scholarly journals Does problem-based learning education improve knowledge, attitude, and perception toward patient safety among nursing students? A randomized controlled trial

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Hossein Jamshidi ◽  
Masumeh Hemmati Maslakpak ◽  
Naser Parizad
Keyword(s):  
Patient Safety ◽  
Nursing Students ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Safety Education ◽  
Randomized Controlled ◽  
Attitudes And Perceptions ◽  
The Mean ◽  
Patient Safety Education

Abstract Background Patient safety is a top priority for any health care system. Most universities are looking for teaching methods through which they would be able to enhance students’ clinical decision-making capabilities and their self-centered learning to ensure safe and quality nursing care. Therefore, this study aimed to determine the effect of patient safety education through problem-based learning (PBL) on nursing students’ knowledge, attitude, and perceptions toward patient safety. Methods This randomized, controlled trial was conducted from September 2019 to January 2020. A total of 78 fourth-year nursing students participated in this study. The participants were randomly assigned to either the intervention group or the control group. In the intervention group, the educational materials were presented to the students using the PBL method during eight sessions of 45–60 min. In each control group, nursing students received eight education sessions through lectures and discussing the same educational content. Data were gathered 1 month after the intervention using demographic information and knowledge, attitudes, and perception questionnaires. Data were analyzed in SPSS ver. 22.0 using descriptive (mean and standard deviation) and inferential (chi-square test, independent t-test, paired t-test, and analysis of covariance (ANCOVA)) statistics. Results The results indicated that the difference in the mean scores of knowledge, attitudes, and perceptions of the nursing students about patient safety was statistically significant between the two groups after the PBL education (p = 0.001). The mean scores of students’ knowledge, attitude, and perceptions of patient safety increased significantly in the intervention group. Conclusions Implementing patient safety education through PBL positively affects knowledge, attitudes, and perceptions of patient safety among nursing students. Thus, the research team recommended the PBL method to be used by nursing professors to improve nursing students’ clinical skills and cognitive abilities to ensure safe patient care. Trial registration IRCT20190925044881N1; October 17, 2019.

The effectiveness of emotional freedom techniques (EFT) on depression of postmenopausal women: a randomized controlled trial

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Asieh Mehdipour ◽  
Parvin Abedi ◽  
Somayeh Ansari ◽  
Maryam Dastoorpoor
Keyword(s):  
Randomized Controlled Trial ◽  
Postmenopausal Women ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
Moderate Depression ◽  
Before And After ◽  
The Mean ◽  
And Control

Abstract Objectives Postmenopausal women are at greater risk of depression. Depression may negatively affect the quality of life of women. An emotional freedom technique (EFT) is an evidence-based therapy combining cognitive and exposure components with acupressure. This study aimed to evaluate the effect of EFT on depression in postmenopausal women. Methods This was a randomized controlled trial in which 88 women with mild to moderate depression recruited from a menopausal clinic in Ahvaz, Iran, and randomly assigned into two groups of EFT (n=44) and control for sham therapy (n=44). Women in the EFT group received two sessions of training and asked to continue EFT for 8 weeks, one time per day. The Beck Depression Inventory (BDI2) completed by women before and after the intervention. The control group received training on sham acupressure points similar to the intervention group. Data collected using a demographic and BDI2. Women requested to complete the BDI2 before and after the intervention. The independent t-test, chi-square, and ANCOVA were used to analyze data. Results The mean depression score in the intervention group reduced from 20.93 ± 4.6 to 10.96 ± 4.38 in comparison to the control group that reduced from 19.18 ± 2.79 to 17.01 ± 6.05 after intervention (p=0.001). After the 8 week intervention, the frequency of moderate depression decreased from 56.8 to 9.35% in the intervention and from 50 to 29.5% in the control group. In total, 63.4 and 34.15% in the intervention and control groups were free of depression respectively after the intervention (p<0.001). Conclusions The results of this study showed that using EFT for 8 weeks could significantly reduce the mean score of depression in postmenopausal women. Using this method in public health centers for postmenopausal women is recommended.

scholarly journals Effect of Continues Midwifery Support in Labor on the Childbirth Experience and Self-Esteem of Primipara Women: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Nasrin Soleimani ◽  
Mansoureh Refaei ◽  
Farideh Kazemi
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Esteem ◽  
Control Group ◽  
Randomized Controlled ◽  
Childbirth Experience ◽  
Cohen’S D ◽  
The Mean ◽  
Cohen's D

