PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Knowledge Management”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 793 records · Page 44Linked to original sources
PubMed2002

Off-flavour release from packaging materials and its prevention: a foods company's approach.

Off-flavours in packed food are causes for consumer complaints. Often, they are related to packaging materials. For food companies, this represents not only costs related to production, but also a possible loss of brand confidence and market share. The origin of packaging-related off-odours are many sided. Odours derive from the degradation of base packaging materials and their converting processes, including printing, coating and lamination as well as the interaction between food and packaging. Many substances and groups of substances have been identified so far. In spite of the fact that the quality of packaging materials is clearly defined in the specifications (e.g. limit for residual solvents, standardized odour and taste transfer tests), off-flavour cases still do occur. This paper sets out ways of avoiding such problems, even in factories and laboratories which are not so well equipped. Prevention at Nestlé is based on several pillars. For a number of years, a sensory panel at the central laboratory has been specialized in and trained on packaging off-favours. The panel can describe and identify odours and their origin. To confirm the results by instrumental analysis, various extraction and separation techniques are available, including distillation/extraction techniques and direct thermal desorption followed by gas chromatography coupled with mass spectroscopy and an olfactory sniffing port. However, this knowledge must also be present in the operational plants where the problem usually originates. To manage this knowledge transfer, two tools were introduced to build up sensory panels that can evaluate packaging material. First, an aroma library kit was developed that contained odours that are often involved in off-odour cases. For each odour, a typical descriptor and the chemical composition are given. Beside that, information is added about the occurrence. Second, a glossary, which contains descriptors for packaging-related off-odours, was published. This small booklet helps to unify the odour descriptions, especially thanks to its translation into three important languages. This paper describes the tools mentioned above, as well as examples and limitations for their application.

Food Contamination↗
PubMedDate not supplied

Knowledge and attitudes about cancer pain management: a comparison of oncology and nononcology nurses.

PURPOSE/OBJECTIVES: To obtain information about the knowledge and attitudes of Utah nurses concerning cancer pain management. DESIGN: Descriptive study. SETTING: Nurses in Utah. SAMPLE: 44 oncology nurses and 303 nononcology nurses completed the study. METHODS: Ferrell's Nurses' Knowledge and Attitudes Survey Regarding Pain was given to oncology and nononcology nurses to compare knowledge and attitudes about treating cancer pain. MAIN RESEARCH VARIABLES: Knowledge and attitudes regarding cancer pain. FINDINGS: Attitudes of oncology nurses were more in line with recommended practices (principles) of cancer pain management than those of nononcology nurses. Oncology nurses had a better understanding of recommended practices (principles) of cancer pain management than nononcology nurses but still struggled with understanding the pharmacology of medications used to manage cancer pain. CONCLUSIONS: Nurses do not use evidence-based practice in pain management consistently. Continuing education regarding cancer pain management remains important for oncology and nononcology nurses. IMPLICATIONS FOR NURSING: Adoption of evidence-based practice requires ongoing education of nurses and support from nursing colleagues, nursing administration, and associated healthcare providers. Data from this study can be used to design a curriculum involving content about cancer pain management. All members of the healthcare team should be supported in practicing the correct principles of cancer pain management in actual practice.

Adult↗
PubMed1992

What do medical students know about chronic pain and its management?

A questionnaire on chronic pain management was completed by 114 third year, and 80 fifth (final) year medical students. The results demonstrated a significant improvement in most facets of chronic pain knowledge and management by the end of the medical course. A postal survey was undertaken of all pain clinics in Northern Ireland to identify current activity, as these figures are not collected in Korner returns. Despite the improvement in knowledge by final year, there were still many students who did not know what type of problem to refer to a pain clinic (30%), who ran the clinics (> 40%), or the types of treatment commonly employed. More formal education is required on this subject, at both undergraduate and postgraduate level.

Chronic Disease↗
PubMed1986

[The administration of knowledge. The biological and the social in the training of health personnel in Latin America].

