scholarly journals The Impact of Training on the Storage of High Alert Drugs: A Quasi Experimental Study

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1564-1572
Author(s):  
Satibi Satibi ◽  
Achmad Fudholi ◽  
Hafizh Amrullah ◽  
Aya Shaufia Itsnayain

A medication error can cause severe injury for the patient, even mortality, and that can be prevented. Preventing medication error is done by upgrading the drugs administrators knowledge at the Community Health Center in handling the high alert drugs. One of the possibility is by training. This research is conducted to understand the influence of training toward the suitability of high alert drugs storage. This research constitutes quasi-experimental design with pre and post-analysis approach along with by using a control group as a comparison. The  population of research consists of all of community health centre drugs administrators in Ogan Komering Ilir Regency and Mataram City. The sample of research are the drugs administrators, Human Resources, who work at the Community health centre of Ogan Komering Ilir and Mataram city were chosen to use non-probability sample.  The intervention was conducted toward the drugs administrators with the material that has been standardized by the Ministry of Health of the Republic of Indonesia.  The instrument is in the form of List of Visit that has been validated to assess the suitability of high alert drugs storage at Community health centre by using SPSS-23 with Wilcoxon Signed Rank and Mann-Whitney U tests. The result of the research shows that the majority of the Intervention group of Community health centre (83,33%) the storage of high alert drugs is appropriate with the standard after training.  The percentage difference of the appropriate high alert drugs storage test between intervention group and control group after the training (p<0,05). This study concludes that the training that was conducted toward the drugs administrators can increase the percentage of high alert drugs suitable storage that lead to the decreasing of medication error incidents at Community health centre.

2019 ◽  
Author(s):  
Fikralem Alemu ◽  
Medhanit Mecha ◽  
Girmaye Medhin

AbstractBackgroundIncreasing nutrient intake through home gardening is a sustainable strategy that can address multiple micronutrient deficiencies in developing countries. This study investigated the impact of permagarden intervention in increasing the frequency and diversity of vegetable and fruit consumption among vulnerable families.MethodA quasi-experimental study was conducted from August 10 to September 30, 2015. A total of 884 care givers (427 from intervention and 457 control) participated in the study. Data was collected through face to face interview with caregivers of highly vulnerable children. Propensity score matching (PSM) was conducted using STATA software, and the program impact on the frequency and diversity of household’s vegetable consumption between intervention and control groups was assessed using chi square test.ResultIntervention participants had a 13% greater increase frequency of one-week vegetables and fruits consumption compared with control participants (p<0.01). The diversity (consumption of 2 and more groups of vegetable and fruit) is higher among intervention groups than control groups (percentage difference=9, p-value<0.05). A significant higher percentage of participants in the intervention group reported getting the one-week vegetable and fruits mainly from their own garden (percentage difference 58.3, p<0.05). A significantly larger proportion of participants in the intervention group compared to the control group reported “high likelihood” on intention to grow vegetable in the future (percentage difference = 30%, and P<0.01). Perceived importance to include vegetables in every day meal is higher among intervention groups than control groups (percentage difference = 11.5%, P<0.01).ConclusionsThe observed higher frequency and diversity of household vegetable consumption among intervention group compared to control group suggests that nutrition and health programs need to promote household vegetable gardening as the means for address improve micro nutrient intake for vulnerable societies in least and middle developed countries.


1996 ◽  
Vol 19 (3) ◽  
pp. 56 ◽  
Author(s):  
Michael Montalto ◽  
David Dunt ◽  
Jeff Richardson

This study sought to compare the rate of patient throughput by community healthcentre general practitioners (GPs) and their private practice fee-for-servicecounterparts.The study group comprised 44 community health centre GPs (out of an identified51) in 16 community health centres; the control group comprised 268 GPs.Community health centre GPs were found to have significantly fewer consultationsand significantly smaller rebates than their private practice counterparts. Thedifference of means for consultation numbers and rebates was 30.3- per cent. Thepattern was reversed in the case of rural community health centre GPs (who retainfee-for-service arrangements).Figures are uncorrected for patient status, and data relate to Medicare billing practicesrather than observed activity or outcome. However, at face value they would indicatethat if Australian general practice moved to a community health centre model, withpredominantly salaried GPs, then patient throughput in general practice could beexpected to drop. Whether these results reflect the impact of incentives on throughputand, if so, whether this indicates a difference in the quality or accessibility of theservice provided to patients is not certain.


