Effect of Changing Needle Disposal Systems on Needle Puncture Injuries

1987 ◽  
Vol 8 (2) ◽  
pp. 59-62 ◽  
Author(s):  
Keith Krasinski ◽  
Rita LaCouture ◽  
Robert S. Holzman
Keyword(s):  
Health Care ◽  
Education Program ◽  
Educational Program ◽  
Needle Puncture ◽  
Mechanism Of Injury ◽  
Needlestick Injuries ◽  
Hospital Workers ◽  
Anatomic Site ◽  
Risk Of Injury ◽  
Before And After

AbstractAccidental needle puncture injuries continue to pose a hazard to hospital workers. In order to reduce the number of such injuries in our hospital, needle disposal procedures were revised to discourage recapping and prevent bending or clipping of needles before discard. Collapsible cardboard boxes were replaced with impervious containers. An educational program accompanied these changes. We compared reports of needlestick injuries before and after the change of procedure, for three parallel 9-month periods. During the 27-month study, injuries occurred during administration of medication (22%), or recapping of used needles (16%), from needles protruding through (10%) or out of the "mouth" (9%) of the container, from needles left in the patient's environment (10%), or those left on procedure trays (7%). Seven percent were the result of being stuck by someone else, usually in the operating room. The mechanism of injury for 19% was not, described. Altering the disposal procedures did not change the number or anatomic site of injuries, nor the risk of injury among the various job categories. A reduction in the rate of sticks from needles protruding through the container (1.3 vs 0.3/mo, p≤0.005) was the only difference observed. Changing the needle receptacle changed the type but not the overall number of injuries. The education program had little effect on the number and types of injuries. These data point to the need for developing innovative approaches for eliciting changes in behavior of health care personnel.

scholarly journals Incidence of COVID-19 Infection in Hospital Workers From March 1, 2020 to May 31, 2021 Routinely Tested, Before and After Vaccination With BNT162B2

2021 ◽  
Author(s):  
Francesca Larese Filon ◽  
Francesca Rui ◽  
Federico Ronchese ◽  
Paola Michieli ◽  
Corrado Negro
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Hospital Workers ◽  
Factors Associated ◽  
Care Workers ◽  
Before And After ◽  
Polymerase Chain ◽  
Incident Rate ◽  
Rate Ratios ◽  
Monthly Incidence

Abstract Objective To evaluate the incidence of COVID-19 infection in health care workers from the start of COVID-19 pandemic in NE of Italy, to the vaccination with BNT162b2. Materials and methods This was a retrospective cohort study. Health care workers were routinely tested for SARS-CoV-2 infections using real-time polymerase chain reaction tests in nasopharyngeal swabs. Logistic regression was used to calculate incident rate ratios (IRRs) of factors associated to COVID-19. Results A total of 4251 workers were followed-up and an annual incidence of COVID-19 of 13.6% was found. In March 2021 the incidence of infection was 4.88 and 103.55 cases for 100.000 person-days in vaccinated and non-vaccinated workers, respectively, with an adjusted IRRs of 0.05 (95% CI 0.02–0.08). Conclusions Our study evaluated the monthly incidence in health care workers in Trieste hospitals before and after the vaccination finding the protective effect of BNT162B2 vaccine in 95% of health care workers routinely tested.

Emergency Medical Services Assessment and Treatment of Children with Special Health Care Needs Before and After Specialized Paramedic Training

2001 ◽  
Vol 16 (2) ◽  
pp. 96-101 ◽  
Author(s):  
Daniel W. Spaite ◽  
Katherine J. Karriker ◽  
Carol Conroy ◽  
Marsha Seng ◽  
Norma Battaglia ◽  
...  
Keyword(s):  
Health Care ◽  
Education Program ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Before And After ◽  
Assessment And Treatment ◽  
Specialized Education ◽  
Special Health

