Visit Checklist Research Articles

HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT KEPATUHAN PASIEN HEMODIALISA TERHADAP TERAPI GAGAL GINJAL DI RSUD BLAMBANGAN BANYUWANGI

Chronic Renal Failure (CRF) is a chronic disorder of renal function is progressive and irreversible. In which the body fails to maintain metabolic and fluid and electrolyte balance, causing uremia and could eventually cause a disruption in the body's immune system. According Raharjo (1996) and Lopez (2006), the estimated number of patients with chronic renal failure continues to increase and the estimated growth of about 10% every year.This research design was a descriptive cross sectional study. Have done a study of 55 patients with chronic renal failure who had been treated at the Hospital Medicine at Blambangan, Banyuwangi in 2014 patient data information obtained from the patient visit checklist. This study was to determine the relationship of family support with chronic renal failure patient adherence to therapy in poly Haemodialysis Haemodialysis in hospital Blambangan, Banyuwangi in 2014.Research was obtained as many as 15 people (27.28%) patients with chronic renal failure aged 25-30 years, and 17 (30.9%) aged 41-50 years with a self-employed job and most of the heavy labor. Researchers hope that the hospitals can provide direction Blambangan Banyuwangi, in-depth knowledge about chronic kidney disease to patients and families of patients so that the family can fully support patient compliance in taking medication and undergoing therapy in a timely and appropriate.From the research, it was concluded that 9.1% of patients not adherent and 90.9% patient compliance with the treatment given by the hospitals Blambangan Banyuwangi.

Society for Maternal-Fetal Medicine Special Statement: Postpartum visit checklists for normal pregnancy and complicated pregnancy

Rising maternal morbidity and mortality rates, widening healthcare disparities, and increasing focus on cardiometabolic risk modification in at-risk patients have together catalyzed a shift in the postpartum care paradigm. What was once a single office visit in the 6 weeks after delivery is now being reimagined as a continuum of care that transitions patients from pregnancy to lifelong health optimization. However, this shift in postpartum care also comes with increased visit complexity and additional provider burden, particularly when patients have had significant pregnancy complications or have chronic diseases. To ensure that the comprehensive needs of both healthy and medically complex people are consistently met under this revised postpartum care paradigm, a postpartum visit checklist for uncomplicated postpartum patients and another checklist for those with major medical or obstetrical morbidities are presented. These checklists are designed to ensure that essential elements of physical and mental well-being are routinely considered, that adequate follow-up or specialty referrals are made, and that relevant future health risks are appropriately reviewed and discussed.

Exploring agreement and feasibility between virtual home visits and in-person home visits for peritoneal dialysis patients—a paired study

Introduction Virtual home visits may improve chronic disease management. However, whether they are suitable for peritoneal dialysis (PD) patients has not yet been fully investigated. This study aimed to compare the agreement and acceptance of virtual home visits and in-person home visits in PD patients. Methods This was a paired, single center, noninferiority trial. Participants received a virtual home visit and an in-person home visit simultaneously. A home visit checklist was built for standardization visits. The content was divided into three parts: domestic habits (57 items), bag exchange procedures (56 items), and exit site care (53 items). Satisfaction questionnaires for both patients and nurses were designed to assess attitudes toward home visits and socioeconomic effects. Results A total of 30 PD patients were enrolled in a single center. The information collected from virtual home visits and in-person home visits was found to be highly consistent. The perfect agreement was found in 52/57, 49/56, and 44/53 items (Cohen's kappa 0.81–1.00), substantial agreement in 4/57, 7/56, and 8/53 items (Cohen's kappa 0.61–0.80). Patients reported almost identical satisfaction for virtual home visits and in-person home visits (Z = 0.39, p = 0.70). PD nurses reported similar feasibility and patient cooperation for the two visit types (Z = 0.99, p = 0.33; Z = 1.65, p = 0.10, respectively). In addition, virtual home visits were found to be more cost-effective than in-person home visits. Conclusions Virtual home visits information collection was similar to in-person home visits in PD. There were no differences in participant satisfaction and feasibility between the two visit types.

