Measuring the Effect of Dimensional Analysis on Nurses' Level of Self-Efficacy in Medication Calculation Errors

2021 ◽  
Vol 15 (12) ◽  
pp. 3579-3582
Author(s):  
Tariq Ullah ◽  
Muhammad Afzal ◽  
Hajra Sarwar ◽  
Asif Hanif ◽  
Syed Amir Gilani ◽  
...  
Keyword(s):  
Experimental Study ◽  
Dimensional Analysis ◽  
Self Efficacy ◽  
Tertiary Care ◽  
Care Hospital ◽  
Post Intervention ◽  
Quasi Experimental ◽  
Care Improvement ◽  
Medication Calculation

Aims of The Study: The main aim of this study is to improve the calculation of medicines in nurses and develop a master plan for drug calculation competencies which will be yearly renewable. Objective: To evaluate the effects of dimensional analysis on the self-efficacy levels of nurses, specifically regards to their medication calculation abilities. Methodology: Quasi experimental study design was used in this study. This quasi-experimental study was conducted at the teaching hospital of the University of Lahore. It is a tertiary care hospital with 450-bedded capacities where almost 113 registered nurses are performing their duties in different shifts. Results: the frequency and classification of gender, in which male were 22% and female were 78%, the classification of age in which 21- 25 years old participants were 12.45%, some participants age between 26-30 years were 28.3%, participants of 31-35 years were 37.2%, the participants whose age were 36-40 years were 15% and above 40 years participants age were 701%. Classification of education in which 16.8% participants were General Nurse, 36.3% participants were Post RN and 46.9% participants were Generic BSN. The classification of Designation also discusses such as, 47.8% participants were charge nurses, 32.7% were Shift In charge and 19.5% were unit In charge. Conclusion: This study focusses to enhance the mathematical skills of the nurses and minimize the calculation errors of nurses during medication which is a challenging issue among nurses. This study is to extend focus on improving nurse’s medication calculation accuracy. To accomplish the stated purpose, a single intervention dimensional analysis was used which provide a situation for health-care improvement and to find techniques for improving the rate of medication errors. Statistically 39.86% difference recorded in pre-and post-intervention data. Keywords: Self Efficacy, Dimensional Analysis, medication calculation, mathematical calculation confidence level

scholarly journals Role of Informed Consent in Reducing Pre-Operative Anxiety

2018 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Informed Consent ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Preoperative Anxiety ◽  
Care Hospital ◽  
Post Intervention ◽  
Public And Private ◽  
Surgical Units ◽  
Quasi Experimental

Background: Preoperative anxiety is challenging concept in preoperative patients. It could reduce by various methods; one of them is informed consent in which information is provided to patients regarding anesthesia and surgical procedure, it also helps patients to make autonomous decision. Objective: The aim this study was to identify the role of informed consent in preoperative anxiety, in surgical patients of both public and private tertiary care hospital Peshawar. Method: A quasi experimental study design was carried out among preoperative patients of surgical units. The sample of 65 participants was selected through convenient sampling technique. First, the preoperative anxiety was measured with valid adopted questionnaire APAIS. Second, the informed consent was explained to patients and after this again preoperative anxiety was measured to see the effect of informed consent on preoperative anxiety. Results: Among 65 participants 41 (63.1%) were males and 24 (36.9%) were females. 58 (89.2%) were married and 7 (10.8%) were unmarried. The mean age of participants was 49.92 +16.76 years. 24 (36.9%) of the participants were uneducated, 17 (26.2%) primary, 13 (20.0%) secondary, 6 (9.2%) bachelor, and 5 (7.7%) had higher education. The participants were graded for preoperative anxiety, 3 (4.6%) had somewhat, 9 (13.8%) moderate, 27 (41.5%) moderately high, and 26 (40.0%) had extremely high anxiety. while the post-intervention anxiety grades were identified as 20 (30.8%) somewhat, 18 (27.7%) moderate, 17 (26.2%) moderately high, and 10 (15.4%) extremely high. The study shows that well explained informed consent reduced the patient pre-operative anxiety. Conclusion: Preoperative anxiety is common phenomena experienced by patient undergoing through surgical procedures, informed consent is a tool that ensure the respect of patient autonomy and reduce their preoperative anxiety.

scholarly journals Effect of Installation of Alcohol Gel Dispensers and Behavioral Nudges on Behavioral Drivers for Hand Hygiene: A Quasi-Experimental Study at a Tertiary Hospital during the COVID-19 Pandemic

