scholarly journals Process Evaluation of a Complex Workplace Intervention to Prevent Musculoskeletal Pain in Nursing Staff: Results From INTEVAL_Spain.

2021 ◽  
Author(s):  
Mercè Soler-Font ◽  
José Maria Ramada ◽  
Antoni Merelles ◽  
Anna Amat ◽  
Carmen de la Flor ◽  
...  
Keyword(s):  
Case Management ◽  
Process Evaluation ◽  
Musculoskeletal Pain ◽  
Nursing Staff ◽  
Discussion Groups ◽  
Healthy Diet ◽  
Workplace Intervention ◽  
Control Group ◽  
Nordic Walking ◽  
Participatory Ergonomics

Abstract Background: The nursing staff is an occupational group at high risk of musculoskeletal pain. Scientific evidence has shown that multifaceted interventions are more effective than those based on a single component to prevent musculoskeletal pain. INTEVAL_Spain was a complex workplace intervention to prevent and manage musculoskeletal pain among nursing staff. Objectives: This study performed a process evaluation of INTEVAL_Spain and aimed to examine whether the intervention was conducted according to the protocol, to investigate the fulfilment of expectations and the satisfaction of workers.Methods: The intervention was a two-armed cluster randomized controlled trial and lasted one year. The process evaluation included quantitative and qualitative methods. Quantitative methods were used to address the indicators of Steckler and Linnan’s framework. Data on recruitment was collected through a baseline questionnaire for the intervention and the control group. Reach and dose received were collected through participation sheets, dose delivered and fidelity through internal registries, and fulfilment of expectations and satisfaction were collected with two questions at 12-months follow-up. Qualitative methods were used for a content analysis of discussion groups at the end of the intervention led by an external moderator to explore satisfaction and recommendations. The general communication and activities were discussed, and final recommendations were agreed on. Data were synthesized and results were reported thematically.Results: The study was performed in two Spanish hospitals during 2016-2017 and 257 workers participated. Recruitment was 62% and 51% for the intervention and the control group, respectively. The reach of the activities ranged from 96% for participatory ergonomics to 5% for healthy diet. The number of sessions offered ranged from 60 sessions for Nordic walking to one session for healthy diet. Fidelity of workers ranged from 100% for healthy diet and 79% for participatory ergonomics, to 42% and 39% for Nordic walking and case management, respectively. Lowest fidelity of providers was 75% for case management and 82% for Nordic walking. Fulfilment of expectations and satisfaction ranged from 6.6/10 and 7.6/10, respectively, for case management to 10/10 together for the healthy diet session. Discussion groups revealed several limitations for most of the activities, mainly focused on a lack of communication between the Champion (coordinator) and the workers. Conclusions: This process evaluation showed that the implementation of INTEVAL_Spain was predominantly carried out as intended. Process indicators differed depending on the activity. Several recommendations to improve the intervention implementation process are proposed.Study registration: ISRCTN15780649

scholarly journals Process evaluation of a complex workplace intervention to prevent musculoskeletal pain in nursing staff: results from INTEVAL_Spain

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mercè Soler-Font ◽  
José Maria Ramada ◽  
Antoni Merelles ◽  
Anna Amat ◽  
Carmen de la Flor ◽  
...  
Keyword(s):  
Case Management ◽  
Process Evaluation ◽  
Nursing Staff ◽  
Discussion Groups ◽  
Healthy Diet ◽  
Workplace Intervention ◽  
Control Group ◽  
Intervention Implementation ◽  
Nordic Walking ◽  
Participatory Ergonomics

Abstract Background INTEVAL_Spain was a complex workplace intervention to prevent and manage musculoskeletal pain among nursing staff. Process evaluations can be especially useful for complex and multifaceted interventions through identifying the success or failure factors of an intervention to improve the intervention implementation. Objectives This study performed a process evaluation of INTEVAL_Spain and aimed to examine whether the intervention was conducted according to the protocol, to investigate the fulfilment of expectations and the satisfaction of workers. Methods The intervention was a two-armed cluster randomized controlled trial and lasted 1 year. The process evaluation included quantitative and qualitative methods. Quantitative methods were used to address the indicators of Steckler and Linnan’s framework. Data on recruitment was collected through a baseline questionnaire for the intervention and the control group. Reach and dose received were collected through participation sheets, dose delivered and fidelity through internal registries, and fulfilment of expectations and satisfaction were collected with two questions at 12-months follow-up. Qualitative methods were used for a content analysis of discussion groups at the end of the intervention led by an external moderator to explore satisfaction and recommendations. The general communication and activities were discussed, and final recommendations were agreed on. Data were synthesized and results were reported thematically. Results The study was performed in two Spanish hospitals during 2016-2017 and 257 workers participated. Recruitment was 62 and 51% for the intervention and the control group, respectively. The reach of the activities ranged from 96% for participatory ergonomics to 5% for healthy diet. The number of sessions offered ranged from 60 sessions for Nordic walking to one session for healthy diet. Fidelity of workers ranged from 100% for healthy diet and 79% for participatory ergonomics, to 42 and 39% for Nordic walking and case management, respectively. Lowest fidelity of providers was 75% for case management and 82% for Nordic walking. Fulfilment of expectations and satisfaction ranged from 6.6/10 and 7.6/10, respectively, for case management to 10/10 together for the healthy diet session. Discussion groups revealed several limitations for most of the activities, mainly focused on a lack of communication between the Champion (coordinator) and the workers. Conclusions This process evaluation showed that the implementation of INTEVAL_Spain was predominantly carried out as intended. Process indicators differed depending on the activity. Several recommendations to improve the intervention implementation process are proposed. Trial registration ISRCTN15780649.

