scholarly journals (P2-48) Improve Nursing Disaster Preparedness by Education and Maneuver

2011 ◽  
Vol 26 (S1) ◽  
pp. s151-s151
Author(s):  
H.R. Khankeh ◽  
G.R. Masoomi ◽  
A.R. Jallali ◽  
V. Ghanbari ◽  
S. Madah ◽  
...  
Keyword(s):  
Disaster Preparedness ◽  
Health Management ◽  
Basic Principles ◽  
Preparedness Plan ◽  
Quasi Experimental ◽  
Training Courses ◽  
The Mean ◽  
Effectiveness Of Training ◽  
And Performance

IntroductionNurses have pivotal roles before, during, and after disasters. Enhancing their professional skills to help the injured is one the basic principles in health management in disasters. The aim of this study is to investigate the effectiveness of training disaster nursing preparedness on improving the preparedness of nurses.MethodUsing a quasi-experimental method, 113 nurses were selected randomly. The preparedness program, which consisted of a one-day workshop on disaster management, a tabletop exercise, and an operational maneuver, was executed for the participants. The preparedness of all participating nurses was measured by disaster preparedness questionnaire, one week and also one month after the program. Data analysis was performed by using the ANOVA test.ResultsThe mean scores of knowledge, attitude, and performance improved from 5.55 to 19.88, from 66.18 to 72.41, and from 3.36 to 12.48, respectively (p < 0.001). In addition, the mean of total preparedness score was increased from 75.14 in pretest to 104.77 in the follow up (p < 0.001).ConclusionsPreparedness plan training improves participants' preparedness for responding disasters, because preparedness and reliability for responding to disasters is influenced directly by the training courses and previous experiments. Therefore, based on the results obtained in this project, in order to improve the preparedness of nursing staff, including a disaster preparedness plan in academic, educational curriculum and as a continuing educational program is recommended.

scholarly journals Subconjunctival Bevacizumab as an Adjunct to 5-Fluorouracil Enhanced Trabeculectomy: 1 Year Outcomes

2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Sana Nadeem
Keyword(s):  
Intraocular Pressure ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Exclusion Criteria ◽  
Quasi Experimental ◽  
Added Benefit ◽  
Bleb Formation ◽  
The Mean

Purpose:  To compare the results of trabeculectomy with subconjunctival Bevacizumab and 5-Fluorouracil (5-FU); with trabeculectomy with 5-FU alone; in terms of intraocular pressure (IOP) lowering, bleb formation, and complications, in the long term. Study Design:  Quasi experimental study. Place and Duration of Study:  Fauji Foundation Hospital, Rawalpindi, from December 2013 to August, 2019. Methods:  A total of 30 eyes (15 in each group) with glaucoma were recruited. Exclusion criteria were previous trabeculectomy, congenital, traumatic, uveitic, neovascular glaucomas, aphakia, or ocular surface disease. Trabeculectomy with 5FU was performed in both groups. In one group, subconjunctival Bevacizumab was injected into the bleb at the end of surgery. The patients were observed for IOP control, bleb configuration, and complications for 1 year. Results:  Primary open angle glaucoma was the predominant diagnosis in 17 (56.7%) eyes. The mean pre-operative IOP in the 5-FU group was 30.8 ± 17.03 mmHg, & in the 5-FU+Bevacizumab group it was 28.9 ± 18.9 mmHg. The mean IOPs of the 5-FU group at 1 Year was 14.5 ± 5.04 mmHg. In 5-FU+Bevacizumab group, mean IOPs at 1 year was 12.7 ± 4.38 mmHg. The differences between pre-operative and post-operative IOPs in both groups at 6, 9 and 12 months were statistically significant. However, differences in mean IOPs between the two groups, bleb morphology and complications were not statistically significant. Conclusion:  No added benefit of subconjunctival Bevacizumab used as an adjunct to 5-FU enhanced trabeculectomy was found at the end of 1 year follow-up. Key Words:  Trabeculectomy, 5-Fluorouracil, Bevacizumab, Glaucoma, Intraocular pressure.

