scholarly journals Efficacy of a Nasogastric Tube Educational Intervention for Nursing Staff

2020 ◽  
pp. 000313482097608
Author(s):  
Christof Kaltenmeier ◽  
Elizabeth Littleton ◽  
Lisa Carozza ◽  
Risa Kosko ◽  
Alison Althans ◽  
...  
Keyword(s):  
Nasogastric Tube ◽  
Secondary Analysis ◽  
Management Training ◽  
Comfort Level ◽  
Choice Test ◽  
Training Intervention ◽  
Test Results ◽  
Face To Face ◽  
Teaching Interventions ◽  
Time Point

Aim We performed a single-center teaching intervention with nursing providers on nasogastric tube (NG tube) clinical practice. The initial purpose of this study was the validation of whether the training was sufficient enough to be retained at a later time point. Methods We performed a prospective pre-post study examining participants’ knowledge before, immediately after, and 4 weeks after training in NG tube management. Training was delivered in face-to-face classroom sessions. Knowledge was assessed using a multiple-choice test (pretest, posttest #1and #2) Results A total of 137 nursing providers participated in the training intervention. Immediately after training (posttest #1) and again 4 weeks later (posttest #2), participants overwhelmingly recalled and retained the knowledge of NG tube management as compared to pretest results. Paired t-tests showed each participant increased their test score from pretest to posttest #1, t (134) = 12.64, P = .0001. Similarly, participants who took posttest #2 significantly improved their scores from the pretest to posttest #2, t (71) = 10.629, P < .0001. Secondary analysis showed that the NG tube management comfort level and age of provider were not significant in predicting test results. However, years of professional experience and frequency of NG tube care were significant predictors for higher test scores. Conclusion To minimize the risk of NG tubes for patients, it is critical to follow clinical guidelines. This study shows that teaching interventions for providers to increase knowledge on NG tubes are beneficial. In addition, the knowledge is retained at later time points.

scholarly journals Spine Examination during COVID-19 Pandemic via Video Consultation

2021 ◽  
Author(s):  
Tom Jansen ◽  
Martin Gathen ◽  
Amadeo Touet ◽  
Hans Goost ◽  
Dieter Christian Wirtz ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Range Of Motion ◽  
Test Results ◽  
Risk Of Infection ◽  
Face To Face ◽  
Reliable Tool ◽  
Provocation Tests ◽  
Active Range Of Motion ◽  
Video Consultation ◽  
Good Agreement

Abstract Introduction During the current COVID-19 pandemic video consultations are increasingly common in order to minimize the risk of infection for staff and patients. The aim of this study was to evaluate the feasibility of a spine examination via video. Methods A total of 43 patients were recruited. Each participant underwent a video-based (VB) and a conventional face-to-face (FTF) spine examination. Pain intensity, active range of motion, inspection, a neurophysiologic basic exam and provocations tests were evaluated using video-based and face-to-face methods. Results The intra-rater reliability (IRR) was measured between both examinations. Good to very good IRR values were obtained in inspection (Kappa between 0,752 und 0,944), active range of motion and basic neurophysiological examination (Kappa between 0,659 und 0,969). Only moderate matches were found in specific provocation tests (Kappa between 0,407 und 0,938). A video-based spine examination is a reliable tool for measuring pain intensity, active range of motion and a basic neurophysiologic exam. Conclusion A basic spine examination during a video consultation is possible. A good agreement of the test results between video-based and face-to-face examination could be found.

scholarly journals Online Affirmation and Peer Support are Effective for Reducing Medical Personnel Stress in Dealing with Covid-19 Patients

2021 ◽  
Vol 10 (2) ◽  
pp. 151-161
Author(s):  
Nurmukaromatis Saleha ◽  
Rina Delfina ◽  
Nurlaili Nurlaili ◽  
Fourni Ardiansyah ◽  
Mercy Nafratilova
Keyword(s):  
Social Support ◽  
Peer Support ◽  
Stress Level ◽  
Intervention Group ◽  
Management Training ◽  
Medical Personnel ◽  
T Test ◽  
Test Results ◽  
Stress Management Training ◽  
Post Test

