Attributes Of Surveillance Research Articles

Nursing surveillance: A concept analysis.

To provide a framework to assess and evaluate nursing surveillance of patients. The Nursing Interventions Classifications define surveillance as the purposeful and ongoing acquisition, interpretation, and synthesis of patient data for clinical decision making and is essential for improving patient safety. The existing literature was searched using CINAHL, OVID, EmCare, and 11 ScienceDirect databases. The Walker and Avant method was used to analyze the concept of surveillance. Technology that facilitates surveillance in the community is ubiquitous in acute care settings. Nurses caring for patients use a tremendous volume of patient data to inform their clinical decision-making. Five attributes are associated with nursing surveillance: systematic process, pattern recognition, coordinated communication, the anticipation of problems of instability, and decision making. Surveillance is dynamic and extends over time. Antecedents to nursing surveillance include sufficient nurse education, nurse expertise, nurse staffing, as well as an organizational culture that supports nursing surveillance. When nursing surveillance is present, patient safety is enhanced and adverse events that harm patients are reduced. The concept of nursing surveillance is complex and defies empirical measurement, though it is possible to measure the attributes and outcomes. Nursing surveillance is essential to the safe management of complex patient cases. Surveillance is more than monitoring or simple patient observation. Monitoring is an essential part of surveillance but incorporating the critical attributes of surveillance lead to improved patient outcomes.

An Evaluation of the Rabies Surveillance in Southern Vietnam.

Introduction: Rabies is endemic in Vietnam and has been a statutory notifiable infectious disease since 1998. We, herein, assessed the performance of rabies surveillance in Southern Vietnam and identified areas for improvement.Materials and Methods: We analyzed data on human rabies cases reported during 1991–2018. We adapted guidelines from the U.S. Centers for Disease Control and Prevention to evaluate attributes of surveillance. Between June and November 2018, we interviewed a total of 145 staff from hospitals, preventive medicine centers, and animal health offices at provincial and district levels in five southern provinces.Results: Between 2009 and 2018, an average of nine cases of human rabies (range: 4–20 cases) was reported annually in Southern Vietnam, representing an incidence of 2.7 cases per 10 million population. The highest incidence was observed in 2018 (5.5 cases per 10 million population). Survey data suggested that only 24% (13/53) of participants agreed that the monthly report template was easy to complete and that 42% (23/55) indicated that the change from the paper-based to the electronic case notification systems was easy. Only 7% (2/29) of human rabies cases were reported timely, and 65% (13/20) successfully collected specimens. Approximately 39% (56/144) of staff were aware of turning surveillance data into prevention activities, and 21% (31/145) witnessed data used for strategic program decision making.Conclusions: Although rabies surveillance was quite simple, flexible, and accepted in southern Vietnam, simplifying the report forms, training staff, and improving the timeliness of reporting and data usage are highly recommended for a better implementation of rabies surveillance.

Analysis of Healthcare Associated Infections (HAIs) Surveillance System at Haji Public Hospital of Surabaya

1(CA), 2, 3 1(CA), Indonesia; (Corresponding Author) 2, Indonesia 3 ABSTRACT The incidence of HAIs in Haji Public Hospital of Surabaya in the 1st quarter of 2017 was 0.20% and increased by an average of 56%. Prevention and control measures can be initiated with aseptic setup procedures, comprehensive treatment during tool installation, and possible monitoring of infection by identifying risks through bundle prevention. Bundle prevention is one of the HAIs surveillance that is used to identify and monitor every incident of HAIs in Haji Public Hospital. The purpose of this study was to describe the HAIs surveillance system at Haji Public Hospital. This study used descriptive method of evaluation type. The study was conducted from 7 to 31 August 2017 in the PPI (Infection Prevention and Control) Committee of Haji Public Hospital of Surabaya. The data collected in the form of primary data through interviews and secondary data through documentation study in the form of annual evaluation report or archive of HAIs surveillance data contained in unit PPI Haji Public Hospital. The instruments of data collection used were interview guides and observation sheets in the form of checklist. Data analysis was conducted descriptively on the components and attributes of surveillance. The results obtained from the input components that the competence of surveillance officers are not in accordance with the standards, while the attributes obtained by the results of timeliness, and low data quality. The need to conduct socialization and training of both basic and advanced PPIs and refine technology-based surveillance systems to be more effective and efficient in the implementation of the HAIs infection surveillance system. Keywords: Surveillance, Evaluation, HAIs and Hospital

