Hospital Supervision Research Articles

Wearable Devices Based on Bioimpedance Test in Heart-Failure: Design Issues.

Heart-failure (HF) is a severe medical condition. Physicians need new tools to monitor the health status of their HF patients outside the hospital or medical supervision areas, to better know the evolution of their patients' main biomarker values, necessary to evaluate their health status. Bioimpedance (BI) represents a good technology for sensing physiological variables and processes on the human body. BI is a non-expensive and non-invasive technique for sensing a wide variety of physiological parameters, easy to be implemented on biomedical portable systems, also called "wearable devices". In this systematic review, we address the most important specifications of wearable devices based on BI used in HF real-time monitoring and how they must be designed and implemented from a practical and medical point of view. The following areas will be analyzed: the main applications of BI in heart failure, the sensing technique and impedance specifications to be met, the electrode selection, portability of wearable devices: size and weight (and comfort), the communication requests and the power consumption (autonomy). The different approaches followed by biomedical engineering and clinical teams at bibliography will be described and summarized in the paper, together with results derived from the projects and the main challenges found today.

An Overview of Patient Safety Supervision in Government Hospitals

Effective supervision is needed to achieve optimal implementation of patient safety goals, where patient safety is prioritized in every activity. Nurses' performance in implementing patient safety goals is influenced by several factors. Objective to know the description of patient safety supervision in hospitals in 2024. This study is a quantitative study with a cross-sectional design conducted in April-June 2024 at the Hospital. The study population was all executive nurses in the hospital inpatient room. The population was 42 people with total sampling technique. The research instrument used a questionnaire to collect data on the characteristics of respondents consisting of nurse identity, namely: level of education, length of work, and supervision. Patient safety supervision is mostly in the good category (78.57%). Patient safety supervision in hospitals in 2024 is mostly in the good category. This indicates that nurses have implemented various safety standards and effective procedures to protect patients from injury or harm during treatment.

An Overview of Patient Safety Supervision in Government Hospitals

An Overview of Patient Safety Supervision in Government Hospitals

The Effect of Academic Model Supervision on the Workload and Stress of Nurses in Hospitals: A Literature Review

Nurses often face high workloads and significant levels of stress due to the demands of complex work and high pressure. The academic supervision model is important because it can help nurses manage workload, improve skills and knowledge, and reduce stress levels. Effective supervision is expected to improve the quality of health services, job satisfaction, and have a positive impact on patients and the health system as a whole. This study aims to determine the influence of academic model supervision on the workload and stress of nurses in hospitals. This study uses a literature review method from research articles in the Scopus and Google Scholar databases published in 2014-2023 with the keywords "Supervision", "Academic Model", "Nurse Workload", and "Nurse Stress". Based on the analysis of 22 research articles, it was found that the supervision of the academic model had a positive impact on nurse performance, job satisfaction, work motivation, quality of nursing care, reduction of stress levels, and improvement of overall health service quality. Academic model supervision can help nurses improve skills and knowledge, improve services provided, develop professionalism, increase independence, improve nursing care, reduce workload, improve nurse performance, provide good emotional support, and continuous learning, and reduce the level of stress experienced by nurses. The implications of this research suggest that implementing academic model supervision in hospitals can lead to better nurse outcomes, including enhanced job satisfaction, reduced stress, and improved quality of care. Consequently, this can result in higher patient satisfaction and a more efficient and effective health care system overall.

Abusive supervision and helping behavior among nursing staff: a moderated mediation model

