scholarly journals A single-blinded randomized crossover trial comparing peer-to-peer and standard instruction on airway management skill training

2019 ◽  
Author(s):  
Usapan Surabenjawong ◽  
Paul Edward Phrampus ◽  
John Lutz ◽  
Deborah Farkas ◽  
Apoorva Gopalakrishna ◽  
...  
Keyword(s):  
Nursing Students ◽  
Airway Management ◽  
Crossover Trial ◽  
Peer Group ◽  
Peer To Peer ◽  
Peer Instruction ◽  
P Value ◽  
Management Skills ◽  
Randomized Crossover Trial ◽  
Significant Difference

ABSTRACTBackgroundPeer-to-peer teaching, which is an alternative to standard teaching (by expert instructors), has the potential to emphasize student self-learning and reduce the cost and workload of the instructor. Self-instruction videos with peer feedback are highlighted in many medical and nursing school curricula.ObjectiveTo evaluate whether peer to peer instruction supported by a structured curriculum and video exemplars is not inferior to standard instructor-led teaching in basic airway management skill, knowledge, and confidence attainment.MethodThis single blinded randomized crossover trial was conducted with a sample of novice nursing students. Data was collected through the pre-to post-knowledge and confidence assessments. The students were randomly assigned to two crossover groups. Each student learned basic airway management skills through both methods. The students’ performances were recorded in every session with recordings reviewed by blinded expert instructors.ResultsThe study included 48 participants, who were assigned into both the expert instruction group and peer-to-peer group through computer generated randomization. The skill rating scores of the peer-to-peer group were not inferior to the standard teaching. With further analysis, we noted that the peer-to-peer group scores had significantly higher scores demonstrating a large effect size (Cohen’s d of 1.07 (p-value 0.002) for oropharyngeal airway insertion, 1.14 (p-value <0.001) for nasopharyngeal airway insertion and 0.81 (p-value 0.003) for bag mask ventilation). There was no significant difference between pre- and post-knowledge scores across groups (p-value of 0.13 and 0.22 respectively). Participants in both groups reported higher confidence after learning. However, the difference was not statistically significant.ConclusionsUndergraduate nursing students trained in basic airway management skills by peer-to-peer instruction and a structured curriculum did not show inferior scores compared to the students who were trained by expert instructors. There was no significant difference in the knowledge and confidence levels between the groups.

THE ANALYSIS OF NURSING STUDENT SOFT SKILLS DEVELOPMENT BETWEEN LECTURE AND PROBLEM BASED LEARNING APPROACHES 2011

2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Hilman Syarif
Keyword(s):  
Nursing Students ◽  
Nursing Student ◽  
Soft Skills ◽  
Comparative Method ◽  
P Value ◽  
Learning Approaches ◽  
Soft Skill ◽  
Student Centered Learning ◽  
Hard Skills ◽  
Significant Difference

Introduction: Student Centered Learning (SCL) is an effective method to develop student's soft skills and hard skills which are very important to support their successful carrier later. This research was conducted to identify the differences of developed soft skills between students who learn with PBL method and lecturing method. Methods: Descriptive comparative method was used in this study. The samples consisted of 15 students who learned with PBL method and 15 students who learned with lecturing method. The sample for this research was selected by random sampling method. Results: The result showed that the average of student's soft skills score in PBL method was 122.63, while student's soft skills score in lecturing method was 116.27. Discussion & Conclusion: There was significant difference of student's soft skills in PBL method and lecturing method (p value = 0.038; α = 0.05). This study recommends nursing program management, faculty of medicine at the University of Syiah Kuala keeps PBL method running and develops other methods which facilitate hard skills and soft skills are development. Keywords: nursing students, soft skill, PBL

The Effectiveness of Using a Mobile Messenger as an Educational Supporting Tool among Nursing Students

2020 ◽  
Vol 4 (1) ◽  
pp. 67-77
Author(s):  
Rohimah Ismail ◽  
Chong Mei Chan ◽  
Wan Muhammad Azly W. Zulkafli ◽  
Hasnah Zani ◽  
Zainab Mohd Shafie
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Clinical Decision Making ◽  
Intervention Group ◽  
Great Influence ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
Supporting Tool ◽  
Nursing College

