scholarly journals Supervisi Klinis Model Proctor dalam Peningkatan Kualitas Perawatan Selama Prosedur Intravena

2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Herry Setiawan ◽  
Tri Hartiti ◽  
Muhamad Rofi’i
Keyword(s):  
Quality Of Care ◽  
General Hospital ◽  
Clinical Supervision ◽  
Total Sample ◽  
Biological Factor ◽  
Infection Prevention And Control ◽  
Control Group ◽  
Probability Sampling ◽  
And Control

ABSTRAKKejadian flebitis yang tinggi mencerminkan rendahnya mutu pelayanan keperawatan dalam hal pencegahan dan pengendalian infeksi. Flebitis tinggi disebabkan oleh faktor biologis yaitu perawatan selama prosedur intravena. Kualitas perawatan selama prosedur intravena dipengaruhi oleh kemampuan supervisor ruangan dalam melaksanakan supervisi klinis. Tujuan dari penelitian untuk mengetahui pengaruh supervisi klinis Model Proctor terhadap kualitas perawatan selama prosedur intravena di RSUD Ulin Banjarmasin. Metode penelitian yang digunakan quasy experimental dengan desain penelitian pre-post test with control group dengan jumlah sampel 68 responden diambil dengan teknik sampel non probability sampling terbagi dalam kelompok intervensi dan kontrol. Hasil yang didapatkan pada penelitian ini adalah terdapat pengaruh supervisi klinis Model Proctor terhadap kualitas perawatan selama prosedur intravena dengan nilai p=< 0,000. Terdapat pengaruh supervisi klinis Model Proctor terhadap kualitas perawatan selama prosedur intravena di RSUD Ulin Banjarmasin. ABSTRACTHigh phlebitis events reflected low quality of nursing care in terms of infection prevention and control. High phlebitis caused by a biological factor of treatment during an intravenous procedure. The quality of care during intravenous procedures has influenced by the ability of the supervisor to perform clinical supervision. The purpose of this research is to know the influence of clinical supervision Proctor model on the quality of treatment during intravenous procedure at Ulin General Hospital Banjarmasin. The research method used quasy experimental with pre-post research design with control group with total sample 68 responden taken with sample technique non probability sampling divided into group of intervention and control. The results obtained in this study were the influence of clinical supervision of Proctor Model on the quality of care during intravenous procedure with p = <0.000. There is an influence of the Proctor Model's clinical supervision on the quality of care during the intravenous procedure at Ulin General Hospital Banjarmasin.

The Implementation of Learning Materials Based on Local Wisdom of Agricultural in Binjai to Improve the Students Problem Solving Abilities

2019 ◽  
Author(s):  
Nur Tsalits Fahman Mughni
Keyword(s):  
Problem Solving ◽  
Control Group ◽  
School Grade ◽  
Teaching Materials ◽  
Quasi Experimental ◽  
Equivalent Control ◽  
The Subject ◽  
And Control ◽  
Experimental Group

Teaching materials by integrating local culture makes easier for students to understand the subject matter in the learning process. The aims of the study is to measure the effectiveness of teaching materials based on local wisdom of agriculture in Binjai in improving the students problem solving abilities. The research method was a quasi experimental which use non equivalent control group in the pretest posttest design. The sample of study were students of Senior High School grade X in Binjai that consisted of experiment group which used teaching materials based on local wisdom of agriculture in Binjai and control group that used student handbooks. Teaching materials are tested by material experts and technology experts to ensure the quality of teaching materials. Data collection was conducted through test. The results showed that the teaching materials based on local wisdom of agriculture in Binjai effective in improving students problem solving abilities in the experimental group students based on the results of N gain value was 0.67 which has medium criteria. It means teaching materials based on agricultural local wisdom of agriculture in Binjai can be used as one of the teaching materials in learning activities.

scholarly journals Legal Requirements for Infection Prevention and Control Training Among Healthcare Personnel

2020 ◽  
Vol 41 (S1) ◽  
pp. s70-s70
Author(s):  
Lauren Weil ◽  
Alexa Limeres ◽  
Astha KC ◽  
Carissa Holmes ◽  
Tara Holiday ◽  
...  
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Healthcare Personnel ◽  
Infection Prevention And Control ◽  
Content Areas ◽  
Training Requirements ◽  
Training Content ◽  
And Control ◽  
Dental Professionals

