scholarly journals The Effect of Hands-on Practice on the Skills Proficiency of Nursing Home Nurses

2020 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Dale E. Robbins
Keyword(s):  
Nursing Home ◽  
Statistical Analysis ◽  
Nursing Homes ◽  
Continuing Education ◽  
Educational Intervention ◽  
Clinical Skills ◽  
Educational Interventions ◽  
Education Programs ◽  
Clinical Nursing ◽  
Hands On

Background: The most recent nursing home regulations indicate that nurses must possess the skills sets needed to properly provide residents’ care (“Reform of Requirements,” 2016). Nursing home directors of nursing (DONs) frequently meet the requirement to train their nurses using online continuing education programs. However, the hands-on practice of fundamental clinical nursing skills necessary to maintain proficiency cannot be accomplished with this method. Purpose: This study aimed to determine whether an educational intervention including hands-on practice of two clinical skills would improve the skills proficiency of nursing home nurses. Method: The study used a pretest-posttest design with skills fair-style educational intervention for nursing home nurses recruited from two nursing homes. The pretest and posttest each included a multiple-choice quiz and hands-on demonstrations of two different clinical skills. Statistical analysis using paired t-tests showed significantly improved skills proficiency for the participating nurses following the educational intervention with hands-on practice of the two clinical skills. Findings: The findings suggest that nursing home DONs should consider educational interventions that include hands-on practice to maintain clinical skills proficiency.

Continuing Education: Improving Perceived Competence in School Nurses

2002 ◽  
Vol 18 (6) ◽  
pp. 360-363 ◽  
Author(s):  
Linda F. C. Bullock ◽  
M. Kay Libbus ◽  
Suzanne Lewis ◽  
Debra Gayer
Keyword(s):  
Continuing Education ◽  
Diabetes Management ◽  
Clinical Skills ◽  
Perceived Competence ◽  
School Nurses ◽  
School Age Children ◽  
Education Programs ◽  
Specific Content ◽  
Content Areas ◽  
Significant Difference

An investigator-designed survey was used to determine if attendance at specific continuing education programs increased the perceived competence of school nurses who enrolled and completed the programs. Respondents were queried about the general content of six courses offered by the Missouri Department of Health and Senior Services in conjunction with the University of Missouri—Columbia Sinclair School of Nursing. Specific content areas were mental health concerns, suicide prevention, diabetes management, asthma management, seizure disorders, and developing clinical skills as they pertained to school-age children. Comparing a sample of school nurses who had attended the programs with a group whom had not, a statistically significant difference was found in the participant group who reported higher self-perceived competence than the nonparticipant group in all content areas. Results of the study suggest that school nurses who attend specific continuing education programs feel more competent in practice than nurses who do not attend.

Improving Outcomes

2019 ◽  
Vol 152 (6) ◽  
pp. 775-781
Author(s):  
Sarah McBrien ◽  
Zachary Bailey ◽  
Jonathan Ryder ◽  
Paige Scholer ◽  
Geoffrey Talmon
Keyword(s):  
Statistical Analysis ◽  
Medical Students ◽  
Experimental Design ◽  
Educational Intervention ◽  
Statistical Significance ◽  
Educational Interventions ◽  
Primary Data ◽  
Control Group ◽  
Inclusion Criteria ◽  
Pathology Education

AbstractObjectivesTo determine the strength of study design and outcomes in literature describing pathology education for medical students.MethodsA search was conducted for articles related to pathology education published over 45 years describing an educational intervention. The primary data collected included phase of education, domain of objectives, number of learners and institutions, type of intervention, use of a comparison/control group, randomization, and strength of statistical analysis.ResultsOf 655 articles, 54 (8%) met inclusion criteria. The majority (65%) reported experiences of 100 learners or fewer, and only one was multi-institutional. Only 46% used a comparison/control group. Statistical significance of results was not reported in 39%. None examined outcomes at a point distant from the educational intervention.ConclusionsMost studies describing pathology educational interventions are not of strong experimental design. Consumers of educational research should be cognizant of these potential weaknesses in educational studies.

scholarly journals Evaluation of the elderlies’s attitudes towards young people Yaşlı bireylerin gençlere yönelik tutumlarının değerlendirilmesi

2016 ◽  
Vol 13 (2) ◽  
pp. 2682 ◽  
Author(s):  
Seda Kıpçak ◽  
Özden Dedeli
Keyword(s):  
Nursing Home ◽  
Statistical Analysis ◽  
Young People ◽  
Nursing Homes ◽  
Attitude Scale ◽  
Cross Sectional ◽  
Negative Attitudes ◽  
Positive Attitudes ◽  
Demographic Questionnaire ◽  
The Mean

