Nurse and parent perceptions associated with the Parent Education Discharge Instruction Programme in southern India

2015 ◽  
Vol 26 (6) ◽  
pp. 1168-1175 ◽  
Author(s):  
Sandra L. Staveski ◽  
V. P Parveen ◽  
Sai B. Madathil ◽  
Susan Kools ◽  
Linda S. Franck
Keyword(s):  
Home Care ◽  
Hospital Discharge ◽  
Parent Education ◽  
Health And Safety ◽  
Parent Perceptions ◽  
Programme Implementation ◽  
Negative Effects ◽  
Teaching Programme ◽  
Discharge Instruction ◽  
Before And After

AbstractIntroductionParents of children with CHD require home care knowledge in order to ensure their child’s health and safety, but there has been no research on how to achieve this in a resource-constrained environment. The aim of this investigation was to compare parent and nurse perceptions of parent readiness for discharge after a structured nurse-led parent discharge teaching programme in India.Materials and methodsA pre-post design was used to compare parent and nurse perceptions of parental uncertainty and readiness for hospital discharge before and after introduction of the parent education discharge instruction programme in a paediatric cardiac surgery unit.ResultsParents (n=68) and nurses (n=63) participated in this study. After the discharge programme implementation, parents had less uncertainty (M=93.3 SD=10.7 versus M=83.6 SD=4.9, p=0.001) and ambiguity (M=40.8 SD=6.8 versus M=33.4 SD=3.7, p=0.001) about their child’s illness; however, they rated themselves as being less able to cope with the transition to home (M=24.3 SD=4.1 versus 23.1 SD=2.2, p=0.001) and as having less support at home than that required (M=31.5 SD=9.9 versus 30.9 SD=3.2, p=0.001). Parents’ and nurses’ perception of parental readiness for hospital discharge were more closely aligned after implementation of a nurse-led discharge programme (r=0.81, p=0.001).ConclusionThe results of this study suggest that the discharge programme had positive and negative effects on parental perceptions of uncertainty and readiness for discharge. Further examination is warranted to delineate these influences and to design methods for supporting parents during the transition to home care.

33 Effectiveness of Caregiver-oriented Transitional Care Program (CTCP) in Promoting Preparedness of Caregivers for Home Care of Burn Patients

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S23-S24
Author(s):  
Jun Jun A Dualan
Keyword(s):  
Home Care ◽  
Hospital Discharge ◽  
Wound Dressing ◽  
Transitional Care ◽  
Teaching Method ◽  
Medication Administration ◽  
Instructional Materials ◽  
Burn Patients ◽  
Before And After ◽  
Burn Units

Abstract Introduction Unpreparedness of caregivers of burn patients can result to several complications at post-discharge period (Zwicker, 2010; AHRQ, 2012). Some burn centers in resource-scarce countries had documented several burn morbidity and mortality that occurred post hospital discharge. Psychological conditions, contractures, infection and even death are just some of the complications. One of the current trends in burns involves sending patients home with a burn dressing and following them up as outpatients for wound inspection. This could significantly reduce cost of hospitalization with shortened hospital stay and allows burn units to accommodate the overflow of acute and complex cases for admission. Although there are advantages in early discharge, this approach requires a change in the health teaching method and contents since hospital-to-home transition is expedited. Considering this dilemma, the investigator developed the CTCP to address the gap in transitional care of burns. This study aimed to compare the preparedness of caregivers before and after CTCP; and compare caregivers’ handwashing competency, wound dressing competency and medication administration hassle before and after CTCP. Methods One-group pre-and-posttest quasi-experimental design was used to study thirty adult caregivers of burn patients that were recruited via convenience sampling in a burn center between November 2017 to March 2018. CTCP was conducted in three sessions with the aid of videos and written instructional materials. Caregivers were evaluated in terms of preparedness (primary outcome) and handwashing competency, wound dressing competency and medication administration hassle (secondary outcomes). All measurement instruments were content valid and reliable. Results At alpha 0.05, data analysis revealed statistically significant results supporting the use of CTCP. Preparedness (p< 0.001), handwashing competency (p< 0.001), wound dressing competency (p< 0.001) and medication administration hassle (p< 0.001) improved after receiving the structured teaching intervention. Conclusions The study supported the relevance of the interventions to prepare caregivers for home care of burn patients to help prevent potential complications after hospital discharge. This is therefore recommended to be adapted by burn units that recognize primary caregivers as extended team members. Applicability of Research to Practice Since there is a limited evidence in nursing discharge education programs specific to burns, the results generated from this study can help practitioners effectively prepare caregivers for home care of burn patients as educational intervention is supported with strategies that increase learning retention.

