scholarly journals A delirium prevalence audit and a pre and post evaluation of an interprofessional education intervention to increase staff knowledge about delirium in older adults

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Beverley Ewens ◽  
Karla Seaman ◽  
Lisa Whitehead ◽  
Amanda Towell-Barnard ◽  
Michelle Young
Keyword(s):  
Interprofessional Education ◽  
Assessment Tool ◽  
Subscale Score ◽  
Adverse Outcomes ◽  
Education Intervention ◽  
Chi Square ◽  
Delirium Assessment ◽  
Post Evaluation ◽  
Significant Difference ◽  
Level Of Knowledge

Abstract Background Delirium is more prevalent in older people and estimated to occur in up to 50% of the hospital population. Delirium comprises a spectrum of behaviours, including cognitive and attention deficits, and fluctuating levels of consciousness, often associated with an underlying physiological disturbance. Delirium has been increasingly associated with adverse outcomes. Although often preventable or can at least be mitigated, delirium may not be a standard part of assessment and thus may not be recognized in the early stages when it is most likely to be treated successfully. The aim of this study was to evaluate the level of knowledge of delirium amongst clinicians caring for patients at high risk of developing delirium and to determine whether education can improve clinical assessment of delirium. Methods Two hundred and forty-six case notes were audited before and 149 were reviewed after the education intervention and implementation of a delirium screening tool. Clinicians at the hospital were invited to complete a questionnaire on knowledge of delirium. The questionnaire was based on a validated tool which contained 39 questions about delirium. The questionnaire also contained 28 questions on delirium knowledge. Additional questions were included to gather demographic information specific to the hospital. Descriptive statistics, chi square and independent t-tests were conducted to test for differences in knowledge between the pre and post periods. The Squire Checklist Reporting Guidelines for Quality Improvement Studies informed the preparation of the manuscript. Results The audit demonstrated that the use of a cognitive assessment tool overall increased from 8.5% in pre education to 43% in the post education period. One hundred and fifty-nine staff completed the questionnaire in total, 118 the pre and 41 post. The knowledge subscale score was high pre and post education and no statistically significant difference was observed. The greatest increase in knowledge was related to knowledge of the risk factors subscale. The increase in knowledge (6.8%) was statistically significant. Conclusion An interprofessional approach to delirium education was effective in not only increasing awareness of the factors associated with this syndrome but also increased the use of a delirium assessment tool.

scholarly journals Delirium Assessment in Acute Stroke: A Systematic Review and Meta-Analysis of Incidence, Assessment Tools, and Assessment Frequencies

2019 ◽  
Vol 11 ◽  
pp. 117957351989708
Author(s):  
Jannik Stokholm ◽  
Janni Vagner Steenholt ◽  
Claudio Csilag ◽  
Troels Wesenberg Kjær ◽  
Thomas Christensen
Keyword(s):  
Health Professional ◽  
Acute Stroke ◽  
Assessment Tool ◽  
Meta Analysis ◽  
Assessment Tools ◽  
Significant Heterogeneity ◽  
Chi Square ◽  
Delirium Assessment ◽  
Retrospective Cohort Studies ◽  
Assessment Frequency

Purpose: The purpose of this systematic literature review was to examine whether different assessment methods contribute to the variance in delirium incidence detected in populations of patients with acute stroke. Specifically, the aim was to address the influence of (1) choice of assessment tool, (2) frequency of assessment, and (3) type of health professional doing the assessment. Methods: We searched MEDLINE, EMBASE, and PsycINFO and included pro- and retrospective cohort studies assessing delirium during hospitalization of adult acute stroke patients. Results: In 30 articles, 24 unique populations were identified and included in the review. Delirium incidence ranged from 1.4% to 75.6% in total and a chi-square test showed a significant heterogeneity across studies (χ2 = 536.5, df = 23, P < .0001). No studies had an assessment for delirium before a patient entered the study. No specific patterns regarding the influence of tool, assessment frequency or health professional were discernible. Discussion: Subgroups analyses were not conducted due to the heterogeneity across studies. Studies comparing delirium assessment tools directly with each other are needed. Conclusions: Delirium is a common complication in acute stroke. No firm conclusions about a possible correlation of choice of tool, assessment frequency, and delirium incidence could be made due to the great heterogeneity of the study populations. Only 1 study compared 2 tools directly with each other. Further studies comparing delirium assessment tools directly with each other are needed.

scholarly journals A study to assess the knowledge on weaning practice among postnatal mothers