                The evolution of information technology has exerted great influence on nursing education via new pedagogy of knowledge delivery without time and place restriction. Mobile technology revolutionises nursing education and clinical practice via empowering skills of critical thinking and clinical decision-making through learning. The aim of this study is to evaluate the effectiveness of using mobile messenger (Whatsapp) as an educational supporting tool among nursing students. The study design used is a Cluster Randomized Control Trail. Two nursing colleges were selected. Sample size was 93 participants, 48 from the Kuala Terengganu Nursing College Kuala Terengganu as the intervention group while the control group were recruited among 45 participants from UniSZA Nursing College. There is a significant difference in the level of knowledge between pre and posttest among intervention group (mean difference was -8.70 with a standard deviation 8.42, p-value< 0.001) and 93.8 percent of the respondents perceived the usefulness of using WhatsApp mobile messenger to enhance learning. This demonstrates that learning through mobile messenger (WhatsApp) enhances learning and is well received as a new method of learning by almost all students.   Keywords: Mobile learning, WhatsApp messenger, Social Interaction

A Study to Evaluate the Effectiveness of Webinar on Knowledge Regarding the Strategies to Prevent Covid 19 among Nursing Students of SIIHS, Honavar, Uttara Kannada

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Sagaya Arockiya Mary. A ◽  
Susai Mari.A ◽  
Wincy. C ◽  
Thirumurugan. M ◽  
Verginia Dsouza ◽  
...  
Keyword(s):  
Nursing Students ◽  
Student Nurses ◽  
Sampling Technique ◽  
Knowledge Score ◽  
P Value ◽  
Sufficient Information ◽  
Knowledge Level ◽  
Chi Square ◽  
Significant Difference ◽  
Post Test

Background: The one virus stumbled the whole universe is the novel corona virus and impacted physical, emotional and social health status of almost every individual in the world irrespectively. Since the existence of Covid-19 till now it is been noticed that student nurses also affected by this fatal viral infection during their clinical practice. Objectives: The study focused on evaluating the effectiveness of webinar on knowledge regarding the strategies to prevent Covid -19 among student nurses of SIIHS, Honavar, Uttara Kannada. The study aimed at enhancing the knowledge level and influences others through effective health teaching at clinical areas and even in community settings. Methodology: An evaluative approach with pre- experimental, non-randomized, one group pre and post-test research design was adapted. The sample size was 294, purposive sampling technique was adapted. Data collected through testmoz web page and webinar was conducted by google meet app for one week. Data analysed by descriptive and statistical methods (chi-square and z-test) and interpreted by graphs. Results: The findings show that in pre-test 10(3.41%) had poor, 127(43.19%) had average, 157(53.40%) Good and 00% excellent knowledge level whereas in post-test 00% had Poor, 59(20.06%) Average, 176(59.86%) Good and 59 (20.06%) had excellent knowledge level. The pre-test mean score was 23.1 (46.2 %.) and of post-test was 35.6 (71.2%). The computed z’-test value showing significant difference in the pre (x?1=23.1) and post-test (x?2=35.6) knowledge score (p=1.18357, < z= -5.1679, critical z score=-1.6449 ? =0.05 level of significance). Hence the p value is greater than the z value (p(x?Z) = 1.18357e-7), it indicates the webinar was effective and the null hypothesis (H0) is rejected. Conclusion: The study was concluded as the webinar was highly effective and influenced the participant to gain sufficient information on prevention and the spread of Covid 19. Hopefully this enables them to apply

Comparative Study of Satisfaction and Acceptability between Using Menstrual Cup versus Sanitary Pads in Health Care Personnel: A Randomized Crossover Trial

2021 ◽  
Vol 104 (1) ◽  
pp. 1-9
Keyword(s):  
Health Care ◽  
Sexual Intercourse ◽  
Crossover Trial ◽  
Health Care Personnel ◽  
The Past ◽  
Randomized Crossover Trial ◽  
Significant Difference ◽  
Hcp Materials ◽  
Group A ◽  
Sanitary Pads

