scholarly journals Effect of implementing epilepsy educational guidelines on nurses’ performance and patients’ outcomes

2021 ◽  
Vol 9 (2) ◽  
pp. 20
Author(s):  
Walaa El-khanany Zahran ◽  
Wafaa Ismail Sherif ◽  
Hanan Abo-Bakr Mohamed

Objective: Epilepsy is considered one of the most common neurological diseases affecting 65 people worldwide. People with epilepsy are more likely to get injured and die prematurely than the general population. Nurses must acquire professional knowledge related to epilepsy and should strengthen patients to play a more active role in their care to improve their understanding of their diseases. The study aimed to evaluate implementing epilepsy educational guidelines on nurses’ performance and patients’ outcomes.Methods: A quasi-experimental research design was conducted at the Neurology department in Mansoura University Hospital. This study sample is a convenient sample of 28 nurses and a purposive sample of 60 adult patients with epilepsy who attend the neurological department in Mansoura University Hospital.Results: The results indicate a significant improvement in nurses’ knowledge and practice regarding epilepsy. Also, it helped to improve patients’ knowledge and thus promoted epilepsy self-management behaviors in the study group.Conclusions: The designed nursing guidelines have achieved their objectives by improving nurses’ knowledge and practice regarding epileptic patient care, in addition to improving patients’ knowledge and epilepsy self-management scale for the study group compared with the control group.

2019 ◽  
Vol 1 (3) ◽  
pp. 13
Author(s):  
Hanan A. F. Mohamed ◽  
Mahmoud R. Fayed ◽  
Somaya O. Abd El Meneam ◽  
Ola M. El-Sayed

Context: Ectopic pregnancy is a condition presenting as a significant health problem for women of the childbearing period. Ectopic pregnancy remains one of the primary causes of maternal mortality. Aim: The study aimed to evaluate the effect of nursing guidelines for improving maternity nurses' performance regarding ectopic pregnancy. Methods: A quasi-experimental design used to achieve the aim of the study. The study conducted at Obstetrics and Gynecology Department at Benha University Hospital. A convenient sample of all nurses (90 nurses) working in Obstetrics and Gynecology departments at Benha university hospital. Tools of data collection included a structured self-administrated questionnaire to assess nurses' knowledge regarding ectopic pregnancy, an observational checklist to evaluate nursing practice regarding ectopic pregnancy before and after the implementation of the nursing guidelines. Results: shows that 78.9% of the studied nurses had total incorrect knowledge pre-program, which improved to 88.9% of them, had correct knowledge post-program. The study also shows that 47.2% of the studied nurses had unsatisfactory total practice score pre-program, which improved to 54.4%  of the studied nurses had high satisfactory total practice post-program. There was a highly statistically significant difference before and after nursing guidelines of the studied nurses’ knowledge and practice regarding ectopic pregnancy (P ≤ 0.001). Conclusion: The study concluded that nursing guidelines have a positive effect on the nurses' performance in terms of their knowledge and practice regarding ectopic pregnancy. The study recommended that simple guidelines regarding ectopic pregnancy nursing care should be distributed to nurses in the emergency obstetrics department to standardized and optimized nursing care provided to women with ectopic pregnancy. Continuous refreshment courses and follows up programs for nurses regarding ectopic pregnancy.


2018 ◽  
Vol 3 (3) ◽  
pp. 60
Author(s):  
Eman Mohammed Abd-Elhakam ◽  
Amira Mohammed Salama

