scholarly journals Effects of refresher training on the use of manual vacuum aspiration in the treatment of incomplete abortions: a quasi-experimental study in Malawi

2018 ◽  
Vol 3 (5) ◽  
pp. e000823
Author(s):  
Maria Lisa Odland ◽  
Gladys Membe-Gadama ◽  
Ursula Kafulafula ◽  
Geir Wenberg Jacobsen ◽  
Jon Øyvind Odland ◽  
...  
Keyword(s):  
Health Personnel ◽  
Maternal Mortality Ratio ◽  
Training Programme ◽  
Central Hospital ◽  
Vacuum Aspiration ◽  
Refresher Training ◽  
District Hospitals ◽  
Manual Vacuum Aspiration ◽  
Before And After ◽  
Quasi Experimental

IntroductionThe maternal mortality ratio is decreasing globally, although it remains high in Malawi. Unsafe abortion is a major cause and treatment of complications after abortion is a big burden on the health system. Even though manual vacuum aspiration (MVA) is the recommended surgical treatment of incomplete abortions in the first trimester, many hospitals in Malawi continue to use sharp curettage. It is known to have more complications and is more expensive in the long run. The purpose of this study was to determine the effectiveness of a structured MVA training programme in the treatment of incomplete abortions in Malawi.MethodsA quasi-experimental before-and-after study design was employed in an MVA training programme for health personnel at three hospitals in Southern Malawi. A total of 53 health personnel at the Queen Elizabeth Central Hospital and the district hospitals of Chikwawa and Chiradzulu (intervention hospitals) were trained in the use of MVA. Kamuzu Central Hospital in Lilongwe and the Thyolo District Hospital served as control institutions. Medical files for all women treated for an incomplete abortion at the study hospitals were reviewed before and after the intervention. Information on demographic and obstetric data and the type of treatment was collected.ResultsThere was a significant increase in the use of MVA from 7.8% (95% CI 5.8 to 10.3) to 29.1% (95% CI 25.9 to 32.5) 1 year after the intervention. In comparison, we found a mere 3% increase in the control hospitals.ConclusionsBy providing a refresher training programme to health personnel who treat women with incomplete abortions, it was possible to increase the use of MVA as recommended in the Malawi national guidelines.

scholarly journals Effectiveness of Ladder Training Versus Plyometric Training Program on Agility in Kabaddi Players

2021 ◽  
Vol 11 (11) ◽  
pp. 320-334
Author(s):  
K Venkata Surya Prakash ◽  
Pachamatla Devi Sadvika ◽  
Ch Ashok Chakravarthi
Keyword(s):  
Experimental Approach ◽  
Training Programme ◽  
Plyometric Training ◽  
Training Strategy ◽  
Before And After ◽  
Quasi Experimental ◽  
Convenience Sampling ◽  
Level Of Significance ◽  
And Control ◽  
Training Protocol

Background: Sport specific training in Kabaddi players should also focus on agility in consistent with demand of the sport. Since Ladder training and Plyometric training improves agility, it can be useful training strategy to improve the performance of Kabaddi players. Ladder training is more effective and also help the player to catch, strike, and to block or tackle the component, whereas Plyometric training enhances balance and control of body positions during game. Methodology: A comparative study design had made use of Quasi experimental approach by convenience sampling to select 60 samples of semiprofessional Kabaddi players in the age of 18- 25 students of both genders studying in KIMS College of Physiotherapy, Amalapuram. On certain predetermined criteria with a formal written consent samples were taken. The data was gathered following Interventions using Ladder training and Plyometric training protocol which was administered on the Kabaddi players. The outcome measures were assessed before the intervention and at the end of Eighth week. The standardized tool named Agility T-test was taken to assess the Agility before and after the intervention. Result of the Study: The result of the study indicated that Ladder training is a useful training strategy to improve agility more in Kabaddi players than Plyometric training programme. Whereas level of significance taken is P=<0.05. And obtained level of significance P<0.00. Conclusion: This study concluded that Ladder training is a useful training strategy to improve agility than Plyometric training programme in Kabaddi players. Key words: Agility, Ladder Training, Plyometrics, Kabaddi.

