scholarly journals Effect of an Educational Nursing Intervention on the Mental Adjustment of Patients with Chronic Arterial Hypertension: An Interventional Study

2021 ◽  
Vol 19 (1) ◽  
pp. 170
Author(s):  
Ana Margarida Alves ◽  
Alexandre Rodrigues ◽  
Pedro Sa-Couto ◽  
João Lindo Simões
Keyword(s):  
Educational Intervention ◽  
Transition Process ◽  
Nursing Intervention ◽  
Chronic Hypertension ◽  
Interventional Study ◽  
Convenience Sample ◽  
Mental Adjustment ◽  
Time To Diagnosis ◽  
Care Practices ◽  
Diagnosis Of Hypertension

The objective of this analytical and interventional prospective quantitative study was to assess the effect of an educational intervention performed by nurses for mental adjustment to chronic disease in patients with hypertension. A convenience sample was studied, composed of 329 participants with chronic hypertension, followed in a primary healthcare unit in the Central Region of Portugal. Data collection was carried out by applying the Mental Adjustment to Disease Scale (MADS) before and 1 month after the educational nursing intervention between September 2017 and February 2018. Prior to the application of the educational intervention, 43.5% of the participants were classified as “unadjusted” in at least one of the subscales of MADS. After the educational intervention, 21.3% of the participants classified as “unadjusted” became “adjusted” in all MADS subscales. The success rate of the intervention varied from 26.9% (in the fatalism subscale) to 44.6% (for the anxious concern subscale). Participants were more likely to be mentally “unadjusted” to hypertension if they lived with other family members, had an active professional situation before the diagnosis of hypertension, still had an active professional situation now, were under 65 years old, had a shorter time to diagnosis (1–2 years), and measured blood pressure less regularly. The educational intervention performed by nurses is relevant for the mental adjustment of hypertensive patients, contributing to increased knowledge, as well as improvement in preventive and self-care practices, facilitating the experience of the health/disease transition process.

scholarly journals Nutrition Standards For Infants and Young Children can be Implemented by Family Child Care Home Providers

2021 ◽  
Vol 8 ◽  
pp. 2333794X2198955
Author(s):  
Lorrene D. Ritchie ◽  
Victoria Keeton ◽  
Danielle L. Lee ◽  
Klara Gurzo ◽  
Elyse Homel Vitale ◽  
...  
Keyword(s):  
Child Care ◽  
Educational Intervention ◽  
Care Home ◽  
Family Child Care ◽  
Average Score ◽  
Post Intervention ◽  
Convenience Sample ◽  
Nutrition Standards ◽  
Infants And Young Children ◽  
Provider Surveys

The study evaluated an educational intervention with family child care home (FCCH) providers to implement nutrition standards. A convenience sample of licensed California FCCH providers (n = 30) attended a 2-hour, in-person group training in English or Spanish on nutrition standards for infants and children aged 1 to 5 years. Provider surveys and researcher observations during meals/snacks were conducted pre- and 3 months post-intervention. Providers rated the training as excellent (average score of 4.9 on a scale of 1-5). Adherence, assessed by survey and observation and compared over time using paired t-tests, increased from an average of 36% pre-intervention to 44% post-intervention ( P = .06) of providers (n = 12) for infant standards and from 59% to 68% ( P < .001) of providers (n = 30) for child standards. One-third (39%) of providers rated infant standards and 19% of providers rated child standards as difficult to implement. Nutrition standards can be implemented by FCCH providers after an educational intervention; a larger study is warranted with a representative group of providers.

Effect of An Educational Intervention on Pregnant Women’s Knowledge and Self-Care Practices Regarding Urinary Tract Infection

2021 ◽  
Vol 2 (4) ◽  
pp. 11
Author(s):  
Hemmat M. El-bana ◽  
Hanan A. Ali
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Educational Intervention ◽  
Self Care ◽  
Post Intervention ◽  
Care Practices ◽  
Women's Knowledge ◽  
Women’S Knowledge

