Japanese psychiatric nurses’ attitudes toward Evidence-Based Practice: association with needs for learning psychoeducation practices.

2016 ◽  
Vol 4 (2) ◽  
pp. 352
Author(s):  
Mitsunobu Matsuda ◽  
Ayumi Kono
Keyword(s):  
Evidence Based Practice ◽  
Symptom Control ◽  
Psychiatric Hospitals ◽  
Psychiatric Nurses ◽  
Evidence Based ◽  
Chi Square ◽  
Nursing Managers ◽  
Chi Square Test ◽  
Nursing Professionals

Rationale, aims and objectives: To support patients with mental disorders to address appropriate symptom control and preventive measures against relapse, evidence-based practice (EBP), such as psychoeducation, is an important intervention while performing psychiatric pharmacotherapy. However, the use of EBP is likely to have remained passive, as it has been reported being disseminated and implemented slowly. This study explored a classification of psychiatric nurses’ attitudes toward EBP and examined the association between a classification of attitudes toward EBP and needs for learning psychoeducation practices in nursing professionals involved with psychiatric services, with the aim of providing a basis for the dissemination of psychoeducation. Method: A mail questionnaire survey was conducted, involving a total of 194 nurses and assistant nurses working in 13 of the 42 psychiatric hospitals. Analysis was performed using the cluster analysis, chi-square test and one-way analysis of variance. Results: The psychiatric nurses’ attitudes toward EBP were classified into 3 types: experience-oriented challenging, amotivational and rejective and conservative and obedient. Nurses showing amotivational and rejective attitudes accounted for the majority, while those showing experience-oriented challenging attitudes were more aware of the usefulness of psychoeducation and their levels of need for learning related practices were higher on comparison with the others. Conclusions: In order to disseminate psychoeducation among psychiatric hospitals, it may be important to develop interest in psychoeducation, particularly that of nurses showing experience-oriented challenging or conservative and obedient attitudes, with co-operation from nursing managers.

scholarly journals Beban Keluarga Berhubungan dengan Kemampuan Keluarga dalam Merawat Pasien Halusinasi

2020 ◽  
Vol 8 (1) ◽  
pp. 97
Author(s):  
Cucu Rokayah ◽  
Fahmi Dwi Novian ◽  
Supriyadi Supriyadi
Keyword(s):  
Univariate Analysis ◽  
Psychiatric Hospitals ◽  
Sampling Technique ◽  
P Value ◽  
West Java ◽  
Chi Square ◽  
Hospital Outpatient ◽  
The Family ◽  
Chi Square Test ◽  
Heavy Burden

Skizofrenia merupakan suatu gangguan mental yang menyebabkan timbulnya pikiran, persepsi, emosi, gerakan, perilaku yang aneh dan terganggu.Penderita skizofrenia 70% diantaranya mengalami halusinasi.Dampak terberat yang dirasakan oleh keluarga dalam merawat pasien dengan halusinasi adalah dampak pada psikologis, terutama stress atau beban yang dirasakan oleh keluarga. Tujuan penelitian ini adalah untuk mengetahui Hubungan Beban Keluarga dengan Kemampuan Keluarga Dalam Merawat Pasien Halusinasi di InstalasI Rawat Jalan Rumah Sakit Jiwa Provinsi Jawa Barat. Metode penelitian ini menggunakan deskriptif korelasional dengan tehnik purposive samplingterhadap 69 responden dari populasi 996 responden di Instalasi Rawat Jalan Rumah Sakit Jiwa Provinsi Jawa Barat. instrumen yang digunakan dalam penelitian ini adalah kuesioner beban keluarga dan kemampuan keluarga yang terdiri dari kognitif dan psikomotor. Analisa univariat dalam penelitian ini menggunakan distribusi frekuensi dan analisa bivariat pada penelitian ini menggunakan uji chi square  hasil penelitian menunjukan beban berat yaitu 35 responden (50,7 %), sedangkan untuk kemampuan keluarga baik 46 responden (42 %). kesimpulannya bahwa ada hubungan antara beban keluarga dengan kemampuan keluarga dalam merawat pasien halusinasi di Instalasi Rawat Jalan Rumah Sakit Jiwa Provinsi Jawa Barat dengan nilai p value (0,001) < (0,005). Kata kunci: halusinasi, beban keluarga, kemampuan keluarga FAMILY BURDEN CONNECTED WITH FAMILY ABILITY TO TREAT HALLUCINATORY PATIENTS ABSTRACTSchizophrenia is a mental disorder that causes the onset of thought, perception, emotion, movement, strange and disturbing behavior. Schizophrenia 70% of them have hallucinations.The toughest impact the family feels in treating patients with hallucinations is its impact on the psychological, especially the stress or burden felt by the family.The purpose of this research is to know the family's burden relationship with the ability of the family to treat hallucinative patients in the installation of hospital outpatient in West Java province.This method of study uses descriptive correlation with purposive sampling technique against 69 respondents from the population of 996 respondents in an outpatient installation of psychiatric hospitals in West Java province. The instruments used in this reseacrh used family load questionnaires and family skills questionnaires comprising cognitive and psychomotor. Univariate analysis in this research using frequency distribution and bivariat analysis of this study using chi square test. the results showed a heavy burden of 35 respondents (50.7%), while for family ability of either 46 respondents (42%).in conclusion that there is a connection between the burden of the family with the ability of families to treat hallucinatory patients in the hospital outpatient installation in the psychiatric province of West Java with a value of P (0.001) < (0.005). Keywords: hallucinations, family load, abillity family