AbstractIntroduction:This study evaluates whether a continuing education program for paramedics, focusing on Children with Special Health Care Needs, improved paramedics' assessment and management.Methods:Emergency Medical Services responses for children, 21 years of age or younger, with a congenital or acquired condition or a chronic physical or mental illness, were identified. The responses before and after the specialized education program were reviewed by a multidisciplinary team to evaluate assessment and management of the children. Interreviewer agreement between the nurses on the team and between the physicians on the team was assessed. We also evaluated whether there was an improvement in assessment and care by paramedics completing our education program.Results:Significant improvement was seen in appropriate assessment and overall care by paramedics who completed our specialized education program. Reviewers also noted an appropriate rating for the initial assessment category more often for responses involving paramedics who had the training. Agreement on whether assessment and treatment was appropriate for all five reviewers varied considerably, ranging from 32% to 93%. Overall there was a high percentage of agreement (>70%) between the nurses and between the physicians on most items. However, kappa statistics did not generally reflect good agreement except for most of the focused assessment items and some treatment and procedure items.Conclusion:Most of the documentation on the EMS records indicated appropriate assessment and treatment during all responses for Children with Special Health Care Needs. Nevertheless, the results indicate that paramedics may improve their assessment and management of these children after specialized continuing education.

Death Anxiety before and after Death Education: Negative Results

1980 ◽  
Vol 46 (2) ◽  
pp. 513-514 ◽  
Author(s):  
Tricia McClam
Keyword(s):  
Health Care ◽  
Education Program ◽  
Death Anxiety ◽  
Helping Professions ◽  
Death Education ◽  
Negative Results ◽  
Before And After

A death education program did not lower death anxiety in 76 females and 15 males (aged 19 to 66 yr.) in health-care and helping professions over a 2-day workshop or 4 wk. later. Perhaps the program was not sufficiently experiential.

Effects of an educational program in increasing knowledge and reducing premenstrual syndrome signs, symptoms and severity among nursing college students

2016 ◽  
Vol 5 (4) ◽  
pp. 200
Author(s):  
Nafisa Abdalla ◽  
Mohammed Gibreel
Keyword(s):  
Education Program ◽  
Premenstrual Syndrome ◽  
Educational Program ◽  
Signs And Symptoms ◽  
Study Group ◽  
Significant Difference ◽  
Before And After ◽  
Increasing Knowledge ◽  
Nursing College

Objective: The objective of the following study is to determine the effects of an Educational Program in increasing knowledge and reducing premenstrual syndrome symptoms and severity among nursing college students.Material and Methods: A total of 60 students with Premenstrual Syndrome (PMS) symptoms were included in the study group (n=60), the age of the majority of them (75.8%) was between 20-24 years, pre and post education program questionnaire was developed as a tool of data collection before and after the educational program. Also premenstrual symptoms and severity follow-up sheet was designed and conducted three month after the post education program to follow the effectiveness of the educational program in reducing the severity of the symptoms.Results: The study results indicate that there was significant difference between students’ knowledge before and after the program, the total score mean rank before program was (34.72), while after program was (86.28) p < 0.01 with significant difference between score before and after the program at 1% level of significant. It also shows a significant difference between PMS signs, symptoms and severity before and after program at 1% level of significant (total score mean and SD before program were (132.42, 13.72) respectively, and after program are (107.52, 14.47) respectively p < 0.01 with larger effect size of 0.613. The follow-up result shows a reduction in PMS symptom’s severity, the total severity averages of PMS sign and symptoms were 3.4 first month, 2.6 the second month and 2.2 for the third month out of 4 respectively.Conclusion: The educational program had a positive effect on increasing knowledge and decreasing PMS signs and symptoms severity. Also the program has decrease the effect of PMS signs and symptoms on study group life.

scholarly journals Mitigating Absenteeism in Hospital Workers During a Pandemic

2009 ◽  
Vol 3 (S2) ◽  
pp. S141-S147 ◽  
Author(s):  
Andrew L. Garrett ◽  
Yoon Soo Park ◽  
Irwin Redlener
Keyword(s):  
Health Care ◽  
Critical Infrastructure ◽  
Influenza Pandemic ◽  
Mitigation Strategies ◽  
Protective Equipment ◽  
Hospital Workers ◽  
Convenience Sample ◽  
Health Care Employees ◽  
Before And After ◽  
Preferential Access

