Demoralization in medical illness: Feasibility and acceptability of a pilot educational intervention for inpatient oncology nurses

2017 ◽  
Vol 16 (5) ◽  
pp. 503-510
Author(s):  
Benjamin W. Brewer ◽  
Jennifer M. Caspari ◽  
Jean Youngwerth ◽  
Leigh Nathan ◽  
Izaskun Ripoll ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Medical Illness ◽  
Educational Training ◽  
Post Intervention ◽  
Web Based ◽  
Training Video ◽  
Before And After ◽  
Medical Inpatients ◽  
Survey Responses ◽  
Pilot Intervention

ABSTRACTObjective:Demoralization is a common problem among medical inpatients with such serious health problems as cancer. An awareness of this syndrome, a knowledge of what defines it, and a plan for how to intervene are limited among nursing teams. Nurses are uniquely poised to efficiently provide brief interventions that address demoralization in their patients. To our knowledge, there are no interventions that train nurses to distinguish and treat demoralization in their patients. The objective of the present study was to determine the acceptability, feasibility, and impact of a novel educational intervention for nurses.Method:An educational training video was created and delivered to staff nurses (N = 31) at oncology staff meetings to test the feasibility and acceptability of this intervention. Assessments of nurses' knowledge about demoralization and intervention methods were administered immediately before and after the training intervention and through a web-based survey 6 weeks post-intervention. McNemar's test for dependent categorical data was utilized to evaluate change in survey responses at the three timepoints.Results:Nurses' understanding of the concept of demoralization and appropriate interventions significantly improved by 30.3% from pre- to posttest (p ≤ 0.0001). These improvements persisted at 6 weeks post-intervention (p ≤ 0.0001). At 6-week follow-up, 74.2% of participants agreed or strongly agreed that the training had positively changed their nursing practice, 96.8% reported that this training benefited their patients, and 100% felt that this training was important for the professional development of nurses.Significance of results:This pilot intervention appeared feasible and acceptable to nurses and resulted in increased understanding of demoralization, improved confidence to intervene in such cases, and an enhanced sense of professional satisfaction among inpatient oncology floor nurses.

Graphical timeline software for inpatient medication review

2017 ◽  
Vol 25 (1) ◽  
pp. 62-70 ◽  
Author(s):  
William J Gordon ◽  
Ishir Bhan
Keyword(s):  
Medication Review ◽  
Medication Administration ◽  
Medication History ◽  
Software Module ◽  
Post Intervention ◽  
Medication Usage ◽  
Record System ◽  
Web Based ◽  
Before And After ◽  
Medical Record System

MedHistory is a web-based software module that graphically displays medication usage (y-axis) against time (x-axis). We set out to examine whether MedHistory would improve clinician’s interactions with the medical record system. The authors invited house-officers at our institution to complete a survey about inpatient medication administration before and after using MedHistory. Detailed logs were also kept for 1 year after the study period. Compared to the pre-intervention survey, the post-intervention survey found that reviewing medication history was easier (pre: 13.2% vs post: 32.4%, p = .008), that medication review now fit within resident workflow (38.9% vs 75.7%, p < .001), and that there was increased satisfaction with the electronic health records software (2.6% vs 29.7%, p = .002). Additionally, determining the timing (29% vs 50.1%, p = .045) and dosing history (21.1% vs. 43.2%, p = .036) of inpatient medication administration was easier with MedHistory. Anti-infective agents and drugs requiring frequent adjustments were the most commonly reviewed. A graphical timeline of inpatient medications (MedHistory) was met with favorable response across multiple areas, including efficiency, speed, safety, and workflow.

scholarly journals Evaluation of the effect of an educational intervention on knowledge and adherence to HIV guidelines among frontline health workers in Alex-Ekwueme Federal University Teaching Hospital Abakaliki, Nigeria

2020 ◽  
Vol 20 (3) ◽  
pp. 1080-1089
Author(s):  
Ifeyinwa Chizoba Akamike ◽  
Ijeoma Nkem Okedo-Alex ◽  
Chigozie Jesse Uneke ◽  
Henry Chukwuemeka Uro-Chukwu ◽  
Onyedikachi Echefu Chukwu ◽  
...  
Keyword(s):  
Health Worker ◽  
Educational Intervention ◽  
Health Workers ◽  
Guideline Implementation ◽  
Good Practice ◽  
University Teaching ◽  
Post Intervention ◽  
Laboratory Equipment ◽  
Keywords Hiv ◽  
Before And After

