Implementation of an improvement cycle in the care of a primary health care

ABSTRACT Objectives: to evaluate the effectiveness of a quality improvement cycle applied to the care of spontaneous demand in a primary care center. Methods: quasi-experimental before and after study, with a quantitative approach and no control group. An improvement cycle was carried out in a primary care center in the city of Guarabira/PB using five quality criteria. An evaluation, an intervention focused on the most problematic criterion and a reassessment were carried out. The samples were random (n = 60). The percentages and confidence intervals of compliance with each criterion were verified. Statistical significance was calculated using the Z test. Results: after the intervention, there was a significant improvement in two quality criteria of the care of spontaneous demand users (the user must be heard by a professional and go through the risk classification). Conclusions: the improvement cycle was an effective quality management method.

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PSYCHOEDUCATION INTERVENTION INCREASE ON THE ABILITY OF THE PRE-SENILE HYPERTENSION MANAGEMENT

Jurnal NERS ◽

10.20473/jn.v9i1.2980 ◽

2017 ◽

Vol 9 (1) ◽

pp. 66

Author(s):

Nyoman Sudja ◽

Meirina Meirina

Keyword(s):

Intervention Group ◽

Control Group ◽

P Value ◽

Control Group Design ◽

Before And After ◽

Post Test ◽

Quasi Experimental ◽

Physical Changes ◽

And Behavior ◽

The City

Introduction: Increasing age in pre-senile, causes a deterioration abilities and physical changes, including the cardiovascular system. Blood vessels lose their elasticity thus be increased peripheral vascular resistance that results in hypertension. This study aims to gain an idea of the effect on the ability of pre-senile people’s psychoeducation in the management of hypertension. Method: Quasi-experimental, the pre-post test with control group design, psychoeducation intervention with a sample size of 72 people . Result: The results showed signifi cant difference of pre-aged knowledge and behavior before and after getting psychoeducation intervention in the intervention group (p-value = 0.000 knowledge, and behaviors = 0.000) . Whereas in the control group there was no difference in knowledge (p-value = 0.896), but there are signifi cant differences in behavior of pre-senile people (p-value = 0.049). There are differences in knowledge and behavior after they were given psychoeducation intervention (post-test ) in the intervention group and the control group (p-value = 0.001 knowledge , behavior=0.018). Discussion: Psychoeducation had effect on the ability of pre-senile in the management of hypertension, so this program can be applied to groups of Posbindu for pre-senile people throughout the areas of the city of Bogor.Key words: psychoeducation, skills, pre-senile, hypertension

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Safety Education in a Pediatric Primary Care Setting

PEDIATRICS ◽

10.1542/peds.79.5.818 ◽

1987 ◽

Vol 79 (5) ◽

pp. 818-824

Author(s):

Barbara Kelly ◽

Carmen Sein ◽

Paul L. McCarthy

Keyword(s):

Primary Care ◽

Care Center ◽

Intervention Group ◽

Parental Knowledge ◽

Parental Participation ◽

Control Group ◽

Primary Care Center ◽

Safety Education ◽

The Mean ◽

Safety Knowledge

Parents of 171 children coming to the Yale-New Haven Hospital Primary Care Center for their 6-month checkup were randomized into an intervention group (n = 85) and a control group (n = 86). Parents in the intervention group received a three-part individualized course in child safety that required active parental participation. Parts 1, 2, and 3 were given at the 6-month, 9-month, and 12-month well-child visits, respectively. Parents in the control group received routine safety education as provided at well-child visits. The educational phase of the study was completed by 129 families, 65 in the intervention group and 64 in the control group. Safety knowledge, number of hazards in the home, and reported accidents were assessed by a "blinded" community health worker approximately 1 month after the 12-month well-child visit. A total of 109 home visits were made, 55 for the intervention group and 54 for the control group. Parental safety knowledge was assessed based upon pictorial hazard recognition. Of 13 possible hazards, the mean number of hazards recognized by the intervention group parents was 9.4 (n = 55) v 8.4 (n = 50) by the control group parents (t = 2.1, P < .05, two-tailed). A hazard score was determined for each family based on nine possible hazards observed at the home visit. The mean hazard score for the intervention group was 2.4 (n = 55 v 3.0 (n = 54) for the control group (t = 2.4, P < .02, two-tailed). Parentally reported accidents and accidents reported in hospital records were similar for both groups. Results of this study suggest that age-appropriate safety education that is repetitive and individualized and that requires active parental participation results in an increase in parental knowledge and an improvement in certain safety practices.