2020 ◽  
Vol 11 (3) ◽  
pp. 3601-3605
Author(s):  
Beautily V
Keyword(s):  
Demographic Data ◽  
Sampling Technique ◽  
Demographic Variables ◽  
Family Status ◽  
Chi Square ◽  
Number Of Children ◽  
Adequate Knowledge ◽  
Significant Difference ◽  
Level Of Knowledge ◽  
Female Baby

The purpose of the study was to assess the knowledge regarding weaning among the working mothers and to find the association between the level of knowledge regarding weaning among mothers of infant with their selected demographic variables. Descriptive approach will be used to conduct the study. Non experimental descriptive design will be adopted for the study. Study was conducted in selected area at kuthambakkam. The mothers who are having infants and residing in kuthambakkam. The mother who has only one baby, whose age is less than one year, was the study samples. The sample size was 30 mothers of infant. The sampling technique adopted for the study was non probability purposive sampling. Regarding demographic data 25 (83.33%) women are between the age of 24-30 years, most of them are having 1-2 (86.66%) number of children. Family status in that 27 (90%) of the women they are in middle class family and the religious 20(66.66%) of the women they are in Hindu. Out of 30 women in that 21 (70) of the women they are having female baby. Regarding the level of knowledge 22 (73.33%) women’s are having adequate knowledge, 5(16.66%) women’s are having moderate knowledge and then 3(10%) women’s are having inadequate knowledge. The association was done by using chi-square test there is significant association between knowledge with variable education and occupation at p = (0.05) significant levels. There is no significant difference with other demographic variables.

scholarly journals Application of a Simulation-Based Interprofessional Teamwork Assessment Tool (SITAT) to Individual Student Performance in a Team-Based Simulation

2021 ◽  
Vol 8 ◽  
pp. 238212052110424
Author(s):  
Brittany J Daulton ◽  
Laura Romito ◽  
Zach Weber ◽  
Jennifer Burba ◽  
Rami A Ahmed
Keyword(s):  
Student Performance ◽  
Internal Consistency ◽  
Interprofessional Education ◽  
Interrater Reliability ◽  
Assessment Tool ◽  
Individual Performance ◽  
Individual Student ◽  
Interprofessional Teamwork ◽  
Significant Difference ◽  
Simulation Based

There are a very limited number of instruments to assess individual performance in simulation-based interprofessional education (IPE). The purpose of this study was to apply the Simulation-Based Interprofessional Teamwork Assessment Tool (SITAT) to the individualized assessment of medicine, pharmacy, and nursing students (N = 94) in a team-based IPE simulation, as well as to explore potential differences between disciplines, and calculate reliability estimates for utilization of the tool. Results of an analysis of variance provided evidence that there was no statistically significant difference among professions on overall competency ( F(2, 91)  =  0.756, P  = .472). The competency reports for nursing ( M = 3.06, SD = 0.45), medicine ( M = 3.19, SD = 0.42), and pharmacy ( M = 3.08, SD = 0.49) students were comparable across professions. Cronbach's alpha provided a reliability estimate of the tool, with evidence of high internal consistency ( α = .92). The interrater reliability of the SITAT was also investigated. There was moderate absolute agreement across the 3 faculty raters using the 2-way mixed model design and “average” unit (kappa = 0.536, P = .000, 95% CI [0.34, 0.68]). The novel SITAT demonstrates internal consistency and interrater reliability when used for evaluation of individual performance during IPE simulation. The SITAT provides value in the education and evaluation of individual students engaged in IPE curriculum.

scholarly journals Foods to Avoid While Breastfeeding? Experiences and Opinions of Polish Mothers and Healthcare Providers

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1644
Author(s):  
Karolina Karcz ◽  
Izabela Lehman ◽  
Barbara Królak-Olejnik
Keyword(s):  
Logistic Regression ◽  
Healthcare Providers ◽  
Elimination Diet ◽  
Chi Square ◽  
Electronic Survey ◽  
Lactating Mothers ◽  
Significant Difference ◽  
Chi Square Test ◽  
Level Of Knowledge ◽  
Medical Healthcare