Background: In the past decade, menstrual cups (MC) have become increasingly popular in many countries but there was no previous reporting on MC usage in Thailand. Objective: To evaluate and compare the satisfaction and acceptability of using MC and sanitary pads (SP) in health care personnel (HCP). Materials and Methods: Participants were HCP in Bhumibol Adulyadej Hospital who were willing to participate in the study between October 2019 and March 2020. They were randomly assigned into groups A and B. During the first three cycles of menstruation, participants in group A and B used SP and MC, respectively. In the later three cycles of menstruation, they were switched from SP to MC and vice versa. The demographic and menstrual characteristics were recorded. Satisfaction was evaluated by using the five-point Likert scale. Acceptability of MC usage was recorded on the sixth cycle questionnaire. Results: Ninety-eight HCP were recruited and equally divided into two groups (A and B). Acceptability for MC was significantly lower than SP (89 versus 100 percent, respectively). Participants who had regular sexual intercourse had more acceptability with MC than those who had no regular intercourse (98.4 versus 68.7 percent, respectively). Participants reported more significant satisfaction for MC than SP in terms of leakage prevention, cleaning, odor prevention, land activity, daily activity, comfortable sleep, and overall satisfaction. Contact dermatitis associated with MC was less than with SP with a statistically significant difference. Conclusion: Acceptability for MC was lower than SP. MC’s acceptability was preferred among HCPs with regular sexual intercourse. MC had higher satisfaction and less side effects than SP. Keywords: Acceptability, Menstrual cup, Menstruation, Sanitary pads, Satisfaction

scholarly journals U.S. Army Combat Medic eFAST Performance with a Novel Versus Conventional Transducers: A Randomized, Crossover Trial

2020 ◽  
Vol 185 (Supplement_1) ◽  
pp. 19-24 ◽  
Author(s):  
Brian J Ahern ◽  
Jonathan D Monti ◽  
Jason F Naylor ◽  
Aaron J Cronin ◽  
Michael D Perreault
Keyword(s):  
Diagnostic Accuracy ◽  
Crossover Trial ◽  
Ease Of Use ◽  
Technical Adequacy ◽  
Brief Training ◽  
Randomized Crossover Trial ◽  
Significant Difference ◽  
Combat Medics ◽  
Life Threatening ◽  
Conventional Ultrasound

ABSTRACT Background Point-of-injury extended focused assessment with sonography in trauma (eFAST) may identify life-threatening torso hemorrhage and expedite casualty evacuation. The purpose of this study was to compare combat medic eFAST performance between the novel and conventional ultrasound (US) transducers. Methods We conducted a randomized crossover trial. Medic participants, previously naïve to US, were randomized to the type of transducer first utilized. The primary outcome was eFAST completion time in seconds. Secondary outcomes included diagnostic accuracy, technical adequacy, and transducer ease-of-use rating. Results Forty medics performed 160 eFASTs. We found a statistically significant difference in eFAST completion times in favor of conventional transducers (304 vs. 358 s; P = 0.03). There was no statistically significant difference between the conventional and novel transducers in terms of diagnostic accuracy (97.7% vs. 96.0%; P = 0.25) and technical adequacy (65% vs. 72.5%; P = 0.11). Median transducer ease-of-use rating (Likert 1–5 scale) was statistically significant in favor of the conventional transducers (5 vs. 4; P = &lt; 0.001). Conclusions Extended focused assessment with sonography in trauma exam times was faster with the conventional transducers. Combat medics performed diagnostically accurate eFASTs with both transducer types in a simulated aid station setting after a brief training intervention. Conventional transducers were rated higher for ease-of-use.

scholarly journals Endotracheal Intubations in Emergency Department: A Clinical Audit at a Tertiary Health Centre in South India

2021 ◽  
Vol 5 (2) ◽  
pp. 842-848
Author(s):  
Linu SM ◽  
Roopasree Sivam ◽  
Nikhil Paul ◽  
Mathen P George ◽  
Suresh Babu
Keyword(s):  
Emergency Department ◽  
Airway Management ◽  
Success Rate ◽  
Health Centre ◽  
Dental Trauma ◽  
Rapid Sequence Intubation ◽  
P Value ◽  
Success Rates ◽  
Management Skills ◽  
Cross Sectional

