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Hospital Sites (hospital + site)
Selected AbstractsA Bayesian Approach to Prediction Using the Gravity Model, with an Application to Patient Flow ModelingGEOGRAPHICAL ANALYSIS, Issue 3 2000Peter Congdon This paper investigates the potential for estimation and prediction by Bayesian methods of hospitalization flows classified by place of residence and hospital site. The focus is especially with respect to emergency (unplanned) admissions to hospitals. The need for strategic modeling and forecasting arises since the structure of U.K. emergency service provision is subject to changes involving site closures or changes in bed numbers. The gravity model, reflecting patient demand, hospital supply, and distance effects has been applied to patient flows, but generally in a situation of unchanged destination states. It may be modified, however, in accordance with major changes in hospital service structure, to include access effects (the interplay of supply and distance) and temporal variation in its parameters. Therefore, prediction may be applied to a "new" situation defined, for example, by closures of entire hospital sites. The modeling approach used may be adapted to other flow models where destinations may be added or eliminated (for example, trade-area models). A case study involves a sector of London subject to such a restructuring following the U.K. government's 1997,98 review of London's emergency services. [source] Intention to 'leave' or 'stay' in nursingJOURNAL OF NURSING MANAGEMENT, Issue 3 2007GERALDINE McCARTHY PhD Background, Turnover in nursing and midwifery has recently become a problem in the Republic of Ireland and Irish health-care managers are constantly challenged to retain qualified nurses. The literature suggests that intention to stay or leave employment is the final step in the decision-making process. It is, therefore, reasonable to suggest that understanding ,intent to stay or leave' might facilitate nurse managers in introducing of appropriate retention strategies. Aim, The aim of this study was to investigate registered nurses ,intent to stay or leave' employment. Methods, A cross-sectional quantitative design was utilized. A questionnaire was designed and these were randomly distributed to 352 registered nurses at 10 hospital sites throughout the Republic of Ireland. Results, Almost 60% of the sample, comprising of young, female, college educated nurses, expressed an intent to leave their current post. The most statistically significant predictors of intent to leave were ,kinship responsibilities' (P < 0.05) and ,job satisfaction' (P < 0.0001). Conclusion, ,Intent to leave' has serious implications for workforce planning. Investigating the impact of focussed interventions in relation to job satisfaction and kinship responsibilities may be key retention strategies for nurse managers. [source] Absenteeism among nursing students , fact or fiction?JOURNAL OF NURSING MANAGEMENT, Issue 5 2002F. Timmins RGN, FFNRCSI This study explores absenteeism patterns and trends among a group of third-year student nurses. A questionnaire was used to elicit information about absence behaviour from 110 students at two hospital sites. Retrospective analysis of attendance records of 70 of these students, covering a period of 123 weeks, was also performed to determine absenteeism trends. The findings of the study reveal that 1567 days were lost because of absenteeism during this period on 1027 episodes. This represents a time lost index, which is the amount of days lost expressed as a percentage of total days available, of 4% among the group. Most absenteeism episodes lasted 3 days or less, with 73% of episodes lasting only 1 day. Absenteeism commencing either on Mondays or Fridays accounted for more than half of the absenteeism episodes in the group. Voluntary absence was a reported feature of this group, which occurred more frequently from lectures than wards. The main reasons cited for absence from both lectures and ward duties were personal and social commitments and stress. Students' views on nursing as a career and responses to factors that may cause stress were examined and revealed an association with reported absence behaviour. [source] Long-term follow-up of women with gestational diabetes mellitus: The South Australian Gestational Diabetes Mellitus Recall RegisterAUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 2 2010Catherine R. CHITTLEBOROUGH Background:, Women who have had gestational diabetes mellitus (GDM) are at increased risk of developing type 2 diabetes. Early detection and management of type 2 diabetes are important for reducing associated complications and costs. Aims:, To evaluate an existing register for long-term follow-up of women who have been diagnosed with GDM. Methods:, Recruitment to the GDM Recall Register began at the diabetes centres of two hospitals in South Australia from July 2002, and was expanded to include a third hospital from September 2005. Women enrolled on the Register are sent an annual letter reminding them that they are at increased risk of developing type 2 diabetes and encouraging them to get their blood glucose checked. An update form is also included for women to complete and return to the Register. Results:, As at 30 June 2009, 817 women were enrolled on the Register. Of women diagnosed with GDM at the participating hospital sites, recruitment to the Register was 68.4% in 2002 and 64.4% in 2007. Of the 429 women who had been sent their first reminder letter, 46.4% had returned the update form. Of these, 56.3% had undergone a glucose test for diabetes. Two women reported developing type 2 diabetes. Conclusions:, Expansion of the GDM Recall Register is likely to result in increased opportunities for early detection of diabetes for this high-risk group in South Australia, therefore allowing earlier intervention and treatment to prevent or reduce serious, costly diabetes-related complications. [source] Secondary-care treatment patterns in the UK for women with urinary incontinenceBJU INTERNATIONAL, Issue 6 2005Adrian Wagg OBJECTIVES To describe the treatment trends for women with urinary incontinence (UI) after their referral from primary to secondary care, as despite the high prevalence of UI within the female population, relatively few women actively seek treatment for their UI and fewer reach secondary care. PATIENTS AND METHODS We retrospectively reviewed the notes of patients attending in two randomly selected months in five hospital sites in the UK. Records were identified through outpatient clinic lists, surgery lists, nursing and physiotherapy lists. Data were collated and analysed for trends RESULTS In all, 412 women (mean age 54.6 years, sd 12.6) covering 1406 visits to secondary care were covered by the study. Most women had a symptomatic diagnosis of mixed UI and mild to moderate UI, as defined by their physician. Most women had conservative therapies by either continence nurses or physiotherapists, regardless of the severity of their condition; 73% had cystometry and 39% were recommended for surgical intervention. CONCLUSIONS Women largely undergo similar procedures in secondary care. Most present with mixed UI. The perceived severity of disease did not preclude a trial of conservative therapies. [source] | ||||||||||