ABSTRACTObjectives: An influenza pandemic, as with any disaster involving contagion or contamination, has the potential to influence the number of health care employees who will report for duty. Our project assessed the uptake of proposed interventions to mitigate absenteeism in hospital workers during a pandemic.Methods: Focus groups were followed by an Internet-based survey of a convenience sample frame of 17,000 hospital workers across 5 large urban facilities. Employees were asked to select their top barrier to reporting for duty and to score their willingness to work before and after a series of interventions were offered to mitigate it.Results: Overall, 2864 responses were analyzed. Safety concerns were the most frequently cited top barrier to reporting for work, followed by issues of dependent care and transportation. Significant increases in employee willingness to work scores were observed from mitigation strategies that included preferential access to antiviral medication or personal protective equipment for the employee as well as their immediate family.Conclusions: The knowledge base on workforce absenteeism during disasters is growing, although in general this issue is underrepresented in emergency planning efforts. Our data suggest that a mitigation strategy that includes options for preferential access to either antiviral therapy, protective equipment, or both for the employee as well as his or her immediate family will have the greatest impact. These findings likely have import for other disasters involving contamination or contagion, and in critical infrastructure sectors beyond health care. (Disaster Med Public Health Preparedness. 2009;3(Suppl 2):S141–S147)

scholarly journals Effectiveness of a Nutrition Education Program to Improve Children’s Chewing Habits

2016 ◽  
Vol 2016 ◽  
pp. 1-10
Author(s):  
Nanae Sato ◽  
Fumi Hayashi ◽  
Nobuo Yoshiike
Keyword(s):  
Nutrition Education ◽  
Education Program ◽  
Educational Program ◽  
Active Involvement ◽  
Before And After ◽  
Quasi Experimental ◽  
Group A ◽  
Nutrition Education Program ◽  
Group B ◽  
At Home

This quasi-experimental study determined whether the nutrition education program we developed to promote chewing food properly influenced children’s chewing habits successfully. Four kindergarten classes in Japan (150 children, aged 5-6 years) were studied; one class received the educational program in the classroom and at home (Group A) and three classes received the program in the classroom only (Group B). The educational program was integrated into the classes’ daily curriculum for five weeks. It included storytelling with large picture books, chewing consciously while eating lunch, singing a song with gestures, and greetings before and after meals (both groups). Group A also used a paper textbook and was provided information by the leaflet to encourage guardians to implement the program at home. Chewing habits before and after intervention were evaluated: (1) guardians completed seven questionnaire items related to chewing habits and chewing movement and (2) the number of chews and time spent eating the test meal were measured by a portable chewing sensor. Both approaches improved the children’s chewing habits; however, no difference was found between the two groups. We concluded that this intervention could be used to improve chewing habits in young children even without active involvement of their guardians.

scholarly journals Assessing primary health care nurses knowledge toward immunizations: A quantitative study

2020 ◽  
Vol 9 (4) ◽  
Author(s):  
Ebtesam Abdulla ◽  
Jessie Johnson ◽  
Sadia Munir ◽  
Robin O'Dwyer
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Education Program ◽  
Nursing Workforce ◽  
The Public ◽  
Primary Health ◽  
Study Results ◽  
Before And After ◽  
Primary Health Care Nurses ◽  
Nurses Knowledge

