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.

scholarly journals Effect of antenatal education on knowledge and utilization of facility-based delivery services among pregnant women in two health institutions in Alimosho, Lagos state

2020 ◽  
Vol 8 (10) ◽  
pp. 3457
Author(s):  
Orji Urenna Okafor ◽  
Ademuyiwa Iyabo Yewande
Keyword(s):  
Pregnant Women ◽  
Knowledge Score ◽  
Education Programme ◽  
Health Concern ◽  
Intervention Package ◽  
Post Intervention ◽  
Antenatal Education ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Delivery Services

Background: Facility-based delivery care is an essential component of maternity care. Overtime, its under-utilization despite improvement in antenatal attendance has become a public health concern in Nigeria. To assess the effect of antenatal education on the knowledge and utilization of facility-based delivery services among pregnant women in primary health facilities in Alimosho, Lagos.Methods: Quasi-experimental design of 2 groups pre- and post-intervention was adopted and through multi-staged sampling techniques, 128 participants were selected but 117 completed the study. Self-developed structured questionnaire with reliability index of 0.76 was used for data collection. The intervention package was antenatal education package on benefits and components of delivery services. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 23 statistical package.Results: The mean age of participants in control and experimental groups was 32.3±9.60 and 34.7±8.21 years respectively. Findings revealed moderate knowledge mean score (control- 54.97±10.52; experimental-52.14±11.09) and low pre-intervention utilization mean score (control 13.33±3.41; experimental-13.17±4.21). Findings also showed significant improvement on post-intervention mean knowledge score of 52.14±11.09 versus 104.75±5.56 and a significant difference in post-intervention utilization (p=0.000) and follow-up (p=0.013) on the experimental group.Conclusions: The study concluded that the antenatal education programme had positive effect on the pregnant women’s knowledge and utilization of health facility delivery services, therefore, there is need to strengthen and intensify antenatal education at all levels of healthcare using appropriate teaching techniques.

scholarly journals Effect of an Interactive Training on Choosing Delivery Method among Primiparous Pregnant Women: An Interventional Study

2020 ◽  
Vol 38 (1) ◽  
Author(s):  
Nahid Zarifsanaiey ◽  
Alireza Bagheri ◽  
Faezeh Jahanpour ◽  
Samaneh Nematollahi ◽  
Parviz Azodi
Keyword(s):  
Pregnant Women ◽  
Vaginal Delivery ◽  
Delivery Method ◽  
Interventional Study ◽  
Post Intervention ◽  
Delivery Methods ◽  
Interactive Training ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental

Objective. To evaluate the effect of interactive training conducted during pregnancy on choosing delivery method among primiparous women. Methods. Quasi-experimental study carried out in 2017 in two hospitals in the city of Bushehr (Iran), with the participation of 108 primiparous pregnant women in an educational program consisting of eight 2-hour sessions every two weeks in which interactive training activities were performed (group discussions, classroom sessions, and delivery of printed educational material) on themes related with physiological delivery, painless vaginal delivery methods, and complications of cesarean delivery without indication, among others. Before and after the intervention, the Knowledge and Preferred Method of Delivery Questionnaire by Moradabadi et al., was used to obtain information. Results. The results indicated that the level of knowledge in the group of mothers increased significantly between the pre-intervention and post-intervention assessment (13.2 versus 19.4, of 20 possible maximum points; p <0.001). Additionally, significant difference was observed in the selection of the vaginal delivery method before and after the intervention (74.1% versus 98.1%; p<0.001). Conclusion. Implementation of interactive training increased knowledge of pregnant women on the delivery and induced a positive effect to encourage the primiparous mothers to have a vaginal delivery.How to cite this article: Zarifsanaiey N, Bagheri A, Jahanpour F, Nematollahi S, Azodi P. Effect of an Interactive Training on Choosing Delivery Method among Primiparous Pregnant Women: An Interventional Study. Invest. Educ. Enferm. 2020; 38(1):e04.

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 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 Influence of Hot Compresses Versus Cabbage Leaves on Engorged Breast in Early Puerperium

2020 ◽  
Vol 5 (2) ◽  
pp. 7
Author(s):  
Mervat Caber Zagloul ◽  
Elsaida Gouda Naser ◽  
Hanan Elzeblawy Hassan
Keyword(s):  
Body Temperature ◽  
Placebo Treatment ◽  
University Hospital ◽  
Breastfeeding Initiation ◽  
Post Intervention ◽  
Pain Scales ◽  
Significant Difference ◽  
Postnatal Mothers ◽  
Quasi Experimental ◽  
Port Said

Breast engorgement is а common issue affecting breastfeeding initiation and length. There are minimal options for relieving the pain associated with breast engorgement. Therefore, further study of strategies to achieve successful pain relief is crucial to promoting progress in breastfeeding. This study was conducted to evaluate and compare the effectiveness of compressed cold cabbage leaves versus hot compresses among postnatal mothers in relieving breast engorgement. Αn interventional quasi-experimental study design used to conduct this study. The study was carried out in the postnatal wards of Ismailia & port-Said general hospitals, and Suez Canal University Hospital. Α convenient sample study was 60 breast-engorgement postnatal mothers. Tools of data collection were; an interviewing questionnaire sheet included socio-demographic and obstetrical data, Visual Analogue Scale, and Six-point engorgement scale. The results showed that before the intervention, there was no statistically significant difference between the two groups linked to breast engorgement symptoms & body temperature. But body temperature, scores of breast engorgement and pain were statistically significant differentiated between the two groups’ pre and post-intervention. Significant improvement in the breast engorgement and pain scales after the intervention was found, (p < 0.001). In conclusion, this study revealed that hot compresses and cabbage leaves compresses, as well, for relieving breast engorgement; are time-efficient and easy to perform. However, hot compresses are better than compresses of raw cabbage leaves to minimize discomfort among postnatal mothers and to alleviate breast engorgement. Additional randomized controlled trials with potential placebo treatment should be performed to elucidate the unspecific effects of the application of hot compress and cold Cabbage leaves. 