The Covid-19 outbreak has psychological impacts on frontline medical personnel at risk of infection. Therefore, this study aimed to evaluate the effect of online affirmations and peer support on medical personnel stress level in dealing with Covid-19 patients, as well as social support and spiritual intelligence's influence. It was a quasi-experiment with pre- and post-test administered to 25 and 30 medical personnel as the intervention and control groups, respectively. The intervention was carried out on WhatsApp group for 4 weeks. The stress level pair T-test results showed p = 0.000 in the intervention group and p = 0.238 in the control, while the independent T-test results showed p = 0.009. Social support did not affect medical personnel’s stress (p=0.978), but the effect of spiritual intelligence was significant (p=0.000). According to the results of multiple regression test conducted using the Enter method, the coefficient value (R2) = 0.584. This intervention was effective in helping medical personnel to manage stress. Hence, hospital managers need to carry out stress management training to maintain medical personnel’s mental health.

scholarly journals IMPLEMENTATION OF E-MODULE TROUBLESHOOTING NETWORK SERVICES BASED MOBILE AS ALTERNATIVE MEDIA

Akademika ◽  
2020 ◽  
Vol 9 (02) ◽  
pp. 53-64
Author(s):  
Sirwan Sirwan ◽  
Kamal Kamal
Keyword(s):  
Experimental Design ◽  
Mobile Learning ◽  
Research Method ◽  
Network Services ◽  
Choice Test ◽  
Average Score ◽  
Test Results ◽  
Multiple Choice Test ◽  
Post Test ◽  
The Mean

The purpose of this study was to: (1) knowing the level of practicality e-module based on mobile learning; (2) determine the effectivenes of using system e-module based on mobile learning in skill competency test TKJ.  The research method experimental design one group pre-test and post-test. Data were collected through multiple choice  test given to respondens before being given treatment and after being given treatment, then the data would then be analyzed using tes t. The results of the e-module practicality test throught a questionnaire distributed to students showed that the e-module based on mobile learning practicality used by students, while according to the assessment by the two media experts that e-module based on mobile learning was practical with an average score of 88.9%. Student readiness in UKK has been successfully improved using mobile learning-based e-modules. Increased readiness of students in UKK is in the medium category with a gain score of 0.4%. The T test results indicate that the Sig. (2-tailed) of 0.000 <0.05. The mean pre-test value was 78.6456 with Std.Deviation 4.85293. The highest value is 90.00 and the lowest value is Std.Deviation 6.57910. The highest score was 96.67 and the lowest score was 73.33.

scholarly journals Characteristics of older adults using patient web portals to view their DXA results

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Stephanie Edmonds ◽  
Yiyue Lou ◽  
Brandi Robinson ◽  
Peter Cram ◽  
Douglas W. Roblin ◽  
...  
Keyword(s):  
Bone Density ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Patient Characteristics ◽  
Test Results ◽  
Web Portals ◽  
Web Portal ◽  
University Of Iowa ◽  
Kaiser Permanente ◽  
The Web

Abstract Background Sharing test results with patients via patient web portals is a new trend in healthcare. No research has been done examining patient web portal use with bone density test results. The objective of our study was to identify patient characteristics associated with the use of patient web portals to view their bone density test results. Methods A secondary analysis of data from a pragmatic randomized controlled trial of 7749 participants ≥50 years old that had presented for a dual energy X-ray absorptiometry (DXA) bone density test. Patients were interviewed at enrollment and 12 weeks later. Multivariable logistic regression identified patient characteristics that differentiated those who used the web portal from those who did not. Results Our sample included 4669 patients at the two (University of Iowa [UI], and Kaiser Permanente of Georgia [KPGA]) clinical sites that had patient web portals. Of these patients, 3399 (72.8%) reported knowing their test results 12 weeks post-DXA, with 649 (13.9%) reporting that they viewed their DXA results using the web portal. Web portal users were more likely to be from UI than KPGA, and were younger, more educated, had higher health literacy, had osteopenia, and had the same sex as their referring physician (all p < 0.05). Conclusion Only 19.1% of the 3399 patients who knew their DXA results used the available patient web portals to find out about them. Web portal users differed from non-users on several characteristics. This suggests that simply making patient web portals available for use may not be sufficient to appreciably enhance patient awareness of their test results. Based on these findings, a better understanding of the reasons why older, less educated, and less activated patients do not access their test results through patient web portals is needed.