Background: When healthcare providers lack infection prevention and control (IPC) knowledge and skills, patient safety and quality of care can suffer. For this reason, state laws sometimes dictate IPC training; these requirements can be expressed as applying to various categories of healthcare personnel (HCP). We performed a preliminary assessment of the laws requiring IPC training across the United States. Methods: During February–July 2018, we searched WestlawNext, a legal database, for IPC training laws in 51 jurisdictions (50 states and Washington, DC). We used standard legal epidemiology methods, including an iterative search strategy to minimize results that were outside the scope of the coding criteria by reviewing results and refining search terms. A law was defined as a regulation or statute. Laws that include IPC training for healthcare personnel were collected for coding. Laws were coded to reflect applicable HCP categories and specific IPC training content areas. Results: A total of 278 laws requiring IPC training for HCP were identified (range, 1–19 per jurisdiction); 157 (56%) did not specify IPC training content areas. Among the 121 (44%) laws that did specify IPC content, 39 (32%) included training requirements that focused solely on worker protections (eg, sharps injury prevention and bloodborne pathogen protections for the healthcare provider). Among the 51 jurisdictions, dental professionals were the predominant targets: dental hygienists (n = 22; 43%), dentists (n = 20; 39%), and dental assistants (n = 18; 35%). The number of jurisdictions with laws requiring training for other HCP categories included the following: nursing assistants (n = 25; 49%), massage therapists (n = 11; 22%), registered nurses (n = 10; 20%), licensed practical nurses (n = 10; 20%), emergency medical technicians and paramedics (n = 9; 18%), dialysis technicians (n = 8; 18%), home health aides (n = 8;16%), nurse midwives (n = 7; 14%), pharmacy technicians (n = 7; 14%), pharmacists (n = 6; 12%), physician assistants (n = 4; 8%), podiatrists (n = 3; 6%), and physicians (n = 2; 4%). Conclusions: Although all jurisdictions had at least 1 healthcare personnel IPC training requirement, many of the laws lack specificity and some focus only on worker protections, rather than patient safety or quality of care. In addition, the categories of healthcare personnel regulated among jurisdictions varied widely, with dental professionals having the most training requirements. Additional IPC training requirements exist at the facility level, but this information was not analyzed as a part of this project. Further analysis is needed to inform our assessment and identify opportunities for improving IPC training requirements, such as requiring IPC training that more fully addresses patient protections.Funding: NoneDisclosures: None

scholarly journals The effect of care transition pathway implementation on patients undergoing joint replacement during the COVID-19 pandemic: a quasi-experimental study from a tertiary care hospital orthopedic department in Beijing, China

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ya-ping Xu ◽  
Pei-yu Zhao ◽  
Yi-tong Bai ◽  
Shuang Li
Keyword(s):  
Joint Replacement ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Transition ◽  
Control Group ◽  
Care Hospital ◽  
Quasi Experimental ◽  
And Control ◽  
Beijing China

Abstract Background The coronavirus disease (COVID-19) pandemic has had a massive impact on individuals globally. The Chinese government has formulated effective response measures, and medical personnel have been actively responding to challenges associated with the epidemic prevention and control strategies. This study aimed to evaluate the effect of the implementation of a care transition pathway on patients that underwent joint replacement during the COVID-19 pandemic. Methods A quasi-experimental study was designed to evaluate the effect of implementing a care transition pathway for patients who underwent joint replacement during the COVID-19 pandemic in the orthopedic department of a tertiary care hospital in Beijing, China. Using a convenient sampling method, a total of 96 patients were selected. Of these, 51 patients who had undergone joint replacement in 2019 and received treatment via the routine nursing path were included in the control group. The remaining 45 patients who underwent joint replacement during the COVID-19 epidemic in 2020 and received therapy via the care transition pathway due to the implementation of epidemic prevention and control measures were included in the observation group. The quality of care transition was assessed by the Care Transition Measure (CTM), and patients were followed up 1 week after discharge. Results The observation group was determined to have better general self-care preparation, written planning materials, doctor-patient communication, health monitoring, and quality of care transition than the control group. Conclusions A care transition pathway was developed to provide patients with care while transitioning through periods of treatment. It improved the patient perceptions of nursing quality. The COVID-19 pandemic is a huge challenge for health professionals, but we have the ability to improve features of workflows to provide the best possible patient care.

