POS0273-HPR PHARMACIST’S IMPACT ON SELF-MANAGEMENT FOR PATIENTS WITH CHRONIC INFLAMMATORY ARTHRITIS TREATED WITH BIOLOGICAL DMARDS

Background:Knowledge about chronic inflammatory rheumatisc diseases and skills to administer and manage subcutaneous (subcut) biological DMARDs (bDMARDs) are key aspects to optimize patient’s self-management. Intervention of several successive health professionals (e.g comprehensive multidisciplinary team) has proven to be an effective method to improve patient’s self-management of their disease and treatment.Objectives:To assess the pharmacist’s impact on patient’s knowledge and skills during a multidisciplinary annual review. The secondary objectives were to assess this impact on therapeutic adherence and patient’s satisfaction as well as to determine the factors associated with the level of knowledge at baseline.Methods:Study type: prospective, monocentric, 6 months-follow-up, non-controlled study approved by Local Ethical Committee. Inclusion criteria: patient with either rheumatoid arthritis (RA) or spondyloarthritis (SpA), and treated with subcut bDMARDs. Intervention: The visit with a pharmacist evaluating and discussing patient’s knowledge and treatment adherence. At baseline (M0): date of the visit and, 3 (M3) and 6 months (M6) later, knowledge and adherence were assessed using self-administered questionnaires: Biosecure and CQR-5 respectively. A questionnaire was sent at M3 in order to evaluate the patient satisfaction. Endpoints: Primary: Changes in Biosecure score Secondary: Percentage of patients with high level of knowledge (score > 84) and percentage of patients with high adherence at M3 and M6; patient’s satisfaction; identification of patient’s factors (socio-demographics, rheumatisc disease treatments) associated with different levels of knowledge at baseline.Statistical analysis: repeated measures ANOVA, Bonferroni and Generalized Estimating Equation, univariate and multivariate linear regression.Results:The study was conducted from October 2019 to July 2020; 79 patients were included (age (years) = 50±15; sex ratio = 1.1; RA=25, SpA=54). The Biosecure scores changed from 71±18 to 82±15 (M3) and to 84±14 (M6) (p<0.001). At M0, M3 and M6, the rate of patients with a high level of knowledge was 24.1%, 59.5% and 63.3% respectively (p<0.001). No difference was observed for the change in the 92% of patients considered as high adherent (92% versus 95% at M0 and M6 respectively; p=0.077). Patient’s satisfaction regarding the pharmaceutical intervention was 25±3 (max = 28).Factors associated with a better Biosecure score in the multivariate analysis were the following, lifestyle as a couple (p<0.001), information given by a nurse (p=0.033), information searched for on patient associations (p=0.013) and a low Charlson score (p=0.001)Conclusion:Pharmacist’s intervention in the comprehensive multidisciplinary annual review resulted in a beneficial impact on patients’ knowledge and skills to manage their bDMARDs with a high level of satisfaction from a patient perspective.Disclosure of Interests:None declared

Download Full-text

PHILOSOPHY OF THE UNITY OF KNOWLEDGE, COMPETENCIES, AND VALUES OF THE NEW UKRAINIAN SCHOOL

The Educational Discourse a collection of scientific papers ◽

10.33930/ed.2019.5007.29(12)-4 ◽

2021 ◽

pp. 36-46

Author(s):

Oksana Yakymchuk

Keyword(s):

Real Life ◽

Essential Characteristic ◽

Knowledge And Skills ◽

Pedagogical Action ◽

Professional Self ◽

Level Of Knowledge ◽

Knowledge Competencies ◽

High Level ◽

Unity Of Knowledge ◽

Educational Potential

The formation of a powerful, active, and dynamic axiological foundation of personality is one of the essential tasks of the competency approach because even a high level of knowledge and skills acquired in the process of learning and education cannot ensure the integrity and progressively oriented unity of personal and professional competencies for future successful life, socio-cultural and professional self-realization. Given this, within the competence paradigm of education, qualitatively new content is the unity of learning and education. If before a significant amount of theoretical knowledge, detached from real life, had a shallow educational potential, now any pedagogical action, even focused on the cognitive assimilation of basic scientific knowledge, will have a worldview. An essential characteristic of the competency approach in education is that it can ensure each student’s unique structure the unity of knowledge, competencies, and values.

