scholarly journals Infection Control Education Programs for Nursing Students: A Systematic Review

2021 ◽  
Vol 28 (2) ◽  
pp. 237-248
Author(s):  
Hayoung Park ◽  
Yoojin Kim
Keyword(s):  
Systematic Review ◽  
Nursing Students ◽  
Infection Control ◽  
Meta Analysis ◽  
Mean Difference ◽  
Control Group ◽  
Education Programs ◽  
Quasi Experimental ◽  
The Mean ◽  
Control Education

Purpose: The purpose of this study was to use a systematic review to investigate how infection control education has been designed, implemented and evaluated in undergraduate programs in nursing.Methods: This study was conducted base on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). To search studies related to infection control education programs, Ovid-EMBASE, CINAHL, Pubmed, KoreaMed, KMBASE and KISS were used. A total of 2,306 studies were identified, and 13 studies were selected for final analysis.Results: Ten studies out of 13 were designed as pre-post, no control group, quasi-experimental study designs. Nosocomial infection and standard precautions related infection control education were the most frequently selected topics and online was the most common teaching-learning method. The infection control education programs showed significant effect on knowledge and attitude. The mean difference of 7 studies for knowledge was 5.1 (95% CI: 2.36, 8.67, p<.001) and the mean difference of 4 studies for attitude was 3.34 (95% CI: 0.12, 6.55, p<.001).Conclusion: The results of this study indicate that infection control education effectively improves the knowledge, attitude and compliance of nursing students. Therefore, it is necessary to develop more specific educational programs that can reflect the changes of the times and the demands of clinical nurses.

scholarly journals Effects of Infection Control Education for Nursing Students Using Standardized Patients vs. Peer Role-Play

2020 ◽  
Vol 18 (1) ◽  
pp. 107
Author(s):  
Eunyoung Kim ◽  
Sang Suk Kim ◽  
Sunghee Kim
Keyword(s):  
Nursing Students ◽  
Infection Control ◽  
Role Play ◽  
Standardized Patients ◽  
Skills Training ◽  
Control Group ◽  
Control Performance ◽  
Education Programs ◽  
Standard Precaution ◽  
Control Education

This study was conducted to identify and compare the effects of two education programs for infection control―a simulation using standardized patients and a peer role-play―on standard precaution knowledge, standard precaution awareness, infection-related anxiety, and infection control performance. This study used a nonequivalent control group pretest-posttest design. A total of 62 undergraduate nursing students in their 3rd year participated in the study, and were assigned to the experimental and control groups, accordingly. The infection control education program was developed based on the analysis, design, development, implementation, and evaluation model. The program for the experimental group included lectures, skills training, simulation using standardized patients, and debriefing, while the control group participated in the usual infection control education, consisting of lectures, skills training, and peer tutoring practices. Both groups exhibited statistically significant increases in knowledge, awareness of standard precaution, and infection control performance after the intervention. Infection-related anxiety and infection control performance were significantly higher in the simulation using a standardized patient group. Both education programs influenced compliance with the standard precaution for infection control. The results of this study contribute to the evidence regarding effective educational methods to improve infection control.

scholarly journals Tolerability of statin-based management of patients with a history of statin-associated muscle symptoms: protocol for a systematic review

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e052341
Author(s):  
Fanny Villoz ◽  
Christina Lyko ◽  
Cinzia Del Giovane ◽  
Nicolas Rodondi ◽  
Manuel R Blum
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Mean Difference ◽  
Control Group ◽  
Cochrane Central Register ◽  
Eligibility Criteria ◽  
Clinical Issue ◽  
Standard Data ◽  
Evaluation Approach ◽  
History Of

