Health bulletin最新文献_第8页

Getting research evidence into practice. 将研究证据应用于实践。

Health bulletin Pub Date : 2001-01-01

B Kelly, A Wales, A Wilson, B Jackson, D P Leiberman, G D Lowe

引用次数: 0

Monitoring breastfeeding rates and setting local targets: the Glasgow experience. 监测母乳喂养率并设定当地目标:格拉斯哥的经验。

Health bulletin Pub Date : 2001-01-01

J Britten, D M Tappin, R A Elton

{"title":"Monitoring breastfeeding rates and setting local targets: the Glasgow experience.","authors":"J Britten, D M Tappin, R A Elton","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The objective was to provide baseline data on infant feeding intention and practice in Glasgow.Design: Information was collected from a prospective cohort of women who booked for maternity care in Glasgow during the months November 1995 and May 1996. Figures on feeding intention and practice were collected at five points from maternity booking until six weeks postnatal age.Setting: Women were recruited at the four maternity units in Glasgow. Follow-up information was collected at birth, discharge from the maternity hospital at four days, and then at 12 days at home by the community midwife, and finally at six weeks by the health visitor.Subjects: One thousand seven hundred and ninety two women were recruited at maternity booking. Breastfeeding information was available at birth for 1723, at discharge for 1743, at 12 days for 1513, and at six weeks for 1394. Multiple logistic regression determined maternal and infant factors predicting feeding intention and duration.Results: At booking 50% planned to breastfeed. Fifty percent breastfed at birth; by four days the rate had dropped to 42%, by 12 days to 36% and by six weeks to 27%. Five factors: deprivation score, maternal age, parity, maternal smoking and previous breastfeeding experience independently predicted feeding intention. Maternal factors explained differences in breastfeeding rates between the four hospitals.Conclusion: Original breastfeeding targets for Glasgow have been revised to take account of local circumstances. An alternative method using routinely collected data is needed to monitor progress.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 1","pages":"29-36"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22441185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing dissatisfaction with an out of hours service: reasons and remedies. 评估对非工作时间服务的不满:原因和补救措施。

Health bulletin Pub Date : 2001-01-01

P Wilson, A McConnachie, C A O'Donnell, S Ross, K J Moffat, N Drummond

{"title":"Assessing dissatisfaction with an out of hours service: reasons and remedies.","authors":"P Wilson, A McConnachie, C A O'Donnell, S Ross, K J Moffat, N Drummond","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To identify characteristics associated with dissatisfaction following contact with an out of hours co-operative in Glasgow, and to identify reasons for this dissatisfaction. To make recommendations for good practice in the light of these findings.Design: Survey of attenders during one week of operation of an out of hours co-operative. Analysis of factors associated with dissatisfaction.Setting: The Glasgow Emergency Medical Service, October 1996.Subjects: Questionnaires were received from 1115 patients or their carers, representing a 69.3% response rate.Results: Dissatisfaction was associated with unmet expectations, particularly among those expecting home visits. Parents of young children, more affluent patients, and those experiencing problems with daytime services also tended to be dissatisfied. Seventy four (7%) respondents indicated that they were very dissatisfied with aspects of the service. A high proportion of this dissatisfaction was related to telephone contact. Transport to out of hours centres caused problems for some patients, particularly for those with young children. Perceptions of dismissive attitudes by medical staff, and of incorrect diagnoses and treatment were causes of strong dissatisfaction. Patients with adverse medical outcomes were also likely to be very dissatisfied.Conclusion: Clear reasons for dissatisfaction were found among our sample. In most cases, remedial management action could be taken to reduce the likelihood of major dissatisfaction with the service.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 1","pages":"37-44"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22441186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Restoration of primary teeth: a study of copper phosphate cement. 磷酸铜骨水泥修复乳牙的研究。

Health bulletin Pub Date : 2001-01-01

J Foley, D J Evans, A Blackwell

引用次数: 0

Pneumococcal disease and asplenia: the importance of vaccination. 肺炎球菌病与脾功能不全:接种疫苗的重要性。

Health bulletin Pub Date : 2001-01-01

S C Clarke, P Christie, G F Edwards

引用次数: 0

Child and adolescent forensic psychiatry survey--in Scotland. 儿童和青少年法医精神病学调查——在苏格兰。

