6 research outputs found
Adult patients' experiences of reading their medical records : a literature review
No full textBakgrund  Det senaste decenniet har internetbaserade patientportaler som erbjuder patienter möjlighet att gĂ„ in och lĂ€sa sina journalanteckningar implementerats i mĂ„nga lĂ€nder. Den ökade tillgĂ„ngen har bidragit till att fler patienter lĂ€ser sina journalanteckningar och det Ă€r dĂ€rför relevant att undersöka patienters erfarenheter av detta. Syfte Syftet var att belysa vuxna patienters erfarenheter av att lĂ€sa sina journalanteckningar efter kontakt med hĂ€lso- och sjukvĂ„rd. Metod Studien som genomfördes var en icke-systematisk litteraturöversikt baserad pĂ„ 16 vetenskapliga artiklar med olika metod: kvalitativ, kvantitativ och mixad metod. Varje artikel kvalitetsgranskades separat utifrĂ„n Sophiahemmet Högskolas bedömningsunderlag. DĂ€refter analyserades materialet med en integrerad analysmetod i vilken olika teman identifierades. Resultat Tre huvudteman identifierades: FörstĂ„else, Egenmakt och KĂ€nslomĂ€ssiga reaktioner. Dessutom identifierades fyra subteman: SvĂ„righeter med sprĂ„ket, FörbĂ€ttrad kunskap om sitt hĂ€lsotillstĂ„nd, PĂ„verkan pĂ„ delaktighet och förtroende, LĂ€ttare att komma ihĂ„g och Ăkad kĂ€nsla av kontroll. De flesta patienter upplevde fördelar med att lĂ€sa sina journalanteckningar. Det bidrog till en ökad kĂ€nsla av förstĂ„else, egenmakt och kontroll. Dessutom kĂ€nde patienter ett ökat förtroende för vĂ„rdgivare. En del upplevde dock att journalanteckningarna var svĂ„ra att förstĂ„, vilket skapade oro och frustration. SvĂ„righeter upplevdes pĂ„ grund av sprĂ„ket som anvĂ€ndes med bland annat medicinsk jargong och förkortningar. Negativa kĂ€nslor upplevdes dĂ„ journalanteckningarna inte stĂ€mde överens med patienters uppfattning av besöket. Slutsats Patienter upplevde bĂ„de för- och nackdelar med att lĂ€sa sina journalanteckningar, varav majoriteten var positiva. Erfarenheterna kunde beskrivas utifrĂ„n patienters kĂ€nsla av sammanhang dĂ€r deras förmĂ„ga att se journalanteckningarna som begripliga, meningsfulla och hanterbara varierade. Resultatet bidrar med kunskap till alla vĂ„rdprofessioner dĂ„ journalföring sker i alla vĂ„rdkontexter. VĂ„rdpersonal behöver bli mer medvetna om att journalanteckningarna lĂ€ses av patienter, samt hur lĂ€sningen uppfattas av patienter. Background During the last decade, many countries have implemented internet-based patient portals, whereby patients are able to read their medical records. This greater access has contributed to an increased number of patients reading their visit notes and it is therefore relevant to investigate patientsâ experiences regarding this. Aim The purpose was to illustrate adult patientsâ experiences of reading their visit notes after contact with medical care. Method The study conducted a non-systematic literature review based on 16 scientific articles with different methods: qualitative, quantitative and mixed method. Each article was reviewed separately for quality according to Sophiahemmet Högskolas assessment criteria. Thereafter, the material was analyzed with an integrated analysis method in which different themes were identified. Results Three main themes were identified: Comprehension, Empowerment and Emotional reactions. Furthermore, four sub themes were identified: Language difficulties, Improved knowledge of their state of health, Impact on participation and trust, Easier to remember and Increased sense of control. Most patients experienced benefits from reading their visit notes. This contributed to an increased sense of comprehension, empowerment and control. In addition, the patients felt an increased sense of trust for the health care provider. However, some patients found their visit notes hard to understand, which created worry and frustration. The difficulties experienced were partly due to the language used, with medical jargon and abbreviations. Negative emotions were experienced when medical records were not in agreement with the patientâs perception of their medical appointment. Conclusions Patients experienced both advantages and disadvantages from reading their visit notes, of which the majority had positive experiences. These experiences could be described from patientsâ sense of coherence, where their ability to perceive medical records as understandable, meaningful and manageable varied. The result provides knowledge to all healthcare professions, as record keeping occurs in all medical contexts. Healthcare staff need to be more aware that visit notes are read by patients, as well as how their contents are perceived by patients.