scholarly journals Sports potential modeling of young basketball players: a preliminary analysis

2019 ◽  
Vol 21 ◽  
Author(s):  
Dilson Borges Ribeiro Junior ◽  
Jeferson Macedo Vianna ◽  
André de Assis Lauria ◽  
Emerson Filipino Coelho ◽  
Francisco Zacaron Werneck
Keyword(s):  
Adult Height ◽  
High Potential ◽  
Basketball Players ◽  
Chi Square ◽  
Chi Square Test ◽  
Student’S T ◽  
The Relationship ◽  
Student’S T Test ◽  
Adult Stature

Abstract The aims of this study were: 1) to evaluate the sports potential of young basketball players; 2) to identify variables that discriminate sports potential assessed by coaches; 3) to verifythe relationship between classification of the multidimensional profile of athletes and classification of the sports potential by coaches. Sixty-two young basketball players aged 15.6±1.1 years from U-15 (n = 24) and U-17 (n = 38) categories participated in the study. A test battery was applied to evaluate sports potential indicators: 1) anthropometric; 2) physicomotor; 3) psychological;4) skills;5) socio-environmental;6) maturational and 7) sports potential.Clusteranalysis was performed in three groups: high, medium and low potential. Student’s t-test was used for the comparison between athletes evaluated by the coach as excellent and the others and the Chi-Square test to verify the relationship between sports potential classifications. It was observed that in the high-potential group, athletes were chronologically older, with higher % predicted adult height (PMS), competitive and determined sports orientation, higher body size, lower skinfold summation, and greater physicomotor performance. In comparison with other athletes, high-potential basketball players presented higher stature, wider wingspan,longer limb length, greater predicted adult stature and higher Z score of the % PMS. It could be concluded that the multidimensional approach was useful for the evaluation of the sports potential of young basketball players, requiring the use of multidimensional variables, in addition to coaches’ opinion regarding the potential of their athletes.

Evolution of bipolar disorder over 12 years in a psychiatric hospital

2016 ◽  
Vol 33 (S1) ◽  
pp. S125-S125
Author(s):  
E. Ribera ◽  
M. Grifell ◽  
M.T. Campillo ◽  
I. Ezquiaga ◽  
L. Martínez ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Early Detection ◽  
Psychiatric Hospitals ◽  
Categorical Variables ◽  
Chi Square ◽  
Number Of Patients ◽  
Chi Square Test ◽  
The Mean ◽  
Second Period ◽  
Carlos Iii