Participatory Workshop-Based Intervention for Better Preparedness and Awareness About Disaster Management Among Accredited Social Health Activists in India: A Brief Report

2020 ◽  
pp. 1-3
Author(s):  
Jose Jom Thomas ◽  
Chandana H ◽  
Praveen Kulkarni ◽  
Prakash B ◽  
Narayana Murthy M. R.
Keyword(s):  
Disaster Management ◽  
Disaster Preparedness ◽  
Training Programs ◽  
Health Workers ◽  
Management Training ◽  
Social Health ◽  
Interview Method ◽  
Participatory Workshop ◽  
Quasi Experimental ◽  
Effectiveness Of Training

ABSTRACT Objectives: The aim of this study was to evaluate the effectiveness of training programs in improving the knowledge about disaster management among Accredited Social Health Activists (ASHAs) in Mysuru, India. Methods: A quasi-experimental study was conducted among 40 ASHAs of 3 Primary Health Centers in Mysuru district. A 3-h disaster management training and workshop followed by a mock-drill was organized in each center. Knowledge about disaster preparedness and management was assessed before and 1 mo after the intervention using a questionnaire by interview method. The data obtained were entered into an MS Excel spreadsheet and analyzed using licensed SPSS 22 software. Results: The mean score obtained by the ASHAs in pretraining assessment was 37.2 ± 10.4. Improvement was evident in the knowledge and preparedness of ASHAs 1 mo after the training, which showed a mean score of 90.14 ± 5.05. This change in score was statistically significant with a P-value < 0.001 on performing a paired t-test. Conclusion: Training programs with mock drills and hands-on activities are effective in improving the knowledge of frontline health workers about disaster management. We recommend such training to be organized in all public health facilities.

scholarly journals Knowledge, Attitude, and Performance of ICU, CCU, and Emergency Wards Nurses in Kermanshah, Iran, regarding Organ Donation

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Maryam Janatolmakan ◽  
Ali Soroush ◽  
Roghayeh Nouri ◽  
Bahare Andayeshgar ◽  
Alireza Khatony
Keyword(s):  
Nursing Students ◽  
Organ Donation ◽  
Significant Relationship ◽  
Analytical Study ◽  
Poor Performance ◽  
Systematic Random Sampling ◽  
Training Courses ◽  
The Mean ◽  
And Performance ◽  
Self Administered Questionnaire

Background. Providing an organ for donation is a major problem worldwide and nurses play an important role in facilitating the process of organ donation. This study is aimed at investigating the knowledge, attitude, and performance of nurses working in the ICU, CCU, and emergency wards regarding organ donation. Methods. In this descriptive-analytical study, 185 nurses working in ICU, CCU, and emergency wards were studied through systematic random sampling. The data collection was done by a self-administered questionnaire. Results. The mean knowledge of nurses was 8.9 ± 1.4 out of 10. There was a significant relationship between knowledge of nurses regarding donation and religion and having organ donation card (P<0.001). The mean attitude of nurses was 7.8 ± 2.2 out of 8. The variables, including “having a donation card and marriage,” were associated with attitude of nurses toward organ donation. The mean performance of nurses was 0.4 ± 0.7 out of 3. There was a significant relationship between performance of nurses and having a donation card (P<0.001). Knowledge was the strongest predictor of nurses’ performance (P<0.01). Conclusion. The studied nurses showed sufficient knowledge and favorable attitude toward organ donation; however, they had poor performance. It is suggested to hold training courses to improve performance of nurses. The revision of the nursing students’ curriculum as future nurses should also be considered.

scholarly journals Translating new evidence into clinical practice: a quasi-experimental controlled before–after study evaluating the effect of a novel outreach mentoring approach on knowledge, attitudes and confidence of health workers providing HIV and infant feeding counselling in South Africa

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e034770
Author(s):  
Ameena Goga ◽  
Tanya Doherty ◽  
Samuel Manda ◽  
Tshifhiwa Nkwenika ◽  
Lyn Haskins ◽  
...  
Keyword(s):  
South Africa ◽  
Infant Feeding ◽  
Health Workers ◽  
Likert Scale ◽  
Attitude Score ◽  
Score Difference ◽  
Comparison Groups ◽  
Quasi Experimental ◽  
The Mean