Parent education discharge instruction program for care of children at home after cardiac surgery in Southern India

2015 ◽  
Vol 26 (6) ◽  
pp. 1213-1220 ◽  
Author(s):  
Sandra L. Staveski ◽  
V. P. Parveen ◽  
Sai B. Madathil ◽  
Susan Kools ◽  
Linda S. Franck
Keyword(s):  
Cardiac Surgery ◽  
Home Care ◽  
Parent Education ◽  
Medical Condition ◽  
Child Outcomes ◽  
Hospital Costs ◽  
Surgical Site Infections ◽  
Discharge Instruction ◽  
Quasi Experimental ◽  
High Level

AbstractIntroductionIn many developing countries, children with CHD are now receiving surgical repair or palliation for their complex medical condition. Consequently, parents require more in-depth discharge education programmes to enable them to recognise complications and manage their children’s care after hospital discharge. This investigation evaluated the effectiveness of a structured nurse-led parent discharge teaching programme on nurse, parent, and child outcomes in India.Materials and methodsA quasi-experimental investigation compared nurse and parent home care knowledge before and at two time points after the parent education discharge instruction program’s implementation. Child surgical-site infections and hospital costs were compared for 6 months before and after the discharge programme’s implementation.ResultsBoth nurses (n=63) and parents (n=68) participated in this study. Records of 195 children who had undergone cardiac surgery were reviewed. Nurses had a high-level baseline home care knowledge that increased immediately after the discharge programme’s implementation (T1=24.4±2.89; T2=27.4±1.55; p<0.005; 30 point scale), but decreased to near baseline (T3=23.8±3.4; ns) 4 months after the programme’s implementation. Nurse teaching documentation increased by 56% after the programme’s implementation. Parent knowledge scores increased from 1.76±1.4 for Cohort 1 to 3.68±0.852 for Cohort 2 (p<0.005; 0–4 scale) after the discharge programme’s implementation. Surgical-site infections decreased from 27% in Cohort 1 to 2% in Cohort 2 (p>0.05) after the programme’s implementation.ConclusionNurse, parent, and child outcomes were improved after implementation of the structured nurse-led parent discharge programme for parents in India. Structured nurse-led parent discharge programmes may help prepare parents to provide better home care for their children after cardiac surgery. Further investigation of causality and influencing factors is warranted.

scholarly journals Efficacy of structured teaching programme on home care management of pregnancy induced hypertension in primigravida mothers: a tertiary hospital study

2017 ◽  
Vol 6 (9) ◽  
pp. 3808
Author(s):  
Neelima Singh ◽  
Satyendra Nath Ponna ◽  
K. Rani Rajeshwari
Keyword(s):  
Home Care ◽  
Early Identification ◽  
Care Management ◽  
T Test ◽  
Pregnancy Induced Hypertension ◽  
Hypertensive Disease ◽  
Teaching Programme ◽  
Induced Hypertension ◽  
Structured Teaching ◽  
Before And After

Background: Hypertensive disease of pregnancy is one of the major causes of maternal mortality in India. 7.1% of maternal deaths are attributed to hypertension disorder of pregnancy. Early identification of modifiable and non-modifiable risk factors of hypertensive disorders of pregnancy is essential for effective management of hypertensive disease of pregnancy. The study assesses the knowledge of primigravida women regarding home care management of pregnancy induced hypertension before and after administering structured teaching programme.Methods: It is a pilot study with pre-experimental study design. 30 study participants were recruited with non-probability purposive sampling of primigravida women attending antenatal clinic of maternity hospital of Petlaburj, Hyderabad. A pretested and standardized survey instrument was used for collecting socio-demographic characteristics and knowledge, attitude and practices regarding home care management of pregnancy after obtaining informed consent before and after structured teaching intervention programme with audio-visual aids for home management of pregnancy induced hypertension.Results: 43.3% of primigravida women were 21-24 years old and 43.3% of primigravida women were 20-24 years of gestation. Mean pre-test and post-test knowledge assessment score increased by 155.2% from 13.4 to 34.2 after administration of structured teaching programme and paired-t test was carried out to test difference of means. The test reports t-test statistic of -20.7 with p-value of <0.001 is highly significant.Conclusions: Evidence based guidelines adopted by Government of India should be implemented by health facilities by upgrading infrastructure, capacity building and community engagement for early identification of complications of pregnancy to seek health care services.