PurposeThis study aims to explore the adverse impacts of abusive supervision on helping behaviors among employees, as mediating by intention to leave and moderating by Islamic work ethics (IWE).Design/methodology/approachA quantitative approach was employed, and the sample consisted of 283 nurses working in various public sector hospitals in Pakistan. The data analysis was conducted using SPSS and AMOS with the PROCESS macro.FindingsThe results suggest that abusive supervision diminishes helping behavior among nurses. Additionally, the study reveals that intention to leave mediates the relationship of abusive supervision and nurses' helping behavior. Moreover, the introduction of IWE as a boundary condition reveals that the mediated link is weaker when IWE is higher, and vice versa.Practical implicationsThis study provides valuable insights for hospital authorities to develop intervention strategies and policies aimed at reducing abusive supervision in hospitals. Hospital management should also be aware of the detrimental effects of abusive supervision on nurses' helping behaviors, which can be mitigated by promoting ethical values aligned with IWE.Originality/valueThis study makes a valuable contribution to the limited research on the link between abusive supervision and helping behaviors in hospital settings. It offers new perspectives by incorporating the Conservation of Resources theory, particularly within the healthcare sector. Furthermore, this research expands the current knowledge by investigating the mediating influence of intention to leave and the moderating effect of IWE in mitigating the adverse impact of abusive supervision on nurses' helping behavior in Pakistan's public sector hospitals.

Analysis of Coaching and Supervision Results for Bandung City Hospitals by the Bandung City Health Office in 2024

This study aims to determine the percentage increase in hospital facilities in Bandung from 2023 to May 2024 implemented by the Bandung City Health Office. The research method used is a qualitative method with a descriptive approach. The data collection technique used by researchers is a Focus Group Discussion of the coaching and supervision activities of Bandung City hospitals by the Bandung City Health Office 2024. The results showed that in 2023, the average number of facilities in 43 hospitals was 61.7 while 78.6. So there is an increase in the average value of hospital facilities in Bandung city from 2023 to 2024 this May by 16.93%. In addition, the infrastructure in hospitals from 2023 to 2024 has also increased. In 2023 itself, the average number of hospital infrastructure in Bandung city was 67.5 then increased to 80.9 in May 2024. So there was an increase in the percentage of hospital infrastructure in Bandung from 2023 to May 2024 by 13.4%. Furthermore, regarding medical devices, the increase that occurred in the results of the completeness of medical devices in Bandung city hospitals from 2023 was 12.1%. This can be seen from the average number of medical devices in 2023 Bandung City hospitals of 53.8 and 2024 until this May 65.9 so the implementation of hospital supervision and guidance activities has a significant impact on the process of developing hospital facilities in Bandung City.

Strengthening caesarean birth: Sub-Saharan Africa health system evaluation: Scoping review.

Promoting safe caesarean birth (CB) is a challenge in sub-Saharan Africa (SSA) where maternal and neonatal mortality rates are high due to inadequate maternal health services. Although the CB rate in SSA is lower than the World Health Organization (WHO) recommendation, it is often associated with high maternal and neonatal mortality. The aim of this scoping review was to report on the extent to which SSA health systems deliver safe CB. A systematic search across various databases identified 53 relevant studies, comprising 30 quantitative, 10 qualitative and 16 mixed methods studies. These studies focused on clinical protocols, training, availability, accreditation, staff credentialing, hospital supervision, support infrastructure, risk factors, surgical interventions and complications related to maternal mortality and stillbirth. CB rates in SSA varied significantly, ranging from less than 1% to a high rate of 29.7%. Both very low as well as high rates contributed to significant maternal and neonatal morbidity. Factors influencing maternal and perinatal mortality include poor referral systems, inadequate healthcare facilities, poor quality of CBs, inequalities in access to maternity care and affordable CB intervention. The inadequate distribution of healthcare facilities, and limited access to emergency obstetric care impacted the quality of CBs. Early access to quality maternity services with skilled providers is recommended to improve CB safety.Contributions:This scoping review contributes to the body of knowledge motivating for the prioritization of maternal service across SSA.

A robust multimodal detection system: physical exercise monitoring in long-term care environments.