EVALUASI ATRIBUT KESEDERHANAAN, KETEPATAN WAKTU DAN STABILITAS PADA SURVEILANS KESEHATAN HAJI

Every year, the Indonesian pilgrims reached 200 thousand people and the health risks were still high. Hajj health surveillance are conducted to determine the progression of the disease in terms of place and time in pilgrims, and used for prevention efforts. The purpose of this research was to evaluate the attributes of surveilance performed by Dinkes Kota Surabaya in 2015. The research was done in Dinkes Kota Surabaya. This research was descriptive and its implementation using interview techniques using an instrument such as a questionnaire sheet. Respondents were a managing officer of health surveillance program Hajj in Dinkes Kota Surabaya and at Puskesmas. Results from this study is the evaluation of the attributes of surveillance shows that health Hajj surveillance systems in Dinkes Kota Surabaya in 2015 already meet the attributes of flexibility, timeliness, sensitivity, representativeness and acceptability. The evaluation of the attributes of surveillance is not fulfilled on health Hajj surveillance systems in Dinkes Kota Surabaya are attributes of simplicity, data quality and stability, while the positive predictive value can not be calculated. Advice that can be given are making plans a schedule for examining prospective pilgrims, monitoring the reporting and increasing the number of surveillance personnel.Keywords: evaluation, atribute of surveillance, health hajj surveillance

Catheter Associated Urinary Tract Infection Based on Surveillance Attributes in RSU Haji Surabaya

Surveillance system is instrumental in reducing the incidence of nosocomial infection. The implementation of this surveillance system is necessary in the hospital. Surveillance CAUTI is one of the focus prevention and infection control program in RSU Haji Surabaya 2015. The success of surveillance system highly depends on the association of attributes inside it. Surveillance attributes are indicator that describes the characteristics ofsurveillance system. In 2015, there was a delay in the collection of data reports which exceeds the prescribed time limit and there was also a lot of blank space in the confi rmation sheet. It affects the surveillance system in RSU Haji Surabaya. The purpose of this research is to evaluate the surveillance CAUTI based on the surveillance attributes in RSU Haji Surabaya2015. This research is a descriptive evaluative research. Subjects in this study are the surveillance attributes (simplicity, flexibility, acceptability, sensitivity, positive predictive value, representativeness, timeliness, data quality, and stability) CAUTI in RSU Haji Surabaya, while survey respondents are IPCN, IPCLN, and head nurse. Data collected by interview and documentation study. The results showed that the attributes of surveillance is already has simplicity, high acceptability, high sensitivity, high positive predictive value, representative, and high stability. However, other attributes were not fl exible, not timeliness, and has a low data quality. Alternative solutions that can be done are to improve the regulatory function in every unit, establish standardization of hospital data, and manage reward and punishment system.Keywords: surveillance system, surveillance attributes, evaluation, nosocomial infections, CAUTI

Surveilans Catheter Associated Urinary Tract Infection Berdasarkan Atribut Surveilans Di RSU Haji Surabaya

ABSTRACTSurveillance system is instrumental in reducing the incidence of nosocomial infection. The implementation of this surveillance system is necessary in the hospital. Surveillance CAUTI is one of the focus prevention and infection control program in RSU Haji Surabaya 2015. The success of surveillance system highly depends on the association of attributes inside it. Surveillance attributes are indicator that describes the characteristics ofsurveillance system. In 2015, there was a delay in the collection of data reports which exceeds the prescribed time limit and there was also a lot of blank space in the confi rmation sheet. It affects the surveillance system in RSU Haji Surabaya. The purpose of this research is to evaluate the surveillance CAUTI based on the surveillance attributes in RSU Haji Surabaya2015. This research is a descriptive evaluative research. Subjects in this study are the surveillance attributes (simplicity, flexibility, acceptability, sensitivity, positive predictive value, representativeness, timeliness, data quality, and stability) CAUTI in RSU Haji Surabaya, while survey respondents are IPCN, IPCLN, and head nurse. Data collected by interview and documentation study. The results showed that the attributes of surveillance is already has simplicity, high acceptability, high sensitivity, high positive predictive value, representative, and high stability. However, other attributes were not fl exible, not timeliness, and has a low data quality. Alternative solutions that can be done are to improve the regulatory function in every unit, establish standardization of hospital data, and manage reward and punishment system.Keywords: surveillance system, surveillance attributes, evaluation, nosocomial infections, CAUTI