Model Child Care Health Policies

2013 ◽  
Author(s):  
Keyword(s):  
Child Care ◽  
Early Education ◽  
Health And Safety ◽  
Large Family ◽  
Health Policies ◽  
After School ◽  
Wide Range ◽  
Before And After ◽  
Care Health ◽  
Child Care Facilities

Significantly revised and updated, the new Model Child Care Health Policies, 5th Edition is a must-have tool to foster adoption and implemenation of best practices for health and safety in group care settings for young children. These settings include early care and education as well as before and after school child care programs. These model policies are intended to ease the burden of writing site-specific health and safety policies from scratch. They cover a wide range of aspects of operation of early education and child care programs. Child care programs of any type can use Model Child Care Health Policies by selecting relevant issues for their operation and modifying the wording to make selected policies appropriate to the specific settings. These settings include early education and child care centers, small and large family child care homes, part day-programs for ill children, facilities that serve children with special needs, school-age child care facilities, and drop-in facilities. The model policies can be adapted for public, private, Head Start, and tuition-funded facilities. All of the most commonly covered health and safety topics the National Association of Child Care Resource and Referral Agencies found in state regulations are included in this guide.

scholarly journals Evaluating the environmental impact of payments for ecosystem services in Coatepec (Mexico) using remote sensing and on-site interviews

2011 ◽  
Vol 38 (4) ◽  
pp. 426-434 ◽  
Author(s):  
JASON SCULLION ◽  
CRAIG W. THOMAS ◽  
KRISTINA A. VOGT ◽  
OCTAVIO PÉREZ-MAQUEO ◽  
MILES G. LOGSDON
Keyword(s):  
Remote Sensing ◽  
Ecosystem Services ◽  
Forest Cover ◽  
Remote Sensing Data ◽  
Environmental Benefits ◽  
Payments For Ecosystem Services ◽  
Programme Implementation ◽  
Before And After ◽  
Monitoring And Enforcement ◽  
Landsat Satellite

SUMMARYOver the last decade, hundreds of payments for ecosystem services (PES) programmes have been initiated around the world, but evidence of their environmental benefits remains limited. In this study, two PES programmes operating in the municipality of Coatepec (Mexico) were evaluated to assess their effectiveness in protecting the region's endangered upland forests. Landsat satellite data were analysed to assess changes in forest cover before and after programme implementation using a difference-in-differences estimator. Additionally, surveys and interviews were conducted with local residents and a subset of PES programme participants to evaluate the programmes’ social and environmental impacts, particularly the effect of the programmes on landowner behaviour. The remote-sensing data show that deforestation was substantially lower on properties receiving PES payments compared to properties not enrolled in the programmes, but the programmes did not prevent the net loss of forests within Coatepec. Moreover, the on-site interviews suggest that the payments may have had little impact on deforestation rates, and that other factors contributed to the conservation of forests in PES properties. These findings suggest that risk-targeted payments, robust monitoring and enforcement programmes, and additional conservation initiatives should be included in all PES schemes to ensure environmental effectiveness.

scholarly journals Reviewing the Effect of 10 Days of Intense Exercise Period on Certain Blood Parameters of Tennis Players

2018 ◽  
Vol 6 (11) ◽  
pp. 95
Author(s):  
Muzaffer Selcuk ◽  
Vedat Cinar ◽  
Mucahit Sarikaya ◽  
Salih Oner
Keyword(s):  
Statistical Significance ◽  
Exercise Program ◽  
Blood Parameters ◽  
Intense Exercise ◽  
Negative Effects ◽  
Blood Samples ◽  
Tennis Players ◽  
Before And After ◽  
Exercise Period ◽  
Competition Period

