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.

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.

Blood utilization and clinical outcomes in pancreatic surgery before and after implementation of patient blood management

Transfusion ◽  
2020 ◽  
Vol 60 (11) ◽  
pp. 2581-2590
Author(s):  
Steven M. Frank ◽  
Brian D. Lo ◽  
Lekha V. Yesantharao ◽  
Kevin R. Merkel ◽  
Caroline X. Qin ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Pancreatic Surgery ◽  
Patient Blood Management ◽  
Blood Management ◽  
Before And After ◽  
Blood Utilization

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.

scholarly journals Sanguine: Visual analysis for patient blood management

2021 ◽  
pp. 147387162110285
Author(s):  
Haihan Lin ◽  
Ryan A Metcalf ◽  
Jack Wilburn ◽  
Alexander Lex
Keyword(s):  
Management Practices ◽  
Visual Analysis ◽  
Analysis Tool ◽  
Medical Procedure ◽  
Patient Blood Management ◽  
Blood Management ◽  
Medical Outcomes ◽  
Life Saving ◽  
Before And After ◽  
User Groups

Blood transfusion is a frequently performed medical procedure in surgical and nonsurgical contexts. Although it is often necessary or even life-saving, it has been identified as one of the most overused procedures in hospitals. Unnecessary transfusions not only waste resources but can also be detrimental to patient outcomes. Patient blood management (PBM) is the clinical practice of optimizing transfusions and associated outcomes. In this paper, we introduce Sanguine, a visual analysis tool for transfusion data and related patient medical records. Sanguine was designed with two user groups in mind: PBM experts who oversee blood management practices across an institution and clinicians performing transfusions. PBM experts use Sanguine to explore and analyze transfusion practices and their associated medical outcomes. They can compare individual surgeons, or compare outcomes or time periods, such as before and after an intervention regarding transfusion practices. PBM experts then curate and annotate views for communication with clinicians, with the goal of improving their transfusion practices. We validate the utility and effectiveness of Sanguine through case studies.

scholarly journals Outcome of combination of methods of educational interventions in physiology for first-year MBBS students

2019 ◽  
Vol 7 (4) ◽  
pp. 972
Author(s):  
Srabani Bhattacharya ◽  
Rucha Wagh ◽  
Sundaram Kartikeyan ◽  
Aniruddha A. Malgaonkar ◽  
Sandhya S. Khadse
Keyword(s):  
Gender Difference ◽  
Educational Intervention ◽  
Educational Interventions ◽  
Cognitive Domain ◽  
First Year ◽  
Clinical Exposure ◽  
Clinical Scenarios ◽  
Before And After ◽  
Post Test ◽  
Domain Scores

Background: This comparative, before and after study (without controls) was conducted in a municipal medical college to compare the cognitive domain scores obtained by first-year MBBS students after didactic lectures with that obtained after an educational intervention that combined integrated teaching with clinical scenarios.Methods: After obtaining prior permissions, the purpose of the study was explained to first-year MBBS students and written informed consent was obtained. After attending curriculum-based didactic lectures on the alimentary system, the students (n=62, females: n=29, 46.77% and males: n=33, 53.23%) took a pre-test comprising ten questions (total 20 marks). After the pre-test, the participants attended an educational intervention that combined integrated teaching with clinical scenarios on the same topic. Subsequently, the post-test was administered using a questionnaire that was identical to that of the pre-test.Results: The mean overall marks obtained in the pre-test was 14.73±1.87 (95% CI: 14.26-15.19), while that obtained in the post-test was 17.16±1.73 (95% CI: 16.73-17.59), exhibiting highly significant (p <0.00001) difference. The gender difference in scores was significant (p=0.011) for only question no. 1 in the pre-test and there was no significant gender difference in the post-test.Conclusions: A combined method of educational intervention was found to enhance the cognitive domain scores of students. Though a larger study would be needed to generalize the findings, male students seem to need an additional educational intervention to improve their cognitive domain scores. Despite time limitations in the teaching schedule for the first-year MBBS course, integrated teaching with case scenarios can be implemented to impart early clinical exposure.