Falls are a major cause of accidents that can lead to serious injuries, especially among geriatric populations worldwide. Ensuring constant supervision in hospitals or smart environments while maintaining comfort and privacy is practically impossible. Therefore, fall detection has become a significant area of research, particularly with the use of multimodal sensors. The lack of efficient techniques for automatic fall detection hampers the creation of effective preventative tools capable of identifying falls during physical exercise in long-term care environments. The primary goal of this article is to examine the benefits of using multimodal sensors to enhance the precision of fall detection systems. The proposed paper combines time-frequency features of inertial sensors with skeleton-based modeling of depth sensors to extract features. These multimodal sensors are then integrated using a fusion technique. Optimization and a modified K-Ary classifier are subsequently applied to the resultant fused data. The suggested model achieved an accuracy of 97.97% on the UP-Fall Detection dataset and 97.89% on the UR-Fall Detection dataset. This indicates that the proposed model outperforms state-of-the-art classification results. Additionally, the proposed model can be utilized as an IoT-based solution, effectively promoting the development of tools to prevent fall-related injuries.

Development of Nursing Clinical Supervision Application

ABSTRACT
 
 Nursing services require an effective and efficient nursing management system, so that nursing resources can be directed to produce quality nursing services, one of which is through nursing supervision. Supervision is a personal observation of functions or activities, in the nursing care process, and delegations of functions or activities to maintain accountability and evaluate nursing care appropriately.
 This research aims to develop a clinical supervision application to improve the quality of implementation of nursing supervision in Jambi city hospitals. Clinical supervision research is designed with an application as guidance and information for room heads, team leaders, and implementing nurses in carrying out clinical supervision so that it can improve the quality of nursing supervision in hospitals.
 Research design with a mixed methods approach, namely qualitative research on conceptual development and quantitative research used in the product development and testing phases. The research procedure uses analysis-design & development-formative evaluation steps with the Dick and Carey procedure. The research was carried out in three hospitals in Jambi City, namely Abdul Manap Hospital, Bratanata Hospital, and Bhayangkara Hospital Jambi in April - August 2023 with the research subjects being all room heads totaling 16 people and team leaders totaling 24 people.
 There is a difference in user knowledge about nursing supervision before and after the development of the Android-based clinical nursing supervision educational application with a p-value of 0.000 < 0.005.
 The model for developing nursing clinical supervision applications using the Dick and Carey learning design approach is a systematic learning design model for developing effective and efficient learning programs. Nursing clinical supervision educational applications can be applied in hospitals by room heads in carrying out supervision in inpatient rooms.
 
 Keywords: Development, education, clinical supervision, nursing

Quality And Factors influencing Healthcare in KSA (Systematic literature review)

The aim of this review is to identify the factors that impact the quality of healthcare service in KSA based on locally published studies, There are a several factors that contribute to the quality of healthcare in KSA from the perspective of patients and healthcare providers (HCPs) and nurses. Factors such as infrastructure and device availability, emotional, social, and physical support, clinic duration time and appointment availability, HCPs experience and competencies, and specialists and drugs availability were identified as important for quality healthcare. HCPs and nurses in KSA prioritize delivering care that meets international standards, embracing evidence-based practices, and valuing continuous professional development. They also emphasize the significance of patient-centeredness, interdisciplinary teamwork, and respecting patients' cultural beliefs. A robust regulatory framework, healthcare policies, and accreditation standards play a vital role in ensuring consistent quality healthcare services. Additionally, healthcare management and information, hospital supervision, and training and development programs for HCPs were identified as important factors for improving the quality of healthcare in KSA. In conclusion, several factors have shown to be impacting quality of healthcare service in KSA, Policymakers and healthcare providers in KSA shall strive to improve the quality of healthcare services by acknowledging and tackling these factors.

Factors related to the implementation of patient identification in hospitals: A literature review

Introduction: Patient safety is the basic and main principle in providing health care. Patient safety in hospitals begins with patient identification. Errors at the patient identification stage will have an impact on health care errors at the next stage. However, findings in the field show that the patient identification process has not been completely carried out properly by health workers. Purpose: Analyze factors related to the implementation of patient identification in hospitals. Method: This research uses a literature review method. Articles were collected from three database sources, namely ScienceDirect, Portal Garuda and Google Scholar, which were published between 2019 and 2023. Article searches used the keywords "related factors" AND "patient identification" AND "hospital". Results: Research studies were conducted in three different countries and showed that there were various factors related to the implementation of patient identification in hospitals. The factors most frequently found were related to hospital facilities and supervision from superiors. Conclusion: The implementation of patient identification in hospitals is related to three factors which are divided into predisposing factors, enabling factors and reinforcing factors.