IntroductionStatin-associated muscle symptoms (SAMSs) are a major clinical issue in the primary and secondary prevention of cardiovascular events. Current guidelines advise various approaches mainly based on expert opinion. We will lead a systematic review and meta-analysis to explore the tolerability and acceptability and effectiveness of statin-based therapy management of patients with a history of SAMS. We aim to provide evidence on the tolerability and different strategies of statin-based management of patients with a history of SAMS.Methods and analysisWe will conduct a systematic review of randomised controlled trials (RCTs) and non-randomised studies with a control group. We will search in Data sources MEDLINE, EMBASE, Cochrane Central Register of Controlled Clinical Trials, Scopus, Clinicaltrials.gov and Proquest from inception until April 2021. Two independent reviewers will carry out the study selection based on eligibility criteria. We will extract data following a standard data collection form. The reviewers will use the Cochrane Collaboration’s tools and Newcastle-Ottawa Scale to appraise the study risk of bias. Our primary outcome will be tolerability and our secondary outcomes will be acceptability and effectiveness. We will conduct a qualitative analysis of all included studies. In addition, if sufficient and homogeneous data are available, we will conduct quantitative analysis. We will synthesise dichotomous data using OR with 95% CI and continuous outcomes by using mean difference or standardised mean difference (with 95% CI). We will determine heterogeneity visually with forest plots and quantitatively with I2 and Q-test. We will summarise the confidence in the quantitative estimate by using Grading of Recommendations Assessment, Development and Evaluation approach.Ethics and disseminationAs a systematic review of literature without collection of new clinical data, there will be no requirement for ethical approval. We will disseminate findings through peer-reviewed publications.PROSPERO registration numberCRD42020202619.

scholarly journals The Effectiveness of Microneedling Therapy on The Severity of Acne Scars According to Goodman and Baron: A Systematic review and meta-analysis

2022 ◽  
pp. 48
Author(s):  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Control Group ◽  
Skin Damage ◽  
Acne Scar ◽  
Acne Scars ◽  
Significant Difference ◽  
Acne Scarring ◽  
The Mean ◽  
Z Value

Background: The emergence of acne scars due to skin damage in the acne healing process and causes psychological effects. The management of acne scars can be done in several methods. Microneedling is a very simple, safe, effective, and minimally invasive therapeutic technique compared to other therapeutic modalities in acne scars. The resulting wound is micro-sized, and promotes the growth of growth factors and collagen production. We aimed to assess the effectiveness of using microneedling as an acne scar treatment option. A systematic review and meta-analysis were qualitatively and quantitatively conducted from RCTs, assessing the effectiveness of microneedling in reducing the severity of acne scars according to Goodman and Baron in the treatment of acne scars. Methods: Medline Pubmed, PMC, Scopus, Google Scholar, and JDC library, eligible search. Ten studies (n=514) were analyzed qualitatively with 2 studies (n=53 subjects) and quantitatively analyzed by 2 studies (n=90 subjects). Both analyzes were included in the meta-analysis. The mean age of the participants was 40.5 years. The application of microneedling intervention as monotherapy or a combination in patients with acne scarring was followed for at least 16 weeks, the results obtained were the mean reduction in the degree of acne scarring after microneedling. Result: The combination of microneedling treatment obtained a qualitative decrease in the degree of acne scars according to Goodman and Baron with a Z value (-4.299) and P=<0.001 lower than the control (PRP) with a significant difference. The quantitative decrease in the degree of acne scars according to Goodman and Baron obtained a Z value (-4.681) and P=<0.001 lower than the control (PRP) with a significant difference. Quantitative reduction in the degree of acne scars according to Goodman and Baron on single therapy between treatment and control with a value of Z (-3.536) and P=<0.001 lower than control (fractional CO2) with a significant difference. The results of the degree of acne scars in the group treated with microneedling alone or in combination were lower than the control group. The mean before and after therapy compared to the control there was a significant difference. Conclusion. The results of a systematic review, concluded that the group treated with microneedling had a decrease in the degree of acne scarring according to Goodman and Baron with P=<0.001 compared to before treatment. The decrease was shown in the difference in Z values, which was significantly greater than the control given other therapies. Microneedling therapy can be an alternative therapy option for acne scar patients who are unresponsive to previous therapy or in conditions where there are contraindications to other therapies.

scholarly journals The Role of Mean Platelet Volume as a Predictor of Mortality in Critically Ill Patients: A Systematic Review and Meta-Analysis

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Pattraporn Tajarernmuang ◽  
Arintaya Phrommintikul ◽  
Atikun Limsukon ◽  
Chaicharn Pothirat ◽  
Kaweesak Chittawatanarat
Keyword(s):  
Systematic Review ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Mean Platelet Volume ◽  
Meta Analysis ◽  
Small Sample ◽  
Mean Difference ◽  
Platelet Volume ◽  
Significant Difference ◽  
The Mean