Background: Cardiac disease in pregnancy is a leading cause of maternal and neonatal morbidity and mortality. Effective management is based upon close fetal and maternal monitoring during pregnancy and labour. The aim of the present study was to evaluate maternity nurses’ performance regarding management of intrapartum woman with cardiac disease. Research design: A quasi-experimental design was utilized to fulfil the aim of the study. Sample: A convenient sample of a total 64 maternity nurses was included in the present study. Setting: The present study was conducted in Obstetrical and Gynecological Department at Benha University Hospital. Tools: Two tools were utilized for data collection. I-A structured interviewing questionnaire which include two parts; Part 1: Socio demographic characteristics. Part2: Assessment of nurses’ knowledge regarding cardiac disease during pregnancy and labour which includes Physiological changes of cardiovascular system during pregnancy. Causes and risk factors, etc. II-Maternity nurses' practice observational checklistwhich focus on management of cardiac women during labor including four stages of labour and Nursing care for moderate and high risk cases immediately after labour. Results: Shows significant improvement in nurses' knowledge 57.8% compared to 90.6% post intervention. Also, improvement is clear in satisfactory level of practice after intervention, in first stage for example was 32.8 % pre intervention compared to 87.5% post intervention. there were highly statistical significance differences between mean score of both knowledge and practice regarding management of intrapartum woman with cardiac diseases between the pre and post intervention phases (p<0.001).Conclusion: the study concluded that research hypotheses are supported and educational intervention had appositive effect on improvement nurses 'knowledge and practice and in turn their performance regarding management of intrapartum woman with cardiac diseases. Recommendation: Periodic educational program for nursing staff in Obstetrics and Gynecology Department regarding nursing care of cardiac patients.


2019 ◽  
Vol 4 (1) ◽  
pp. 107
Author(s):  
Heba Abd Elkader Ali ◽  
Marwa Mosaad Ali

Background: Vascular access-site complications are an important cause of morbidity and mortality, which is related mainly to vascular percutaneous intervention procedures and requires safe and standardized care policies, as well as qualified and skilled health provider to obtain good outcome of management. Aim of the study: to investigate the effect of designed teaching protocol regarding patients’ safety after cardiac catheterization on nurses’ performance and patients’ incidence of vascular complications. Aquasi-experimental design was used to conduct the current study in cardiac catheterization and coronary care units at Benha University Hospital during the period from beginning of April 2018 till beginning of October 2018. Subjects: A sample of convenience of 50 nurses who are willing to participate in the study, and patients who admitted for performing cardiac catheterization were 170 patients recruited according to the study formula based on the total number admitted to the study settings during 2017. Tools: Two tools were utilized for data collection, (Ι) Structured interviewing questionnaire for nurses, (II) Patients’ assessment sheet. Results: Showed that nurses’ level of knowledge and practice post implementing the designed teaching protocol was higher than pre implementation, with a significant correlation between nurses’ knowledge and practice(p= <0.001**), besides a lower incidence of complications among patients in intervention group than in control group . Conclusion: The designed teaching protocol was effective in improving nurses’ knowledge and practice, which were positively associated with each other and lower incidence of vascular complications among patients in the intervention group. Recommendation: The study suggested equipping cardiac catheterization unit with simple illustrated guidelines protocol covering percutaneous coronary intervention procedure practices knowledge pre/post cardiac catheterization.


Author(s):  
Eunhye Shin ◽  
Hanna Lee

The purpose of this study is to develop and apply a type of perineal underwear that protects the patient’s physical privacy and to examine its effects on perineal discomfort and shame. This study collected primary data from 44 patients who visited Kyung Hee University hospital in Seoul city and were admitted to the neurosurgery ward to undergo angiography between 7 August 2017, and 30 April 2018. In this quasi-experimental study with a nonequivalent control group posttest-only design, participants were divided into an experimental group (n = 22) and a control group (n = 22). The control group used conventional protection, which involved wearing padding around the perineum, while the experimental group wore the perineal underwear developed in this study. The underwear group showed a significantly lower degree of shame (Z = −5.39, p < 0.001) and perineal discomfort (Z = −5.88, p < 0.001) than the padding group. In the padding group, women felt significantly more shame than men did (Z = −2.48, p = 0.013). The use of the perineal underwear developed in this study significantly reduced the degree of shame and perineal discomfort in patients undergoing angiography. Such perineal underwear could also be useful for protecting patients’ privacy during perineal examinations.


