Impact of two bundles on central catheter-related bloodstream infection in critically ill patients

ABSTRACT Objective: To evaluate the impact of the implementation of insertion and maintenance bundles on the rates of catheter-related bloodstream infection in an intensive care unit. Method: This is a quasi-experimental, before-and-after study with a non-equivalent control group. During a six-month period, insertion and maintenance bundles for the central venous catheters were implemented. Supervision guidelines were developed to assess compliance with the bundle and catheter characteristics. Results: A total of 444 central catheters corresponding to 390 patients were observed, of which 68.7% were inserted in the unit. The maintenance and insertion bundles reached 62.9% and 94.7% compliance, respectively, and 50.7% of the insertions were supervised. It was possible to observe a 54.5% decrease in the rate of central catheter infection (3.48 vs 1.52 x 1000 days/catheter, p<0.05) when compared with the control group. Conclusion: The simultaneous implementation of insertion and maintenance bundles has a positive impact on the reduction of catheter-related bloodstream infection; therefore it is an efficient alternative to improve the quality and safety of care in high complexity units.

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The Impact of Information Technology on Family Values Transformation

KnE Social Sciences ◽

10.18502/kss.v2i4.881 ◽

2017 ◽

Vol 2 (4) ◽

pp. 153

Author(s):

Bagus Haryono

Keyword(s):

Information Technology ◽

Positive Impact ◽

Family Values ◽

Personal Contact ◽

Control Group ◽

Technology Application ◽

Message Service ◽

Before And After ◽

Quasi Experimental ◽

The Impact

This research explains the impact of Contemporary Information Technology Application Progress (CITA-P), WhatsApp/WA application, in transforming the family values from face-to-face contact (Emotional and Personal Value or EPV) to non-personal contact (Pragmatic Value or PV). It uses quasi-experimental design conducted by pre-test, treatment, and post-test in Hagen lineage (HaL) as Experiment Group (EG). Then it compares by Control Group (CG) with the Limited-Treatment (L-T) by phone, Short Message Service/SMS, and Facebook/Fb in Sumer lineage (SuL). Data were collected by sending the Eid messages. Respondent consisted of HaL and SuL members. Contemporary treatment is manipulated by CITA-P at the HaL member. Findings showed that CITA-P has positive impact to transform the EPV toward PV, as indicated by significant increase in the larger IT-P score in the EG than the L-T effect in CG before and after implementing it.

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The Use of Procalcitonin as a Sepsis Marker in a Community Hospital

The Journal of Applied Laboratory Medicine ◽

10.1373/jalm.2018.026955 ◽

2019 ◽

Vol 3 (4) ◽

pp. 545-552

Author(s):

Nathalia De Oro ◽

Maria E Gauthreaux ◽

Julie Lamoureux ◽

Joseph Scott

Keyword(s):

Lactic Acid ◽

Length Of Stay ◽

Community Hospital ◽

Unit Length ◽

Hospital Setting ◽

Control Group ◽

Before And After ◽

Quasi Experimental ◽

Current Cutoff ◽

The Impact

Abstract Background Procalcitonin (PCT) is a biomarker that shows good sensitivity and specificity in identifying septic patients. Methods This study investigated the diagnostic accuracy of PCT in a community hospital setting and how it compared to that of lactic acid. It explored the impact on patient care before and after PCT implementation regarding costs and length of stay. Two comparative groups were analyzed using an exploratory descriptive case–control study with data from a 19-month period after PCT implementation and a retrospective quasi-experimental study using a control group of emergency department patients diagnosed with sepsis using data before PCT implementation. Results Post-procalcitonin implementation samples included 165 cases and pre-procalcitonin implementation sample included 69 cases. From the 165 sepsis cases who had positive blood cultures, PCT had a sensitivity of 89.7%. In comparison, lactic acid's sensitivity at the current cutoff of 18.02 mg/dL (2.0 mmol/L) was 64.9%. There was a 32% decrease in median cost before and after PCT implementation, even with the length of stay remaining at 5 days in both time periods. Conclusions There was a significant decrease after the implementation of PCT in cost of hospitalization compared to costs before implementation. This cost is highly correlated with length of stay; neither the hospital nor the intensive care unit length of stay showed a difference with before and after implementation. There was a positive correlation between lactic acid and PCT values. PCT values had a higher predictive usefulness than the lactic acid values.

