scholarly journals The Effect of Simulation-Based Educational Program on Maternity Nurses' Performance regarding Obstetrical Emergencies during Pregnancy

2020 ◽  
Vol 2 (4) ◽  
pp. 14
Author(s):  
Amal T. A. El Sharkawy ◽  
Fatma K. Ali ◽  
Ola A. A. Araby
Keyword(s):  
Nursing Education ◽  
Educational Program ◽  
Clinical Skills ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Post Intervention ◽  
Educational Approach ◽  
Simulation Based ◽  
Quasi Experimental

Context: Simulation-based nursing education is an increasingly and wide-spread preferred educational approach. It offers opportunities to acquire clinical skills and decision-making through various situational experiences. Aim: The research aimed to investigate the effect of simulation-based educational program on maternity nurses' performance regarding obstetrical emergencies during pregnancy. Methods: A quasi-experimental research (one group pre/post-test) design was adopted to fulfill the research aim. This research was conducted at the Clinical Obstetrics' Skill lab of the Faculty of Nursing, Benha University. Forty nurses were recruited (all nurses working at obstetrics and gynecology emergency department of Benha University Hospital at the time of collecting data). Three tools were used for data collection; a structured self-administered questionnaire, maternity nurses' attitude assessment scale, and maternity nurses' practices observational checklist. Results: showed a highly statistically significant improvement concerning maternity nurses' knowledge, attitude, and practices regarding obstetrical emergencies during pregnancy, immediate post-intervention, and at follow up phase compared to the pre-intervention phase (P ≤ 0.001). There was a positive, highly statistically significant correlation between total knowledge and total attitude and total practice scores at pre-intervention, immediate post-intervention, and at follow up phases (P ≤ 0.001).    Conclusion: The simulation-based educational program positively affected maternity nurses' performance regarding obstetrical emergencies during pregnancy. Simulation-based education regarding obstetrical emergencies during pregnancy is recommended for all nurses working at obstetrics and gynecology units.

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

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.

scholarly journals Effect of Triage Education on Nurses’ Performance in Diverse Emergency Departments

2019 ◽  
Vol 1 (2) ◽  
pp. 11
Author(s):  
Sahar S. Faheim ◽  
Safaa S. Ahmed ◽  
Eman F. A. M. Aly ◽  
Samya M. A. Hegazy
Keyword(s):  
Nursing Education ◽  
Emergency Departments ◽  
Educational Program ◽  
Negative Attitude ◽  
Emergency Nursing ◽  
Emergency Nurses ◽  
Post Intervention ◽  
Significant Difference ◽  
Knowledge Practice

Context: Nurses are the primary anchorpersons of triage in emergency departments. Triage nurse should have the proper education and proficiency in emergency triage, decision making, and emergency nursing care. Training on triage is an integral part of emergency nursing education. Poor performance and lack of education are well documented in the literature. Aim: This study aimed at evaluating the effect of triage education on emergency nurses’ performance in diverse emergency departments. methods: Quasi-experimental (pre, post-test design) used to achieve the aim of this study. A purposive sample of one hundred fifty emergency nurses worked at pediatric, Obstetric, and adult emergency departments affiliated to three major governmental hospitals in Beni-Suef Governorate. Assessment of the nurses’ knowledge, practice, and attitude have been done using a self-administered questionnaire, triage competencies observational checklist, and nurses’ attitude measuring scale. Results: The study revealed poor nurses’ triage knowledge, practice, and negative attitude for the studied nurses before triage education, compared to a significant improvement after triage educational program, with a statistically significant difference among the three-implementation phases (pre, post, and one month follow up). Conclusion: The nurses who are subjected to triage education improved in their knowledge, practice, and attitude at the post-intervention evaluation compared to their pre-intervention level, which sustained after one month follow up. These findings support the study hypotheses. Based on these findings, the study recommended the publication and dissemination of the triage educational program. Besides, fostering and sustaining the improvements in practices regarding triage in ED through the orientation of new nurses, on the job training, and continuous education.