ObjectivesWe report the effectiveness of a mentoring approach to improve health workers’ (HWs’) knowledge, attitudes and confidence with counselling on HIV and infant feeding.DesignQuasi-experimental controlled before–after study.SettingRandomly selected primary healthcare clinics (n=24 intervention, n=12 comparison); two districts, South Africa.ParticipantsAll HWs providing infant feeding counselling in selected facilities were invited.InterventionsThree 1–2 hours, on-site workshops over 3–6 weeks.Primary outcome measuresKnowledge (22 binary questions), attitude (21 questions—5-point Likert Scale) and confidence (19 questions—3-point Likert Scale). Individual item responses were added within each of the attitude and confidence domains. The respective sums were taken to be the domain composite index and used as a dependent variable to evaluate intervention effect. Linear regression models were used to estimate the mean score difference between intervention and comparison groups postintervention, adjusting for the mean score difference between them at baseline. Analyses were adjusted for participant baseline characteristics and clustering at health facility level.ResultsIn intervention and comparison sites, respectively: 289 and 131 baseline and 253 and 114 follow-up interviews were conducted (August–December 2017). At baseline there was no difference in mean number of correctly answered knowledge questions; this differed significantly at follow-up (15.2 in comparison; 17.2 in intervention sites (p<0.001)). At follow-up, the mean attitude and confidence scores towards breast feeding were better in intervention versus comparison sites (p<0.001 and p=0.05, respectively). Controlling for confounders, interactions between time and intervention group and preintervention values, the attitude score was 5.1 points significantly higher in intervention versus comparison groups.ConclusionA participatory, low-intensity on-site mentoring approach to disseminating updated infant feeding guidelines improved HWs’ knowledge, attitudes and confidence more than standard dissemination via a circular. Further research is required to evaluate the effectiveness, feasibility and sustainability of this approach at scale.

scholarly journals The Effect of Educational Intervention on Health Care Providers' Preparedness in the Natural Disasters: A Case Study of Health Care Providers in Shahreza City, Iran

2020 ◽  
Vol 6 (1) ◽  
pp. 39-46
Author(s):  
Mandana Sahebzadeh ◽  
◽  
Abdol Hossein Gherekhloo ◽  
Golrokh Atighechian ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Natural Disasters ◽  
Health Care Providers ◽  
Disaster Preparedness ◽  
Individual Performance ◽  
Health Centers ◽  
Care Providers ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Mean

Background: Every year, numerous natural disasters occur around Iran, with many casualties and financial losses. In these crises, the demand for health care suddenly and uncontrollably increases. In such circumstances, the readiness of health centers and their staff is critical in reducing injuries and mortality. This study aimed to determine the effect of disaster preparedness intervention on the attitude, knowledge, and practice of health care providers in Shahreza City, Iran. Materials and Methods: This one-group quasi-experimental study was conducted on 55 health care providers in Shahreza health centers selected by the census method. The participants completed a researcher-made questionnaire in two stages before and two months after attending a disaster preparedness workshop, a top-table maneuver, and an operational maneuver. The obtained data were analyzed by SPSS v. 23 using descriptive statistics and paired t-test. Results: Data analysis showed a significant difference between the mean scores of pretraining and posttraining regarding the rate of knowledge, attitude, and preparedness (P<0.05), but there was no significant difference between the mean scores of performance (P>0.05). Conclusion: The intervention significantly improved awareness and developed a positive attitude about disaster preparedness. Although it slightly increased performance, it was not significant. Nonetheless, it appears that the continuation of training along with other operational methods can improve individual performance. It is recommended that disaster preparedness programs be considered as one of the topics of in-service education of health care providers and also as the subject of educational courses in different academic periods.

scholarly journals The Effect of Training Courses on Awareness, Attitude, and Performance of Confectionery, Bakery, and Restaurant Workers in Yazd City

2020 ◽  
Author(s):  
Jalal Sadeghizadeh-yazdi ◽  
Zohreh Rahaei
Keyword(s):  
Work Experience ◽  
Sampling Method ◽  
Statistical Tests ◽  
Food Hygiene ◽  
Health Organizations ◽  
Before And After ◽  
Training Courses ◽  
The Mean ◽  
And Performance ◽  
Yazd City

