RESUMEN
Transmisssion of infection within healthcare institutions is a significant threat to patients and staff. One of the most effective means of prevention is good hand hygiene. A research team at Toronto Rehabilitation Institute, Ontario, Canada, developed a wearable hand disinfection system with monitoring capabilities to enhance hand wash frequency. We present the findingsof the first phase of a larger study addressing the hypothesis that an electronic hand hygiene system with monitoring and reminding propertieswill increase hand hygiene compliance. This first phase focused on the acceptability and usability of the wearable electronic hand wash device ina clinical environment. The feedback from healthcare staff to the first prototype has provided evidence for the research team to continue with the development of this technology.
Asunto(s)
Actitud del Personal de Salud , Infección Hospitalaria/prevención & control , Desinfección de las Manos , Control de Infecciones/instrumentación , Control de Infecciones/métodos , Sistemas Recordatorios/instrumentación , Adulto , Electrónica , Femenino , Grupos Focales , Geles/administración & dosificación , Hospitales de Enseñanza , Humanos , Masculino , Persona de Mediana Edad , OntarioRESUMEN
The objective of this study was to conduct a randomized controlled trial to examine the effects of a way-finding intervention on residents' ability to find their way in a new environment. The effect of the intervention on the residents' spatial orientation and agitation were also examined. The study was conducted on four nursing home units in a geriatric center and the final sample consisted of 32 residents with Alzheimer's disease (17 in the treatment group and 15 in the control group). The intervention consisted of the use of a location map and a behavioral training technique, which was provided to residents over the course of a month. Repeated measures analysis of variance and McNemar tests were used to compare the groups in regard to changes in the outcomes over time. Results indicated that the residents' in the treatment group demonstrated an increased ability to find their way to the dining room one week after the intervention. The intervention effect was not sustained three months later.
Asunto(s)
Enfermedad de Alzheimer/psicología , Enfermedad de Alzheimer/terapia , Terapia Conductista/métodos , Confusión/prevención & control , Ambiente de Instituciones de Salud , Hogares para Ancianos , Transferencia de Pacientes , Conducta Espacial , Actividades Cotidianas , Anciano , Anciano de 80 o más Años , Análisis de Varianza , Femenino , Investigación sobre Servicios de Salud , Humanos , Acontecimientos que Cambian la Vida , Directorios de Señalización y Ubicación , Masculino , Ontario , Escalas de Valoración Psiquiátrica , Agitación Psicomotora/psicologíaRESUMEN
The purpose of this study is to explore how perceived and preferred clinical control and organizational control are associated with nurses' job satisfaction in long-term care settings. A sample of 113 nurses who work in long-term care units of a community hospital or a teaching hospital completed a questionnaire that included a job satisfaction scale, an organizational control scale, and a set of vignettes specific to long-term care developed to examine clinical control. There was a positive relationship between perceived organizational control and job satisfaction and a negative relationship between preferred clinical control and job satisfaction. Furthermore, as predicted, congruence between perceived and preferred control in the clinical and in the organizational domains were related to job satisfaction. Counter to prediction, organizational control explained more variance in job satisfaction than clinical control. The challenges of conceptualizing clinical control and its measurement are discussed.