scholarly journals The Effects of Educational Intervention on Operating Room Nurses' Application of Electrosurgical Units 

Author(s):  
Armin Fereidouni ◽  
Mina Amiri ◽  
Mostafa Bijani ◽  
Seyed Alireza Moayedi ◽  
Camellia Torabizadeh

Abstract Background: An electrosurgical unit is one of the most essential pieces of equipment in operating rooms. Over 80% of operations today make use of electrosurgical units. Training operating room nurses in correct application of electrosurgical units and evaluation of their application play a key role in making optimal use of the units and extending their lifetime, reducing occupational hazards for surgical teams, and enhancing the safety of patients. The present study aims to investigate the effects of an educational intervention on operating room nurses' application of electrosurgical units. Methods: The present study is a quasi-experimental work of research conducted in all the operating rooms of the hospitals located in Shiraz, Iran. Data were collected from 200 observations of 200 surgeries (100 before intervention and 100 after). The content of education was derived from a literature review and standard guidelines and was presented as a poster in the operating rooms. The data collection instruments consisted of a Demographic Information Questionnaire, a surgery checklist, and the checklist for operating room Nurses' application of electrosurgical units. Data were collected once before the intervention and then again one month after the intervention. The collected data were analyzed using the descriptive statistics of chi-square test and paired t-test at a significance level of 0.05 in SPSS v. 18.Results: The average age of the participating nurses was 31.540±6.772 years. The majority of the participants were female. The results showed a statistically significant difference between the means and standard deviations of the nurses' application of electrosurgical units scores before (18.330±2.666) and after (20.820±3.400) intervention. Conclusion: Introducing operating room nurses to the standard guidelines for application of electrosurgical units can improve the quality of services provided by the nurses, increase the safety of patients, and reduce occupational hazards. Thus, to improve operating room nurses' professional performance in application of electrosurgical units, medical managers and policy-makers should attach more importance to on-the-job training programs.

2015 ◽  
Vol 49 (2) ◽  
pp. 0292-0297 ◽  
Author(s):  
Cristina Silva Sousa ◽  
Daniela Magalhaes Bispo ◽  
Ana Lucia Mirancos da Cunha ◽  
Ivana Lucia Correa Pimentel de Siqueira

OBJECTIVE To evaluate the effectiveness of an educational intervention on malignant hyperthermia with operating room nurses. METHOD A quasi-experimental study, aimed at an educational intervention of short duration with the nursing staff in the operating room of the institution hosting the research in the city of São Paulo, with the participation of 96 professionals. Pre-intervention tests and post-intervention tests were applied, which consisted of a lecture followed by simulation. RESULTS Considering the overall results of the intervention, there was a statistically significant difference (p<0.00). After the educational intervention, there was an increase of the minimum and maximum scores, and average growth of 2.64 points in the knowledge of professionals when compared to the previous step. CONCLUSION The educational intervention strategy favors the concept of the content developed by everyone involved and qualifies professionals to work safely.


2020 ◽  
Author(s):  
Saeideh Shahsavari ◽  
Sakineh dadipoor ◽  
Mohtasham Ghaffari ◽  
Ali Safari-Moradabadi

Abstract Background: The aim of the present study was to assess readiness to become or stay physically active according to the Stages of Change Model.Methods: The present quasi-experimental study was conducted on 100 women working in the healthcare centres of Bandar Abbas, Iran. The sampling method is clustering in type. The subjects were assigned into two groups of intervention and control. The collected data were analysed by SPSS-16 software using descriptive and inferential statistics, including independent-sample t-test, paired-sample t-test and Chi-square test.Results: Before the educational intervention, 19 subjects (0.38%) from the intervention group showed to have regular physical activity (4-5 stages). This number changed to 29 (0.58%) and 25 (0.50%) after three months and six months of intervention. A statistically significant difference was found before the intervention and 3 and 6 months afterwards (P˂.001). In the control group, no statistically significant difference was found between the pre-intervention and post-intervention (three months (P=.351) and six months (P=.687).Conclusion: The educational intervention based on the stages of behaviour change model showed to be effective in promoting the physical activity of employed women. These findings may benefit health education researchers and practitioners who tend to develop innovative theory-based interventions and strategies to increase the level of physical activity in women.


