1,591 Works

Do Induced Pluripotent Stem Cells Resolve the Ethical and Legal Issues Generated by Human Embryonic Stem Cells?

Samantha J. Henson
The field of stem cell technology has seen an exponential growth over the last decade. Due to this, little attention has been paid as to whether this new technology adequately improves on previous research models, or indeed if it causes any ethical or legal issues itself. Of particular interest is whether Induced Pluripotent Stem Cells resolve the ethical and legal issues which have been generated by Human Embryonic Stem Cells. The ethical issues of note...

Implementing the HSE Policy on Calorie Posting in staff canteens with external catering provider

Sarah McCormack
Calorie posting is a behaviour change intervention adopted in the fight against obesity. In 2014 the HSE commenced the development of a Policy on Calorie Posting. This project implemented calorie posting in two HSE canteens working with a large scale external catering provider. The scope of this project was not to determine should calorie posting be implemented but rather to implement and make recommendations for the development of the policy and inform the national HSE...

Advance Healthcare Directives: Friend or Foe?

Lorna M. Murphy
Objectives - This thesis proposes the question, Advance Healthcare Directives – Friend or Foe? Is it a good thing or a bad thing to have an advance healthcare directive? Ethical and legal considerations - I introduce the concept of an advance healthcare directive and why they developed. They started in the US where they are called ‘living wills’. They aim to promote patient autonomy and self determination in advance of the loss of capacity. Ethical...

Implementing the National Early Warning Score for Healthcare Assistants (HCA-NEWS) in an Acute Hospital

Roisin McLoughlin
This organisational development (OD) project centres on the implementation of the National Early Warning Score system for Healthcare Assistants (HCANEWS) in a medical directorate of an acute hospital. Recording and communicating a patient’s vital signs is a cornerstone of nursing practice. Routine patient observations are now delegated to HCAs working under the guidance of registered nurses (RNs). The primary aim of the measurement of vital signs and the use of early warning scoring systems (EWS)...

'Reduce Resistance' An Antibiotic stewardship program to change prescribing practices in a Public Dental Service

This program implemented an antibiotic stewardship program (ASP) to change prescribing practices in one Public Dental Service with the aim of reducing the number of unnecessary antibiotic prescriptions and ensuring that those antibiotics which are prescribed adhere to best practice guidelines. There is vast scientific evidence that antibiotic resistance is promoted through excessive use of antibiotics and that Dental Surgeons are contributing significantly to this issue due to their inappropriate prescribing practices. The HSE Change...

Planned implementation of an integrated Cardiovascular Information System in an Acute Hospital Group

Paul G. Nolan
Computer based patient records have been highlighted as a requirement in modern healthcare. Evidence around their contribution to quality of care is mixed and is more reliant on how well they are implemented, with there being a bedding in period of up to one year before seeing benefits. Successful implementation leads to efficiencies, cost savings and a return on the significant financial outlay. The need for funding can be a major barrier, as are changes...

Designing and Publishing Indoor Maps for Patients and Visitors in an Academic Teaching Hospital

Kerry J. Ryder
Introduction. This project aims to improve the service user experience by designing and publishing an accessible indoor map in an academic teaching hospital. On a daily basis approximately 600 service users will be disoriented in the hospital resulting in 18 hours/day staff time spent helping patients find their way. 84% (n=109) of staff categorised indoor maps as a service improvement. Patients who get lost can feel anxiety, shame and even panic. Maps can improve patient...

Designing and Publishing Indoor Maps for Patients and Visitors in an Academic Teaching Hospital

Kerry J. Ryder
Introduction. This project aims to improve the service user experience by designing and publishing an accessible indoor map in an academic teaching hospital. On a daily basis approximately 600 service users will be disoriented in the hospital resulting in 18 hours/day staff time spent helping patients find their way. 84% (n=109) of staff categorised indoor maps as a service improvement. Patients who get lost can feel anxiety, shame and even panic. Maps can improve patient...

The Implementation of a Professional Development Programme for Family Medicine residents in the Primary Health Care Corporation, Qatar

Noora Al Mutawa
This change project centers on the implementation of a professional development program for Family Medicine residents in Primary Health Care Corporation. Like many other residency programs in the region, the Accreditation Council for Graduate Medical Education International (ACGME-I) Outcome Project was recently launched by Family Medicine Residency Program in Qatar. The aim of the project was to equip family medicine residents with the important knowledge and skills related to managerial, legal and communication issues. And...