Contents: The most prevalent type of infection during pregnancy is urinary tract infections (UTIs). It affects up to ten percent of pregnant women and may cause serious adverse pregnancy outcomes for both mother and fetus. Aim:  The research aimed to evaluate the effect of an educational intervention on pregnant women’s knowledge and self-care practices regarding urinary tract infection.  Methods: A quasi-experimental (pre/post-test) design was adopted to fulfill this study's aim. The study was conducted at the Obstetrics and Gynaecological outpatient clinic in Benha university hospital on a purposive sample of 68 pregnant women among those attending the setting mentioned above. Two key instruments were used to collect data: A structured interviewing questionnaire, self-care practices checklist. Results: revealed a highly statistically significant difference in pregnant women's knowledge and self-care practices related to urinary tract infection at post-intervention compared to their pre-intervention phase (p-values < 0.001). A highly significant positive correlation was illustrated between studied women's total knowledge and total practice scores at pre (p=0.04) and post-intervention (p=0.000) phases. Conclusion: The study concluded that the research hypothesis is supported, and pregnant women exhibited better knowledge and self-care practices regarding (UTI) during pregnancy after implementing an educational intervention than before. The study recommended that knowledge and self-care concepts regarding UTI through antenatal screening programs in early pregnancy should be empowered as an essential part of all women's health care levels and strategies.

Effect of An Educational Intervention on Pregnant Women’s Knowledge and Self-Care Practices Regarding Urinary Tract Infection

2021 ◽  
Vol 2 (4) ◽  
pp. 11
Author(s):  
Hemmat M. El-bana ◽  
Hanan A. Ali
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Educational Intervention ◽  
Self Care ◽  
Post Intervention ◽  
Care Practices ◽  
Women's Knowledge ◽  
Women’S Knowledge

Contents: The most prevalent type of infection during pregnancy is urinary tract infections (UTIs). It affects up to ten percent of pregnant women and may cause serious adverse pregnancy outcomes for both mother and fetus. Aim:  The research aimed to evaluate the effect of an educational intervention on pregnant women’s knowledge and self-care practices regarding urinary tract infection.  Methods: A quasi-experimental (pre/post-test) design was adopted to fulfill this study's aim. The study was conducted at the Obstetrics and Gynaecological outpatient clinic in Benha university hospital on a purposive sample of 68 pregnant women among those attending the setting mentioned above. Two key instruments were used to collect data: A structured interviewing questionnaire, self-care practices checklist. Results: revealed a highly statistically significant difference in pregnant women's knowledge and self-care practices related to urinary tract infection at post-intervention compared to their pre-intervention phase (p-values < 0.001). A highly significant positive correlation was illustrated between studied women's total knowledge and total practice scores at pre (p=0.04) and post-intervention (p=0.000) phases. Conclusion: The study concluded that the research hypothesis is supported, and pregnant women exhibited better knowledge and self-care practices regarding (UTI) during pregnancy after implementing an educational intervention than before. The study recommended that knowledge and self-care concepts regarding UTI through antenatal screening programs in early pregnancy should be empowered as an essential part of all women's health care levels and strategies.

Evaluation of an Online Educational Intervention to Increase Knowledge and Self-efficacy in Disaster Responders and Critical Care Transporters Caring for Individuals with Developmental Disabilities

2019 ◽  
Vol 13 (4) ◽  
pp. 677-681
Author(s):  
Zachariah S. Edinger ◽  
Kelly A. Powers ◽  
Kathleen S. Jordan ◽  
David W. Callaway
Keyword(s):  
Critical Care ◽  
Developmental Disabilities ◽  
Online Education ◽  
Patient Outcomes ◽  
Educational Intervention ◽  
Self Efficacy ◽  
Developmentally Disabled ◽  
Convenience Sample ◽  
Quasi Experimental ◽  
Overall Performance

ABSTRACTObjectiveDisability-related education is essential for disaster responders and critical care transporters to ensure positive patient outcomes. This pilot study evaluated the effect of an online educational intervention on disaster responders and critical care transporters’ knowledge of and feelings of self-efficacy about caring for individuals with developmental disabilities.MethodsA 1-group, pretest-posttest, quasi-experimental design was used. A convenience sample of 33 disaster responders and critical care transporters participated.ResultsOf the 33 participants, only 24% had received prior education on this topic, and 88% stated that such education would be beneficial to their care of patients. Nineteen participants completed both the pretest and posttest, and overall performance on knowledge items improved from 66% correct to 81% correct. Self-efficacy for caring for developmentally disabled individuals improved, with all 10 items showing a statistically significant improvement.ConclusionOnline education is recommended to improve the knowledge and self-efficacy of disaster responders and critical care transporters who care for this vulnerable population after disasters and emergencies. (Disaster Med Public Health Preparedness. 2019;13:677–681)

