The application of 6S in the care of COVID-19 patients: a Japanese perspective

Soh, Mitsuhito; Hifumi, Toru; Isokawa, Shutaro; Otani, Norio; Ishimatsu, Shinichi

doi:10.1186/s13054-020-03261-2

Cited by 3 publications

(8 citation statements)

References 3 publications

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“…We performed a review of NMS case reports from clinicians other than psychiatrists in English and Japanese literature. They could be classified into two groups: (1) cases in which NMS onset was triggered by administering causative drugs 17–19,22–89 and (2) cases in which NMS developed from disruption of regular medication (Tables 7 and 8). 8,16,90–114 An example of the former is a case in which antipsychotic drugs were administered for postoperative delirium; an example of the latter is a case in which regular medication (i.e., antipsychotic drugs) to treat schizophrenia was discontinued temporarily because of general anesthesia.…”

Section: Occurrences Of Nms In Fields Other Than Psychiatrymentioning

confidence: 99%

“…The physical conditions of trauma patients were relatively severe compared with those with other diseases. The major reason for drug administration was postoperative restlessness, 18,19,25,27,28,30–34,36–39,44,46,52–55,57–59,61–64,67–70,72,75,78,81,84,86,89 followed by nausea 19,22,24,33,42,51,55,59,61,73,80,86 and delirium 35,40,49,56,71,72,74,82,87,88 (Table 10). Haloperidol caused the highest number of NMS cases, 17–19,25–33,35–40,44,46,53–59,61–64,67,69,74–76,81,82,86,87,89 followed by metoclopramide, 19,24,42,55,60,73,77,86 quetiapine, 52,56,70–72 droperidol, 33,34,51,61 and risperidone 41,52,72,84 (Table 11).…”

Section: Occurrences Of Nms In Fields Other Than Psychiatrymentioning

confidence: 99%

“…The physical conditions of trauma patients were relatively severe compared with those with other diseases. The major reason for drug administration was postoperative restlessness, 18,19,25,27,28,[30][31][32][33][34][36][37][38][39]44,46,[52][53][54][55][57][58][59][61][62][63][64][67][68][69][70]72,75,78,81,84,86,89 followed by nausea 19,22,24,33,42,51,55,59,61,73,80,86 and delirium 35,…”

Section: Occurrences Of Nms In Fields Other Than Psychiatrymentioning

confidence: 99%

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Neuroleptic malignant syndrome in fields other than psychiatry

Shimada

Kase

Nakatsuru

et al. 2023

Oral Science International

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Neuroleptic malignant syndrome (NMS) is an adverse effect of drugs, mainly neuroleptics. It is characterized by problems related to the autonomic nervous system (such as hyperthermia, diaphoresis, and tachycardia) and extrapyramidal symptoms (such as muscle rigidity and tremor). After onset, NMS progresses rapidly and without treatment, becomes life‐threatening. In recent years, NMS has become better recognized, and treatment has improved; most cases are now curable before becoming dangerous. Most NMS reports are from psychiatrists or neurologists; few are from other specialized clinicians. However, nonpsychiatric clinicians, such as surgeons, emergency physicians, orthopedists, and oral surgeons, sometimes must administer neuroleptic drugs. Although NMS is rare, its effects on patients may be debilitating, and this places a heavy burden on clinicians. Thus, not only psychiatrists but also clinicians in various other fields should understand this illness. This article describes NMS in fields other than psychiatry and its diagnosis, risk factors, and treatment strategies.