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Effectiveness of Counseling Provided by Primary Care Doctors and Nurses in Increasing Glaucoma Screening Rates

Journal of Ophthalmology ◽

10.1155/2014/306795 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6

Author(s):

Witold Rezner ◽

Anna Rezner ◽

Sławomir Dutkiewicz

Keyword(s):

Primary Care ◽

Care Center ◽

Control Group ◽

Primary Care Center ◽

Glaucoma Screening ◽

Successful Recruitment ◽

Counseling Group ◽

Significant Difference ◽

Primary Care Doctors ◽

Doctors And Nurses

Introduction.An effective screening that can prevent glaucoma-related blindness largely depends on successful recruitment. This study was to assess the effectiveness of one-on-one counseling carried out by primary care doctors and nurses to increase glaucoma screening rates.Material and Methods.The study, carried out in an urban primary care center, involved 308 persons aged 35–87 years who were assigned to a doctor’s, nurse’s, or control group (N=109, 110, and 89, resp.). Interventions by doctors and nurses included a brief one-on-one counseling session, while only a screening history was taken from controls. The number of people in each group with a positive screening status was assessed by telephone interview three months after the visit.Results.The percentage of persons in the nurse’s counseling group who claimed being subjected to screening was more than four times higher than in the control group (20.9% versus 4.5%,P=0.002). The doctor’s interventions resulted in almost a tripled screening rate as compared to the control group (12.8% versus 4.5%,P=0.052). There was no significant difference between screening rates in doctor’s and nurse’s groups(P= 0.212).Conclusions.In the studied population, counseling provided by nurses proved to be an efficacious method to encourage patients to undergo glaucoma screening.

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The Effectiveness of Assertiveness Training on Alexithymia and Self-Differentiation in Runaway Girls in the City of Mashhad, Iran

International Journal of Indian Psychology ◽

10.25215/0501.074 ◽

2017 ◽

Vol 5 (1) ◽

Author(s):

Farzaneh Zareei ◽

Abbas Nazemian

Keyword(s):

Control Group ◽

Test Results ◽

Assertiveness Training ◽

Post Test ◽

Quasi Experimental ◽

Low Levels ◽

Self Differentiation ◽

Differentiation Scale ◽

The City ◽

Experimental Group

Background: This study evaluates the effect of assertiveness training on alexithymia and self-differentiation in the city of Mashhad, in Iran, about runaway girls. Method: The sample consists of 24 girls (12-20 years old) The tools used in the study were: assertion questionnaire Rathus, self-differentiation scale of DSI and the Toronto alexithymia scale. The study is applied as a Quasi-experimental design with the unequal control group. The plan is similar to the control groups pretest and post-test. Results: Significance indexes Multivariate analysis (f=158.029, p<0.001) indicates that there are changes in alexithymia and self- differentiation with assertiveness training. The average assertion scores in the post-test had increased strongly (M=58.00). As well, the average self-differentiation score of the experimental group had a significant increase. The experimental group also had lower average scores of alexithymia. Conclusions: The results of the research showed that assertiveness training has a significant change in alexithymia and self-differentiation. It should be noted that the participants had run away from home due to various reasons relating to high levels of alexithymia and low levels of self-differentiation and assertiveness. During this training course, the girls with learning assertiveness made changes in the self-differentiation and alexithymia (M=196.00) (M=47).

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The effect of a warm compress of cinnamon on reducing pain in sufferers of arthritis gout

Jurnal Manajemen Asuhan Keperawatan ◽

10.33655/mak.v5i1.111 ◽

2021 ◽

Vol 5 (1) ◽

pp. 40-47

Author(s):

Maya Cobalt

Keyword(s):

Gouty Arthritis ◽

Intervention Group ◽

Pain Scale ◽

T Test ◽

Wilcoxon Test ◽

Control Group ◽

P Value ◽

Test Results ◽

Before And After ◽

Quasi Experimental

Background: One of the disorders experienced by gout arthritis sufferers is pain in the joints. Joint pain in patients with gouty arthritis occurs due to deposits of monosodiumuric crystals that accumulate in the joints as a result of high levels of gout arthritis in the blood. One of the interventions that can be given to reduce the pain scale in sufferers of gouty arthritis is the administration of warm cinnamon compresses. The essential oil in cinnamon bark contains eugenol, where eugenol has a very hot and spicy taste so it can open the skin's pores. So that pain can be reduced with the warm cinnamon compress. Purpose: The effect of the warm cinnamon compress aims to determine the benefits of the warm cinnamon compress to reduce the pain scale in sufferers of gout arthritis. Methods: This study used a quasi-experimental method with a pre and post control group approach. The sample in this study amounted to 50 respondents, the sample was taken by stratified random. Results: The results of the Wilcoxon test showed that the p value in the control group was 0.850 and the intervention group obtained a p value of 0.000. The results of the Paired T-test showed that the p value in the control group was 0.594 and the intervention group obtained a p value of 0.000. Independent T-test results obtained p value 0.000 <0.05, meaning that there is an effect of warm cinnamon compresses on reducing pain in patients with gout arthritis before and after giving warm cinnamon compresses between the intervention group and the control group. Conclusion: The warm cinnamon compress has an effect on reducing the pain scale in people with gouty arthritis. Keywords: gout arthritis, pain, cinnamon warm compress