This study aims to observe the possible negative effects that might occur on bio-chemistry and hemogram values of tennis players during the intense competition period by comparing the blood values of pre-competition period with 10 days of intense exercise. Blood samples were obtained from tennis team players who do not have any specific health problems and who study in university and regularly exercise. Mean age of the athletes are 22,40 ± 3,20 years and mean height is 179,83 ± 7,57 cm. This study is performed with 14 volunteer tennis players. Blood samples are obtained during the first day of the intense exercise program after the exercise, last day of the exercises and also right after the exercises. As per the obtained data, descriptive statistics are run (mean and standard deviation) and in order to compare the values of before and after the 10 days of intense exercise, Wilcoxon two related sample test was used. As per the results of the blood tests from before and after the exercise period, it is seen that values such as AST, ALT, MCH, MCHC and CK showed statistical significance (P<0.05). The athletes who prepared for the competitions with these values showed positive increases in bio-chemistry and hemogram values.

scholarly journals Effect of 12 Months of Exercise with Stachys Lavandulifolia Consumption on anxiety, Metabolic Syndrome Profiles and Antioxidant Defense and Lipid Peroxidation in Women with Syndrome Metabolic

2020 ◽  
Author(s):  
Ali osali ◽  
Alireza Rostami
Keyword(s):  
Metabolic Syndrome ◽  
Lipid Peroxidation ◽  
Aerobic Exercise ◽  
Antioxidant Defense ◽  
Training Group ◽  
Serum Levels ◽  
Control Group ◽  
Negative Effects ◽  
Beneficial Effects ◽  
Before And After

Abstract BackgroundThe purpose of this study was to investigate the effect of 12 months of aerobic exercise combining stachys lavandulifolia (S. lavandulifolia) consumption on anxiety, Metabolic Syndrome profiles and antioxidant defense (Glutathione) and lipid peroxidation (Malondialdehyde) in 50-65 years old women with syndrome metabolic.Methods48 women with syndrome Metabolic were randomly divided into four groups: exercise (n=12), exercise+S. lavandulifolia (n=12), S. lavandulifolia (n=12) and control group (n=12). S. lavandulifolia groups consumed 3 g aerial parts of S. lavandulifolia daily. Training groups performed an exercise protocol of aerobic exercise for 12 months (three sessions per week). Blood samples were obtained before and after training period for antioxidant indicators and lipid degradation measurement. Also, Beck anxiety questionnaire used for evaluating levels of anxiety. T-test and one-way analysis of variance were used for the evaluation of within-group and between-group differences, respectively.ResultsA significant increase was observed in serum levels of Malondialdehyde (P =0.004), Catalase indexes (Pvalue= 0.01), and Glutathione (P=0.001) in the training group and S. lavandulifolia groups after 12 months. Body weight, BMI, and SBP and Anexiety was decreased significantly greater in exercise +S. lavandulifolia group compared to control, exercise and S. lavandulifolia groups (P=0.001)ConclusionAnxiolytic effect and Anti-Oxidative Stress Activity was seen, so taking S. lavandulifolia along with exercises may have beneficial effects on reinforcement the antioxidant system and prevention of anxiety and The negative effects of indicators related to cardiovascular disease in women with metabolic syndrome.

scholarly journals Impact of COVID-19 on Physical Activity Among 10,000 Steps Members and Engagement With the Program in Australia: Prospective Study (Preprint)

2020 ◽  
Author(s):  
Quyen G To ◽  
Mitch J Duncan ◽  
Anetta Van Itallie ◽  
Corneel Vandelanotte
Keyword(s):  
Physical Activity ◽  
Age Groups ◽  
Health Impact ◽  
Activity Levels ◽  
Physical And Mental Health ◽  
Negative Effects ◽  
South Wales ◽  
First Case ◽  
Before And After ◽  
Important Health

