Evaluation of chronic disease follow-up training of family physicians in primary care units

Abstract Background Chronic diseases are a major cause of morbidity and mortality due to late diagnosis and insufficient treatment. This study deals with the training on chronic diseases organized by the Ministry of Health in the provinces. The aim of this study was to measure the effectiveness of training programs for family physicians in a province. Methods This semi experimental study was carried out during the training held in Bingöl that is eastern city of Turkey, on 22-26 October 2018 and 19-20 December 2018. The universe of the study consisted of family physicians working in the province. Of the 90 family physicians working in the province, 75 participated in the study. The training was conducted by the researchers and (before-after) 16-question test to the participants were used. The trainings cover the sub-heading Cardiovascular Risk Assessment and Diagnosis and Treatment of Hypertension. The family physicians were divided into 7 groups and were given 7-hour training. SPSS 25 program was used to analyze the data. In the analysis of data, Wilcoxon test, Cochran’s Q test and Bayesian approach samples t test were used. Results The average number of correct before training was 7.33 (min: 2 - max: 13), after training 12.64 (min: 7- max: 16; p < 0.001). After the training, participants’ correct answers to 15 questions increased (p < 0.001). Increase rate is 71%. Bayesian factor was found to be < 0.001 according to the results of Bayesian approach t test. There is definite evidence against the H0 hypothesis. According to the results of this quasi-experimental study, training is very effective. Conclusions In this study, it was shown that the education of the family physicians about the chronic diseases of the Ministry of Health is effective in increasing the knowledge level of family physicians. Key messages The training of the family physicians in charge of the primary health care is important. This study showed that education is very effective accorging to the pre-training.

Download Full-text

Efficacy of Normalisation of Advance Care Planning (NACP) for people with chronic diseases in hospital and community settings: a quasi-experimental study

BMC Health Services Research ◽

10.1186/s12913-021-06928-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sarah Jeong ◽

Peter Cleasby ◽

Se Ok Ohr ◽

Tomiko Barrett ◽

Ryan Davey ◽

...

Keyword(s):

Experimental Study ◽

Chronic Diseases ◽

Advance Care Planning ◽

Fixed Effects ◽

Care Planning ◽

Community Settings ◽

Link Type ◽

Quasi Experimental ◽

Advance Care ◽

And Control

Abstract Background Advance Care Planning (ACP) has emerged to improve end-of-life processes and experiences. However, the available evidence presents the gloomy picture of increasing number of older people living with chronic diseases and the mismatch between their preferences for and the actual place of death. The study aimed to investigate the efficacy of normalisation of an Advance Care Planning (NACP) service delivered by specially trained Registered Nurses (RNs) in hospital and community settings. Methods A quasi-experimental study was conducted involving 16 sites (eight hospital and eight community sites) in Australia. Patients who were aged ≥18 years, who had at least one of nine chronic conditions, and who did not have an Advance Care Directive (ACD) were offered the NACP service. ACP was normalised as part of routine service on admission. The intervention, NACP, was a series of facilitated conversations about the components of ACP. The primary outcomes which included the completion of ACDs, and/or appointment of an Enduring Guardian (EG), were assessed in both intervention and control sites at pre and post intervention stages. Numbers of patients who completed an ACD or appointed an EG were described by count (percentage). ACD completion was compared between intervention and control sites using a logistic mixed effects regression model. The model includes fixed effects for treatment group, period, and their interaction, as well as random site level intercepts. Secondary model included potentially confounding variables as covariates, including age, sex and chronic diseases. Results The prevalence of legally binding ACDs in intervention sites has increased from five to 85 (from 0.85% in pre to 17.6% in post), whereas it has slightly decreased from five to 2 (from 1.2% in pre and to 0.49% in post) in control sites (the difference in these changes being statistically significant p < 0.001). ACD completion rate was 3.6% (n = 4) in LHD1 and 1.2% (n = 3) in LHD2 in hospital whereas it was 53% (n = 26) in LHD1 and 80% (n = 52) in LHD2 in community. Conclusions The study demonstrated that NACP service delivered by ACP RNs was effective in increasing completion of ACDs (interaction odds ratio = 50) and was more effective in community than hospital settings. Involvement of various healthcare professionals are warranted to ensure concordance of care. Trial registration The study was retrospectively registered with the Australian New Zealand Clinical Trials Registry (Trial ID: ACTRN12618001627246) on 03/10/2018. The URL of the trial registry record http://www.anzctr.org.au/trial/MyTrial.aspx

Download Full-text

Reduction of Constipating Scoring System Among Women Aged 18-25 Years Old as A Result of Decocted Trengguli (Cassia fistula L.)

