The effect of professional ethics workshop with virtual follow-up on nurses moral distress

2021 ◽  
pp. 147775092110162
Author(s):  
Ali Ghahremani ◽  
Fatemeh Esmaelzadeh ◽  
Mahboobeh Khosravani ◽  
Mohaddeseh Mohsenpour

Research objectives Moral distress is a common phenomenon among nurses and can negatively affect their mental health and quality of the care. This study aimed to determine the effect of professional ethics workshop with virtual follow-up on the moral distress of nurses. Methods This experimental study was performed on 50 nurses in Ghaem Hospital, Mashhad, Iran. The intervention group received 8-hour professional ethics workshop and 4 weeks follow-up through social network. The moral distress was evaluated through the Moral Distress Scale-Revised at the beginning of the study, two weeks after the workshop and at the end of follow-up. Data were analyzed using SPSS21 by descriptive and statistical analysis.This study approved by Mashhad university Medical Ethics Committee and publishing ethics were also observed. Results The changes in the mean value of the frequency of moral distress in the intervention group was not significant, while these changes were significant in the control group ( p < 0.001, df = 2, f = 26.41) and had an upward trend. About intensity changes in the intervention group were significant ( p < 0.01, df = 2, f = 8.52) and had a downward trend, while it was not significant in the control group. Changes in the mean value of level of moral distress in the intervention group were not significant, while these changes were significant in the control group ( p < 0.01, df = 1, f = 16.8). The mean value of moral distress level decreased in the intervention and increased in control group. Conclusion The level of moral distress was increased in the control group due to increase in its frequency. This could be due to awareness of nurses regarding the concept of moral distress which caused them to pay more attention to this issue. Professional ethics workshop did not have effect on the frequency of moral distress, while it reduced the intensity and level of moral distress. Moreover, follow-up through social network reduced the frequency, intensity and the level of moral distress among nurses.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 100.3-100
Author(s):  
Y. Wang ◽  
X. Liu ◽  
Y. Shi ◽  
X. Ji ◽  
W. Wang ◽  
...  

Background:Clinical practice guidelines recommend that exercise is an essential component in the self-management of Ankylosing Spondylitis (AS). Attending supervised interventions requiring periodic medical center visits can be burdensome and patients may decline participation, whereas, effective home-based exercise interventions that do not need regular medical center visits are likely to be more accessible and acceptable for patients with AS. Recently, increasing evidences have been accumulated that the wearable devices could facilitate patients with inflammatory arthritis by giving exercise instructions and improving self-efficacy. Therefore, patients with AS may benefit from an effective technology-assisted home-based exercise intervention.Objectives:To investigate the efficacy of a comprehensive technology-assisted home-based exercise intervention on disease activity in patients with AS.Methods:This study was a 16-week assessor-blinded, randomized, waiting-list controlled trial (ChiCTR1900024244). Patients with AS were randomly allocated to the home-based exercise intervention group and the waiting-list control group. A 16-week comprehensive exercise program consisting of a moderate intensity (64%-76% HRmax) aerobic training for 30min on 5 days/week and a functional training for 60min on 3 days/week was given to patients in the intervention group immediately after randomization, with 1.5h training sessions for two consecutive days by a study physical therapist at baseline and Week 8. The aerobic exercise intensity was controlled by a Mio FUSE Wristband with a smartphone application. The functional training consisted of the posture training, range of motion exercises, strength training, stability training and stretching exercises. Patients in control group received standard care during the 16-week follow-up and started to receive the exercise program at Week 16. The primary outcome was ASDAS at Week 16. The secondary outcomes were BASDAI, BASFI, BASMI, ASAS HI, peak oxygen uptake, body composition and muscle endurance tests. The mean difference between groups in change from baseline was analyzed with the analysis of covariance.Results:A total of 54 patients with AS were enrolled (26 in intervention group and 28 in control group) and 46 (85.2%) patients completed the 16-week follow-up. The mean difference of ASDAS between groups in change from baseline to 16-week follow-up was −0.2 (95% CI, −0.4 to 0.003, P = 0.032), and the mean change from baseline was -0.4 (95% CI, -0.5 to -0.2) in the intervention group vs -0.1 (95% CI, -0.3 to 0.01) in the control group, respectively. Significant between-group differences were found between groups for BASDAI (−0.5 [95% CI, −0.9 to −0.2], P = 0.004), BASMI (−0.7 [95% CI, −1.1 to −0.4], P <0.001), BASFI (−0.3 [95% CI, −0.6 to 0.01], P=0.035), peak oxygen uptake (2.7 [95% CI, 0.02 to 5.3] ml/kg/min, P=0.048) and extensor endurance test (17.8 [95% CI, 0.5 to 35.2]s, P=0.044) at Week 16. Between-group differences were detected in ASAS HI (−0.9 [95% CI, −1.7 to −0.1], P=0.030), body fat percentage (−1.0 [95% CI, −2.0 to −0.01] %, P=0.048) and visceral adipose tissue (−4.9 [95% CI, −8.5 to −1.4] cm2, P=0.008) at Week 8, but not at Week 16. No significant between-group differences were detected in the total lean mass, time up and go test and the flexor endurance test during the follow-up.Conclusion:Comprehensive technology-assisted home-based exercise has been shown to have beneficial effects on disease activity, physical function, spinal mobility, aerobic capacity, and body composition as well as in improving fatigue and morning stiffness of patients with AS.References:[1]van der Heijde D, Ramiro S, Landewé R, et al. Ann Rheum Dis 2017;76:978–991.Disclosure of Interests:None declared


