1,333 Works

Project Change Dissertation Introduction of Video-Based Open Education Resources (OER) in a Third Level Educational Institution

Sumaya Hashim
A fundamental characteristic for an individual to actively participate in a society is to be literate (Martin, 2008). Consequently, digital literacy is an essential quality in our era. The European Commission (2013b) reported that by 2030 90% of jobs will require digital skills. In September 2013 the European Commission announced the launch of ‘Open Up Education’ initiative (European Commission, 2013b) to improve the digital literacy in Europe through Open Educational Resources (OER). The overall aim...

Service User Involvement: Development of a Communication Strategy between Service users and Senior Management in a Healthcare Voluntary Organisation.

Catherine Mudonhi
The project focused on national and international best practice guidelines on service user involvement, service user involvement has become buzz words in health and social care settings in the past decades. Third sector not for profit services are competing for survival i.e. on how best to get service users involved in the day to day service planning. The project aimed at developing a communication strategy between senior management and service users in a third sector...

Service User Involvement: Development of a Communication Strategy between Service users and Senior Management in a Healthcare Voluntary Organisation.

Catherine Mudonhi
The project focused on national and international best practice guidelines on service user involvement, service user involvement has become buzz words in health and social care settings in the past decades. Third sector not for profit services are competing for survival i.e. on how best to get service users involved in the day to day service planning. The project aimed at developing a communication strategy between senior management and service users in a third sector...

Commissioning a Short Stay Observation Unit (SSOU) in a children’s facility within a Dublin Academic Teaching Hospital.

Eoin Power
This change project involves the commissioning of a Short Stay Observation Unit (SSOU) within a DATH’s Hospital. SSOU’sdeliver intensive short-term assessment, observation or therapy to selected ED patients to optimize early treatment and discharge. Observation medicine in dedicated units is a feature of many adult Emergency Departments (ED) but this has not been reflected in children’s ED’s in Ireland. The current literature supports the development of SSOU’s, indeed it is very much in line with...

A quality improvement initiative for clinical records in the public dental services.

Christine Myers
The dental clinical record is fundamental to good patient care. Without it, the clinician could have problems with the continuity of care, along with legal issues and non-compliance with Dental Council's Code of Practice. The writer implemented a quality improvement initiative to increase the relevant information required in the record for the emergency dental visit. The HSE change model was used to guide the writer throughout the change project, providing templates and e-learning, through the...

Redesign of a consultant led prosthetic clinic.

Iain Briggs
The writer’s department operates a consultant led clinic once a week on a Friday. Its purpose is to provide an interdisciplinary team assessment for new patients being referred into the service, whilst also providing consultant/prosthetist review appointments for established patients. The current clinic process has evolved to have an inefficient patient flow resulting in delays to the patient, variation in waiting time and appointment duration with its accompanying assessment form having a low completion rate...

A quality improvement initiative for clinical records in the public dental services.

Christine Myers
The dental clinical record is fundamental to good patient care. Without it, the clinician could have problems with the continuity of care, along with legal issues and non-compliance with Dental Council's Code of Practice. The writer implemented a quality improvement initiative to increase the relevant information required in the record for the emergency dental visit. The HSE change model was used to guide the writer throughout the change project, providing templates and e-learning, through the...

The Views And Experiences Of Physiotherapists On Physiotherapy Service Provision For People With Neurological Conditions In Primary Care: A Qualitative Study

Physiotherapy is associated with positive health outcomes and is highly valued among community dwelling neurological patients. However, research highlights a deficiency in the quality of physiotherapy services for neurological patients in the community setting in Ireland. Given the significant burden of neurological conditions and the potential of a quality physiotherapy service to alleviate some of this burden, this study explored physiotherapy service provision for neurological patients in primary care with a view to providing a...