scholarly journals Headache and musculoskeletal pain in school children are associated with uncorrected vision problems and need for glasses: a case–control study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hanne-Mari Schiøtz Thorud ◽  
Rakel Aurjord ◽  
Helle K. Falkenberg
Keyword(s):  
Musculoskeletal Pain ◽  
School Children ◽  
School Health ◽  
Upper Body ◽  
Musculoskeletal Symptoms ◽  
Control Group ◽  
Pain Group ◽  
And Gender ◽  
Years Lived With Disability ◽  
Near Work

AbstractMusculoskeletal pain and headache are leading causes of years lived with disability, and an escalating problem in school children. Children spend increasingly more time reading and using digital screens, and increased near tasks intensify the workload on the precise coordination of the visual and head-stabilizing systems. Even minor vision problems can provoke headache and neck- and shoulder (pericranial) pain. This study investigated the association between headaches, pericranial tenderness, vision problems, and the need for glasses in children. An eye and physical examination was performed in twenty 10–15 year old children presenting to the school health nurse with headache and pericranial pain (pain group), and twenty age-and-gender matched classmates (control group). The results showed that twice as many children in the pain group had uncorrected vision and needed glasses. Most children were hyperopic, and glasses were recommended mainly for near work. Headache and pericranial tenderness were significantly correlated to reduced binocular vision, reduced distance vision, and the need for new glasses. That uncorrected vision problems are related to upper body musculoskeletal symptoms and headache, indicate that all children with these symptoms should have a full eye examination to promote health and academic performance.

PENGARUH EDUKASI MANAJEMEN DIRI TERHADAP DAN TEKANAN DARAH PASIEN HIPERTENSI DI RUANG RAWAT INAP RUMAH SANTA ELISABETH MEDAN

2020 ◽  
Vol 5 (1) ◽  
pp. 104-112
Author(s):  
Rusmauli Rusmauli ◽  
Connie M Sianipar
Keyword(s):  
Blood Pressure ◽  
Management Education ◽  
Healthy Diet ◽  
Self Management ◽  
Control Group ◽  
P Value ◽  
Symptom Scale ◽  
Healthy Behavior ◽  
Cognitive Symptom ◽  
Behavior Scale

Introduction: The risk for cardiovascular disorder caused by hypertension can be forestalled and controlled by applying healthy behavior such as exercises, cognitive symptom management, healthy diet, and blood pressure monitoring. In this case, education plays an important role in increasing the control of blood pressure. The objective of the research was to identify the influence of self-management education on healthy behavior and blood pressure in hypertension patients in the Hospital Elisabeth Medan Method: The research used quasi experiment and nonequivalent control group pre-post test design. The samples for this study were 60 hypertension patients as the respondents divided into two group, 30 in the intervention group and 30 in the control group taken by consecutive sampling technique. The data were gathered by using modification instruments from Stanford University; they were exercise behavior scale, cognitive symptom scale, questionnaires on healthy diet, and digital Omron tensimeter for measuring blood pressure Result: The data were gathered by using modification instruments from Stanford University; they were exercise behavior scale, cognitive symptom scale, questionnaires on healthy diet, and digital Omron tensimeter for measuring blood pressure. Data were analyzed using descriptive statistics, Wilcoxon and Mann Whitney test. The result of the research showed that there was no influence of self-management education on exercise (p-value = 1.00 > 0.05), there was the influence of self-management education on cognitive symptom (p-value = 0.00 < 0.05), there was the influence of self-management education on healthy diet (p-value = 0.00 < 0.05), and there was the influence of self-management education on systolic and diastolic blood pressure (p-value = 0.00 < 0.05).. Discussion: The conclusion of the research was that education could increase the application of healthy behavior and controlling blood pressure in hypertension patients. The result of the research could be an input for health care to maintain and increase education in hypertension patients so that they could control their blood pressure and forestall hypertension complication.