Evaluation of health surveillance activities of hajj 2013 in the hajj embarkation Palangkaraya

ABSTRACTMeningococcal meningitis and MERS-CoV is a disease that can be transmitted to a wary pilgrim considering the high incidence of both diseases in the Middle East region. This study was conducted to evaluate the surveillance activities conducted at embarkation Palangkaraya pilgrimage between 2013 and assess the surveillance activities based on the attributes of surveillance and barriers that occur in the implementation of activities. Experiment was conducted with descriptive design using quantitative approach. Questionnaires were completed at 6 implementing surveillance activities. Interviews were conducted to obtain information about the variables under study includes data collection, processing, analysis and interpretation, dissemination of information and surveillance attributes such as simplicity, flexibility, acceptability, sensitivity, positive predictive value, representatif, timeliness, data quality and data stability. Implementation health surveillance in the hajj embarkation Palangkaraya in 2013 showed all stages of the surveillance activities have been conducted in accordance with the procedures as well as evaluating surveillance activities in accordance attribute shows all the attributes of surveillance can be assessed, unless the sensitivity and positive predictive value because no cases of meningococcal meningitis. Conclusion that the implementation of health surveillance activities Hajj has been running quite well based approach to surveillance and surveillance attributes. The report has been used by the agency activities related to the activities of hajj embarkation. Need to increase the quantity and quality of manpower resources and facilitiesKeywords: disease transmission, hajj health surveillance, assessment attributes

Evaluation of health surveillance activities of hajj 2013 in the hajj embarkation Palangkaraya

ABSTRACTMeningococcal meningitis and MERS-CoV is a disease that can be transmitted to a wary pilgrim considering the high incidence of both diseases in the Middle East region. This study was conducted to evaluate the surveillance activities conducted at embarkation Palangkaraya pilgrimage between 2013 and assess the surveillance activities based on the attributes of surveillance and barriers that occur in the implementation of activities. Experiment was conducted with descriptive design using quantitative approach. Questionnaires were completed at 6 implementing surveillance activities. Interviews were conducted to obtain information about the variables under study includes data collection, processing, analysis and interpretation, dissemination of information and surveillance attributes such as simplicity, flexibility, acceptability, sensitivity, positive predictive value, representatif, timeliness, data quality and data stability. Implementation health surveillance in the hajj embarkation Palangkaraya in 2013 showed all stages of the surveillance activities have been conducted in accordance with the procedures as well as evaluating surveillance activities in accordance attribute shows all the attributes of surveillance can be assessed, unless the sensitivity and positive predictive value because no cases of meningococcal meningitis. Conclusion that the implementation of health surveillance activities Hajj has been running quite well based approach to surveillance and surveillance attributes. The report has been used by the agency activities related to the activities of hajj embarkation. Need to increase the quantity and quality of manpower resources and facilitiesKeywords: disease transmission, hajj health surveillance, assessment attributes

Measles Surveillance Attributes Assessment Based on The Puskesmas Surveilance Officers’ Perception in Surabaya

