The effects of interactive E-learning on delirium recognition ability and delirium-related strain of care among critical care nurses

Background Nursing care for patients with delirium is very complex and stressful and is associated with considerable care strain for nurses. Delirium recognition is the first step to the prevention and management of delirium and reduction of strain of care. Education is one of the strategies for improving nurses’ delirium recognition ability. Objectives This study aimed to evaluate the effects of interactive E-learning on delirium recognition ability and delirium-related strain of care among critical care nurses. Methods This quasi-experimental study was conducted in 2019 using a two-group pretest-posttest design. Participants were 98 critical care nurses recruited through a census from two hospitals in Iran. They were non-randomly allocated to an intervention and a control group. Study intervention was an interactive E-learning program with four parts on delirium, its prevention, its treatment, and its diagnostic and screening procedures. The program was uploaded on a website and its link was provided to participants in the intervention group. Before and two months after the intervention, data were collected using the Strain of Care for Delirium Index and five case vignettes. For data analysis, the Chi-square, Fisher’s exact, independent-sample t, and paired-sample t tests were performed usingthe SPSS software (v. 16.0). Findings Groups did not significantly differ from each other regarding the pretest mean scores of delirium recognition ability and strain of care. After the intervention, the mean score of delirium recognition ability in the intervention group was significantly greater and the mean score of strain of care was significantly lower than the control group (P < 0.05). Conclusion Interactive E-learning is effective in significantly improving critical care nurses’ delirium recognition ability and reducing their strain of care. As nurses’ heavy workload and limited free time are among the main barriers to their participation in face-to-face educational programs, interactive E-learning can be used for in-service education.

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Effects of Relationship Enrichment Training on Improving Marital Satisfaction of Infertile Couples: A Randomized Control Trial

Current Women s Health Reviews ◽

10.2174/1573404817666210111141202 ◽

2021 ◽

Vol 17 ◽

Author(s):

Seyedeh Zahra Masoumi ◽

Khodayar Oshvandi ◽

Masoumeh Rostami-Moez ◽

Arezoo Shayan ◽

Farideh Kazemi

Keyword(s):

Marital Satisfaction ◽

Intervention Group ◽

Analysis Of Covariance ◽

Control Group ◽

Chi Square ◽

Significance Level ◽

Significant Difference ◽

The Mean ◽

Infertile Couples ◽

Relationship Enrichment

Background: Infertility can cause low marital satisfaction. Marital satisfaction has an important effect on infertile couples’ health. Objective: This study aimed to assess the effect of relationship enrichment training on improving the marital satisfaction of infertile couples. Methods: This randomized clinical trial was conducted on 50 infertile couples in the infertility center of Fatemieh Hospital in Hamadan, Iran in 2018. Participants were matched for demographic characteristics and randomly assigned to intervention and control groups (each group had 25 couples). Informed consent was obtained from all participants. The Enrich Marital Satisfaction questionnaire and demographic information were used to collect data before the study and two months after the intervention. Two trained midwifery students taught only the intervention group the relationship enrichment topics in seven sessions (each session = 90 minutes). The data were analyzed by SPSS Statistics version 21 using analysis of covariance, independent t-test, chi-square, and Mann–Whitney. The significance level was set at p ≤ 0.05. Results: There was no significant difference in demographic and obstetric information between the two groups (p >0.05). The mean of marital satisfaction in the intervention group significantly increased among women and men from 151.00 ±28.61 to 154.88 ±22.62 and from 152.56 ±27.33 to 159.24 ±22.14, respectively, (p <0.001). Conversely, the mean of marital satisfaction decreased among women and men from 158.13 ±13.86 to 146.25 ±19.53 and from 164.25 ±17.00 to 153.17 ±27.50 in the control group (p=0.02). Conclusion: Relationship enrichment training can be effective in promoting the marital satisfaction of infertile couples. Registration number: The National Center for Strategic Research in medical education, No. 960185.