Background: The aim of this study was to appraise the implementation of the National HIV guidelines and determine the effect of an educational intervention on health worker knowledge and practice of the guidelines. Methods: A before and after study design without control was carried out using a self-administered questionnaire and key informant interviews. Data was also collected from client record cards. An educational intervention was carried out using pamphlets containing summarized information on the guideline. Data analysis was carried out using IBM-SPSS version 20. Result: Results showed that 54.5% of the respondents were males and 76% were medical doctors. Baseline knowledge level of respondents was high with 97% of respondents having good knowledge with a mean score of 3.9. This increased to 4.1 out of 5 post-intervention. All respondents had good practice of the guidelines before and after intervention with a mean score of 4.5 out of 5. Client records also showed good practice. Barriers to guideline implementation include: poor knowl- edge, inadequate training, guideline unavailability, poor functioning of the laboratory equipment, poor funding. Conclusion: HIV guidelines are being implemented in the clinic to a large extent; however, trainings, funding and provision of the guideline in the clinics are recommended. Keywords: HIV; guideline implementation; health worker.

Improving paediatric cardiologists’ awareness about the needs of childhood cancer survivors: results of a single-centre directed educational initiative

2019 ◽  
Vol 29 (06) ◽  
pp. 808-812 ◽  
Author(s):  
Kirsten Rose-Felker ◽  
Karen Effinger ◽  
Michael S Kelleman ◽  
Ritu Sachdeva ◽  
Lillian R. Meacham ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cancer Survivors ◽  
Cancer Treatment ◽  
Childhood Cancer ◽  
Educational Intervention ◽  
Childhood Cancer Survivors ◽  
Baseline Survey ◽  
Post Intervention ◽  
Web Based ◽  
Related Risk

AbstractBackground:Cardiovascular disease is a leading cause of morbidity and mortality in childhood cancer survivors. Cardiologists must be aware of risk factors and long-term follow-up guidelines, which have historically been the purview of oncologists. Little is known about paediatric cardiologists’ knowledge regarding the cardiotoxicity of cancer treatment and how to improve this knowledge.Methods:A total of 58 paediatric cardiologists anonymously completed a 21-question, web-based survey focused on four cardio-oncology themes: cancer treatment-related risk factors (n = 6), patient-related risk factors (n = 6), recommended surveillance (n = 3), and cardiac-specific considerations (n = 6). Following the baseline survey, a multi-disciplinary team of paediatric cardiologists and cancer survivor providers developed an in-person and web-based educational intervention. A post-intervention survey was conducted 5 months later.Results:The response rate was 41/58 (70.7%) pre-intervention and 30/58 (51.7%) post-intervention. On the baseline survey, the percentage of correct answers was 68.8 ± 10.3%, which improved to 79.2 ± 16.2% after the intervention (p = 0.009). The theme with the most profound knowledge deficit was surveillance; however, it also had the greatest improvement after the intervention (49.6 ± 26.7 versus 66.7 ± 27.7% correct, p = 0.025). Individual questions with the largest per cent improvement pertained to risk of cardiac dysfunction with time since treatment (52.4 versus 93.1%, p = 0.002) and the role of dexrazoxane (48.8 versus 82.8%, p = 0.020).Conclusion:Specific knowledge deficits about the care of paediatric cancer survivors were identified amongst cardiologists using a web-based survey. Knowledge of surveillance was initially lowest but improved the most after an educational intervention. This highlights the need for cardio-oncology-based educational initiatives among paediatric cardiologists.

scholarly journals Gamification, a Successful Method to Foster Leptospirosis Knowledge among University Students: A Pilot Study

2019 ◽  
Vol 16 (12) ◽  
pp. 2108 ◽  
Author(s):  
Nurul Natasya Azhari ◽  
Rosliza Abdul Manaf ◽  
Shing Wei Ng ◽  
Siti Farhana Bajunid Shakeeb Arsalaan Bajunid ◽  
Abdul Rahman Mohd Gobil ◽  
...  
Keyword(s):  
Pilot Study ◽  
Educational Intervention ◽  
Public Awareness ◽  
Knowledge Score ◽  
Educational Interventions ◽  
Post Intervention ◽  
Total Knowledge Score ◽  
Before And After ◽  
High Risk Populations ◽  
The Mean