The article starts with the concept of the management of knowledge, a component of the mission of PAHO as formulated in 1982. The purpose of the article is to consider what ideas have been formulated on the biological and social elements in medicine and how, and to what extent, they have been put into practice. The first part of the document discusses the theory of medicine and the social sciences, and the biological and social nature of the health-disease process. The second part traces the historical development of the biological and social approaches in relation to the degree to which these elements have been isolated and integrated in instruction. The first stage, the decade of the fifties, was characterized by the influence of the Flexner Report: instruction was organized in a cycle of the basic and clinical sciences; there was almost complete separation between medicine and society, and seminars in the Hemisphere proposed the inclusion of an integrated approach. The second stage, the decade of the sixties, was one of the great advances in theory and practice. Hemispheric meetings among health authorities, professional associations and groups of social scientists, physicians, and educators explicitly expounded the need for integration of the social and biological elements into medical education. The biological basis of study plans was reinforced as well. The third stage, the decade of the seventies, was one of consolidation of social medicine in the profession and the intensification of studies in that discipline. The idea then emerged of interdependence between medical education, medical practice, and the organization of health services in a social context. The authors examine the years of the eighties as an unfinished stage of culmination of the integration of the social and biological elements in medicine with inclusion of the idea of the physician's commitment to society.

Biology↗
PubMed1997

Western Australian primary school teachers' knowledge about childhood asthma and its management.

A total of 164 primary school teachers from Perth, Western Australia anonymously completed a survey of their knowledge and attitudes about asthma. These teachers were active in assisting children with asthma management but most (91.5%) felt that they did not know enough about asthma. Attitudes toward children with asthma were positive; 97% agreed that such children should be encouraged to participate in sporting activities. Specific knowledge about asthma management and medications was, however, poor. This large sample of Western Australian teachers knew more than their European counterparts but asthma training is needed and should be targeted at improving knowledge of both regular and emergency treatments for asthma.

Adult↗
PubMed2003

Local peoples' knowledge, aptitude and perceptions of planning and management issues in nanda devi biosphere reserve, India.

Local peoples' knowledge, aptitude, and perceptions of planning and management issues were investigated in Nanda Devi Biosphere Reserve (NDBR) in Uttaranchal State of India. Conflicts ensued between local inhabitants and the management authority due to lack of community participation. Although most respondents seem to claim the knowledge of the objectives of Nanda Devi Biosphere Reserve, the source of information indicates their interaction with the management authority is not frequent. While local population seem to agree on reduced intensity of agriculture with compensation equal to loss of net income, there is a perceptible difference in responses among different age groups. While the younger generation seems to agree to move away to other areas with suitable compensation packages, the older generation prefer those options that require some adjustments in use and access to natural resources. The option of ecotourism as a source of income is acceptable to most respondents, but young and old respondents disagreed about impact of such activity on social behavior of local inhabitants. Among those groups studied, only the "self-employed group" seem to be more interested in ecotourism in comparison to other occupation classes. Gender differences in perceptions are prominent with reference to development options. While the men preferred economic opportunities, the women preferred improved living conditions. An evaluation mechanism similar to the one described in this paper will be helpful to the management authority to assess and modify their management plans to mitigate conflicts with local people.

Adolescent↗
PubMed2006

Governing time in operating rooms.

AIM: This paper examines how time is controlled and governed in operating rooms through interpersonal communication between nurses and doctors. BACKGROUND: Time is a valuable commodity in organizations with improvements often directed towards maximizing efficiencies. As a consequence, time can be a source of tension and interpersonal conflict as individuals compete for control of its use. METHODS: The data in this paper emanate from an ethnographic study that explored a range of communication practices in operating room nursing. Participants comprised 11 operating room nurses. Data were collected over two years in three different institutional settings and involved participant observation, interviews and the keeping of a personal diary. A deconstructive analysis of the data was undertaken. RESULTS: Results are discussed in terms of the practices, in which clinicians are engaged in, to govern and control their use of time. The four practices presented in this paper include; questioning judgment and timing, controlling speed, estimating surgeons' use of time and coping with different perceptions of time. CONCLUSIONS: Time and speed were hotly contested by nurses. They used their personal knowledge of individual surgeon's habits of time to govern and control practice. Nurses thought about surgeons in terms of time and developed commonly accepted understandings about the length of surgical procedures. They used this knowledge to manage the scheduling of operations in the departments and to control the workflow in individual operating rooms. Knowledge of individual surgeons was a source of power for operating room nurses. RELEVANCE TO CLINICAL PRACTICE: Nurses have more power in the operating room than might be imagined but they exercise this power in subtle ways. If operating rooms are to work effectively, the operating room team must understand each others' work better.