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Different Doses of Intraumbilical Oxytocin on the Third Stage of Labor

Indonesian Journal of Obstetrics and Gynecology ◽

10.32771/inajog.v6i3.780 ◽

2018 ◽

pp. 155

Author(s):

Nurul Islamy ◽

Nuswil Bernolian ◽

Firmansyah BasiR ◽

Theodorus Theodorus

Keyword(s):

Intervention Group ◽

Control Group ◽

Chi Square ◽

Randomised Study ◽

The Third ◽

Third Stage Of Labor ◽

Treatment Dose ◽

Third Stage ◽

The Mean ◽

Post Hoc

Objective: To compare the dose of oxytocin injected intraumbilicalltowards the duration of the third stage, blood loss volume, hemoglobinand hematocrit. Methods: This study is a prospective randomised study with acontrol. The control group was given an intramuscular injection of10 IU oxytocin. The intervention of the three groups intraumbilicaloxytocin treatment dose of 10 IU, 20 IU and 30 IU diluted in 50 ml ofnormal saline solution and administered intraumbilically. Thesample selection by purposive sampling and the distribution groupbased on systematic random sampling (10 samples each). Data weretaken from the period April 2016-January 2017 with the inclusionand exclusion criteria. Data were analysed using Chi-square, T-test,ANOVA and Post hoc tests. Results: Characteristics study for variables of age, occupation,parity, education, episiotomy and neonates weight showed homogeneouscharacteristics. The mean duration of the third stage forall groups was between 366.7  159.0 seconds and 440.1  244.99seconds. While the average number of postpartum haemorrhage forall group 61.894  226.3ml and 309.5  110.26 ml. There were nodifferences in the dose of oxytocin on the duration of the thirdstage (p> 0.05) and the amount of bleeding (p> 0.005). There was adifference of haemoglobin between intervention group of oxytocindose of 10 IU and 30 IU intraumbilical (p = 0.031). There was nodifference between the mean hematocrit levels between the groups(p> 0.005). Conclusion: There were no differences in the dose of oxytocinintraumbilical towards the duration of the third stage, the amountof bleeding and hematocrit levels. The decrease of haemoglobingreater in 30 IU intraumbilical significantly. Keywords: duration of the third stage, haemoglobin and hematocrit,oxytocin intraumbilical, the amount of bleeding

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INCISION e-learning program as a useful teaching tool to enhance surgeons’ knowledge and skills: An Indonesian multi-center cross-sectional pilot study

F1000Research ◽

10.12688/f1000research.15799.1 ◽

2018 ◽

Vol 7 ◽

pp. 1888

Author(s):

Achmad Kemal Harzif ◽

M Nurhadi Rahman ◽

Pungky Mulawardhana ◽

Nadia Shafira ◽

Tricia Dewi Anggraeni ◽

...

Keyword(s):

Pilot Study ◽

Learning Process ◽

Teaching And Learning ◽

Intervention Group ◽

Wilcoxon Test ◽

Control Group ◽

Learning Program ◽

Learning Module ◽

Conventional Teaching ◽

E Learning

Background: Media aids are one of the most important components in the teaching and learning process. This pilot study program was conducted in order to assess the effectiveness of the INCISION e-learning program as teaching media in the surgical teaching and learning process, and its ability to improve surgical skills and knowledge achievement. Methods: One intervention group and one control group were involved in this study. The intervention group used the hysterectomy INCISION e-learning module, while the control group used conventional teaching approaches. The study was conducted with 14 resident surgeons in three universities in Indonesia: Universitas Indonesia, Universitas Airlangga, and Universitas Gajah Mada. The testing components used were a pre-test, post-test questionnaire (a modified Ritzman questionnaire) and direct observation of procedural skills in the operating room (OR). Data were analyzed descriptively using Mann-Whitney and Wilcoxon tests. Results: Using a Mann-Whitney test, we found the differences between the average scores of the intervention group and the control group to be statistically significant (p=0.046). A Wilcoxon test also revealed significant differences (p=0.028). The modified Ritzman questionnaire also revealed that the residents in the intervention group felt more confident in their surgical knowledge (82%), and made more efficient use of their time in the OR (81%). Conclusions: These findings reveal a significant improvement in knowledge and skill achievement in residents that underwent training via the INCISION e-learning module, compared to residents taught via conventional teaching strategies.

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The Effect of Cognitive-emotional Intervention on Psychological Distress in Mothers of Children with Cancer

Medical - Surgical Nursing Journal ◽

10.5812/msnj.113171 ◽

2021 ◽

Vol 9 (4) ◽

Author(s):

Arsalan Latifi ◽

Farshid Saeedinezhad ◽

Asadollah Keikhaei ◽

Ghasem Miri Aliabad

Keyword(s):

Psychological Distress ◽

Statistical Tests ◽

Intervention Group ◽

Control Group ◽

Negative Consequences ◽

Children With Cancer ◽

Chi Square ◽

Psychological Distress Scale ◽

The Mean ◽

Distress Scale

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.