Leptospirosis is a zoonotic disease that has been reported in Malaysia and has been associated with a recent trend of recreational activities among the youth. Thus, efforts such as educational interventions among high-risk populations, especially the youth, are key to increasing public awareness regarding leptospirosis. This paper presents the findings of a pilot study wherein an educational intervention using a gamification intervention method was used to determine changes in leptospirosis knowledge among youth. On this note, students from a public university in Seremban district, Malaysia, were recruited and were asked to complete questionnaires before and after gamification activities. Baseline and immediate post-intervention data on leptospirosis knowledge were obtained. The total knowledge score was calculated, and differences in the mean pre- and post-intervention knowledge score were determined. Of the total 185 questionnaires that were completed at baseline and immediately post-intervention, only 168 that belonged to respondents who had heard of leptospirosis were analysed in this paper. A significant increase in leptospirosis knowledge was observed for the students following health education by gamification (p < 0.01). The results demonstrate the effectiveness of an educational intervention using gamification in improving leptospirosis knowledge among youth and suggest that gamification could become an efficient tool to prevent the disease within university-age demographics.

scholarly journals A Survey of Psychiatric Healthcare Workers' Perception of Working Environment and Possibility to Recover Before and After the First Wave of COVID-19 in Sweden

2021 ◽  
Vol 12 ◽  
Author(s):  
Eirini Alexiou ◽  
Steinn Steingrimsson ◽  
Magnus Akerstrom ◽  
Ingibjörg H. Jonsdottir ◽  
Linda Ahlstrom ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Negative Impact ◽  
Working Environment ◽  
University Hospital ◽  
Protective Equipment ◽  
Web Based ◽  
Before And After ◽  
Survey Responses ◽  
The Impact

Objective: This study aimed to investigate the impact of the first wave of the COVID-19 pandemic on perceived working environment, including the possibility to recover, among psychiatric healthcare workers (PHCWs) in comparison with pre-pandemic measures.Method: A link to an anonymous, web-based COVID-19 related survey was sent via email to all PHCWs at a university hospital in Sweden (n = 1,618) in September 2020. The response rate was 38% (566 of 1,507 eligible participants). Working environment survey responses collected in 2019 were used as pre-pandemic comparators. Statistical analyses were performed to assess overall impact over time on work demands, support, motivation, and recovery, stratified by professional role, and considering variables such as access to personal protective equipment.Results: The percentage of individuals responding negatively to statements about working environment increased significantly for most items after the first wave. Similarly, the increase of five of the investigated factors indicated a more negative perception of recovery during the pandemic. Registered nurses reported a greater negative impact of the pandemic on perceived working conditions and ability to recover than other professional groups. PHCWs working with patients with COVID-19 (35%) who reported being worried about becoming infected (12%) or infecting others (17%), or lacking adequate personal protective equipment (22%) were more negatively impacted regarding work environment-related items than those who did not.Conclusions: PHCWs' working environment and possibility for recovery were impacted by the first wave of the COVID-19 pandemic, nurses being most affected. Although psychiatric services do not directly care for patients with severe COVID-19 infection, the results from this study suggests that mental health services should also prepare for future pandemics.

scholarly journals A pilot project to assess community pharmacists' knowledge and caring behaviors for recurrent headache sufferers after a migraine-focused educational intervention

2014 ◽  
Vol 5 (4) ◽  
Author(s):  
Kelly A. Murray ◽  
Monica L. Skomo ◽  
Sandra M. Carter
Keyword(s):  
Educational Intervention ◽  
Intervention Group ◽  
Community Pharmacists ◽  
Pilot Project ◽  
Current Treatment ◽  
Control Group ◽  
Original Research ◽  
Community Pharmacies ◽  
Post Intervention ◽  
Before And After

Objectives: (1) Compare pharmacists' self-assessed knowledge of migraine before and after an educational intervention; (2) Compare pharmacists' self-reported care behaviors following an educational intervention with a control group of pharmacists; (3) Identify interactions between the educational intervention results and individual independent variables. Design: Quasi-experimental, parallel design. Setting: Twenty community pharmacies in northeastern Oklahoma from March to May 2010. Participants: 49 pharmacists at one of twenty community pharmacies, with active and in-good-standing Oklahoma pharmacy licenses. Intervention: Two-hour educational session on migraine identification and current treatment. Main outcome measures: Compare pharmacists' self-assessed knowledge of migraine before and after an educational intervention and compare self-reported care behaviors of these same pharmacists with a control group of pharmacists. Results: Pharmacists' self-assessed knowledge mean scores were significantly higher post-intervention compared to pre-intervention (p<0.0001). Self-assessed knowledge was higher in the intervention group post-questionnaire scores compared to the control group of pharmacists (p=0.004). Intervention group pharmacists were more confident in their ability to maintain knowledge of migraine (p=0.04). No difference was seen regarding difficulty in providing care for a migraineur (p=0.16) or in how the pharmacists perceived employer culture (p=0.79). No significant interactions were found between the educational intervention and demographic variables collected. Conclusion: Attending an educational program on migraine improved pharmacists' knowledge and confidence when providing care to migraineurs.   Type: Original Research

