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Examining the Influence of Different Attentional Demands and Individuals’ Cognitive Failure on Workload Assessment and Psychological Functioning
Adel Mazloumi,Masaharu Kumashiro,Hiroyuki Izumi,Yoshiyuki Higuchi
International Journal of Occupational Hygiene , 2010,
Abstract: Attentional demands and individuals’ cognitive failure are hypothesized to be determinant factors for workload assessment and job analysis, although previous researches have focused merely on one aspect of attentional demands. The objective of this study was to investigate the degree to which various attentional paradigms would be demanding to the participants with different levels of cognitive failure. A total of 24 participants within three groups of low, medium, and high cognitive failure questionnaire (CFQ) scorers completed two 15-min and one 60-min tasks representing three paradigms of “divided”, “selective”, and “sustained” attention. The participants were undergraduate male students from the University of UOEH, Japan. Outcomes were measured in subjective workload, stress-arousal and anxiety level, along with performance measures. Accordingly, MANOVA and Post Hoc Tukey-test analyses between variables showed that the divided attention task created a higher workload with a better arousal level, while an increased level of frustration with a decreased level of arousal was induced by the sustained attention task. Confirming the proposed model of cognitive failure in this study, greater workload with worse psychological functioning and performance breakdown was found among the high CFQ scorers. These findings have important implications for conducting workload analysis researches in real-world or laboratory settings; focusing on attentional demand and cognitive failure may be an effective way to alleviate stress.
Impact of Fibromyalgia on Functioning in Obese Patients Undergoing Comprehensive Rehabilitation  [PDF]
Marco Arreghini, Gian Mauro Manzoni, Gianluca Castelnuovo, Cristina Santovito, Paolo Capodaglio
PLOS ONE , 2014, DOI: 10.1371/journal.pone.0091392
Abstract: A possible link between fibromyalgia (FM) and obesity has been recently suggested but very scanty data on the prevalence of FM in obese populations are available. The aims of the present cross-sectional study were: 1) to estimate the prevalence of FM in a population of obese patients undergoing rehabilitation and 2) to investigate the effect of FM on obese patients' functional capacities. One hundred and thirty Italian obese (Body Mass Index, BMI ≥30) patients admitted to hospital for 1-month rehabilitation treatment took part in the study. All participants were interviewed by a rheumatologist according to the 2010 American College of Rheumatology (ACR) diagnostic criteria for FM. At admission and discharge from hospital (on average, after 28 days), the following measures were compared between the group of patients with FM and the other patients: body weight, body mass index, functional independence (FIM), obesity-related disability (TSD-OC), self-reported functioning and the Timed-Up-Go (TUG) test. Thirty seven patients out of 130 fulfilled the diagnostic criteria for FM. The prevalence rate was 27.7% (95% CI: 20 to 35.4). Between-group comparisons showed that FM patients had higher disability level at the first assessment, had lower scores on the FIM at the final assessment, scored lower on self-reported functioning both at the first and the final assessments and had a lower body weight. The prevalence of FM in our study is much higher than the rates reported in the general normal-weight population (on average, 3.5%) and the 5.15% rate previously reported in a bariatric population. Functional data showed that the FM obese group yielded lower performance capacity and higher disability level as compared to the non-FM obese group. However, due to the relatively small sample size and the selected population, such results need to be confirmed in larger obese subpopulations.