Introducing Reflective Practice Groups for Frontline Staff in Services for Adults with Disabilities

Corinne Pearson
This project focussed on the experiences of the Author through the process of introducing facilitated reflective practice sessions for front line staff working within a challenging behaviour unit. Staff supporting individuals who display challenging behaviour may be at risk of increased work related stress (Jennings, 2004) and can inadvertently interact in ways that can contribute to the presentation of challenging behaviour (Mitchell & Hastings, 2001; Noone, 2013; Phillips & Rose, 2010). Yet frontline staff working...

Introduction of the VITEK 2 Compact and Implementation of EUCAST Guidelines in a Microbiology Department

Cara Wrenn
The aims of this project were to introduce the VITEK 2 Compact and to implement European Committee Antimicrobial Susceptibility Testing guidelines in a small microbiology department. The VITEK 2 Compact is an automated analyser for the identification and antimicrobial susceptibility testing of bacteria and has been associated with decreased sample turn-around-times, cost savings and improved detection of multi-drug resistant organisms. There are 10 different guidelines for the clinical interpretation of antimicrobial susceptibility data. A national...

Improving routine outpatient access to Magnetic Resonance Imaging (MRI) in an acute Dublin teaching Hospital

Amy Carswell
Aims - The aim of this quality improvement is to improve routine outpatient access to magnetic resonance imaging in an acute Dublin teaching hospital. Rationale - The Hospital had recently commissioned a second Magnetic Resonance Imaging (MRI) scanner and although it had significantly improved inpatient access, outpatient access remained a serious concern. When data was collected, it was identified that for certain scan types (including spines and brain), the next routine appointment would be scheduled...

Introducing formative assessment during Family Medicine clerkship to improve students' clinical skills

Formative objective structured clinical examination (OSCE) provides an experiential learning activity where students can receive feedback on their clinical skills. Feedback can have a very powerful effect on learning. The aim of the change project was to introduce formative assessment of clinical skills during the clerkship training using OSCE.A pilot formative OSCE was implemented on 17 December 2014.Twenty-five students, nine clinical tutors, and one simulated patient participated in the formative OSCE. The formative OSCE included...

Human Embryonic Stem Cell Research (hESCR): How Novel Research Has Impacted on the Current Ethical and Legal Situation

There is great ethical debate regarding the complex area of human embryonic stem cell research (hESCR) because in order to access the cells, destruction of the embryo is required. Therefore many different opinions regarding the moral status of the human embryo have developed. The environment of hESCR is highly politicised and one of the few scientific fields that is prohibited in some jurisdictions. Within the EU there is a diverse legislative environment. In particular there...

A Silent Cry: Paediatric Palliative Care in Ireland

Deirdre E.M. Murphy
Abstract Paediatric Palliative Care, being an evolving speciality with the unique challenges of children living longer because of advancing technology, has met with some difficult hurdles. With a variety of conditions, which are unique to paediatrics, this has led to many ethical and legal dilemmas. Health policy and easy access to information regarding treatment options, has led to a more autonomous patient and family. The need for a Paediatric Palliative Care service has resulted. Paediatric...

The Implementation of a Peer Observation of Teaching Initiative at a Dubai‐based College’s Faculty of Dental Medicine.

Maha AlSaiady
This change initiative involved the inception of a trial involving peer observation of teaching (POT), executed solely by the writer who received facilitative aid from a corresponding team on the trial site. The rationale for selecting this project was the impetus for developing augmented quality assurance in teaching and learning at a higher education medical organization in the Middle East. The highest aim of this impetus was to ensure that education be offered to the...

Pause for thought - Surgical Time Out: Before or after Painting & Draping. A Quality Improvement Project.

Margaret McHugh
Background: In recent years surgical errors have received increasing attention and so called ‘never events’ include wrong site/side/patient surgery. Both the Joint Commission and the World Health Organisation have sought to reduce the risk of these events occurring with the introduction of the Universal Protocol (Joint Commission International, 2004) and Guidelines for Safe Surgery: safe surgery saves lives (World Health Organisation, 2007). Despite these initiatives, surgical never events continue to occur. Context: This Organisational Development...