scholarly journals Impact of an educational intervention using the 20/20/20 rule on Computer Vision Syndrome

2020 ◽  
Vol 79 (1) ◽  
Author(s):  
Waleed M. Alghamdi ◽  
Saif H Alrasheed
Keyword(s):  
Computer Vision ◽  
Educational Intervention ◽  
Dry Eye ◽  
Tear Film ◽  
Post Intervention ◽  
Computer Vision Syndrome ◽  
Before And After ◽  
Eye Symptoms ◽  
Global Estimates ◽  
Dry Eye Symptoms

Background: Global estimates suggest that nearly 60 million people suffer from Computer Vision Syndrome (CVS).Aim: The goal of this research was to evaluate the effectiveness of an educational intervention using the 20/20/20 rule to reduce CVS symptoms.Setting: The study was conducted in the Qassim University eye clinic.Methods: An experiential intervention study was conducted amongst 40 patients with CVS, with their age ranging from 21 to 38 years. The sample was divided into two groups: (1) intervention patients (n = 20), who were given a structured advice booklet about how to reduce CVS symptoms using the 20/20/20 rule, and (2) control (n = 20) with CVS, who were given advice to simply drink more water. Both groups completed two questionnaires, namely, the CVS-Q and Dry Eye Questionnaire-5 (DEQ-5). Dry eye clinical tests were performed. The same procedures were repeated after 20 days to compare the outcomes before and after intervention.Results: The study findings revealed that patients complaining from dry eye symptoms showed significant changes after the educational intervention (pre-intervention: 9.05 ± 4.32; post-intervention: 7.10 ± 3.61) (p = 0.04). The symptoms of CVS were slightly reduced after educational intervention, from 9.00 ± 3.03 to 8.35 ± 1.89 (p = 0.38). However, TBUT showed a significant increase after the educational intervention (pre-intervention: 6.20 ± 2.02 s; post-intervention: 8.55 ± 2.84 s) (p = 0.005).Conclusion: The educational intervention of the 20/20/20 rule induces significant changes in dry eye symptoms and tear film and some limited changes for ocular surface integrity.

scholarly journals Focused educational intervention improves intern knowledge of perioperative patient blood management principles

2021 ◽  
Vol 10 (4) ◽  
pp. e001390
Author(s):  
Kerstin Wyssusek ◽  
Kate Taylor ◽  
Sandra Concha-Blamey
Keyword(s):  
Educational Intervention ◽  
First Year ◽  
Patient Blood Management ◽  
Blood Management ◽  
Post Intervention ◽  
Educational Benefits ◽  
Training Requirement ◽  
Objective Evidence ◽  
Before And After ◽  
Multiple Choice Questionnaire

A perioperative patient blood management (PBM) educational intervention was implemented for first year postgraduate doctors (interns) at the Royal Brisbane and Women’s Hospital (RBWH) following identification of a perioperative PBM training requirement. This quality improvement activity evaluated the effectiveness of this educational intervention in improving intern knowledge of perioperative PBM principles.A 15-question perioperative PBM focused multiple choice questionnaire developed from information attained from comprehensive, evidence and consensus-based guidelines regarding PBM practice was distributed to interns immediately before a compulsory perioperative PBM educational intervention and then again 5 weeks later. The perioperative PBM educational intervention was delivered every 10 weeks (five interventions in total) to a different group of interns each time. Statistical analysis determined significance between mean questionnaire score before and after the intervention.The mean pre-intervention score for correctly answered questions was 7/15 (SD 2.73) and mean post-intervention score was 9/15 (SD 2.99) (p=0.02). Categorisation of questions into core domains of perioperative PBM demonstrated intern scores for correctly answered questions improved in all domains following the educational intervention.Perioperative PBM education delivered through a dedicated intervention aimed to improve knowledge is associated with objective evidence of educational benefits for interns at RBWH. It is an effective strategy to enact PBM governance and bestow clinical guideline knowledge. This is important given the global health sector’s challenge to improve patient outcomes despite increasingly restricted funding and pressure on doctors to devote more time to service and less to teaching.