scholarly journals Effect of Hope-oriented group counseling on mental health of infertile women with failed IVF cycles: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Roya Rahimi ◽  
Shirin Hasanpour ◽  
Mojgan. Mirghafourvand ◽  
Khalil Esmaeilpour
Keyword(s):  
Mental Health ◽  
Confidence Interval ◽  
Group Counseling ◽  
Controlled Trial ◽  
Intervention Group ◽  
Mean Difference ◽  
Control Group ◽  
The Mean ◽  
And Control

Abstract Background Considering the prevalence of infertility in the community and the consequences of failure of infertility treatments on women’s mental health, interventions that can control stress, anxiety and depression in infertile women with a history of IVF failure will be very helpful. This study aimed to determine the effects of hope-oriented group counseling on mental health (primary outcome) and quality of life (QoL) (secondary outcome) of women with failed IVF cycles. Method This randomized controlled trial was conducted on 60 women with failed IVF cycles visiting Infertility Clinic at Al-Zahra Teaching Hospital of Tabriz- Iran. Participants were allocated to the intervention group (n = 30) and control group (n = 30) based on a randomized block design. Hope-oriented group counseling was provided to the intervention group in six 45–60 min sessions (once a week). The control group only received routine care to undergo another IVF cycle. The Depression Anxiety Stress Scale-21 (DASS-21) and the SF-12 Quality of Life Scale were filled out by interviewing the participants before the intervention and one week and one month after the intervention. After intervention 26 participants in each group were included in the analysis. Results There was no significant difference between the intervention and control groups in the socio-demographic profile of participants (P > 0.05). The post-intervention mean score of stress (adjusted mean difference = − 1.7, 95% confidence interval: − 3.2 to − 0.3, P = 0.018) and depression (adjusted mean difference = − 1.3, 95% confidence interval: − 4.7 to − 1.5, P < 0.001) was significantly lower in the intervention group compared to the control. Although the mean anxiety score was lower in the intervention group compared to the control, the difference between them was not statistically significant (adjusted mean difference = − 1.1, 95% confidence interval: − 2.6 to 0.4, P = 0.153). The mean score of QoL was significantly higher in the intervention group than that of the control group (adjusted mean difference = 6.9, 95% confidence interval: 5.1 to 8.8, P < 0.001). Conclusion Hope-oriented group counseling was effective in reducing stress and depression and improving QoL in women with failed IVF cycles. It is recommended to use this counseling approach, along with other methods, to improve the mental health of women with failed IVF cycles. Trial registration TCT Registration Number: TCTR 20191017003, registered on October 17, 2019.

A randomized controlled clinical trial to evaluate safety and efficacy of a Unani formulation in the management of Kalaf (Melasma)

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Ifra Abdul Qaiyyum ◽  
Mohammad Nawab ◽  
Munawwar Husain Kazmi
Keyword(s):  
Quality Of Life ◽  
Test Group ◽  
Control Group ◽  
Safety And Efficacy ◽  
Randomized Controlled ◽  
End Point ◽  
Intergroup Comparison ◽  
And Control ◽  
Change In Mean

Abstract Objectives Kalaf (Melasma) is an acquired facial hypermelanism. It has direct impact on patient’s quality of life and leads to development of various personality disorders. Lack of effective treatment and recurrences have drawn the attention of researcher to find alternative treatment. This study aimed to evaluate safety and efficacy of a topical Unani formulation in the management of melasma. Methods We conducted a prospective randomized controlled clinical study on the participants diagnosed with melasma. The participants (n=72) randomized into test (n=36) and control (n=36) groups. Sixty participants (n=30 in each group) completed the duration of therapy. The participants of the test group were treated with a classical Unani formulation and control group with hydroquinone 4%. The primary end point was change in mean MASI score and secondary end point was improvement in quality of life after eight weeks of treatment. Results The Unani formulation reduced 40.5% mean MASI score (17.31 ± 9.58 to 10.28 ± 5.92) in comparison to 32% reduction in mean MASI score (20.58 ± 9.49 to 13.92 ± 7.38) in the control group after eight weeks of treatment. When comparing with baseline the difference in MASI score was found statistically significant in both groups (p<0.05). On intergroup comparison, the change in MASI score between both groups was not statistically significant (p>0.05). In addition, MQOL and DQLI also improved significantly in both groups. Conclusions This study concluded that the Unani formulation and the control drug were equally effective and safer in the management of melasma.