Introduction: Health organizations are required to raise people’s awareness about foodborne diseases and to control and prevent these diseases. Training courses held by guilds are aimed to enhance food hygiene in the society. The present study was conducted to determin the effect of training courses on the awareness, attitude, and performance of confectionery, bakery, and restaurant workers. Materials and Methods: In this semi-experimental research, 120 individuals in charge of preparing, distributing, and selling food in Yazd City were selected by random sampling method. The participants' awareness, attitude, and performance levels were measured before and after the training courses using a valid and reliable questionnaire. Data were analyzed by SPSS.16 software using ANOVA statistical tests and pair t-test. Results: The mean age of the participants was 31.95 ± 9.57 years. Following implementation of the training courses, the participants' average scores increased significantly in terms of awareness, performance, and attitude (p ˂ 0.001). Moreover, education, age, type of responsibility, as well as work experience had a significant relationship with the workers' awareness, attitude, and performance (p ˂ 0.05). Conclusion: Training courses conducted by guilds improved the awareness level of participants, especially bakery operators, enhanced attitude of participants, especially sellers, and improved hygiene performance of the operators in various fields, including food hygiene. Thus, such training courses should be conducted for each profession category and each job position separately. Every businessmen should be required to pass these courses every two years.

scholarly journals Assessing the Nutritional Knowledge, Disease Perception, and Adherence to Diet in Patients with Hypertension Admitted to Farshchian Cardiovascular Clinic in 2017

2018 ◽  
Vol 8 (1) ◽  
pp. 68
Author(s):  
Masoud Khodaveisi ◽  
Shahla Fakhrazizi ◽  
Nahid Mohammadi ◽  
Leili Tapak
Keyword(s):  
Early Death ◽  
Nutritional Knowledge ◽  
Adherence To Diet ◽  
Knowledge Questionnaire ◽  
Demographic Questionnaire ◽  
Meat Diet ◽  
Quasi Experimental ◽  
The Mean ◽  
Disease Perception

Background and objective: adherence to diet by patients to control the blood pressure has always been challenging. The current study was conducted to evaluate the nutritional knowledge status and disease perception and adherence to diet in patients with hypertension.Methodology: In this quasi-experimental study conducted in 2017, 100 patients with hypertension admitted to Farshchian Cardiovascular Clinic were selected using convenient sampling method and by considering the inclusion criteria. The data were collected using demographic questionnaire, observing nutritional knowledge questionnaire, disease perception questionnaire, and adherence to diet questionnaire in patients with hypertension. Data were analyzed using spss16 software and descriptive statistics.Results: based on the results, mean score of knowledge was 4.73 ± 1.55. In this study 58% of the patients did not have knowledge on high fat diet, 56% of subjects did not have knowledge on red meat diet and 63% did not have knowledge on confection. The mean score of perception was 29.58 ± 3.94, which 38% of the patients believed that their diseases cannot be controlled with behavior and 43% were completely opposed that that their disease can lead into early death, and 56% opposed to restricting the diet. The mean score of follow-up of diet is 9.45 ± 2.27. In this study, 46% of patients did not adhere to their diet at home and 51% of patients did not adhere to their diet at workplace.Conclusion: Due to the lack of knowledge and perception of the disease and the effective follow-up of the diet, it is recommended that necessary measures to be taken to prevent complications of hypertension

scholarly journals The Effectiveness of Play Therapy on Reduction of the Symptoms of Attention Deficit Hyperactivity Disorder (ADHD) in Children

2016 ◽  
Vol 12 (6) ◽  
pp. 188 ◽  
Author(s):  
Maryam Zakershoshtari ◽  
Zahra Dasht Bozorgi
Keyword(s):  
Play Therapy ◽  
Sampling Method ◽  
Hyperactivity Disorder ◽  
Class A ◽  
Significant Difference ◽  
Post Test ◽  
Quasi Experimental ◽  
Independent Variable ◽  
The Mean