BACKGROUND Physical activity is an important health behavior, due to its association with many physical and mental health conditions. During distressing events, such as the COVID-19 pandemic, there is a concern that physical activity levels may be negatively impacted. However, recent studies have shown inconsistent results. Additionally, there is a lack of studies in Australia on this topic. OBJECTIVE The aim of this study is to investigate changes in physical activity reported through the 10,000 Steps program and changes in engagement with the program during the COVID-19 pandemic. METHODS Data between January 1, 2018, and June 30, 2020, from registered members of the 10,000 Steps program, which included 3,548,825 days with step data, were used. The number of daily steps were logged manually by the members or synced automatically from their activity trackers connected to the program. Measures on program usage were the number of new registered members per day, the number of newly registered organizations per day, the number of steps logged per day, and the number of step entries per day. Key dates used for comparison were as follows: the first case with symptoms in Wuhan, China; the first case reported in Australia; the implementation of a 14-day ban for noncitizens arriving in Australia from China; the start of the lockdown in Australia; and the relaxing of restrictions by the Australian Government. Wilcoxon signed-rank tests were used to test for significant differences in number of steps between subgroups, between engagement measures in 2019 versus 2020, and before and after an event. RESULTS A decrease in steps was observed after the first case in Australia was reported (1.5%; <i>P</i>=.02) and after the start of the lockdown (3.4%; <i>P</i>&lt;.001). At the time that the relaxing of restrictions started, the steps had already recovered from the lockdown. Additionally, the trends were consistent across genders and age groups. New South Wales, Australian Capital Territory, and Victoria had the greatest step reductions, with decreases of 7.0% (<i>P</i>&lt;.001), 6.2% (<i>P</i>=.02), and 4.7% (<i>P</i>&lt;.001), respectively. During the lockdown, the use of the program increased steeply. On the peak day, there were more than 9000 step entries per day, with nearly 100 million steps logged per day; in addition, more than 450 new users and more than 15 new organizations registered per day, although the numbers decreased quickly when restrictions were relaxed. On average per day, there were about 55 new registered users (<i>P</i>&lt;.001), 2 new organizations (<i>P</i>&lt;.001), 25.6 million steps (<i>P</i>&lt;.001), and 2672 log entries (<i>P</i>&lt;.001) more in 2020 compared to the same period in 2019. CONCLUSIONS The pandemic has had negative effects on steps among Australians across age groups and genders. However, the effect was relatively small, with steps recovering quickly after the lockdown. There was a large increase in program usage during the pandemic, which might help minimize the health impact of the lockdown and confirms the important role of physical activity programs during times of distress and lockdowns.

scholarly journals Creating a virtual, clinical scenario based teaching programme for foundation doctors in Leeds

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S138-S139
Author(s):  
David Hall ◽  
Thomas Lane ◽  
Alexander Harbinson
Keyword(s):  
Mental Health ◽  
Likert Scale ◽  
Teaching Skills ◽  
Clinical Scenario ◽  
Management Skills ◽  
Developmental Needs ◽  
Teaching Programme ◽  
Core Skills ◽  
Before And After

AimsThrough consultation with foundation doctors on their psychiatry placements in Leeds, we established that they didn't feel the trustwide teaching programme met their needs, with them rating the relevance as 5.8 on a 1-10 Likert scale. They also reported their access to formal and informal teaching had been limited by COVID-19 restrictions. We aimed to create an accessible teaching programme that met their developmental needs as set out by the Foundation curriculum, as well as their confidence and skill set in dealing with common mental health presentations. Our supplementary aims were to promote psychiatry as a career and to provide supervised teaching opportunities to core trainees.MethodHaving assessed the foundation doctors confidence in dealing with different scenarios, we created a 9 week teaching programme covering common mental health presentations they're likely to encounter during their training. The virtual sessions focus on what assessment and management skills would be expected for a foundation doctor, as well as when and how to access support and refer on. The programme was designed to be trainee led with the teaching being facilitated by core trainees as it was felt that they would best relate to the experiences and developmental needs of foundation doctors. This also provided the CTs with an opportunity to develop their teaching skills, something that has become more difficult during COVID.ResultThrough weekly feedback of the sessions we were able to demonstrate that for 8 of the 9 sessions the foundation doctors rated them as being ‘useful’ or ‘very useful’ and we're currently reviewing the topic and materials for the outlying session.Through self-assessed ratings before and after the programme, we demonstrated significant increases in confidence in dealing with all 9 of the scenarios. All of the foundation doctors indicated that they had found the programme beneficial.ConclusionAs shown in the results, the programme has been well received by the foundation doctors who's confidence in dealing with a range of scenarios has improved. The programme has also been well received by the trust who have asked us to repeat the it for future foundation rotations and by core trainees who were grateful of the development opportunities that this provided. Further developments will include extending the programme for the duration of the placement to enable us to cover an enhanced range of presentations and to consolidate core skills.

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