scholarly journals Medical Abortion Versus Manual Vacuum Aspiration in a Hilly District Hospital of Eastern Nepal: A Comparative Study

2015 ◽  
Vol 11 (3) ◽  
pp. 206-209 ◽  
Author(s):  
OB Panta ◽  
D Bhattarai ◽  
N Parajuli
Keyword(s):  
District Hospital ◽  
Medical Abortion ◽  
First Trimester ◽  
Rural Setting ◽  
World Health ◽  
Medical Attention ◽  
Vacuum Aspiration ◽  
Contraception Use ◽  
District Hospitals ◽  
Manual Vacuum Aspiration

Backgroud Nepal government has approved medical abortion and manual vacuum aspiration for early first trimester pregnancy. Both the procedures have been approved by World Health Organization for use in early first trimester. Objectives The study aims to compare efficacy and safety of medical abortion with surgical abortion in a district hospital of rural eastern Nepal. Method An observational study conducted in district hospital, dhankuta from July 2010 to January 2011. Clients for abortion services were counseled about methods of abortion and were allowed to make decision on their own and classified as medical abortion group (N=48) (receiving 200milligram Mifepristone followed by 800 microgram misoprostol sublingually or vaginally on day two)and manual vacuum aspiration group (N=36). The two groups were compared for rate of complete abortion and other complications and contraception use after procedure. Results Rate of complete abortion was similar in both groups, 95.8% among medical abortion and 97.2% in manual vacuum aspiration. Moderate to severe expulsion bleeding was reported in 91.6% of cases after Medical Abortion but none required medical attention for hemorrhage. Condom was the most preferred contraceptive in medical abortion group and depo provera in manual vacuum aspiration group. Conclusion Medical method of abortion using mifepristone and misoprostol is equally safe and effective as manual vacuum aspiration in rural setting district hospitals of Nepal. DOI: http://dx.doi.org/10.3126/kumj.v11i3.12505 Kathmandu Univ Med J 2013; 43(3):206-209

scholarly journals Knowledge acquisition and retention after a high flow training programme in Peru: a quasi-experimental single group pre–post design

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e035125
Author(s):  
Laura E Ellington ◽  
Rosario Becerra ◽  
Gabriela Mallma ◽  
José Tantaleán da Fieno ◽  
Deepthi Nair ◽  
...  
Keyword(s):  
Knowledge Acquisition ◽  
Training Programme ◽  
High Flow ◽  
Secondary Outcome ◽  
Single Group ◽  
Baseline Training ◽  
Training Assessment ◽  
Term Retention ◽  
Refresher Training ◽  
Quasi Experimental

ObjectiveRespiratory infections remain the leading infectious cause of death in children under 5 and disproportionately affect children in resource-limited settings. Implementing non-invasive respiratory support can reduce respiratory-related mortality. However, maintaining competency after deployment can be difficult. Our objective was to evaluate the effectiveness of a comprehensive multidisciplinary high-flow training programme in a Peruvian paediatric intensive care unit (PICU).DesignQuasi-experimental single group pre–post intervention study design.SettingQuaternary care PICU in a resource-constrained setting in Lima, Peru.ParticipantsAttending physicians, fellows, paediatric residents, registered nurses, respiratory therapists and medical technicians working in the PICU were invited to participate.InterventionsConcurrent with initial high-flow deployment, we implemented a training programme consisting of lectures, case-based discussion and demonstrations with baseline, 3-month and 12-month training sessions. Pre-training and post-training assessment surveys were distributed surrounding all training sessions.Primary and secondary outcome measuresThe primary outcome was achieving minimum competency (median score of 80%) on the high flow training assessment tool. Secondary outcomes included knowledge acquisition (differences in pre-baseline and post-baseline training assessments), short-term retention (differences in post-baseline and pre-3-month refresher training assessments) and long-term retention (differences in post-3-month refresher and pre-12-month refresher training assessments).ResultsEighty participants (50% nurses, 15% ICU physicians and 34% other providers) completed the baseline assessment. Participants showed improvement in overall score and all subtopics except the clinical application of knowledge after baseline training (p<0.001). Participants failed to retain minimum competency at 3-month and 12-month follow-up assessments (70% (IQR: 57–74) and 70% (IQR: 65–74), respectively). After repeat training sessions, overall knowledge continued to improve, exceeding baseline performance (78% (IQR: 70–87), 83% (IQR: 74–87) and 87% (IQR: 83–91) at baseline, 3 and 12 months, respectively).ConclusionThis study suggests the need for repeat training sessions to achieve and maintain competency after the implementation of new technology.