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 The Effect of Resource-Based Instructions on Pre-service Biology Teachers’ Attitudes towards Learning Biology

2021 ◽  
Vol 20 (8) ◽  
pp. 262-277
Author(s):  
Josiane Mukagihana ◽  
Catherine M Aurah ◽  
Florien Nsanganwimana
Keyword(s):  
Negative Attitude ◽  
Control Group ◽  
Biology Teachers ◽  
Lecture Method ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
Based Instruction ◽  
Teachers Attitudes ◽  
Attitudes Towards Learning

A positive attitude correlates to successful learning; while a negative attitude leads to poor learning. The present study aimed to compare the pre-service biology teachers’ attitudes towards learning biology and assessing their attitudinal change before and after being taught by resource-based instructions (RBI) in Rwanda. A survey-research design was used, in combination with a quasi-experimental control group, and the equivalent time-series designs. Pre-service biology teachers were taught at a public university in three separate groups, with one control group and two experimental groups. Each group received a pre-attitude and a post-attitude assessment. In contrast, at a private university, they were taught as a single group, in a series of instructions, starting with the lecture method, followed by animation-based instruction and small- group laboratory activities, in which at each stage, the pre-service biology teachers received the same assessment. The biology Attitudinal Scale showed a Cronbach alpha reliability of 0.625 before its use. The data were analyzed quantitatively; and the results revealed no statistically significant difference between the public and the private pre-service teachers’ attitudes before learning microbiology. After the teaching interventions, the results revealed that both the traditional and the resource-based instructions improved the pre-service biology teachers’ attitudes towards learning biology, as a result of their improved maturity and their anticipated future teaching career.

scholarly journals Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units

2021 ◽  
Vol 39 (2) ◽  
Author(s):  
Amirhossein Yousefinya ◽  
Camellia Torabizadeh ◽  
Farid Zand ◽  
Mahnaz Rakhshan ◽  
Mohammad Fararooei
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Blood Pressure Monitoring ◽  
Post Intervention ◽  
Alarm Management ◽  
Effective Interventions ◽  
Significant Difference ◽  
Quasi Experimental ◽  
And Control ◽  
Time Type

Objective. To evaluate the effects of application of a manual on the improvement of alarms management in Intensive Care Units (ICU). Methods. This quasi-experimental study evaluated the effectiveness of the introduction into of a manual for alarm management and control in the ICU of a hospital in southeastern Iran. The intervention was a 4-hour workshop was on topics related to the adverse effects of alarms, standardization of ECG, oxygen saturation and blood pressure monitoring systems, and the use of ventilators and infusion pumps. Data were collected thorough 200 hours of observation of 60 ICU nurses (100 hours’ pre-intervention and 100 hours’ post-intervention). Response time, type of response, customization of alarm settings for each patient, the person responding to an alarm, and the cause of the alarm were analyzed. Alarms were classified into three types: false, true and technical. Results. The results showed a statistically significant difference between the pre- and post-intervention frequency of alarm types, frequency of monitoring parameters, customized monitoring settings for patients, and individuals who responded to alarms. The percentage of effective interventions was significantly higher for all parameters after the intervention (46.9%) than before the intervention (38.9%). Conclusion. The employment of a manual for management of alarms from electronic equipment in ICUs can increase the frequency of appropriate responses to alarms in these units.

scholarly journals Perceptions of caregivers on immunization in Ntungamo district, Uganda

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. 

scholarly journals Nurse led educational intervention on the knowledge of management of selected childhood conditions among mothers of under five in tertiary hospitals in Bayelsa state

2020 ◽  
Vol 8 (9) ◽  
pp. 3171
Author(s):  
Ebikienmo Forcebray ◽  
Sowunmi Christiana O.
Keyword(s):  
Educational Intervention ◽  
Intervention Programme ◽  
Post Intervention ◽  
Knowledge And Skills ◽  
Under Five ◽  
Childhood Conditions ◽  
Significant Difference ◽  
Tertiary Hospitals ◽  
Quasi Experimental ◽  
Daunting Challenge

Background: Infant and child mortality remains a daunting challenge in Nigeria as findings showed inadequacy in knowledge and skills regarding management of selected childhood conditions among mothers. This study assessed a nurse-led educational intervention on management of selected childhood conditions among mothers of under-five in tertiary hospitals in Bayelsa State.Method: Two group pre-test, post-test quasi-experimental design was used for the study. Total enumeration was adopted to include 150 mothers of under-five. Data were collected using a self-developed questionnaire and a checklist pre and post intervention. Two research questions were answered using descriptive statistics of while hypotheses were tested using inferential statistics of t-test at 0.05 level of significance.Results: Findings showed that pre-intervention knowledge was below average in both control (23.19±6.66) and experimental (21.97±7.32) while an improvement was found with the participants' post-intervention knowledge on the management of selected childhood conditions in the experimental (49.99±5.86) group and not with the control (23.82±6.75) group. No significant difference was found in the pre intervention knowledge (Mean difference=1.22, t(148)=1.01, p=0.103) in the control and experimental group, while a significant difference was reported in the post intervention mean score on knowledge (Mean diff. = 26.17, t(148)=19.45, p=0.000) in the control and experimental group.Conclusion: The nurse-led intervention programme improved knowledge and skills in the management of selected childhood conditions among mothers of under-five. It is recommended that more awareness should be created on the management of selected childhood conditions parameters.

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