2019 ◽  
Vol 7 (3) ◽  
pp. 293
Author(s):  
Aprida Manurung ◽  
Budi Anna Keliat ◽  
Ira Erwina

Permasalahan kenakalan anak usia sekolah yang sering terjadi adalah bolos, melangar peraturan sekolah, merokok, tauran hingga bully. Hal ini disebabkan karena saat perkembangan konsep diri anak mengalami kerancuan identitas, hingga depersonalisasi. Untuk mencegah hal itu maka diperlukan suatu tindakan preventif, salah satunya dengan melakukan therapy supportif. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh Therapy Supportif terhadap Konsep Diri dan perkembangan anak, dengan metode quasi eksperimental pre-post test with control group dan menggunakan kuesioner konsep diri. Sampel berjumlah 80, 40 Kelompok Intervensi dan 40 kontrol, mengunakan tehnik random sampling. Hasil penilitian  didapatkan ada pengaruh yang bermakna pada Therapy supporti terhadap perkembangan dan konsep diri, denga nilai rerata variabel perkembangan sebelum diberikan Therapy supportif pada kelompok intervensi 72,78 atau 77,45% dan nilai rerata setelah dilakukan therapy supportif  83 atau 88,32% dari nilai tersebut terjadi peningkatan perkembangan sebesar 10,22 (10,87%) yang artinya Therappy Supportif  memiliki pengaruh bermakna terhadap perkembangan anak, Sedangkan untuk nilai variabel konsep diri sebelum dilakukan terapi suportif pada kelompok intervensi 68,28 atau 72,63%, Setelah dilakukan Therapy Supportif  didapatkan nilai rerata 83,87 atau 89,22%, dari nilai tersebut dapat dianalisis bahwa terjadi peningkatan, sebesar 15,59 atau 22,84% yang artinya Therappy Supportif  memiliki pengaruh bermakna terhadap konsep diri anak Kata kunci: terapi supportif, konsep diri, anak sekolah dasar THE EFFECT OF THERAPY SUPPORTIVE SELF-CONCEPT AGAINSTCHILDREN'S CONCEPT OF BASIC SCHOOL ABSTRACTThe problem of delinquency in school-age children that often occurs is truancy, violating school rules, smoking, mixing, and bullying. This is because when the child's self-concept development experiences confusion in identity, to depersonalization. To prevent that, we need a preventive action, one of them is by doing supportive therapy. The purpose of this study was to determine the effect of Supportive Therapy on Self-Concept and child development, with a quasi-experimental method of pre-post test with control group and using a self-concept questionnaire. Samples amounted to 80, 40 intervention groups and 40 controls, using random sampling techniques. The results of the study, found that there is a significant relationship in supportive therapy to development and supportive therapy in self-concept, with the average value of the development variables before being given supportive therapy in the intervention group 72.78 or 77.45% and the mean value after supportive therapy 83 or 88.32% of the value there was an increase in development of 10.22 (10.87%) which means that Therappy Supportive has a significant influence on children's development, while for the value of self-concept variables before supportive therapy in the intervention group 68.28 or 72, 63%, after supportive therapy, the mean value is 83.87 or 89.22%. From this value, it can be analyzed that there is an increase of 15.59 or 22.84%, which means that therapeutic support has a significant influence on the child's self-concept Keywords: supportive therapy, self-concept, elementary school children


2021 ◽  
Author(s):  
Anja Zimmer ◽  
Nan Wang ◽  
Merle Ibach ◽  
Bernhard Fehlmann ◽  
Nathalie Schicktanz ◽  
...  