Sensitization to Rice in Allergic Children Pediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams University

Background The prevalence of food allergy among Egyptian children is largely unknown, more so for the different food allergens. Although there are several studies reporting on the common food allergens, yet none was done to explore the allergy to rice, a food allergen that is much less recognized both by pediatricians and allergic patients. Objectives To estimate the frequency of sensitization to rice in pediatric allergic patients in Egypt. Patients and Methods This analytical cross-sectional study was carried out in the period from April 2019 to September 2020. The study included 150 physician-diagnosed allergic patients aged 6 months to 18 years, enrolled consecutively from the Pediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams university. They were 90 (60%) males and 60 (40%) females. SPT was done using a commercial rice allergen extract, Prick-to-prick test with cooked rice. Patients with clinical and /or SPT results suggestive of rice allergy were subjected to oral challenge test under medical supervision in hospital. Results None of the screened allergic children (n = 150) gave a self/parentally reported history of allergy to rice, nor after inquiry by the investigator. SPT using commercial rice extract revealed that only 8 reacted positively (>3mm) and were considered sensitized. PPT was done to all patients using a home prepared cooked rice extract and the test was positive in 5 patients; 2 of these were positive also by SPT. A total of 11 patients (7.3%) were considered sensitized and were subjected to OCT and none had a positive test. There was statistically significant difference in age between rice sensitized and non sensitized, being higher in rice-sensitized patients, with p-value = 0.043. Conclusion Our study is a pilot research which draws the attention to the existence of sensitization to rice in allergic children. PPT is a useful test with a reliable specificity which when positive, would aid in diagnosing rice allergy in settings with limited resources and unavailability of rice protein extracts.

Concrete Analysis and Research Investigation of Doctor-patient Relationship under Evolutionary Game Model

With the progress and development of society, people's requirements for medical care are improving, and the tension and conflict of doctor-patient relationship has become a popular topic of public opinion in the whole society. Therefore, this paper starts from information asymmetry, trust crisis, moral hazard and other directions, and uses the evolutionary game model to specifically explore the doctor-patient relationship. The research results show that there is a balance and imbalance of cooperation and conflict between doctors and patients, and the factors that determine this include service attitude, welfare system, supervision by relevant departments, communication problems between doctors and patients, and social factors. Among them, the government should increase the supervision of hospitals, and the communication between doctors and patients should be strengthened to effectively ease the tension between doctors and patients, thereby reducing the social burden. This article will focus on discussing the causes of the doctor-patient conflict and how to alleviate the tense doctor-patient conflict and create a good medical environment as a member of society.

The Knowledge of The Nurse and The Head of Room Supervision Influences The Implementation of Nursing Care Documentation

Nursing care documentation is a very important part of nursing services because documentation has responsibilities and responsibilities that are very important for nurses in carrying out nursing care. Knowing the influence of the knowledge of nurses and supervise of the head of the room on the implementation of nursing care documentation at the National Police Hospital, Drs. Titus Uly Kupang. This research is a quantitative research with a cross sectional approach. The population is all nurses in the inpatient room of Drs. Titus Uly Kupang Police Hospital totaling 48 people with the sample being the total population. The analysis used for univariate analysis is frequency distribution analysis in the form of tables and for bivariate analysis using the Chi Square test to see the relationship between nurse knowledge and the supervision of the head of the room with the implementation of nursing care documentation in the inpatient room of the Drs. Titus Uly Kupang Police Hospital. The results of the univariate analysis showed that most of the documentation of nursing care in the inpatient room of Drs. Titus Uly Kupang Police Hospital was in the good category, only for 100% of nurses did not perform. Bivariate analysis shows that there is a relationship between knowledge and the implementation of nursing care documentation (p value 0.037), there is a relationship between the supervision of the head of the room and the implementation of nursing care documentation (p value 0.031) in the inpatient room of the Drs. Titus Uly Kupan Police Hospital Knowledge and supervision of the head of the room affect the implementation of nursing care documentation, so this is a concern for management to improve nursing care documentation