Manajemen Diri (Self Management) Perilaku Sehat pada Pasien Hipertensi

2021 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Vera Kurnia ◽  
Desti Nataria
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Intervention Group ◽  
Sampling Technique ◽  
Healthy Diet ◽  
Rank Test ◽  
Control Group ◽  
Healthy Behavior ◽  
Education Management ◽  
Primary Health

Hypertension is one of the most common causes of morbidity and mortality  all over the world, also known as “the silent killer” because people with hypertension are without symptoms. West Sumatera Province reported that the prevalence of hypertension at the age 18 years has increased from 25,8% in 2013 to 31,7% in 2018. Successful strategies to manage the blood preasure depends on patients self-care management or the ability and willingness of the patient to change and maintain certain behavior.The purpose of this research is to determine the effect of self-education management of hypertension patients in the working area of primary health care in Bukittinggi.Design of this research is a quasi experimental design with pretest-posttest with control group. The sample which used were 62 respondents consist of 31 people in the intervention group and 31 people in the group control. Sampling was done by consecutive sampling technique. Data was analyzed Wilcoxon signed rank test and Mann Whitney test. The result of this research shows that there isn’t any effect of self education management to healthy behavior which includes exercise and healthy diet of the intervention group and the control group at community health center in Bukittinggi (mean rank after the intervention < 10; p> 0,05). Based on the result of this research it can be concluded that the habits of respondents who carry out light and medium activities every day and also education provided by primary health care  have given big impact to respondent’s habits where they always do exercise and healthy diet in their daily life.The result of this research can be used as an input for primary health care to maintain and improve education of healthy behavior for hypertension patients.

The use of clinical case management for early stage Alzheimer' patients and their families

2000 ◽  
Vol 15 (5) ◽  
pp. 284-290 ◽  
Author(s):  
Paul Chu ◽  
Joy Edwards ◽  
Ron Levin ◽  
Jim Thomson
Keyword(s):  
Treatment Group ◽  
Case Management ◽  
Early Stage ◽  
Skill Training ◽  
Care Program ◽  
Disease Stage ◽  
Control Group ◽  
Management Service ◽  
Community Based Interventions ◽  
Training And Education

A number of studies have investigated the effectiveness of community based interventions to delay placement for persons with Alzheimer's disease (AD) and to ease caregiver burden, with mixed results. However, much of this research involved subjects who were in later stages of AD or the disease stage was not specified. Some researchers have suggested that the timing of interventions in these studies contributed to negative outcomes. This paper presents the results of a project which provided a comprehensive home care program to persons with early stage AD and their primary caregivers over a period of 18 months. Results indicated that caregivers in the treatment group felt less burdened at six months than caregivers in the control group and institutionalization was delayed for patients (with mild to moderate impairment) in the treatment group. These differences seem most attributable to the case management service provided to persons in the treatment group which featured supportive counseling, referral, skill training and education.

scholarly journals The Risk Factors-Based Nursing Case Management Could Effectively Reduce the Incidence of Pressure Sores in Hospitalized Patients

2021 ◽  
Author(s):  
Hong JIANG ◽  
Yanwen LIANG ◽  
Xinmei LIU ◽  
Donghong YE ◽  
Mengmiao PENG ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Weight ◽  
Case Management ◽  
Hospital Stay ◽  
Operative Time ◽  
Intervention Group ◽  
Hospitalized Patients ◽  
Normal Group ◽  
Control Group ◽  
Pressure Sores

Background: To explore the effects of risk factors-based nursing management on the occurrence of pressure sores in hospitalized patients. Methods: From Jan 2018 to Jun 2018, 289 hospitalized patients were divided into pressure sores group [100] and control group [189] for retrospective analysis. Overall, 260 hospitalized patients from Jun 2018 to Dec 2018 were followed up for nursing intervention. Overall 130 patients received risk factors-based nursing case management were in the intervention group, whereas 130 patients who received routine nursing care were in the control group. The chi-square test and t-test were used to compare the count data and the measurement data between groups, respectively. Results: Age, body weight and proportions of patients with impaired nutritional intake, diabetes or stroke in pressure sores group were higher than those in normal group (P<0.05). Hospital stay and operative time in pressure sores group was longer than those in normal group (P<0.05). The frequency of assistant activity in pressure sores group was significantly lower than that in control group (P<0.05).In addition, the score of uroclepsia in pressure sores group was lower than that in normal group (P<0.05). Patients in the intervention group showed lower risk for pressure sores and more satisfied than patients in control group (P<0.001). Conclusion: Advanced age, high body weight, diabetes and stroke, long hospital stay, long operative time, poor nutritional status and severe uroclepsia were independent risk factors of pressure sores. Risk factorsbased nursing case management can effectively reduce the occurrence and risk of pressure sores for hospitalized patients.

Small-scale, homelike facilities in dementia care: A process evaluation into the experiences of family caregivers and nursing staff

2012 ◽  
Vol 49 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Hilde Verbeek ◽  
Sandra M.G. Zwakhalen ◽  
Erik van Rossum ◽  
Gertrudis I.J.M. Kempen ◽  
Jan P.H. Hamers
Keyword(s):  
Family Caregivers ◽  
Process Evaluation ◽  
Nursing Staff ◽  
Dementia Care ◽  
Small Scale
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