Journal Of Vocational Health Studies ◽

10.20473/jvhs.v1.i2.2017.58-62 ◽

2017 ◽

Vol 1 (2) ◽

pp. 58

Author(s):

Isnaini Nur Jannah ◽

Arifa Mustika ◽

Edith Frederika Puruhito

Keyword(s):

Scoring System ◽

Bowel Movement ◽

Wilcoxon Test ◽

Cassia Fistula ◽

School Of Medicine ◽

Large Size ◽

Anthraquinone Glycosides ◽

The Family ◽

Post Test ◽

Quasi Experimental

Background: Constipation is a condition when someone has difficulty to defecate. Constipation is indicated by hard and large size stool as well as a decrease frequency of bowel movement. Commonly, constipation is indicated by anxiety during bowel movement due to disruption defecation. Constipation can cause severe stress resulting from discomforts for patient. The severity of the constipation can be measured using the Constipation Scoring System (CSS). CSS is a scoring system for patient, which based on the answers about the symptoms being asked in the questionnaire. One of the herbs to handle the problem of constipation that have a laxative effect is Trengguli (Cassia fistula L.) originate from the family Fabaceae. The part that can be used for a laxative is a Trengguli fruit. A decocta method to Trengguli flesh of the fruit for a laxative, since decocta method generates the highest total anthraquinone glycosides for the use of laxatives. Purpose: The purpose of this study was to prove the effectiveness of decocta pulp of trengguli for the reduction of constipation scoring system among women aged 18- 25 years old with constipation problem. Methods: The method used is quasi-experimental design using a design of one group pre-post test. The study was conducted in December at the clinic Battra Airlangga University School of Medicine with 26 responded. Data were analyzed using SPSS with the Wilcoxon test. Result: The results of this study showed that the decocta pulp of trengguli(Cassia fistula L.) has significant effectiveness with p = 0.000 with p <0.05 on a decrease in constipation scoring sytem for constipation treatment among women aged 18-25 years.

Download Full-text

Pengaruh Teknik Pembelajaran Listening Team Terhadap Hasil Belajar IPS Siswa

Jurnal Penelitian dan Pengkajian Ilmu Pendidikan: e-Saintika ◽

10.36312/e-saintika.v1i1.1 ◽

2017 ◽

Vol 1 (1) ◽

pp. 1

Author(s):

Husnul Khotimah ◽

Sumiyati Sumiyati ◽

Nurjannah Nurjannah

Keyword(s):

Experimental Study ◽

Data Analysis ◽

Social Studies ◽

Learning Outcomes ◽

Team Learning ◽

Student Learning Outcomes ◽

T Test ◽

Test Instrument ◽

Learning Techniques ◽

Quasi Experimental

[Title: Effect of Listening Team Learning Techniques on Student Social Studies Learning Outcomes]. The purpose of this study was to determine the effect of the listening team learning techniques on students social studies learning outcomes of SMK Negeri 2 Dompu in the 2016/2017 learning year. This research is a quasi-experimental study with a quantitative approach. The study sample consisted of 89 students consisting of two classes namely the experimental class (47 students) and the control class (42 students). The multiple choice form test instrument consisting of 20 test questions is used to obtain student learning outcomes data. The effect of listening team techniques on learning outcomes was tested using the t test. The results showed that the use of listening team techniques had no significant effect on students learning outcomes in social studies subjects of SMK Negeri 2 Dompu. The results of data analysis using the t-test formula show the value of tcount <ttable (0.007059 < 2.000). Based on the results, it can be stated that there is no significant effect of listening team techniques on students social studies learning outcomes of SMK Negeri 2 Dompu in the 2016/2017 learning year.

Download Full-text

Partnership Among Hospitals To Reduce Healthcare Associated Infections: A Quasi-Experimental Study In Brazilian ICUs

10.21203/rs.3.rs-40895/v3 ◽

2021 ◽

Author(s):

Ladjane Santos Wolmer de Melo ◽

Maria Verônica Monteiro de Abreu ◽

Bernuarda Roberta de Oliveira Santos ◽

Maria das Graças Washington Casimiro Carreteiro ◽

Maria Carolina Andrade Lins de Albuquerque ◽

...