Abstract Background: The World Health Organization states that mothers during labor and delivery should be supported by people with whom they feel comfortable, because one of the non-pharmacological methods of relieving labor pain is the continued support of midwives in labor. The primary objectives of this study were to determine the effect of continuous midwifery support in labor on delivery experience and self-esteem of nulliparous women 6 weeks after delivery.Methods: This randomized controlled trial was performed in 2021 on 70 pregnant women admitted to the delivery ward who met the inclusion criteria. Participants were randomly allocated to two groups through balanced block randomization with a block size of 4. Participants completed a demographic and midwifery information questionnaire before entering the study. In the intervention group, in addition to routine labor care, the researcher was present at the mother's bedside and was present with the mother continuously throughout the labor and up to 2 hours after delivery and provided the necessary support. The control group received only routine labor and postpartum care. Six weeks after delivery, participants in both groups were contacted to complete the CEQ and Rosenberg self-esteem questionnaires. Finally, data were collected and analyzed. Significance level was considered 0.05.Results: By controlling the effect of duration of the first and second stages of labor as potential confounders, the mean (sd) of childbirth experience 6 weeks after delivery was 70.92 (7.07) in the intervention group and 59.69 (7.08) in the control group, and this difference was statistically significant (p <0.001). The amount of effect size indicates a very strong effect of the intervention on improving the childbirth experience (Cohen’s d = 1.69; 95% CI: 1.12, 2.26). Comparison of the mean of maternal self-esteem showed that this rate in the intervention group was 2 scores higher than the control group and this difference was statistically significant (p = 0.05). Cohen's d indicates the average effect of intervention on mothers' self-esteem score (Cohen's d = 0.56; 95% CI: 0.06, 1.05).Conclusions: Continuous support of the midwife in labor and up to 2 hours after delivery can lead to a better childbirth experience and increase the mother's self-esteem up to 6 weeks after delivery.Trial registration: IRCT ID: IRCT20201102049233N1, First Registration date: 2021-06-04

scholarly journals The Effect of the Web-Based Communication between a Nurse and a Family Member on the Perceived Stress of the Family Member of Patients with Suspected or Confirmed COVID-19: A Parallel Randomized Clinical Trial

2021 ◽  
pp. 105477382110176
Author(s):  
Esmail Shariati ◽  
Ali Dadgari ◽  
Seyedeh Solmaz Talebi ◽  
Gholam Reza Mahmoodi Shan ◽  
Hossein Ebrahimi
Keyword(s):  
Family Member ◽  
Perceived Stress ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Web Based ◽  
Randomized Controlled ◽  
The Family ◽  
Before And After ◽  
The Mean

The aim of this study was to identify the effect of web-based communication between a nurse and a family member of a patient with COVID-19 on his/her perceived stress. In this multicenter parallel randomized controlled trial, 67 family members of COVID-19 patients admitted to the Intensive Care Unit (ICU) were investigated. In the intervention group, web-based communication was performed for four consecutive days for 10 to 15 minutes. The Perceived Stress Scale (PSS-14) were completed in both groups before and after the intervention. Mean and standard deviation of perceived stress scores in the two groups were not significantly different ( p = 0.26) before the intervention; however, after the intervention, the mean PSS-14 in the intervention group was significantly lower than that of the control group ( p < 0.001). Due to the need to follow the physical and social distancing to protect against Coronavirus disease, the use of web-based communication recommended in future studies.

Patients’ Acceptability of Computer-Based Information on Hypodontia: A Randomized Controlled Trial

2018 ◽  
Vol 3 (3) ◽  
pp. 246-255
Author(s):  
A. Ben Gassem ◽  
R. Foxton ◽  
D. Bister ◽  
J.T. Newton
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Intervention Group ◽  
Care Facility ◽  
Control Group ◽  
Randomized Controlled ◽  
Education Material ◽  
Computer Based ◽  
The Mean ◽  
Evaluation Inventory