Background: Endotracheal intubation in the emergency department is challenging. Hence, regular audits can help us improve our critical airway management skills. Our study aimed to evaluate the practice of endotracheal intubations performed in the emergency department. Materials and Methods: A retrospective cross-sectional study was conducted among the patients intubated in our teaching hospital's emergency department. The study period was from November 1, 2019, to August 31, 2020. We analyzed first attempt success rates, drug use, indication, and complications. Results: We analysed 90 endotracheal intubations, out of which 70(77.8%) were performed by emergency physicians and 20(22.2%) by anaesthetists. The first attempt success rate was 81.11% (n=73) and had significant differences between the both departments. (p value= 0.003,  χ2= 7.48). More patients had medical indications compared to trauma for intubation (n=88 vs n=32) among which respiratory failure (n=25, 27.78%) was the most common indication. Rapid Sequence Intubation( RSI) adherence was 82.22% (n=74). Lignocaine (n=16, 19.75%), etomidate (n=35, 43.2%) and succinylcholine (n=65, 80.25%) were the commonly used drugs for premedication, induction and as relaxants respectively. 17(18.89%) out of 90 intubation had complications. Desaturation (n=10, 11.11%), bradycardia (n=1, 1.11%), hypotension (n=4, 44%), dental trauma (n=5, 5.55%) and oesophageal intubation (n=3, 3.33%) were observed in our study. Conclusion: Our study is the first  from India which describes the characteristics of endotracheal intubations done in the Emergency Department along with data on RSI adherence. The first attempt success rate, indications, and complications were comparable with other studies in the literature. We recommend future prospective studies to analyze success rates between different specialties and resident doctors to improve the airway management skills in the Department

scholarly journals Knowledge, Attitude and Practice of Health Care Ethics Among Medical, Dental and Nursing Colleges Students and Faculty in Visakhapatnam: A Questionnaire Study

2020 ◽  
Vol 4 (5) ◽  
pp. 126-135
Author(s):  
Pratyusha Chatti ◽  
Vineela Parlapalli ◽  
Siva Kumar Pydi ◽  
Nagarjuna Pottem ◽  
Karishma Janapareddy ◽  
...  
Keyword(s):  
Nursing Students ◽  
Care Ethics ◽  
Hippocratic Oath ◽  
P Value ◽  
Health Care Ethics ◽  
Nuremberg Code ◽  
Attitude And Practice ◽  
Significant Difference ◽  
Knowledge And Attitude ◽  
Knowledge Attitude And Practice

BACKGROUND: Dental ethics revolves around the extent to which actions within the dental practice promote good and reduce harm.AIM: The study aims to assess the knowledge, attitude, and practice among the medical, dental, and nursing college students and faculty Visakhapatnam.MATERIALS AND METHODS:  The 26-item questionnaire, self-administered, semi-structured, was designed to access the student's and faculty's knowledge, attitudes, and practices in the globe of healthcare ethics. With all the exclusion and inclusion criteria, the total sample derived as 1190. Statistical analysis was done using the SPSS Software Version 21.0 with the significant p-value at ≤ 0.05. Descriptive statistics, chi-Square test and ANOVA test used to compare the knowledge attitude and practice of dental, medical, and nursing students and faculty.RESULTS: Out of 1,190 participants, 456 participants belonged to medical out of which 239 are females, and 217 are males, 424 participants are from the specialty dental, 248 are females, and 176 are 310 participants belong to nursing in which 230 females and 80 males. The knowledge and attitude of dental college interns and postgraduates showed no significant difference in the Hippocratic oath, Nuremberg code, ICMR guidelines, Helsinki declaration with p-value 0.971, 0.899, 0.506, and 0.768. The knowledge and attitude of medical college interns and postgraduates showed a significant difference in the Hippocratic oath, Nuremberg code, ICMR guidelines with p-values 0.002, 0.040 and 0.011, respectively. The knowledge and attitude of final years showed considerable differences from the third years of nursing. CONCLUSION: The knowledge and attitude of health care ethics are significantly more in medical postgraduates than the medical interns, showed no significant difference in dental interns and graduates, and showed significant differences in nursing students.

scholarly journals The Effect of Blended Learning on Nursing Students’ Knowledge

Jurnal NERS ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. 1
Author(s):  
Ni Gusti Ayu Eka ◽  
Grace Solely Houghty ◽  
Juniarta Juniarta
Keyword(s):  
Nursing Students ◽  
Blended Learning ◽  
Industrial Revolution ◽  
Nursing School ◽  
Wilcoxon Test ◽  
P Value ◽  
Final Exam ◽  
Significant Difference ◽  
Statistics Course ◽  
The Mean