Background. An increase in the mean platelet volume (MPV) has been proposed as a novel prognostic indicator in critically ill patients.Objective. We conducted a systematic review and meta-analysis to determine whether there is an association between MPV and mortality in critically ill patients.Methods. We did electronic search in Medline, Scopus, and Embase up to November 2015.Results. Eleven observational studies, involving 3724 patients, were included. The values of initial MPV in nonsurvivors and survivors were not different, with the mean difference with 95% confident interval (95% CI) being 0.17 (95% CI: −0.04, 0.38;p=0.112). However, after small sample studies were excluded in sensitivity analysis, the pooling mean difference of MPV was 0.32 (95% CI: 0.04, 0.60;p=0.03). In addition, the MPV was observed to be significantly higher in nonsurvivor groups after the third day of admission. On the subgroup analysis, although patient types (sepsis or mixed ICU) and study type (prospective or retrospective study) did not show any significant difference between groups, the difference of MPV was significantly difference on the unit which had mortality up to 30%.Conclusions. Initial values of MPV might not be used as a prognostic marker of mortality in critically ill patients. Subsequent values of MPV after the 3rd day and the lower mortality rate unit might be useful. However, the heterogeneity between studies is high.

scholarly journals Pengaruh Massage Effleurag Terhadap Kemampuan Head Control Extensi Bayi Usia 3-4 Bulan

2021 ◽  
Vol 14 (1) ◽  
pp. 33
Author(s):  
H Hastina ◽  
S Suharto ◽  
Muh. Awal
Keyword(s):  
Treatment Group ◽  
Prone Position ◽  
Motor Performance ◽  
Infant Development ◽  
Mean Difference ◽  
Control Group ◽  
P Value ◽  
Quasi Experimental ◽  
The Mean ◽  
Head Control

Abstrak. Head control merupakan salah satu penggerak yang terpenting dari sebagian besar dalam penilaian perkembangan bayi. Gangguan head control sering dikutip sebagai faktor resiko awal penundaan perkembangan head control. Penelitian ini merupakan jenis penelitian quasi eksperiment yang bertujuan untuk mengetahui pengaruh massage bayi dengan teknik effleurage  terhadap kemampuan head control extensi pada posisi tengkurap bayi usia 3-4 bulan, dimana responden penelitian dibagi menjadi dua yaitu kelompok perlakuan berjumlah 8 responden dan kelompok control berjumlah 8 responden. Penelitian ini dilaksanakan di puskesmas paccerakkang Makassar. Instrument penelitian dengan menggunakan Test Of  Infant Motor Performance (TIMP) yang digunakan untuk menilai control kepala pada bayi usia 34 minggu sampai dengan 4 bulan. Penelaian ini menilai seberapa lama dan seberapa tinggi bayi dapat mengangkat dan mempertahankan kepala saat posisi tengkurap. Berdasarkan uji mann whitney diperoleh nilai p 0.001 < 0,005 yang berarti bahwa ada pengaruh yang bermakna antra kelompok perlakuan (massage bayi) dengan kelompok kontrol. Untuk melihat hasil yang lebih baik berdasarkan nilai selisih reratanya ternyata kelompok perlakuan lebih tinggi nilai selisih rerata yaitu 18,75 dibanding kelompok kontrol. Kata kunci : Massage Effleurage, head control, bayi usia 3-4 bulan.  Effect of Massage Effleurage on Head Control Ability of Infant 3-4 Month Old Extensions Abstract. Head control is one of the most important drivers of most of the assessment of infant development. Head control disorders are often cited as a risk factor for early delays in head control development. This research is a quasi-experimental research which aims to determine the effect of massage effleurage on the ability of head control extension in the prone position of infants aged 3-4 months, where the research respondents are divided into two, namely the treatment group of 8 respondents and the control group of 8 respondents. This research was conducted at the Puskesmas Paccerakkang Makassar. The research instrument used the Test Of Infant Motor Performance (TIMP) which was used to assess head control in infants aged 34 weeks to 4 months. This study assesses how long and how high the baby can lift and hold the head in a prone position. Based on the Mann Whitney test, the p value was 0.001 <0.005, which means that there was a significant effect between the treatment group (baby massage) and the control group. To see a better result based on the mean difference value, it turns out that the treatment group has a higher mean difference value, namely 18.75 than the control group. Keywords  : massage effleurage, head control,baby aged 3-4 months

scholarly journals Effectiveness of Hormone Based Therapies (Spironolactone and Combined Oral Contraceptives in the Management of Acne Vulgaris in Women: A Systematic review and meta-analysis