scholarly journals What happens to patient experience when you want to see a doctor and you get to speak to a nurse? Observational study using data from the English General Practice Patient Survey

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018690 ◽  
Author(s):  
Charlotte A M Paddison ◽  
Gary A Abel ◽  
Jenni Burt ◽  
John L Campbell ◽  
Marc N Elliott ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Experience ◽  
Secondary Analysis ◽  
Patient Survey ◽  
Models Of Care ◽  
Unintended Consequences ◽  
Multidisciplinary Teams ◽  
Face To Face ◽  
Patient Reported ◽  
Practice Patient

ObjectivesTo examine patient consultation preferences for seeing or speaking to a general practitioner (GP) or nurse; to estimate associations between patient-reported experiences and the type of consultation patients actually received (phone or face-to-face, GP or nurse).DesignSecondary analysis of data from the 2013 to 2014 General Practice Patient Survey.Setting and participants870 085 patients from 8005 English general practices.OutcomesPatient ratings of communication and ‘trust and confidence’ with the clinician they saw.Results77.7% of patients reported wanting to see or speak to a GP, while 14.5% reported asking to see or speak to a nurse the last time they tried to make an appointment (weighted percentages). Being unable to see or speak to the practitioner type of the patients’ choice was associated with lower ratings of trust and confidence and patient-rated communication. Smaller differences were found if patients wanted a face-to-face consultation and received a phone consultation instead. The greatest difference was for patients who asked to see a GP and instead spoke to a nurse for whom the adjusted mean difference in confidence and trust compared with those who wanted to see a nurse and did see a nurse was −15.8 points (95% CI −17.6 to −14.0) for confidence and trust in the practitioner and −10.5 points (95% CI −11.7 to −9.3) for net communication score, both on a 0–100 scale.ConclusionsPatients’ evaluation of their care is worse if they do not receive the type of consultation they expect, especially if they prefer a doctor but are unable to see one. New models of care should consider the potential unintended consequences for patient experience of the widespread introduction of multidisciplinary teams in general practice.

scholarly journals Responsibility for follow-up during the diagnostic process in primary care: a secondary analysis of International Cancer Benchmarking Partnership data

2018 ◽  
Vol 68 (670) ◽  
pp. e323-e332 ◽  
Author(s):  
Brian D Nicholson ◽  
Clare R Goyder ◽  
Clare R Bankhead ◽  
Berit S Toftegaard ◽  
Peter W Rose ◽  
...  
Keyword(s):  
Primary Care ◽  
Secondary Analysis ◽  
Diagnostic Process ◽  
Free Text ◽  
Theory Approach ◽  
Test Results ◽  
Primary Care Practitioners ◽  
Grounded Theory Approach ◽  
Safety Netting

BackgroundIt is unclear to what extent primary care practitioners (PCPs) should retain responsibility for follow-up to ensure that patients are monitored until their symptoms or signs are explained.AimTo explore the extent to which PCPs retain responsibility for diagnostic follow-up actions across 11 international jurisdictions.Design and settingA secondary analysis of survey data from the International Cancer Benchmarking Partnership.MethodThe authors counted the proportion of 2879 PCPs who retained responsibility for each area of follow-up (appointments, test results, and non-attenders). Proportions were weighted by the sample size of each jurisdiction. Pooled estimates were obtained using a random-effects model, and UK estimates were compared with non-UK ones. Free-text responses were analysed to contextualise quantitative findings using a modified grounded theory approach.ResultsPCPs varied in their retention of responsibility for follow-up from 19% to 97% across jurisdictions and area of follow-up. Test reconciliation was inadequate in most jurisdictions. Significantly fewer UK PCPs retained responsibility for test result communication (73% versus 85%, P = 0.04) and non-attender follow-up (78% versus 93%, P<0.01) compared with non-UK PCPs. PCPs have developed bespoke, inconsistent solutions to follow-up. In cases of greatest concern, ‘double safety netting’ is described, where both patient and PCP retain responsibility.ConclusionThe degree to which PCPs retain responsibility for follow-up is dependent on their level of concern about the patient and their primary care system’s properties. Integrated systems to support follow-up are at present underutilised, and research into their development, uptake, and effectiveness seems warranted.