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PENGGUNAAN LEAFLET TERHADAP PENINGKATAN PENGETAHUAN DAN SIKAP KELUARGA BARU

JURNAL MEDIA KESEHATAN ◽

10.33088/jmk.v10i1.324 ◽

2018 ◽

Vol 10 (1) ◽

pp. 052-057

Author(s):

Sri Sumiati

Keyword(s):

Health Promotion ◽

Control Group ◽

Men And Women ◽

New Family ◽

Quasi Experimental ◽

Equivalent Control ◽

The Impact

A family is a small unite of society that hold an important role as nation asset.The quality family can be reached by doing a set of good planning. A family needsknowledge about a quality family. One of the approaches that can improve the society’swillingness to maintan of healthy is that by doing health promotion by using leafletmedia. This research aims to know the impact of health promotion toward theknowledge, behaviour, and the action taken by new family to reach a quality family. Thisresearch used quasi experimental by planning of non-equivalent control group design.The samples were the men and women that have just married that were 44 persons. Thefinding of the research showed that there were any impacts of health promotion by usingleaflet media toward the knowledge and the action of new family in reaching a qualityfamily. Therefore, there is a need to increase health promotion using leaflet media, so itcan improve the knowledge and the behaviour of the society about the quality family sothey can make it.

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The Impact of Education on Mother’s Knowledge for Stunting Prevention Through Moringa Oleifera in Kuan Noel Village, Fatumnasi District, South Central Timor Regency

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2020.8(3).206-215 ◽

2020 ◽

Vol 8 (3) ◽

pp. 206

Author(s):

IRLIN FALDE RITI

Keyword(s):

Treatment Group ◽

Moringa Oleifera ◽

Sampling Technique ◽

Control Group ◽

South Central ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

The Impact ◽

Educational Aspect

ABSTRAKBackground: One of nutritious problems susceptibly encountred in the world nowadays is kid’s stunting. Stunting is a failure of growth condition and cronical nutritious problems caused by poor nutritious supply because of improper meal provisions in long term growth consumptions. Stunting could be primarily prevented by increasing knowledge about stunting prevention through consuming moringa oleifera regularly. The aim: This study is intended to know the impact of education on mother’s knowledge for stunting prevention through regular moringa oleifera consumption. Research Method: This research applied a quasi experimental design by generating non equivalent control group which complied two groups; 30 subjects (mothers) were considered as treatment group; whereas, other 30 subjects (mothers) were taken as control group. Thus sampling technique applied was consecutive sampling. Results: The study showed that there was a significant impact on education score before and after intervention effects towards the treatment group (p=0,000); whereas there was no significant difference on the control group (p=0,184). The statistical analysis applied independent sample t-test which showed if educational aspect significantly impacted on the increase of mother’s knowledge (p=0,000). Conclusion: Educational aspect impacted on mother’s knowledge for stunting prevention through moringa oleifera.

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Pharmacy-Led β-Lactam Allergy Interview (BLAI) Reduces Duration of Fluoroquinolones Within a Community Hospital

Annals of Pharmacotherapy ◽

10.1177/1060028019826223 ◽

2019 ◽

Vol 53 (6) ◽

pp. 588-595 ◽

Cited By ~ 6

Author(s):

Elizabeth W. Covington ◽

Beth Jobson Baldwin ◽

Emily Warren

Keyword(s):

Community Hospital ◽

Skin Testing ◽

Control Group ◽

Cohort Design ◽

Prospective Group ◽

Before And After ◽

Effective Option ◽

Lactam Antibiotic ◽

Quasi Experimental ◽

The Impact

Background: Patients with reported β-lactam allergies often receive broad-spectrum antimicrobials and have been shown to experience a variety of negative health consequences, such as increased mortality, costs, readmission, and adverse reactions. Current literature focuses on β-lactam allergy skin testing but lacks evidence on β-lactam allergy interviews (BLAI) when skin testing is unavailable. Objective: This study aimed to test the impact of a pharmacy-led BLAI on duration of fluoroquinolones at a community hospital. Methods: A quasi-experimental design with a prospective cohort design and historical control group was used to assess patients with reported penicillin (PCN) allergies in a community hospital. The primary outcome was duration of fluoroquinolones before and after implementation of BLAI. Secondary outcomes included length of stay (LOS), percentage of patients switched to a β-lactam antibiotic, percentage of antimicrobial stewardship recommendations made/accepted, and discrepancies between allergy in medical record and interview-reported allergy. Nonparametric continuous data and medians were evaluated by Mann-Whitney U. Results: A total of 80 patients were included in the study (43 in the control group and 37 in the prospective group). Fluoroquinolone duration was reduced after the implementation of BLAI (3.7 vs 2.7 days, P = 0.027). In all, 49% of patients in the prospective group were switched to a β-lactam antibiotic after BLAI, with no allergic reactions, adverse effects, or impact on LOS. Conclusion and Relevance: BLAI resulted in a significant reduction in fluoroquinolone duration in patients with PCN allergies and may represent a safe and effective option for institutions lacking skin-testing capabilities.