Objectives: To compare patients’ acceptability of a hypodontia-specific interactive computer-based education material (ICB-EM) versus a British Orthodontic Society (BOS) hypodontia leaflet. Trial Design: Two-arm parallel randomized controlled trial, 1:1 allocation ratio. Methods: The study was conducted at a specialized secondary care facility in the Greater London area. Ninety-six new hypodontia patients aged 14 y and older were randomly assigned to the control group ( n = 49) receiving the BOS leaflet or the intervention group ( n = 47) receiving the ICB-EM. The main outcome measure was patients’ evaluation of the intervention measured by the treatment evaluation inventory. Results: The analyzed sample comprised 76 participants: control group ( n = 38) and intervention group ( n = 38). The mean age of the sample was 19 y (SD = 7.24) and 20.3 y (SD = 6.9) for the control and intervention group, respectively. The intervention group was significantly more satisfied with the ICB-EM than individuals who received the BOS leaflet ( t = −3.53, P = 0.001). Conclusion: Patients preferred the computer-based information. Knowledge Transfer Statement: Patients attending dental care in the 21st century are adept in the use of computerised facilities for obtaining information. The results of the study will provide valuable evidence for clinicians on the level of acceptability of the patients toward interactive computer based health education as opposed to traditional paper leaflets.

scholarly journals The Effect of Pillbox Use on Medication Adherence Among Elderly Patients: A Randomized Controlled Trial

2020 ◽  
Vol 9 (1) ◽  
pp. 38-43
Author(s):  
Ashraf Mehdinia ◽  
Marzieh Loripoor ◽  
Mahlagha Dehghan ◽  
Shahin Heidari
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Medication Adherence ◽  
Cardiovascular Diseases ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
The Mean ◽  
Poor Medication Adherence

Background: Poor medication adherence may cause unfortunate consequences such as disease progression and even death, particularly in older adults. This study aimed to evaluate the effect of pillbox use on medication adherence among older adults with cardiovascular diseases. Materials and Methods: This study was conducted as a two-group randomized controlled trial in a clinic in Kerman, Iran in 2017. Participants included seventy patients who were randomly allocated to either a control or an intervention group. The patients in the intervention group were verbally educated to manage their medications using a pillbox for four consecutive weeks while their counterparts received their medications without the use of any drug reminders. Results: The mean score of all participants’ medication adherence was 4.02±2.19 at the beginning of the study. Medication adherence significantly improved in the intervention group during the study (P<0.001) while it remained poor in the control group (P>0.99). Finally, medication adherence was significantly better in the intervention group compared to the control group at the end of the study (P=0.001). Conclusion: In general, pillbox use can promote medication adherence in older adults with cardiovascular diseases thus it is recommended for improving medication adherence and minimizing the consequences of non-adherence.

Driving Intervention for Returning Combat Veterans

2016 ◽  
Vol 37 (2) ◽  
pp. 62-71 ◽  
Author(s):  
Sherrilene Classen ◽  
Sandra Winter ◽  
Miriam Monahan ◽  
Abraham Yarney ◽  
Amanda Link Lutz ◽  
...  
Keyword(s):  
Traffic Safety ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
High Fidelity ◽  
Personal Factors ◽  
Safety Education ◽  
Randomized Controlled ◽  
Safety Research ◽  
Post Test

Increased crash incidence following deployment and veterans’ reports of driving difficulty spurred traffic safety research for this population. We conducted an interim analysis on the efficacy of a simulator-based occupational therapy driving intervention (OT-DI) compared with traffic safety education (TSE) in a randomized controlled trial. During baseline and post-testing, OT-Driver Rehabilitation Specialists and one OT-Certified Driver Rehabilitation Specialist measured driving performance errors on a DriveSafety CDS-250 high-fidelity simulator. The intervention group ( n = 13) received three OT-DI sessions addressing driving errors and visual-search retraining. The control group ( n = 13) received three TSE sessions addressing personal factors and defensive driving. Based on Wilcoxon rank-sum analysis, the OT-DI group’s errors were significantly reduced when comparing baseline with Post-Test 1 ( p < .0001) and comparing the OT-DI group with the TSE group at Post-Test 1 ( p = .01). These findings provide support for the efficacy of the OT-DI and set the stage for a future effectiveness study.