Adaptation, Psychological↗
PubMed1999

Effects of a self-management educational program for the control of childhood asthma.

The objective of the present study was to evaluate the effects of a self-management educational program on 29 children between 6 and 14 years old and their parents implemented in an office setting in Venezuela. Children were randomly assigned to experimental and control group. Children's asthma knowledge, self-management abilities, index morbidity, parents' asthma knowledge and management abilities were measured. The program consisted of six sessions of information giving and cognitive-behavioral strategies for the children, and two talks and an informative brochure for the parents. Results of t tests indicate that the experimental group experienced a statistical significant effects on children's asthma knowledge (P < 0.001) and practice of self-management abilities (P < 0.000) and in parents' knowledge (P < 0.008) compared to the control group. The educational Self-management program had a significant impact on the Morbidity Index of the study group at post-test (P < 0.05). Younger children benefited more from the program compared to older ones (P < 0.09). Children's age is highlighted as a critical variable in designing asthma educational programs. Results suggest the effectiveness on these programs independently of the cultural context.

Adolescent↗
PubMed1990

Disseminated intravascular coagulation and shock. Multisystem crisis in the critically ill.

Acute primary conditions can produce pathophysiologic alterations in the normal coagulation mechanism to promote the simultaneous hemorrhagic and thrombotic events of DIC with the resultant development of shock. Additionally, as shock progresses, it can cause alterations in the hemostatic mechanism to produce DIC. The appearance of DIC in shock and shock in DIC are potentially life-threatening conditions in the critically ill. Medical management can include anticoagulant therapy, such as heparin, and replacement of clotting factors and platelets. The intensive, knowledgeable nursing management of the patient includes physiological and psychological support and can be vital to minimize the mortality and morbidity associated with DIC and shock.

Disseminated Intravascular Coagulation↗
PubMed2006

Understanding and managing HELLP syndrome: the integral role of aggressive glucocorticoids for mother and child.

Antepartum or postpartum HELLP syndrome constitutes an obstetric emergency that requires expert knowledge and management skills. The insidious and variable nature of disease presentation and progression challenges the clinician and complicates consensus on universally accepted diagnostic and classification criteria. A critical review of published research about this variant form of severe preeclampsia, focused primarily on what is known about the pathogenesis of this disorder as it relates to patient experience with corticosteroids for its management, leads to the conclusion that there is maternal-fetal benefit realized when potent glucocorticoids are aggressively used for its treatment. Although acknowledging the need for definitive multicenter trials to better define the limits of benefit and the presence of any maternal or fetal risk, and given an understanding of the nature of the disorder with its potential to cause considerable maternal morbidity and mortality, we recommend for the present that aggressively used potent glucocorticoids constitute the cornerstone of management for patients considered to have HELLP syndrome.

Female↗
PubMed1994

Endoscopic treatment of vesicoileal anastomotic stricture.

A 26-year-old man with anastomotic stricture at the junction of an ileal ureter and the bladder was managed successfully by endoureterotomy. Follow-up at 18 months indicated the absence of recurrent stricture. To our knowledge, endourologic management of an ileovesical anastomotic stricture has not been reported previously.

Adult↗
PubMed2003

The relation between education, knowledge and action for better waste management in Poland.

In recent years a significant increase in municipal solid waste (MSW) amount has been noted in Poland, and yet there is no fully efficient system for its treatment. Undertaking projects for rational MSW management requires considering both technical facilities and social barriers (waste reduction, re-use and segregation in households). In Poland, attempts to educate and mobilise society to segregate recyclables have not yet produced satisfactory results. Society's awareness in this field needs to be raised. The purpose of this study was to determine the level of knowledge and understanding about MSW management and the relationship between knowledge possessed and actions undertaken for various residential age groups in two Polish provinces. In all groups, 30% of the respondents showed a satisfactory level of knowledge, whilst an equally small number of individuals had undertaken actions for MSW management at home; people with a higher level of knowledge undertook such actions slightly more often. No significant differences between the provinces were found, but residents of town, where waste segregation has been introduced simultaneously with an information campaign, showed a higher level of knowledge. The study points to the need to further educate people about MSW, and to encourage the teaching of pro-environmental attitudes.