2021 ◽  
pp. 594-612
Author(s):  
Hadi Abdillah ◽  
Burhanuddin Basri

Ineffective nursing care at the community health center can, in part, be attributed to the lack of a proper supervision model. Supervision is a management function at the control stage which is carried out to direct nurses to work effectively and efficiently and reduce potential work problems. This study uses a quasi-experimental design with pre-test and post-test, together with a control group design. The aim of this study is to analyze the effect of supervision of the clinical model and supervision of academic models on the nursing service at the community health center in Sukabumi Regency. The sample was comprised of 40 people, and data analysis was performed using the General Linear Model Repeating Measure (GLM-RM). The results indicate that there was an increase in the value of nursing care following the intervention. The author saw that in the control group, although no intervention was carried out, they knew that they were being supervised by their supervisor, so that there was an increase in the value of nursing care, but the value was not as significant as that in the intervention group. Therefore, the study concludes that the academic method of supervision training is very effective in improving nursing care.   Keywords: Supervision of Clinical Models, Academic Models, Nursing Care


Author(s):  
Dorien Vanden Bossche ◽  
Susan Lagaert ◽  
Sara Willems ◽  
Peter Decat

Background: During the COVID-19 pandemic, many primary care professionals were overburdened and experienced difficulties reaching vulnerable patients and meeting the increased need for psychosocial support. This randomized controlled trial (RCT) tested whether a primary healthcare (PHC) based community health worker (CHW) intervention could tackle psychosocial suffering due to physical distancing measures in patients with limited social networks. Methods: CHWs provided 8 weeks of tailored psychosocial support to the intervention group. Control group patients received ‘care as usual’. The impact on feelings of emotional support, social isolation, social participation, anxiety and fear of COVID-19 were measured longitudinally using a face-to-face survey to determine their mean change from baseline. Self-rated change in psychosocial health at 8 weeks was determined. Results: We failed to find a significant effect of the intervention on the prespecified psychosocial health measures. However, the intervention did lead to significant improvement in self-rated change in psychosocial health. Conclusions: This study confirms partially the existing evidence on the effectiveness of CHW interventions as a strategy to address mental health in PHC in a COVID context. Further research is needed to elaborate the implementation of CHWs in PHC to reach vulnerable populations during and after health crises.


2021 ◽  
pp. 014303432110250
Author(s):  
Celeste Simões ◽  
Anabela C. Santos ◽  
Paula Lebre ◽  
João R. Daniel ◽  
Cátia Branquinho ◽  
...  

Resilience is an individual’s ability to adapt successfully to and persevere during and after significant challenges. Resilience programmes based on a socioemotional learning approach have been associated with an increase in protextive factors (e.g., prosocial competencies), improvements in physical and mental health, and a decrease in internalised and externalised symptoms. The present study aimed to evaluate the impact of the RESCUR curriculum implemented in Portuguese schools on students’ academic, behavioural, and socioemotional outcomes, based on child and teacher reports. Participants included 1,084 children (53.2% male) aged 3-15 ( M = 7.24, SD = 2.31). A quasi-experimental study compared outcomes for an experimental intervention group (AIG) with a waiting list control group (WG). The results showed the RESCUR programme decreased mental health difficulties while increasing both prosocial behaviours and well-being. In addition, academic performance increased for those in preschool after implementation. Both teachers and children consistently reported positive behavioural changes in resilience-related competencies after implementing RESCUR. Our findings contribute to the recent research on the potential of RESCUR to address key socioemotional competencies and improve relevant protextive factors. Study limitations and future recommendations are addressed.


Author(s):  
Dorien Vanden Bossche ◽  
Susan Lagaert ◽  
Sara Willems ◽  
Peter Decat

Background: During the COVID-19 pandemic some family physicians were overburdened and experienced difficulties reaching vulnerable patients and meeting the increased need for psycho-social support. This randomized controlled trial (RCT) tested whether a primary healthcare (PHC) based community health worker (CHW) intervention could tackle psychosocial suffering due to physical distancing measures in patients with limited social networks. Methods: CHWs provided 8 weeks of tailored psychosocial support to the intervention group. Control group patients received &lsquo;care as usual&rsquo;. The impact on feelings of emotional support, social isolation, social participation, anxiety and fear of COVID-19 were measured longitudinally using a face-to-face survey to determine their mean change from baseline. Self-rated change in psychosocial health at 8 weeks was determined. Results: We failed to find a significant effect of the intervention on the prespecified psychosocial health measures. However, the intervention did lead to significant improvement in self-rated change in psychosocial health. Conclusions: This study confirms partially the existing evidence on the effectiveness of CHW in-terventions as a strategy to address mental health in PHC in a COVID context. Further research is needed to elaborate the implementation of CHWs in PHC to reach vulnerable populations during and after health crises.