2020 ◽  
Vol 4 (1) ◽  
pp. 20-30
Author(s):  
Candra Saputra ◽  
Yulastri Arif ◽  
Fitra Yeni

This study aimed to determine the effectiveness of ANNISA development on nurses' knowledge of nursing documentation. This method uses quantitative research with a quasi-experimental design and a time series approach non-equivocal control group design. The study results were there were differences in the measurement of nurses' knowledge about nursing documentation in the intervention group before the intervention by measuring posttest-1 with p-value = 0.000. There were differences in nurses' experience about nursing documentation between the intervention group and the control group in the posttest-1 and posttest-2 measurements after the intervention using ANNISA with p-value = 0,000. There was an increase in differences in nurses' knowledge about nursing documentation from the pretest, posttest-1, and posttest-2 measurements after using ANNISA in the intervention group and the control group with p-value = 0.000. In conclusion, ANNISA development affects increasing the knowledge of nurses about nursing documentation   Keywords: ANNISA, Nursing Documentation, Knowledge


2018 ◽  
Vol 8 (1) ◽  
pp. 35
Author(s):  
Muhamad Jauhar ◽  
Astuti Yuni Nursasi ◽  
Wiwin Wiarsih

Background: Patients with pulmonary TB experience physical, psychological, social, and spiritual changes, affecting their physical health status. Self-management counseling is an intervention which enhances the physical health status of patients with pulmonary TB.Purpose: This study aimed to identify the effects of self-management counseling on physical health status in patients with pulmonary TB.Methods: This study used a pre and post-test quasi-experimental design with a control group and took place in a hospital in Bogor. The total respondents were 60 patients who were assigned into two groups and recruited using purposive sampling. The counseling was given for four sessions in two weeks for about 60-90 minutes each session. The data were collected using the functional assessment of chronic illness therapy-tuberculosis (FACIT-TB) and analyzed using paired t-test and independent t-test.Results: The result showed that the physical health status in the intervention group increased significantly (MD=8.0, p=0.000) compared to the control group. However, there was no influence of self-management counseling on the improvement of physical health status (MD=3.24, p=0.314).Conclusion: Self-management counseling did not significantly increase the physical health status of pulmonary TB patients. More rigorous studies are needed to investigate the effect of self-management counseling delivered at early treatment on the improvement of physical health status. It is expected that patients can manage their TB symptoms and able to improve their physical health status.


2017 ◽  
Vol 6 (2) ◽  
pp. 92
Author(s):  
Rasha Abdelmowla ◽  
Abdelhakeem Essa ◽  
Esmat Abdelmaged

Background: Increase intracranial pressure following craniotomy is common and different measures should be taken to prevent or treat it promptly. Aim: Preventing or reducing increase intracranial pressure following craniotomy. Research design: Quasi-experimental.Subjects and methods: All nurses (26) in neurosurgery department at Assiut Neurological, Psychiatric and Neurosurgery University Hospital, in addition to a sample of 124 patients after craniotomy. Control group (62 adult patients before implementing the nursing     educational program) and study group (62 adult patients after implementing the nursing educational program). Nurses’ knowledge and practice were assessed before and after implementation of the nursing educational program. Tools: Structured questionnaire to assess nurses` demographic data and knowledge about intracranial pressure, observation checklist for nurses` practice, patients’ assessment sheet, and teaching booklet for nurses about postoperative increase intracranial pressure. Results: Highly significant differences were found as regarding nurses` knowledge and nurses` practice pre and post implementing the nursing educational program. Significant difference was found between study and control groups as regarding increase intracranial pressure following craniotomy. Conclusion: Nursing educational program had a significant effect on preventing or reducing postoperative increase intracranial pressure.Recommendation: Nurses should have continuous education through programs, workshops, seminars and/or training courses to maintain high quality care.


2018 ◽  
Vol 8 (5) ◽  
pp. 181
Author(s):  
Sajad Shafiee ◽  
Fahimeh Talakoob ◽  
Mina Fatahi

Dynamic assessment has been widely used in educational literature over the past two decades. The present study aimed at investigating the effect of using dynamic assessment on teaching the rhythm of English to Iranian EFL learners and scrutinizing their attitudes towards it. The participants of the study were 30 Iranian EFL leaners at the intermediate level of proficiency, who were conveniently selected from a foreign language institute in Isfahan, Iran. In order to achieve the objectives of the study, the participants were divided into two homogenous groups, including the experimental group and control group. In this quasi-experimental, pretest-posttest-control-group-design research study, the control group followed traditional method of learning pronunciation and rhythm, while dynamic assessment approach was used to teach the same materials to the experimental group. In contrast to the control group, the experimental group took an active role in the classroom by having more interaction and using the ongoing hints and prompts provided by the teacher. The result of the posttest unfolded that there was a significant difference between the performances of the two groups, and that the experimental group participants managed to outperform the control group members on the pronunciation posttest. Moreover, based on the attitude questionnaire, EFL learners had grown a positive attitude towards the use of dynamic assessment to learn rhythm. The results of this study demonstrated that through the implementation of DA, the proper form of mediation could be provided to the learners regarding their ZPD.