Download Full-text

Randomised controlled trial of the effects of a self-management patient education program on overall quality of life and knee pain of older people with mild to moderate knee(s) osteoarthritis

International Journal of Clinical Trials ◽

10.18203/2349-3259.ijct20171918 ◽

2017 ◽

Vol 4 (2) ◽

pp. 80

Author(s):

Alhadi M. Jahan

Keyword(s):

Quality Of Life ◽

Patient Education ◽

Education Program ◽

Repeated Measures ◽

Controlled Trial ◽

Self Management ◽

Controlled Study ◽

Control Group ◽

Human Beings

Background: Knee osteoarthritis (OA) is the most important chronic rheumatic disease affecting human beings. It is more common among the older population. The objective of OA treatment is to control the symptoms, such as pain, mobility problems and consequently, to improve overall quality of life. Although, self-management patient education programs, such as educational workshops and other learning activities are effective approaches in some chronic diseases, the evidence for arthritis is still inconclusive. The aim of this trial is to compare the effectiveness of an OA of the knee self-management education program with a control group, as determined by improvements in pain and quality of life. Methods: In this study, we will perform a two-group, randomized (1:1 ratio), controlled study with repeated-measures to examine the differences between the two groups over time. The research sample will be selected from the patients who are referred to a physiotherapy department with a diagnosed mild to moderate knee(s) OA, aging from 45 to 65 years.Conclusions: Positive findings of this trial will pave the road for new methods of cooperation between patients and healthcare providers. Also, patient education ensures that patients are well-informed about their own health and they could avoid any deterioration and disability due to bad practices. Finally, an increased understanding helps patients to make informed decisions about their healthcare avenues.

Download Full-text

Nurses’ knowledge of heart failure self-management education principles

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20213109 ◽

2021 ◽

Vol 9 (8) ◽

pp. 2506

Author(s):

Mohammad A. Abu Sa'aleek ◽

Bader T. Al zawahra

Keyword(s):

Heart Failure ◽

Self Management ◽

Level Of Education ◽

The Usa ◽

Level Of Knowledge ◽

Care Practices ◽

High Level ◽

Educating Nurses ◽

Nurses Knowledge

Heart failure is considered as a chronic disease and the management of such condition is complex and challenging. Nurses play a significant role in managing heart failure by enhancing self-care practices among patients. This paper aims to evaluate evidence from the literature regarding nurses level of knowledge about the educational principles in heart failure. The nine selected studies included a total number of 1181 patients. These studies were conducted in the USA and Europe from 2002 until 2019.the uniqueness of those selected studies that all the authors use the same instrument titled “nurses knowledge of heart failure education principles”. The results revealed that there was an inconsistency in the level of knowledge among nurses in hospital-based, ambulatory, primary care or home care settings. More randomized studies are needed to solve this discrepancy. The level of knowledge ranged from (60.4-79.85%). Six topics have been identified as areas of weakness in which education is needed. Educating nurses in different settings is the gold stander to raise their level of knowledge which in turn will be in a better position to provide a high level of education for patients in order to alleviate their suffering, improve the quality of life and reduce the frequent hospitalization.

