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At least 1,315 records · Page 73Linked to original sources

Development and supermarket field testing of videotaped nutrition messages for cancer risk reduction.

This article describes the development and field testing of five 1-minute videotaped nutrition public service announcements focusing on the role of nutrition in reducing cancer risks. Topics include dietary fat, vitamin A, vitamin C, cruciferous vegetables, and fiber. Produce departments in two large supermarkets were the test sites. Videotapes were shown over a 3-day period for a total of 20 hours in each store. Of the total 1,196 customers intercepted, 1,050 (88 percent) agreed to be interviewed to determine whether they had viewed the video; the impact of the video on nutrition awareness, diet, and immediate purchases; and their perception of the stores' providing nutrition information. Only 26 percent of the customers viewed the videotapes. The main reason cited for nonviewing was lack of time. Forty-three percent of viewers stated that this was new information to them, and 21 percent said they would change their eating habits as a result of seeing the tape. Seventeen percent of viewers stated that they actually purchased foods recommended in the tapes. Of all the customers surveyed, 40 percent said they would shop more often at a supermarket that showed nutrition videos.

Adult↗

Implementation of a computerized information system in a long-term care facility.

The successful implementation of computerized nursing information systems requires the completion of many tasks and the participation of many persons. In 1989, Pulliam and Boettcher described a six-step process for introducing computerized information systems into long-term care facilities. This article describes the process, particularly the implementation phase, as it actually happened in a 124-bed facility in a mid-Atlantic state. This facility found that successful implementation requires a systems coordinator who is a professional nurse who understands the needs of the patients, can integrate information with the computer system, and can provide on-going support for the users.

Delaware↗

Quality assurance and continuous quality improvement: history, current practice, and future directions.

Quality Assurance (QA) provides opportunities for physicians and allied health professionals to improve patient care and disease outcomes. Its goals are increased efficiency and efficacy in healthcare. QA activities are based upon objective criteria and systematic review and make important contributions to the effectiveness of hospitals and other care facilities. Successful programs help to maximize health status of patients while minimizing resource utilization. Beginning in 1917, early QA efforts were often informal and subjective but now include standards for QA and strategies for monitoring and evaluating patient care. Central to its new "Agenda for Change," the Joint Commission on Accreditation of Healthcare Organizations has embraced the concept of continuous quality improvement (CQI). This moves the focus of review away from department- or practitioner-specific activities and toward a "systems" form of evaluation. CQI is rooted in patient-care realities, is easy to implement, is based upon scientific assessments, and solves practical problems in an incremental and ongoing fashion.

Delaware↗

Implementation of the Haemophilus B vaccine for infants by family physicians.

This study surveyed the members of the Department of Family Practice in a community hospital regarding the implementation of the newly recommended immunization protocol using Haemophilus Influenzae B Vaccine (HbOC) for infants at 2, 4, and 6 months of age. The purpose was to assess the ability of the physicians to alter their established practices in a timely fashion. The results show that initially 38/66 (58 percent) of the family physicians who care for infants and children were using the new vaccine already (eight to 10 weeks after FDA release). An additional 11 (17 percent) had begun using the vaccine by a second interview four weeks later. Another six (nine percent) responded to a call by a family practice resident. The remaining 16 percent preferred to await governmental regulations or did not respond to interview. Despite uncertain communications to family physicians in this community, the majority were aware of and adapted readily to new immunization recommendations. Prompt notification of all physicians regarding important new vaccine protocols can have a significant impact on the health of infants and children.

Attitude of Health Personnel↗

Childhood typhoid fever diagnosed in an urban U.S. setting.

The majority of cases of childhood typhoid fever diagnosed in the United States occur in persons recently returned from travel abroad. We report two childhood cases of typhoid fever acquired in Mexico and India and diagnosed in an urban United States setting. This report describes these cases and provides insights into the pitfalls in recognizing this condition in a nonendemic setting as well as information concerning differential diagnosis and treatment.

Adolescent↗