IntroductionBipolar disorder is a leading cause of hospitalization in psychiatric hospitals. It is known that early detection of bipolar disorder is associated with a better prognosis.ObjectivesThe aim of this study is to conduct a demographic analysis of patients hospitalized for bipolar disorder in a single center between 2003 to 2014.MethodsRetrospective cohort study of 1230 patients admitted with bipolar disorder diagnosis from 2003 to 2014 at Centre Assistencial Emili Mira i López of Parc Salut Mar of Barcelona. We divided the study in two periods: 2003–2008 and 2009–2014. We analyzed the following variables: frequency of admissions, age, sex and days of hospital stay, comparing both periods. Chi-square test for categorical variables and Student t test for quantitative variables were applied.ResultsThe mean ages at the first and second period are 52 and 47, respectively (P < 0.001). There are no significant differences in sex and days of hospitalization. The frequency of admissions on the first and third trimesters is higher than in the second and fourth, although the differences are not statistically significant.ConclusionsDespite the large number of patients in the study, there are limitations, such as being a retrospective study and not being adjusted for confounding factors. The average age of patients in the second period is lower than in the first. This could suggest an improvement in early detection of bipolar disorder in the last years. Further research is needed to confirm this hypothesis.Disclosure of interestLG is funded by the Instituto de Salud Carlos III(CM14/00111).

Palliative treatment directives for bone metastases: A quality-directed approach to guiding institutional practice.

2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 188-188 ◽  
Author(s):  
Lindsay Puckett ◽  
Lucille Lee ◽  
Petrina Zuvic ◽  
Isabella Bingchan Zhang ◽  
Louis Potters ◽  
...  
Keyword(s):  
Bone Metastasis ◽  
Bone Metastases ◽  
Radiation Treatment ◽  
Standard Of Care ◽  
Evidence Based ◽  
Chi Square ◽  
Evidence Based Treatment ◽  
Improve Compliance ◽  
Chi Square Test ◽  
New Treatment

188 Background: The efficacy of single fraction (fx) radiation treatment (RT) has proven to have equipoise for palliation of bone metastases when compared to courses of 10 fx or more. Despite these data, there has been a slow adoption of this practice in the US and worldwide. Examination of our multicenter practice from 2004 - 2016 showed that single fx RT utilization has remained at 17% and hypofractionationed (HFX) courses (1 or 5 fx) have remained at 71% since 2009. We hypothesized that evidence-based, treatment-guiding directives could improve HFX utilization in this population. Methods: Institutionally, palliative bone metastasis treatments are routinely tracked by a Quality Assurance committee. In 2/2016, two consensus-driven and evidence-based clinical directives were created within our electronic health system for use with either simple or complicated bone metastasis, irrespective of primary histology. The simple and complex directives had default prescriptions of 8 Gy/1fx or 20 Gy/5fx, respectively. The directives were reviewed with physician staff to improve compliance; directives were allowed to be edited at the physician’s discretion if an alternative fx was indicated. The chi-square test was used for analysis. Results: From 1/2009-5/2016, there were 1,781 treatment courses of palliative external beam RT. Following implementation in 2/2016, the new clinical directives were used for 96% of cases and were modified in 12 cases (n = 72). Single fx use increased from 17% to 36% among palliative bone metastasis treatments (p ≤ 0.001) and HFX (1 or 5 fx) utilization increased from 71% to 92% compared to other fractionation schemes (10 fx or other) (p = 0.001). Conclusions: The institution-wide adoption of evidence-based, treatment directives proved to be a straightforward and successful intervention which allowed for rapid adoption and increased utilization of the standard of care. Our early data suggests that this may be a useful approach in the setting of reticence to new treatment paradigms. Further examination of evidence based directives is warranted to address issues of overtreatment in palliation and in standardizing oncologic care.

scholarly journals C-Shaped Canal System in Mandibular Second Molars Evaluated by Cone-Beam Computed Tomography in an Argentinean Subpopulation

2019 ◽  
pp. 17-23
Author(s):  
Chaintiou Piorno Romina ◽  
Consoli Lizzi Eugenia Pilar ◽  
Saiegh Jonathan ◽  
Vázquez Diego Jorge ◽  
Gualtieri Ariel Félix ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Canal System ◽  
Chi Square ◽  
Significance Level ◽  
Chi Square Test ◽  
Score Method ◽  
Radiographic Classification