Although in vivo exposure therapy is highly effective in the treatment of specific phobias, only a minority of patients seeks therapy. Exposure to virtual objects has been shown to be better tolerated, equally efficacious, but the technology has not been made widely accessible yet. We developed an augmented reality (AR) application (app) to reduce fear of spiders and performed a randomized controlled trial comparing the effects of our app (six 30-min sessions at home over a two-week period) with no intervention. Primary outcome was subjective fear, measured by a Subjective Units of Distress Scale (SUDS) in a Behavioural Approach Test (BAT) in a real-life spider situation at six weeks follow-up. Between Oct 7, 2019, and Dec 6, 2019, 66 individuals were enrolled and randomized. The intervention led to significantly lower subjective fear in the BAT compared to the control group (intervention group, baseline: 7·12 [SD 2·03] follow-up: 5·03 [SD 2·19] vs. control group, baseline: 7·06 [SD 2·34], follow-up 6·24 [SD 2.21]; adjusted group difference -1·24, 95% CI -2·17 to -0·31; Cohen’s d=0·57, p=0·01). The repeated use of the AR app reduces subjective fear in a real-life spider situation, providing a low-threshold and low-cost treatment for fear of spiders.


2019 ◽  
Vol 2 (1) ◽  
pp. 31-38
Author(s):  
I Ketut Sudiarta ◽  
Emiliana Tarigan ◽  
Sudibyo Supardi

Background: Clinical nurses are competent with good knowledge, skills and attitudes. These efforts are carried out through integrated training adaptation of the concept of From Novice to Expert Patricia Benner. The study aims to determine the effect of nursing training on increasing knowledge, skills and attitudes. Method: This quantitative research quasy experiment, using a non randomized control group pretest and posttest design. The study sample was 100 people, divided into two groups, namely the same intervention and control group. The research instrument was a valid and reliable questionnaire (Chronbach's alpha 0.989). Research for 12 weeks, March-June 2018 with nursing training interventions in the intervention group respondents. Results: The results of the study were the majority of respondents were female, aged 20-35, career level of clinical nurse level I. Diploma education and work period of 1-5 years. Bivariate results with the mean value of posttest score knowledge 97.20, increased by 21.6%, statistically meaningful knowledge of p value=0.000. The mean value of the posttest skill was score 92.96, increased by 23.92%, the skill statistically was significant p value=0.000 and the mean value of posttest attitude was 50.06, increased by 6.44%, statistically meaningful p value=0.000, there was an effect of nursing training on improving the knowledge, skills and attitudes of clinical nurses. The results of multivariate analysis of nursing training were statistically significant towards increasing knowledge of clinical nurses (p value=0.000), having the possibility of knowledge increasing 10 times, increasing skills statistically significant (p value=0.000), having the possibility of increasing skills 1.4 times and increasing statistically meaningful attitudes (p value=0.000), having an increased likelihood of attitudes 0.8 times compared to not getting training, no confounding variables were found. Conclusion: Based on this research, the increase in knowledge, skills and attitudes is influenced by nursing training from the aspects of material, methods, facilities, instructors and post-training evaluation methods. Thus to achieve optimal quality of knowledge, skills and attitude, it is advisable to conduct mentoring, supervision, mentoring and guidance in an integrated manner


2021 ◽  
Vol 9 (4) ◽  
Author(s):  
Arsalan Latifi ◽  
Farshid Saeedinezhad ◽  
Asadollah Keikhaei ◽  
Ghasem Miri Aliabad

Background: It is important to address the problems of parents of children with cancer to reduce the negative consequences, especially in mothers as primary caregivers. Objectives: The present study aimed to determine the effect of cognitive-emotional intervention on the psychological distress of mothers of children with cancer in the chemotherapy ward. Methods: This randomized clinical trial was conducted on 100 mothers of children with cancer who presented to the chemotherapy ward of the hospitals affiliated to Zahedan University of Medical Sciences in 2018. The eligible mothers were chosen conveniently and then randomly assigned to intervention and control groups. Mothers in the intervention group received five sessions of cognitive-emotional intervention, two sessions per week. Each session took about 60 to 90 minutes on average per group. Before and sixteen weeks after the end of the intervention, data were collected using the Kessler Psychological Distress scale (K-10). The data were analyzed using SPSS 21 utilizing statistical tests, including independent and paired t-tests, Chi-square, and covariance analysis. Results: Although there was no difference in the mean score of psychological distress before the intervention (P = 0.5), but the results showed that the mean score of psychological distress of mothers of children with cancer after cognitive-emotional intervention was significantly lower in the intervention group (6.16 ± 3.40) than the control group (16.84 ± 6.67) (P = 0.001). Conclusions: Cognitive-emotional intervention had a significant positive effect on reducing psychological distress in mothers of children with cancer. Such interventions are recommended for parents, especially mothers in the chemotherapy ward.