Adult patients' experiences of reading their medical records : a literature review
No full textBakgrund  Det senaste decenniet har internetbaserade patientportaler som erbjuder patienter möjlighet att gĂ„ in och lĂ€sa sina journalanteckningar implementerats i mĂ„nga lĂ€nder. Den ökade tillgĂ„ngen har bidragit till att fler patienter lĂ€ser sina journalanteckningar och det Ă€r dĂ€rför relevant att undersöka patienters erfarenheter av detta. Syfte Syftet var att belysa vuxna patienters erfarenheter av att lĂ€sa sina journalanteckningar efter kontakt med hĂ€lso- och sjukvĂ„rd. Metod Studien som genomfördes var en icke-systematisk litteraturöversikt baserad pĂ„ 16 vetenskapliga artiklar med olika metod: kvalitativ, kvantitativ och mixad metod. Varje artikel kvalitetsgranskades separat utifrĂ„n Sophiahemmet Högskolas bedömningsunderlag. DĂ€refter analyserades materialet med en integrerad analysmetod i vilken olika teman identifierades. Resultat Tre huvudteman identifierades: FörstĂ„else, Egenmakt och KĂ€nslomĂ€ssiga reaktioner. Dessutom identifierades fyra subteman: SvĂ„righeter med sprĂ„ket, FörbĂ€ttrad kunskap om sitt hĂ€lsotillstĂ„nd, PĂ„verkan pĂ„ delaktighet och förtroende, LĂ€ttare att komma ihĂ„g och Ăkad kĂ€nsla av kontroll. De flesta patienter upplevde fördelar med att lĂ€sa sina journalanteckningar. Det bidrog till en ökad kĂ€nsla av förstĂ„else, egenmakt och kontroll. Dessutom kĂ€nde patienter ett ökat förtroende för vĂ„rdgivare. En del upplevde dock att journalanteckningarna var svĂ„ra att förstĂ„, vilket skapade oro och frustration. SvĂ„righeter upplevdes pĂ„ grund av sprĂ„ket som anvĂ€ndes med bland annat medicinsk jargong och förkortningar. Negativa kĂ€nslor upplevdes dĂ„ journalanteckningarna inte stĂ€mde överens med patienters uppfattning av besöket. Slutsats Patienter upplevde bĂ„de för- och nackdelar med att lĂ€sa sina journalanteckningar, varav majoriteten var positiva. Erfarenheterna kunde beskrivas utifrĂ„n patienters kĂ€nsla av sammanhang dĂ€r deras förmĂ„ga att se journalanteckningarna som begripliga, meningsfulla och hanterbara varierade. Resultatet bidrar med kunskap till alla vĂ„rdprofessioner dĂ„ journalföring sker i alla vĂ„rdkontexter. VĂ„rdpersonal behöver bli mer medvetna om att journalanteckningarna lĂ€ses av patienter, samt hur lĂ€sningen uppfattas av patienter. Background During the last decade, many countries have implemented internet-based patient portals, whereby patients are able to read their medical records. This greater access has contributed to an increased number of patients reading their visit notes and it is therefore relevant to investigate patientsâ experiences regarding this. Aim The purpose was to illustrate adult patientsâ experiences of reading their visit notes after contact with medical care. Method The study conducted a non-systematic literature review based on 16 scientific articles with different methods: qualitative, quantitative and mixed method. Each article was reviewed separately for quality according to Sophiahemmet Högskolas assessment criteria. Thereafter, the material was analyzed with an integrated analysis method in which different themes were identified. Results Three main themes were identified: Comprehension, Empowerment and Emotional reactions. Furthermore, four sub themes were identified: Language difficulties, Improved knowledge of their state of health, Impact on participation and trust, Easier to remember and Increased sense of control. Most patients experienced benefits from reading their visit notes. This contributed to an increased sense of comprehension, empowerment and control. In addition, the patients felt an increased sense of trust for the health care provider. However, some patients found their visit notes hard to understand, which created worry and frustration. The difficulties experienced were partly due to the language used, with medical jargon and abbreviations. Negative emotions were experienced when medical records were not in agreement with the patientâs perception of their medical appointment. Conclusions Patients experienced both advantages and disadvantages from reading their visit notes, of which the majority had positive experiences. These experiences could be described from patientsâ sense of coherence, where their ability to perceive medical records as understandable, meaningful and manageable varied. The result provides knowledge to all healthcare professions, as record keeping occurs in all medical contexts. Healthcare staff need to be more aware that visit notes are read by patients, as well as how their contents are perceived by patients.