Introduction of Routine Antenatal Anti-D Prophylaxis for all Rhesus Negative Women (RAADP) attending Cavan General Hospital.

Marie Reilly
Aims The aim of this process improvement was to introduce routine antenatal anti-D prophylaxis (RAADP) injection at 28 weeks gestation to all Rhesus (Rh-D) negative women attending Cavan General Maternity services. This was initially achieved by outlining objectives which gave focus to the project. These objectives facilitated the development of the subsequent business case, implementation plan and evaluation process. Rationale The introduction of routine antenatal anti-D prophylaxis was in order to be fully compliant...

Development and implementation of research placement programme for the organisations undergraduate students in the research group.

Aim: The aim of this research project was to develop the organisation’s undergraduate (UG) student research skills and maximise the productivity and outputs within the research group. Rationale: Productivity and research outputs are known to be directly proportional to the size of the research group. The development of both undergraduates research skills and group’s research performance is in line with the organisations vision and mission statement. Change Process: HSE model was used; the stakeholders were...

Implementing Coaching to Facilitate the Development of Leadership Competencies Within a Dublin Academic Teaching Hospital (DATHs).

Sharon Larkin
Aim – The aim of this project was to implement coaching into the Hospital’s learning and development leadership academy to assist in the development of leadership competencies for front line managers. Rationale – Within the Hospital, training and development programmes for line managers have been focused on the delivery of education relating to relevant policies, procedures, guidelines and legislation on managing staff. Evaluation of these programmes had shown that their requirements for future leadership education...

Implementing Coaching to Facilitate the Development of Leadership Competencies Within a Dublin Academic Teaching Hospital (DATHs).

Sharon Larkin
Aim – The aim of this project was to implement coaching into the Hospital’s learning and development leadership academy to assist in the development of leadership competencies for front line managers. Rationale – Within the Hospital, training and development programmes for line managers have been focused on the delivery of education relating to relevant policies, procedures, guidelines and legislation on managing staff. Evaluation of these programmes had shown that their requirements for future leadership education...

“O brave new world” CRISPR Mediated Gene Editing in Somatic and Germ Line Contexts for Therapeutics and Enhancement of the Human Species – an Ethical and Legal Discussion.

Cathal B. Farrell
Gene editing has been a topic of controversy since the late 1970’s, however as of 2015 the topic of gene editing and its potential applications has shot to the forefront of biomedical, ethical and legal debate. CRISPR is a new molecular technology, which is essentially a molecular scissors capable of cutting a single gene, or multiple genes out of the genome of any species. Scientists have further manipulated CRISPR so that after it has excised...

Key Performance Indicators for Mental Health Day Hospitals.

Andrew Sheridan
Aims: It was planned that the organizational decision makers would have an increased ability to make an informed decision by having an additional source of information by the introduction of the KPI’s. A secondary aim was that by implementing a new idea and amending the knowledge to the organizational context that organizational learning will occur for participates involved in the implementation process. Rationale: This paper details the implementation of a set of Key performance indicators...

Improving the clinic journey of Respiratory Outpatient’s utilising an audit study

Cara Hegarty
Often as healthcare providers, we fail to step back and look at how we communicate with patients. Multiple governmental and organisational reports worldwide cite the strong correlation between poor communication and poor healthcare experiences. The foundations of healthcare are built on communication, yet its vital role in healthcare is often overlooked in terms of its significance to patient-centred care. The overall aim of this project was to improve the clinical journey of Respiratory outpatient’s. This...

Safeguarding Vulnerable Older Adults at risk – The implementation of a Link Nurse Practitioner (LNP) in Older Persons Services to educate staff and promote awareness

Catherine White
Vulnerable persons have a right to be protected against abuse and to have concerns regarding abusive experiences addressed. They have a right to be treated with respect and to feel safe (Health Service Executive) (HSE 2014b p 13). Striving to provide a high quality, safe and supportive service to older adults in residential care is a consistent challenge and it is critically important as the old age dependency ratio in Ireland is expected to increase...

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