Comparing the Effects of Mastery Learning and Lectures on Nurses’ Oxygen Therapy Knowledge and Practice: A Quasi-Experimental Study in Southern Iran

Abstract Background and Aim: Improper administration of oxygen as an expensive drug has dangerous side effects. Nurses are responsible for performing this therapy and even prescribing it in emergencies. This study aimed to determine the effect of two methods of mastery learning and lectures on the oxygen therapy knowledge and practice of nurses in a teaching hospital in southern Iran.Materials and Methods: This quasi-experimental study was conducted on 50 nurses working in a teaching hospital in southern Iran. The participants were selected using convenience sampling and randomly divided into intervention and control groups. The members of the intervention group attended 4 oxygen therapy master learning sessions, while the members of the control group were trained using the lecture method for 4 sessions. The instruments used for data collection were a demographic information questionnaire and the researcher-made nurses’ oxygen therapy knowledge and practice inventories that were completed by the participants in both groups. The data were collected before the intervention and one week and three months after the intervention and analyzed using SPSS software with descriptive and inferential statistics.Results: The findings indicated that the nurses had poor oxygen therapy knowledge and practice before the intervention. Furthermore, there was no significant difference between the two groups in terms of the mean scores of oxygen therapy knowledge and practice before the intervention. It was also shown that oxygen therapy knowledge and practice were significantly improved one week and three months after the learning mastery intervention in the participants in the intervention group (P < 0.001). In contrast, only the oxygen therapy knowledge of the members of the control group showed a significant increase three months after the intervention compared to the pre-intervention stage (P = 0.04). Conclusion: The results of the present study showed that the mastery learning model is an effective model for improving and maintaining the nurses’ oxygen therapy knowledge and practice. Since nurses’ optimal practice improves the quality of care and increases patient safety, mastery learning can be used as an effective training technique to improve nurses’ oxygen therapy practice.

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Simulation-based Mastery Improved Nursing Skills in Bsc Nursing Students: A Quasi-experimental Study

10.21203/rs.3.rs-28992/v1 ◽

2020 ◽

Author(s):

Roghaye Mehdipour-rabori ◽

Behnaz Bagheryan ◽

monirsadat nematollahi

Keyword(s):

Experimental Study ◽

Nursing Education ◽

Nursing Students ◽

Clinical Teaching ◽

Clinical Skills ◽

Mastery Learning ◽

Intervention Group ◽

Control Group ◽

Simulation Based ◽

Quasi Experimental

Abstract Background:Clinical education is an essential part of nursing education. Selected clinical teaching methods influence it. Simulation-based mastery learning has been used to improve clinical skills among nursing students and may provide a novel way to enhance nursing skills.The object of this study was to assessthe effect of the simulation-based mastery learning on the clinicalskills of undergraduate nursing students from 2017 till 2019.Methods:This study was a quasi-experimental study withtwo groups (the control and intervention).After receiving written consent, one 117 studentsselected random convenience sampling. The intervention group participated in a simulation-based mastery learning intervention, and the control group received no intervention except for traditional training.The students of both groups completed the demographic information questionnaire and the checklist before and after the intervention. The results were analyzed by SPSS version 21 using descriptive and inferential statistics.Results:The results showed that there were no significant differences between the two groups before the intervention (p> o.o5). Also, that students’ performance in the intervention group and control group improved significantly at the post-test compared to baseline(p<0.05), implying that the simulation-based mastery model of the intervention group significantly more effective compared to that of the control.Conclusion: Thesefindings showed that mastery learning strategy improved the clinical skills ofundergraduatenursing students.The results suggest that other nursing and health profession’s programs can develop a successful mastery-based learning model.