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Effects of Mindfulness on Stimulating Hope and Recovery among People with Schizophrenia

Nurse Media Journal of Nursing ◽

10.14710/nmjn.v10i2.28775 ◽

2020 ◽

Vol 10 (2) ◽

pp. 119-129

Author(s):

Halimah Wenny Yulina Astuti ◽

Murti Agustin ◽

Sri Padma Sari ◽

Diyan Yuli Wijayanti ◽

Widodo Sarjana ◽

...

Keyword(s):

Intervention Group ◽

Recovery Process ◽

Control Group ◽

P Value ◽

Nursing Interventions ◽

Chi Square ◽

Demographic Questionnaire ◽

Quasi Experimental ◽

The Mean ◽

Recovery Assessment

Background: Hope has an essential role in the recovery journey for people with schizophrenia. Current studies showed that people with schizophrenia reported having low hope. There is growing evidence that mindfulness has favorable effects on mental health in populations with chronic illness, including people with schizophrenia. However, the studies evaluating effects of mindfulness on hope and recovery for people with schizophrenia are limited.Purpose: This study aimed to examine the effects of mindfulness on hope and recovery among people with schizophrenia.Methods: This quasi-experimental study was carried out on 54 patients with schizophrenia based on purposive sampling in a psychiatric hospital in Indonesia. The respondents were divided into two groups with 27 patients each in the intervention and the control group. The intervention group received 2-session mindfulness, while the control group received standard care. The data were collected using the demographic questionnaire, the Schizophrenia Hope Scale (SHS-9), and Recovery Assessment Scale (RAS), and analyzed using the Chi-Square and Mann-Whitney tests. Results: After mindfulness therapy, the intervention group showed a higher mean score of hope than the control group (14.30±2.50 and 9.04±2.15, respectively) as well as in the mean of recovery (86.78±4.00 and 73.56±6.04, respectively). There were significant differences in hope and recovery levels between the two groups with p-value <0.001.Conclusion: This study showed that mindfulness is an effective strategy to stimulate hope and recovery among people with schizophrenia. Nurses can apply mindfulness as one of the nursing interventions for helping the recovery process among this population.

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The Effect of Empowerment-Based E-Learning on Health-Promoting Behaviors in Female Adolescents

10.21203/rs.3.rs-629808/v1 ◽

2021 ◽

Author(s):

zahra bostani ◽

Moluk pouralizadeh ◽

Mona Rahnavardi

Keyword(s):

Interpersonal Relationships ◽

Intervention Group ◽

Female Adolescents ◽

Control Group ◽

Learning Program ◽

Educational Approach ◽

Health Promoting Behaviors ◽

E Learning ◽

Health Promoting ◽

Significant Change

Abstract Background: Paying particular attention to the health of adolescents, especially girls, is one of the millennium development goals, the improvement of HPB in female adolescents is necessary. Therefore, this study aimed to determine the effect of the empowerment-based e-learning program on HPB in female adolescents.The present study was of quasi-experimental type (educational intervention) in which 80 middle school and high school female students participated. Data collection tools included the Questionnaire of Demographic Characteristics and the HPB Questionnaire (the Health Promoting Lifestyle Profile II (HPLP II)). First, the pretest was performed using the research tool in both intervention and control groups. After performing the pretest, the empowerment model was performed according to the needs, wants of the research samples, and based on the triple steps (perception of threat, problem-solving, and assessment) for the intervention group. Eight weeks after the intervention, the questionnaire was completed again in both groups. Results: The implementation of the educational program led to increased mean scores in the dimensions of HPB, including health responsibility, physical activity, nutrition, and interpersonal relationships in the intervention group, but spiritual growth and stress management had no significant change (p>0.001). However, in the control group, no statistically significant change was observed in any of the dimensions of health-promoting behaviors.Conclusion: The results of this study showed that empowerment-based e-learning can be effective in changing the behavior of female adolescents towards healthy behaviors. Therefore, this method is recommended as an effective educational approach to improve adolescent health-promoting behaviors.