Frailty And Its Association With Rehabilitation Outcomes: An Irish Prospective Cohort Study Of A Post-Acute Older Population

Mary T. Nolan
The projected increase in the older population over the coming decades will place a greater demand on health-care services. Frailty is highly prevalent in the hospitalised older adult. There is a lack of research examining the impact of frailty on determinants of physical function, quality-of-life and falls self-efficacy. Aims and Objectives: The primary aim of this research was to evaluate the changes in physical function, quality-oflife and falls self-efficacy in frail older adults undergoing inpatient...

The Concurrent Validity Of The 7-Item BBS 3P With Other Clinical Measures Of Balance In A Sample Of Elderly Community-Dwelling Adults

Effective balance screening and treatment is vital to minimise the potential detrimental effects that may result from unidentified and untreated balance impairment in the vulnerable community-dwelling elderly population. Therefore, an appropriate screening measure for balance with established psychometric properties, is required for use in the community-dwelling elderly population. This research study aims to address the gap in the current evidence base, by identifying the psychometric properties of the 7-item BBS-3P and determining its suitability as...

The effect of a balance exercise class on activity limitations in people with parkinson’s disease

Anne Belton
SUMMARY Introduction Parkinson’s disease is the second most common neurodegenerative disease in the world today. Postural instability is one the four cardinal signs and causes reduced balance and can lead falls. Falls may have significant consequences. In addition PwPD experience increasing disability, reduced mobility, fear of falling and reduced quality of life. Pharmacology has been the cornerstone of treatment thus far, but may limited in treating postural instability. Increasing evidence suggests that physiotherapy...

The effect of a balance exercise class on activity limitations in people with parkinson’s disease

Anne Belton
SUMMARY Introduction Parkinson’s disease is the second most common neurodegenerative disease in the world today. Postural instability is one the four cardinal signs and causes reduced balance and can lead falls. Falls may have significant consequences. In addition PwPD experience increasing disability, reduced mobility, fear of falling and reduced quality of life. Pharmacology has been the cornerstone of treatment thus far, but may limited in treating postural instability. Increasing evidence suggests that physiotherapy...

Unlicensed and off-label medication uses in dermatology: a systematic review of literatures

Hadi Hammad Al-Faris
Abstract Background: It is a common practice for physicians to treat dermatologic conditions with medications that are not indicated for the specific condition being treated. These "off-label" prescriptions are often for drugs that have both well accepted the therapeutic value in the medical community and proven efficacy on the basis of results of clinical trials. Objective: The aim of this study is to determine the main risk factors of most unlicensed and off-label medications used...

Parental and Clinical Perception of Informed Consent in Neonatal Research

Niamh O Shea
D. Abstract Objectives: To systematically explore the perceptions parents and clinicians have of the informed consent process in neonatal research. Methods: A comprehensive literature review of peer reviewed studies, all of which are related to the topic of this dissertation. Additionally, an original questionnaire based study was conducted. The study recruited parents of newborn infants who had been an inpatient of the Neonatal Intensive Care Unit of the Cork University Maternity Hospital and clinicians currently...

A Telementoring Initiative to support Interprofessional Education fro Health Professionals caring for Residents in Nursing Homes

Aim: Describe a detailed project plan to develop a telementoring system using an interprofessional educational model in three nursing homes. Rationale: Interprofessional education (IPE) has been shown to have positive impacts on team-working and health outcomes for older patients in nursing homes who have complex needs. The CLAN programme aims to enhance IPE opportunities through the development of a videoconferencing system with expert facilitator supporting an IPE model. Change Process. This project will use the...

A Telementoring Initiative to support Interprofessional Education fro Health Professionals caring for Residents in Nursing Homes

Aim: Describe a detailed project plan to develop a telementoring system using an interprofessional educational model in three nursing homes. Rationale: Interprofessional education (IPE) has been shown to have positive impacts on team-working and health outcomes for older patients in nursing homes who have complex needs. The CLAN programme aims to enhance IPE opportunities through the development of a videoconferencing system with expert facilitator supporting an IPE model. Change Process. This project will use the...