Utilizing a faculty-led student assessment team to evaluate international interprofessional service learning opportunities

IntroductionGlobalization, combined with health professional students increasingly seeking international interprofessional service learning (IISL) experiences, presents new challenges and opportunities for faculty establishing these programs. This paper describes the novel process of utilizing a faculty-led team of health professions graduate students to evaluate IISL opportunities with an international partner. MethodsAn interprofessional task force recruited student volunteers to travel abroad for the purpose of evaluating the potential learning opportunities at an international site. Faculty and students utilized an assessment tool adapted from the University of Minnesota's “Health and Safety Site Visit Checklist” to evaluate various aspects of the site. Findings were compiled, and students developed a program-specific list of potential collaborative opportunities with a corresponding evaluation of the value and feasibility of these learning experiences. ResultsFive students representing the schools of pharmacy, physical therapy, and physician assistant studies were accompanied by two faculty task force members. Compilation of faculty and student assessments revealed general congruence between both evaluation findings and subsequent recommendations for collaboration. There was an expected difference in the focus of faculty and student observations, though all evaluators were in agreement regarding the potential to develop a seven to 10 day IISL experience at the site. Overall, students provided positive feedback regarding their experience as part of the site evaluation team. ConclusionsIncorporating students as part of the site evaluation process is a valuable and effective method for assessing the logistical and educational characteristics of an IISL experience when developing a relationship with an international partner.

HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT KEPATUHAN PASIEN HEMODIALISA TERHADAP TERAPI GAGAL GINJAL DI RSUD BLAMBANGAN BANYUWANGI

Chronic Renal Failure (CRF) is a chronic disorder of renal function is progressive and irreversible. In which the body fails to maintain metabolic and fluid and electrolyte balance, causing uremia and could eventually cause a disruption in the body's immune system. According Raharjo (1996) and Lopez (2006), the estimated number of patients with chronic renal failure continues to increase and the estimated growth of about 10% every year.This research design was a descriptive cross sectional study. Have done a study of 55 patients with chronic renal failure who had been treated at the Hospital Medicine at Blambangan, Banyuwangi in 2014 patient data information obtained from the patient visit checklist. This study was to determine the relationship of family support with chronic renal failure patient adherence to therapy in poly Haemodialysis Haemodialysis in hospital Blambangan, Banyuwangi in 2014.Research was obtained as many as 15 people (27.28%) patients with chronic renal failure aged 25-30 years, and 17 (30.9%) aged 41-50 years with a self-employed job and most of the heavy labor. Researchers hope that the hospitals can provide direction Blambangan Banyuwangi, in-depth knowledge about chronic kidney disease to patients and families of patients so that the family can fully support patient compliance in taking medication and undergoing therapy in a timely and appropriate.From the research, it was concluded that 9.1% of patients not adherent and 90.9% patient compliance with the treatment given by the hospitals Blambangan Banyuwangi.Keywords: Chronic Renal Failure, Hemodialysis, Family Support

Nurse Practitioner Supervised Integration of Community Health Workers in Home Based Heart Failure Care

Background Community health workers (CHW) are proving to be beneficial in chronic care disease model. Not much has been reported on integrating CHW in chronic HF care and their effect in improving quality of care. We piloted a program involving integration and supervision of CHW in home based HF care by heart failure nurse practitioner (HFNP) in a minority underserved population. Methods We trained and deployed CHWs to assist HF patients after hospital discharge. In addition to basic CHW education, CHWs received intensive HF training by our HF NP and MDs. CHWs utilized a checklist of medical and social items to address at each contact and were in contact with the HF NP for clinical decision making. CHWs provided a total of #1108 services including 1) review labs, 2) medication education, 3) heart failure education, 4) reinforce sodium and fluid intake, 5) diet education, 6) medication adjustment, 7) medication set‐up, 8) medication refill, 9) review discharge plan, 10) schedule appointment, 11) referral to provider, 12) urgent triage, 13) social service referrals, 14) pharmacy prescription drop‐off, 15) deliver medication, 16) link insurance, and 17) family education. Results Over 8 months 2 CHWs served 62 patients (22 Medicaid, 24 Medicare, 16 commercial insurance), mean age 62.7 years, 45% female. There were 651 successful (of 836 attempted) CHW- patient contacts (home visits/phone calls). 8.1% patients had Conclusions NP trained and supervised CHWs with specialized HF training, use of a structured visit checklist, and integration with a HF medical team provide comprehensive home based HF care resulting in low 30 day rehospitalization. Future studies should address cost effectiveness of this approach and healthcare provider burden.

Gathering Information in Healthcare Settings: A Tool to Facilitate On-Site Work

The coordination of site visits to execute human factors methods, such as onsite usability tests, interviews, or observations, in clinical settings requires a high level of management to attain successful data collection outcomes. Members of the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) Human Factors Engineering (HFE) team occasionally visit VHA medical centers or outpatient clinics to complete our work. We have developed a site visit checklist as a practice innovation to facilitate logistical coordination when gathering data onsite. This Practice-Oriented paper includes the full checklist, as well as discussion of its use to enable other groups to benefit from lessons we have learned in conducting onsite work in health care settings.