Detection of Malaria Parasites After Treatment in Travelers: A 12-months Longitudinal Study and Statistical Modelling Analysis
No full textThe rapid clearance of malaria parasite DNA from circulation has widely been accepted as a fact without being systemically investigated. We assessed the persistence of parasite DNA in travelers treated for Plasmodium falciparum malaria in a malaria-free area.
Venous blood was collected at the time of admission and prospectively up to one year. DNA and RNA were extracted and analyzed using species-specific and gametocyte-specific real-time PCR as well as merozoite surface protein 2 (msp2)-PCR.
In 31 successfully treated individuals, asexual parasites were seen by microscopy until two days after treatment, whereas parasite DNA was detected by msp2- and species-specific PCR up to days 31 and 42, respectively. Statistical modelling predicted 26% (±0·05 SE) species-specific PCR positivity until day 40 and estimated 48 days for all samples to become PCR negative. Gametocytes were detected by microscopy and PCR latest two days after treatment. CT values correlated well with microscopy-defined parasite densities before but not after treatment started.
These results reveal that PCR positivity can persist several weeks after treatment without evidence of viable sexual or asexual parasites, indicating that PCR may overestimate parasite prevalence after treatment
EUCAST rapid antimicrobial susceptibility testing (RAST) in blood cultures: Validation in 55 european laboratories
No full text© The Author(s) 2020.Objectives: When bloodstream infections are caused by resistant bacteria, rapid antimicrobial susceptibility testing (RAST) is important for adjustment of therapy. The EUCAST RAST method, directly from positive blood cultures, was validated in a multi-laboratory study in Europe. Methods: RAST was performed in 40 laboratories in northern Europe (NE) and 15 in southern Europe (SE) from clinical blood cultures positive for Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Staphylococcus aureus or Streptococcus pneumoniae. Categorical results at 4, 6 and 8 h of incubation were compared with results for EUCAST standard 16â20 h disc diffusion. The method, preliminary breakpoints and the performance of the laboratories were evaluated. Results: The total number of isolates was 833/318 in NE/SE. The number of zone diameters that could be read (88%, 96% and 99%) and interpreted (70%, 81% and 85%) increased with incubation time (4, 6 and 8 h). The categorical agreement was acceptable, with total error rates in NE/SE of 2.4%/4.9% at 4 h, 1.1%/3.5% at 6 h and 1.1%/3.3% at 8 h. False susceptibility at 4, 6 and 8 h of incubation was below 0.3% and 1.1% in NE and SE, respectively, and the corresponding percentages for false resistance were below 1.9% and 2.8%. After fine-tuning breakpoints, more zones could be interpreted (73%, 89% and 93%), with only marginally affected error rates. Conclusions: The EUCAST RAST method can be implemented in routine laboratories without major investments. It provides reliable antimicrobial susceptibility testing results for relevant bloodstream infection pathogens after 4â6 h of incubation