Popular beliefs regarding a mother’s diet during lactation have a significant impact on breastfeeding practices among mothers, as well on breastfeeding counseling among healthcare providers worldwide. The objective of this study was to assess mothers’ and medical professionals’ knowledge and opinions on the “lactating mother’s diet”. An electronic survey, prepared in Polish, was administered to healthcare providers, as well as mothers who have breastfed a child. The chi-square test, logistic regression, and Mann Whitney U test were used for statistical calculations. Out of a total of 1180 responses received, 1159 were analyzed, and 21 were excluded because they did not meet the inclusion criteria. The survey was completed by 407 (35%) medical healthcare providers and 752 (65%) lactating mothers in non-medical professions. In total, the study included 1074 mothers who have breastfed a child, and 29.14% of them reported that they eliminated certain foods from their diet when breastfeeding. There was no statistically significant difference in the responses received from mothers and medical staff providing maternal care (for each of 17 products, e.g., steak tartare, sushi, legumes, dairy products, p > 0.05 by the Mann-Whitney test). However, a logistic regression revealed some significant correlations with other variables (e.g., duration of lactation). The respondents revealed an appropriate level of knowledge on nutrition during lactation and the majority of participants neither adhered to nor recommended a prophylactic elimination diet. Among other evaluated factors, the experience of following an elimination diet affected respondents’ knowledge of nutrition during breastfeeding. Both mothers and healthcare providers require good nutritional education.

scholarly journals The Fitness Barometer: A Best Practice Example for Monitoring Motor Performance With Pooled Data Collected From Practitioners

2021 ◽  
Vol 9 ◽  
Author(s):  
Tanja Eberhardt ◽  
Klaus Bös ◽  
Claudia Niessner
Keyword(s):  
Motor Performance ◽  
Best Practice ◽  
Assessment Tool ◽  
Age Groups ◽  
Mean Value ◽  
Assessment Tools ◽  
Chi Square ◽  
Motor Test ◽  
Significant Difference ◽  
Chi Square Test

Introduction: Motor Performance (MP) in children is an important resource for their future active lifestyle and health. Monitoring of MP is crucial to derive information of trends and to implement specific programs on the base of current MP levels. A variety of MP assessment tools exist, making it difficult to determine a “gold-standard” for assessment and to compare the findings. In Germany, the German Motor Test 6–18 (GMT 6–18) and Kinderturntest Plus 3–10 (KITT+ 3–10) are widely used MP assessment tools. The aim of this paper is to show which key questions can be answered within the context of a best practice example of a MP assessment tool and what can be derived from this for a practical application (the Fitness Barometer).Methods: The raw data of the Fitness Barometer was collected with the MP assessment tools GMT 6–18 and KITT+ 3–10 from 2012 through 2020. Data was pooled anonymously with the e-Research infrastructure MO|REdata and categorized into percentiles for MP and BMI. Overall, we included data of 23,864 children for the statistical analyses. T-tests for independent samples, percentage frequency analysis, descriptive statistics (chi- square-test) and single analysis of variance were conducted.Results and Discussion: Children tested reached a mean value of 57.03 (SD = 18.85). Of the sample, 12.7% children were overweight or obese and there is a significant difference between age groups [χ(4)2 = 178.62, p &lt; 0.001, Cramer V = 0.09; n = 23.656]. The relationship between BMI category and mean value of MP was significant [F(4,19,523) = 224.81, p &lt; 0.001]. During 2020, the year of the COVID-19 pandemic, mean value of endurance and speed decreased [Welch's F(1,573) = 8.08, p = 0.005; Welch's F(1,610) = 35.92, p &lt; 0.001]. The GMT 6–18 and KITT+ 3–10 are valid, objective, reliable, and economic MP assessment tools for monitoring MP levels and derive added practical value. Specific programs and interventions should focus on the findings of these. The Fitness Barometer is a best practice example how a standardized assessment tool of monitoring MP point to trends on which practical evidence-based suggestions can be derived with many various partners and expertise.

scholarly journals A Comparison of the Knowledge of Alzheimer’s Disease among Community Pharmacists Based on Regional Practice Setting Using the Alzheimer’s Disease Knowledge Scale (ADKS)

2021 ◽  
Vol 12 (3) ◽  
pp. 8
Author(s):  
Jenna Stearns ◽  
Rachel Burgoon ◽  
Zachary Sahadak ◽  
Beka Alazar ◽  
Marty L Eng
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Health Care Professionals ◽  
General Public ◽  
Assessment Tool ◽  
Community Pharmacists ◽  
Disease Knowledge ◽  
Significant Difference ◽  
Level Of Knowledge ◽  
Knowledge Scale