Introduction:To evaluate cone-beam computed tomography (CBCT) images in order to determine the presence of mandibular second molars with C-shaped canal system and classify them.Methods:3035 CBCT images fulfilling the selection criteria were observed. Once established the presence of C-shaped canal system, they were classified according to the anatomic and radiographic classification of Fan et al. Data description was made by frequencies and percentages rates, with a 95% confidence interval (IC95) according to score method. Comparisons were assessed by means of the Chi-square test with a significance level equal to 5%.Results:Of the 225 selected patients, 44 exhibited C-shaped canals (20%; IC95: 15% to 25%). 70% (IC95: 56% to 82%) of patients showed a bilateral C-shaped canal system pattern. Regarding to the axial plane -anatomic classification-, there was a significant association between the root third and the configuration (Chi-square=76.89; p<0.05): at the coronal third prevailed the C1 configuration (47%; IC95: 36% to 58%); at the middle third prevailed the C3d configuration (39%; IC95: 28% to 50%) and at the apical third, the C4 configuration (35%; IC95: 25% to 46%).

scholarly journals Evidence-based practice in primary healthcare from the managerial point of view – a national survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tobias Abelsson ◽  
Helena Morténius ◽  
Ann-Kristin Karlsson ◽  
Stefan Bergman ◽  
Amir Baigi
Keyword(s):  
National Survey ◽  
Primary Healthcare ◽  
Evidence Based Practice ◽  
Statistical Significance ◽  
Correlation Coefficients ◽  
Daily Practice ◽  
Direct Result ◽  
Evidence Based ◽  
Chi Square ◽  
Significance Level

Abstract Background The vast availability of and demand for evidence in modern primary healthcare force clinical decisions to be made based on condensed evidence in the form of policies and guidelines. Primary healthcare managers play a key role in implementing these governing documents. Thus, the aim of this article is to investigate the use and availability of evidence-based practice resources from the perspective of first-line primary healthcare managers. Methods The study is based on a national survey of primary healthcare managers, consisting of 186 respondents, recruited nationally from Sweden. The data was analysed using empirically constructed concepts and validated using factor analysis. A chi-square test was utilized to determine the statistical significance of comparisons. Associations between variables were calculated using Spearman’s correlation coefficients. All tests were two-sided, and the significance level was set to 0.05. Results A majority (97 %) of managers stated that guidelines and policy documents impacted primary healthcare; 84 % of managers observed a direct effect on daily practices. Most of the managers (70 %) stated that some adaptation was needed when new evidence was introduced. The managers emphasized the importance of keeping themselves updated and open to new information about work routines (96 %). Conclusions The study illustrates a nearly unanimous response about the influence of clinical evidence on daily practice. The emphasis on the importance of all staff members keeping their professional knowledge up to date is viewed as a direct result of this effect on daily practice. An information-dense organization such as a primary healthcare organization would have much to gain from increased cooperation with regional information resources such as clinical libraries.

scholarly journals Classification of primary caesarean sections in labor and its usefulness for analysis of Slovenian perinatal data

2019 ◽  
Vol 58 (2) ◽  
pp. 78-83
Author(s):  
Monika Korenč ◽  
Katja Štern ◽  
Ivan Verdenik ◽  
Miha Lučovnik
Keyword(s):  
Clinical Practice ◽  
Foetal Distress ◽  
Chi Square ◽  
Cephalopelvic Disproportion ◽  
Statistical Comparison ◽  
Nulliparous Women ◽  
Chi Square Test ◽  
Perinatal Data ◽  
Spontaneous Onset

