Ensuring the safety of patients is a vital duty of a doctor. It is their responsibility to advise patients about activity limitations on discharge from hospital. This study aims to assess the current provision of driving advice for patients after abdominal surgery and institute improvements to this provision of information in North Bristol NHS Trust. A preliminary questionnaire ascertained current doctor's knowledge regarding limitations of driving postoperatively and whether information was communicated to patients. Baseline retrospective data were collected from electronic discharge summaries to determine documentation of advice provision. Educational interventions were introduced, followed by data collection after each intervention. Initial questionnaires demonstrated poor knowledge amongst doctors and a lack of provision of driving advice postoperatively. After multiple educational interventions, the provision of driving advice on electronic discharge summaries increased from 0% (0) at baseline to 75% (9). Initially, the provision of driving advice postoperatively was poorly documented for inpatients undergoing abdominal surgery; following multiple educational interventions, the provision of written advice improved. Future plans include the introduction of prewritten sentences onto the electronic discharge summaries to facilitate ease of information provision and a reaudit in 12 months.
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http://dx.doi.org/10.1136/bmjquality.u203922.w1739 | DOI Listing |
J Acad Nutr Diet
January 2025
Associate Professor, George Washington University Milken Institute School of Public Health, Washington, D.C.. Electronic address:
Background: Though the Dietary Guidelines for Americans recommend that individuals drink water instead of sugar-sweetened beverages (SSBs), this behavior is influenced and reinforced by a complex network of structures and systems.
Objective: The objectives of this study were to develop a shared understanding among multiple stakeholders about the structural and underlying, interconnected drivers of SSB and water consumption in the Washington D.C.
Sci Total Environ
January 2025
State Key Laboratory of Urban and Regional Ecology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing 100085, China.
Ecosystem services arise from and are shaped by interactions within social-ecological systems. While network approaches hold promise for conceptualizing and managing ecosystem services, their practical application remains underexplored. This study introduces a novel application of the partial correlation network approach to ecosystem service research, using China's Loess Plateau as a case study to analyze ecosystem services and social-ecological factors within a network framework.
View Article and Find Full Text PDFBull World Health Organ
January 2025
Water and Climate, World Health Organization European Centre for Environment and Health, Bonn, Germany.
Problem: Water, sanitation and waste infrastructure and services in Ukrainian health-care facilities often fail to meet global and national standards, hindering the provision of safe, quality care. The war has worsened existing problems.
Approach: To incrementally improve water, sanitation, hand hygiene, environmental cleaning and health-care waste practices, the World Health Organization (WHO) is working with the health ministry, the Ukrainian Public Health Centre and regional United States Centers for Disease Prevention and Control (CDC) to implement the Water and Sanitation for Health Facility Improvement Tool (WASH FIT).
Health Place
December 2024
The Wellcome Centre for Cultures and Environments of Health, The University of Exeter, The Queens Drive, Exeter, EX4 4QH, UK. Electronic address:
In recent years, foraging for wild foods has grown in popularity in cities. Globally, urban foragers are diverse; motivations span contribution to the food basket, healthier living, and accessing urban nature. Research to date highlights ease of access across socio-demographic groups.
View Article and Find Full Text PDFNurs Rep
November 2024
Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.
The limited and inconsistent adoption and regulation of nurse-led clinics (NLCs) and "See & Treat" (S&T) services in Italy needs to be explored considering their value towards patients' outcomes acknowledged in the literature. This study aims to explore the phenomenon of hidden nursing activities (HNAs) in these settings, hypothesizing that features and activities performed in these settings are heterogeneous across the country and widely underreported or attributed to other professionals than nurses. HNAs are hypothesized to be associated with a poor work environment climate and nurses' low job satisfaction.
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