Application of Plastic Wrap to Improve Temperatures in Infants Born Less Than 30 Weeks Gestation: A Randomized Controlled Trial

2013 ◽  
Vol 32 (4) ◽  
pp. 235-245 ◽  
Author(s):  
Jacqueline Smith ◽  
Kim Usher ◽  
Gary Alcock ◽  
Petra Buettner
Keyword(s):  
Randomized Controlled Trial ◽  
Neonatal Intensive Care ◽  
Controlled Trial ◽  
Intervention Group ◽  
Temperature Management ◽  
Outcome Variable ◽  
Control Group ◽  
Randomized Controlled ◽  
The Mean ◽  
Nicu Admission

Purpose: The primary aim of the study was to evaluate whether the application of a plastic wrap immediately after birth is more effective than the standard care of temperature management for improving admission temperatures to the neonatal intensive care unit (NICU) in infants <30 weeks gestation.Design: A randomized controlled trial was conducted. Infants in the intervention group were transferred to a prewarmed radiant heater immediately after birth and encased in NeoWrap from the neck down without being dried. The infant’s head was dried with a prewarmed towel and a hat added. The control group received usual care for the unit; the infant was transferred to the prewarmed radiant warmer and dried, and warm towels and a hat are then applied.Sample: A total of 92 infants were analyzed: 49 in the control group and 43 in the intervention group; 48 (52.2 percent) were <27 weeks gestation, and 44 (47.8 percent) were <30 weeks gestation. The infants’ temperatures were assessed for two hours following admission.Main Outcome Variable: The application of a plastic wrap and hat significantly increased NICU admission temperature in infants <30 weeks gestation.Results: Of the 92 infants, 43 (51.2 percent <27 weeks and 48.8 percent <30 weeks) were randomized to the experimental group and 49 (53.1 percent <27 weeks and 46.9 percent <30 weeks) to the control group. The mean first temperature was 36.15°C (SD = 0.85) for intervention and 35.81°C (SD = 0.91) for control infants (p=.074); whereas the respective admission temperatures were 36.26°C (SD = 0.68; n = 42) and 35.79°C (SD = 0.77; n = 44; p=.004). The mean temperature of the infants rose steadily from the time of birth to two hours follow-up in both the intervention (36.15°–37.03°C; SD = 0.49; n = 40) and control groups (35.81°–36.75°C; SD = 0.70; n = 47; p<.001, respectively).

scholarly journals Effectiveness of role-play in hazard prediction training for nursing students: A randomized controlled trial

2017 ◽  
Vol 8 (2) ◽  
pp. 1 ◽  
Author(s):  
Yasuyo Sato ◽  
Sachiko Okamoto ◽  
Kazunori Kayaba ◽  
Hiroaki Nobuhara ◽  
Keiko Soeda
Keyword(s):  
Patient Safety ◽  
Nursing Education ◽  
Nursing Students ◽  
Simulation Training ◽  
Role Play ◽  
Risk Sensitivity ◽  
Safety Education ◽  
Randomized Controlled ◽  
Group I ◽  
Patient Safety Education

Objective: Patient safety education in nursing education is a matter of worldwide concern. Various simulation training has been introduced into patient safety education. It is difficult for nursing students to fully understand the situation of scenarios in simulation training. Having attempted to solve the problem, educators have used the illustrations, videos and manikins. Role-play is widely used in simulation training in nursing education. As to patient safety education, few randomized controlled trials (RCTs) have reported the effectiveness of role-play compared with traditional situational presentation methods such as illustrations and videos. Therefore, we performed an RCT to examine the effectiveness of role-play compared with illustrations using hazard prediction training (Kiken-Yochi-Training; KYT) which is one of simulation training widely used in Japan.Methods: The participants were 94 second-year nursing students. All students were randomly allocated to a role-play group (R-group) or an illustrations group (I-group). Participants were asked to complete the risk sensitivity scale for nursing students before and after KYT. After KYT, all participants were asked to undergo a hazard prediction test. Linear mixed models were used to examine differences in the scale scores within and between intervention groups.Results: Participants in the R-group had a significantly higher number of hazard prediction points than those in the I-group (R-group: 2.50 ± 1.07, I-group: 1.77 ± 0.95, p = .001). Scores were significantly increased on the risk sensitivity scale for nursing students in both groups, while no significant differences were seen in score increments between the groups.Conclusions: The results of our randomized study showed that effectiveness of role-play in hazard prediction training in university-based nursing education. Our study also suggested KYT increased risk sensitivity among nursing students, and that this effect was not affected by the situation presentation method, role-play or illustration.