scholarly journals The effect of phlebotomy training on blood sample rejection and phlebotomy knowledge of primary health care providers in Cape Town: A quasi-experimental study

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Mumtaz Abbas ◽  
Fidele K. Mukinda ◽  
Mosedi Namane
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Blood Sample ◽  
Health Care Providers ◽  
Rejection Rate ◽  
Training Programme ◽  
Care Providers ◽  
Primary Health ◽  
Before And After ◽  
Quasi Experimental

Background: There is an increasing amount of blood sample rejection at primary health care facilities (PHCFs), impacting negatively the staff, facility, patient and laboratory costs.Aim: The primary objective was to determine the rejection rate and reasons for blood sample rejection at four PHCFs before and after a phlebotomy training programme. The secondary objective was to determine whether phlebotomy training improved knowledge among primary health care providers (HCPs) and to develop a tool for blood sample acceptability.Study setting: Two community health centres (CHCs) and two community day centres (CDCs) in Cape Town.Methods: A quasi-experimental study design (before and after a phlebotomy training programme).Results: The sample rejection rate was 0.79% (n = 60) at CHC A, 1.13% (n = 45) at CHC B, 1.64% (n = 38) at CDC C and 1.36% (n = 8) at CDC D pre-training. The rejection rate remained approximately the same post-training (p > 0.05). The same phlebotomy questionnaire was administered pre- and post-training to HCPs. The average score increased from 63% (95% CI 6.97‒17.03) to 96% (95% CI 16.91‒20.09) at CHC A (p = 0.039), 58% (95% CI 9.09‒14.91) to 93% (95% CI 17.64‒18.76) at CHC B (p = 0.006), 60% (95% CI 8.84‒13.13) to 97% (95% CI 16.14‒19.29) at CDC C (p = 0.001) and 63% (95% CI 9.81‒13.33) to 97% (95% CI 18.08‒19.07) at CDC D (p = 0.001).Conclusion: There is no statistically significant improvement in the rejection rate of blood samples (p > 0.05) post-training despite knowledge improving in all HCPs (p < 0.05).

scholarly journals Enhancing English Majoring Student’s Speaking Skill’s Teaching Performance through an Experiential Learning-Based Programme

2021 ◽  
Vol 29 (2) ◽  
Keyword(s):  
Experiential Learning ◽  
Experimental Approach ◽  
Training Programme ◽  
Cognitive Test ◽  
Teaching Performance ◽  
Learning Standards ◽  
Before And After ◽  
Percentage Weight ◽  
Quasi Experimental ◽  
Speaking Skill

The current paper explored Experiential Learning standards, methodologies and techniques via designing a training programme and investigated its effect on IUG English majoring students in enhancing teaching performance cognition and in improving teaching speaking skill. The researchers followed the quasi-experimental approach with a one sample design of a pre-posttest. The Wilcoxon Signed Ranks Test for two linked samples was used to test the differences in the means in the cognitive test before and after the application of the proposed programme based on EL. The researchers used an observation card for assessing female students' practices in teaching speaking skill according to ECRIF framework. They compared the sum of responses, means, std. deviation and the percentage weight and rank of each field to a criterion value. The results showed that there were statistically significant differences between the pre and post applications of the cognitive test in favor of the posttest. It was found that IUG English majoring students' performance of teaching speaking skill was above (80%).The paper concluded with the confirmation of the effectiveness of the proposed programme based on EL in enhancing the teaching performance cognition as well as improving the practices of teaching speaking skill for IUG English majoring students.

scholarly journals Participatory training program on HIV/AIDS among anganwadi workers for training adolescent girls: an experience from a rural area of Karaikal, Puducherry, India