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Section: Occurrences Of Nms In Fields Other Than Psychiatrymentioning

confidence: 99%

Section: Occurrences Of Nms In Fields Other Than Psychiatrymentioning

confidence: 99%

“…The physical conditions of trauma patients were relatively severe compared with those with other diseases. The major reason for drug administration was postoperative restlessness, 18,19,25,27,28,[30][31][32][33][34][36][37][38][39]44,46,[52][53][54][55][57][58][59][61][62][63][64][67][68][69][70]72,75,78,81,84,86,89 followed by nausea 19,22,24,33,42,51,55,59,61,73,80,86 and delirium 35,…”

Section: Occurrences Of Nms In Fields Other Than Psychiatrymentioning

confidence: 99%

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Neuroleptic malignant syndrome in fields other than psychiatry

Shimada

Kase

Nakatsuru

et al. 2023

Oral Science International

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“…As previously mentioned, the 6S nursing management methods rest on five pillars derived from Japanese culture (Soh et al, 2020).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Efficient and smooth nursing management work requires the joint efforts of medical and nursing staff and nursing managers, as well as effective measures to implement good nursing management and improve the overall quality of nursing services. The 6S management model has been implemented for clinical nursing (Hao, 2016; Meng & Zhao, 2021) and comprises five conceptual pillars from Japanese (Soh et al, 2020) and the recently added term of safety (Jiménez et al, 2019). While it was originally developed as a general organizational management method (Hirano & Talbot, 1995), it has been proven reliable for providing high‐quality nursing care (Lou et al, 2022; Xu & Liu, 2018; Xu et al, 2022; Yang et al, 2009; Zhang et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Application of the 6S management strategies

Deng

Lin

2023

Nursing Open

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AimTo explore the value of the 6S management strategies in COVID‐19 wards.DesignNurses from the first Fujian medical team in aiding Hubei Province at Wuhan Jinyintan Hospital (2 February, 2020–24 March, 2020) were recruited and instructed to adopt the 6S management strategies for nursing management.MethodsThe paired‐sample t‐test was performed to compare the nursing quality, core capabilities of nurses, nursing preparation time, and nursing error rates before and after implementation.ResultsAfter implementation of the 6S management strategies, a total of 93 nurses experienced significant improvements in nursing quality, especially in workplace stress, material preparation, and medication management (p < .001). Adoption of the 6S model for nursing management in COVID‐19 wards effectively improves nursing quality, enhances the core capabilities of nurses, reduces nursing preparation time, and lowers nursing error rates.

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Implementation fidelity of provider-initiated opt-out HIV testing of pregnant women attending antenatal clinics in Ghana: a multi-site process evaluation.

Ph,

Maude,

Skinner

2024

Preprint

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Objectives The study aimed to assess the fidelity to the intended content of the WHO/UNAID's provider-initiated opt-out HIV testing policy in 12 antenatal clinics across three regions in Ghana. Specifically, the focus was on understanding the implementation of key components, including informed consent, confidentiality, counselling, and connection to care. Methods Carroll's conceptual framework of implementation fidelity guided the quantitative data collection in the 12 antenatal clinics across three regions in Ghana. We measured adherence through brief facility surveys, healthcare providers, pregnant women's self-reports and structured observation of counselling sessions. Descriptive statistical analysis was used to describe the sample and antenatal clinic characteristics. The percentage means and standard deviation (SD) of components delivered were used to calculate fidelity scores. Results Routine provider-initiated HIV testing was widely available in the 12 antenatal clinics. Although adherence to test coverage was high (98.1%), just under half (41.7%) of the clinics surveyed obtained informed consent through the recommended opt-out approach. Adherence to the content of consent, confidentiality, counselling, and connection to care was low (38%) for direct observation, moderate (54%) for pregnant woman self-reports and moderately high (78.9%) for healthcare provider self-reports. Conclusions There is evidence of low to moderate fidelity to the intended content of the provider-initiated HIV testing in the 12 antenatal clinics. Gaps in the content delivery could limit the achievement of rights-based testing and may explain the lack of impact in the HIV testing efforts.

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The application of 6S in the care of COVID-19 patients: a Japanese perspective

Cited by 3 publications

References 3 publications

Neuroleptic malignant syndrome in fields other than psychiatry

Neuroleptic malignant syndrome in fields other than psychiatry

Application of the 6S management strategies

Implementation fidelity of provider-initiated opt-out HIV testing of pregnant women attending antenatal clinics in Ghana: a multi-site process evaluation.

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