Integrating an effective obesity prevention program into existing home visiting services: The Healthy Beginnings Program

Background/Aim : The establishment of effective and sustainable programs to promote healthy weight gain in the first years of life is a public health priority given the elevated rates of childhood overweight and obesity worldwide. Healthy Beginnings (HB) was a world-first randomised control trial to demonstrate the effectiveness of an intensive (eight sessions), home-based early obesity prevention intervention delivered by nurses from the third trimester until two years of age. The HB intervention targeting first-time mothers was effective in improving infant feeding practices, reducing TV viewing time and child body mass index (BMI) at two years. However, the program was not cost effective or sustainable without integrating with existing services. The aim of this study is to explore how the HB program has been integrated into existing on-going home-visiting services within New South Wales. Method/Results : In 2016, a steering committee was established by the Chief Executive of the Sydney Local Health District (SLHD) to instigate the integration of the HB program in existing home-visiting services in SLHD. The Healthy Families Healthy Children program, a sustained health home-visiting program targeting vulnerable families in SLHD and the HB team contributed to the development of an addendum. The addendum provided an overview of the service including eligibility criteria to engage families, the modules covered in the program (including behaviours targeted in the HB program), the program schedule (including the integration of the eight HB sessions over two years) and data collection (including expected HB outcomes). The nurses delivering the home visits were provided with a visit checklist containing standard minimum information as well as resources to support key messages developed from the HB Trial. For the purpose of this study a mixed methods approach will be used to explore the barriers, facilitators and effectiveness of integrating the HB program into the sustained health home-visiting program targeting vulnerable families in SLHD. Qualitative interviews will be conducted with higher, middle and program managers aimed at exploring their thoughts and experiences with integrating HB. Focus groups will be conducted with nurses delivering the HB sessions in order to explore their experiences with implementation. The researcher will observe the HB sessions delivered during home-visits and explore clients’ experiences and satisfaction with the sessions. Further, to measure the effectiveness of the integration, the data collected from the electronic medical record on infant feeding behaviours of the clients involved in the home-visits will be analysed. Conclusions/implications : The findings of this study will inform the integration of HB across other Local Health Districts in NSW. More broadly, this study will provide insight into the translation of an evidence-based health promotion program into a real-world setting.

A Home Visit Checklist to Reduce Rehospitalizations.

Hospital readmission rates have become the subject of national attention among healthcare providers. Home healthcare agencies work to bridge the gap between hospital and home/community, and share a vested interest in reducing hospital readmissions. Evidence supports the use of checklists to improve safety and decrease risk by reducing errors of omission, facilitating communication and improving clinician accountability. This article proposes that the use of checklists in home healthcare agencies may reduce rehospitalizations, and presents the experience of a large home healthcare agency's creation and implementation of a pilot study to introduce a home visit checklist.

Alignment of Chartered SUCs Information Technology Program to the Commission on Higher Education (CHED) Policies and Standards

Considering the global challenge of achieving excellence in education, it is imperative that the Philippine Higher Education Institutions should align to the standards set by the accrediting bodies. The study aimed to determine the alignment of chartered SUCs IT program in the Caraga Region to CHED Policies and Standards. Employing mixed methods, the study considered three types of instruments: survey questionnaire, interview schedule, and observation/ocular visit checklist. The survey questionnaire and observation/ocular visit checklist, which was based on CMO no. 53, series 2006 for Information Technology Education Programs, were used. Data were subjected to statistical treatment as frequency, mean, standard deviation and Analysis of Variance (ANOVA). The results revealed that in terms of alignment percentage by geographical location, generally, the areas – curriculum outline, instructional standards, admission and residence requirements, garnered the highest alignment percentage of 100.00% in four geographical locations. The study, therefore, concludes that one geographical location is not significantly better than the other, or that one is not significantly more aligned than other geographical locations. It is recommended that chartered SUC administrations should continuously upgrade and update the school’s physical facilities and equipment in conformity to the CHED standards and other recognized accrediting agencies that require standardization to support the IT faculty in the delivery of instruction. Keywords - Technology Education, alignment, chartered SUCs, CHED policies and standards, descriptive design, Philippines

Victims’ relation towards the offence and victim-offender mediation

The paper analyse relation of victims toward the offence and their readiness for victim-offender mediation (VOM). Aims were analysis of feelings, behaviours and needs of victims regarding the offence, as well as and analysis of readiness of victims for VOM. 17 mediators assessed 41 victims and 42 offenders, participants of 41 VOM by Assessment Visit Check List (Quill, Wynne, 1993). Victims showed strong feelings of bitterness, anger and grievance more frequently than offenders, while offenders showed feeling of guilt more frequently than victims. Victims had higher defensive attitude and self-confidence then offenders. Almost all victims and offenders needed reparation and agreement with the other party. Most of them wanted to know more about the other party in conflict and were opened to contacts with him. The results were discussed in relation to current knowledge.

