scholarly journals Deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skills

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annika Meyer ◽  
Jakob Schreiber ◽  
Julian Brinkmann ◽  
Andreas R. Klatt ◽  
Christoph Stosch ◽  
...  

Abstract Background The American Association of Medical Colleges has defined peripheral intravenous cannulation as one of the eight practical skills that a medical student should possess upon graduation. Since following a standard hygiene protocol can reduce the rate of complications such as bloodstream infections, the medical student’s compliance to hygienic standards is highly relevant. Methods This unicentric longitudinal cohort study included 177 medical students undergoing OSCE 1 in the winter semesters 2016/2017 and 2017/2018 as well as OSCE 2 during the winter semesters 2018/2019 and 2019/2020 at the University of Cologne. Their performance in peripheral intravenous cannulation was rated by trained student supervisors using a scaled 13-item questionnaire and compared between OSCE 1 and OSCE 2. Results Overall, a decline in the correct placement of peripheral intravenous catheters was observed among advanced medical students during OSCE 2 (mean total score: 6.27 ± 1.84) in comparison to their results in OSCE 1 (mean total score: 7.67 ± 1.7). During OSCE 2, the students were more negligent in regard to hygienic behavior, such as disinfection of the puncture site as well as hand disinfection before and after venipuncture. Their patients were also less likely to be informed about the procedure as compared to OSCE 1. Conclusions An unsatisfying performance in regard to peripheral intravenous cannulation was observed in medical students with hygiene compliance deteriorating between the third and fifth year of their study. Thus, we promote an extension of practical hygiene and stress management training in medical school to reduce complications associated with intravenous catheters, such as bloodstream infections.

Author(s):  
Asha Kumari ◽  
Sangeeta B Singh ◽  
Shikhaa Mahajan ◽  
Vivek Sharma ◽  
Rajiv Ranjan ◽  
...  

Introduction: Stress is a well known contributor of many diseases. Corona virus infection pandemic has added stress in everyone’s life. Medical students have been reported to feel more depressed, anxious and stressed due to numerous factors in previous research. There has been lot of stress due to shutdown of colleges and modification of teaching pattern. Material and method: This study was planned to estimate the stress in First year MBBS students of SHKM GMC Nalhar, Nuh, Mewat, Haryana, India to explore the stress prevalence and factors causing stress in the students. Then a stress management training was given to the students. After one month the analysis was repeated to assess the feedback, which fell into the lockdown period observed during COVID-19 pandemic. Medical Student Stressor Questionnaire (MSSQ) was used to assess stress. Results and observation: The stress was found to be mild in 43 (35 %), moderate in 66 (55%), high in 11 (9%) among students.(Figure 1 A) After one month, the stress reported was mild in 67 (55.83%), moderate in 41 (34.17%), high in 12 (10%).(Figure 1 B) Stress was reported by 64.35% male students on first instance while 47.52% on second. Female students also displayed a fall in stress from 63.15% to 26.31%. Conclusion: Stress was detected in more than fifty percent First professional medical students in SHKM GMC Mewat, Haryana, which was reduced after stress management training. It is proposed that stress management training should be given in MBBS first professional and during pandemic like Coronavirus infection.


Author(s):  
Farshid Shamsaei ◽  
Neda Tahour ◽  
Efat Sadeghian

The purpose of this study was to investigate the effect of stress management training on stigma and social phobia among HIV-positive women. This quasi-experimental pre- and posttest study was performed on a single group of 55 HIV-positive females Hamadan city, Iran, in 2018. The samples were taken through a convenience sampling method and the data collection tool were Berger HIV Stigma and Connor Social Phobia Scale. The mean scores of the stigma were 119.98 ± 21.15 and 94.78 ± 16.34 and social phobia were 24 ± 17.4 and 11.2 ± 9.68 before and after the intervention, respectively. The results of the paired sample t test indicated a significant difference in the stigma and social phobia mean scores before and after the intervention in HIV-positive women ( P < .05). The results of the study revealed that stigma and social phobia are big challenges for HIV-positive women since these people are always judged by others and are subjected to labeling and rejection.


2009 ◽  
Vol 17 (4) ◽  
pp. 311-317 ◽  
Author(s):  
Tasha Robertson ◽  
Garry Walter ◽  
Nerissa Soh ◽  
Glenn Hunt ◽  
Michelle Cleary ◽  
...  