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Promoting Students' Understanding of the Concept of Pressure: Active Learning Environment versus Traditional One

Mimbar Sekolah Dasar ◽

10.17509/mimbar-sd.v7i3.29391 ◽

2020 ◽

Vol 7 (3) ◽

pp. 284-303

Author(s):

Güner Tural

Keyword(s):

Active Learning ◽

Learning Environment ◽

Control Group ◽

Test Results ◽

Public Secondary School ◽

Significant Difference ◽

Before And After ◽

Post Test ◽

Quasi Experimental ◽

Experimental Group

One of the topics students have understanding difficulties in science is pressure. The study investigates the effectiveness of an active-learning environment on the students' understanding of the concept of pressure. The sample consisted of 30 students from a public secondary school in Turkey. This study used a pre-test, post-test, quasi-experimental research design with a control group. Ten lessons were conducted with both groups. The control group was taught using the coursebook's two activities, while the experimental group was taught using additional activities and models. After the treatment, a post-test was given to both groups to determine the active-learning environment's effectiveness on the students' understanding of the concept of pressure. Interviews were also conducted with the experimental group. The post-test results showed a significant difference in favor of the experimental group. It was determined that students in both groups had misunderstandings of the topic before and after instruction. The interviews showed that the experimental group students perceive that the active learning environment facilitated better and easier learning. The conclusion that can be drawn is that the active learning environment was more effective for the students in the experimental group to learn about the concept of pressure.

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The Effect of Electronic Flashcards on EFL Students' Vocabulary Learning: The Case of Saudi Arabia

Randwick International of Education and Linguistics Science Journal ◽

10.47175/rielsj.v1i2.79 ◽

2020 ◽

Vol 1 (2) ◽

pp. 114-125

Author(s):

Asma A. Alghamdi ◽

Tariq Elyas

Keyword(s):

Saudi Arabia ◽

Quantitative Research ◽

Vocabulary Learning ◽

Statistical Significance ◽

Control Group ◽

Before And After ◽

Post Test ◽

Quasi Experimental ◽

Preparatory Year ◽

Experimental Group

This study aimed to investigate the effect of electronic flashcards on EFL vocabulary learning of preparatory-year female students at a Saudi Arabia. It was conducted following the quantitative research methodology with a quasi-experimental design. Two groups were assigned: an experimental group who used electronic flashcards, and a control group who employed the traditional method of vocabulary learning. A pre-test and a post-test were administered in order to appraise their performance before and after the experiment. The results revealed that the post-test scores of students in the experimental group were significantly higher than their pre-test. Also, the results showed that electronic flashcards promoted students' vocabulary, causing a statistical significance in comparison to the control group. Based on these findings, this study was able to draw a number of implications and recommendations

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RELAKSASI BENSON DAN TERAPI MUROTTAL SURAT AR-RAHMAAN MENURUNKAN KADAR GLUKOSA DARAH PUASA PADA PENDERITA DIABETES MELITUS TIPE 2 DI KECAMATAN MAOS

Jurnal Ilmiah Kesehatan Keperawatan ◽

10.26753/jikk.v13i2.211 ◽

2017 ◽

Vol 13 (2) ◽

Author(s):

Esti Oktaviani Purwasih ◽

Iman Permana ◽

Yanuar Primanda

Keyword(s):

Care Center ◽

Fasting Blood Glucose ◽

Intervention Group ◽

Control Group ◽

P Value ◽

Control Group Design ◽

Health Care Center ◽

Before And After ◽

Quasi Experimental ◽

The Difference

Uncontrolled diabetes might generate the physical and psychological complication. The objective of this study was to analyze the effect of Benson’s relaxation and murottal “Ar-Rahmaan” to the fasting blood glucose (FBG) and stress score. This research was quasi experimental study with two group pre test-post test control group design. The research has been done in the Health Care Center of Maos and “Graha Amanah” Clinic of Maos. Sample technique used total sampling, with 60 according to the inclusion criteria. The respondents were divided into control group and intervention group. Every group had 30 respondents. The intervention group was given Benson’s relaxation and murottal, menwhile the control group was given the Benson’s relaxation only. This intervention was done twice a day, in the morning and in the afternoon, for 7 days.The results showed the difference of the FBG level before and after intervention between groups (p value=0,000; Z score=- 4,097;Mean+SD intervention group= -66,300+45,672;Mean+SD control group= -23,766+13,438). Benson’s relaxation and murottal therapy could decrease FBG significantly.