Keyword(s):

Experimental Study ◽

Length Of Stay ◽

Public Hospitals ◽

Healthcare Associated Infections ◽

Ministry Of Health ◽

Collaborative Project ◽

Quasi Experimental ◽

Tract Infections ◽

Healthcare Associated ◽

Over Time

Abstract Background: Healthcare-associated infections (HAIs) are relevant in developing countries where frequencies can be at least 3 times higher than in developed countries. The purpose of this research was to describe the intervention implemented in intensive care units (ICUs) to reduce HAIs through collaborative project and analyze the variation over 18 months in the incidence density (ID) of the three main HAIs: ventilator associated pneumonia (VAP), central line-associated bloodstream infections (CLABSIs) and catheter-related urinary tract infections (CAUTIs) and also the length of stay and mortality in these ICUs. Methods: A quasi-experimental study in 5 public adult clinical-surgical ICUs, to reduce HAIs, through interventions using the BTS-IHI “Improvement Model”, during 18 months. In the project, promoted by the Ministry of Health, Brazilian philanthropic hospitals of excellence (HE), those mostly private, certified as excellence and exempt from security contributions, regularly trained and monitored public hospitals in diagnostics, data collection and in developing cycles to improve quality and to prevent HAIs (bundles). In the analysis regarding the length of stay, mortality, the IDs of VAP, CLABSIs and CAUTIs over time, a Generalized Estimating Equation (GEE) model was applied for continuous variables, using the constant correlation (exchangeable) between assessments over time. The model estimated the average difference (β coefficient of the model) of the measures analyzed during two periods: a period in the year 2017 (prior to implementing the project) and in the years 2018 and 2019 (during the project).Result: A mean monthly reduction of 0.427 in VAP ID (p = 0.002) with 33.8% decrease at the end of the period and 0.351 in CAUTI ID (p = 0.009) with 45% final decrease. The mean monthly reduction of 0.252 for CLABSIs was not significant (p = 0.068). Length of stay and mortality rates had no significant variation. Conclusions: Given the success in reducing VAP and CAUTIs in a few months of interventions, the achievement of the collaborative project is evident. This partnership among public hospitals/HE may be applied to other ICUs including countries with fewer resources.Trial registration: Promoted by Brazilian Ministry of Health. Approved by the Hospital das Clínicas – UFPE Ethics Committee (No. 3,307,293).

Download Full-text

Pengaruh Anchoring dalam Penilaian Kinerja: Sebuah Studi Eksperimen Kuasi dengan Variabel Tergantung Penilaian Task Performance

Gadjah Mada Journal of Professional Psychology (GamaJPP) ◽

10.22146/gamajpp.46322 ◽

2019 ◽

Vol 4 (2) ◽

pp. 129

Author(s):

Fityan Ayu ◽

Rahmat Hidayat

Keyword(s):

Experimental Study ◽

Graduate Students ◽

Performance Appraisal ◽

Task Performance ◽

T Test ◽

Lower Score ◽

Difference Score ◽

Post Graduate ◽

Study Task ◽

Quasi Experimental

Abstract. This study aimed to examine the effects of anchoring in task performance appraisal. It was hypothesized that there would be difference score inmeasuring task performance with high anchoring and low anchoring methods. High anchoring methodwas predicted to show higher scores rather than using low anchoring method. Participantswere 117 post-graduate students from Master of Management in Universitas Gadjah Mada. They were assigned in two groups. The first group (N=70) was instructed to rate an employee from lower to higher score (high anchoring method), while the second group (N=47) was instructed to rate the employee fromhigher to lower score (low anchoring method). Result of independent sample T-test showed that anchoring method had no significant effect on task performance appraisal. Factors which might be affecting this result are discussed Keywords: anchoring; appraisal; performance; post-graduate students; quasi-experimental study; task performance;

Download Full-text

Improving Nurses' Performance in Safe Handling of Antineoplastic Agents: a Quasi-experimental Study

10.21203/rs.3.rs-775572/v1 ◽

2021 ◽

Author(s):

Arezoo Nouri ◽

Mehri Seyyedjavadi ◽

Effat Iranijam ◽

Masoumeh Aghamohammadi

Keyword(s):