ABSTRACTMeasles is one of infectious diseases that potentially lead to death when complications occur. Based on the data from East Java Health Department, Surabaya is the area where the most measles cases occur in East Java and increase in the last three years. As one of measles controlling efforts, surveillance has been expected to provide qualified data and information as the basis for any decision making for a treatment or intervention. Therefore, an evaluation is needed in order to assure the effectiveness and efficiency of the surveillance application in achieving the goals. This study is a descriptive research aiming at evaluating the attributes of measles epidemiology surveillance system in Surabaya on 2012. The evaluation was done by assessing the attributes of surveillance then compared to Technical Guide for Measles Surveillance 2012, The Decree of The Health Ministry of The Republic of Indonesia No.1116/MENKES/SK/VIII/2003 On Guide for Conducting Surveillance System of Health Epidemiology and Guidelines for Evaluating Surveillance Systems from Center for Disease Control and Prevention 2001. The data collection method employed interview and observation or study documentation. The respondents of this study were 39 surveillance officers at 39 Puskesmas in Health Department Surabaya working area. The variabels of this study were simplicity, flexibility, data quality, acceptability, sensitivity, predictive value positive, representativeness, timeliness, and stability. The results of this study showed that the simplicity is complicated. The flexibility from CBMS is not flexible whereas the flexibility from EWARS is flexible. The data quality, acceptability, sensitivity and representativeness are low. The predictive value positive has not been able to be scored. The stability is high and the timeliness is punctual.Keywords: surveillance, evaluation, attribute, measles

Measles Surveillance Attributes Assessment Based on The Puskesmas Surveilance Officers’ Perception in Surabaya

ABSTRACTMeasles is one of infectious diseases that potentially lead to death when complications occur. Based on the data from East Java Health Department, Surabaya is the area where the most measles cases occur in East Java and increase in the last three years. As one of measles controlling efforts, surveillance has been expected to provide qualified data and information as the basis for any decision making for a treatment or intervention. Therefore, an evaluation is needed in order to assure the effectiveness and efficiency of the surveillance application in achieving the goals. This study is a descriptive research aiming at evaluating the attributes of measles epidemiology surveillance system in Surabaya on 2012. The evaluation was done by assessing the attributes of surveillance then compared to Technical Guide for Measles Surveillance 2012, The Decree of The Health Ministry of The Republic of Indonesia No.1116/MENKES/SK/VIII/2003 On Guide for Conducting Surveillance System of Health Epidemiology and Guidelines for Evaluating Surveillance Systems from Center for Disease Control and Prevention 2001. The data collection method employed interview and observation or study documentation. The respondents of this study were 39 surveillance officers at 39 Puskesmas in Health Department Surabaya working area. The variabels of this study were simplicity, flexibility, data quality, acceptability, sensitivity, predictive value positive, representativeness, timeliness, and stability. The results of this study showed that the simplicity is complicated. The flexibility from CBMS is not flexible whereas the flexibility from EWARS is flexible. The data quality, acceptability, sensitivity and representativeness are low. The predictive value positive has not been able to be scored. The stability is high and the timeliness is punctual.Keywords: surveillance, evaluation, attribute, measles

Reply to P.B. Singh et al

Drs Singh, Ahmed, and Emberton have expressed quite clearly the conundrum at the heart of conservative management. Accurate characterization of disease aggressivity is the key to safe and successful management of favorable-risk prostate cancer patients, most of whom are not destined to have clinical progression during their lifetime. We agree that more precise tools to identify the “bad actors” will enhance the appeal of surveillance and improve the results. For example, recent evidence suggests that many patients who harbor higher-grade cancer missed on the original peripheral zone biopsy have sizable anterior lesions. The question now is not whether to do surveillance but how to do it better. We differ with the authors who describe the current attributes of active surveillance as “not particularly attractive.” Multiparametric magnetic resonance imaging, transperineal mapping/saturation biopsies, and genomic/proteomic correlative studies need to be evaluated as strategies to improve patient selection for surveillance. However, we believe that the reported results of current surveillance series, enhanced by strategies including repeat biopsy directed at the anterior prostate and antero-lateral horn at 1 year and periodically thereafter, make surveillance both attractive and compelling to patients who understand the natural history of favorable-risk disease.

The surveillant assemblage.

George Orwell's 'Big Brother' and Michel Foucault's 'panopticon' have dominated discussion of contemporary developments in surveillance. While such metaphors draw our attention to important attributes of surveillance, they also miss some recent dynamics in its operation. The work of Gilles Deleuze and Felix Guattari is used to analyse the convergence of once discrete surveillance systems. The resultant 'surveillant assemblage' operates by abstracting human bodies from their territorial settings, and separating them into a series of discrete flows. These flows are then reassembled in different locations as discrete and virtual 'data doubles'. The surveillant assemblage transforms the purposes of surveillance and the hierarchies of surveillance, as well as the institution of privacy.