Parental attitudes of inclusion

The purpose of this qualitative study was to develop an understanding of parents’ attitudes towards inclusion. This investigation focused on parental perspectives of inclusion based on their child’s receipt of educational services. Perceived implications of inclusion were relative to each participant; therefore, results could not be considered generalizable. This study employed purposive sampling in acquiring participants. Eligibility for this study included being the parent/guardian of a child who received special education services in school. Semi-structured interviews were used to collect data, allowing participants to tell their story about their experiences with inclusion. Parents in this study were eager to share their attitudes towards inclusion, speaking candidly about their children’s successes attributed to inclusion as well as issues experienced. Parents identified a number of outcomes of inclusion, namely, social interaction, self-esteem, instructional support, and normalcy.

CAUTI prevention bundles: improving best practices within Western Health for continued success

Background: Persons in acute care settings who have indwelling urethral catheters are at higher risk of acquiring a urinary tract infection (UTI). Other complications related to prolonged indwelling urinary catheters include decreased mobility, damage to the meatus and/or urethra, increase use of antibiotics, increased length of stay, and pain. UTIs in acute care settings account for 30 to 40% of all health care associated infections (HAIs). Of these, 80% are catheter associated UTIs (CAUTIs). Purpose: To utilized the CDC (2009) bundle approach for CAUTI prevention and create a program which supports a multimodal method to improving urinary catheter use, maintenance, and removal, including a continuing competency program where role expansion is anticipated. Methods: A comprehensive review of the literature was conducted. Physicians were consulted through a power point presentation followed by a letter explaining the project, a questionnaire, and two selections of relevant literature. Nursing staff and allied health professionals from the target units of 3A and 3B medicine attended one of two lunch and learns. They were presented the project via a power point presentation and the same questionnaire as distributed to physicians. Results: Five e-learning modules, a revised policy, and clinical pathway have been developed to support staff with best practice knowledge transfer. Conclusion: Behaviour changes need to be approached with a framework, extensive consultation, and education. Sustainability of any practice change cannot occur without having completed the background work to ensure staff have access to tools to support the change.