Preoperative ICU tours: are they helpful?

1997 ◽  
Vol 6 (2) ◽  
pp. 106-115 ◽  
Author(s):  
D Lynn-McHale ◽  
A Corsetti ◽  
E Brady-Avis ◽  
R Shaffer ◽  
J McGrory ◽  
...  

BACKGROUND: Although preoperative education decreases the anxiety of patients and family members, the usefulness of a preoperative tour of the ICU has not been studied. In this study, the effect of an ICU tour on the anxiety levels of patients (n = 92) and family members (n = 91) before and after cardiac surgery was examined. METHODS: Using a pretest-posttest quasi-experimental design, patients and family members were assigned to a control group, which received preoperative teaching only (patients, n = 48; family members, n = 48), or to an experimental group, which received preoperative teaching with an ICU tour (patients, n = 44; family members, n = 43). Patients and family members completed two measures of anxiety, the State Trait Anxiety Inventory and a visual analog scale, before and after the intervention. After their first postoperative visit, family members completed the measures again. Repeated measures analysis of variance was used to compare anxiety levels after the intervention. In addition, patients completed the Patient Perception of the ICU Tour Questionnaire after transfer from the ICU. RESULTS: Although patients and family members had a decrease in anxiety after cardia surgery teaching, the decrease was not due to an ICU tour. However, the majority of patients who toured the ICU perceived the tour as beneficial and recommended a tour for future patients. CONCLUSIONS: ICU tours are included in many cardiac surgery educational programs. The majority of patients in this study perceived a benefit or a future benefit from an ICU tour, even though the tour did not significantly reduce the anxiety of the patients or family members.

2018 ◽  
Vol 9 (01) ◽  
Author(s):  
Praful Prabhuappa Kapse ◽  
Manisha Kiran

Caring for the persons with first episode psychosis is challenging and demanding. It may lead to the increased burden, expressed emotions among the caregivers. The numerous studies have shown that high burden and negative expressed emotions among caregivers can lead to early relapse in the patients with first episode psychosis. To evaluate the effects of the brief psychoeducation on the caregivers burden and expressed emotions. A quasi experimental - before and after with control group research design was adopted for the study. A total of 60 caregivers have participated in the study, of which 30 caregivers in experimental group and 30 caregivers in the control group. Family Burden Interview Schedule (Pai and Kapoor, 1981) and Attitude Questionnaire (Sethi et al., 1981) was used to assess caregiver's burden and expressed emotions. At end of the psychoeducation intervention, burden among caregivers and negative expressed emotions of the caregivers have significantly reduced. The positive expressed emotions have been increased. Study results demonstrates the importance of psychoeducation intervention in reducing the burden and negative expressed emotions.


2021 ◽  
pp. 105477382110189
Author(s):  
Woon Ae Lee ◽  
Jin Suk Ra

Maintaining stable physiological responses may be important for the growth and development of preterm infants. The purpose of our study was to evaluate the effects of olfactory stimulation with maternal breast milk on the occurrence of abnormal physiological responses in preterm infants. With a non-equivalent control group pretest-posttest design, 13 preterm infants in the experimental group and 18 preterm infants in the control group completed the intervention. The intervention was implemented three times a day for 5 days in a row with 2 hours of administration per intervention. The frequency of abnormal physiological responses was assessed over 6 days (one day before intervention administration and 5 days during intervention administration). With repeated-measures analysis of variance, the experimental group showed a significantly lower frequency of apnea than the control group ( p = .021). Olfactory stimulation with maternal breast milk may be an effective nursing intervention for reducing apnea episodes in preterm infants.