Background: The current nursing workforce needs to be skilled, confident, and competent to address the rapid change in Primary Health Care services, to align with the National Vision of Qatar. This is emphasized in the Primary Health Care Strategy 2018-2023. This strategy outlines the need of having a skilled nursing workforce to administer and educate the public about the importance of immunizations. Primary Health Care nurses emanate from several nationalities and hence possess various level of knowledge and background related to immunization administration. Design and methods:  To assess Primary Health Care nurses’ knowledge before and after the delivered immunization education program in Qatar. The study was part of a Sequential mixed method research study that aimed to assess the Primary Health Care nurses’ knowledge, attitude, and practice of nurses before and after the conducted training program. A self-administered survey, specifically developed for the research project was loaded in Qualtrics and sent to participants of the immunization education program before and after training. Participants were trained in two cohorts from October to December, 2018 in Qatar. For the purposes of this paper, data about the immunization knowledge was statistically analyzed using the SPSS Software version 25 and Microsoft Excel.Results: Specific areas were identified as knowledge gaps among the participants of the two cohorts. Moreover, the developed education program showed overall improvement in the participants’ knowledge.Conclusions: The study results have demonstrated that the delivered immunization education program significantly increases the participants’ knowledge about immunization in certain areas of the primary healthcare clinics they work, including vaccine safety, efficiency, and contraindications in the delivery of vaccines to the public.

scholarly journals The effect of healthcare education program on diabetic patients post cardiac surgery

2018 ◽  
Vol 5 (8) ◽  
pp. 3232
Author(s):  
Khlood Sameer Shobian ◽  
Walid Abdulkareem Abukhudair ◽  
Maher Mohammed Alnajjar ◽  
Mussab Fayez Rajab
Keyword(s):  
Cardiac Surgery ◽  
Education Program ◽  
Educational Program ◽  
Hemoglobin A1c ◽  
Positive Impact ◽  
Armed Forces ◽  
Diabetic Patients ◽  
Healthcare Education ◽  
Before And After ◽  
The Impact

Background: Health education and lifestyle modifications re as important as pharmacotherapy in management of diabetes mellitus. It is suggested that healthcare education would aid in controlling glycaemic measures among diabetic patients especially in critical situations during postoperative periods. The aim of this study was to explore the impact of healthcare education program on diabetic patients who underwent cardiac surgery in Jeddah.Methods: This was a prospective cohort study that was conducted in King Fahd armed forces hospital in Jeddah during the period 2009-2017 on 387 patients. Baseline Hemoglobin A1c was tested for all patients on regular basis (at 0, 3, 6, and 12 months), then a healthcare educational program was started followed by subsequent measurement of Hemoglobin A1c at the same time intervals. Comparisons between the Hemoglobin A1c before and after the program were made.Results: There were no significant differences as regards Hemoglobin A1c levels among the studied patients before and after healthcare education (p=0.087). However, on regression analysis, educational program establishment was significantly correlated with lower Hemoglobin A1c levels among the patients (OR=0.43 (0.32-0.49), p<0.0001).Conclusions: Healthcare educational programs can have a positive impact on improving Hemoglobin A1c control among diabetic patients after cardiac surgery.

A Scoping Review of Interventions Aimed at Improving Knowledge, Detection Practices and Management of Dementia among Health Professionals (Preprint)

2020 ◽  
Author(s):  
Krishna Krishna Prasad Pathak
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
Health Professionals ◽  
Educational Program ◽  
Best Practice ◽  
Intervention Studies ◽  
Educational Interventions ◽  
Learning Activities ◽  
Inclusion Criteria ◽  
Improving Health Care

BACKGROUND Health professionals (HPs) play a key role in dementia management and detection. However, there is a gap in the literature as to what represents best practice with regard to educating HPs to improve their dementia detection practices and management. OBJECTIVE The objective of this scoping review is to synthesize the aggregated studies aimed at improving health care knowledge, detection practices and management of dementia among HPs. METHODS We searched electronically published relevant articles with inclusion criteria; (1) intervention studies aimed at improving HPs practices concerning dementia care and (2) educational interventions focused on nurses and doctors’ knowledge, detection practice and management of dementia. Twenty-five articles fit the inclusion criteria. RESULTS Collaborative programs of practice based workshops, interactive learning activities with community and multi-faced educational program were the most effective. CONCLUSIONS HPs should be supported to improve their knowledge, tackle behavioural problems associated with dementia, be made aware of services and be enabled to engage in more early diagnosis. CLINICALTRIAL no applicable

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