scholarly journals Effect of Health Educational Program on Knowledge, Attitude, and Reaction of Pregnant Women Regarding Obstetric and Newborn Danger Signs

2020 ◽  
Vol 2 (4) ◽  
pp. 14
Author(s):  
Somaya O. Abd Elmoniem ◽  
Elham A. Ramadan ◽  
Ahlam E. M. Sarhan
Keyword(s):  
Pregnant Women ◽  
Educational Program ◽  
Positive Attitude ◽  
Negative Attitude ◽  
University Hospital ◽  
Post Intervention ◽  
Neonatal Deaths ◽  
Danger Signs ◽  
Significant Difference ◽  
Quasi Experimental

Context: Globally, every minute, at least one pregnant woman dies from obstetric complications.  Also, the majority of neonatal deaths occur during the first week of life. These mortality rates can be reduced by increased knowledge, positive attitude, and appropriate reaction regarding obstetric and newborn danger signs. Aim: of the study was to examine the effect of health education program on knowledge, attitude, and the reaction of pregnant women regarding obstetric and newborn danger signs. Methods: A quasi-experimental research (pre/post-intervention) design was utilized to achieve this study's aim. A purposive sample of 70 pregnant women was recruited according to inclusion criteria. This research was conducted in the Antenatal Outpatient Clinic at Benha University Hospital. Two tools were used for data collection. They were a Structured Interviewing Questionnaire and a Modified Likert Scale to assess women's attitude. Results: 77.1% had poor knowledge pre educational program compared by 92.9% post educational program intervention. Regarding attitude, 52.9% had a negative attitude preprogram compared to 87.1% had a positive attitude post-program with a statistically significant difference between the two phases regarding all knowledge elements. The majority of them (83.3%) had an appropriate reaction (seeking medical help) after the educational program than a few of them pre educational program. Conclusion: The implementation educational program significantly improved pregnant women’s knowledge, attitude, and reaction regarding obstetrics and newborn danger signs. The study recommended developing antenatal classes for all pregnant women about key danger signs, appropriate decisions, and reactions in obstetric and newborn danger signs. Further research regarding replicating this study on a large representative probability sample is highly recommended to achieve more generalization of the results.

Repeated Scenario Simulation to Improve Competency in Critical Care: A New Approach for Nursing Education

2013 ◽  
Vol 22 (1) ◽  
pp. 33-40 ◽  
Author(s):  
Yukie Abe ◽  
Chikako Kawahara ◽  
Akira Yamashina ◽  
Ryoji Tsuboi
Keyword(s):  
Critical Care ◽  
Nursing Education ◽  
Technical Skills ◽  
University Hospital ◽  
Scenario Simulation ◽  
Educational Approach ◽  
Nontechnical Skills ◽  
Simulation Based ◽  
Before And After ◽  
Japanese Nurses

BackgroundIn Japan, nursing education is being reformed to improve nurses' competency. Interest in use of simulation-based education to increase nurses' competency is increasing.ObjectivesTo examine the effectiveness of simulation-based education in improving competency of cardiovascular critical care nurses.MethodsA training program that consisted of lectures, training in cardiovascular procedures, and scenario simulations was conducted with 24 Japanese nurses working at a university hospital. Participants were allocated to 4 groups, each of which visited 4 zones and underwent scenario simulations that included debriefings during and after the simulations. In each zone, the scenario simulation was repeated and participants assessed their own technical skills by scoring their performance on a rubric. Before and after the simulations, participants also completed a survey that used the Teamwork Activity Inventory in Nursing Scale (TAINS) to assess their nontechnical skills.ResultsAll the groups showed increased rubric scores after the second simulation compared with the rubric scores obtained after the first simulation, despite differences in the order in which the scenarios were presented. Furthermore, the survey revealed significant increases in scores on the teamwork scale for the following subscale items: “Attitudes of the superior” (P &lt; .001), “Job satisfaction” (P = .01), and “Confidence as a team member” (P = .004).ConclusionsOur new educational approach of using repeated scenario simulations and TAINS seemed not only to enhance individual nurses' technical skills in critical care nursing but also to improve their nontechnical skills somewhat.