<p class="a"><span lang="EN">This study aimed to investigate the effectiveness of play therapy on reduction of the symptoms of attention defect hyperactivity disorder (ADHD) in children of Ahvaz, Iran. To this end, 20 children with ADHA were selected using the available sampling method using the quasi-experimental design with pretest and posttest and were randomly divided into two groups. Both groups were evaluated using the Conners' scale as the pretest and posttest and the treatment group received play therapy for eight sessions. For data analysis, factorial ANCOVA was used. The results showed that there is a significant difference between the mean scores of pre-test and post-test in the two groups. Follow-up study also showed the lasting effect of the independent variable.</span></p>

scholarly journals Surgical Outcome of Dacrystorhinostomy in Fistulous Dacryocystitis

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Noman Ahmed ◽  
Arsalan Ahmed Shaikh ◽  
Munawar Ahmed ◽  
Ashok Kumar Narsani ◽  
Muhammad Luqman Ali Bahoo
Keyword(s):  
Success Rate ◽  
Surgical Outcomes ◽  
University Hospital ◽  
P Value ◽  
Post Surgery ◽  
Quasi Experimental ◽  
The Mean ◽  
Mean Time ◽  
Good Success Rate

Purpose:  To study the surgical outcomes of Dacryocystorhinostomy (DCR) in fistulous dacryocystitis. Study Design:  Quasi Experimental study. Place and Duration of Study:  The detailed study was carried out in the Institute of Ophthalmology, Liaquat University Hospital Jamshoro, between September 2018 to August 2020. Material and Methods:  We analyzed the histories of 30 patients taking the DCR procedure and noted their mean age, standard deviation, follow-up time, complications and other details. We also reported the intraoperative anatomical results, postoperative analysis, and variable groups vs. outcomes post-surgery using SPSS Version 20. Results:  The mean patient's age was 44.2 ± 4.13years, where males to female percentages were 27% to 73%. We noted significant changes in patients with a success rate of 87% displayed by no relieved epiphora and lacrimal patency in 1 month, 3 months, and 6 months. The mean time of the patients was 4 months varying between 1 to 8 (months) and the variable group values vs. surgical outcomes showed no significant association between the variables (p-value ranging from 0.195 to 0.935). Conclusion:  Complications resulting in some patient’s post-surgery are manageable and the surgical technique has a good success rate. Key Words:  (DCR) Dacryocystorhinostomy, lacrimal Patency, fistulous Dacryocystitis, Scarring.

scholarly journals Penggunaan Audit Klinis Sebagai Cara Pembelajaran untuk Meningkatkan Perilaku Peserta Didik PPDS Onkologi Radiasi Periode September 2010 - Maret 2011

2013 ◽  
Vol 2 (1) ◽  
pp. 36
Author(s):  
Fielda Djuita ◽  
Harsono Mardiwiyoto ◽  
Ova Emilia ◽  
Soehartati Soehartati
Keyword(s):  
Standard Deviation ◽  
Clinical Audit ◽  
Quality Of Education ◽  
Before And After ◽  
Audit Score ◽  
Quasi Experimental ◽  
The Mean ◽  
And Performance

Background: Clinical Audit is one of the formative evaluations that conducted to maintain and increase behavior and performance of the Radiation Oncology students, as an effort to maintain radiotherapy services and grant the quality of education. The objective of this study is to evaluate the role of clinical audit in improving students’ behavior.Method: This was a quasi-experimental research time series. We have done audit to the medical record chart of the residences at Policlinic I, II, III and stay at semester 3, 4, 5 in FK UI/RSUPNCM between September 2010 and December 2011 (T0). Audit had done by the author and one of the lectures. After analyzing the audit report, the reports were sent to the students one by one through email followed by forwarding it to the lecturer involved in this research. Then we continue the audit by performing the second clinical audit (T1) from January until March 2011. We used the mean score from the two auditors. The score divided into 4 groups as follows: hospital clinical record, treatment prescription, simulation and planning also evaluation during treatment. After that the author compared the audit score before and after intervention with t-test.Results: There were 16 Oncology Radiation students with 163 cases (To) and 156 cases (T1) who worked at Policlinic I, II and III. Behavior mean score is 1.9229 (T0), standard deviation 0.0514 and mean score after first intervention is 1.9764, standard deviation 0.0479 with p= 0.006.Conclusion: The students’ behaviors and performance are changed significantly after intervention.

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