Objectives: The objectives were, first, to determine attitudes towards psychiatry as a career among medical students currently enrolled at the University of Sydney and, second, to establish the immediate impact on those attitudes of a promotional DVD, released by the Royal Australian and New Zealand College of Psychiatrists. Method: Medical students enrolled in the University of Sydney in 2008 were invited to complete a voluntary online questionnaire, in which their attitudes towards psychiatry were explored, and the immediate effects of a 15-minute DVD were ascertained. Results: A total of 123 students participated. Only one student identified psychiatry as their chosen career. Medical students viewed psychiatry as the least attractive specialty for the degree to which patients are helped effectively and in terms of having a reliable scientific foundation. However, it rated well in regard to being intellectually challenging, a rapidly advancing field of medicine, and providing research opportunities and a good lifestyle. Psychiatry is less respected than most other specialties by students and they perceive this discipline to be poorly respected by other medical students and current medical practitioners. After viewing the DVD, there were improved student ratings of the benefits of a career in psychiatry, especially in relation to the specialty being enjoyable, offering effective treatment and having a scientific foundation. There was also enhanced understanding of the role of a psychiatrist in just over half of the participants and increased interest in psychiatry in about 30% of participants. The DVD was most effective in increasing awareness of the diversity of subspecialties available within psychiatry, good lifestyle factors, and the training involved. Conclusion: Among medical students, psychiatry is perceived as unattractive and fails to command the respect afforded other specialties. The viewing of a promotional DVD by medical students was found to be effective in improving their attitudes towards psychiatry and increasing their interest in pursuing a career in the specialty. However, the long-term impact of this modest improvement is unknown and the low survey response rate limits the extent to which the results can be generalized.


2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Michael J LaRock ◽  
Kira K Zwygart ◽  
Kelli Herman ◽  
Amy B Smith

The University of South Florida Morsani College of Medicine’s SELECT program was developed to equip medical students with healthcare leadership skills as they progress through the medical curriculum by providing them with leadership and management training, as well as a curriculum based on emotional intelligence. Medical students spend their pre-clerkship years in Tampa, Florida and then spend their clinical years at the Lehigh Valley Health Network regional campus in Allentown, Pennsylvania. The authors describe how faculty at the regional campus are involved with student and academic affairs on the main campus and the process of helping students transition not only from the pre-clinical to clinical years but also transition from Florida to Pennsylvania.


2020 ◽  
Vol 70 (6) ◽  
pp. 1919-24
Author(s):  
Maryam Noshad ◽  
Muhammad Hammad Butt ◽  
Tooba Mehboob ◽  
Irfan Bashir ◽  
Rabia Aslam ◽  
...  

Objective: To track the trends and patterns of psychoactive substance abuse among medical students. Study Design: Cross-sectional questionnaire based study. Place and Duration of Study: Medical Colleges and Universities of Lahore, from Aug to Sep 2019. Methodology: Total 200 medical students from Medical Colleges and Universities were included. The data wereanalyzed and computed using SPSS-21. Frequencies and percentages related to all the factors were computed. Results: Among study participants, 96 (48%) of males and 104 (52%) of females with 154 (77%) of these students belong to 21-25 years of age group. The observed prevalence of substance abuse among students was 42 (21%). Joy seeking and a friend’s offer was the initiation of psychoactive substance use among these students. Tobacco was the most highly consumed substance among students, followed by marijuana. Besides, the results also revealed that students also consumed cocaine and methamphetamine. Among 21% abusers, 4 (9%) and 5 (11%) of the students experienced side effects and withdrawal symptoms respectively. Conclusion: The increasing consumption of tobacco and indulgence in psychoactive drugs are concerning issues because of uncontrolled consumption can cause serious brain damage. Academic burden and stress are the mediators of drug abuse among students. Therefore, stress management training and workshops should be conducted in institutes.


2019 ◽  
Author(s):  
Farshid shamsaei ◽  
Neda Tahour ◽  
Efat Sadeghian

Abstract Objectives: This study was to investigate the effect of stress management training on the stigma and social phobia of HIV‐positive women. Methods: This semi-experimental was conducted on 55 HIV‐positive using census sampling. The participants referred to Shohada Comprehensive Health Center in Hamadan, west of Iran, in 2017. Stress management training was conducted in 5 sessions for a group of 8-10 participants. The data collection tools were Berger HIV Stigma and Connor Social Phobia Scale. The questionnaires were filled before and 2 weeks after the intervention. Results: The mean age of participants was 38.5 and the duration of HIV infection was 6.5 years. 55% of patients were married and 80% were infected by sexual intercourse. The findings showed that there was a significant difference between the mean scores of stigma and social phobia before and after the intervention (P<0.05). Conclusions: Stress management training has been effective in the decrease of stigma and social phobia among HIV positive women.


2014 ◽  
Vol 6 (2) ◽  
pp. 101 ◽  
Author(s):  
Jennifer Crowley ◽  
Lauren Ball ◽  
Michael Leveritt ◽  
Bruce Arroll ◽  
Dug Yeo Han ◽  
...  