Establishing Entrustable Professional Activities for Entry-Level Dietitians in Teaching Hospitals in Taiwan

<p>可信賴專業活動(entrustable professional activities, EPAs)是將多種核心能力整合成專業任務，可應用於醫療職場教學訓練，以信賴等級作為能力進展依據，供臨床工作授權參考。此專案針對接受衛福部二年期營養師訓練課程之新進營養師，建置教學醫院新進營養師EPAs。來自全國教學醫院臨床營養及營養學專家，以名義團體法進行共識及投票，建置七項EPA任務及其對應核心能力架構。EPAs任務為「住院病人常見疾病營養照護」、「門診病人常見慢性疾病營養照護」、「重症單位營養照護」、「醫院膳食盤餐督餐作業」、「盤餐膳食設計與食材成本管理」、「疾病飲食營養團體衛教」及「住宿型長照機構個案營養照護」。EPAs建立可將能力進展轉化為臨床營養工作授權，促進營養醫療照護品質提升。</p> <p> </p><p>Entrustable professional activities (EPAs) involve the integration of a variety of core competencies into professional practice tasks, and they can be applied for learning and training in the medical workplace. Supervision levels can help guide the development of competencies and are referenced for clinical work authorization. This paper describes the development of EPAs for entry-level dietitians in a postgraduate clinical training program established by the Ministry of Health and Welfare at teaching hospitals in Taiwan. Clinical instructors in dietetics and nutrition experts from across Taiwan were invited to participate in a consensus development conference, and the nominal group technique was employed to develop profession-specific EPAs. This project established seven EPAs, namely, nutritional care for inpatients with common diseases, nutritional care for outpatients with common chronic diseases, nutritional care in critical care units, hospital plate-meal preparation and supervision, meal design and cost management, group education for disease-specific nutrition, and nutritional care in residential long-term-care institutions. The establishment of EPAs can help transform such competencies into criteria for the authorization of clinical nutrition work in teaching hospitals and may enhance the quality of nutritional medical services.</p> <p> </p>

Evaluation of the Causes of Door-to-Balloon Time Delays in Patients with ST-Elevation Myocardial Infarction at Tehran Heart Center.

Coronary artery disease (CAD) is the leading cause of cardiovascular death globally, and the most severe form of CAD, ST-elevation myocardial infarction (STEMI), needs immediate treatment. This study aimed to report patient characteristics and the causes of door-to-balloon time (D2BT) delays in STEMI patients admitted to Tehran Heart Center with a D2BT exceeding 90 minutes. This cross-sectional study was conducted at Tehran Heart Center, Iran, from March 20th, 2020, through March 20th, 2022. Variables consisted of age, sex, diabetes mellitus, hypertension, dyslipidemia, smoking, opium, family history of CAD, in-hospital mortality, primary percutaneous coronary intervention results, culprit vessels, causes of delays, the ejection fraction, triglycerides, and low and high-density lipoprotein levels. The study population was composed of 363 patients (272 males [74.9]) at a mean (SD) age of 60±11.47 years. The leading causes of D2BT delays were the catheterization lab used in 95 patients (26.2) and misdiagnosis in 90 (24.8). Other causes were ST-elevation less than 2 mm in electrocardiograms in 50 patients (13.8) and referral from other hospitals in 40 (11.0). The catheterization lab in use and misdiagnosis were the leading causes of D2BT delays. We recommend that high-volume centers allocate an additional catheterization lab with an on-call cardiologist. Improved resident training and supervision in hospitals with many residents are also necessary.