2021 ◽  
Author(s):  
Sommanas Naknual ◽  
Nanta Kliangkird ◽  
Tippawan Liabsuetrakul ◽  
Wit Wichaidit
Keyword(s):  
Experimental Study ◽  
Hand Hygiene ◽  
Health Beliefs ◽  
Self Efficacy ◽  
Health Belief ◽  
Tertiary Hospital ◽  
Post Intervention ◽  
Intervention Phase ◽  
Refusal Rate ◽  
Quasi Experimental

Objective: To compare the level of hand hygiene behavioral drivers before and after installation of alcohol gel dispensers and behavioral nudges among outpatients and visitors at a tertiary hospital in Thailand during the coronavirus disease 2019 (COVID-19) pandemic.Material and Methods: A quasi-experimental study was conducted among outpatients and visitors in June 2020. We installed 12 alcohol gel dispensers with signs serving as behavioral nudges at a tertiary hospital in the Internal Medicine Outpatient Department (OPD), Surgery OPD, and the Pharmacy. We trained enumerators to interview outpatients and visitors regarding their behavioral drivers (beliefs about COVID-19 and hand hygiene based on the health belief model, plus handwashing social norms). We analyzed data using descriptive statistics.Results: Enumerators recruited 206 participants in the pre-intervention phase (refusal rate = 37.6%) and 219 participants in the post-intervention phase (refusal rate = 32.2%). There were significant differences between the pre-intervention and post-intervention phases with regard to self-efficacy for hand hygiene (92.0% vs. 100%, respectively), perceived lack of barriers to hand hygiene with alcohol (93.2% vs. 98.2%, respectively), and the proportion of participants who reported that hand hygiene had become a habit (7.5 vs. 18.8%, respectively). Reports of other domains of health beliefs (perceived severity of COVID-19, perceived benefits of handwashing) were homogeneous in both periods.Conclusion: We found differences in perceived lack of barriers and reported habit of hand hygiene but while self-efficacy was homogeneous in both periods. Issues regarding selection bias, construct validity, and generalizability may limit the usefulness of the study data. Caveats should be considered in the interpretation of the study findings.

scholarly journals Effect of Abdominal Physiotherapy in Reduction of Inter Recti Distance in Postpartum Females

2021 ◽  
Vol 15 (6) ◽  
pp. 1446-1448
Author(s):  
K. Kazmi ◽  
G. M. Hashmi ◽  
M. Bilal ◽  
N. Iqbal ◽  
Wajeeha . ◽  
...  
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Abdominal Muscle ◽  
Postnatal Period ◽  
P Value ◽  
Care Hospital ◽  
Post Intervention ◽  
Gynecology And Obstetrics ◽  
Diastasis Recti ◽  
Quasi Experimental

Aim: To see the effect of abdominal exercises in the recovery of diastasis recti in post natal females. Methodology: A Quasi Experimental study design was used to enroll 40 participants from OPD of Gynecology and Obstetrics from a Tertiary Care Hospital Lahore between ages ranged from 18 to 30 years. Using purposive sampling all postpartum females having diastasis of rectus abdominis muscles with inter recti distance more than 2 fingers width were enrolled. All the study participants received abdominal muscle exercises program for 30 min a day in 8 week program. inter recti distance was measured by using two finger palpation method. All the pre intervention and post intervention data were recorded into a short structured proforma.Results were considered significant for p value ≤ 0.05. Results: 40 participants were selected in this study with an age from 18- 30 years. The inter recti distance was significantly reduced as p value was ≤ 0.05 for both (above umbilicus and below umbilicus) groups. Conclusion: It was observed that abdominal exercises helped in the recovery of diastasis and reduced the separation between the muscles in postpartum women. It also enlightens the importance of the prescription of physiotherapy in reduction of post partum complications. Keywords: Abdominal Exercises, Diastasis Recti, Pregnancy, Postnatal period,

scholarly journals EFFECTIVENESS OF VIRTUAL REALITY IN RECOVERY OF MOTOR FUNCTION IN POST-STROKE HEMIPARESIS: A QUASI-EXPERIMENTAL STUDY

2018 ◽  
Vol 7 (2) ◽  
pp. 45-51
Author(s):  
Bakhtawar Saleem
Keyword(s):  
Virtual Reality ◽  
Motor Function ◽  
Functional Performance ◽  
Tertiary Care ◽  
Rehabilitation Program ◽  
Sensorimotor Function ◽  
Care Hospital ◽  
Post Intervention ◽  
Post Stroke ◽  
Quasi Experimental