INTRODUCTION: Doctors are increasingly involved in the management of chronic disease and counsel patients about their lifestyle behaviours, including nutrition, to improve their health outcomes. AIM: This study aimed to assess the impact of a medical undergraduate course containing nutrition content on medical students’ self-perceived nutrition intake and self-efficacy to improve their health behaviours and counselling practices. METHODS: A total of 239 medical students enrolled in a 12-week nutrition-related course at The University of Auckland were invited to complete an anonymous questionnaire before and after the course. The questionnaire was adapted from a previous evaluation of a preventive medicine and nutrition course at Harvard Medical School. RESULTS: Sixty-one medical students completed both pre- and post-course questionnaires (25.5%). At baseline, medical students described their eating habits to be more healthy than non-medical students (p=0.0261). Post-course, medical students reported a higher frequency of wholegrain food intake (p=0.0229). Medical students also reported being less comfortable making nutrition recommendations to family and friends post-course (p=0.008). Most medical students (63.9%) perceived increased awareness of their own dietary choices, and some (15.3%) reported an increased likelihood to counsel patients on lifestyle behaviour post-course. DISCUSSION: Students can increase awareness of their own nutrition behaviour after undertaking a course that includes nutrition in the initial phase of their medical degree. Further investigation of how medical students’ confidence to provide nutrition advice evolves throughout their training and in future practice is required. KEYWORDS: Exercise; health behavior; medical education; nutritional sciences


2021 ◽  
Vol 6 (4) ◽  
pp. 134-137
Author(s):  
Maslarski I ◽  
Stoikov V ◽  
Ingilizova G

The COVID-19 pandemic has had profound impacts on medical education globally. Worldwide, most medical students have missed months of educational experience that is considered fundamental in their training. Advances in technology are a potential solution to the problem. Forms of interactive learning, use of online platforms, as well as variants of e-lecture teaching are considered as alternatives to in-person teaching, as a part of a modernized anatomy curriculum. In addition to the already widespread online meeting platforms, we also discuss the use of video recordings with integrated slides, real pictures and short videos which can be uploaded onto the university platform Moodle. Alternatives to dissections, prosections, plastination, microscopy and videos are considered as potential forms of organization in the learning process. In regards to dissections, the problem of acquiring practical skills in an environment of social distancing and the successful accomplishment of tests and exams is also discussed.


2019 ◽  
Vol 7 (3) ◽  
pp. 83-90
Author(s):  
Hamideh Nouriasl ◽  
Behnam Talebi ◽  
Hamid Reza Morteza_Bagi

Intrduction: Smartphone-based learning is a novel learning technique in medical education. Smartphones have good potentialities to be used as a learning tool for their wide application among students. The aim of this study was to investigate the impact of training airway management by utilizing smartphones on the learning of undergraduate medical students. Methods: In this semi-experimental study, it was tried to intervene in the students’ way of learning by using smartphone training application. The participants included 120 undergraduate medical students of School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Forty students were randomly selected and divided into two groups of control and experimental. Then, teaching through two methods of traditional method (face to face) and combined method (traditional + smartphone-based software) was performed for control and experimental groups, respectively. After that the teaching was finished, the level of knowledge and practical skills of both groups were evaluated. Students' practical skills were assessed using a standard checklist on the moulage. The knowledge score was obtained using a multiple-choice written test. Finally, data were analyzed by SPSS software using independent samples t-test. Results: There was a significant difference between the mean score of knowledge and practical skills of the experimental group when compared to the controls (P < 0.05) and the smartphone application was efficient in improving student learning. Conclusion: Utilizing smartphone application can be a complementary method for traditional education in enhancing medical skills. Accordingly, the use of blended training in medical education is suggested.


Author(s):  
Susan M. Stevens ◽  
Timothy E. Goldsmith ◽  
Thomas P. Caudell ◽  
Dale C. Alverson

Virtual reality (VR) offers the potential to train medical students on high-risk situations. The current study investigated VR training of medical students to diagnose and treat a patient avatar experiencing a serious head injury. The user interface was investigated, including use of tools, comfort and VR locomotion, and found to be sufficiently high to warrant training within a medical curriculum. In addition, actual learning as a function of VR training was assessed by comparing medical students' knowledge structures to an expert knowledge structure before and after training. Students' knowledge structures became more similar to an expert's knowledge structure indicating that their conceptual understanding of core head-injury concepts increased as a result of VR training. The study was carried out under the auspices of Project TOUCH (Telehealth Outreach for Unified Community Health), a multi-year collaboration between The University of Hawaii (UH) and The University of New Mexico (UNM).


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