Health bulletin Pub Date : 2001-01-01

P J Shah

引用次数: 0

Low dependency residents in private nursing homes in Glasgow. 格拉斯哥私人疗养院的低依赖性居民。

Health bulletin Pub Date : 2001-01-01

G M Penrice, L Simpson, L de Caestecker, G Brown, S Gillies

{"title":"Low dependency residents in private nursing homes in Glasgow.","authors":"G M Penrice, L Simpson, L de Caestecker, G Brown, S Gillies","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To investigate why nursing home care had been recommended for elderly people who were assessed subsequently as being of low dependency.Design: Examination of community care assessment documentation for low dependency residents to assess reasons for recommending nursing home care; comparison of these with data from a subsequent SCRUGs (Scottish Care Resource Utilisation Groups) assessment.Setting and subjects: Three hundred and four residents within eight private nursing homes in Glasgow.Results: Twenty six percent of the residents were described as being of low dependency. Of these, 44% had dementia and 6% personal care needs alone; 29% had medical problems which required nursing input, but not necessarily to a level requiring nursing home care. Information in the community care assessment often described a higher level of need than that identified subsequently. From the information given in the medical component of the community care assessment it was often unclear why the decision to recommend nursing home care was made.Conclusion: Admission to nursing homes may be encouraged by over-emphasiZing care requirements, by placing emphasis on safety rather than independence and by inadequate recording of information. Elderly people who cannot remain at home need improved assessment procedures, better understanding of their needs and a wider range of accommodation options.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 1","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22441252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breast cancer audit: adapting national audit frameworks for local review of clinical practice. 乳腺癌审计:适应国家审计框架的地方审查临床实践。

Health bulletin Pub Date : 2001-01-01

J Reilly, A Mitchell, J Blue, W Thomson

{"title":"Breast cancer audit: adapting national audit frameworks for local review of clinical practice.","authors":"J Reilly, A Mitchell, J Blue, W Thomson","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To assess the value of using a nationally devised data set for breast cancer audit at a local level for reviewing clinical practice.Design: Audit proforma based on the Scottish Cancer Therapy Network (SCTN) minimum data set and database completed prospectively from January 1999.Setting: Hairmyres Hospital, a district general hospital within Lanarkshire Acute Services NHS Trust.Subjects: The inclusion criteria were those developed by SCTN for the core minimum data set for breast cancer (SCTN 1999).Results: The results indicate that the SCTN minimum data set can be usefully employed to collect prospective data on breast cancer. The data set is sensitive enough to identify any problem areas, which can be reviewed at greater detail when required. This datset is a robust mechanism for collecting meaningful and comparable data both at a local and national level.Conclusions: The use of SCTN's minimum data set has been successful for local review of practice. This has led to the identification of \"out-liers\" from the normal range of process indicators and further internal examination of these at a local level by individual clinicians is under way. This exercise has also proved fruitful in identification of other fields, which can be added to the data set to refine the data collected. The database provided by SCTN is easily manipulated allowing for refinement where required. Breast cancer audit carried out in this way is a useful way of reflecting on clinical practice throughout the multidisciplinary team.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 1","pages":"60-2"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22441191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical and dental staffing in the health service in Scotland in 1999. 1999年苏格兰卫生服务部门的医疗和牙科人员配备情况。

Health bulletin Pub Date : 2000-11-01

D J Ewing

引用次数: 0

Personal safety and the abuse of staff in a Scottish NHS Trust. 苏格兰国民保健服务信托机构员工的人身安全和虐待。

Health bulletin Pub Date : 2000-11-01

D A Alexander, N M Gray, S Klein, G Hall, A Kettles

{"title":"Personal safety and the abuse of staff in a Scottish NHS Trust.","authors":"D A Alexander, N M Gray, S Klein, G Hall, A Kettles","doi":"","DOIUrl":"","url":null,"abstract":"Background: An employer's 'duty of care' is enshrined in statute and common law. This responsibility extends to identifying areas of risk to employee's safety and emotional well being.Objective: To identify the views of NHS staff on their safety and exposure to assault and other forms of abuse.Design: A survey by questionnaire and semi-structured interview of the staff of an NHS Trust.Setting: A large Scottish NHS Trust.Subjects: All 5365 staff of the Trust.Results: Two thousand two hundred and ninety four (43%) employees contributed to this survey. With regard to exposure to hazardous substances and serious infection, most staff were satisfied with safety standards and guidelines. Over a 12 month period 23% of the workforce had been assaulted, mainly by patients and 63% had experienced verbal abuse, again, mainly from patients. There were differences among occupational groups but overall 16% had been bullied; 18% had suffered discrimination; 22% had experienced harassment, and 13% had been victimized. Only 42% of individuals reported their most distressing incidents; 56% of them regarded the outcome of their reports as satisfactory.Conclusions: Staff are generally satisfied with the steps taken to safeguard them against hazardous substances and serious infection. Assault by and abuse from patients is a considerable risk, especially for trained nurses. In terms of bullying, harassment, discrimination and victimization, the abuse of power by colleagues is also a distressing and under-reported phenomenon which needs to be addressed by regular audit and the creation of a climate in which employees feel secure enough to report such abuse and to have faith in the mechanisms set up to deal with such complaints.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"58 6","pages":"442-9"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22443303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0