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Effect of Telenursing on the Self-eﬃcacy of Patients with Myocardial Infarction: A Quasi-experimental Study

10.22514/sv.2020.16.0039 ◽

2020 ◽

Keyword(s):

Myocardial Infarction ◽

Experimental Study ◽

Self Efficacy ◽

Demographic Data ◽

Intervention Group ◽

The Self ◽

Control Group ◽

Significant Difference ◽

Quasi Experimental

Background and Objective: Despite medical advances, patients with Myocardial Infarction do not fully recover and require rehabilitation and other treatment measures as well. One way to empower these patients is to promote self-efficacy. Therefore, the present study aimed to determine the effect of Tele-nursing on the self-efficacy of patients with myocardial infarction. Methods: This quasi-experimental study was conducted on 40 patients with Myocardial Infarction. The participants selected using the simple random sampling method. The patients were divided into two intervention and control groups of 20 participants. Routine training was given to both groups before discharge. The demographic data questionnaire and Sullivan’s cardiac self-efficacy questionnaire were then provided to each patient. In the intervention group, in addition to routine training, the telephone follow-up intervention was performed by the researcher within one month (once a week with an average call duration of 10 minutes). After one month, the self-efficacy questionnaire was provided to each of the study units again. Finally, after determining the normal distribution, the data were analyzed by chi-square, independent t-test, and ANCOVA tests, using SPSS v.25 software. Results: There was no statistically significant difference between the two groups in terms of demographic variables and disease characteristics. The mean score of self-efficacy before and after the intervention in the control group was 22.90 ± 3.93 and 33.35 ± 8.36, respectively, and in the intervention group, was 25.60 ± 6.90 and 47.45 ± 5.60, respectively. There was a statistically significant difference between the two groups after the intervention (p < 0.001). Conclusion: Telenursing can improve adherence to the treatment program and promote patients’ self-efficacy. Therefore, due to its reliability, availability, and low cost, this method can be used in patient care and follow-up.

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The effect of Preventive-Care Education On Radiotherapy-Induced Dermatitis in Patients with Breast Cancer: A Quasi-Experimental Study

Medical - Surgical Nursing Journal ◽

10.5812/msnj.108878 ◽

2020 ◽

Vol In Press (In Press) ◽

Author(s):

Vahideh Ganjali ◽

Fatemeh Kiyani ◽

Farshid Saeedinezhad ◽

Pegah Sasanpoor ◽

Hasan Askari

Keyword(s):

Breast Cancer ◽

Experimental Study ◽

Radiation Therapy ◽

Preventive Care ◽

Intervention Group ◽

Disease Stage ◽

Control Group ◽

Care Education ◽

Significant Difference ◽

Quasi Experimental

Background: Breast cancer is the most common on the list and the leading cause of cancer death in women worldwide. Although radiation therapy is a key component of cancer treatment, it causes several complications, including radiodermatitis. Objectives: The current study aimed to investigate the effect of preventive-care education on radiotherapy-induced dermatitis in patients with breast cancer. Methods: In this quasi-experimental study, 80 patients with breast cancer who were candidates for radiation therapy were selected by convenience sampling and randomly assigned to the groups of intervention and control. Data were collected using a demographic form and a scale for assessing skin complications developed by the Radiation Therapy Oncology Group (RTOG). Patients in the intervention group were trained individually in three 30-minute sessions on treatment methods, chemotherapy, and prevention as well as radiodermatitis care. While the control group received routine care. Data were analyzed in SPSS 22 using the Mann-Whitney test, chi-squared test, Fisher's exact test, independent t-test, and generalized estimation equation (GEE) at a significance level of < 0.05. Results: No statistically significant difference was found between the two groups concerning the marital status, smoking, education level, age, BMI, plasma albumin level, and disease stage. After providing the intervention, the prevalence of radiodermatitis grade 1 was 27.5 and 7.5% in the control and intervention groups, respectively. After six weeks, 30% and 10% of patients in the control group developed radiodermatitis grades 3 and 4, respectively, but only 7.5% of patients in the intervention group had radiodermatitis grade 3. The results of GEE indicated that over time, the probability of developing higher grades of radiodermatitis increases by 1.074. This probability was 1.355 higher in the control group than the intervention group (P value = 0.03). Conclusions: This study demonstrated the positive effect of the educational intervention on the severity of radiodermatitis in patients with breast cancer undergoing radiotherapy. Along with medication, implementing an educational program that teaches patients how to prevent radiodermatitis helps to reduce the incidence of radiodermatitis.