2019 ◽  
Vol 10 (4) ◽  
pp. 11
Author(s):  
Eman Abdel Fattah Hassan ◽  
Hoda Wahid Amer

Objective: To evaluate the impact of regular chest percussion on outcome measures for infants with pneumonia.Methods: A two-group pre-post quasi-experimental design was conducted in the Pediatrics Medical Unit at Abu Elrish Children’s Hospital, Cairo University. The experiment involved 100 infants fifty (control group) followed the hospital routine care and other fifty applied regular chest percussion (intervention group). Chest condition was assessed subjectively and objectively throughout five days before and after the regular chest percussion using Pediatrics Respiratory Severity Scales. Physiological measurements of infant’s respiratory rate, heart rate, and temperature and oxygen saturation were assessed. All research ethics were applied.Results: The mean of Pediatric Respiratory Severity Score (PRSS), temperature, respiration, heart rate and oxygen saturation among infants was statistically improved throughout the intervention days than the control group 1st, 2nd, 3rd and 4th days post the regular chest percussion at a significance level as p < .05.Conclusions: The regular chest percussion had a significant improvement in the respiratory health conditions for infants with bacterial pneumonia. This study recommends regular chest percussion that should be applied in medicine and intensive care units. Further researches must be done to add more evidence -based practices regarding the effect of chest percussion for children with pneumonia.


Author(s):  
CITRA FEBRIONY ◽  
PURWANTYASTUTI . ◽  
MEANALDI RASMIN ◽  
VIVIAN SOETIKNO

Objective: Appropriate tuberculosis (TB) treatment guidelines are one of the many factors that influence the success of TB treatment. The patient’sdrug supervisor is a functional role that is part of the directly observed treatment short course, a program to support the success of TB treatment.The aim of this study was to analyze the TB treatment suitability in a community health center and the benefit of treatment compliance supervisionby the patient’s designated drug supervisor.Methods: We conducted a cross-sectional study in the Community Health Center of Pademangan subdistrict, North Jakarta, involving 205 subjects toanalyze appropriate fixed-dose combination (FDC) anti-TB drug administration and an experimental study involving 23 control group TB patients and23 intervention group TB patients to assess the benefit of supervision by each patient’s drug supervisor.Results: The association of FDC anti-TB drug side effects with the success of TB treatment was not statistically significant (p=0.173). There wasan increase in drug supervisor knowledge of 8.6% in the intervention group and 13% in the control group. There was no statistically significantassociation between the knowledge of the drug supervisor and the 2nd month (p=0.575) and the 6th month of sputum treatment.Conclusion: Minor side effects of FDC anti-TB drug did not affect the success of TB treatment; therefore, treatment was continued if these adverseevents occurred. There were no correlations between the drug supervisor knowledge level with medication compliance or with sputum conversion(months 2 and 6).


2021 ◽  
Vol 3 (1) ◽  
pp. 55-64
Author(s):  
Salma Salma ◽  
Haniarti Haniarti ◽  
Nurhaeda Nurhaeda

Nutritional problems in Indonesia are getting more complex as the epidemiology transition occurs.  According to reports of posyandu weighing activities at Kabere Puskesmas in 2020 there were 28 malnourished toddlers. The purpose of this study was to determine the increase in body weight of malnourished toddlers by providing high nutritional food made from tempeh and cauliflower in the working area of Kabere Public Health Center, Enrekang Regency. This type of research is a quantitative method with a quasi-experimental design with a non-equivalent control group design. The population is malnutrition under five in the working area of Puskesmas Kabere, The samples of this research were children under five who were malnourished, 14 under five who were given treatment and 14 children who were not given treatment for under-nutrition who were in the working area of the Kabere Community Health Center by calculating zcore, Data analysis was performed using the independent sample t-test with the help of the SPSS version 20 program. The location of this research was conducted in the working area of the Kabere Community Health Center. The research was conducted in July-August 2020.The results showed that the provision of high nutritional food made from tempeh and cauliflower could significantly increase body weight in malnourished children under five. So it is recommended that parents of toddlers provide adequate nutritional intake for under-nutrition children so that their nutritional status can continue to improve.


2020 ◽  
Vol 3 (2) ◽  
pp. 188-192
Author(s):  
Triswanti ◽  
Tri Maghfiroh

Background: Giving iron tablets together with drinking orange juice can increase hemoglobin levels higher than administering iron tablets alone Purpose: This study aims to examine the differences in the effectiveness of taking iron tablets against changes in hemoglobin levels in second trimester pregnant women at Sindang Barang Bogor Community Health Center. Methods: Quasi experimental research with Pretest-Posttest Control Group Design. The sample is divided into two groups, namely the intervention group and the control group. The intervention group was given iron tablets simultaneously by drinking orange juice for 30 days.  Result: The provision of iron tablets simultaneously drinking with lemon juice water is more effective than the provision of iron tablets simultaneously drinking with lemon juice water is more effective than the provision of iron tablets simultaneously drink with water in pregnant women second trimester. Conclusion: By giving vitamin C in the form of tablets or orange juice or foods or tablets of vitamin C can increase the absorption og iron pregnant women


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