Effectiveness of a vancomycin dosing protocol guided by area under the concentration-time curve to minimal inhibitory concentration (AUC/MIC) with multidisciplinary team support to improve hospital-wide adherence to a vancomycin dosing protocol: A pilot study

2021 ◽  
pp. 1-6
Author(s):  
Panipak Katawethiwong ◽  
Anucha Apisarnthanarak ◽  
Kittiya Jantarathaneewat ◽  
David J. Weber ◽  
David K. Warren ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Multidisciplinary Team ◽  
Kidney Injury ◽  
University Hospital ◽  
Routine Practice ◽  
Post Intervention ◽  
Coagulase Negative Staphylococci ◽  
Time Curve ◽  
Concentration Time ◽  
Quasi Experimental

Abstract Background: Limited data are available on the implementation of an area under the concentration-time curve (AUC)–based dosing protocol with multidisciplinary team (MT) support to improve adherence with vancomycin dosing protocol. Objective: To evaluate the effectiveness of an AUC-based dosing protocol with MT support intervention with adherence to a hospital-wide vancomycin dosing protocol at Thammasat University Hospital. Method: We conducted a quasi-experimental study in patients who were prescribed intravenous vancomycin. The study was divided into 2 periods; (1) the preintervention period when the vancomycin dosing protocol was already applied in routine practice and (2) the post-intervention period when the implementation of an AUC-based dosing protocol with MT support was added to the existing vancomycin dosing protocol. The primary outcome was the rate of adherence, and the secondary outcomes included acute kidney injury events, vancomycin-related adverse events, and 30-day mortality rate. Results: In total, 240 patients were enrolled. The most common infections were skin and soft-tissue infections (24.6%) and bacteremia (24.6%). The most common pathogens were coagulase-negative staphylococci (19.6%) and Enterococcus spp (15.4%). Adherence with the vancomycin dosing protocol was significantly higher in the postintervention period (90.8% vs 55%; P ≤ .001). By multivariate analysis, an AUC-based dosing protocol with MT support was the sole predictor for adherence with the vancomycin dosing protocol (adjusted odds ratio, 10.31; 95% confidence interval, 4.54–23.45; P ≤ .001). The 30-day mortality rate was significantly lower during the postintervention period (8.3% vs 20%; P = .015). Conclusions: AUC-based dosing protocol with MT support significantly improved adherence with vancomycin dosing protocol and was associated with a lower 30-day mortality rate.

scholarly journals Developing a Professionalism Manual for Nurse Managers to Improve Their Perception Regarding Professionalism and Professional Identity

2021 ◽  
Vol 7 ◽  
pp. 237796082110261
Author(s):  
Marwa H. Ageiz ◽  
Hayam A. Elshrief ◽  
Huda M. Bakeer
Keyword(s):  
Professional Identity ◽  
Nurse Managers ◽  
Test Phase ◽  
University Hospital ◽  
Performance Review ◽  
Post Test ◽  
Quasi Experimental ◽  
Different Levels ◽  
Assessment Questionnaire

Background Developing a professional identity is rooted in the dimensions of professionalism and professional development. Moreover, the need for teaching professionalism has a mutual relationship with the formation of a desirable professional identity. Aim The current study aimed at developing a professionalism manual for the nurse managers to improve their perception regarding professionalism and professional identity. Design Quasi-experimental research design with pre-test, post-test, and follow-up was used. Setting The study was conducted at two different hospitals; Menoufia University hospital and Al-helal Insurance hospital, Menoufia Governorate, Egypt. Subjects The participants included all nurse managers at different levels from the two different hospitals ( n =100). Tools: tool 1: Professionalism Questionnaire and tool 2: Professional Identity Assessment Questionnaire were used to collect data. Results there was a statistically significant improvement in professionalism perception and professional identity level immediately after administering the professionalism manual and after three months in the follow-up phase than the pre-test phase. Additionally, there was a statistically significant positive correlation between two variables of the study at the post and follow-up phases, but not significant at the pre-test phase. Conclusion the professionalism manual was effective in improving nurse managers’ perceptions regarding professionalism and professional identity. Recommendations: Incorporate the attributes of professionalism that were included in the professionalism manual as a guide for the performance review processes of nurses.