2020 ◽  
Vol 7 (5) ◽  
pp. 1921
Author(s):  
Ramkumar Sundaram ◽  
Vijayalakshmi Srinivasan
Keyword(s):  
Training Program ◽  
Adolescent Girls ◽  
Statistical Significance ◽  
Critical Role ◽  
Risk Groups ◽  
Training Programme ◽  
Before And After ◽  
Quasi Experimental ◽  
Participatory Training ◽  
Hiv Aids

Background: Recently HIV epidemic in India was gradually escalating to low risk groups like adolescents. Focusing on adolescent empowerment is the strategy for obtaining their adherence to prevention of HIV/AIDS. Though anganwadi workers (AWWs) play a critical role in creating awareness on behaviour change in the community; also, they need an excellent knowledge on HIV/AIDS before creating awareness to the community. So, this study aimed to assess the knowledge on HIV/AIDS among adolescent girls and AWWs and also to determine the effectiveness of Participatory Training Program to AWWs in bringing improvements in the knowledge among adolescent girls.Methods: Present quasi-experimental study was conducted among adolescent girls ages 15 to 18 years at Serumavilangai Village, Karaikal, Puducherry during June-September 2018. AWWs from the selected village were included for participatory training program.Results: Total 86 adolescents participated the survey. Awareness regarding HIV/AIDS was only 40% before intervention. FGD among AWWs showed poor knowledge on HIV/AIDS. During intervention, AWWs were used as a medium for giving interventions, it was observed that there was a wide difference in their knowledge of adolescent girls before and after intervention (81.4%) on HIV/AIDS with statistical significance (0.03).Conclusions: Before intervention awareness on HIV/AIDS were lacking in both adolescent girls and AWWs. This shows a difficulty in accessing health information in rural India. Therefore, providing periodic training programme to AWWs as peer health educators for disseminating information on HIV/AIDS may bridge the gap by proving valid information’s to high risk groups in the community.

scholarly journals Implementation of a training program to increase knowledge, improve attitudes and reduce nursing care omissions towards patients with dementia in hospital settings: a mixed-method study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e030459
Author(s):  
Melina Evripidou ◽  
Anastasios Merkouris ◽  
Andreas Charalambous ◽  
Evridiki Papastavrou
Keyword(s):  
Observational Study ◽  
Nursing Care ◽  
Training Programme ◽  
Positive Attitudes ◽  
People With Dementia ◽  
Before And After ◽  
Quasi Experimental ◽  
Level Of Knowledge ◽  
Missed Care ◽  
Nurses Knowledge

IntroductionThere is an evidence showing that when nurses have to allocate their time because of a lack of resources, older patients and especially those with dementia have a secondary care priority. The purpose of this study is to advance the level of knowledge, promote positive attitudes of nurses and reduce care deficits towards people with dementia through the implementation of a training programme. The programme will be enriched by an observational study of the care of patients with dementia to identify areas of missed care.Method and analysisThis study will follow a mixed methodology consisting of three stages: (1) evaluation of the level of nurses’ knowledge and attitudes towards dementia care through the use of structured questionnaires, (2) observational study to evaluate nursing care in hospital settings, in order to detect any missed care and (3) quasi-experimental study, with a before-and-after design, through the implementation of the training programme in order to increase nurses’ knowledge, improve attitudes and consequently to promote care for patients with dementia. The data will be analysed with descriptive and inferential statistics with the use of the SPSS V.24.0 and with content analysis as regard to the observational data.Ethics and disseminationThe protocol was approved by the National Bioethics committee and other local committees (ΕΕΒΚ: 2018.01.02). The participants will give their informed consent and the anonymity and confidentiality. Also, the protection of data will be respected. The results of the study will be disseminated in peer-reviewed international journals and conferences. If the intervention is successful, the training package will be given to the continuous education unit of the National Professional Association in order to be used on a regular basis.

scholarly journals Impact of Nursing Methodology Training Sessions on Completion of the Virginia Henderson Assessment Record

2020 ◽  
Vol 10 (2) ◽  
pp. 106-114
Author(s):  
Maria Lopez ◽  
Jose-Maria Jimenez ◽  
Mercedes Fernández-Castro ◽  
Belen Martin-Gil ◽  
Sara Garcia ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Training Programme ◽  
Computer Application ◽  
Patient Assessment ◽  
Nursing Assessment ◽  
Before And After ◽  
Quasi Experimental ◽  
Norton Scale ◽  
Two Stages ◽  
Nursing Diagnoses