Confirmation Bias Affects Estimation of Blood Loss and Amniotic Fluid Volume: A Randomized Simulation-Based Trial

2020 ◽  
Author(s):  
Fouad Atallah ◽  
Rafine Moreno-Jackson ◽  
Rodney McLaren ◽  
Nelli Fisher ◽  
Jeremy Weedon ◽  
...  
Keyword(s):  
Blood Loss ◽  
Amniotic Fluid ◽  
Confirmation Bias ◽  
Fluid Volume ◽  
The Other ◽  
Chronic Hypertension ◽  
Convenience Sample ◽  
Amniotic Fluid Volume ◽  
Simulation Based ◽  
Actual Volume

Abstract Objective This study was aimed to determine if confirmation bias affects diagnoses in obstetrics, specifically estimation of blood loss and amniotic fluid volume. Study Design We performed a randomized simulation-based trial. Participants went through the following three consecutive scenarios: (1) the first involved estimating the volume of blood (actually a blood-like substance) in a container at the simulation model's perineum. The actual volume was either 500 or 1,500 mL. Participants were told it was blood seen after a vaginal delivery. One group was told that the “patient” was normotensive, the other was told that the “patient” was hypotensive. (2) The second scenario involved estimation of amniotic fluid from an ultrasound picture of four quadrants, with one group told that the patient was normotensive and the other group told that the patient had chronic hypertension. (3) The third scenario was a “negative image” of the first (i.e., if they had been randomized to the 500 mL/normotensive in scenario one, then they would be presented with the 1,500 mL/hypotensive). They also filled a survey including demographics and tolerance of ambiguity and confirmation bias scales. Results From April 2018 through May 2018, a convenience sample of 85 providers was recruited. Participants were more likely to overestimate blood loss when they were told that the patient was hypotensive (p = 0.024), in comparison to when they were told the patient had normal blood pressure. They were also less likely to estimate the amniotic fluid as normal when they were told that the patient was hypertensive (p = 0.032). Conclusion Confirmation bias affects estimates of blood loss and amniotic fluid.

scholarly journals 1319. Examining PrEP Knowledge and Prescribing Likelihood Among Medical Residents Before and After PrEP Education

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S403-S403 ◽  
Author(s):  
Elizabeth Christian ◽  
Wendy Craig ◽  
Kinna Thakarar
Keyword(s):  
Internal Medicine ◽  
Educational Intervention ◽  
Care Center ◽  
Tertiary Care ◽  
Knowledge Score ◽  
Medical Residents ◽  
Convenience Sample ◽  
Before And After ◽  
Student’S T ◽  
Motivating Factor

Abstract Background Pre-exposure prophylaxis (PrEP) is effective for HIV prevention, but prescribing rates remain low. We examined the effect of an educational intervention on PrEP knowledge and prescribing likelihood among medical residents. Methods This was a prospective study using a convenience sample of Internal Medicine and Internal Medicine-Pediatrics residents at a tertiary care center in Portland, Maine. Participants attended a resident-led teaching session on PrEP and completed pre- and post-session surveys. PrEP knowledge was measured with five questions (definition, evidence, patient selection criteria, medication choice, and guidelines), and prescribing likelihood was assessed on a Likert scale. Participants identified motivating factors and barriers to prescribing. Survey data were analyzed with McNemar’s test or a paired Student’s t test as appropriate. Results Thirty residents completed the study; of these, 24 (83%) had at least 1 patient that they considered at high risk for HIV, and 14 (46%) reported having &gt;5 such patients. None had ever prescribed PrEP. Average PrEP knowledge score increased after the intervention (pre = 2.33 vs. post = 4.1, P &lt; 0.001). After the intervention, more participants reported that they would be likely to prescribe PrEP (pre = 76% vs. post = 90%, P = 0.014), fewer identified unfamiliarity with PrEP guidelines as a barrier (pre = 73% vs. post = 27%, P &lt; 0.001), and Òother residents are prescribing PrEPÓ became a significant motivating factor (pre = 47% vs. post = 70%, P = 0.04). Preceptor comfort with prescribing PrEP was a consistently important influence on prescribing likelihood (90% vs. 82%, P = 0.22). Conclusion Familiarity with PrEP is relevant to resident practice, and an educational intervention is effective in the short term for addressing inadequate knowledge as a barrier to offering PrEP. Resident practice is influenced by preceptors and peers, suggesting that it may be helpful to include attending physicians in future PrEP education efforts at our institution. Disclosures All authors: No reported disclosures.

