ABSTRACT
In most hospitals in the United States, inpatient psychiatric units are not equipped to accommodate medically complex patients. To address this problem, Kern Medical hospital in Bakersfield, California implemented the primary psychiatry service (PPS) that is complementary to the 24-bed psychiatric unit and the psychiatric consultation and liaison service. PPS facilitates care to patients who meet criteria for inpatient psychiatric hospitalization but are not eligible for admission to the inpatient psychiatric unit due to medical requirements. With PPS, patients are admitted to the medical/surgical floor under primary management of the consultation liaison psychiatry team. Additional care is provided by medical/surgical nursing staff previously trained by the psychiatry department, attending psychiatrist, psychiatry residents, and consulting physicians. A protocol for admission includes patients on a legal psychiatric hold or under voluntary psychiatric hospitalization who also have concurrent acute psychiatric and chronic medical conditions that are not suitable for the inpatient psychiatric unit. Primary psychiatry admission is approved by the attending psychiatrist and insurance. Some of the funding for patients admitted to PPS is provided by Kern County's Behavioral Health and Recovery Services through the Mental Health Services Act. As a result of this service, Kern Medical admitted 49 patients to PPS in 2021. The main diagnoses of primary-psychiatric-eligible patients were mood disorders, psychotic disorders, and disorders related to substance use. The most common medical conditions requiring admission to PPS were for impaired ambulation and COVID-19 infection requiring isolation. Additional data will be included in the poster. The primary psychiatric service has been helpful with providing acute psychiatric care to medically compromised patients and has facilitated the flow of psychiatric patients within the emergency department. Being able to finance such protocols can be challenging as well, but the benefits are innumerable. There are potential challenges that can arise in such systems, including issues with medical complications and potentially lengthy disposition. Overall, from our single center experience it has been quite positive. Whether this novel system can be replicated in other centers effectively would be an area for further evaluation. Learning Objectives: - Awareness of an alternative model of psychiatric care to the traditional inpatient psychiatric setting - List benefits and challenges to having a psychiatric primary service as part of the consultation liaison service - Identify key patient diagnoses that one may encounter from psychiatric primary service References: Hussain M, Seitz D. Integrated models of care for medical inpatientswith psychiatric disorders: a systematic review. Psychosomatics. 2014 Jul-Aug;55(4):315-325. Epub 2014 Apr 13. PMID: 24735866. Kathol RG, Kunkel EJ, Weiner JS, McCarron RM, Worley LL, Yates WR, Summergrad P, Huyse FJ. Psychiatrists for medically complex patients: bringing value at the physical health and mental health/substance-use disorder interface. Psychosomatics. 2009 Mar-Apr;50(2):93-107. PMID: 19377017. Copyright © 2022
ABSTRACT
Inventive Problem-Solving Skills (IPSS) is the ability to solve difficulties efficiently and without hindrance. The aim of this study is to identify issues, importance, and solutions in identifying the causes of inventive design problems among students and teachers of Invention. In addition, there are two objectives of the study (1) to identify the differences in the importance and issues of IPSS among students and teachers of Invention, and (2) to identify the importance, issues and proposed solutions of IPSS by Invention’s teachers. This study has a used mixed-method an approach that includes quantitative and qualitative methods. For the first objective quantitative will be used by making a questionnaire while for the second objective, the mixed method was used by using questionnaires and semi-structured interviews. The survey covered a total of 133 students and 30 Invention teachers from a secondary school in Johor. In this study, SPSS software was used to obtain the data. As a result, there was no significant difference in significance [t (133) = 2.915;p = .194, (p > .05)] or problem [t (133) = .142;p = .09, (p > .05)] for gender, according to t-test findings. The level of significance was then determined using a two-way ANOVA test. Subsequently, two-way ANOVA tests revealed that importance (F (30) = 2.874, p = .061) and problem (F (30) = 6.846, p = .112) abilities were not influenced by teacher gender or teaching experience. To identify the root cause of inventive problems, the majority of teachers prefer to use Functional Analysis to apply the Theory of Inventive Problem-Solving Skills (TRIZ). As a result, the creation of self-learning modules is offered as a teaching resource to help students use their abilities in the Invention course. Thus, the objective has been well achieved to (1) identify the differences in importance and issues of IPSS among students and teachers of Invention, and (2) identify the importance, issues and proposed solutions of IPSS by Invention’s teachers. Among the challenges faced in this study was that communication between students and teachers was done virtually on deck due to the Covid-19 issue that struck. © 2022, author.
ABSTRACT
This study aims to: (1) At the age of the COVID-19 pandemic, construct a virtual simulation learning innovation based on augmented reality in the form of a sawing machine to enhance the special skills of vocational students;(2) testing the feasibility of learning innovation based on virtual simulation based on documented reality in the form of a sawing machine;and (3) testing the effectiveness of virtual simulation learning innovation based on augmented reality in the form of a sawing machine. This research uses research and development. The research stages include product design, product testing, learning media expert testing, and effectiveness testing. The effectiveness test was carried out on vocational students at universities in Malang City. Among the key findings of this research are the following: (1) a virtual simulation learning innovation based on augmented reality in the form of a sawing machine developed that is feasible and attractive (percentage above 80%);(2) in the age of the COVID-19 pandemic, a virtual simulation learning innovation based on augmented reality in the form of a sawing machine was developed and demonstrated to be effective in enhancing the special abilities of vocational students.;and (3) The study's digital learning media innovation products can be applied to the design of learning media in the COVID-19 pandemic era © 2022 IEEE.