Alzheimer’s Disease (AD) is the most prevalent type of dementia and has a high prevalence in the aging population. Due to the requirements for care, it is valuable for members of the healthcare system to be knowledgeable about AD and its treatment. Community pharmacists are particularly valuable in assisting in AD care because of their accessibility to the general public and they are a source for dispensing AD medications. The purpose of this study is to assess the level of knowledge of AD among Ohio community pharmacists based on regional practice settings using the Alzheimer’s Disease Knowledge Scale (ADKS). A standardized, 30-question assessment tool known as the Alzheimer’s Disease Knowledge Scale exists to measure the level of knowledge of AD among a given population. Studies on AD knowledge have been conducted using this tool, and the use of this scale identifies major misconceptions about AD that could be addressed in education initiatives for both the general public and for health care professionals. This study implemented this tool to compare the knowledge of community pharmacists that serve rural areas to those that serve urban areas. The Ohio Board of Pharmacy provided a list of emails of community pharmacists to send an anonymous survey including both demographic questions and the ADKS. Statistical analyses including independent t-tests and descriptive statistics were conducted using SPSS to determine the significance of the data. This study found no statistically significant difference between urban versus rural community pharmacists. However, in the future we hope to identify specific questions that correlate to areas of AD where continuing education may be helpful in improving patient outcomes by enabling caregivers and healthcare providers with a more accurate understanding of AD.

scholarly journals Assessing Self-Reported Interprofessional Competency in Health-Care Education: Impact of New Curriculum

2016 ◽  
Author(s):  
Anthony Goreczny ◽  
Melissa Bednarek ◽  
Susan Hawkins ◽  
Mark Hertweck ◽  
Jodi Schreiber ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Small Group ◽  
Interprofessional Education ◽  
Assessment Tool ◽  
Study Data ◽  
Self Report ◽  
Single Factor ◽  
Interprofessional Communication ◽  
Group Case ◽  
Significant Difference

Purpose: The Interprofessional Education Collaborative Expert Panel (IPEC) has identified four competencies essential for interprofessional functioning in the health professions. Those four competencies are (a) values/ethics for interprofessional practice, (b) roles/responsibilities, (c) interprofessional communication, and (d) teams and teamwork. Design of effective curricula to develop competence in these skills will improve interprofessional functioning in healthcare. The purpose of this study at a small northeastern university was to examine impact of a small group interprofessional education (IPE) curriculum on student awareness of one of the competencies, understanding roles and responsibilities. Methods: The quantitative study data consisted of student completion of a 13-item self-report questionnaire based on the four competencies of IPE after participating in two interprofessional events in the same semester (one large group introductory event and one small group case event). Students were enrolled in professional educational programs, including counseling psychology, nursing, occupational therapy, physical therapy, and physician assistant. Students were divided into groups of 8-10 students from participating academic programs forming interprofessional groups. They completed a 13-item self-report questionnaire based on the four competencies after each of the two events. Results: Results of Multivariate Analysis of Variance (MANOVA) revealed a significant difference between the first and second events, multivariate F (13, 476) = 24.61, p = .000. Results of univariate ANOVAs revealed significant differences for each variable, with scores from the case study session higher on each item than scores for the opening event. Factor analysis of data from the opening event yielded a single factor, which accounted for 63.4% of the variance in the scale. Factor analysis of data from the small group case event also yielded a single factor accounting for 65.9% of scale variance. Cronbach’s alpha revealed a very high internal consistency of .951 and.952, for the two events respectively. Conclusions: IPE events can positively increase self-report measures of IPE competencies. The assessment tool used may have measured one overarching construct of collaboration. The tool represents an initial effort toward measurement of each of the four specific competencies, an area in need of refinement. This study demonstrated impact of IPE events housed within an IPE curriculum.

scholarly journals Investigating the Level of Knowledge of the Community about Oral and Dental Health

2020 ◽  
Author(s):  
Sinem Birant ◽  
Mine Koruyucu ◽  
Hazal Ozcan ◽  
Ceren Ilisulu ◽  
Yelda Kasimoglu ◽  
...  
Keyword(s):  
Dental Health ◽  
Data Entry ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Education Levels ◽  
Chi Square Test ◽  
Level Of Knowledge ◽  
Study Participants

Abstract Objectives This study aimed to determine the knowledge and approaches of the participants about oral and dental health. Materials and Methods This was a questionnaire-based cross-sectional survey. Participants’ demographic characteristics, tooth brushing habits, selection of toothpaste, and reasons for visiting the dentist were examined in this study. Participants’ knowledge levels of fluoride and their attitudes toward the most common fluoride applications among preventive treatments were also evaluated. Data entry and analyses were performed using SPSS statistical software. Descriptive and inferential statistics and chi-square test were used for analyzes. Results A total of 2,744 voluntary participants including 1,938 (70.6%) females and 806 (29.4%) males responded; 1,391 (50.7%) participants know the contents of their toothpaste; 1,680 (61.2%) participants point out that fluoride is effective in preventing dental caries. Female participants reported a statistically significant difference in their knowledge of what is fluoride when compared with male participants (p = 0.0001). The knowledge level of participants who had higher levels of education were statistically significantly different when compared with the participants who had lower education levels about fluoride and fluoride applications (p = 0.0001). Conclusions The results of this study indicate that participants’ attitudes toward oral health and dental care need to be improved.