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Effect of Educational Intervention Based on Health Belief Model on Prevention of Substance Abuse Among the Students of Khatam Al-Nabieen University in Afghanistan

Iranian Red Crescent Medical Journal ◽

10.5812/ircmj.101935 ◽

2020 ◽

Vol 22 (5) ◽

Author(s):

Khanali Mohammadi ◽

Sedigheh Sadat Tavafian

Keyword(s):

Substance Abuse ◽

Experimental Study ◽

Health Belief Model ◽

Educational Intervention ◽

Intervention Group ◽

Health Belief ◽

Control Group ◽

Significant Difference ◽

Quasi Experimental ◽

Belief Model

Background: Addiction in Afghanistan, as the largest opium producer in the world, is relatively high, and limited studies have indicated that the youth, especially students are the majority of the addicted cases in this country. Objectives: This quasi-experimental study aimed at designing and evaluating the effect of educational intervention based on the Health Belief Model (HBM) on drug abuse prevention among the students of Khatam Al-Nabieen University in Afghanistan. Methods: In this quasi-experimental study, 120 students of Khatam Al-Nabieen University residing in Ghazni city, Afghanistan, were randomly divided into two groups of the intervention and control (60 students per group). The HBM-based educational intervention was performed for the intervention group. The data in both groups were collected and evaluated at four time points, including before intervention, and immediately, 3, and 6 months after the intervention using a valid researcher-made questionnaire. Results: Although there was no significant difference between the mean score of the HBM constructs (P > 0.05) before the intervention, the results of repeated measures ANOVA showed significant differences in the intervention group in HBM constructs and also intention toward substance abuse preventive behavior (P < 0.001). There were significant inter- and intra-group differences, as well as the group-time interaction in all HBM constructs mean scores (P < 0.001). Also, as the valuable finding, the preventive behavioral intention significantly (P < 0.001) improved following a 3- and 6-month follow-up in the intervention group (17.63 ± 1.34 and 17.66 ± 1.42, respectively) compared with the control group (10.95 ± 1.33 and 10.87 ± 1.22, respectively). Conclusions: The results showed that the HBM-based educational program by preventing substance abuse can help students adopt proper behaviors.

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Evaluation of the Effect of Scheduled Family Appointments on Agitation of ICU Patients: A Quasi-experimental Study

Medical - Surgical Nursing Journal ◽

10.5812/msnj.118394 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Esmaeell Shahriyari ◽

Alireza Salar ◽

Abolfazl Payandeh

Keyword(s):

Experimental Study ◽

Family Members ◽

Intervention Group ◽

Recovery Process ◽

Control Group ◽

Chi Square ◽

Icu Patients ◽

Significance Level ◽

Significant Difference ◽

Quasi Experimental

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.

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The Effect of Hope Therapy-based Training on the Happiness of Women with Breast Cancer: A Quasi-experimental Study

Medical - Surgical Nursing Journal ◽

10.5812/msnj.113501 ◽

2021 ◽

Vol 9 (4) ◽

Author(s):

Niloofar Kondori Fard ◽

Asadollah Keikhaei ◽

Maliheh Rahdar ◽

Nasrin Rezaee

Keyword(s):