The Virginia Henderson model, integrated in the computer application GACELA Care, helps to standardise the nursing assessment and establish precise and personalised nursing diagnoses. The aim was to determine the extent of completion of the initial patient assessment record after nurses following a training programme on nursing methodology. A quasi-experimental, retrospective, randomised, observational, single-group study was performed in two stages: pre-training and post-training. Voluntary training sessions were held for the nurses that work with GACELA Care. The completion of the initial patient assessment using the needs of Virginia Henderson and the Norton scale was evaluated before and after the training sessions. Completion of the needs of Virginia Henderson in the initial patient assessment increased from 94.2% to 100% (p = 0.014). Completion of “hygiene/skin” increased significantly from 83.3% to 95.8% (pre-training and post-training, respectively). The remaining needs did not show statistical significance. Recording of the Norton scale increased from 63.13% to 92.5% (p < 0.001). The training sessions on nursing methodology have improved the completion of records and inclusion of normal characteristics, defining characteristics and risk factors, and improving pressure ulcer risk assessment through the Norton scale.

Brief psycho-education for caregivers of persons with first episode psychosis

2018 ◽  
Vol 9 (01) ◽  
Author(s):  
Praful Prabhuappa Kapse ◽  
Manisha Kiran
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Control Group ◽  
Episode Psychosis ◽  
Study Results ◽  
Before And After ◽  
Quasi Experimental ◽  
Expressed Emotions ◽  
Experimental Group ◽  
Group Family

Caring for the persons with first episode psychosis is challenging and demanding. It may lead to the increased burden, expressed emotions among the caregivers. The numerous studies have shown that high burden and negative expressed emotions among caregivers can lead to early relapse in the patients with first episode psychosis. To evaluate the effects of the brief psychoeducation on the caregivers burden and expressed emotions. A quasi experimental - before and after with control group research design was adopted for the study. A total of 60 caregivers have participated in the study, of which 30 caregivers in experimental group and 30 caregivers in the control group. Family Burden Interview Schedule (Pai and Kapoor, 1981) and Attitude Questionnaire (Sethi et al., 1981) was used to assess caregiver's burden and expressed emotions. At end of the psychoeducation intervention, burden among caregivers and negative expressed emotions of the caregivers have significantly reduced. The positive expressed emotions have been increased. Study results demonstrates the importance of psychoeducation intervention in reducing the burden and negative expressed emotions.

The Effect of Using Flipped Classroom Model to Improve Iraqi EFL Learners’ Pronunciation in English at University Level

2020 ◽  
Vol 1 (40) ◽  
pp. 631-654
Author(s):  
Khaldoon Waleed Husam Al-Mofti
Keyword(s):  
Language Learning ◽  
Flipped Classroom ◽  
Efl Learners ◽  
English Pronunciation ◽  
Before And After ◽  
Quasi Experimental ◽  
University Level ◽  
The University ◽  
And Control ◽  
Experimental Group

For Iraqi EFL learners who are studying English pronunciation in a traditional instruction method often requires more effort and hard work. Thus, using new methods of teaching such as the flipped classroom model (FCM) is necessary to facilitate learning and improve performance. Hence, this study reports on explanatory research that investigates the effect of using the FCM in the teaching of English pronunciation for Iraqi EFL learners at the university level. The study implemented mixed research methods for data collection in a quasi-experimental analysis. Therefore, two tests were conducted on the assigned groups to measure the effect of the FCM before and after the intervention. Besides, a questionnaire and interviews were used on the experiment group students to collect data about their perceptions of the FCM. The study length (lasted)  was 15 weeks and is comprised of 60 students from the department of English, College of Arts at the University of Anbar. The students were divided into two groups, experimental, and control with 30 students in each group. The findings revealed that there was a significant statistical difference between the two groups in favour of the experimental group with better performance, indicating that the FCM has considerably assisted the Iraqi EFL learners to improve their English pronunciation. Moreover, the students expressed their positive feedback and satisfaction on the use of the FCM in their responses to the questionnaire and the interviews. As such, the current study recommends further research to study the effect of applying the FCM in areas and disciplines other than language learning.

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