The Effect of Telerehabilitation on Quality of Life, Exercise Capacity, and Spirometry Indexes in Patients with Chronic Obstructive Pulmonary Disease in Masih Daneshvari Hospital

2021 ◽  
Author(s):  
Somayeh Ghadimi ◽  
Atefeh Fakharian ◽  
Mohsen Abedi ◽  
Reyhaneh Zahiri ◽  
Mahsan Norouz Afjeh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Control Group ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
And Control

Background: Chronic Obstructive Pulmonary Disease (COPD) leads to limited activity and reduced quality of life. Treatment of this disease is a long-term process that requires the cooperation of patients in monitoring and treatment. Methods: In the present study which was conducted from April 2019 to March 2021 in Masih Daneshvari Hospital, Tehran, Iran, 75 patients were randomly divided into telerehabilitation and control groups. Patients in the control group received pulmonary rehabilitation including respiratory, isometric, and aerobic exercises for 8 weeks, three times per week. In the second group, patients were given a lung rehabilitation booklet and asked to repeat the exercises three times a week for four weeks according to a specific schedule. In addition, patients installed Behzee care application on the mobile phone that recorded various indicators such as heart rate, SpO2, dyspnea, fatigue, and daily activities. This application reminded the patient of the program every day and at a specific time. Finally, the patients’ conditions were compared in the two groups after 8 weeks using CAT and mMRC questionnaires and 6-Minute Walk (6MW) exercise indices as well as spirometry tests. Results: In all four indicators (6MW, CAT,  and mMRC questionnaires as well as spirometry), patients showed improvement after rehabilitation (p<0.001). This improvement was significantly higher in the telemedicine group compared to the other group (p<0.01). Conclusion: The use of telerehabilitation in COPD patients is effective in improving spirometry indices, quality of life, as well as activity and sports indices.

scholarly journals Cognitive dysfunction in children with sleep disorders

2004 ◽  
Vol 62 (2a) ◽  
pp. 212-216 ◽  
Author(s):  
Luciane Bizari Coin de Carvalho ◽  
Lucila Bizari Fernandes do Prado ◽  
Luciana Silva ◽  
Marilaine Medeiros de Almeida ◽  
Tatiana Almeida e Silva ◽  
...  
Keyword(s):  
Sleep Disorders ◽  
Cognitive Dysfunction ◽  
Screening Test ◽  
Total Sample ◽  
Control Group ◽  
Lower Prevalence ◽  
Control Groups ◽  
Similar Frequency ◽  
Visual Motor ◽  
And Control

Sleep is basic for physical and cognitive development and some studies have suggested that there may be an association between sleep disorders (SD) and cognitive dysfunction (CD) in children. Little is known, however, about SD and cognition in 7-10-year-old children, a fact that motivated the present study. METHOD: We applied an SD questionnaire in 1180 children, 547 with SD and 633 without SD (CG), to assess cognition with a screening test (Bender Visual Motor Gestalt Test - BT). RESULTS: We observed a similar frequency of CD in the children with SD (39%) and that ot the CG (40%). The 8-year-old children with SD presented a lower prevalence of CD than the CG (SD=6%, n=6; CG=13%, n=16; p=0.04). CONCLUSION: The frequency of children with CD was equal in the study and control groups when considering the total sample (7- to 10-year-old children). In contrast to our expectations, the SD group of 8-year-old children presented a lower frequency of CD than the control group.

scholarly journals Effect of Diet Supplementation with Quinoa Seed and/or Linseed on Immune Response, Productivity and Meat Quality in Merinos Derived Lambs

Animals ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. 204 ◽  
Author(s):  
Rosaria Marino ◽  
Mariangela Caroprese ◽  
Giovanni Annicchiarico ◽  
Francesco Ciampi ◽  
Maria Ciliberti ◽  
...  
Keyword(s):  
Immune Response ◽  
Meat Quality ◽  
Stress Responses ◽  
Stressful Events ◽  
Control Group ◽  
Close Link ◽  
Plasma Urea ◽  
Strong Relation ◽  
And Control