Patient-reported survivorship care practices and late effects after treatment of Hodgkin (HL) and non-Hodgkin lymphoma (NHL).

2018 ◽  
Vol 36 (7_suppl) ◽  
pp. 119-119
Author(s):  
Melissa Frick ◽  
Carolyn Vachani ◽  
Margaret K. Hampshire ◽  
Christina Bach ◽  
Karen Arnold-Korzeniowski ◽  
...  
Keyword(s):  
Heart Disease ◽  
Cognitive Change ◽  
Transitions Of Care ◽  
Survivorship Care Plan ◽  
Survivorship Care ◽  
Convenience Sample ◽  
Care Plans ◽  
Patient Reported ◽  
Care Practices

119 Background: Multimodal treatment of HL and NHL yields excellent outcomes, however, survivors are at risk for developing myriad late- and long-term effects (LLTEs). We describe survivorship care practices and LLTEs reported by HL/ NHL survivors. Methods: From a convenience sample of 964 HL (37%) and NHL (63%) cancer survivors using a publicly available Internet-based survivorship care plan (SCP) tool between 2011-2016, we examined cancer care and toxicity profile data. Results: Of all survivors, 67% were female and 84% were Caucasian; median age of diagnosis was 28y for HL and 49y for NHL survivors with median fu of 5y and 2y, respectively. 88% were free of cancer, 9% with recurrent or secondary malignancy, and 3% with metastatic disease. Chemotherapy was delivered to 89% of HL and 94% of NHL survivors, and radiation (RT) to 64% and 28%, respectively. Of those receiving RT, 96% (n = 217) HL and 61% (n = 106) NHL survivors received chest/mantle RT. Few reported receipt of previous SCP (13%) or treatment summary (4%). Most reported continued care from an oncologist (49%) or in combination with a PCP (19%). A shift to PCP management alone was observed, increasing from 2% of survivors if < 2y fu to 30% once ≥2y fu. Survivors who received chest RT reported: hyper- or hypothyroidism (35%), thyroid nodules (8%), speaking/swallowing changes (20%), heart disease (14%), pulmonary fibrosis/pneumonitis (12%), and skin cancers within the RT field (9%). 6 of 321 (2%) who received chest RT reported secondary breast cancers, compared to zero in the group not receiving chest RT with median time to breast cancer 20.5y (R 6-32 years). Receipt of chemotherapy was associated with: chronic fatigue (56%), cognitive change (56%), peripheral neuropathy (35%), sexual changes (15% of males, 35% of females), and heart disease (10%). Conclusions: While this population achieves excellent disease outcomes, survivors report a substantial burden of LLTEs, suboptimal delivery of survivorship information, and transitions of care in follow-up. Multiple opportunities thus exist through which SCPs may be used to improve awareness regarding survivorship/ LLTEs and communicate follow-up care plans between survivors and treatment teams.

Evaluation of an Initiative to Increase Exclusive Breastfeeding Among Rural Hispanic Women

2015 ◽  
Vol 6 (3) ◽  
pp. 98-108
Author(s):  
Naomi Pitcock ◽  
Emily Drake ◽  
Pamela A. Kulbok ◽  
Kimberly Pineda ◽  
Mary Gibson ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Low Income ◽  
Exclusive Breastfeeding ◽  
Hispanic Women ◽  
Statistical Significance ◽  
The Body ◽  
Care Group ◽  
Hispanic Population ◽  
Culturally Competent ◽  
Convenience Sample