Improving Waiting Time and Patients' Experience in a Medical Retina Clinic

Raghda Al Khani
The aim of this project was to reduce patients’ waiting time and increase level of patients’ satisfaction by improving patient flow pathway and service capacity in the medical retina clinic. The change project was conducted due to the high demand on this clinic as there is expanding need for the intraocular injection across the United Kingdome, resulting in long waiting time affecting patients’ satisfaction. Thus, a need had been raised to enhance the capacity and...

A Hand Hygiene Education and Training Improvement Strategy in an Acute Hospital Setting

Noreen Hynes
The aim of this organisational development (O.D.) project was to improve Hand Hygiene education and training compliance in an acute Hospital setting and by extension, improve hand hygiene compliance. Hand Hygiene is identified as the single most important intervention in reducing the transmission of Healthcare Associated Infections (HCAIs). In 2009, the World Health Organisation published comprehensive evidence-based guidelines on Hand Hygiene in healthcare, which introduced a standardised approach to Hand Hygiene practices; ‘The Five Moments...

Implementing an Education Programme and SOAP Notes Framework to Improve Nursing Documentation

Joseph Donohoe
Aim: The aim of the project was to introduce an education programme for the nursing profession which would increase adherence to The Nursing and Midwifery Board of Ireland (NMBI) documentation standards. This was to be achieved through the delivery of six unique education sessions, and the introduction of the SOAP (subjective, objective, assesment and plan) Notes Framework for documentation. Rationale: Following the reviews of three adverse events the key areas of concern included the...

Advancing Recovery in Adult Mental health Inpatient Services in Ireland

Jennie Synnott
HSE Change Model (2008) was used to improve the delivery of recovery-orientated care in an adult mental health inpatient service. The areas of education on recovery and maintaining recovery on discharge were selected for improvement. A literature review was conducted and found that recovery had common themes and that with training these themes could be translated into practice. Regarding discharge the evidence suggests that when certain interventions are used they can have a dramatic effect...

Implementing Clinical Governance in a Private Wellness Service

Dara Owens
Context: Clinical governance describes a systematic approach to ensuring the quality and safety of healthcare which has become accepted as one of the foundations of effective healthcare. This project describes the implementation of a clinical governance system in a private healthcare setting over a nine month period, in which lack of clinical governance and oversight had been identified as a significant risk. Aim: The aim of the project was to design and implement an effective,...

Patient Suicide - Designing a Supervisor's Guide for an Occupational Hazard

Finbar McCarthy
This dissertation presents a plan for the design, implementation, and evaluation of an educational programme that will assist supervisors in supporting a trainee following the death of a patient by suicide. The dissertation presents evidence from the literature on the impact the death of a patient by suicide can have on a clinician, both personally and professionally. The focus of the literature review is on the particular vulnerability of trainees in psychiatry to those effects,...

Change Project Dissertation: Introduction of Patient Reported Outcomes Measures on a Multi Disciplinary Team Outpatient Clinic

Ciara Campbell
This organisational development project involved the introduction of Patient Reported Outcome Measures (PROM) to a Multi-Disciplinary Team (MDT). It provides interdisciplinary assessment; diagnosis, treatment planning and follow-up care for patients undergoing orthognathic treatment. Current literature highlights the worldwide drive for quality improvements in healthcare, especially in the use of patient experience as a metric. Simultaneously healthcare budgets are under severe pressures. This has resulted in orthognathic service being targeted by some commissioning groups in the...

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...

Do anti-epileptic drugs, regardless of the treatment indication, predict an increased risk in the incidence of falls and fractures?

Sarah J. O Connor
Anti-epileptic medications (AEDs) are an important group of medications and their use is increasing for treatment of not alone epilepsy but for their indications for mental illness such as bipolar affective disorder and schizoaffective disorder. There has been concern since the 1960s that these medications impacted on bone health and this was initially studied in people with epilepsy. This study was carried out to examine the totality of evidence from primary studies about fracture risk...

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