2020 ◽  
Author(s):  
Yahya Safari ◽  
Fatemeh Foroutanfar

Abstract Background: This study assessed job security among operating room nurses of teaching hospitals, Kermanshah University of Medical Sciences in Kermanshah, Iran.Methods: The population of this descriptive-analytical study included all operating room nurses (n=217) of teaching hospitals affiliated to Kermanshah University of Medical Sciences in 2017, from whom 136 were chosen as study sample by simple random sampling and Kerjesi-Morgan table. Data were collected by Nissi’s job security questionnaire. The obtained data were analyzed by Pearson’schi-square and one-way ANOVA tests.Results: The findings showed the job security of the majority of nursing staff was average in low job displacement (66.9%), job satisfaction (68.5%), emotional work environment (65.5%), sense of peace (71%), organizational commitment (44.4%) and organizational defense (55.6%) domains. However, their job security was high in concentration on job (89.5%) and choosing an appropriate job (90.3%) dimensions and poor in financial satisfaction (71.8%) domain. In general, 89.5% of nurses had a high job security. The results of Pearson’s chi-square test showed a significant association between job security and gender, age, education and income variables. However, the findings of one-way ANOVA indicated no significant difference among different hospitals regarding the mean job security.Conclusion: The findings of this study demonstrated 89.5% of the studied participants were reported to have job security. Also, among the studied hospitals, Mohammad Kermanshahi hospital was found to have the highest job security.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Esmaeell Shahriyari ◽  
Alireza Salar ◽  
Abolfazl Payandeh

Background: One of the main stressors for patients admitted to the intensive care unit (ICU) is being away from family members and severe appointment time limits. Currently, the treatment environment is made of family members and patients, and the presence of family members plays an important role in the patient’s health. Objective: This study aimed to determine the effect of scheduled family appointments on the agitation of ICU patients. Methods: This quasi-experimental study was performed on 70 patients admitted to the ICU of medical centers affiliated to Zahedan University of Medical Sciences, Iran, in 2020. The patients were selected using convenience sampling from among those who met the inclusion criteria. The selected patients were randomly assigned into two equal groups of control and intervention (n = 35 in each). The patients in the control group were visited via routine appointments. In contrast, the patients in the intervention group were visited both routinely and via scheduled appointments by a fixed member of the family for 20 minutes at 10-12 AM and 8-10 PM for three days. The data were collected using a demographic information form and Richmond Agitation Sedation Scale (RASS), which was completed by the researcher for each patient on the first day before and the third day after the intervention. The collected data were analyzed using IBM SPSS software (version 24) with the chi-square test, Fisher’s exact test, independent samples t-test, and Mann–Whitney U test. The significance level was considered less than 0.05. Results: The two groups were similar in terms of age, sex, level of consciousness, and history of hospitalization in the ICU and there was no statistically significant intergroup difference (P > 0.05). According to the results of Mann–Whitney U and chi-square tests, there was a significant difference between the groups in terms of agitation at the end of the study (P < 0.05). Conclusions: Scheduled appointments for ICU patients can reduce patients’ agitation without affecting nurses’ care activities. This accelerates the recovery process for patients. Hence, the appointment-based policy needs to be implemented in ICUs.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Masoumeh Shohani ◽  
Mansour Masoumi ◽  
Hossein Seidkhani ◽  
Mosayeb Mozafari ◽  
Homaione Ebrahimi

Background: Extracorporeal shock wave lithotripsy (ESWL) is an effective and relatively safe method for crushing urinary tract stones Objectives: The purpose of this study was to compare the effect of running on treadmill and rope jumping exercises on the excretion of mass-like urinary stones following ESWL in the patients referred to the Asia clinic in the city of Ilam. Methods: This was a quasi-experimental study. The subjects were selected by the convenience sampling method and randomly divided into three groups, including control, treadmill running, and rope jumping (n = 50 per group). Data were collected by a questionnaire to record the sonographic characteristics of the stones before and after lithotripsy and analyzed by SPSS software version 24 using Chi-square, unpaired t-test, and one-way ANOVA at the significance level of 5%. Benieman-Hashberg method was used to correct multiple comparisons. Results: There was a significant difference in the number of excreted stones comparing the control, treadmill running, and rope jumping groups (F = 8.851, P = 0.002). There were significant differences between the control and both treadmill running (P = 0.038) and rope jumping (P = 0.002) groups regarding the rate of stone excretion. However, there was no significant difference between the treadmill running and rope jumping groups regarding the rate of stone excretion (P = 0.293). Conclusions: Rope jumping and treadmill running exercises can help to better and faster expel kidney stones, depending on their location, after lithotripsy.


