Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 4 de 4
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
2.
JMIR Perioper Med ; 5(1): e36208, 2022 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-35436760

RESUMO

BACKGROUND: Undergoing a surgical procedure is anxiety provoking for patients and their caregivers. During the intraoperative period, caregivers seek out informational updates from health care professionals, a situation complicated by COVID-19 health measures that require caregivers to wait outside the hospital. Short messaging service (SMS)-based communication that allows caregivers to follow their loved ones through surgery has shown promise in relieving anxiety and improving satisfaction with overall care. This form of communication is also well accepted by health care professionals and may be effective at relieving staff burden. OBJECTIVE: Here, we describe a quality improvement initiative of a standardized and integrated intraoperative SMS-based system to improve communication between surgical teams and caregivers. The main goal was to improve satisfaction with care, while the secondary goal was to reduce caregiver anxiety. METHODS: The initiative followed the framework of the Model for Improvement. A large tertiary care hospital offered the SMS to caregivers who were waiting for loved ones undergoing surgery. SMS messages were integrated into the clinical information system software and sent at key points during the surgical journey to phone numbers provided by caregivers. A satisfaction survey was sent to caregivers 1 business day after surgery. Data were collected between February 16 and July 14, 2021. RESULTS: Of the 8129 surgeries scheduled, caregivers waiting for 6149 (75.6%) surgeries agreed to receive SMS messages. A total of 34,129 messages were sent. The satisfaction survey was completed by 2088 (34%) of the 6149 caregivers. Satisfaction with messages was high, with the majority of respondents reporting that the messages received were adequate (1476/2085, 70.8%), clear (1545/2077, 74.4%), informative (1488/2078, 71.6%), and met their needs (1234/2077, 59.4%). The overall satisfaction score was high (4.5 out of 5), and caregivers reported that receiving text messages resulted in a reduction in anxiety (score=8.2 out of 10). Technical errors were reported by 69 (3.3%) caregivers. Suggestions for improvements included having messages sent more often; providing greater patient details, including the patient's health status; and the service being offered in other languages. CONCLUSIONS: This digital health initiative provided SMS messages that were systematically sent to caregivers waiting for their loved ones undergoing surgery, just as COVID-19 restrictions began preventing waiting onsite. The messages were used across 15 surgical specialties and have since been implemented hospital-wide. Digital health care innovations have the capacity to improve family-centered communication; what patients and their families find useful and appreciate will ultimately determine their success.

3.
Soins ; (777): 12-5, 2013.
Artigo em Francês | MEDLINE | ID: mdl-23951615

RESUMO

Specific to France and recognised worldwide, the SAMU (emergency medical service) is an essential element of French public health care. The concept is to take the hospital outside its walls and treat the person on the spot and in as short a time as possible. The emergency medical service has a multidisciplinary approach.


Assuntos
Serviços Médicos de Emergência/organização & administração , Serviços Médicos de Emergência/história , França , História do Século XX , História do Século XXI , Humanos
4.
Soins Psychiatr ; (269): 33-7, 2010.
Artigo em Francês | MEDLINE | ID: mdl-20684471

RESUMO

Children are regularly faced with traumatic events, whether these are disasters (tsunami, floods, earthquakes), accidents (transport, domestic) or intentional acts (war, ill treatment). The care provided for young Haitian children following the earthquake in January 2010 offers an insight into specific intervention methods, the treatment of post-traumatic disorders and the effects of trauma on those working with them.


Assuntos
Serviços de Saúde da Criança/organização & administração , Intervenção em Crise/organização & administração , Planejamento em Desastres/organização & administração , Terremotos , Serviços de Emergência Psiquiátrica/organização & administração , Transtornos de Estresse Pós-Traumáticos/prevenção & controle , Adolescente , Criança , Haiti , Humanos , Psicologia do Adolescente , Psicologia da Criança , Transtornos de Estresse Pós-Traumáticos/psicologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...