Abstract Objective To determine the usefulness of a novel classification of indications for caesarean section (CS) in labour in recognizing differences in clinical practice in different maternity units. Methods Data from the National Perinatal Information System (NPIS) for 2013 and 2014 were used to classify indications for CS in nulliparous women with spontaneous onset of labour at ≥37 weeks with single cephalic foetuses within 14 Slovenian maternity units into foetal distress and different sub-groups of dystocia according to use and dosage of oxytocin. Chi-square test was used for statistical comparison between units (P≤0.05 significant). Results There were 13,572 deliveries and 1,567 (12.0%) CS in nulliparous patients with spontaneous onset of labour at ≥37 weeks with single cephalic foetuses in Slovenia during the study period. Rates of CS in this group of women differed significantly among different maternity units (from 4.1% to 20.9%; P<0.001) suggesting significant differences in clinical practice. The most common indication for CS was cephalopelvic disproportion, which was diagnosed with different frequency in different units (from 11.2% to 45.9%; odds ratio 6.72; 95% confidence interval 3.10– 14.71; P<0.001). Conclusions It is possible to use NPIS data to retrospectively classify indications for CS. Such classification reveals significant differences among maternity units and could allow for a meaningful analysis of CS rates in different hospitals leading to evidence-based initiatives to decrease the incidence of primary CS.

scholarly journals Inheritance of cowpea resistance to Cowpea aphid-borne mosaic vírus

2021 ◽  
Vol 56 ◽  
Author(s):  
Jeferson Araújo Silva ◽  
Antonio Félix da Costa ◽  
Ana Maria Benko-Iseppon ◽  
Lílian Margarete Paes Guimarães ◽  
Diego Arruda Huggins de Sá Leitão ◽  
...  
Keyword(s):  
Mosaic Virus ◽  
Vigna Unguiculata ◽  
Visual Inspection ◽  
Inheritance Of Resistance ◽  
Chi Square ◽  
Monogenic Inheritance ◽  
Cowpea Resistance ◽  
Cowpea Aphid ◽  
Chi Square Test

Abstract: The objective of this work was to evaluate the inheritance of resistance to Cowpea aphid-borne mosaic virus (CABMV) in cowpea (Vigna unguiculata). The study was performed between parental genotypes IT85F-2687 (resistant) and 'BR-14 Mulato' (susceptible), generating F1, F2, and F7 populations and backcrosses with both parental genotypes. CABMV was inoculated on plants from all generations, which were then evaluated through visual inspection and description of characteristic symptoms. A chi-square test was performed after the phenotypic classification of all plants. A segregation proportion of 1:3 (resistant:susceptible) in population F2 and of 1:1 in population F7 was accepted, showing a recessive monogenic inheritance.

Comparison of two types of casting in early-onset scoliosis

2021 ◽  
Author(s):  
C Tassone ◽  
J Thometz ◽  
B Escott ◽  
C Spellman ◽  
XC Liu
Keyword(s):  
Early Onset ◽  
Early Onset Scoliosis ◽  
Chi Square ◽  
Radiographic Outcomes ◽  
Serial Casting ◽  
Radiographic Measurements ◽  
Wilcoxon Rank Sum Test ◽  
Chi Square Test ◽  
To Receive

Early-onset scoliosis (EOS) can be a progressive and debilitating condition if left untreated. Different casting techniques have fallen in and out of favor over the years for conservative management. Two types of casting, elongation-derotation-flexion (EDF) and body casting (BC) are employed at our institution. Here we compare the radiographic outcomes between these two types of casting in a cohort of patients diagnosed with EOS. Sixteen children with EOS were treated by EDF serial casting while seventeen children with the same diagnosis were treated by BC. Radiographic measurements included Cobb angle, rib-vertebral-angle difference (RVAD) and vertebral rotation (VR) by Nash-Moe method in casting (IC) or out of casting (OOC), thoracic height (TH) and width (TW). All of the patients had x-ray measurements at pre-casting OOC, 1st IC and final post-casting OOC. Casts were changed every 2–4 months. Independent two sample t-test, Wilcoxon rank-sum test, and Chi-square test were performed. There were no significant differences at the initial treatment for age, classification of EOS, OOC, RVAD, VR, kyphosis, TH, and TW between EDF and BC casting. There were no significant differences of changes for OOC, RVAD, VR, kyphosis, TH and TW from pre-casting to the final post-casting status between two casting techniques (P>0.05). However, children with EDF tended to receive 3 to 4 more castings than those with BC (7.5 vs.4 casts) (P=0.007) and achieved better outcomes in success (25% vs.20%) and improvement (50% vs.10%) (P=0.03). EDF has better outcomes with EOS improvement when there is treatment of longer duration.

Sign in / Sign up

Export Citation Format

Share Document