2021 ◽  
Vol 17 ◽  
Author(s):  
Seyedeh Zahra Masoumi ◽  
Khodayar Oshvandi ◽  
Masoumeh Rostami-Moez ◽  
Arezoo Shayan ◽  
Farideh Kazemi

Background: Infertility can cause low marital satisfaction. Marital satisfaction has an important effect on infertile couples’ health. Objective: This study aimed to assess the effect of relationship enrichment training on improving the marital satisfaction of infertile couples. Methods: This randomized clinical trial was conducted on 50 infertile couples in the infertility center of Fatemieh Hospital in Hamadan, Iran in 2018. Participants were matched for demographic characteristics and randomly assigned to intervention and control groups (each group had 25 couples). Informed consent was obtained from all participants. The Enrich Marital Satisfaction questionnaire and demographic information were used to collect data before the study and two months after the intervention. Two trained midwifery students taught only the intervention group the relationship enrichment topics in seven sessions (each session = 90 minutes). The data were analyzed by SPSS Statistics version 21 using analysis of covariance, independent t-test, chi-square, and Mann–Whitney. The significance level was set at p ≤ 0.05. Results: There was no significant difference in demographic and obstetric information between the two groups (p >0.05). The mean of marital satisfaction in the intervention group significantly increased among women and men from 151.00 ±28.61 to 154.88 ±22.62 and from 152.56 ±27.33 to 159.24 ±22.14, respectively, (p <0.001). Conversely, the mean of marital satisfaction decreased among women and men from 158.13 ±13.86 to 146.25 ±19.53 and from 164.25 ±17.00 to 153.17 ±27.50 in the control group (p=0.02). Conclusion: Relationship enrichment training can be effective in promoting the marital satisfaction of infertile couples. Registration number: The National Center for Strategic Research in medical education, No. 960185.


2021 ◽  
Vol 45 (5) ◽  
pp. 312-316
Author(s):  
Mishra Neha Sanjeev ◽  
Harsimran Kaur ◽  
Sandeep Singh Mayall ◽  
Rishika ◽  
Ramakrishna Yeluri

Objective: To evaluate the effectiveness of placing a resorbable collagen barrier in impeding the extrusion of obturation material in primary molars undergoing resorption. Study design: All the 94 canals in 47 mandibular molars were allocated to 2 groups- Group ‘A’- 47 canals with collagen barrier (Test group) and Group ‘B’- 47 canals without collagen barrier (Control group) based on randomization protocol. Pulpectomy was performed and obturation of both test and control canals were radiographically assessed. Pearson’s chi – square test was applied to analyze the results. The significance level was predetermined at p &lt; 0.05. Results: Among the test group, 93.6% of the canals showed no extrusion while, 6.4% showed visible extrusion of the material outside the apex. In the control group, 83% showed no extrusion whereas 17% of the canals showed visible extrusion outside the apex. But no significant difference was noted (p&gt;0.05). Conclusion: The placement of resorbable collagen barrier in the apical third of the canal prevented the extrusion of obturating material beyond the apex in resorbing primary molars.


2016 ◽  
Vol 21 (4) ◽  
pp. 73-79 ◽  
Author(s):  
Guilherme Thiesen ◽  
Bruno Frazão Gribel ◽  
Keila Cristina Rausch Pereira ◽  
Maria Perpetua Mota Freitas

ABSTRACT Introduction: Facial skeletal asymmetry is commonly found in humans and its main characteristic is menton deviation. The literature suggests that occlusal and masticatory problems arising from tooth absence could be related to the development of such asymmetries. Objective: The aim of this cross-sectional study was to estimate the prevalence of mandibular skeletal asymmetries and to investigate its association with posterior tooth absences. Methods: Tomographic images of 952 individuals aged from 18 to 75 years old were used. Asymmetry was the analyzed outcome, and it was categorized into three groups according to gnathion displacement in relation to the midsagittal plane (relative symmetry, moderate asymmetry, and severe asymmetry). Patients were sorted by the presence of all posterior teeth, unilateral posterior tooth absence, or bilateral posterior tooth absence. Chi-square test with a significance level of 5% was used to verify the association between posterior tooth absence and asymmetry. Results: Results show relative symmetry present in 55.3% of the sample, as well as the prevalence of 27.3% for moderate mandibular asymmetry and 17.4% for severe asymmetry. Moderate and severe mandibular asymmetries occurred in a higher proportion in patients with unilateral posterior tooth absence. However, there was no statistically significant difference between the analyzed groups (p = 0.691). Conclusions: In this study, mandibular asymmetries did not present any association with the absence of teeth on the posterior area of the arch.