Adolescent↗
PubMed1992

Lay and professional knowledge of methods for emergency management of avulsed teeth.

Proper treatment during the first 30 minutes offers the best prognosis for traumatically avulsed teeth. This study sought to determine both lay people's and dental professionals' knowledge of and attitude to emergency procedures. A 12-question survey was administered to 5 groups: (a) parents of learner swimmers and (b) coaches of college sports teams (lay); (c) State Dental Nurses, (d) dentists and (e) dental nurse/receptionists (professional). Respondents totalled 184 (a 32, b 86, c 24, d 18, e 24) i.e. 118 lay and 66 professional. Data revealed that group b had the greatest personal experience of avulsed teeth and groups c and e the least. Public hospital accident and emergency services (A & E) were perceived by all groups as most available. 18% of lay groups could not cite an emergency service. Lay people thought first of A & E for management whereas profession groups preferred the victim's own dentist. Most professional people would replant avulsed permanent teeth and about 1/3 would replant deciduous teeth: 1/2 lay people would replant permanent teeth and 1/8 deciduous teeth. Where treatment was not straightforward lay people would seek advice before acting. Half of the lay groups would transport an avulsed tooth dry. All the professionals had had advice on management of avulsed teeth but only 1/4 of the lay groups. This study highlighted the need for educational campaigns aimed at members of the lay public likely to be involved in the emergency management of traumatically avulsed teeth.

Attitude of Health Personnel↗
PubMed2006

Toward standardising nursing language in New Zealand.

Historically nursing in New Zealand has not used any standardised means to classify practice. In a rapidly developing health information technology (IT) sector this raises serious questions about documentation processes, information management and knowledge development nursing. Recently the Nursing Council of New Zealand has redefined nursing practice, included documentation skills and information management as core competencies within the Registered Nurse and Nurse Practitioner Scopes of Practice (2004) and included information technology as core curricula content within pre-registration nursing programmes. This opinion paper will argue that continued lack of description and analysis of nursing practice in this country will enhance nursing vulnerability. It will background the extent of this issue and outline a project that aims to explore the contextual issues, test a language embedded with a clinical information system and develop a procedural framework to guide the implementation of automated means to describe, compare, examine and analyse nursing practices and processes within New Zealand. The framework will take into account the uniqueness of New Zealand nursing located within international positions and will be a first step toward using a standardised professional language embedded in clinical information systems.

New Zealand↗
PubMedDate not supplied

Perioperative pain management education: a short structured regional anesthesia course compared with traditional teaching among medical students.

BACKGROUND AND OBJECTIVES: Previous research has demonstrated that a brief course on pain management improved knowledge and attitudes toward analgesic use among medical students. The purpose of this study is to compare a structured clinical instruction course on regional anesthesia techniques for perioperative pain management with traditional teaching given to senior medical students. METHODS: During a 1-month clerkship in anesthesiology, 40 fourth-year medical students were randomly and equally divided into 2 groups. The study group received a 2-hour structured course on regional anesthesia techniques for pain management, whereas the control group received a 1-hour lecture tutorial on regional anesthesia techniques for perioperative pain management and 1 hour of bedside teaching on acute pain management. Each student completed an objective structured clinical examination (OSCE) 2 weeks after completion of the course. RESULTS: The study group performed better on each of the 11 items of the OSCE and on the total performance scores (mean +/- SD of 36.2 +/- 7.3 for study group versus 14.8 +/- 8.4 for the control group; P < .05). All students rated the clinical course highly valuable (4.7 +/- 0.5). CONCLUSION: A structured clinical instructional course on regional techniques for perioperative pain management given to fourth-year medical students can significantly improve their understanding and knowledge compared with traditional teaching.

Anesthesia, Conduction↗