Experimental Study ◽

Standard Deviation ◽

Anticancer Drugs ◽

Oncology Nurses ◽

T Test ◽

Safe Handling ◽

Significant Difference ◽

Quasi Experimental ◽

And Performance ◽

Nurses Knowledge

Abstract Background: The safe, principled, and standard handling of anticancer drugs can reduce the effects of occupational exposure and promote safe behaviors in nurses. Thus, the present study aimed to determine the effects of standard guidelines education on the safe handling of anti-neoplasm drugs among oncology nurses in Ardabil, Iran.Methods: The quasi-experimental study with one-group pretest-posttest design was performed among 32 nurses employed in the oncology wards of two educational hospitals in Ardabil city, during 2020. All of the nurses in the wards who met the inclusion criteria participated in the study. The data were collected by using a demographic information form and nurses' knowledge assessment questionnaire regarding the standard guidelines for working with antineoplastic drugs, and a standard checklist for examining their performance in this regard. Then, they were analyzed through descriptive (mean and standard deviation) and inferential statistics (t-test and Pearson's correlation coefficient) in SPSS 22.Results: The mean and standard deviation of the knowledge and performance scores of the oncology nurses was respectively determined 59.56±6.41 and 18.96±2.54, which changed to 66±4.82 and 32.03±2.45 three months after training. The results of t-test represented a statistically significant difference between the level of knowledge and performance before and after the intervention (P=0.001).Conclusions: Based on the results, the standard guidelines education improved the nurses' knowledge and performance on the safe handling of anticancer drugs in the chemotherapy wards. Therefore, it is suggested to pay attention to the promotion of the oncology nurses' awareness in the planning and policy-making of healthcare centers.

Download Full-text

Increasing interprofessional socialization among psychology and nursing students by means of an educational intervention: A quasi-experimental study with a control group

10.21203/rs.3.rs-16615/v1 ◽

2020 ◽

Author(s):

Juan-Luis González-Pascual ◽

Margarita G. Márquez ◽

Rocío Rodríguez-Rey ◽

Ana María Muñoz-Cobo ◽

Juan Carlos Pérez-Jiménez

Keyword(s):

Experimental Study ◽

Nursing Students ◽

Educational Intervention ◽

Interprofessional Education ◽

Wilcoxon Test ◽

Educational Activity ◽

Control Group ◽

Self Assessment ◽

Quasi Experimental ◽

Experimental Group

Abstract Background Interprofessional education helps health sciences students become better able to take part in future interprofessional collaborative practice. In general, interprofessional education activities seek to change knowledge levels, attitudes, and skills. However, a more ambitious objective would be to foster interprofessional socialization. Interprofessional socialization calls for the development of a dual identity: on the one hand, a professional identity, and on the other, an interprofessional identity as a member of a collaborative team. The objective of this research was to evaluate the effectiveness of an interprofessional activity in increasing self-assessment scores regarding interprofessional socialization. Methods This was a quasi-experimental study. Sixty psychology and nursing students at a university were divided into an experimental group and a control group. The experimental group participated in an activity designed in accordance with Khalili's interprofessional socialization framework. The control group performed their usual activities. Self-assessment of interprofessional socialization was measured in both groups using the Interprofessional Socialization and Values Scale (ISVS-21) before and after the activities. After the normality test, the inter-group difference (experimental vs. control groups) in the baseline ISVS score was analyzed using the Mann-Whitney U test. The intra-group variation (within each, the experimental group and control group) in the ISVS-21 score (pre-post change) was analyzed using the Wilcoxon test. Results The baseline ISVS-21 score was 93 for the experimental group and 98 for the control group, p=0.321. The experimental group’s ISVS-21 score increased from 93 to 104 after the educational intervention, p<0.01. There were no statistically significant changes in the control group (p=0.174). Conclusions The educational activity, designed in accordance with the Khalili model and carried out with the nursing and psychology students, favors interprofessional socialization in a statistically significant way, as do other activities described in the scientific literature. This matter should be researched in greater depth, using comparative studies to analyze which activities are more effective and efficient.