Quarterly Integrated Supportive Supervision (QISS) in Hospitals in a Nigerian State

Quarterly Integrated Supportive Supervision (QISS) in Hospitals in a Nigerian State

Study on our Project to set up Learning Objectives and Pedagogical Activities for the Training of Urology B Residents in Terms of Management of Urological Emergencies

The training of residents in urological surgery is short: 5 years. It is well known that theoretical teaching alone is insufficient. It is therefore imperative to complement it with practice. The hospital supervision of residents in the surgical services encounters numerous difficulties related to the specificity of surgical specialties, part of whose care activity takes place in operating rooms. Establishing precise and relevant educational objectives that are realistic and achievable is crucial.

Enhanced simulation-based mastery learning for the attainment of procedural skills competence for acute common care stem (ACCS) trainees

A new curriculum for Acute Common Care Stem (ACCS) trainees was introduced in 2021 and included a mandatory requirement to have specific practical assessments performed, known as Direct Observation of Procedural Skills (DOPS). These aimed to provide evidence of competence and enable progression through training. The curriculum change prompted the creation of a novel one-day skills-based course in order to ensure that all the ACCS trainees met the required level of competence. An enhanced simulation-based mastery learning method was used to ensure that trainees have the clinical knowledge to identify when future practical emergency skills are indicated and have the psychomotor skills necessary to perform these procedures safely and efficiently. This study was aimed at exploring the impact of a simulation-based mastery learning (SBML) [1] in a one-day procedural skills course. New curriculum content was reviewed in order to establish the different practical skills required for the second year of ACCS training. Regional trainees were then sent an online survey to ask which specific procedures they would like included on a skills course. There were five procedures requested: chest drain insertion (Seldinger and open), aspiration of air, DC cardioversion, and external cardiac pacing. Meetings with the local training programme director and simulation lead assisted in the formation of the skills day. Faculty were formed by registrars and consultants in Emergency Medicine. Trainees aimed to reach a competence level that would mean they still need in hospital supervision for any future procedures. Eight ACCS trainees attended a one-day skills-based course in May 2022. The course was preceded by multiple online e-learning resources and videos. The SBML day consisted of a demonstration with deliberate practice followed by DOPS assessments using simulation and trainee-focused feedback. Anonymised pre- and post-course questionnaires were completed by all trainees containing questions surrounding their experience and confidence in performing these procedural skills. All trainees achieved the required level of competence needed at their stage in training. Each trainee stated that their confidence levels improved in performing all five procedures after attending the course ( Mean confidence levels in procedures pre- and post-course using Likert scale (1–5) An enhanced SBML method in a one-day course enabled efficient, standardised procedural skills practice and assessment for a group of ACCS trainees. Training, practice, and assessment in necessary curricular competences were achieved together while improving the level of confidence in trainees performing these procedures. 1. Scahill E, Oliver N, Tallentire V, Edgar S, Tiernan J. An enhanced approach to simulation-based mastery learning: optimising the educational impact of a novel, National Postgraduate Medical Boot Camp. Advances in Simulation. 2021;6(1).

The paradigm and future value of the metaverse for the intervention of cognitive decline.

Cognitive decline is a gradual neurodegenerative process that is affected by genetic and environmental factors. The doctor-patient relationship in the healthcare for cognitive decline is in a "shallow" medical world. With the development of data science, virtual reality, artificial intelligence, and digital twin, the introduction of the concept of the metaverse in medicine has brought alternative and complementary strategies in the intervention of cognitive decline. This article technically analyzes the application scenarios and paradigms of the metaverse in medicine in the field of mental health, such as hospital management, diagnosis, prediction, prevention, rehabilitation, progression delay, assisting life, companionship, and supervision. The metaverse in medicine has made primary progress in education, immersive consultation, dental disease, and Parkinson's disease, bringing revolutionary prospects for non-pharmacological complementary treatment of cognitive decline and other mental problems. In particular, with the demand for non-face-to-face communication generated by the global COVID-19 epidemic, the needs for uncontactable healthcare service for the elderly have increased. The paradigm of self-monitoring, self-healing, and healthcare experienced by the elderly through the metaverse in medicine, especially from meta-platform, meta-community, and meta-hospital, will be generated, which will reconstruct the service modes for the elderly people. The future map of the metaverse in medicine is huge, which depends on the co-construction of community partners.