1,656 Works

Exercise Beliefs In Elderly Nursing Home Residents: A Cross-Sectional, Case Control Study

Introduction The number of Irish older adults receiving long term care is steadily growing in line with increased life expectancy. Nursing home residents are typically sedentary, leading to poor health and functional outcomes in this population. There is a lack of research concerning the exercise beliefs of this inactive subgroup of the older adult population. Aims and Objectives The primary aim of this study was to examine the hypothesis that older adults in...

Exercise Beliefs In Elderly Nursing Home Residents: A Cross-Sectional, Case Control Study

Introduction The number of Irish older adults receiving long term care is steadily growing in line with increased life expectancy. Nursing home residents are typically sedentary, leading to poor health and functional outcomes in this population. There is a lack of research concerning the exercise beliefs of this inactive subgroup of the older adult population. Aims and Objectives The primary aim of this study was to examine the hypothesis that older adults in...

The Relationship Between Performance On Cognitive Screening Tests And Everyday Functioning In Older Adults With Mild Cognitive Impairment

Elaine Scally
Introduction: Occupational therapists (OTs) play an important role in evaluating the cognitive and functional abilities of older adults with mild cognitive impairment (MCI) in the acute hospital setting. Cognitive screening tools such as the Montreal Cognitive Assessment (MoCA) and the Addenbrooke’s Cognitive Examination (ACE-III) are regularly administered by acute hospital OTs to assist in predicting the functional capacities of individuals with MCI. However findings from clinical practice show that performance on cognitive screening tools is...

The Assessment Of The Usability Of The Vestibular Rehabilitation Application

Patricia Hassett
Introduction Vestibular rehabilitation is used for decreased vestibular function and dizziness. Adaptation exercises are one aspect of vestibular rehabilitation and are recommended in the treatment of these conditions. These exercises are predominantly paper-based which may lead to difficulty in progression of the exercises and monitoring of compliance. Aims and Objectives The aim of the study was to assess the usability of an electronic tablet application; the Vestibular Rehabilitation Application (VRA) in patients with a complaint...

Large-Amplitude Group Exercise Training Programme For Individuals With Mild To Moderate Parkinson’s Disease: A Pilot Intervention Study

Eimear R. Manley
Parkinson’s disease (PD) is a complex neurodegenerative disorder, which affects the physical, psychological and functional status of individuals. It is the second most common neurodegenerative disease in the world today affecting approximately 8,000 people in Ireland. The most common motor disturbances related to PD are reduced balance and mobility which can lead to a reduction in physical functional performance and health-related quality of life. Pharmacology is the cornerstone of treatment in PD. However, even with...

Large-Amplitude Group Exercise Training Programme For Individuals With Mild To Moderate Parkinson’s Disease: A Pilot Intervention Study

Eimear R. Manley
Parkinson’s disease (PD) is a complex neurodegenerative disorder, which affects the physical, psychological and functional status of individuals. It is the second most common neurodegenerative disease in the world today affecting approximately 8,000 people in Ireland. The most common motor disturbances related to PD are reduced balance and mobility which can lead to a reduction in physical functional performance and health-related quality of life. Pharmacology is the cornerstone of treatment in PD. However, even with...

Wrong site surgery & surgical time out

Mohammad Faraz Khan
“In 1935, the US Army Air Corps held a flight competition for airplane manufacturers vying to build its next generation long range bomber. In early evaluations, the Boeing plane had surpassed designs. The flight competition, was regarded as a mere formality. With the most technically gifted test pilot in the army on board, the plane roared down the tarmac, lifted off smoothly, and climbed sharply to three hundred feet. Then it stalled, turned on one...

Introduction of a Preoperative Protocol for Management of Iron-Deficiency Anemia in Patients undergoing Elective Colorectal Surgery

Edel Marie Quinn
Preoperative anaemia is a risk factor for poorer postoperative outcomes and patients undergoing colorectal cancer surgery frequently have iron-deficiency anaemia. The aim of this project was to implement a preoperative anaemia management protocol for elective colorectal surgery patients. An organisational development project was undertaken according to the Senior and Swailes organisational development model. A protocol for early detection of iron-deficiency anaemia, and treatment with intravenous iron replacement, for colorectal cancer patients was developed and implemented...

