Training in the use and maintenance of medical equipment, and analysis of current protocols

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Data warehousing based architecture for the reporting of the NHS primary care prescribing

Primary Care Prescribing is one of the most complex established NHS therapeutic processes. A wide array of drugs is prescribed on a regular and irregular basis to a large cohort of the population. The prescribing budget funds the costs of drugs prescribed in primary care. Typically a primary care trust overspends its prescribing budgets on drugs with dynamic prescribing patterns and pricing. Furthermore, prescribing patterns are an accurate indicator of the quality of healthcare provided in primary care. In this paper a data warehousing approach is proposed that allows integrating prescribing data from different GP practices, equipped with an adhoc OLAP utility that allows measurement of the local prescribing activity within available resources

Towards a full implementation of collaborative care plan. OR Informing National Health Policy

Today, UK healthcare strategy managers face a challenge in developing and implementing an efficient care process in line with preserving a steady care evidence-based practice. This would be possible through the monitoring of time schedule and reduction of unnecessary variability with respect to clinical performances, consequently, to achieve the required quality of service at a contained cost. For this purpose the development of a model requires a firm rational basis to provide clear direction. Therefore, it is necessary to provide a systematic assessment for planning and coordinating healthcare services through which patients needs have to be achieved. This study aims to cover the healthcare process for particular conditions, e.g., COPD, Diabetes, Chronicle Heart Disease etc, modelling together the interaction of all components of Hounslow healthcare system, hence, to track patient flow across the system using spatio-temporal models and to evaluate the variations in length of stay and referral activities from the standardised pathways. Furthermore, we intend to derive indexes to inform the reshaping and the delivery of healthcare system

The effect of narrative writing on fathers� stress in neonatal intensive care settings

Objective: This study was conducted to examine the effect of narrative writing on fathers� stress in the Neonatal Intensive Care Units (NICUs) during infants� hospitalization. Methods: A quasi-experimental study was conducted among two groups of fathers with preterm infants in the NICUs of two teaching hospitals of Gorgan University of Medical Sciences. Pre- and post-tests were administered to a sample size of 70 during 6 months. The Parental Stressor Scale (PSS) was used. The data were analyzed using descriptive and analytical statistical methods. Results: The mean total stress score was 74.05 ± 17.39 in the control and 80.11 ± 15.82 in the intervention group on the 3rd day, suggesting no significant difference. In other words, both groups had a similar stress level before the intervention (p-value =.13, t = 1.52). However, the mean total stress score was 85.45 ± 16.91 in the control group and 48.00 ± 10.49 in the intervention group on the 10th day, suggesting a significant reduction in the stress level in the intervention group following the intervention (p-value =.001, t = �11.01). Conclusion: According to the findings, the narrative writing may be considered as an efficient supportive intervention to reduce the fathers� stress in the NICUs. However, more research is needed to justify its implementation. © 2019 Informa UK Limited, trading as Taylor & Francis Group

The effect of narrative writing on fathers� stress in neonatal intensive care settings

Objective: This study was conducted to examine the effect of narrative writing on fathers� stress in the Neonatal Intensive Care Units (NICUs) during infants� hospitalization. Methods: A quasi-experimental study was conducted among two groups of fathers with preterm infants in the NICUs of two teaching hospitals of Gorgan University of Medical Sciences. Pre- and post-tests were administered to a sample size of 70 during 6 months. The Parental Stressor Scale (PSS) was used. The data were analyzed using descriptive and analytical statistical methods. Results: The mean total stress score was 74.05 ± 17.39 in the control and 80.11 ± 15.82 in the intervention group on the 3rd day, suggesting no significant difference. In other words, both groups had a similar stress level before the intervention (p-value =.13, t = 1.52). However, the mean total stress score was 85.45 ± 16.91 in the control group and 48.00 ± 10.49 in the intervention group on the 10th day, suggesting a significant reduction in the stress level in the intervention group following the intervention (p-value =.001, t = �11.01). Conclusion: According to the findings, the narrative writing may be considered as an efficient supportive intervention to reduce the fathers� stress in the NICUs. However, more research is needed to justify its implementation. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group