Evaluation of Knowledge, Attitude, Practice concerning Oral Cancer amongst Dental Undergraduates

2021 ◽  
Author(s):  
Pawan Pawar ◽  
Ashwini Bhangale ◽  
Rohan Narwade
Keyword(s):  
Oral Cancer ◽  
Dental Students ◽  
Management Skills ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Significant Difference ◽  
Level Of Knowledge ◽  
Knowledge Attitude And Practice

Oral cancer is an important aspect of dentistry and should be screened for daily in day to day practice. A systematic cross-sectional survey was conducted. 183 dental students participated in the study by answering a self- administered validated questionnaire. The questionnaire consisted of sixteen questions, relating to the knowledge, attitude and practice. The statistical analysis was conducted using Pearson’s chi-square testing.73.8 % of students had accurate overall knowledge regarding Oral Cancer, which was satisfactory. About 32.2% of students claimed to have adequate up-to-date knowledge regarding the prevention and detection of oral cancer. 81.4% students had appropriate attitude towards Oral Cancer. 88% of students employed apposite practice management skills with respect to examining patients for any cancerous lesions and took efforts for counselling the patient. Yet, 97.8% of students demanded additional training regarding identification and prevention of oral cancer.The study suggestively indicated that the dental students have satisfactory knowledge, attitude and are cognizant in examining for symptoms of oral cancer. No significant difference between knowledge /attitude/ practices about oral cancer amongst the three undergraduate years. Additionally, innovative and didactically orientated programmes should be reinforced to upsurge awareness which will aid in timely detection.The main objective of the study was to assess the level of knowledge, attitude, practice concerning oral cancer amongst undergraduate dental students of Maharashtra Institute of Dental Sciences & Research Dental College, Latur, Maharashtra, India. Key-words: Attitude, Dental students, Knowledge, Oral cancer, Practice.

scholarly journals Awareness and Health Beliefs of Osteoporosis among Middle Aged Women in Selected Municipality of Kathmandu

2020 ◽  
Vol 3 (2) ◽  
pp. 14-21
Author(s):  
Sarita Panta ◽  
Sarita Adhikari ◽  
Anju Gurung ◽  
Bimala Pandey ◽  
Amuba K.C. ◽  
...  
Keyword(s):  
Health Beliefs ◽  
Assessment Tool ◽  
Health Belief ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Subscale Score ◽  
Major Public Health Problem ◽  
Middle Aged ◽  
Chi Square ◽  
Cross Sectional

Introduction: Osteoporosis is a bone disorder characterized by a reduction in bone density accompanied by increasing porosity and brittleness. It is one of the major public health problem globally and its prevalence is rapidly increasing particularly in women. Osteoporosis causes more than 8.9 million fractures annually, resulting in an osteoporotic fracture every 3 seconds. Therefore the objectives of the study was to assess the existing awareness and health belief of osteoporosis among middle aged women. Methods: Descriptive cross-sectional research design was used on a sample of 328 middle aged women residing in Nagarjun Municipality, Kathmandu. Non probability purposive sampling technique was used to collect the data. Data was collected after informed consent through face to face interview schedule using Osteoporosis Knowledge Assessment Tool (OKAT) and Osteoporosis Health Beliefs Scale (OHBS). Descriptive statistics and inferential statistics (Chi-Square test) were used for data analysis at 5% level of significance. Results: The overall osteoporosis awareness and health beliefs mean scores were9.39 ± 2.93 and 146.18 ±11.58 respectively. Majority(60.0%) of the respondents were unaware of osteoporosis. Existing awareness of respondents was significantly associated with age (p<0.001and level of education (p<0.038). Based on the OHBS subscale score, the highest perception was on health motivation (22.73±2.81) and the lowest perception was on barriers to calcium intake (mean score 17.71±4.32). Conclusion: Based on the findings, it is concluded that the majority of middle aged women were unaware about osteoporosis. Education and age of women was significantly associated with level of awareness.

Sign in / Sign up

Export Citation Format

Share Document