Breast Cancer ◽

Experimental Study ◽

Intervention Group ◽

T Test ◽

Control Group ◽

Paired Samples ◽

Significant Difference ◽

Quasi Experimental ◽

The Mean ◽

Hope Therapy

Background: The prevalence of cancer and its psychological consequences has increased steadily in recent decades. Hence, parallel to providing medical interventions, psychological therapies should be provided to cancer patients. Objectives: The present study aimed to determine the effect of hope therapy-based training on the happiness of women with breast cancer. Methods: In this quasi-experimental study, 100 female patients with breast cancer admitted to the chemotherapy wards of two hospitals affiliated to the Zahedan University of Medical Sciences (Iran) in 2020 are studied. Participants were selected using the convenience sampling technique and randomly divided into two groups of intervention and control (each with 50 subjects). The intervention group received eight sessions of group-based hope therapy training. Data were collected using a demographic information form and the Oxford Happiness questionnaire. Data were analyzed using SPSS version 16 by chi-square, independent samples t-test, and paired samples t-test, at a significant level of P < 0.05. Results: There was no significant difference between the two groups concerning demographic characteristics. The independent samples t-test showed no significant difference in the mean scores of happiness between the two groups before the intervention (P = 0.55). However, the mean score of happiness for the participants in the intervention group showed a significant increase after providing the intervention compared to the control group (P = 0.001). Besides, the paired samples t-test indicated a significant increase in the mean score of happiness after providing the intervention compared to before intervention (P = 0.001), while the mean score of happiness for the participants in the control group showed a statistically significant decrease (P = 0.004). Conclusions: This study demonstrated that hope therapy-based training is effective for the happiness of women with breast cancer. Since physical and psychological problems caused by cancer lead to sadness and reduced happiness, hope therapy can be added to the care programs for women with cancer undergoing chemotherapy.

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Effectiveness of “Hand Hygiene Fun Month” for Kindergarten Children: A Pilot Quasi-Experimental Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17197264 ◽

2020 ◽

Vol 17 (19) ◽

pp. 7264

Author(s):

Lorna Kwai Ping Suen ◽

Janet Pui Lee Cheung

Keyword(s):

Experimental Study ◽

Hand Hygiene ◽

School Health ◽

Intervention Group ◽

Kindergarten Children ◽

School Level ◽

Control Group ◽

Hygiene Practices ◽

Quasi Experimental ◽

Experimental Group

Early childhood is a formative period during which healthy habits are developed, including proper hand hygiene practices. The aim of this quasi-experimental study was to determine the effectiveness of a 4-week series of educational sessions that consider the cognitive developmental stage of children on increasing their knowledge and promoting hand hygiene practices. The intervention group (n = 33) observed the hand hygiene program, whereas another group served as the waitlist control (n = 20). Creative activities were planned for the illustration of hand hygiene concepts in terms of “right moments”, “right steps”, and “right duration”. Hand sanitizer coverage was evaluated using a hand scanner. After the intervention, the experimental group had higher knowledge level toward hand hygiene than the control group (p < 0.001). Significant improvements in hand hygiene performance at the left palm and dorsum (p < 0.05), right palm (p < 0.05), and overall hand coverage (p < 0.05) were observed in the experimental group. The study demonstrated that the knowledge and proper hand hygiene (HH) practice of children can be positively influenced by the use of an age-appropriate education program. The results of this study have implications for school health educators and parents for promoting HH practices among children at home and at the school level.

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Immunization competence retention in medical students: a comparation between conventional lectures and lectures with simulations method

Paediatrica Indonesiana ◽

10.14238/pi55.6.2015.339-44 ◽

2016 ◽

Vol 55 (6) ◽

pp. 339 ◽

Cited By ~ 1

Author(s):

Hartono Gunadi ◽

Rini Sekartini ◽

Retno Asti Werdhani ◽

Ardi Findyartini ◽

Muhammad Arvianda Kevin Kurnia

Keyword(s):

Experimental Study ◽

Medical Students ◽

Medical School ◽

Intervention Group ◽

Control Group ◽

Vaccine Preventable Diseases ◽

Before And After ◽

Quasi Experimental

Background Immunization is recognized as one of the strategiesto reduce vaccine preventable diseases. Competency related toimmunization are consequently important for medical students andthe medical school needs to assure the competence acquisition.Objective To assess competence related to immunization andits retention following lectures with simulations compared tolectures only.Methods A quasi-experimental study was conducted to the 5th yearstudents of University of Indonesia Medical School during the ChildAdolescent Health Module in 2012-2013. The intervention grouphad lectures with simulations and the control group had lecturesonly. Immunization knowledge was assessed with a 30 multiplechoice question (MCA) items performed before and after themodule. Competence retention was assessed by MCQ (knowledge)and OSCE (skills) 2-6 months afterwards.Results Sixty eight subjects for each group with similarcharacteristics were analyzed. There was significant differenceafter module MCQ score between two groups. Competenceretention in 2-6 months after module completion was betterin intervention group, both for the knowledge (median MCQscore of 70.00 (range 37-93) vs. mean score of 58.01 (SD 12.22),respectively; P<0.001) and skill (OSCE mean scores of 75.21 (SD10.74) vs. 62.62 (SD 11.89), respectively; P < 0.001). Proportionof subjects in the intervention group who passed both the MCQand OSCE were also significantly greater.Conclusion Lectures with simulations are proved to bemore effective in improving medical students’ immunizationcompetence as well as its retention compared to lectures onlyapproach.