N008 IBD Nursing care: The first visit

Background: Crohn’s disease and Ulcerative Colitis are chronic disorders whose diagnosis produces an imbalance in patient’s life, since symptoms may relapse, remit and/or worsen over time.The IBD nurse’s role is essential to the provison of expert clinical care and education for the patients and families, so as to facilitate adaptation of this new situation to the activities of daily living. A methodologic approach to this visit is crucial to collect important clinical data and provide recommendations. Aims: To implement a nursing welcome protocol for the management of patients with inflammatory bowel disease on their first IBD nursing visit, in order to provide the information needed to facilitate compliance with the new situation,to improve the quality of care for patients with de novo diagnosis and encourage trust in healthcare professionals. Methods: Systematic review of scientific publications. Newly diagnosed IBD patients. Length of visit:45 minutes. First IBD nursing visit checklist: 3 steps. 1. To obtain historical information. Marjory Gordon’s functional health patterns. 2. Health Education and team contact: concept of disease/ signs and symptoms/drug therapy, adherence and side effects/vaccination/nutrition and diet/pregnancy/general advice and promotion of healthy lifestyles/guidance in search of information and support groups. 3. Vaccine program,serologies and infection prevention. Results: Future studies are needed to evaluate the impact and effectiveness of this protocol and its effects on knowledge, attitudes, practices and outcomes related to health and disease status. Conclusions: In the current framework of multidisciplinary care of patients with this disease, the nurse is a reference for the patients and families to cope with the new diagnosis and to resolve the events that may occur in the course of the disease. The nursing welcome protocol for IDB patients, could be an efficient and effective method for clinical decision making in providing planned patient care and for organizing nursing knowledge. The first nursing visit of an IBD patient is an opportunity for both the patient and nurse to build a fulfilling and close relationship.

Long-term Care: Places to Call Home

FCS-2257, a 4-page fact sheet by Carolyn Wilken, is the first in a series on caregiving and aging. It will help elderly people and their caregivers learn about the many different kinds of long-term care and living assistance now available. Includes a visit checklist to fill out after visiting each facility. Also explains how costs are usually paid. Published by the UF Department of Family, Youth and Community Sciences, October 2006.

Transitioning Preschool Children with Developmental Concerns into Kindergarten: Ecological Characteristics of Inclusive Kindergarten Programs

The purpose of this paper is to provide the background for Project Pre-K: Transitioning Preschool Children with Developmental Concerns to Kindergarten, and discuss the ecological characteristics of inclusive kindergarten programs. Data were collected in 11 inclusive kindergarten programs in one urban county in southwestern Ohio using the Kindergarten Visit Checklist and field notes. Ecological characteristics observed included seating routines, group activities, seat work, curriculum, expectations of the child, and evidence of special services provided. Results indicated that the inclusive kindergarten programs observed were organized with a contemporary, elementary school program orientation (table work, teacher directed, assigned activities, use of workbooks and skill sheets, limited choice time, etc.). Implications of these results for children with developmental concerns transitioning from preschool to kindergarten are discussed.

The Librarians' Role in Academic Assessment and Accreditation:

Federal Regulations published in 1988 require colleges to demonstrate the difference they have made to students. The accrediting agencies such as the Middle States Association have combined frameworks for outcomes assessment with the long established requirement that college students demonstrate the ability to retrieve and use information. Hudson Valley Community College librarians work with the faculty in a liaison program to shape the collections, library use and student success. As faculty the librarians serve on college committees; at the state level the library subscribes to the SUNYLA student library competencies statement. All this is drawn on as librarians collaborate with faculty on college and departmental accreditation self study and visits. As the focus shifts from accreditation to assessment, librarians undertaking self-study must decide who will use the information and what library roles must be justified, Illustrations include an accreditation visit checklist, the Curriculum Committee LRC fact sheet and the SUNYLA Recommended Library Skills and Competencies for Graduates of Community Colleges.

STRESS IN PRISON STAFF: AN OCCUPATIONAL STUDY*

A survey was conducted into the sources of occupational stress and their effects on levels of health for a group of New Zealand prison staff: Staff were categorized into three groups: Prison Officers. Ranking Prison Officers, and Instructors In addition, a control group of noncommissioned Army personnel was used as a comparison sample. Subjects were administered a job‐specific “sources of stress” questionnaire, a life events measure, a personality measure (the Neuroticism Scale Questionnaire), and three health measures‐the General Health Questionnaire, a medical visit checklist, and a psychosomatic symptom checklist. Factor analysis of the stress questionnaire revealed six job‐specific sources of stress factors These were identified as staff relationships, task pressures, relationships with inmates, promotion, the work environment, and the impact on family life of living in a prison village. Results showed that the levels of stress experienced by staff varied across the three groups. In addition, on the three health measures all staff groups were found to score significantly higher than the control group. Further analysis showed that the variables isolated could be related to a general model of stress.