A proposed improvement of the patient experience pre and post thyroid fine needle aspiration biopsy

Jessica Maddock
The patient experience is a crucial and at times complex journey in the medical setting. Improving this experience can have positive outcomes for both the patient and clinician. In the setting of a private hospital, the patient journey was reviewed for patients attending the radiology department for an ultrasound-guided fine needle aspiration biopsy (FNAB) of the thyroid. The form in which this project plan took place was through the implementation of a quality improvement model...

An Analysis of the Challenges Encountered by Anaesthetists when Obtaining Consent for Obstetric Epidurals

Rebecca Conlon
Background Obtaining informed consent for obstetric epidurals is a complex area of anaesthesia. Practice among obstetric anaesthetists in this jurisdiction is widely varied. This paper provides an analysis of the ethical and legal challenges encountered by anaesthetists when endeavouring to obtain informed consent to administer the obstetric epidural and makes recommendations as to how these challenges might be lessened. Methods A systematic review of research papers sourced from relevant data bases and websites was conducted....

Improving Huntington’s Disease Education for New Staff in a Voluntary Mental Health Facility

Joe Ogunbode
Huntington’s Disease (HD) is rare neuro-degenerative disease that affects over 700 people in Ireland with a further 9,000 requiring information, support and care. Given the rarity of HD it appears that more education for healthcare professionals is needed. Without this education, people with HD may not receive the high quality care they require. Using the DMAIC framework for quality improvement (QI), this project investigated the need for HD education for healthcare staff in a voluntary...

Improving the Prescription of Antibiotics in Acute Exacerbations of Chronic Obstructive Pulmonary Disease

Aoife Sartini-Bhreathnach
The proposed quality improvement (QI) project aims to improve the prescription of antibiotics in acute exacerbations of COPD. The literature states that there is overprescription of antibiotics in AECOPD. Data was collected to review the management of AECOPD in an emergency department in Dublin. The management of patients admitted with AECOPD, over a set period of time, was reviewed with a detailed focus on the prescription of antibiotics in patients with no infiltrate on chest...

Reducing the Waiting List for New Referrals to the ENT Outpatient Department

Jana Crowley
Lengthy outpatient waiting lists are a global healthcare concern affecting most hospital specialities, including in Ireland. The result is a delay in treatment and suboptimal outcomes for newly referred patients. Simultaneously, patients requiring long-term follow-up care exist amid this overburdened system. Data collection showed that in December 2017, 3,944 patients were waiting for a first time appointment within the ENT service of a large urban teaching hospital in Dublin. Of these, 766 were waiting to...

Increasing Compliance with the National Sepsis Management Guideline through Sepsis Screening Form Utilisation

Orla Brett
Sepsis continues to be a major burden on the healthcare service at both a national and international level, affecting millions of people annually. Sepsis is a medical emergency and if not recognised and treated promptly, can be fatal. In an aim to tackle this burden, the National Sepsis Management Committee introduced the sepsis screening form to Irish hospitals in 2016. Using the DMAIC (define, measure, analyse, improve, control) framework for quality improvement (QI), this QI...

Improving the Care Pathway for Patients with Idiopathic Pulmonary Fibrosis

Maeve Cahill
Idiopathic Pulmonary Fibrosis (IPF) is a progressive life-limiting interstitial lung disease. The median survival from diagnosis is just three years and the clinical course of the disease is highly variable. Due to the short course of this condition, early diagnosis and intervention is vital to improve patient outcomes and quality of care. Management of IPF is multi-factorial and requires the introduction of a standardised IPF care pathway and service to improve patient care. Increasing all...

Enhancing Operating Theatre Efficiency of Private Hospital in Kuwait; Business Management Approach

Ali Al-Saffar
Enhancing operating theatre efficiency in a dedicated for high standard clinical care before profitability private hospital was observed as an urgent issue after reviewing the financial reports which reflected amplified revenue nevertheless decreased profit. Reviewing literature supported categorising the problems into four domains and accordingly our prompt efforts were targeting four domains; the first domain is scheduling triggered by complaints of surgeons reporting conflicting schedules, blocked theatres, cancelled or postponed cases. Supply management, the second...