scholarly journals Efficacy of a Spanish-Language Self-Administered Stress Management Training intervention for Latinas undergoing chemotherapy

2018 ◽  
Vol 27 (4) ◽  
pp. 1305-1311 ◽  
Author(s):  
Aasha I. Hoogland ◽  
Suzanne C. Lechner ◽  
Brian D. Gonzalez ◽  
Brent J. Small ◽  
Dinorah M. Tyson ◽  
...  
Keyword(s):  
Stress Management ◽  
Management Training ◽  
Spanish Language ◽  
Training Intervention ◽  
Stress Management Training

Understanding resilience from the perspective of Appalachian centenarians

2019 ◽  
pp. 1-21
Author(s):  
Ezra C. Holston ◽  
Bonnie Callen
Keyword(s):  
Assisted Living ◽  
Early Adulthood ◽  
Secondary Analysis ◽  
Community Support ◽  
Community Dwelling ◽  
Assisted Living Facilities ◽  
Loved One ◽  
Face To Face ◽  
The Family ◽  
Qualitative Descriptive

Abstract Centenarians worldwide are growing rapidly and thriving as they age. This growth reflects their desire to thrive beyond personal and societal obstacles, a hallmark sign of resilience. However, little research exists on centenarians’ perspectives about their lived experiences that reflect resilience. Therefore, the purpose of this secondary analysis was to capture the perspectives of Appalachian centenarians about (a) living through their childhood and early adulthood in an area known for poverty and isolation, and (b) exploring the resilient nature that emerged from their narratives. With a qualitative descriptive design, 21 community-dwelling Appalachian centenarians participated in face-to-face interviews. They resided in either their homes or assisted-living facilities. Transcripts were analysed with Neuendorf's method of content analysis. Within three themes, 11 sub-themes were identified: (a) working hard for the family, (b) loss of a loved one, (c) gender and race discrimination, (d) impact of isolation on health, (e) living a simple life, (f) using family/community support, (g) consuming and appreciating food from their farms, (h) spirituality, (i) generosity of spirit, (j) living a clean life, and (k) happy, good and loving life. Collectively, these themes and sub-themes reflected how the centenarians overcame and grew from challenges and adversities to become resilient. Consequently, these findings show that understanding resilience from centenarians’ perspectives can significantly contribute to the potential for longevity.

scholarly journals Living quarters. A natural balanced ventilation system. Simulations part 1

2018 ◽  
Vol 49 ◽  
pp. 00025 ◽  
Author(s):  
Tomasz Gaczoł
Keyword(s):  
Natural Ventilation ◽  
Residential Buildings ◽  
Ventilation System ◽  
Comfort Level ◽  
Test Results ◽  
Pressure System ◽  
Ansys Fluent ◽  
Short Supply ◽  
Air Exchange Rate ◽  
Exhaust Duct

In the following article the author proposes the solution for a properly functioning natural ventilation system based on the use of supply and exhaust ducts, i.e. by designing a natural balanced ventilation system. The paper is devoted to test results of air flow through natural ventilation supply-exhaust ducts in the rooms located on the lower floor of the building. The simulations conducted in ANSYS Fluent software relate to such issues as: pressure system inside the room and in the exhaust duct, distribution of air temperatures in the room, vector direction of airflow through supplyexhaust ducts and in the analysed room. Three types of solutions were selected for the tests: air inflow into the room through the air intake located at the basement level, air inflow through the window ventilator (although no longer used, this solution can be found in many existing residential buildings) and the natural ventilation system supported with the so-called “solar chimney”. All simulations were conducted with an outdoor temperature of +3 degrees C. The indoor temperature is + 20 degrees C, considered to be the minimum thermal comfort level. In the era of common building sealing, the presented ventilation system may be a good solution that guarantees proper functioning of natural ventilation. In all cases presented, it meets the normative regulations and requirements for the ventilation air stream and the air exchange rate in the room. The paper (first part) describes test results concerning the room located on the lower floor of the building, i.e. with a short supply duct and a 12-meter long exhaust duct.

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