Timeliness of care after patients arrive at the primary care office has received little examination. At 2 community family medicine clinics, an intervention was piloted replacing traditional waits in the waiting room with patients directing themselves to their examination rooms. We examined patient acceptability, experience of care, and staff time and cost savings before and after the intervention. Most patients (95%) preferred rooming themselves. Patient satisfaction remained high. Staff time and cost savings were achieved at both sites. Our findings suggest that self-rooming is desirable to patients. Others interested in redirecting staff time toward value-added patient care tasks should consider trialing this intervention.
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http://dx.doi.org/10.1097/JAC.0000000000000045 | DOI Listing |
Background While key to interpreting findings and assessing generalizability, implementation fidelity is underreported in mobile health (mHealth) literature. We evaluated implementation fidelity of an opt-in, hybrid, two-way texting (2wT) intervention previously demonstrated to improve 12-month retention on antiretroviral therapy (ART) among people living with HIV (PLHIV) in a quasi-experimental study in Lilongwe, Malawi. Methods Short message service (SMS) data and ART refill visit records were used to evaluate adherence to 2wT content, frequency and duration through the lens of the Conceptual Framework for Implementation Fidelity.
View Article and Find Full Text PDFFront Sports Act Living
December 2024
BRAVO VICTOR, London, United Kingdom.
Introduction: This article offers unique insight into Team Ukraine's experiences of attending an international sporting event for veterans living with disability and injured active-duty personnel (the United States' Department of Defense Warrior Games, "The Games") and a 5-week preparatory camp in the United Kingdom (UK).
Methods: A survey gathered qualitative data at three time points: during the second and final week of training camp, and the in the two weeks immediately following participation at The Games. Forty-four out of 55 members of Team Ukraine (including veterans, active-duty personnel, support staff, and family members) provided responses in Survey 1, 20 in Survey 2, and 18 in Survey 3.
Acta Otorhinolaryngol Ital
December 2024
IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Objectives: Several devices have been developed to improve head and neck surgery. 3D exoscopes provide surgeons a viable alternative to microscopes. We propose our setting for transoral exoscopic oropharyngeal (TOEOS) and transoral exoscopic laryngeal surgery (TOELS).
View Article and Find Full Text PDFJBI Evid Synth
January 2025
Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.
Objective: The objective of this review will be to synthesize the qualitative evidence on factors that influence direct breastfeeding of preterm infants in neonatal wards and the provision of breastfeeding support.
Introduction: Breastmilk is critical for the health of preterm neonates, and infants who directly feed at the breast are more likely to receive breastmilk exclusively for longer periods. Direct breastfeeding is associated with improved maternal coping and development of maternal identity.
Adv Simul (Lond)
January 2025
Neonatology and Paediatric Intensive Care Medicine, Department of Paediatrics, Philipps-University Marburg, Marburg, Germany.
Background: We aimed to measure the effect of a 2-day structured paediatric simulation-based training (SBT) on basic and advanced airway management during simulated paediatric resuscitations.
Methods: Standardised paediatric high-fidelity SBT was conducted in 12 of the 15 children's hospitals in Hesse, Germany. Before and after the SBT the study participants took part in two study scenarios (PRE and POST scenario), which were recorded using an audio-video system.
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