scholarly journals The effect of self-care counseling on health practices of adolescent pregnant women: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ronya Rezaie ◽  
Sakineh Mohammad-Alizadeh-Charandabi ◽  
Fatemeh Nemati ◽  
Mojgan Mirghafourvand
Keyword(s):  
Randomized Controlled Trial ◽  
Pregnant Women ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Care ◽  
Control Group ◽  
Health Practices ◽  
Randomized Controlled ◽  
Link Type ◽  
The Mean

Abstract Background Pregnancy and childbirth at an early age are associated with potential risks and complications for adolescent mothers. Health practices are behaviors that can positively affect maternal and fetal health. This study aimed to investigate the effects of self-care counseling on health practices (main outcome), attitudes towards motherhood and pregnancy, and pregnancy symptoms (secondary outcomes) in adolescent pregnant women. Methods In this randomized controlled trial, 54 adolescent pregnant women admitted to the health centers of Bukan, Iran in 2020 were enrolled. Using randomized block design, the participants were randomly assigned to the counseling (n=27) and control (n=27) groups. Those in the intervention group attended 6 self-care group counseling sessions. The Health Practices Questionnaire-II (HPQ-II), Attitudes towards Motherhood and Pregnancy Questionnaire (PRE-MAMA), and Pregnancy Symptoms Inventory (PSI) were completed before and 4 weeks after the intervention. Results Based on the results of ANCOVA with controlled baseline values, after the intervention the mean health practices score of the participants in the intervention group was significantly higher than those in the control group (adjusted mean difference (AMD): 36.34; 95% CI: 34.69 to 37.98; P<0.001). The mean attitude towards motherhood score of the participants in the intervention group was significantly higher than those in the control group (AMD: 1.01; 95% CI: 0.06 to 1.96; P= 0.038). However, the mean pregnancy symptoms score of the participants in the intervention group was partially lower than those in the control group (AMD: -1.37; 95% CI: -4.32 to 1.58; P= 0.354). Conclusion Self-care counseling sessions can improve the health practices of adolescent pregnant women and enhance their attitudes towards maternal role and pregnancy. Therefore, planners are recommended to organize self-care counseling programs for all pregnant women, especially for adolescent pregnant women. Trial registration Iranian Registry of Clinical Trials (IRCT): IRCT20120718010324N54. Date of registration: 2/3/2020. URL: https://en.irct.ir/user/trial/42571/view; Date of first registration: February 3, 2020.

Effects of pressure garment on spasticity and function of the arm in the early stages after stroke: a randomized controlled trial

2020 ◽  
Vol 34 (4) ◽  
pp. 515-523
Author(s):  
Hwa Kee Ooi ◽  
Siaw Chui Chai ◽  
Masne Kadar
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
Early Stages ◽  
Modified Ashworth Scale ◽  
The Mean ◽  
And Function ◽  
Ashworth Scale

Objective: To investigate the effects of pressure (Lycra) garment on the spasticity and function of the arm in the early stages after stroke. Design: A randomized controlled trial. Setting: Occupational therapy unit of a public hospital. Subjects: A total of 46 adults with stroke. Intervention: After random assignment, for six weeks, both intervention group and control group received a 2 hour/week conventional occupational therapy program, with the intervention group receiving an extra 6 hour/day pressure garment application (long glove). Main Measures: Modified Modified Ashworth Scale, Disabilities of Arm, Shoulder and Hand Outcome Measure, and Jebsen–Taylor Hand Function Test. Eligibility measures: Mini Mental State Examination and Modified Modified Ashworth Scale. Assessments were performed at baseline and six weeks postintervention. Results: There were 21 participants with the mean age of 51.19 (8.28) years in the intervention group and 22 participants with the mean (SD) age of 52.82 (8.71) years in the control group. The intervention group had median (interquartile range (IQR)) post-stroke duration of 1 (1) month, while for the control group, they were 2 (2) months. There was no difference in spasticity, and both perceived and actual arm functions between the groups at six weeks after baseline. Conclusion: Wearing a pressure garment on the arm for 6 hours daily had no effect in controlling spasticity or on improving arm function in the early stages after stroke.

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