Download Full-text

Classification-Card Media: Its Effect towards Learning Achievement in Biology Subject

Indonesian Journal of Science and Mathematics Education ◽

10.24042/ijsme.v3i1.5884 ◽

2020 ◽

Vol 3 (1) ◽

pp. 74-78

Author(s):

Lia Angela ◽

Mitra Noveri ◽

Tiara Tiara

Keyword(s):

Experimental Study ◽

Student Learning ◽

T Test ◽

Final Test ◽

Test Analysis ◽

Learning Achievement ◽

Research Instrument ◽

Quasi Experimental ◽

Improve Student Learning ◽

Test Result

This research aims to determine the effect of the application of classification card media to the learning achievement. This research is a quasi-experimental study. The population of this research is the students of class X Science of SMA Negeri 7 Kerinci. The sample class is students of Class X Science 1 as an experimental class and Class X Science 2 as a control class. The research instrument is a test with objective questions. The final test result data were analyzed using t-test. The results of the t-test analysis showed that the application of the classification card media could improve student learning achievement.

Download Full-text

PENGARUH KONSUMSI TEH DAUN KELOR TERHADAP PENINGKATAN PRODUKSI ASI DI GROBOGAN

Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama ◽

10.31596/jcu.v9i3.630 ◽

2020 ◽

Vol 9 (3) ◽

pp. 268

Author(s):

Nurulistyawan Tri Purnanto ◽

Laily Himawati ◽

Nur Ajizah

Keyword(s):

Experimental Study ◽

T Test ◽

P Value ◽

Test Design ◽

Post Test ◽

Quasi Experimental ◽

Paired T Test

ABSTRAK Rendahnya cakupan ASI eksklusif di Indonesia menjadikan anak terkurangi haknya untuk mendapatkan makanan bernutrisi tinggi bagi pertumbuhan. Hal ini dikarenakan kurangnya produksi ASI pada ibu menyusui. Pemberian tindakan non farmakologi seperti teh daun kelor diharapkan mampu meningkatkan produksi ASI sehingga anak tetap mendapatkan ASI. Penelitian ini bertujuan untuk untuk mengetahui pengaruh konsumsi teh daun kelor terhadap peningkatan produksi ASI di Kabupaten Grobogan. Metode penelitian ini berjenis quasi experimental study dengan menggunakan one group prepost test design pada 60 responden. Intervensi dilakukan selama 3 minggu untuk menilai produksi ASI antara Pre dan Post intervensi. Data dianalisa dengan menggunakan Uji Paired t-Test. Hasil penelitian menunjukkan rata-rata ASI pada tahap pre-test sebanyak 152,00 meningkat menjadi 158,50 pada tahap post-test. Terdapat perbedaan jumlah ASI dengan p-value sebesar 0,002 dengan nilai korelasi sebesar 0,934. Kesimpulan penelitian ini adalah terdapat pengaruh yang signifikan pada konsumsi teh daun kelor untuk produksi ASI. Kata Kunci : Teh Daun Kelor, Produksi ASI

Download Full-text

Impact evaluation of biomedical waste segregation among junior residents of a South Indian medical college: a quasi experimental study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20202531 ◽

2020 ◽

Vol 7 (7) ◽

pp. 2513

Author(s):

Ranganath T. Sobagaiah ◽

Karuna Siddappa Patange ◽

Vishwanatha .

Keyword(s):

Experimental Study ◽

T Test ◽

Control Group ◽

Junior Doctors ◽

Human Beings ◽

Biomedical Waste ◽

Quasi Experimental ◽

Waste Segregation ◽

The Difference ◽

The Impact

Background: Biomedical waste is any waste generated during the diagnosis, treatment or immunization of human beings or animals. The quantity of solid waste generated in Bangalore hospitals is from ½ to 4 kg per bed per day. But segregation is done in only 30%. Health care workers have an important responsibility to segregate the biomedical waste and dispose them. Hence this study was undertaken with the objective of assessing the impact of intervention on Biomedical waste segregation knowledge among junior doctors. Methods: The study design employed is a quasi experimental study with control and intervention design. The junior doctors were selected randomly. After written informed consent the participants were divided as two group of intervention and control group with 74 in each group. Data of pre-test was collected using self-administered and validated questionnaire. After a week of pre-test, training using WHO modules 3 on training of biomedical waste segregation based on IHWM was done only for the intervention group. After a period of 3 months post test was conducted for both the intervention and the control group using a pre tested self-administered questionnaire with questions very similar to the pre-test.Results: The difference is found to be with t-test value of 1.434 and df of 37 with significant value 0.160 (>0.05) for the control group. The difference is found to be with t-test value of 3.241 and df of 35 with significant value 0.003 (<0.05) for the intervention group.Conclusions: The knowledge of biomedical waste management was found to increase after an intervention.

Download Full-text