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The Effect of Educational Intervention on Efficacy of 1% Permethrin Shampoo and 4% Dimeticone Lotion to Treat Head Lice Infestation Using Propensity Score Matching (PSM)

10.21203/rs.3.rs-605543/v1 ◽

2021 ◽

Author(s):

Eslam Moradi Asl ◽

Abedin Saghafipour ◽

Amir Hamta ◽

Zahra Taheri-Kharameh ◽

Malek Abazari ◽

...

Keyword(s):

Successful Treatment ◽

Intervention Group ◽

Public Health Problem ◽

Estimating Equation ◽

Control Group ◽

Head Lice ◽

Significant Difference ◽

Quasi Experimental ◽

East Azerbaijan ◽

Head Lice Infestation

Abstract Background Head lice are a main public health problem and the most important human ectoparasites and the use of pediculicides is the most common way to control it. One of the possible causes of treatment failure is the lack of improper application of pediculicide. The aim of this study was to assess the effect of education on efficacy of 1% permethrin or 4% dimeticone lotion to treat head lice infestation. Methods This quasi-experimental study was performed on 100 people infected with head lice in comprehensive urban health centers of Ardabil (intervention group) and 400 people of East Azerbaijan and West Azerbaijan (control group) provinces from April to March 2019. The data collection tool included demographic questionnaire and examination evidence recording sheet in terms of presence of hits or adult lice. Results The outcome of treatment included elimination of head lice infestation on days 7, and in the case of recurrence, it was considered on days 14 and 30 after treatment. Data were analyzed using R software and Generalized Estimating Equation method. GEE analysis showed there is significant difference in evaluating head lice over time. Conclusion Participants who received the training intervention (OR = 3.29; CI 95%: 2.21–4.88) were more likely to have a successful treatment than control group. In the case of providing proper training on the use of pediculicides and observing hygiene tips to patients with pediculosis, could help to successful treatment of pediculosis.

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Perceptions of caregivers on immunization in Ntungamo district, Uganda

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214559 ◽

2021 ◽

Vol 8 (12) ◽

pp. 5729

Author(s):

Byamukama Topher ◽

Keraka M. Margaret ◽

Gitonga Eliphas

Keyword(s):

Risk Factor ◽

Intervention Group ◽

Cost Effective ◽

Systematic Sampling ◽

Control Group ◽

Post Intervention ◽

Mortality And Morbidity ◽

Significant Difference ◽

Quasi Experimental ◽

And Control

Background: Immunization is one of the most cost-effective public health interventions to reduce child mortality and morbidity associated with infectious diseases. The objective of this study was to determine the perceptions of caregivers on immunization in Ntungamo district.Methods: Quasi-experimental study was used with health centres assigned to intervention and control groups. Purposive sampling was used to select the two counties where the study was done. Proportional sampling was done to get study samples from each health facility, while systematic sampling was done to get study participants. A total of 787 children from twelve health facilities provided the study sample. A post intervention evaluation was conducted to determine the effect of these interventions. Association of variables was tested using Mann Whitney U-test and Chi-square.Results: On benefits, most caregivers in the intervention group (85.3%) and in the control group (54.3%) regarded immunization as very highly and moderately beneficial to their children respectively. On risks, most caregivers in the intervention group (85.5%) and control group (43.1%) regarded the risk factor associated with immunization as very low and moderate respectively. From hypothesis testing, there was a significant difference on the perceived benefits and risks of immunization between the intervention and control group.Conclusions: Most caregivers in the intervention and control group regarded immunization as very highly beneficial and moderately to their children respectively. Most of the caregivers in the intervention and control group regarded the risk factor associated with immunization as very low and moderate respectively.

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