The purpose of this study was to assess the elderlies who stay in nursing home’ attitudes towards young people. This study which is descriptive and cross sectional was conducted with 134 elderlies living in three nursing homes in Manisa (n=134). The data were collected by a demographic questionnaire and Attitude Scale Towards Young People (ASTYP). Kruskal Wallis, Mann Whitney U and  Spearman’ s rho correlation analysis were  used  in  statistical analysis. The mean age of elderlies were 74.0±6.7 (66-95) years,  69.4% were male. The elderlies’ mean scores of ASTYP were found 167.7 ± 12.7 (118.0-211.0).  The results of this study show that the elderlies, staying in nursing homes, have a negative attitudes towards young people. But; the elderlies, having more children and grandchildren than another and divorced or widowed, have more positive attitudes towards young people. ÖzetBu çalışmada amaç, huzurevinde kalan yaşlı bireylerin gençlere yönelik tutumlarının değerlendirilmesidir. Tanımlayıcı ve kesitsel tipteki araştırma, Manisa ili sınırları içerisinde üç huzurevinde yaşayan 134 yaşlı birey ile yürütüldü (n=134). Araştırmada veriler, araştırmacı tarafından sosyodemografik bilgiler soru formu ve Gençlere Yönelik Tutum Ölçeği (GYTÖ)’i kullanılarak toplandı. Verilerin değerlendirilmesinde, Kruskal Wallis, Mann Whitney U ve Spearman’s rho korelasyon analizleri kullanılmıştır. Araştırmaya katılan yaşlı bireylerin yaş ortalaması 74.0±6.7 yıl (66-95) olup büyük çoğunluğu (%69.4) erkekti. Yaşlı bireylerin GYTÖ’ den almış oldukları toplam puan ortalaması 167.7±12.7 (118.0-211.0)’ dir. Araştırma sonucunda, huzurevinde kalan yaşlı bireylerin gençlere yönelik olumsuz tutumlara sahip olduğu bulundu. Yaşlı bireylerin genel tutumları olumsuz olmasına rağmen çocuk ve torun sayısı fazla olan ve eşi ölmüş ya da boşanmış olan yaşlı bireylerin gençlere yönelik tutumları olumlu yöndeydi.

scholarly journals Beyond the Basics: Providing Continuing Education Workshops for Preceptors; A Commentary

2015 ◽  
Author(s):  
Sara Nottingham ◽  
Michelle Cleary ◽  
Jason Bennett
Keyword(s):  
Continuing Education ◽  
Athletic Training ◽  
Professional Education ◽  
Clinical Teaching ◽  
Clinical Skills ◽  
Athletic Training Education ◽  
Standards Of Care ◽  
Education Programs ◽  
Constructive Learning ◽  
Course Content

Current Commission on Accreditation of Athletic Training Education (CAATE) standards allow education programs to determine the most appropriate format and content of preceptor workshops. Clinicians, including preceptors, have noted challenges trying to keep their knowledge updated with current standards of care and educational competencies. Clinicians and preceptors in our program and the literature have described challenges trying to keep knowledge current with changing standards of care, research evidence, and athletic training educational competencies. Preceptors also value applicable and easily accessible continuing education opportunities. In order to address these challenges and provide accessible continuing education opportunities for preceptors, the faculty in our professional education program have designed and implemented a series of preceptor workshops for the past two years. These workshops are offered approximately three times per year, and each workshop focuses on clinical teaching, clinical skills, or professional practice issues. We developed these workshops based on current literature, interests of our preceptors, and needs of our program in applicable, accessible formats. Much of the content is similar to academic course content, but the delivery is tailored to the experience levels of our practicing clinicians. Anecdotally, we have observed improved interactions between students and preceptors and more frequent implementation of updated standards of care by our preceptors. Preceptors positively rate these workshops and describe how they plan to change several aspects of their role as a preceptor as a result of attending the workshops. Considering clinicians face challenges keeping knowledge current and obtaining applicable continuing education opportunities, athletic training programs may consider providing continuing education opportunities to ensure that preceptors are able to provide a constructive learning environment. This article describes how providing these workshops directly to preceptors may allow athletic training education programs to tailor the content and delivery to clinician and program needs.

scholarly journals Evaluating and prioritizing antimicrobial stewardship programs for nursing homes: A modified Delphi panel