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The effect of training and awareness of subtle control on the frequency of hand hygiene among intensive care unit nurses

BMC Research Notes ◽

10.1186/s13104-019-4635-z ◽

2019 ◽

Vol 12 (1) ◽

Author(s):

Zeinab Farmani ◽

Marzieh Kargar ◽

Zahra Khademian ◽

Shahram Paydar ◽

Najaf Zare

Keyword(s):

Intensive Care ◽

Hand Hygiene ◽

Hand Hygiene Compliance ◽

Intervention Group ◽

World Health ◽

Control Group ◽

Chi Square ◽

Improve Hand Hygiene ◽

The Mean ◽

Hygiene Compliance

Abstract Objective This study aimed to determine the effect of awareness of subtle control after training on the hand hygiene compliance among nurses in intensive care units (ICUs). The study was conducted in two ICUs of a trauma center in Shiraz, Iran on 48 nurses. The nurses of one ICU were randomly allocated to the intervention and the nurses of the other ICU were allocated to the control group. All nurses were trained on hand hygiene. Then a fake closed camera television (CCTV) was visibly installed in the intervention group’s ICU, while the nurses were aware of it. The degree of compliance with hand hygiene was observed in both groups before and after the intervention. Data were gathered using a checklist based on the World Health Organization hand hygiene protocol and analyzed using SPSS 16 and the Chi square, Wilcoxon, Mann–Whitney U, and Independent T-tests, were performed. Results The mean percentage of hand hygiene compliance in the intervention group after the intervention was significantly higher than before the intervention (p < 0.001). Additionally, the changes in the mean percentage of the intervention group was significantly higher than that for the control group (p = 0.001). The findings showed that a fake CCTV after training, installed in ICUs, can improve hand hygiene compliance.

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Efficacy Of Eel Cookies On Improving Nutritional Status Of Pregnant Women With Chronic Energy Defifiency

Jurnal Kesehatan Prima ◽

10.32807/jkp.v14i2.493 ◽

2020 ◽

Vol 14 (2) ◽

pp. 145

Author(s):

Devi Pratiktowati ◽

Dewi Marhaeni Diah Herawati ◽

Ginna Megawati ◽

Deni Kurniadi Sunjaya

Keyword(s):

Nutritional Status ◽

Pregnant Women ◽

Intervention Group ◽

Control Group ◽

Chi Square ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Significant Difference ◽

The Mean ◽

The Government

A high prevalence chronic energy deficiency (CED) in pregnant women exist in Indonesia, which approximately 16.2%. The government had made various efforts to eliminate CED in pregnant women. Therefore, our study aimed to analyze the efficacy of eel cookies on improving nutritional status of pregnant women with CED risk. An experiment with a pre-post design of 36 pregnant women with risk of CED in Ciletuh, Sukabumi was carried out for 30 days. Pregnant women in intervention group were given eel cookies, while control group were given cookies without eel. At the beginning and end of the study, MUAC were measured and food intake was assessed through a 24 hour recall. The research data was analysed using t-test, Mann-Whitney test and chi square. Significant difference in body weight between intervention and control groups was not found (p > 0.05). The mean bodyweight in intervention group after intervention (48.5) was higher than in control group (48.3). The Mean bodyweight and MUAC in the two groups before and after intervention also did not show a significant difference (p> 0.05). The risk of CED in pregnant women who received eel cookies were lower compared to the control group. Consumption of eel cookies can reduce CED risk in pregnant women by 35%, while cookies without eel only reduce the risk by 29.4%. Eel cookies had higher efficacy compared to cookies without eel on reducing CED risk in pregnant women.

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Family Presence During Resuscitation: Impact of Online Learning on Nurses’ Perception and Self-confidence

American Journal of Critical Care ◽

10.4037/ajcc2016814 ◽

2016 ◽

Vol 25 (4) ◽

pp. 302-309 ◽

Cited By ~ 11

Author(s):

Kelly A. Powers ◽

Lori Candela

Keyword(s):