2021 ◽  
Vol 38 (9) ◽  
pp. A4.2-A4
Author(s):  
Matthew Warren-James ◽  
Julie Hanson ◽  
Belinda Flanagan ◽  
Mary Katsikitis ◽  
Bill Lord

BackgroundWhilst there is evidence to suggest paramedics experience significant stress when working in the ambulance setting little is known about the experiences of first year paramedic students. This research aimed to: (i) identify whether levels of stress, anxiety and depression experienced by first year paramedic students changed after ambulance placement compared to a control group, and (ii) identify the main perceived and actual sources of stress around ambulance placement.MethodsA before-and-after quasi-experimental design was used to compare whether the experience of ambulance placement altered the levels of stress, anxiety and depression in an experimental group that attended an ambulance placement (n = 20) and the control group who did not (n = 10). Online surveys encompassing the Depression, Anxiety and Stress Scale (DASS-21) and qualitative questions about sources of stress were concurrently deployed to both the experimental and control groups before and after the ambulance placement. Participants were first year paramedic students working in Queensland Ambulance Service, Australia.ResultsThere was a significant reduction in levels of stress in participants after undertaking their first ambulance placement (Mdn = -4.00) when compared to a control group (Mdn = 0.00), U = 52.5, p = .035, n2 = 0.15. Responses to survey questions suggest anticipation about experiencing death and dying of patients was the most frequently reported stressor of student paramedics before undertaking ambulance placements, however insecurity about knowledge, competence and fear of failure was the most frequently experienced stressor reported after completing ambulance placements.ConclusionsThe findings from this study suggest that the fear of the unknown may be worse than the reality. Anticipatory stress is the foremost problem for first year paramedic students attending their first ambulance placement. Placement pre-briefing should focus on educational interventions to build knowledge and skills competency to reduce stress levels and fear of failure.


1999 ◽  
Vol 8 (2) ◽  
pp. 118-126 ◽  
Author(s):  
H Kim ◽  
BJ Garvin ◽  
DK Moser

BACKGROUND: Negative emotional reactions and difficulty in communicating are common in patients receiving mechanical ventilation and may adversely affect recovery from cardiac surgery. OBJECTIVE: To determine the effect of providing concrete objective information about emotional stress and difficulty in communicating related to mechanical ventilation to Korean cardiac surgery patients. METHODS: A quasi-experimental 2-group design was used. The 22 subjects in the control group received the usual information; the 21 in the experimental group received concrete objective information in addition to the usual information. State anxiety, negative affect, use of sedative and analgesic medications, and difficulty communicating were compared between the 2 groups after surgery. RESULTS: Patients who received concrete objective information experienced less anxiety and negative mood during mechanical ventilation, less difficulty in communicating, and a shorter intubation time than did patients in the control group. The 2 groups did not differ in the amount of sedative or analgesic medication used per hour during mechanical ventilation. CONCLUSIONS: Nursing interventions that include concrete objective information help cardiac patients cope with the stresses associated with surgery and mechanical ventilation.


2011 ◽  
Vol 63 (4) ◽  
pp. 373-388 ◽  
Author(s):  
Janice Miner Holden ◽  
Kathy Oden ◽  
Kelly Kozlowski ◽  
Bert Hayslip

In this article, we reviewed results of research on near-death experiences (NDEs) over the past 3 decades and examined the effect of viewing the hour-long 2002 BBC documentary The Day I Died: The Mind, the Brain, and Near-Death Experiences on accurate knowledge about near-death experiences among advanced undergraduates at a southwestern university. In a quasi-experimental research design, the experimental group completed a 20-item questionnaire before and after viewing the documentary ( n = 66; 45 females, 21 males), and the waitlist control group completed the questionnaire as pre- and posttest before viewing the documentary ( n = 39; 36 female, 3 male). The two groups' scores at pretest were not significantly different ( p > .05). Group by occasion repeated measures ANOVA revealed the experimental group's posttest scores moved significantly in the direction of correctness with a large effect size ( p < .001; η2= .56), whereas waitlist control group posttest scores remained similar to pretest scores. We discuss two exceptions to the effectiveness of the documentary and recommendations for educators using it as well as for future research.