2016 ◽  
Vol 22 (1) ◽  
pp. 114-119 ◽  
Author(s):  
Sareh Doustfatemeh ◽  
Mohammad Hadi Imanieh ◽  
Abdolali Mohagheghzade ◽  
Mohammad M. Zarshenas ◽  
Zahra Torkamani ◽  
...  

We aimed to evaluate the antidiarrheal effect of black tea in pediatric patients with acute nonbacterial diarrhea. This single-blind randomized clinical trial study was performed on 2 to 12-year-old patients, with acceptable criteria for acute nonbacterial diarrhea in Shiraz, Iran. In total, 120 patients took part in this study. Blocked randomization method was used to allocate them into 2 groups of intervention (black tea tablet + standard treatment) and control group (standard treatment; 60 patients in each). Frequency of defecation, volume, and consistency of stool were registered on arrival and 24 hours later. We used χ2 test, t test, and Mann-Whitney U test. After a 24-hour follow-up, the proportion of patients with formed stool was higher in the intervention group when compared with the control group ( P < .001). There was a significant difference between the mean number of defecations per 24 hours in both groups, after treatment ( P < .001). We found a possible antidiarrheal effect of black tea.


2012 ◽  
Vol 18 (4) ◽  
pp. 221-225 ◽  
Author(s):  
Birthe Dinesen ◽  
Lisa KE Haesum ◽  
Natascha Soerensen ◽  
Carl Nielsen ◽  
Ove Grann ◽  
...  

We studied whether preventive home monitoring of patients with chronic obstructive pulmonary disease (COPD) could reduce the frequency of hospital admissions and lower the cost of hospitalization. Patients were recruited from a health centre, general practitioner (GP) or the pulmonary hospital ward. They were randomized to usual care or tele-rehabilitation with a telehealth monitoring device installed in their home for four months. A total of 111 patients were suitable for inclusion and consented to be randomized: 60 patients were allocated to intervention and three were lost to follow-up. In the control group 51 patients were allocated to usual care and three patients were lost to follow-up. In the tele-rehabilitation group, the mean hospital admission rate was 0.49 per patient per 10 months compared to the control group rate of 1.17; this difference was significant ( P = 0.041). The mean cost of admissions was €3461 per patient in the intervention group and €4576 in the control group; this difference was not significant. The Kaplan-Meier estimates for time to hospital admission were longer for the intervention group than the controls, but the difference was not significant. Future work requires large-scale studies of prolonged home monitoring with more extended follow-up.


BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037303
Author(s):  
Fumiya Tanji ◽  
Yasutake Tomata ◽  
Saho Abe ◽  
Sanae Matsuyama ◽  
Yumika Kotaki ◽  
...  

ObjectiveThe aim of this study was to investigate the effect of a financial incentive on the number of daily walking steps among community-dwelling adults in Japan.Study designTwo-arm, parallel-group randomised controlled trial.Setting/participantsWe recruited physically inactive community-dwelling adults from Sendai city, Japan. Eligible participants were randomly allocated to an intervention or a wait list control group. Pedometers were used to assess the mean number of daily steps in three periods: baseline (weeks 1–3), intervention (weeks 4–6) and follow-up (weeks 7–9).InterventionThe intervention group was offered a financial incentive (shopping points) to meet the target number of increased daily steps in the intervention period.Main outcome measuresThe primary outcome was an increase in the mean number of daily steps in the intervention and follow-up periods compared with baseline.ResultsSeventy-two participants (69.4% women; mean age, 61.2±16.2 years; mean number of daily steps at baseline, 6364±2804) were randomised to the intervention (n=36) and control groups (n=36). During the intervention period, the increase in mean daily steps was significantly higher in the intervention group (1650, 95% CI=1182 to 2119) than in the control group (514, 95% CI=136 to 891; p<0.001). However, the difference between groups was not significant at follow-up after the incentives were removed (p=0.311). In addition, compared with controls, a significantly higher proportion of participants in the intervention group showed an increase in mean daily steps of ≥1000 (69.4% vs 30.6%, respectively; OR=5.17, 95% CI=1.89 to 14.08). There were no adverse effects from the intervention.ConclusionsThe present results suggest that financial incentives are effective in promoting short-term increases in physical activity.Trial registration numberUMIN000033276.