Virtual Reality(VR) is a novel treatment approach for stroke rehabilitation as it enables individuals to reproduce standard controlled movements to accomplish functional task. In contrast to conventional rehabilitation that is monotonous, long-term and challenging, VR increases patient interest in rehabilitation thereby reduces the boredom and adaptation therefore enhances the visuo-spatial feedback. It has been observed that approximately 65% of the stroke survivors suffer hemiparesis that predominantly leads difficulty in performing daily living activities. Therefore, this study aims to assess the sensorimotor and functional performance in post-stroke hemiparetic patients using VR based gaming system. A total of 81 participants who had first-ever ischemic or hemorrhagic stroke with onset of >6 months, enrolled in post-acute rehabilitation program at Tertiary Care Hospital were included. The VR gaming software named Wonder Tree (WT) © was used for the intervention. All participants were required to play two different games i.e. bucket ball and bubble pop for 15-20 minutes, 3 days/week for the duration of 8th weeks. Participants were assessed on baseline and post-intervention on Fugyl-Meyer Assessment for Upper Extremity (FMA-UE) and Wolf Motor Function Test (W.MFT) to assess sensorimotor function and functional skills. Participants showed significant improvement in sensorimotor function and functional abilities (p<0.05) after 8th weeks of intervention.

scholarly journals Comparison between two natural surfactant poractant alfa and bovine lipid extract in respiratory distress syndrome amongst preterm neonates-a quasi-experimental study

2021 ◽  
Author(s):  
Srikanta Baske ◽  
Sudip Saha ◽  
Partha Pratim Pal
Keyword(s):  
Experimental Study ◽  
Mechanical Ventilation ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Tertiary Care ◽  
Preterm Neonates ◽  
Care Hospital ◽  
Oxygen Requirement ◽  
Quasi Experimental

Background: A comparison study of two natural surfactants in preterm babies admitted in neonatal intensive care unit (NICU) and sick newborn care unit (SNCU) of a tertiary care hospital to find out efficacy and consequences.Methods: A Quasi-experimental study. InSurE technique applied for administering Poractant alfa (CUROSURF) and bovine surfactant (NEOSURF) in two comparison group of preterm neonates with respiratory distress syndrome (RDS) during May 2018 to April 2019. The need of mechanical ventilation, oxygen requirement (FiO2), duration of oxygen requirement and the consequences were assessed.Results: The CUROSURF is 6.67% more efficacious than NEOSURF in respect to less requirement of mechanical ventilation. The differences were found between two groups in terms of FiO2adjusted (33.49% vs 37.17%) and common side effects respectively but the difference of mean duration of oxygenation (69.8 hrs vs 111.9 hrs) was less and statistically significant in CUROSURF group. Mean duration of hospitalization (9.55 day’s vs 14.9 days) also were found to be less and statistically significant.Conclusions: Treatment with CUROSURF was associated with faster improving oxygenation, less additional doses, and decreased need of mechanical ventilation.

scholarly journals Effect of Prone Positioning in Patients with Moderate COVID-19 Pneumonia Admitted to Ward at a Tertiary Care Hospital

2021 ◽  
Keyword(s):  
Experimental Study ◽  
Severe Disease ◽  
Tertiary Care ◽  
Adjunctive Treatment ◽  
Sign Test ◽  
P Value ◽  
Care Hospital ◽  
X Rays ◽  
Prone Positioning ◽  
Post Intervention

COVID -19 pneumonia can progress to severe disease in 5% of patients requiring intensive care management, which can put an excessive burden on health care systems. Prone positioning has been shown to improve oxygenation and decrease lung injury in patients with COVID-19 pneumonia and can be used as an adjunctive treatment to delay intubation. The objective of this study is to assess the effect of prone positioning in patients admitted to the COVID ward, with Moderate COVID-19 Pneumonia. This experimental study was conducted at Liaquat National Hospital. A quasi-experimental study design was applied. Patients with hypoxemia SpO2 < 94% were assisted to prone and semi-prone for up to 2 hours at a time for multiple sessions. Parameters like SaO2, PaO2/FiO2, hours of proning and changes and X-rays were recorded daily and pre and post-intervention values were compared. Paired t-test and Wilcoxon sign test were used to compare continuous parameters. A two-tailed p-value less than 5% of the level of significance was defined as statistically significant. 20 patients fulfilling the inclusion criteria were enrolled. Median hours of prone positioning were 48.5. The median hospital stay was 7.5 days. At baseline, mean PaO2/FiO2 ratio was 342±91.87 and at the time of discharge, it was 412.30±105.97 which is a statistically significant improvement from baseline (p=0.040). 50% of patients showed improvement in X-rays. One patient was intubated and all the patients were discharged. The sample collected in the current showed that prone positioning is a safe and feasible approach to improve oxygenation in moderate-severe COVID-19 pneumonias. However, studies with a larger sample size are recommended to further verify the findings of this study.

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