2020 ◽  
Vol 10 (3) ◽  
pp. 1
Author(s):  
Meryem Vural-Batık

The aim of this research is to investigate the effect of the Dealing with Homophobia Psycho-Education Program on homophobia levels of psychological counselor candidates. This research was conducted with a mixed model and utilized quantitative and qualitative methods. 2 (experimental and control groups) x 3 (pre-test, post-test, follow-up) research design which is a type of quasi-experimental design was used and content analysis was applied to the data obtained via interviews. The study was conducted with a total of 24 psychological counselor candidates, 12 in the experimental group and, 12 in the control group. The Homophobia Scale was used to determine the homophobia levels of psychological counselor candidates. The Dealing with Homophobia Psycho-Education Program was developed by the researcher. In order to determine the effectiveness of the program, The Two-Way Analysis of Variance with Repeated Measures was used. As a result of the research, it was determined that the Dealing with Homophobia Psycho-Education Program is effective in decreasing the levels of homophobia of the psychological counselor candidates. Also, according to the participant&#39;s views, it was determined that the psycho-education program was effective in decreasing homophobia and caused changes in attitudes. The importance and necessity of using the program on psychological counselor education are discussed.


2020 ◽  
Vol 4 (1) ◽  
pp. 186
Author(s):  
Novia Sri Parindu Purba ◽  
Riana Sahrani ◽  
Heni Mularsih

Low self-esteem is also associated with poverty, it is necessary to have an effort to accept the conditions of life first. One of the simple characteristics of the acceptance effort is gratitude. Gratitude is a strong predictor to increase hope and happiness in adolescents who experience poverty. This research was designed as experimental group in X secondary school. The group was consisted of 6 respondents without a control group. The design of this study was a quasi-experimental (one group pretest-posttest) using the Rosenberg Self-esteem scale (RSSE) with a reliability coefficient of 0.88. The implementation of the gratitude intervention was designed using an intervention module from the aspect of the Indonesian grateful scale (SBI) and it was neither just a list of words of gratitude nor gratefulness. This gratitude intervention is done by inviting participants to focus on positive aspects of life, exploring positive emotions by recalculating the blessings of life that have been received from God and others. To sum up, these findings provide new findings in the use of gratitude intervention that focuses on the divine aspect. The results of this study indicate that there are significant differences in respondent's self-esteem before and after administration of the gratitude intervention, with self-esteem (RSSE) (Asymp. Sig. (2-tailed) = 0.042, p <0.05). This discussion focuses on the implications generated for Gratitude literature which are adapted to Indonesian cultural values. Harga diri yang rendah juga terkait dengan kemiskinan, maka diperlukan adanya usaha penerimaan kondisi kehidupannya terlebih dahulu. Salah satu karakteristik sederhana sebagai upaya penerimaan tersebut yakni dengan rasa bersyukur. Rasa bersyukur merupakan prediktor yang kuat untuk meningkatkan harapan dan kebahagiaan pada remaja yang mengalami kondisi miskin sekalipun. Penelitian ini diberikan kepada satu kelompok eksperimen yang terdiri dari 6 responden tanpa adanya kelompok kontrol di salah satu sekolah menengah pertama (SMP) terbuka X di Jakarta Utara. Desain penelitian ini merupakan quasi eksperimen (one group pretest-posttest) dengan menggunakan Rosenberg Self-esteem scale (RSSE) dengan hasil koefisien reliabilitas sebesar 0.88. Pelaksanaan pelatihan rasa bersyukur ini dirancang dengan menggunakan modul intervensi dari aspek skala bersyukur Indonesia (SBI) dan bukan hanya sekedar daftar ucapan rasa bersyukur atau terimakasih. Pelatihan kebersyukuran ini dilakukan dengan mengajak partisipan untuk fokus terhadap aspek positif dalam hidup, mengeksplorasi emosi positif dengan menghitung kembali berkah kehidupan yang telah diterima dari Tuhan dan orang lain. Singkatnya, temuan ini memberikan temuan baru dalam penggunaan intervensi rasa bersyukur yang berfokus pada aspek keTuhanan. Hasil penelitian ini menunjukkan bahwa terdapat perbedaan yang signifikan pada harga diri responden sebelum dan sesudah pemberian pelatihan kebersyukuran, dengan nilai self-esteem (RSSE) (Asymp. Sig. (2-tailed) = 0.042, p< 0.05 Diskusi ini berfokus pada implikasi yang dihasilkan untuk literature bersyukur yang disesuaikan dengan nilai-nilai budaya Indonesia.