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Impact of an educational program on the feeding of neurologically impaired children

CoDAS ◽

10.1590/s2317-17822013005000004 ◽

2013 ◽

Vol 25 (5) ◽

pp. 413-421

Author(s):

Ana Paula Cajaseiras de Carvalho ◽

Brasilia Maria Chiari ◽

Maria Ines Rebelo Goncalves

Keyword(s):

Educational Program ◽

Positive Impact ◽

Video Recording ◽

Professional Activity ◽

Control Group ◽

Cross Sectional ◽

Video Recordings ◽

Progressive Encephalopathy ◽

Before And After ◽

The Impact

PURPOSE: To verify the impact of an educative program focused on aspects related to feeding developed with a group of caregivers of children with chronic non-progressive encephalopathy. METHODS: Cross-sectional comparative study conducted with 30 children diagnosed with chronic non-progressive encephalopathy and their caregivers with the use of a questionnaire and video recordings of a meal conducted by the main caregiver. In order to verify the impact of an educational program in the knowledge and conduct of caregivers, patients were divided into two groups: study - consisting of caregivers submitted to a questionnaire and a video recording before and after the educational program; control - group in which caregivers underwent the procedures in two occasions, but without access to the educational program. RESULTS: Around 93.33% of caregivers were females, most had low educational level, and only 10% had a professional activity. Previous knowledge of caregivers concerning feeding was restricted, with 66% of caregivers not knowing what aspiration was, 60% being unfamiliar with the complications associated with such occurrence, and 86.66% stating that there is no relation between voice and swallowing. During feeding, only 26.66% of the caregivers used verbal commands related to feeding, and 50% did not realize the difficulties presented by their children. We observed a difference with regard to knowledge and conduct in the study group only. CONCLUSION: The educational program had a positive impact on the knowledge and conduct of caregivers concerning the feeding of their children with chronic non-progressive encephalopathy.

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Development of managers’ emotional competencies: mind-body training implication

European Journal of Training and Development ◽

10.1108/ejtd-04-2015-0026 ◽

2015 ◽

Vol 39 (9) ◽

pp. 798-814 ◽

Cited By ~ 3

Author(s):

Dusan Gruicic ◽

Stephen Benton

Keyword(s):

Positive Impact ◽

Practical Method ◽

Control Group ◽

Emotional Competencies ◽

Content Type ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

Management Context ◽

Training Programmes

Purpose – This paper aims to research about the effect of mind–body training on the development of emotional competencies of managers. Design/methodology/approach – Quasi-experimental design, i.e. before and after (test–retest). Findings – Results showed that the experimental group, after training, achieved around 15 per cent higher scores compared to results before training on all three subscales of an emotional skills and competence questionnaire (ESCQ-45), a statistically significant improvement in scores. The control group (no training) scores showed no significant difference. This result indicates support for the view that emotional intelligence may be treated as a competency and is responsive to training programmes. Research limitations/implications – Emotional competencies are still a contested concept. The participants may provide socially desirable responses because of the self-assessment questionnaires. The sample is not a representative sample of European managers; hence, there is a limited generalisability of the results. Practical implications – These research findings indicate Mind–body training is a practical method for people to improve the management of their emotions, and hence impact positively on core organisational activities. Originality/value – This is the first research on this mind-body training (emotional relief technique) in an eight-week programme in a management context. The findings indicate the positive impact that can be achieved on emotional competencies scores from this method of self-development.

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The Effect of Cold Compress on Pain Intensity in Fractured Patients at RSUP H. Adam Malik Medan

Jurnal Keperawatan Soedirman ◽

10.20884/1.jks.2021.16.2.1692 ◽

2021 ◽

Vol 16 (2) ◽

Author(s):

Citra Amelia Lubis ◽

Dudut Dudut Tanjung ◽

Asrizal Asrizal Asrizal

Keyword(s):

Pain Intensity ◽

T Test ◽

Control Group ◽

P Value ◽

Nursing Interventions ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

Equivalent Control ◽

And Function

Fracture occurs due to the damage of the shape and function of the bone, and the fractured patients generally experience pain. One of the interventions to reduce pain intensity in fracture patients is cold compress. This study aims to identify the effectiveness of cold compress on pain intensity in fracture patients in H. Adam Malik Hospital Medan. This is a quantitative study with a quasi-experimental design approach with an equivalent control group pretest-posttest design. The number of samples is 70 respondents consisting of 35 people for each intervention and control group, respectively, which was collated by consecutive sampling. Data analysis used paired t-test and independent t-test. The results showed that there was a significant influence before and after cold compress intervention on pain intensity (p value 0.001 (p = <0.05)). There is a significant difference between the intervention with cold compresses and the hospital standard intervention on pain intensity in fracture patients (p value 0.001 (p = <0.05)). It can be concluded that cold compress has a significant effect on the pain intensity in fracture patients. Cold compress is one of the nursing interventions that can help to reduce the intensity of fracture pain.