Background: There is a growing Hispanic population in the U.S. healthcare providers, and lactation consultants are challenged to design targeted, culturally competent programs to support immigrant populations.Objective: To evaluate a prenatal education program using intercultural communication strategies designed to increase the number of Hispanic women who choose to exclusively breastfeed their newbornsMethods: A 2-group quasi-experimental design was used to test the educational intervention. The sample consisted of 71 Hispanic women who were pregnant, low income, and uninsured. Participation in the class was voluntary and used a convenience sample. Data regarding intention to breastfeed and breastfeeding during hospitalization was gathered through chart review.Results: Reaching statistical significance, 41% of the mothers who attended the educational intervention achieved exclusive breastfeeding at discharge from the hospital, compared to only 3.1% of the usual care group.Conclusions: The outcomes of this program evaluation can add to the body of knowledge on successful breastfeeding interventions in the Hispanic population and may provide a model for others who are designing culturally competent interventions in their communities.

scholarly journals Empowering Village Health Sanitation and Nutrition Committee members on dengue prevention and control: An educational interventional study in rural areas of Mysuru, Karnataka

2020 ◽  
Vol 0 ◽  
pp. 1-5
Author(s):  
Praveen Kulkarni ◽  
D. Sunil Kumar ◽  
Siddalingappa Hugara ◽  
Renuka Manjunath ◽  
M. R. Narayana Murthy
Keyword(s):  
Educational Intervention ◽  
Rural Areas ◽  
Prevention And Control ◽  
Major Public Health Problem ◽  
Interventional Study ◽  
Village Level ◽  
Audiovisual Aids ◽  
Nutrition Committee ◽  
And Control ◽  
Village Health

Objectives: Dengue, among all the vector-borne diseases, continues to be a major public health problem in India. Dengue once considered being problem in urban areas, now it is increasingly found in rural areas. Thus, empowering the village level functionaries like members of Village Health Sanitation and Nutrition Committee (VHSNC) can help in prevention and control of dengue in the rural areas. The present study was conducted to assess the effectiveness of educational intervention on perception regarding dengue and its prevention among VHSNC members. Material and Methods: This prospective interventional study was conducted among all 305 VHSNC members of two randomly selected primary health centers of Mysuru talukas for the period of 6 months. Baseline levels of perception on dengue were collected using a pre-tested structured questionnaire. Educational intervention on various domains of dengue and its prevention was provided using audiovisual aids, handouts, and group discussion. Endline survey was conducted 1 month after the education sessions to assess the effectiveness intervention. Results: A total of 305 VHSNC members participated in the study. In pre-test survey, only 189 (61.9%) had ever heard of disease dengue. In post-test survey, 274 (91.3%) had heard of dengue. There was a statistically significant improvement in perception regarding, preventable nature of dengue, mode of transmission, breeding and biting habits of mosquito, source reduction measures, and personal protective measures against mosquito bites following educational intervention. Conclusion: Educational intervention was found to be effective in empowering village level stake holders like VHSNC members regarding dengue and its prevention.

scholarly journals A non-randomized interventional study to promote the knowledge, attitude and practices of community pharmacists towards pharmacovigilance

2019 ◽  
Vol 10 (4) ◽  
pp. 3286-3292
Author(s):  
Kumaraguru Anbalagan ◽  
Shanmugasundaram P
Keyword(s):  
Educational Intervention ◽  
Community Pharmacists ◽  
Treatment Quality ◽  
Generation Process ◽  
Interventional Study ◽  
Before And After ◽  
Adequate Sampling ◽  
Sampling Intervals ◽  
Effective Use ◽  
Knowledge Attitude And Practice

Pharmacovigilance promotes the safe and effective use of medicines and thereby optimizes the treatment quality. However, lack of awareness among community pharmacists towards pharmacovigilance decreases the proportion of adverse drug reactions reported and impairs the signal detection process. Hence this study was designed to assess and promote the awareness and attitude of community pharmacists towards pharmacovigilance. This educational interventional study was carried out with 102 community pharmacists across Chennai. A pre-validated three domain-containing questionnaire, 20 items was used to assess the knowledge, attitude and practice before and after the educational intervention.  Knowledge, attitude and practices of community pharmacists towards pharmacovigilance was significantly increased after the educational intervention (P<0.05, 95%CI). Median difference in an overall score of knowledge and practice was observed to be 4 and 4.5, respectively.  Though the frequency of ADR reporting was not found to be greatly increased in our study, mass educational programs with adequate sampling intervals are needed to strengthen the signal generation process.

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