scholarly journals Efficacy of an Educational Intervention on the Hydration of Indoor College Athletes

2020 ◽  
Author(s):  
Isabella S. Abbasi ◽  
Rebecca M. Lopez ◽  
Yi-Tzu Kuo ◽  
B. Sue Shapiro
Keyword(s):  
Educational Intervention ◽  
Fluid Intake ◽  
Female Athletes ◽  
Sweat Rate ◽  
Urine Specific Gravity ◽  
Hydration Status ◽  
Intervention Period ◽  
Post Intervention ◽  
Urine Color ◽  
Before And After

Context: Research focusing on improving hydration status and knowledge in indoor female athletes is limited. Previous research has demonstrated hydration education is an optimal tool for improving the hydration status of athletes. Objective: To assess hydration status and fluid intake of collegiate female indoor athletes before and after a one-time educational intervention. Design: Controlled field study Setting: Collegiate women's volleyball and basketball practices Participants: Twenty-five female collegiate volleyball and basketball athletes (21±1years; 173.5±8.7cm, 72.1±10.0kg) were assessed during six days of practices. Intervention(s): Participants' hydration status and habits were monitored for 3 practice days before undergoing a hydration educational intervention. Post-intervention, participants were observed for 3 more practice days. Main Outcome Measures: Change in body mass (BM), fluid consumed, urine specific gravity (USG), urine color (Ucol), and sweat rate were recorded for 6 practice days. Participants completed a hydration knowledge questionnaire (HAQ) before and after the intervention to assess changes. Results: Three-day mean USG and Ucol were considered euhydrated pre-practice (USG 1.015±0.006, Ucol 4±1) and remained euhydrated post-practice (USG 1.019±0.005, Ucol 5±2) during the pre-intervention period. Decreases in pre-practice Ucol (p&lt;.01) and increases (p&lt;.01) in hydration knowledge were found post-intervention. Basketball athletes had greater BM losses from pre- to post-practice compared to volleyball (p=.000). Significant increases were found overall when comparing pre- and post-practice measures of USG and Ucol in pre-intervention period (p=.000, p=.001) and post-intervention period (p=.001, p=.000). No correlation was found between hydration knowledge and physiological indices of hydration and fluid intake. Conclusions: Overall, female collegiate indoor athletes were hydrated and knowledgeable of hydration. Variability in findings indicates further research is needed with this sport; clinically, attention should be given to individualized needs of each athlete. More research is needed to determine if a one-time educational intervention may be an effective tool for improving overall hydration in this population.

First Responders’ and Librarians’ Intention to Use Web-Based Resources for Response Information During Biological, Chemical, and Radiological Terrorism Events

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
James Turner ◽  
Terri Rebmann ◽  
Travis Loux ◽  
Donghua Tao ◽  
Alexander Garza
Keyword(s):  
Disaster Response ◽  
First Responders ◽  
Internet Access ◽  
Intention To Use ◽  
National Library ◽  
Post Intervention ◽  
Web Based ◽  
Emergency Responders ◽  
Internet Connection ◽  
Response Information

AbstractEmergency planners and first responders often access web-based information resources during disasters; however, these tools require an active Internet connection, which may be unavailable during a disaster. The National Library of Medicine (NLM) provides several free non-web-based disaster response tools. This study assessed intention to use web-based and non-web-based informational and response tools during disasters among emergency responders and librarians. Educational workshops were held in four Missouri cities in spring, 2016. The NLM tools were presented and attendees practiced using the tools during disaster scenarios. Pre- and post-intervention data about NLM tool awareness and intention to use these tools versus other web-based resources was collected. McNemar tests assessed a pre/post change in intention to use each resource. Four workshops were held, with a total of 74 attendees. Intention to use the NLM tools was low prior to the workshops (range: 20.3–39.2%), but increased significantly immediately afterwards (p < .001 for all pre/post comparisons). The workshops resulted in increased NLM tool awareness and increased intention to use the tools during future disasters. This provides evidence of attendees’ perceptions of the usefulness of the non-web-based NLM tools in place of other web-based tools in situations without Internet access.

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