CoDAS ◽  
2021 ◽  
Vol 33 (6) ◽  
Author(s):  
Silvia Márcia Andrade Campanha ◽  
Roberta Lopes de Castro Martinelli ◽  
Durval Batista Palhares

ABSTRACT Purpose Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Methods Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. Results When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Conclusion Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.


2017 ◽  
Vol 4 (2) ◽  
pp. 239 ◽  
Author(s):  
Ratna Sariningsih ◽  
Indri Herdiman

Penelitian ini bertujuan menelaah peranan pembelajaran open-ended dan tingkat kemampuan awal statistik matematis mahasiswa terhadap pencapaian kemampuan penalaran statistik dan kemampuan berpikir kreatif matematis ditinjau secara keseluruhan dan pada tingkat kemampuan awal statistik matematik siswa (Tinggi, Sedang, Rendah). Berdasarkan hasil temuan dicari asosiasi kemampuan penalaran statistik matematis dan kemampuan berpikir kreatif matematis mahasiswa jurusan matematika di kota Cimahi. Penelitian ini merupakan penelitian eksperimen dengan desain kelompok kontrol dan postes. Populasi dalam penelitian ini adalah  seluruh  mahasiswa  jurusan  matematika di Kota Cimahi, sampelnya adalah mahasiswa semester dua dari salah  satu  perguruan tinggi di  Kota  Cimahi dan dipilih  dua kelas mahasiswa semester dua secara acak kelas yang ada. Tes kemampuan penalaran statistik, berpikir kreatif dan reflektif matematis mahasiswa masing-masing disusun mengacu pada kemampuan penalaran statistik matematis dan berpikir kreatif matematis serta  pedoman  penyususunan  tes  yang  baik.  Hasil penelitian menunjukkan bahwa (1) Kemampuan   penalaran   statistik   matematis  m a h a siswa    yang    memperoleh   pendekatan pembelajaran  open-ended  lebih  baik  daripada  yang  memperoleh  pembelajaran biasa. (2) Terdapat perbedaan yang signifikan kemampuan penalaran statistik matematis mahasiswa pada ketiga kategori TKASM (baik, sedang dan kurang) pada taraf signifikansi 5%. (3) Kemampuan berpikir kreatif matematis m a h a siswa yang memperoleh pendekatan pembelajaran open-ended  lebih  baik  daripada  yang  memperoleh  pembelajaran biasa. (4) Terdapat perbedaan yang signifikan antara kemampuan berpikir kreatif matematis mahasiswa pada TKASM Tinggi terhadap TKASM Sedang pada taraf signifikansi 5%. A Comparison of Statistics Learning Through CTL and Problem-Posing Approach in Terms of Learning Achievement and Interest in Learning Mathematics AbstractThis research aim s to describe the effectiveness of statistics learning through the CTL approach and problem posing approach in terms of learning achievement and interest in learning mathematics and to investigate which approach is more effective in learning mathematics for Vocational School students. This research is a quasi-experimental research using the pretest-posttest non-equivalent group design. The research population comprised all year XI students of SMK Negeri 5 Yogyakarta. From the population, two classes were randomly selected as the research sample. To test the effectiveness of statistics learning through the CTL and problem-posing approach, one sample t-test was used in the aspect of learning achievement and a proportion test on the aspect of interest in learning. The data were analyzed using the T2Hotelling’s test to compare the effectiveness of the CTL approach and problem-posing approach. If differences in effectiveness were found, then further study of t-univariate was done to determine certain variables that contributed to the overall difference. The results show that: (1) statistics learning through the CTL approach is effective in terms of learning achievement; (2) There is a significant difference of students' mathematical statistical reasoning ability in the three categories of TKASM (good, medium and low) at significance level of 5%. (3) The ability of students' mathematical creative thinking to get an open-ended learning approach is better than those who get regular learning. (4) There is a significant difference between students' mathematical creative thinking ability in TKASM Tinggi to TKASM Sedang at the level of significance of 5%.


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