2018 ◽  
Vol 5 (2) ◽  
pp. 62-66
Author(s):  
Tahereh Haji Seyed Javadi ◽  
Fakhri Tajikzadeh ◽  
Hossein Bayat ◽  
Nasim Eshraghi ◽  
Zahra Roshandel ◽  
...  

Background: The present study aimed to compare the effectiveness the metacognition treatment (MCT) and mindfulness-based cognitive therapy (MBCT) on anxiety, depression, and stress in the females with breast cancer. Methods: The planning of this study is through a quasi-experimental method of pretest and posttest type with control group. The target society of the research included every cancer patient who admitted to Tehran hospitals for breast cancer. Through assigned randomly, 12 patients were selected for the MCT group and 12 patients for the MBCT group, and the other were assigned control group. The data collection tools included depression, anxiety and stress scale - 21 items (DASS-21) questionnaire. For statistical analysis, descriptive tests and repeated measures analysis of variance were performed. Results: Data analysis with repeated multivariate measurements illustrated that there is a significant difference in the rate of depression, anxiety and stress, in three groups. Conclusion: According to our results, MBCT was more effective compared to metacognitive therapy.


2021 ◽  
pp. 15-25
Author(s):  
Liliana Faria ◽  

This study aimed to determine whether the levels of career adaptability resources could be increased through the use of a portfolio writing strategy. Based on a mixed methods approach, the study used the design quasi-experimental, with two independent groups and with repeated measures, together with a focus group. Forty students (17 from the experimental group; 23 from the control group) in university-work transition completed the Portuguese version of the Career Adaptation Scale. The pre-test survey was administered at the beginning of the semester of the curricular unit of personal and professional development project (PPDP) in both groups. This was followed, in the experimental group, by a fourteen-week portfolio writing intervention, under the PPDP. In the control group, the PPDP followed the traditional expository teaching methodology. After completing the intervention procedure, post-test research was conducted byboth groups. Five students from the experimental group also participated in a focus group of feedback on the writing of portfolios under the PPDP. The results revealedthat writing the portfolios contributed to a career adaptability resources increase as well as for the confidence, self-knowledge and knowledge of the market opportunities of these students. The use of portfolios in the PPDP unit course is recommended.


2021 ◽  
pp. 105477382110386
Author(s):  
Melek Ertürk Yavuz ◽  
Ayla Gürsoy

Even though they are conscious, patients who are unable to speak while connected to a mechanical ventilator have serious difficulties in communicating with healthcare staff. This research aimed to determine the effectiveness for patients of a computer-based communication tool (CBCT) and to compare these results with patients using a routine method. This quasi-experimental study was conducted with 90 intubated patients. It was found that 20.0% of the patients using CBCT stated that they had difficulties in communicating, while this rate was 82.2% among patients not using CBCT. Compared with participants in the control group, experimental group patients reported a lower median score for the anxiety levels (23.0 [20.0–39.0], 29.0 [20.0–57.00], p < .001) and higher mean comfort levels (130.2 ± 9.0, 109.6 ± 13.3, p < .001). Positive impacts of the CBCT are its suitability for patients who are dependent upon ventilation for different reasons and their improved ability to communicate effectively.


Sign in / Sign up

Export Citation Format

Share Document