Download Full-text

Survey on the Level of Knowledge and Skills of Project Managers in Regional Development

Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis ◽

10.11118/actaun201664041325 ◽

2016 ◽

Vol 64 (4) ◽

pp. 1325-1335 ◽

Cited By ~ 2

Author(s):

Martina Kopečková ◽

Pavel Máchal

Keyword(s):

Czech Republic ◽

Regional Development ◽

Project Managers ◽

The Czech Republic ◽

Knowledge And Skills ◽

Investment Projects ◽

Level Of Knowledge ◽

Scope Management ◽

High Level ◽

The Given

The level of knowledge and skills of project managers in the field of regional development shows a high level of differentiation, which has an impact on management of (non)investment projects in the given region. For effective addressing problems of regional development is crucial that projects will be processed, handled and managed at a professional level. The paper aims to confirm or disprove the given hypothesis and to identify the knowledge areas affected by the ignorance the most. For this purpose the survey on the level of knowledge and skills of project managers in regional development in NUTS III region in the Czech Republic was conducted. The survey results has allowed identifying the level of knowledge and skills of project managers in regional development in project management knowledge areas and thereby has enabled to identify the knowledge areas affected by the ignorance the most. Among these knowledge areas belong mainly Risk management, Scope management and Quality management. The results have also enabled to present the level of differentiation of the level of knowledge and skills of project managers from the mean and to compare findings in the particular NUTS III region of the Czech Republic among each other. The findings show a high level of differentiation of the knowledge and skills of project managers.

Download Full-text

The self-management abilities test (SMAT): a tool to identify the self-management abilities of adults with bronchiectasis

npj Primary Care Respiratory Medicine ◽

10.1038/s41533-021-00265-5 ◽

2022 ◽

Vol 32 (1) ◽

Author(s):

Katelyn R. Smalley ◽

Lisa Aufegger ◽

Kelsey Flott ◽

Erik K. Mayer ◽

Ara Darzi

Keyword(s):

Health Knowledge ◽

Assessment Tool ◽

Healthcare Providers ◽

Chronic Respiratory Disease ◽

The Self ◽

Self Management ◽

Knowledge And Skills ◽

Qualitative Feedback ◽

Building Process ◽

High Level

AbstractBronchiectasis is an increasingly common chronic respiratory disease which requires a high level of patient engagement in self-management. Whilst the need for self-management has been recognised, the knowledge and skills needed to do so— and the extent to which patients possess these—has not been well-specified. On one hand, understanding the gaps in people’s knowledge and skills can enable better targeting of self-management supports. On the other, clarity about what they do know can increase patients’ confidence to self-manage. This study aims to develop an assessment of patients’ ability to self-manage effectively, through a consensus-building process with patients, clinicians and policymakers. The study employs a modified, online three-round Delphi to solicit the opinions of patients, clinicians, and policymakers (N = 30) with experience of bronchiectasis. The first round seeks consensus on the content domains for an assessment of bronchiectasis self-management ability. Subsequent rounds propose and refine multiple-choice assessment items to address the agreed domains. A group of ten clinicians, ten patients and ten policymakers provide both qualitative and quantitative feedback. Consensus is determined using content validity ratios. Qualitative feedback is analysed using the summative content analysis method. Overarching domains are General Health Knowledge, Bronchiectasis-Specific Knowledge, Symptom Management, Communication, and Addressing Deterioration, each with two sub-domains. A final assessment tool of 20 items contains two items addressing each sub-domain. This study establishes that there is broad consensus about the knowledge and skills required to self-manage bronchiectasis effectively, across stakeholder groups. The output of the study is an assessment tool that can be used by patients and their healthcare providers to guide the provision of self-management education, opportunities, and support.

Download Full-text

Nurses' Knowledge and Skills to Manage Patients with Psychological Distress in Emergency Departments

The Open Nursing Journal ◽

10.2174/1874434602014010049 ◽

2020 ◽

Vol 14 (1) ◽

pp. 49-55

Author(s):