scholarly journals EFFECT OF EDUCATIONAL PROGRAM ON NURSES’ PERFORMANCE FOR CHILDREN WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Sahar Wasfy ◽  
Rahma Soliman ◽  
Ebtisam El-Sayed ◽  
Basma Mahmoud
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Educational Program ◽  
Clinical Skills ◽  
Structured Interview ◽  
University Hospital ◽  
Basic Knowledge ◽  
Thrombocytopenic Purpura ◽  
Pediatric Hematology ◽  
Blood Disorder ◽  
Knowledge And Practice

Introduction: Idiopathic Thrombocytopenic Purpura is an autoimmune blood disorder associated with decrease platelets level less than normal, which may result in bleeding occurrence. The actual cause is unknown. It may be progressive if untreated, but may remit spontaneously for several years. The aim of this study was to evaluate the effect of health educational program on nurses’ performance for children with Idiopathic-Thrombocytopenic-Purpura. Methods: The study was Quasi- experimental research design used for 50 nurses working at Pediatric Hematology Unit of Tanta University Hospital and Pediatric Hematology Unit of Al- Mabra Tanta Hospital. Two Tools were used to collect required data: structured interview schedule to collect biosocial data of nurses and observational check list regarding nursing practice. Results: The present study-represented that, three quarter of nurses had poor-knowledge and all of them had unsatisfactory level of practice before the-educational-program-implementation. While immediately and after one month from the implementation of the program the total-scores-of-nurses' knowledge and practice improved. Conclusion: There was a-significant improvement in nursing knowledge and practice in relation to nursing care for children with Idiopathic-Thrombocytopenic-Purpura. Recommendations: In-service-training program should be conducted periodically for nurses' teaching the basic knowledge and clinical skills.

scholarly journals Positive Lifestyle Behavior Changes Among Canadian Men: Findings From the HAT TRICK Program

2020 ◽  
pp. 089011712095717
Author(s):  
Cristina M. Caperchione ◽  
Joan L. Bottorff ◽  
Sean Stolp ◽  
Paul Sharp ◽  
Steven T. Johnson ◽  
...  
Keyword(s):  
Social Connectedness ◽  
Program Effectiveness ◽  
Ice Hockey ◽  
Self Report ◽  
Accelerometer Data ◽  
Quadratic Trend ◽  
Post Intervention ◽  
Quasi Experimental ◽  
Linear Trends

Purpose: To estimate program effectiveness regarding physical activity (PA), diet, and social connectedness as part of a feasibility study. Design: Pre-post quasi-experimental. Setting: HAT TRICK was delivered in collaboration with a Canadian semi-professional ice hockey team and offered at the arena where they trained and played games. Participants: Participants (N = 62) at baseline were overweight (BMI >25kg/m2) and inactive (<150 minutes of MVPA/week) men age 35+ years. Intervention: Gender-sensitized 12-week intervention for men targeting PA, healthy eating and social connectedness. Method: Baseline, post-intervention (12 weeks) and 9-month follow-up self-report and accelerometer data were collected. Multi-level modeling assessed growth trajectories of outcome measures across time. Results: Accelerometer measured weekly/min. of moderate PA showed significant linear trends (95%CI: 42.9 – 175.3) from baseline (147.0 ± 104.6), 12-week (237.7 ± 135.5) and 9-month follow-up (204.89 ± 137.7) qualified with a quadratic trend. Self-reported weekly/min of moderate and vigorous PA showed significant linear trends (95%CI: 94.1, 264.1; 95%CI: 35.1, 109.6) from baseline (52.6 ± 83.8, 22.42 ± 44.9), 12 week (160.1 ± 157.4, 66.6 ± 74.4) and 9-month follow-up (118.6 ± 104.6, 52.2 ± 59.2) qualified with quadratic trends. DINE measured fat score rating showed linear trends over time (95%CI -14.24, -6.8), qualified with a quadratic trend. DINE fibre score and social connectedness showed no trends. Conclusion: Findings yield valuable information about the implementation of gender-sensitized lifestyle interventions for men and demonstrate the importance of male-specific strategies for reaching and engaging overweight, physically inactive men.