Identification of ICF categories relevant for nursing in the situation of acute and early post-acute rehabilitation
Martin Mueller, Christine Boldt, Eva Grill, Ralf Strobl, Gerold Stucki
BMC Nursing , 2008, DOI: 10.1186/1472-6955-7-3
Abstract: First, in a consensus process, "Leistungserfassung in der Pflege" (LEP) nursing interventions relevant for the situation of acute and early post-acute rehabilitation were selected. Second, in an integrated two-step linking process, two nursing experts derived goals of LEP nursing interventions from their practical knowledge and selected corresponding ICF categories most relevant for patients in acute and post-acute rehabilitation (ICF Core Sets).Eighty-seven percent of ICF Core Set categories could be linked to goals of at least one nursing intervention variable of LEP. The ICF categories most frequently linked with LEP nursing interventions were respiration functions, experience of self and time functions and focusing attention. Thirteen percent of ICF Core Set categories could not be linked with LEP nursing interventions. The LEP nursing interventions which were linked with the highest number of different ICF-categories of all were "therapeutic intervention", "patient-nurse communication/information giving" and "mobilising".The ICF Core Sets for the acute hospital and early post-acute rehabilitation facilities are highly relevant for rehabilitation nursing. Linking nursing interventions with ICF Core Set categories is a feasible way to analyse nursing. Using the ICF Core Sets to describe goals of nursing interventions both facilitates inter-professional communication and respects patient's needs. The ICF may thus be a useful framework to set nursing intervention goals.The recovery of patients after an acute episode of illness or injury depends both on adequate medical treatment and on the early identification of needs for rehabilitation care. Acute rehabilitation is carried out by dedicated post-acute rehabilitation facilities, or by specialized wards within acute hospitals. Rehabilitation care in the acute situation is given individually by health professionals, mostly and typically by nurses with the goal to prevent complications and to restore functioning. In t
Rehabilitation of Executive Functioning in Patients with Frontal Lobe Brain Damage with Goal Management Training  [PDF]
Brian Levine,Charlene O’Connor,Susan Gillingham,Donald T. Stuss,Tom Manly,Ian H. Robertson
Frontiers in Human Neuroscience , 2011, DOI: 10.3389/fnhum.2011.00009
Abstract: Executive functioning deficits due to brain disease affecting frontal lobe functions cause significant real-life disability, yet solid evidence in support of executive functioning interventions is lacking. Goal Management Training (GMT), an executive functioning intervention that draws upon theories concerning goal processing and sustained attention, has received empirical support in studies of patients with traumatic brain injury, normal aging, and case studies. GMT promotes a mindful approach to complex real-life tasks that pose problems for patients with executive functioning deficits, with a main goal of periodically stopping ongoing behavior to monitor and adjust goals. In this controlled trial, an expanded version of GMT was compared to an alternative intervention, Brain Health Workshop that was matched to GMT on non-specific characteristics that can affect intervention outcome. Participants included 19 individuals in the chronic phase of recovery from brain disease (predominantly stroke) affecting frontal lobe function. Outcome data indicated specific effects of GMT on the Sustained Attention to Response Task as well as the Tower Test, a visuospatial problem-solving measure that reflected far transfer of training effects. There were no significant effects on self-report questionnaires, likely owing to the complexity of these measures in this heterogeneous patient sample. Overall, these data support the efficacy of GMT in the rehabilitation of executive functioning deficits.
Nursing workload in an inpatient unit
Brito, Ana Paula de;Guirardello, Edinêis de Brito;
Revista Latino-Americana de Enfermagem , 2011, DOI: 10.1590/S0104-11692011000500011
Abstract: this study evaluated the nursing workload in an inpatient unit of a university hospital. this descriptive study applied the nursing activities score (nas) over the course of 30 consecutive days. a total of 1,080 observations were obtained from the medical files of 156 patients. the average scored obtained in the nas instrument was 47.31%. considering that each single nas score corresponds to 0.24 hours, an average of 11.35 hours of nursing care was required. this amount of hours correspond to the profile of inpatients demanding semi-intensive and intensive care, suggesting that the nas can be used to evaluate the workload of the nursing staff in this unit.
The NHV Rehabilitation Services Program Improves Long-Term Physical Functioning in Survivors of the 2008 Sichuan Earthquake: A Longitudinal Quasi Experiment  [PDF]
Xia Zhang, Jan D. Reinhardt, James E. Gosney, Jianan Li
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0053995
Abstract: Background Long-term disability following natural disasters significantly burdens survivors and the impacted society. Nevertheless, medical rehabilitation programming has been historically neglected in disaster relief planning. ‘NHV’ is a rehabilitation services program comprised of non–governmental organizations (NGOs) (N), local health departments (H), and professional rehabilitation volunteers (V) which aims to improve long-term physical functioning in survivors of the 2008 Sichuan earthquake. We aimed to evaluate the effectiveness of the NHV program. Methods/Findings 510 of 591 enrolled earthquake survivors participated in this longitudinal quasi-experimental study (86.3%). The early intervention group (NHV–E) consisted of 298 survivors who received institutional-based rehabilitation (IBR) followed by community-based rehabilitation (CBR); the late intervention group (NHV–L) was comprised of 101 survivors who began rehabilitation one year later. The control group of 111 earthquake survivors did not receive IBR/CBR. Physical functioning was assessed using the Barthel Index (BI). Data were analyzed with a mixed-effects Tobit regression model. Physical functioning was significantly increased in the NHV–E and NHV–L groups at follow-up but not in the control group after adjustment for gender, age, type of injury, and time to measurement. We found significant effects of both NHV (11.14, 95% CI 9.0–13.3) and sponaneaous recovery (5.03; 95% CI 1.73–8.34). The effect of NHV-E (11.3, 95% CI 9.0–13.7) was marginally greater than that of NHV-L (10.7, 95% CI 7.9–13.6). It could, however, not be determined whether specific IBR or CBR program components were effective since individual component exposures were not evaluated. Conclusion Our analysis shows that the NHV improved the long-term physical functioning of Sichuan earthquake survivors with disabling injuries. The comprehensive rehabilitation program benefitted the individual and society, rehabilitation services in China, and international rehabilitation disaster relief planning. Similar IBR/CBR programs should therefore be considered for future large-scale rehabilitation disaster relief efforts.