Ahmad N. AlShibi ◽

Ayman M. Hamdan-Mansour

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Emergency Departments ◽

Signs And Symptoms ◽

Previous Experience ◽

Convenience Sample ◽

Knowledge And Skills ◽

Level Of Knowledge ◽

High Level ◽

Nurses Knowledge

Background: Identifying and managing patients with psychological distress is a challenge to nurses at emergency departments at hospitals not specialized in psychiatric mental health. This requires that nurses must be equipped with knowledge and skills to fulfill patients’ needs. Objectives: The purpose of this study is to identify the knowledge and skills of nurses to manage patients with psychological distress in emergency departments. Methods: A convenience sample of 307 registered nurses working at emergency departments completed and returned a package of surveys regarding knowledge and skills to manage patients with psychological distress in emergency departments. Results: Although nurses were found to have a high level of knowledge about managing psychological distress, their level of skills was lower. Nurses were found to encounter difficulty in identifying signs and symptoms of patients with psychological distress at emergency departments. A significant and positive correlation was found between nurses’ knowledge and skills (r =.68, p < .001). Statistical and significant differences were found in the knowledge of nursesin relation to their previous experience of receiving training and courses in managing psychological distress (p < .05). Conclusion: Nurses need to improve the level of knowledge in order toidentify the psychological and physical signs and symptoms of psychological distress, as well as to be equipped with skills that make them capable tof providing proper care and meeting patients’ needs with psychological distress at emergency departments.

Download Full-text

MODELLING SUPPORT SYSTEMS FOR SELECTING PROFESSIONS FOR APPLICANTS IN THE CONTENT OF PERSONALIZATION OF EDUCATION

EUREKA Physics and Engineering ◽

10.21303/2461-4262.2020.001181 ◽

2020 ◽

Vol 2 ◽

pp. 83-97

Author(s):

Huseyn Gasimov

Keyword(s):

Neural Networks ◽

Fuzzy Logic ◽

Initial Level ◽

Knowledge And Skills ◽

Individual Approach ◽

Input Layer ◽

Level Of Knowledge ◽

The Individual ◽

High Level ◽

Education Process

Various methods are currently being used in examining the initial “START” knowledge of applicants and their placement for specialties. Studies show that applicants are placed on the decreasing principle in terms of their overall scores at universities. In this case, applicants with a high level of knowledge are placed in the prestigious specialties as medicine and law as they require high results. Though, while applying for other professions, the applicants do not perform enough results on the key disciplines for the profession, they are placed in those professions when the general results enable it. This causes them to face a number of problems while working both in education process and in the industry. To avoid this problem and to place applicants in a specialty that is more relevant to their level of knowledge, the introduction of an individual approach to the evaluation of initial level of knowledge may be more promising. This article presents a modeling of the "evaluation – placement" support system for the individual approach to assessing applicants' knowledge and positioning them in relevant specialties. The main goal of the system is to give each applicant the opportunity to choose and study the specialty that is more relevant to their knowledge and skills, as well as to analyze the results for each discipline along with the overall results. The system is implemented using fuzzy logic based artificial neural networks. The network consists of 100 neurons in the input layer, two hidden layers and one output layer. The number of neurons at the output is the same as the number of specialties taught at university.

Download Full-text

Investigation into library staff attitudes, knowledge and skills relating to information literacy in NZ public libraries

10.26686/wgtn.17005546 ◽

2021 ◽

Author(s):

◽

Katrina Helen Peart-Baillie

Keyword(s):

New Zealand ◽

Information Literacy ◽

Public Libraries ◽

Skill Levels ◽

Knowledge And Skills ◽

The Public ◽

Literacy Initiatives ◽

Level Of Knowledge ◽

Library Staff ◽

High Level

The National Library of New Zealand defines information literacy as "locating, evaluating, managing and using information effectively from a range of sources for problem solving, decision making and research". The attitudes and the attributes of staff involved in all aspects of information literacy will have implications for both formal information literacy initiatives and one-on-one instruction undertaken in public libraries. This study investigated the attitudes, knowledge and skills that reference staff in New Zealand public libraries hold in relation to information literacy. The study employed a mixed methods approach using a self-completion questionnaire and in-depth interviews. This study shows that overall library staff have a high level of knowledge and awareness of what information literacy is. The importance of people being information literate is recognised and the public library's role in this acknowledged. Skill levels varied across the skill areas related to information literacy and between library staff. Library assistants have lower levels of skills than the overall sample whilst holders of library qualifications reported higher skill levels. The results have implications for professional development of staff in the area of information literacy.

Download Full-text