scholarly journals Postmortem examination protocol and systematic re-evaluation reduce the proportion of unexplained stillbirths

2020 ◽  
Vol 48 (8) ◽  
pp. 771-777
Author(s):  
Maria Pekkola ◽  
Minna Tikkanen ◽  
Mikko Loukovaara ◽  
Jouko Lohi ◽  
Jorma Paavonen ◽  
...  
Keyword(s):  
Cause Of Death ◽  
Medical Records ◽  
Retrospective Cohort ◽  
Causes Of Death ◽  
Postmortem Examination ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Common Cause ◽  
Examination Protocol

AbstractBackgroundStillbirth often remains unexplained, mostly due to a lack of any postmortem examination or one that is incomplete and misinterpreted.MethodsThis retrospective cohort study was conducted at the Department of Obstetrics and Gynecology, Helsinki University Hospital, Finland, and comprised 214 antepartum singleton stillbirths from 2003 to 2015. Maternal and fetal characteristics and the results of the systematic postmortem examination protocol were collected from medical records. Causes of death were divided into 10 specific categories. Re-evaluation of the postmortem examination results followed.ResultsBased on our systematic protocol, the cause of death was originally defined and reported as such to parents in 133 (62.1%) cases. Re-evaluation of the postmortem examination results revealed the cause of death in an additional 43 (20.1%) cases, with only 23 (10.7%) cases remaining truly unexplained. The most common cause of stillbirth was placental insufficiency in 56 (26.2%) cases. A higher proportion of stillbirths that occurred at ≥39 gestational weeks remained unexplained compared to those that occurred earlier (24.1% vs. 8.6%) (P = 0.02).ConclusionA standardized postmortem examination and a re-evaluation of the results reduced the rate of unexplained stillbirth. Better knowledge of causes of death may have a major impact on the follow-up and outcome of subsequent pregnancies. Also, closer examination and better interpretation of postmortem findings is time-consuming but well worth the effort in order to provide better counseling for the grieving parents.

Using Signage to Promote Stair Use on a University Campus in Hidden and Visible Stairwells

2010 ◽  
Vol 7 (2) ◽  
pp. 232-238 ◽  
Author(s):  
Megan E. Grimstvedt ◽  
Jacqueline Kerr ◽  
Sara B. Oswalt ◽  
Donovan L. Fogt ◽  
Tiffanye M. Vargas-Tonsing ◽  
...  
Keyword(s):  
San Antonio ◽  
University Campus ◽  
Intervention Period ◽  
Post Intervention ◽  
Promotion Strategy ◽  
Quasi Experimental ◽  
University Buildings ◽  
Stair Use ◽  
Experimental Study Design

Background:This study tested the effectiveness of a stair use promotion strategy in visible and hidden stairwells during intervention and post intervention follow up.Methods:A quasi-experimental study design was used with a 1 week baseline, a 3 week intervention, and post intervention at 2 and 4 weeks in 4 university buildings in San Antonio, Texas with stairwells varying in visibility. Participants were students, faculty, staff, and visitors to the 4 buildings. A total of 8431 observations were made. The intervention incorporated motivational signs with direction to nearby stairwells placed by elevators to promote stair use. Stair and elevator use was directly observed and recorded. Logistic regression analyses were used to test whether stair versus elevator use varied by intervention phase and stairwell visibility.Results:Stair use increased significantly (12% units) during the intervention period and remained above baseline levels during post intervention follow-up. At baseline, visible stairs were 4 times more likely to be used than hidden stairs; however, the increase in stair use during intervention was similar in both types of stairwells.Conclusions:Motivational and directional signage can significantly increase stair use on a university campus. Furthermore, stairwell visibility is an important aspect of stair use promotion.

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