Objective:The aim of the study was to introduce and evaluate the compliance to documentation of situation, background, assessment, recommendation (SBAR) form.Methods:Twenty nurses involved in active bedside care were selected by simple random sampling. Use of SBAR was illustrated thru self-instructional module (SIM). Content validity and reliability were established. The situation, background, assessment, recommendation (SBAR) form was disseminated for use in a clinical setting during shift handover. A retrospective audit was undertaken at 1st week (A1) and 16th week (A2), post introduction of SIM. Nurse's opinion about the SBAR form was also captured.Results:Majority of nurses were females (65%) in the age group 21-30 years (80%). There was a significant association (P = 0.019) between overall audit scores and graduate nurses. Significant improvement (P = 0.043) seen in overall scores between A1 (mean: 23.20) and A2 (mean: 24.26) and also in “Situation” domain (P = 0.045) as compared to other domains. There was only a marginal improvement in documentation related to patient's allergies and relevant past history (7%) while identifying comorbidities decreased by 40%. Only 70% of nurses had documented plan of care. Most (76%) of nurses expressed that SBAR form was useful, but 24% nurses felt SBAR documentation was time-consuming. The assessment was easy (53%) to document while recommendation was the difficult (53%) part.Conclusions:SBAR technique has helped nurses to have a focused and easy communication during transition of care during handover. Importance and relevance of capturing information need to be reinforced. An audit to look for reduced number of incidents related to communication failures is essential for long-term evaluation of patient outcomes. Use of standardized SBAR in nursing practice for bedside shift handover will improve communication between nurses and thus ensure patient safety.
Objective:Urological cancer and its surgeries have great impact on male sexuality which could have physical or emotional consequences. In India, speaking openly about the sexual matter is a taboo and an aspect considered forbidden. Therefore, the aim of the present study is to develop an information booklet about male sexual dysfunction and assess its impact on knowledge of patients with urological cancers.Methods:Information booklet was developed after literature review, and its content validity was established. Reliability of the questionnaire was 0.95. A randomized control trail using pre- and post-test design was used for 30 male urological cancer patients and was assigned to experimental group (15) who received information booklet and control group (15) who received standard treatment. Subjects in the experimental group were provided with opinionnaire during posttest. Data were analyzed using descriptive and inferential statistics.Results:In experimental group, 40% of the subjects were ≤ 40 years, whereas 27% in the control group (P = 0.699). The pre- and post-mean difference score was significantly higher in experimental group (mean difference - 5) than control group (mean difference - 0.4). All subjects (100%) opined that the information booklet was useful, adequate, self-explanatory, sequential, and clear.Conclusions:Information in the booklet will help subjects to understand the common sexual problems after urological surgeries and help them to cope with the problems, thereby improving their quality of life.
Nurses while working under constant stress, often fail to feel compassion as they provide care and are unable to derive satisfaction from their positive work experience. The aim of the study was to identify level of compassion satisfaction and compassion fatigue among registered nurses working in intensive care units and wards of hospitals in South Gujarat. Descriptive survey design was used. The studySubjects and methods: was conducted in hospitals from Bardoli and Navsari, Data was collected from 201 nurses available at the time of study using convenience sampling technique. Tool used: Professional quality of life scale (PROQOL) version 5 and demographic proforma. Mean score ofResults: compassion fatigue was greater than compassion satisfaction. Burn out and secondary traumatic stress had a moderately positive correlation where compassion satisfaction and burnout, compassion satisfaction and compassion fatigue were negatively correlated. Level of satisfaction was signicantly associated with education, religion and income of the subjects whereas level of compassion fatigue was associated with education, income and years of experience. Recommendation: Hospital administrators need to make nurses aware about compassion fatigue, assess it periodically, and should take adequate measures to reduce it. Nurses need training regarding personal measures to reduce compassion fatigue and increase compassion satisfaction.
The tremendous increase in medical images in the healthcare sector has given rise to the term CBMIR(Content-Based Medical Image Retrieval). CBMIR is said to ease the job of a physician in searching and retrieving similar images for a given query image. This helps in the detection and diagnosis of diseases in human body parts at the early stage. Due to the rapid increase in medical image databases searching and retrieving images similar to that of the query image from a huge database is a challenging task. A Survey on various CBMIR techniques that are used for retrieving biomedical images is given in this paper. This includes a literature survey of over more than 100 contributions to the field of content based medical image retrieval techniques. The major focus is on the techniques based on the representation of images visually in the medical field rather than annotated images.
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