Introduction: Blended learning is assumed to improve the students’ understanding of learning at nursing school especially in the current industrial revolution 4.0 era.  The combination of classroom and online activities is expected to provide better study outcomes.  This research aimed to compare the knowledge scores of the nursing students in blended learning concerning a research and statistics course at a private faculty of nursing.Methods: The knowledge scores resulted from the student’s score in their mid and final examinations (0-100). A total of 474 respondents who were third year students involved in the study.  This study applied a pre-experimental design. Due to the data having a significant non-normal value (p value < 0.001), this study further compared the mean-rank of the students’ score using a Wilcoxon test analysis.Results: The results of this study revealed that there was a significant difference (p value < 0.0001) between the students’ score in the mid (Median 72.5; SD 9.82) and final exam examinations (Median 86.66; SD 4.75). This means that the students had a better score in their final exam.Conclusion: Applying a blended learning method was a positive experience for the nursing students in terms of knowledge. It is needed to explore the students’ understanding and interest in their learning process using blended learning.

scholarly journals THE EFFECT OF MANDALA PATTERN COLORING ACTIVITY ON THE ANXIETY LEVEL OF STUDENTS IN DIRGAHAYU NURSING ACADEMY SAMARINDA

2017 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Kristina Kristina
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Rating Scale ◽  
Sampling Technique ◽  
T Test ◽  
Anxiety Level ◽  
Student Experiences ◽  
P Value ◽  
Paired Samples ◽  
Significant Difference

Nursing education system in Indonesia based on the competency-based curriculum is learning experiences that require nursing students to study both in campus and in health services areas. It can cause anxiety to the students. If a student experiences an ongoing increase in anxiety, it can cause negative effects so that students' learning motivation becomes decreased. The purpose of this study was to determine the effect of mandala pattern coloring activity on the level of anxiety among nursing students in Dirgahayu Nursing Academy, Samarinda. This study was pre-experiment research with one group pre-test and post-test design. The population of this study was students in Dirgahayu Nursing Academy, Samarinda and the sample was students in 4th semester. The sampling technique used in this study was purposive sampling. Hamilton Rating Scale for Anxiety (HARS) was applied to measure anxiety level. Data were analyzed by using paired-samples t-test. The results of data analysis using Microsoft Excel 2010 with t-test formula showed p value: 0.004, indicating a significant difference in anxiety level before and after the mandala pattern coloring activity. Mandala pattern coloring activities can be used as an appropriate activity to reduce anxiety..

scholarly journals How Relevant Is the Place Where First-Year College Students Live in Relation to the Increase in Body Mass Index?

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1638
Author(s):  
Antonio Viñuela ◽  
Juan José Criado-Álvarez ◽  
Javier Aceituno-Gómez ◽  
Carlos Durantez-Fernández ◽  
José Luis Martín-Conty ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Nursing Students ◽  
Body Mass ◽  
Repeated Measures ◽  
Eating Habits ◽  
The Body ◽  
P Value ◽  
First Year ◽  
Significant Difference ◽  
The Mean

(1) Objective: This study analyzes the evolution of the body mass index (BMI) throughout the academic year associated with changes in the lifestyle associated with the place where students live during the course, lifestyle design, and health strategies for the university community. (2) Methods: A total of 93 first-year nursing students participated in this study. Data were collected throughout the course by administering self-reported questionnaires about eating habits and lifestyles, weight, and height to calculate their BMI and place of residence throughout the course. Data were analyzed using statistical analysis (Mann–Whitney, chi-square, Student’s t-test, repeated-measures analysis of variance, and least significant difference tests). (3) Results: We found that the mean BMI increases significantly throughout the course among all students regardless of sex, age, eating habits, or where they live during the course. At the beginning of the course, the mean BMI was 22.10 ± 3.64. The mean difference between the beginning of the course and the middle has a value of p-value < 0.015 and between the middle of the course and the end a p-value < 0.009. The group that increased the most is found among students who continue to live in the family nucleus rather than those who live alone or in residence. Students significantly changed their eating and health habits, especially those who live alone or in residence. (4) Conclusions: There is an increase in BMI among students. It is necessary to carry out seminars or talks that can help students understand the importance of good eating practices and healthy habits to maintain their weight and, therefore, their health, in the short, medium, and long term and acquire a good quality of life.

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