In the last years several studies have investigated the strong relation between nutrition and immune response in the livestock production, particularly in dairy cattle and sheep. The aim of this study was to evaluate the effects of supplementation based on linseed, quinoa seeds and their combination on welfare, productivity and quality of meat from merinos derived lambs. 32 weaned lambs were divided into 4 experimental groups: quinoa (Q), linseed (LS) and combination of quinoa and linseed (LS + Q) that received the respective supplementation and control group (C) without supplementation. Lambs from all supplemented groups showed lower plasma urea, creatinine and cholesterol than control. Both linseed and quinoa supplementation enhanced the cell-mediated immune responses of lambs, furthermore, linseed supplementation resulted in the lowest level of cortisol secretion after handling, loading and transport. Meat from lambs supplemented with linseed and LS + Q showed the highest pH, at 1 and 3 h post-mortem, while, meat from all supplemented groups was more tender than meat from control. Results indicated that linseed and quinoa seeds supplementation can help the animal to cope with stressful events due to the close link between stress responses and the immune system and for improving meat quality in terms of better tenderness.

scholarly journals GULA POVIDINE-IODINE 1%: ALTERNATIF PENGOBATAN LUKA TEKAN

2014 ◽  
Vol 8 (1) ◽  
pp. 8-12
Author(s):  
Amelia Kurniati
Keyword(s):  
Total Sample ◽  
Control Group ◽  
Nursing Time ◽  
Hydrocolloid Dressing ◽  
Significant Difference ◽  
Post Test ◽  
Equivalent Control ◽  
The Cost ◽  
Povidine Iodine

AbstrakLuka tekan (luka akibat penekanan yang terus menerus) adalah masalah yang umum terjadi pada kelompok klien tertentu seperti klien usia lanjut, klien kritis, dan klien yang menderita kelumpuhan. Luka tekan ini menimbulkan banyak masalah: tingginya biaya yang dikeluarkan untuk mengobati luka, menurunnya kualitas hidup klien, lamanya dirawat di rumah sakit, dan meningkatnya angka kematian klien. Penelitian dilakukan untuk membandingkan efektivitas pemakaian balutan modern (hydrocolloid) dan gula povidine-iodine 1% di 4 rumah sakit di Jakarta selama 2 bulan dengan menggunakan desain non-equivalent control group pre dan posttest. Didapat total sampel sebanyak 25 klien, dibagi secara random ke dalam 2 kelompok; kelompok hydrocolloid dan kelompok gula povidine-iodine 1%. Setiap sampel dilakukan pretest, kemudian dirawat selama 3 minggu, dan setiap minggu perawatan dilakukan posttest oleh peneliti. Hasil yang didapat adalah tidak ada perbedaan yang bermakna untuk pengecilan area luka tekan - walaupun ketika membandingkan kecepatan penghancuran jaringan mati dan kecepatan pertumbuhan granulasi, terlihat bahwa kedua keadaan ini lebih cepat terjadi di kelompok gula povidine-iodinee 1%-. Untuk biaya perawatan lebih tinggi di kelompok hydrocolloid, sedangkan untuk lamanya waktu perawatan luka lebih cepat. AbstractPressure ulcers (ulcers which caused by body pressure) are common problems in some sub-specific patients, such as, elderly patients, critical-ill and para paraplegia patients. Pressure ulcers induces problems: the costs involved, patients’ quality of life and mortality rate. Research purposed to compare the efectivity hydrocolloid dressing and sugar Povidine-iodine (1%) dressing. Research has been conducted within the 4 selected hospitals in 2 months period of time using non equivalen control group; pre and post test. Total sample was 25 patients, which divided onto 2 groups: hydrocolloid group and sugar povidineiodinee group. Pre-test was also done to obtain initial data to be used for further treatments with hydrocolloid dressing and sugar Povidine-iodine (1%) dressing. Each patient was treating for 3 weeks, and in each week was conducted a post-test. Results from processing the data obtained, indicating that there was no significant difference on wound size reduction. The cost involved was higher in the hydrocolloid group while the nursing time consumption was lower.

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