10.2196/15448 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e15448
Author(s):  
Emily Staite ◽  
Adam Bayley ◽  
Ebaa Al-Ozairi ◽  
Kurtis Stewart ◽  
David Hopkins ◽  
...  

Background Intensive lifestyle interventions are effective in reducing the risk of type 2 diabetes, but the implementation of learnings from landmark studies is expensive and time consuming. The availability of digital lifestyle interventions is increasing, but evidence of their effectiveness is limited. Objective This randomized controlled trial (RCT) aimed to test the feasibility of a web-based diabetes prevention program (DPP) with step-dependent feedback messages versus a standard web-based DPP in people with prediabetes. Methods We employed a two-arm, parallel, single-blind RCT for people at high risk of developing diabetes. Patients with a hemoglobin A1c (HbA1c) level of 39-47 mmol/mol were recruited from 21 general practices in London. The intervention integrated a smartphone app delivering a web-based DPP course with SMS texts incorporating motivational interviewing techniques and step-dependent feedback messages delivered via a wearable device over 12 months. The control group received the wearable technology and access to the web-based DDP but not the SMS texts. As this was a feasibility study, the primary aim was to estimate potential sample size at different stages of the study, including the size of the target study population and the proportion of participants who consented, were randomized, and completed follow-up. We also measured the main outcomes for a full-scale RCT, namely, change in weight and physical activity at 6- and 12-month follow-ups, and secondary outcomes, including changes in the HbA1c level, blood pressure, waist circumference, waist-to-hip ratio, and lipid levels. Results We enrolled 200 participants: 98 were randomized to the intervention and 102 were randomized to the control group. The follow-up rate was higher in the control group (87/102, 85.3%) than in the intervention group (69/98, 70%) at 12 months. There was no treatment effect on weight at 6 months (mean difference 0.15; 95% CI −0.93 to 1.23) or 12 months (mean difference 0.07 kg; 95% CI −1.29 to 1.44) or for physical activity levels at 6 months (mean difference −382.90 steps; 95% CI −860.65 to 94.85) or 12 months (mean difference 92.64 steps; 95% CI −380.92 to 566.20). We did not observe a treatment effect on the secondary outcomes measured at the 6-month or 12-month follow-up. For the intervention group, the mean weight was 92.33 (SD 15.67) kg at baseline, 91.34 (SD 16.04) kg at 6 months, and 89.41 (SD 14.93) kg at 12 months. For the control group, the mean weight was 92.59 (SD 17.43) kg at baseline, 91.71 (SD 16.48) kg at 6 months, and 91.10 (SD 15.82) kg at 12 months. In the intervention group, the mean physical activity was 7308.40 (SD 4911.93) steps at baseline, 5008.76 (SD 2733.22) steps at 6 months, and 4814.66 (SD 3419.65) steps at 12 months. In the control group, the mean physical activity was 7599.28 (SD 3881.04) steps at baseline, 6148.83 (SD 3433.77) steps at 6 months, and 5006.30 (SD 3681.1) steps at 12 months. Conclusions This study demonstrates that it is feasible to successfully recruit and retain patients in an RCT of a web-based DPP. Trial Registration ClinicalTrials.gov NCT02919397; http://clinicaltrials.gov/ct2/show/NCT02919397


2021 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Barto Mansyah ◽  
Fetty Rahmawati

Efforts to increase knowledge and attitudes in adolescents require a learning media that can not only be used in the world of education but also in the health sector, especially in the prevention of DM where one of the risk factors for DM is an unhealthy diet. One of the media that can be used is audio visual. This study aims to analyze the effect of audio-visual media on diet on the level of knowledge and attitudes of adolescents in preventing type 2 diabetes. This type of research is a quasi-experimental study with a pretest-posttest with control group design. The results showed that there were significant differences in the mean value of knowledge (p value 0,039 <0,005) and attitude score (p value 0,001 <0,005) which were significant between the intervention group and the control group. The mean increase in the knowledge value of the intervention group was 16,27 higher than the control group was 9,20. In the attitude variable, the mean score of attitudes in the intervention group was 13,27 higher than the mean value in the control group, namely 9,20, so it can be concluded that the intervention group in the form of audio-visual health education showed better results in increasing knowledge and attitudes about diet in the prevention of type 2 diabetes.


Sign in / Sign up

Export Citation Format

Share Document