Reducing or Cancellations and Hospital Cost: Nurse –Led Intervention at a Tertiary Care Hospital in LMIC
Sadaqat Ali, Tahira faiz, DR Waris Ahmed, DR Mahim Malik Akmal
Page Numbers : 91-98
DOI : 10.36348/sjnhc.2021.v04i04.001
Background: Surgical cancellations at the day of surgery present major difficulties to both health care organizations as well patients and families. In a low middle income country (LMIC), cancellations stress an already resource limited system and result in significant financial burden and loss of resources. Due to a limited number of tertiary care hospitals, most families have to travel great distances and outpatient visits for preoperative assessment are unfeasible. We describe a protocol using screening phone calls and patient’s family counseling prior to admission to reduce same-day cancellations rates. Objective: To determine whether implementation of nurse –led protocol involving screening phone call and standardized questionnaire, along with patient’s family counseling 48 hours prior to surgery results in reducing day-of-surgery cancellations. Methods and measures: Pre-intervention data to calculate rate of cancellations was collected. Patient’s families were called 48 hours prior to surgery. A standard assessment checklist was used to cover pertinent points. A brief counseling session was also carried out regarding the surgery .In case of any concerns, attending surgeon and cardiologist were informed and a follow up call made on the day before surgery. A satisfaction survey regarding the effectiveness of the phone call was carried out after discharge from the hospital. Post intervention data was then collected and cancellation rate calculated. Results: Post-intervention, data from 144 screened patients was collected. Day of surgery cancellation rate decreased from 15.2% to 1.43 %( p<0.05) (fig 3). An average cost of $540 (Pakistan Rupee 80000) was saved per cancellation. Most families reported overall satisfaction with the phone call. Conclusion: Implementation of standardized protocol for preoperative assessment has decreased day of surgery cancellations, resulting in better resource utilization and reducing overall hospital costs. It has also helped in improving communication between patient’s family and heath care providers and improved overall patient satisfaction.
March 30, 2021
Health Risk & Precautions for People Living with HIV/AIDS (PLHIV) in Global Pandemic COVID-19
Mr. Stephen John, Dr. Praveen S Pateel
Page Numbers : 88-90
DOI : 10.36348/sjnhc.2021.v04i03.008
Human Immunodeficiency Virus / Acquired Immune Deficiency Syndrome (HIV/AIDS) is a chronic, life taking and helpless condition that arouses due to compromised functioning of a person’s immune system. According to National Health Policy-2015 growth of HIV/AIDS should have been controlled by the year 2007 but we have failed drastically in achieving it. Corona Virus Disease (COVID-19) has added to the burden of it. In an attempt to prevent and control COVID-19 the whole of globe stopped functioning and even the health care services related to people living with HIV/AIDS came to a stalemate. Its an attempt through this article to summarise the risk and precaution to be taken by people living with HIV/AIDS during pandemic.
March 28, 2021
Patient Centered Medical Homes: Are They the Right Choice?
Yasir S Alsalamah
Page Numbers : 84-85
DOI : 10.36348/sjnhc.2021.v04i03.006
Patient-Centered Medical Homes (PCMH) is a patient-centric healthcare model that puts the patient’s satisfaction and overall well-being in the first place. It establishes a strong connection between the patient, nursing staff, and provider with the Primary Care Physician (PCP) leading the task force. This is important as it helps carry out a wholesome diagnosis considering all abnormal bodily activities, rather than treating only a few symptoms that arise time by time. Coordination between the patient and the physician, alongside all correlated healthcare personnel, can significantly reduce costs in the long run while also preserving better fitness and mental health. The three most prominent purposes the PCMH model serves are: a. Improving the quality of healthcare services. b. Forming strong patient relationships. c. Reducing costs by expanding delivery and access options (American Academy of Actuaries, 2014) .
March 28, 2021
Translating Value-Based Purchasing into Value-Based Care
Yasir S Alsalamah
Page Numbers : 86-87
DOI : 10.36348/sjnhc.2021.v04i03.007
High quality, collaborative and patient-centered care is essential in the modern healthcare industry. The Hospital Value-Based Purchasing (VBP) Program is a CMS initiative that rewards acute-care hospitals with incentive payments for the quality of care they provide to people. It is expected for the on-deck years that VBC will be practical and effective and help provide the organizational incentive necessary to recognize a need for change in the way healthcare business is currently conducted. There are several healthcare settings, but not all provide patient-centric care facilities. The value-based care model invests many of its resources on the nursing staff, thereby creating a home-like ambiance for the patients. Nurses remain in direct communication with the patients at all times and monitor their health trends thoroughly. This develops a relationship of trust between the nursing staff and the patient. When nurses are welcoming and polite, the patients begin to feel that they are being cared for, which helps them recover faster.
March 26, 2021
Are Nurses in Oppression? An Approach to Explore the Evidences
Betsy Chakraborty, Anindita Mandal, Suresh K Sharma
Page Numbers : 77-83
DOI : 10.36348/sjnhc.2021.v04i03.005
It is well known that nurses are the largest manpower in healthcare delivery system of any country. Though, they spend sleepless nights in caring and curing the sick one but continuously striving for professional honour and dignity what they actually deserve. Instead of getting recognition, respect and reward, this profession face exploitation, struggle for existence, discrimination, humiliation from their own persons and even from medical colleagues. There is a negative portrayal of this professional image as feminine, menial, subservient roles with low intellect, taken for granted and assistance of physician only. The term “Oppression” has been described for nurses who represent powerlessness, submissiveness and domination. Nurse leaders often talks about qualities of self-esteem, assertiveness, accountability, control over practice, self-advocacy and autonomy but in contrary nurses in below hierarchy reported higher levels of dominancy, lack of initiative and fear of retaliation. Negative consequences of oppression resultant decreased workforce performance, dissatisfaction, self-hatred behaviour, submissive aggressive syndrome, horizontal and lateral violence, workplace bullying and poor retention of nurses in the same workplace. Therefore, this article is aimed to pinpoint & bring insight on those major challenges faced by nurses due to oppression and propose remedial strategies to reshape and uplift this profession as a prestigious one.
March 18, 2021
Dilemma, Uncertainties and Fear: Nursing Faculty & Students Clinical Exposure and Training in a COVID -19 Situations
Glenn Ford D. Valdez
Page Numbers : 75-76
DOI : 10.36348/sjnhc.2021.v04i03.004
Original Research Article
March 18, 2021
A Systematic Review of Family Caregivers of Persons with Serious Mental Illnesses in Non-Western Countries
Samirh Said Alqhtani, Charlotte Barry, Beth King
Page Numbers : 48-71
DOI : 10.36348/sjnhc.2021.v04i03.002
Family caregivers of individuals with serious mental illness (SMI) play an essential role in managing patient conditions. The shift towards community care for patients has resulted in transferring patient care to family members, resulting in significant challenges. Studies have documented the experiences of family caregivers in Western countries. However, a clear overview of family caregiver experiences of persons with SMI in non-Western countries is warranted. The purpose of this study was to integrate and summarize the current literature about family caregiver experiences in non-Western countries. Five databases were searched using relevant keywords for studies published in English from 2015 to 2020. The studies included in the review were qualitative and quantitative designs, representing several non-Western countries. This systematic review included 25 articles and data synthesized based on similarities and different findings. The findings of this systematic review will provide more knowledge on the experiences of family caregivers of persons with SMI in non-Western countries, including burden, coping, psychological well-being, and stigma. This review found that additional research is necessary to understand the family caregiver experience and how healthcare teams can support caregivers. Further, the findings may help to inform health care policymakers to tailor strategies that support family caregivers.