2019 ◽  
Vol 3 (1) ◽  
pp. 221-233
Author(s):  
Fernalia Fernalia ◽  
Busjra Busjra ◽  
Wati Jumaiyah

This study aims to determine the effectiveness of audiovisual education methods on self management in hypertensive patients. This study used a quasi-experimental design with a non-equivalent control group pre and post test design, with a total sample of 38 respondents consisting of an intervention group and a control group. Obtained a significant difference in the average self-management of the intervention group after the audiovisual education method was performed with (p = 0,000). There was no relationship between age (p = 0.71), sex (p = 0.955) and self-management in hypertensive patients. While self management will increase after the audiovisual education method is carried out and controlled by knowledge (p = 0.005). The conclusion of this study is the audiovisual education method can improve self management in hypertensive patients.  Keywords: Audiovisual Education, Hypertension, Self Management


2019 ◽  
Vol 2 (1) ◽  
pp. 121-127
Author(s):  
Lam Murni Sagala

Hypertension is a persistent blood pressure with systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. The treatment of hypertension is highly depend on the information given by nurse to patients’ skills on self care management to modify and maintain effective behavior. These activities include self management in prescribed medication, health monitoring, adequate rest, stress management and prescribed diet and exercises. The purpose of this study was to determine the effect of Hypertension Self Management Education (HSME) on controlling blood pressure in hypertensive patients in the Kabanjahe health center.This research used the quasi experimental research, using pretest and posttest with control group design. The samples of  research consisted of 40 respondents, and they were divided into two groups, namely: control group and intervention group. The data of research were analyzed by using the Paired T-test. The result of research shows that the p-values of Paired T-test of the experiment and control groups were 0.782 and 0.577 respectively whereas the p- value of Independent T-test was 0.001 (p <α; α = 0.05). Thus, there was an effect of Hypertention Self Management Education (HSME) on the control of  blood pleasure of the patient hypertention, Community Health Center, Kabanjahe. The nurses, therefore, are suggested to extend the HSME to control the blood pleasure hypertention client and and utilize the HSME as a health promotion program.   Hipertensi adalah tekanan darah persisten dengan tekanan darah sistolik di atas 140 mmHg dan tekanan darah diastolik di atas 90 mmHg. Perawatan hipertensi sangat tergantung pada informasi yang diberikan oleh perawat kepada keterampilan pasien tentang manajemen perawatan diri untuk memodifikasi dan mempertahankan perilaku yang efektif. Kegiatan-kegiatan ini termasuk manajemen diri dalam pengobatan yang diresepkan, pemantauan kesehatan, istirahat yang cukup, manajemen stres dan diet dan olahraga yang ditentukan. Tujuan  penelitian ini untuk mengetahui pengaruh Hypertention Self Management Education (HSME) terhadap pengontrolan tekanan darah pasien hipertensi di puskesmas kabanjahe. Metode penelitian adalah quasi experimental dengan menggunakan metode pre-test and post-test with control group design. Sampel penelitian terdiri dari 40 responden, dan mereka dibagi menjadi dua kelompok, yaitu: kelompok kontrol dan kelompok intervensi. Data penelitian dianalisis dengan menggunakan Paired T-test. Hasil penelitian menunjukkan bahwa nilai-p dari uji-T Berpasangan dari eksperimen dan kelompok kontrol masing-masing adalah 0,782 dan 0,577 sedangkan p-nilai dari Independent T-test adalah 0,001 (p <α; α = 0,05). Dengan demikian, ada efek dari Edukasi Manajemen Diri Hipertensi (HSME) pada kontrol tekanan darah dari pasien hipertensi, Puskesmas, Kabanjahe. Oleh karena itu, perawat disarankan untuk memberikan penkes HSME untuk mengendalikan tekanan darah pasien hipertensi dan memanfaatkan HSME sebagai program promosi kesehatan.


Sign in / Sign up

Export Citation Format

Share Document