Critical Care ◽

Online Learning ◽

Mixed Model ◽

Intervention Group ◽

Critical Care Nurses ◽

Control Group ◽

Family Presence ◽

Self Confidence ◽

The Family ◽

The Impact

BackgroundFamily presence during resuscitation (FPDR) is supported by patients and their family members. Nurses, however, including critical care nurses who frequently implement resuscitative care, have mixed views.ObjectivesTo determine the impact of online learning on critical care nurses’ perception of and self-confidence with FPDR.MethodsA 2-group, random assignment, pretest and posttest quasi-experimental study was conducted with critical care nurses recruited nationally. An online learning module on FPDR was developed and administered to the intervention group. Perceptions and self-confidence for FPDR were measured by using the Family Presence Risk- Benefit Scale (FPR-BS) and the Family Presence Self-confidence Scale (FPS-CS). Two-factor, mixed-model factorial analysis of variance was used to compare mean scores.ResultsA total of 74 critical care nurses participated in the study. Mean FPR-BS and FPS-CS scores were significantly greater in the intervention group than in the control group. For the intervention group, mean scores on the FPR-BS increased from 3.63 to 4.07 (P < .001) and on the FPS-CS increased from 4.24 to 4.57 (P < .001), signifying improved perception and self-confidence. Scores did not change significantly in the control group: mean FPR-BS score increased from 3.82 to 3.88 (P = .23) and the mean FPS-CS score of 4.40 did not change (P > .99).ConclusionsOnline learning is a feasible and effective method for educating large numbers of critical care nurses about FPDR. Online learning can improve perceptions and self-confidence related to FPDR, which may promote more widespread adoption of FPDR into practice.

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The Effectiveness of a Computer-Tailored E-Learning Program for Practice Nurses to Improve Their Adherence to Smoking Cessation Counseling Guidelines: Randomized Controlled Trial (Preprint)

10.2196/preprints.9276 ◽

2017 ◽

Author(s):

Dennis de Ruijter ◽

Math Candel ◽

Eline Suzanne Smit ◽

Hein de Vries ◽

Ciska Hoving

Keyword(s):

Smoking Cessation ◽

Guideline Adherence ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Learning Program ◽

Related Factors ◽

Counseling Experience ◽

Behavioral Predictors ◽

E Learning

BACKGROUND Improving practice nurses’ (PN) adherence to smoking cessation counseling guidelines will benefit the quality of smoking cessation care and will potentially lead to higher smoking abstinence rates. However, support programs to aid PNs in improving their guideline uptake and adherence do not exist yet. OBJECTIVE The aim of this study was to assess the effects of a novel computer-tailored electronic learning (e-learning) program on PNs’ smoking cessation guideline adherence. METHODS A Web-based randomized controlled trial (RCT) was conducted in which an intervention group (N=147) with full access to the e-learning program for 6 months was compared with a control group (N=122) without access. Data collection was fully automated at baseline and 6-month follow-up via online questionnaires, assessing PNs’ demographics, work-related factors, potential behavioral predictors based on the I-Change model, and guideline adherence. PNs also completed counseling checklists to retrieve self-reported counseling activities for each consultation with a smoker (N=1175). To assess the program’s effectiveness in improving PNs’ guideline adherence (ie, overall adherence and adherence to individual counseling guideline steps), mixed linear and logistic regression analyses were conducted, thus accommodating for the smokers being nested within PNs. Potential effect moderation by work-related factors and behavioral predictors was also examined. RESULTS After 6 months, 121 PNs in the intervention group (82.3%, 121/147) and 103 in the control group (84.4%, 103/122) completed the follow-up questionnaire. Mixed linear regression analysis revealed that counseling experience moderated the program’s effect on PNs’ overall guideline adherence (beta=.589; 95% CI 0.111-1.068; PHolm-Bonferroni =.048), indicating a positive program effect on adherence for PNs with a more than average level of counseling experience. Mixed logistic regression analyses regarding adherence to individual guideline steps revealed a trend toward moderating effects of baseline levels of behavioral predictors and counseling experience. More specifically, for PNs with less favorable scores on behavioral predictors (eg, low baseline self-efficacy) and high levels of counseling experience, the program significantly increased adherence. CONCLUSIONS Results from our RCT showed that among PNs with more than average counseling experience, the e-learning program resulted in significantly better smoking cessation guideline adherence. Experienced PNs might have been better able to translate the content of our e-learning program into practically applicable counseling strategies compared with less experienced colleagues. Less favorable baseline levels of behavioral predictors among PNs possibly contributed to this effect, as there was more room for improvement by consulting the tailored content of the e-learning program. To further substantiate the effectiveness of e-learning programs on guideline adherence by health care professionals (HCPs), it is important to assess how to support a wider range of HCPs. CLINICALTRIAL Netherlands Trial Register NTR4436; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4436 (Archived by WebCite at http://www.webcitation.org/6zJQuSRq0)

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