure, respondents reported the level of stress 3=54% and level 4=12%, 60% of respondents reported fear due to the passage of the instrument through the throat (N=50). 3) 92% respondents find it more useful to have oral information about the procedure (N=50). Conclusion: Fear is the reason for the heavy submission of the diagnostic procedure bronchoscopy. Based on the results we came to the conclusion that active listening and counseling can reduce anxiety. Further work should focus on conversation nurses with the patients, more detail verbally explains the principle of the procedure, learn the breathing exercises and monitor nonverbal communication in conversation with the patients.","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"342 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78955310","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}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA1521
Meritxell López Zamora, Angel Ríos Olivencia, Amanda Iglesias Coma, Catalina Aguiló Monjo, Margalida Ensenyat Catalunya, Nuria Toledo-Pons, Maria Asuncion Macia Palazon, Antonio Clemente Ximenis, Patricia Tortosa Montojo, E. S. Llinás, B. G. Piqueras
Introduction: Clinical trials (CT) are the cornerstone of evidence-based decision making in clinical and translational pulmonary research. There is currently lack of standardized guidelines, which regulate the infrastructure and CT activities. Our objective was to develop a novel organizational model which leads to more cost-effective and efficient CT management. Methods: In 2013, the Balearic Health Research Institute founded a Clinical Trial Unit (CTU) to support the research. We analyzed the activity related to respiratory CTs during 2016 and 2017. Results: The CTU consisted of: 1) two full-time qualified nurses specialized in CTs 2) two part-time pulmonary physicians with administrative support. Two outpatient offices were equipped with spirometers, electrocardiograph, questionnaire reader and equipment to process biological samples including blood and sputum. During 2016-2017, 12 CTs (5 with biologic drugs and 4 with oral/inhaled therapy) and 3 observational studies were performed. A total of 359 medical exams, 207 blood tests and processing, 116 complete function evaluations, 68 six-minute-walking tests, 187 post-bronchodilator spirometries, 94 exhaled nitric oxide (eNO), 232 electrocardiograms, 29 induced sputum analysis and 203 questionnaires were performed. All the results obtained were entered in an electronic Case Report Form. Conclusions: We report an organizational model for the development of CTs, based on a CTU available for all the affiliated hospitals. In the CTU, the nursing staff plays a central role, which allows a more effective employment of human resources by distributing the work load equally across the health care providers and the nursing staff.
{"title":"A nurse-based organizational model to conduct clinical trials in respiratory diseases: experience from Palma de Mallorca","authors":"Meritxell López Zamora, Angel Ríos Olivencia, Amanda Iglesias Coma, Catalina Aguiló Monjo, Margalida Ensenyat Catalunya, Nuria Toledo-Pons, Maria Asuncion Macia Palazon, Antonio Clemente Ximenis, Patricia Tortosa Montojo, E. S. Llinás, B. G. Piqueras","doi":"10.1183/13993003.CONGRESS-2018.PA1521","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1521","url":null,"abstract":"Introduction: Clinical trials (CT) are the cornerstone of evidence-based decision making in clinical and translational pulmonary research. There is currently lack of standardized guidelines, which regulate the infrastructure and CT activities. Our objective was to develop a novel organizational model which leads to more cost-effective and efficient CT management. Methods: In 2013, the Balearic Health Research Institute founded a Clinical Trial Unit (CTU) to support the research. We analyzed the activity related to respiratory CTs during 2016 and 2017. Results: The CTU consisted of: 1) two full-time qualified nurses specialized in CTs 2) two part-time pulmonary physicians with administrative support. Two outpatient offices were equipped with spirometers, electrocardiograph, questionnaire reader and equipment to process biological samples including blood and sputum. During 2016-2017, 12 CTs (5 with biologic drugs and 4 with oral/inhaled therapy) and 3 observational studies were performed. A total of 359 medical exams, 207 blood tests and processing, 116 complete function evaluations, 68 six-minute-walking tests, 187 post-bronchodilator spirometries, 94 exhaled nitric oxide (eNO), 232 electrocardiograms, 29 induced sputum analysis and 203 questionnaires were performed. All the results obtained were entered in an electronic Case Report Form. Conclusions: We report an organizational model for the development of CTs, based on a CTU available for all the affiliated hospitals. In the CTU, the nursing staff plays a central role, which allows a more effective employment of human resources by distributing the work load equally across the health care providers and the nursing staff.","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"2004 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88329006","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}
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