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Impact of a Formative Program on Transgender Healthcare for Nursing Students and Health Professionals. Quasi-Experimental Intervention Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16173205 ◽

2019 ◽

Vol 16 (17) ◽

pp. 3205 ◽

Cited By ~ 2

Author(s):

Jesús Manuel García-Acosta ◽

Maria Elisa Castro-Peraza ◽

Ángeles Arias Rodriguez ◽

María Luisa Perez-Cánovas ◽

Maria Inmaculada Sosa-Alvarez ◽

...

Keyword(s):

Nursing Students ◽

Learning Strategy ◽

Statistical Significance ◽

Meaningful Learning ◽

Control Group ◽

Significant Difference ◽

Before And After ◽

Official Curriculum ◽

Quasi Experimental ◽

Level Of Knowledge

Background: The field of specific healthcare for transgender people has not been included in the official curriculum of professionals. This causes a lack of knowledge that can be presumed to become a barrier to healthcare. Currently, different methodologies are emerging to achieve meaningful learning for students and professionals. The objective of this study was to evaluate the increase in the level of knowledge of final-year nursing students, applying methodological strategies such as problem-based learning (PBL) and film-forum. Methods: 59 nursing students were randomly assigned to two intervention groups (G1 = 31 and G2 = 28), and another 57 were assigned to the control group (without specific classes or workshops on the subject of the study). The intervention consisted of a specific training course on transgender issues (TGSC&W, TransGender Specific Course and Workshop), where the type of meaningful learning strategy used depended on the group (G1 = film-forum and G2 = PBL). The study was carried out at the Faculty of Nursing Nuestra Señora de Candelaria of the Canary Islands Health Service. The randomization was done by blindly choosing a computer-generated code. Results: The main outcome was based on 116 participants, comparing their level of knowledge before and after the workshop. The comparison by pairs shows that there were statistically significant differences (p = 0.000) between those undergoing the methodological interventions and the control group. Statistical significance between film-forum and PBL was not obtained (p = 1.000): Both methodologies increased the level of knowledge, but there was no significant difference between them. The means for satisfaction with the learning methodology used did not show statistically significant differences. Conclusion: The workshop carried out was highly effective and significant in terms of increasing knowledge. No significant differences were observed in the level of knowledge, or in the degree of satisfaction, between the two methodologies used (PBL and film-forum).

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Effect of Aerobic Gymnastics on Weight Loss of Adolescent Obesity in Junior High School Catholic Rajawali Makassar Year 2017

Window of Health Jurnal Kesehatan ◽

10.33368/woh.v0i0.24 ◽

2018 ◽

pp. 76-82

Author(s):

Indriani Pratiwi ◽

Masriadi Masriadi ◽

Muhammad Basri

Keyword(s):

Physical Activity ◽

Weight Loss ◽

Junior High School ◽

Intervention Group ◽

Control Group ◽

P Value ◽

Test Results ◽

Post Test ◽

Quasi Experimental ◽

The City

Obesity is a multifactorial disease suspected that most obesity is caused by it interaction between genetic factors and environmental factors, including physical activity, lifestyle, and nutrisional ie feeding behavior and solid feeding is too early in infants. Obesity or overweight is troubling problems among teenagers. The purpose of this study was to analyze the effect of physical activity against weight loss adolescents who are obese in the city of Makassar. Type of research in This study was a quasi experimental pre-post test. The sample in this study consists of cases and controls, the sample of cases that amounted to 17 people, control samples that amounted to 17 people. The result of nomality test is obtained the intervention group's pretest-postest interval was 0.571 (p> 0.05), significant value for pretest-postest control group was 0.115 (p> 0.05), p intervention group value was 0.000 (p <0.05) and p value of control group is 0.000 (p <0.05), meaning that both groups are not homogeneous (no difference) weight body at pretest-postest. paired t test results showed that there is influence of physical activity (gymnastics aerobic) in the intervention group on adolescent weight loss with p value 0.045 (p <0.05) and value t count (2.170)> t table (17.05) is 1.730, in the control group there is no influence on Weight loss in adolescents as it obtained p value 0.230 (p> 0.05) and t value count (1.246) <t table (17: 0.05) is 1.730. Can be summarized in outline of this study there is influence weight loss adolescents in the intervention group or those given aerobic exercise, while for the control group there is no effect on weight loss.

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