Relation Between Quality of Life of Mothers of Children With Cerebral Palsy and the Children's Motor Functioning, After Ten Months of Rehabilitation
Prudente, Cejane Oliveira Martins;Barbosa, Maria Alves;Porto, Celmo Celeno;
Revista Latino-Americana de Enfermagem , 2010, DOI: 10.1590/S0104-11692010000200002
Abstract: this study aims to analyze the quality of life of mothers of children with cerebral palsy, correlated with the evolution of their children's gross motor function after ten months of rehabilitation. an observational, longitudinal study was carried out in goiania, goiás, brazil, involving 100 mothers and children with cerebral palsy. the children's motor function was evaluated using the gross motor function measure (gmfm) and the mothers' quality of life using the medical outcomes study 36-item short form health survey (sf-36). after ten months of rehabilitation, the children's gross motor function had significantly improved (p<0.001), while the mothers only presented a significant improvement (p<0.001) in the bodily pain domain. the improvement in the motor function of children with cerebral palsy did not influence the changes in the mothers' quality of life.
Rehabilitation Nursing: Applications for Rehabilitation Nursing  [PDF]
Aysegül Ko?
International Journal of Caring Sciences , 2012,
Abstract: Rehabilitation nursing is a specialist form of rehabilitation requiring specialist nursing. Furthermore, as in many areas ofnursing, nurses in this field recognize that there is a need to increase the quality of and provide the most up-to-date carefor their patients and patients’ families. To achieve high levels of competence, neurological rehabilitation nurses need tobe aware of the existing body of research in this field. Effective hospital and community rehabilitation services areincreasingly recognised as a means of meeting the changing pattern of health and social care requirements. This reviewaims to validate the existing knowledge base in this area by identifying and critically analysing research conducted in thearea of neurological rehabilitation nursing.
Nursing workload at a gastroenterology unit
Panunto, Marcia Raquel;Guirardello, Edinêis de Brito;
Revista Latino-Americana de Enfermagem , 2009, DOI: 10.1590/S0104-11692009000600013
Abstract: one of the biggest challenges nurses face is the need to justify the quantity and quality of staff for care delivery. for this, management instruments are available which help them to determine the staff needed in the nursing team. this descriptive study aims to evaluate the nursing workload at a specialized clinical and surgical gastroenterology unit. to collect data, the nursing activities score (nas) was used during 30 consecutive days, with 1080 comments, obtained from the records of 149 patients. the mean nas score was 34.9% and, considering that each point of nas corresponds to 0.24 hour, on the average, 8.4 hours of nursing care were required within 24 hours. this means that this profile is of patients who demand intermediate and semi-intensive care, which suggests that the nas study can be used to evaluate the workload of nurses at that unit.
Predictors of nursing workload in elderly patients admitted to intensive care units
Sousa, Cleber Ricardo de;Gon?alves, Leilane Andrade;Toffoleto, Maria Cecília;Le?o, Karine;Padilha, Kátia Grillo;
Revista Latino-Americana de Enfermagem , 2008, DOI: 10.1590/S0104-11692008000200008
Abstract: the age of patients is a controversial issue in admission to intensive care unit (icu). the aim of this study was to compare severity and nursing workload of elderly patients with 60-69, 70-79, and e"80 years of age and to identify predictors of nursing workload in elderly patients. a cross sectional study was performed with a sample of 71 elderly patients admitted to three icu in the city of sao paulo, brazil from october to november 2004. data were prospectively collected using nursing activities score (nas) and simplified acute physiology score ii (saps ii). there was no significant difference in nursing workload among the elderly patients age subgroups (p=0.84). multiple regression analysis indicated that the independent risk factors of high nursing workload were severity, age e"70 years, and to be a surgical icu patient. age as an isolated factor should not be discriminative for elderly patients admission to icu.
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