2020 ◽  
Vol 41 (9) ◽  
pp. 1028-1034
Author(s):  
Shaul Z. Kruger ◽  
Susan E. Bronskill ◽  
Lianne Jeffs ◽  
Marilyn Steinberg ◽  
Andrew M. Morris ◽  
...  
Keyword(s):  
Nursing Home ◽  
Antimicrobial Resistance ◽  
Nursing Homes ◽  
Antimicrobial Stewardship ◽  
Antibiotic Use ◽  
Educational Interventions ◽  
Audit And Feedback ◽  
Delphi Panel ◽  
Scientific Merit ◽  
Modified Delphi

AbstractBackground:Antibiotic use in nursing homes is often inappropriate, in terms of overuse and misuse, and it can be linked to adverse events and antimicrobial resistance. Antimicrobial stewardship programs (ASPs) can optimize antibiotic use by minimizing unnecessary prescriptions, treatment cost, and the overall spread of antimicrobial resistance. Nursing home providers and residents are candidates for ASP implementation, yet guidelines for implementation are limited.Objective:To support nursing home providers with the selection and adoption of ASP interventions.Design and Setting:A multiphase modified Delphi method to assess 15 ASP interventions across criteria addressing scientific merit, feasibility, impact, accountability, and importance. This study included surveys supplemented with a 1-day consensus meeting.Participants:A 16-member multidisciplinary panel of experts and resident representatives.Results:From highest to lowest, 6 interventions were prioritized by the panel: (1) guidelines for empiric prescribing, (2) audit and feedback, (3) communication tools, (4) short-course antibiotic therapy, (5) scheduled antibiotic reassessment, and (6) clinical decision support systems. Several interventions were not endorsed: antibiograms, educational interventions, formulary review, and automatic substitution. A lack of nursing home resources was noted, which could impede multifaceted interventions.Conclusions:Nursing home providers should consider 6 key interventions for ASPs. Such interventions may be feasible for nursing home settings and impactful for improving antibiotic use; however, scientific merit supporting each is variable. A multifaceted approach may be necessary for long-term improvement but difficult to implement.

scholarly journals Professionals’ Expectations and Preparedness to Implement Knowledge-Based Palliative Care at Nursing Homes before an Educational Intervention: A Focus Group Interview Study

2021 ◽  
Vol 18 (17) ◽  
pp. 8977
Author(s):  
Helene Åvik Persson ◽  
Gerd Ahlström ◽  
Anna Ekwall
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Focus Group ◽  
Educational Intervention ◽  
Qualitative Content Analysis ◽  
Educational Interventions ◽  
Structured Interview ◽  
Successful Implementation ◽  
Major Theme ◽  
Knowledge Based

The provision of knowledge-based palliative care is rare in nursing homes. There are obstacles to practically performing this because it can be difficult to identify when the final stage of life begins for older persons. Educational interventions in palliative care in nursing homes are a challenge, and joint efforts are needed in an organisation, including preparedness. The aim was to explore professionals’ expectations and preparedness to implement knowledge-based palliative care in nursing homes before an educational intervention. This study has a qualitative focus group design, and a total of 48 professionals working in nursing homes were interviewed with a semi-structured interview guide. Qualitative content analysis with an inductive approach was used for the analysis. One major theme was identified: professionals were hopeful yet doubtful about the organisation’s readiness. The main categories of increased knowledge, consensus in the team, and a vision for the future illustrate the hopefulness, while insufficient resources and prioritisation illustrate the doubts about the organisation’s readiness. This study contributes valuable knowledge about professionals’ expectations and preparedness, which are essential for researchers to consider in the planning phase of an implementation study. The successful implementation of changes needs to involve strategies that circumvent the identified obstacles to organisations’ readiness.

Utilization of palliative care principles in nursing home care: Educational interventions

2015 ◽  
Vol 13 (6) ◽  
pp. 1745-1753 ◽  
Author(s):  
Berit Seiger Cronfalk ◽  
Britt-Marie Ternestedt ◽  
Lise-Lotte Franklin Larsson ◽  
Eva Henriksen ◽  
Astrid Norberg ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Home ◽  
Nursing Homes ◽  
Practical Knowledge ◽  
Implementation Strategies ◽  
Educational Interventions ◽  
Nursing Home Care ◽  
Group Discussions ◽  
Nursing Home Staff ◽  
Palliative Care Teams

ABSTRACTObjective:This study is part of the overarching PVIS (Palliative Care in Nursing Homes) project aimed at building competence in palliative care for nursing home staff. Our objective was to describe nursing home staff's attitudes to competence-building programs in palliative care.Method:Three different programs were developed by specialist staff from three local palliative care teams. In all, 852 staff at 37 nursing homes in the greater Stockholm area participated. Staff from 7 nursing homes participated in 11 focus-group discussions. Variation in size between the seven nursing homes initiated purposeful selection of staff to take part in the discussions, and descriptive content analysis was used.Results:The results suggest that staff reported positive experiences as they gained new knowledge and insight into palliative care. The experiences seemed to be similar independent of the educational program design. Our results also show that staff experienced difficulties in talking about death. Enrolled nurses and care assistants felt that they carried out advanced care without the necessary theoretical and practical knowledge. Further, the results also suggest that lack of support from ward managers and insufficient collaboration and of a common language between different professions caused tension in situations involved in caring for dying people.Significance of results:Nursing home staff experienced competence-building programs in palliative care as useful. Even so, further competence is needed, as is long-term implementation strategies and development of broader communication skills among all professions working in nursing homes.