Implementation of Safe Surgery Saves Lives initiative in Ahmed-Gasim’s Cardiac Center

Ahmed Abdallah
Aim: This paper reports on the implementation of a Safe Surgery Saves Lives, in Ahmed-Gasim‟s Cardiac Center in 2011 using a change management framework. Background: Medical errors and incidence of traumatic injuries in surgical care services were recognized as a proportion of the total global burden of disease. Surgical care and procedures can potentially affect the lives of millions of people worldwide. Studies done by WHO found that wrong person, wrong procedure, and wrong site...

Improving the Assessment and Triage of Patients with Mental Illness attending the Emergency Department

Jacqueline De Lacy
Since the amalgamation of mental institutions with acute hospitals there has been an increase in presentations of patients with mental illness to the Emergency Department. The first point of contact for the patient attending the Emergency Department is typically triage. It is the point where emergency care begins with the nurse assessing the patient and assigning a triage category that best suits the patient’s clinical need. Traditionally triage had its origins in assessing patients presenting...

Improving hand hygiene compliance among dental health workers in 3 dental clinics in Khartoum State

Abstract Health care associated infections affect hundreds of millions of people around the world and it is a major global issue for patient safety. Moreover, the most common way that micro-organisms (germs), particularly bacteria, are spread and cause infection is by being carried on people‘s hands. Hand hygiene is the most important measure to avoid the spread of harmful germs and to prevent ill health. Regular and thorough hand hygiene is always important...

The Implementation of a New Information System for the Finance Department in a Private Hospital

Joss D. Watson
This change management project focused on the implementation of a new electronic information system for the Finance Department. This was carried out primarily to achieve a greater level of accurate, concise and complete billing information for the Finance staff. It was a move away from a system that was reliant on paper and folders to store information. For this project, I utilised Kotter’s (1996) 8 Steps model of change to help me to initiate the...

A Change Project to Improve Dental Services Provision to Preschool Children in Primary Care

Maryam Al Araimi
Dental decay is a troublesome disease that could significantly impact on children’s oral and general health. Early prevention is crucial and despite the public preventive strategies inIrelandthe decay rate in preschool children remains significantly high. The Health Service Executive provides a range of routine dental services to children in priority groups through the School Programme of the Public Dental Service. Preschool children are not routinely covered by this programme and their receipt of dental care...

Improving Orthopaedic Assessment in a Physiotherapy Department

Sara Farooq Abdulkarim
The writer’s physiotherapy department has 36 therapists who graduated from 12 different national and international universities. This has caused diversity in assessment and documentation procedures. A literature review showed that professional and standardised documentation is vital for the creation of patient care plans, enhances communication, and is a legal requirement. In addition, the generated data can be used for research purposes. Moreover, research has shown that the use of forms is associated with significantly higher...

Introducing Process-Oriented Guided Inquiry Learning to Foundation Year Medical Students

A new team-based teaching approach known as the Process-Oriented Guided Inquiry Learning (POGIL) has been introduced into an organic chemistry course taught for first Year medical students. This is an innovative teaching style whereby students are transformed from being passive into active learners aiding to improve their both content related and higher-order process skills, including critical thinking, reflection, teamwork, etc. The implementation of POGIL as a change project was done using the HSE change model...

A systemic review and meta-analysis on the impact of perioperative antiplatelets and anticoagulants on the clinical course of chronic subdural hematoma

Ashraf Elmahdi
Background: Chronic subdural hematoma is one of the most common conditions related to neurosurgical practice in the elderly. Reports about recurrence of patients on antiplatelets and/or anticoagulants are highly contradictory. Little current data exists regarding the outcome of chronic subdural hematoma patients on peri-operative medication related coagulopathy. We aimed to review the literature for studies about these drugs and outcome in chronic subdural hematoma patients. Objectives: to perform a systematic review and meta-analysis of studies...

Implementing Peer Observation of Teaching. A Formative Staff Develpment Initiative

Anne Weadick
For higher education institutions in Ireland, the call for improved efficiency and accountability to stakeholders in all areas of activity has never been more prominent than today. Reform initiatives are taking place across the sector and a key focus of this reformation is the quality assurance and quality enhancement of teaching activity, and the professional development of teaching staff. Peer observation of teaching is widely accepted as a mode of enhancing teaching practice and as...

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