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 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 1377Did patient blood management guidelines reduce the rate of blood transfusion in pregnancy?

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Heather Baldwin ◽  
Deborah Randall ◽  
Tanya Nippita ◽  
Siranda Torvaldsen ◽  
Jillian Patterson
Keyword(s):  
Interrupted Time Series ◽  
Adverse Outcomes ◽  
Transfusion Rate ◽  
Patient Blood Management ◽  
Blood Management ◽  
Interrupted Time Series Analysis ◽  
Management Guidelines ◽  
Critical Bleeding ◽  
Before And After ◽  
Future Work

Abstract Background Concern about increasing transfusion rates, adverse effects and increased costs have led to international efforts to reduce transfusion rates. Australian patient blood management guidelines were first introduced for critical bleeding in 2011, followed by obstetric guidelines in 2015. This study examines obstetric transfusion rates before and after the introduction of the critical bleeding and obstetric guidelines, accounting for pregnancy characteristics and prior trajectories. Methods Data were obtained from linked birth and hospital records from NSW between January 2002 and December 2017. Changes in raw and risk adjusted transfusion rates over time were investigated using interrupted time series analysis to assess changes in the trend in rate of transfusion among pregnant women with the introduction of each set of guidelines. Sensitivity analysis was performed to identify patterns in the data independently from the interventions. Results Data for 1,477,001 births in NSW from 2002 to 2017 were available for analysis. Preliminary analysis suggests the increasing rate of transfusion from 2002 was flattened after the introduction of the 2011 guidelines, with a significantly decreasing trend observed after the 2015 obstetric guidelines were introduced. Conclusions Patient blood management guidelines were associated with a reduction in the rate of obstetric transfusion in NSW. Key messages A focus on patient blood management was associated with an approximately 30% reduction in the transfusion rate, compared to the predicted rate, by the end of the study period. Future work will investigate whether this change in transfusion rates is associated with a change in rates of adverse outcomes.

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 Knowledge, awareness and attitude on infant organ donation among medical students

2020 ◽  
Vol 8 (1) ◽  
pp. 286
Author(s):  
Raveena R. Kataria ◽  
Himaad M. Hullur ◽  
Anjum Sayyed ◽  
Shilpa A. Pratinidhi
Keyword(s):  
Medical Students ◽  
Organ Donation ◽  
Educational Intervention ◽  
Real Life ◽  
First Year ◽  
Post Intervention ◽  
Potential Donor ◽  
Medical Interventions ◽  
Knowledge And Attitude ◽  
Student's Attitudes

Background: In India, without a viable donor nearly 5 lakh people die each year from organ failure. Infant organ donation, though a rare global phenomenon has been gaining momentum in transplantation and research. As future doctors who may counsel a potential donor family, medical students need an expanded knowledge and attitude to promote organ donation. Therefore, this study was conducted to determine the present knowledge of medical students, to identify areas lacking and to suggest measures to close these gaps.Methods: A uniquely designed questionnaire of open and closed ended questions related both to general and infant organ donation was distributed. Following this, an educational intervention was given and post intervention responses were calculated.Results: Overall improvement was seen after giving educational intervention about infant organ donation. Out of 65 participants, 23% (n=15) were aware about organ donation and organ donation day which improved to 92% (n=60). Only 8% (n=5) were initially familiar with paediatric organ donation, which increased to 94% (n=61). The support for paediatric organ donation increased from 65% (n=42) to 97% (n=63).Conclusions: Infant organ donation has unexplored potentials which can alter thousands of lives each year. As receptive learners and future physicians, medical students are most likely to understand these advancing medical sciences and its real life application. Our study demonstrates the substantial changes in student’s attitudes on foetal donation by a brief exposure through teaching sessions. Hence, lectures on progressive medical interventions such as infant organ donation should be encouraged in first year M.B.B.S itself.

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