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Biomedical subjects

J Korporal

Publications and source records attributed to J Korporal.

14 recordsLinked to original sources
PubMed2001

[Quality assurance in nursing care--approach and implementation of a comprehensive professional and institutional quality assurance project].

In cooperation between a seminar of course of study in nursing science, ambulatory and stationary patient care facilities and a municipal administration, quality assurance is developed in the form of moderated inter-institutional quality circles assembled from overlapping professions. A unit-based approach for quality assurance in the Netherlands has been modified to form the basis of this project's innovative approach. A link between internal and external quality assurance is included in this approach. Resulting experience in quality assurance work indicates that this theory and practice method appears productive and successful in practice as well as for academic studies and knowledge transfer. This article deals with the transfer from theory into practice.

Ambulatory Care↗
PubMed1998

[Quality assurance in midwifery outside the hospital: reasoning and suggestions for its execution].

Childbirths outside the hospital make up a small but during the last years increasing part of births. At the same time a process of sorting out midwifery institutions outside the hospital is taking place. The quality of providing obstetric care outside the hospital is called in question by clinical obstetricians as a result of a supposed high risk. Meanwhile the results of a lot of studies, including also those from Germany, allow an evaluation of indication, quality and the limits of midwifery outside the hospital. Against this background quality assurance acquires a special importance. Currently there are no legal regulations for quality assurance in midwifery outside the hospital as they exist for clinical obstetrics and other fields of medical and nursing care. Establishing measures for quality assurance systematically is a necessary step towards acceptance and professionalization of midwifery outside the hospital. It should be possible to draw upon the experiences of medical and clinical quality assurance. This work presents a complete and differentiated model for organizing and implementing quality assurance and refers to its function in professional practice.

Female↗
PubMed1989

[Vocational activity and unemployment of females and pregnancy outcome].

Epidemiologic studies relating unfavourable pregnancy outcomes of working women are reviewed. Inconsistent results are found. This is due to differing types of work and above all to the distribution of sociodemographic factors. The study presented comprising all cases of births and deaths in Berlin (West) of the years 1982-1985 (n = 72.206) showed no difference in low birth weight, but an evidently higher infant mortality for women who were not working. This is explained by sociodemographic factors. This leads to consequences for a target group and health oriented attendance for the public health services.

Adult↗
PubMed1983

Childhood poisoning in a paediatric hospital: the Luebeck experience.

1 Case documentations in Poison Control Centres represent today probably the most useful source of information on actual trends. They are generally restricted to toxicologically relevant information, but they do not describe true incidence patterns. Population based analyses of incidence therefore generally consist of retrospective studies of hospital data. The regional and historical limitations of such studies restrict their usefulness in prevention and intervention. A solution could be prospective studies in defined regions. 2 Such a prospective registration of poisoning in children was started in 1982 in the Luebeck Medical School's Paediatric Hospital. This hospital is the only institution treating acute poisoning in the region, so that regional representation of the data can be expected. Based on the experiences of a previous retrospective analysis of 730 poisoning cases treated between 1976 and 1980, a documentation form was developed for the registration of clinically and epidemiologically relevant data. Information on the toxic substance and the poisoned child is complemented by data on the clinical treatment as well as on socio-demographic parameters. 3 The first months' experience with the documentation form, and the results of the registration of 95 cases are presented. Possibilities and limitations of such registration systems are discussed.

Child↗
PubMed1980

[Epidemiological and socio-psychological aspects of accidents in childhood (author's transl)].

The present study is based on the assumption that accidents in childhood may be interpreted as a possible result of conflicts between the children and their social environment. Questioning of 100 children who had suffered from accidents, and of their parents showed that children having incomplete families were largely overrepresented in the study group. They also had already experienced a greater number of prior accidents. Their child-development was less favourable, more parents reported unusual behavior and possible psychosomatic symptoms. The social situation of the single-parents' families was characterized by difficult economic conditions. These families mainly belonged to lower social classes. The results underline the necessity not only to consider medical (therapeutic and rehabilitating) measures but also soci-pedagogical or socio-therapeutic support.

Accidents↗
PubMedDate not supplied

[Prematurity and prenatal care].

In regard of the constant rate of low birthweight infants in Federal Republic of Germany kinds and relevance of social factors within Low Birthweight are examined. Results of a study based on all births in Berlin (West) during the years 1982-1985 (n = 72201) are presented. It shows a constant rate of low birthweight infants also in Berlin (mean: 6.3%, excluding multiple births). Several social factors (legitimacy, nationality...) with varying intensity played a major role, especially if certain risk situations were cumulating. Since Prenatal Care has particular difficulties in reaching women at higher risks early and consequently, specific approaches of intervention derived from experiences in the US are suggested.

Adolescent↗