Background: Nurses spend part of their working time on non-nursing tasks. Unnecessary walking distances and the assumption of service activities and other non-care-related tasks take up a lot of space, which reduces the time for direct patient care and demonstrably increases the dissatisfaction of the persons involved. The REsPonSe project aims to relieve nursing staff by using a smartphone app for communication in combination with an autonomous service robot to reduce walking distances and service activities. The technical systems are tested on a nuclear medicine ward and are intended to reduce the radiation exposure of the staff. The aim of this study is to test and evaluate the use and intervention of the technical systems, the acceptance of the users and the change in the utilisation of the nursing service. In addition to findings on usability and manageability, effects on nursing practice, as well as facilitating and inhibiting contextual factors for implementation, will be identified.
Methods: The Medical Research Council (MRC) Framework for Developing and Evaluating for Complex Interventions was chosen as the theoretical basis. The data collection in the Feasibility and Evaluation phase is a triangulation of quantitative and qualitative methods. Standardised observations are planned to collect data on non-care activities and walking distances, and a survey of utilisation by use of a questionnaire based on the NASA TLX. Qualitative individual interviews with patients and group discussions with nursing staff will be conducted. Statements on the subjective experiences, as well as the evaluation of the use of the digital-robotic system in the clinical setting, will be collected. The descriptive evaluation of the usage and retrieval data will provide information on duration, time, requests, and reduced contact times, as well as error and fault messages.
Discussion: The evaluation study will make it possible to represent a variety of perspectives from different interest groups. The results should contribute to the definition of implementation and evaluation criteria and facilitate the integration of digital-robotic assistance systems in nursing acute inpatient settings.
Trial Registration: The trial was registered with the German Clinical Trials Register (DRKS) on 16.02.2022: DRKS00028127.
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http://dx.doi.org/10.1186/s12912-022-01088-6 | DOI Listing |
Prosthet Orthot Int
January 2025
Department of Physical Therapy, University of Miami Miller School of Medicine, Coral Gables, FL, USA.
Background: Walking speed is a measure of functional mobility that is relatively easy to quantify. In people with lower limb amputation, reduced walking speed has been linked with specific atypical spatiotemporal gait parameters. However, the influence of atypical spatiotemporal gait parameters on the walking speed of people with unilateral transtibial amputation (TTA) and transfemoral amputation (TFA) remains unclear.
View Article and Find Full Text PDFPLoS One
January 2025
The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark.
Introduction: Intermittent claudication is a peripheral artery disease caused by arteriosclerosis. People with intermittent claudication experience leg cramping during walking, with relief of symptoms during rest. Evidence shows that by participating in supervised exercise therapy and smoking cessation programs, people with intermittent claudication can reduce those symptoms and improve health-related quality of life and maximal walking distance while minimizing the need for an operation.
View Article and Find Full Text PDFAIMS Public Health
December 2024
Division of Otolaryngology - Head & Neck Surgery, Cooper University Health Care, Camden, NJ, USA.
Background: Underinsured patients with advanced head and neck cancer experience worse outcomes compared to their well-insured peers.
Methods: Retrospective logistic regression analysis testing associations between demographic, geospatial, transportation, disease, and treatment factors in 50 government insured or uninsured patients receiving curative-intent, multidisciplinary cancer care.
Results: Forty percent of patients missed at least one treatment or surveillance appointment within the first year.
Heart Lung
January 2025
Department of Physical Education, Beijing Wuzi University, Beijing, China. Electronic address:
Background: Chronic Obstructive Pulmonary Disease (COPD) is a common respiratory disease that significantly impairs the quality of life of patients. Single exercises can help COPD patients focus on enhancing specific physical abilities, and enable a more precise analysis of the specific effects of single exercises on improving exercise capacity in COPD patients.
Objectives: To evaluate the effectiveness of single exercises in improving the exercise capacity of COPD patients and to conduct an indirect comparison to identify the most efficacious intervention.
J Clin Med
January 2025
IRCCS Istituto Ortopedico Galeazzi, 20157 Milan, Italy.
While the importance of the upper and lower limbs in locomotion is well understood, the kinematics of the trunk during walking remains largely unexplored. Two decades ago, a casual observation was reported indicating spine lengthening in a small sample of mostly children during walking, but this observation was never replicated. Objectives: This study aims to verify the preliminary observation that spine lengthening occurs during walking and to explore changes in spine kinematics across three different age groups.
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