Nurses’ knowledge and attitudes toward aged sexuality in Flemish nursing homes

2016 ◽  
Vol 23 (6) ◽  
pp. 605-623 ◽  
Author(s):  
Lieslot Mahieu ◽  
Bernadette Dierckx de Casterlé ◽  
Jolien Acke ◽  
Hanne Vandermarliere ◽  
Kim Van Elssen ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Staff ◽  
Positive Attitude ◽  
Nursing Home Residents ◽  
Later Life ◽  
Well Being ◽  
Educational Interventions ◽  
Survey Study ◽  
Knowledge And Attitudes

Background: Admission to a nursing home does not necessarily diminish an older person’s desire for sexual expression and fulfillment. Given that nursing staff directly and indirectly influence the range of acceptable sexual expressions of nursing home residents, their knowledge and attitudes toward aged sexuality can have far-reaching effects on both the quality of care they provide to residents and the self-image and well-being of these residents. Research objectives: To investigate nursing staff’s knowledge and attitudes toward aged sexuality, to determine whether certain sociodemographic factors of the nursing staff relate to their knowledge and attitudes toward later-life sexuality, and to examine the relationship between knowledge and attitudes. Research design: Descriptive cross-sectional survey study. Research participants and research context: The administered questionnaire collected sociodemographic data and data from an adapted, Dutch version of the Aging Sexual Knowledge and Attitudes Scale. Data were collected from November 2011 through April 2012. A total of 43 geographically dispersed nursing homes in Flanders, Belgium, participated. Out of a potential research sample of 2228 nursing staff respondents, 1166 participated. Ethical considerations: The study protocol was approved by the Ethics Committee of the Faculty of Medicine of the KU Leuven. Findings: Nursing staff appeared to be moderately knowledgeable about aged sexuality and displayed a rather positive attitude toward sexuality in older people. Significant relationships between various variables were found both at univariable and multivariable levels. Knowledge and attitudes proved to be positively related, indicating that a higher level of knowledge of aged sexuality is associated with a more positive attitude toward sexuality in later life. Discussion: Research findings are discussed within a broader international context. Conclusion: There is room for improvement for both nursing staff’s knowledge and attitudes toward aged sexuality. This might be aided by appropriate educational interventions. Our results identified different target groups of nursing home staff for these interventions.

Awareness and perception of precautionary measures against Covid 19 exposure among dental practitioners- A questionnaire based study

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 550-557
Author(s):  
Harini P ◽  
Abilasha R
Keyword(s):  
Statistical Analysis ◽  
Aerosol Formation ◽  
Dental Clinic ◽  
Attitude And Practice ◽  
Dental Practitioners ◽  
Hands On ◽  
The World ◽  
Spss Software ◽  
Precautionary Measures ◽  
Knowledge And Attitude

The most unexpected pandemic global outbreak is COVID 19 which is a newly discovered viral infection which originated in Wuhan, China and it caused the outbreak of pneumonia in the rest of the world. Dental practitioners are more susceptible to COVID 19 infection as their work is related to the aerosol formation during various procedures through which the virus spreads. The aim of the study is to create awareness about precautionary measures against COVID- 19 exposure among dental practitioners in Tamilnadu. A Survey based questionnaire was formulated with questions related to the various precautionary measures to be adopted by dental practitioners which would be effective to prevent Covid-19 exposure. A questionnaire with a total of 20 questions was circulated among dental practitioners and the responses were collected by google forms SPSS software statistical analysis was done. The overall awareness of dental practitioners against Covid-19 was above average. The dental practitioners were relatively well aware of the precautions to be adopted while treating the patients, but the implementation in practice is lacking due absence of hands-on experience in using various kinds of PPE. There is a gap between knowledge and attitude and practice among the participants of this survey. It is therefore essential to plan for organising training sessions and hands-on workshops for the use of PPE and public training of the general population regarding Covid-19 to improve the knowledge among the patients visiting the dental clinic as well.

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