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Using Technology to Enhance the Performance of Intellectually Disabled Students: Mobile Game-based Urdu Learning

UMT Education Review ◽

10.32350/https://doi.org/10.32350/uer.41.03 ◽

2021 ◽

Vol 4 (1) ◽

pp. 42-57

Author(s):

Nida Gul ◽

Hina Noor ◽

Farkhunda Rasheed Chaudhary

Keyword(s):

Intervention Program ◽

Teaching Method ◽

Positive Impact ◽

Learning Goals ◽

Control Group ◽

Traditional Teaching ◽

Before And After ◽

Quasi Experimental ◽

Digital Exclusion ◽

High Level

The notion of using technology for learning is not new. However, the high level of digital exclusion of individuals with intellectual disabilities is well-documented. The purpose of this paper was to investigate the effect of two different pedagogies for students with intellectual disability (ID). The main objective was the comparison of assistive technology and the traditional teaching method for improving Urdu vocabulary. Using a quasi-experimental design, 8 ID students of 10 to 15 yearsof age were selected and divided into control and experimental groups. Their performance was measured before and after a six-week intervention program. The results showed that mobile-based technology improved the experimental group’s performance as compared to the control group. The technology had a positive impact on the learning of Urdu vocabulary by students with ID. The findings suggest that learning the Urdu language through game-based software/programs/utilities can improve students’ learning in the classroom. Teachers can use mobile phone as a learning tool to enhance their learning goals.

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The Effect of Brainstorming Implementation on Students’ Engagement in Learning about Probability in Math Classes in Grade XI IPA at SMA ABC Cikarang

Polyglot Jurnal Ilmiah ◽

10.19166/pji.v1i1.380 ◽

2017 ◽

Vol 12 (1) ◽

pp. 20

Author(s):

Elsar Agung Triansa ◽

Juniriang Zendrato ◽

Oce Datu Appulembang

Keyword(s):

Sampling Technique ◽

Rank Test ◽

Control Group ◽

Group Data ◽

Signed Rank ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

Signed Rank Test ◽

Equivalent Control

This research aims to determine the effects of brainstorming on students’ engagement in learning about probability. The method used in this research is the quasi-experimental with a non-equivalent control group. The sampling technique is in the form of a census. The data was collected through a questionnaire and analyzed by using non-parametric tests -- the Mann-Whitney U-test and the Wilcoxon Signed-Rank test with alpha level of 0.05. The results show that: 1) there was no significant difference on students’ engagement before and after the experiment in the group that was taught without brainstorming; 2) there was significant difference on students’ engagement before and after the experiment in the group taught with brainstorming; and 3) there was no significant difference on students’ engagement between the group that was taught with brainstorming and the group that was taught without brainstorming. The result of this research indicates that implementing brainstorming produces a positive effect on students’ engagement in learning about probability in math classes in grade XI IPA at SMA ABC Cikarang.BAHASA INDONESIA ABSTRAK: Penelitian ini bertujuan untuk menemukan pengaruh penerapan brainstorming terhadap keterlibatan siswa dalam mempelajari topik peluang.Metode yang digunakan dalam penelitian ini adalah quasi-eksperimen dengan desain non-equivalent control group. Data dikumpulkan melalui kuisioner dan dianalisis dengan uji non-parametrik, yaitu uji Mann-Whitney U dan uji Wilcoxon Signed-Rank dengan taraf signifikansi 0.05.Hasil penelitian menunjukkan bahwa: 1) tidak ada perbedaan yang signifikan dalam keterlibatan siswa antara sebelum dan sesudah perlakuan di grup yang diajar tanpa brainstorming (hasil uji Wilcoxon Signed-Rank: ); 2) ada perbedaan yang signifikan pada keterlibatan siswa antara sebelum dan sesudah perlakuan di grup yang diajar dengan brainstorming (hasil uji Wilcoxon Signed-Rank: ); dan 3) tidak ada perbedaan yang signifikan pada keterlibatan siswa antara grup yang diajar dengan brainstorming dan tanpa brainstorming (hasil uji Mann-Whitney U: ). Hasil dari penelitian ini mengindikasikan bahwa penerapan brainstorming memberikan pengaruh yang positif terhadap keterlibatan siswa dalam mempelajari peluang di pelajaran matematika kelas XI IPA SMA ABC Cikarang.

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