2021 ◽  
pp. 42
Author(s):  
Keyword(s):  
Systematic Review ◽  
Oral Contraceptives ◽  
Meta Analysis ◽  
Acne Vulgaris ◽  
Mean Difference ◽  
Cochrane Library ◽  
Combined Oral Contraceptives ◽  
Female Patients ◽  
The Mean ◽  
Control Therapy

Background: Acne vulgaris (AV) is a chronic inflammatory disease of the pilosebaceous follicular unit that often occurs. Acne is a skin disorder that is not life-threatening but is mostly complained of because it is aesthetically disruptive, which can cause significant psychological problems for sufferers. The management of acne vulgaris in female patients has its challenges. There are many histories of failed therapy using conventional therapy, such as with antibiotics or isotretinoin, and female patients have a predisposition to the condition of androgen excess. Also, the increasing awareness about limiting the use of antibiotics to prevent resistance in dermatological cases, including acne vulgaris, encourages other treatment options in the female patient population, one of which is hormone-based therapy. A systematic review and meta-analysis were performed of randomized clinical trials assessing the effects of Hormone Based Therapies (Spironolactone and Combined Oral Contraceptives) in the management of Acne Vulgaris in Women. Methods: Medline Pubmed, Scopus, Cochrane Library, the reference list, conference proceedings, researchers in the field of eligible studies were searched. Ten studies (n=1906 sub-jects) were included in qualitative analysis, of which two studies (n=1842 subjects) were included in the meta-analysis. The age of the participant was greater than 14 years old. Intervention using combined oral contraceptives (n=8) or oral spironolactone (n=2). Duration of intervention (minimum six months for COC and three months for SL) and out-comes of mean difference number of acne vulgaris lesions before and after treatment. Results: Pooling of data using random-effects model found a significant difference in the mean difference in the number of lesions after treatment in the group receiving hormone-based therapy (spironolactone and combined oral contraceptives) and those receiving control therapy (p = 0.005). The overall mean difference was -0.890 ± 0.316. A negative value indicating the number of lesions after hormone-based therapy (spironolactone and combined oral contraceptives) was significantly lower than those receiving control therapy (p = 0.005). Conclusion: From the results of the systematic review and meta-analysis conducted, it can be concluded that in the group given hormone-based therapy (spironolactone and Combined Oral Contraceptives), there was a decrease in the total number of acne vulgaris lesions compared to before treatment, and the mean difference in the number of lesions was significantly lower after getting hormone-based therapy (spironolactone and combined oral contraceptives) compared with controls.

scholarly journals Comparison Between Peer Learning and Conventional Methods in Biostatistics Course Among Postgraduate Nursing Students’ Final Score, Statistics and Test Anxiety: A Quasi-experimental Study with a Control Group

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Azar Babaahmadi ◽  
Elham Maraghi ◽  
Soraya Moradi ◽  
Shima Younespour
Keyword(s):  
Experimental Study ◽  
Nursing Students ◽  
Test Anxiety ◽  
Peer Learning ◽  
Control Group ◽  
Learning Method ◽  
Statistics Anxiety ◽  
Quasi Experimental ◽  
Final Score ◽  
The Mean

Background: Biostatistics course is considered essential for nursing education. Thus, conceptual learning in biostatistics is highly critical for postgraduate nursing students. A large proportion of students identify this course as the most anxiety-inducing course. The largest part of students’ anxiety in the semester in which they take biostatistics course is manifested in the form of statistics anxiety in addition to test anxiety. Objectives: To evaluate the effectiveness of the peer learning method in biostatistics course among postgraduate nursing students’ final score and test and statistics anxiety. Methods: This quasi-experimental study was conducted during the first semester of the academic year 2019 - 2020 in the Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences. Students were divided into two separate classes according to their courses. In one class, biostatistics course was taught by peers, and the lecture method as the conventional method was used for teaching in the other class. Test and statistics anxiety questionnaires were completed by the students of both groups before the educational intervention and at the end of the semester. Data was analyzed by SPSS 20 using nonparametric tests. Results: The mean final score in the lecture and peer learning groups were respectively 9.9 ± 4.60 and 11.55 ± 4.76 (P = 0.245). At the end of the course, the mean scores of statistics and test anxiety decreased in the intervention group in comparison to the conventional group. Conclusions: Using the peer learning method in biostatistics course has a positive effect on reducing test and statistics anxiety and increasing final scores in postgraduate nursing students.

scholarly journals Effectiveness of orthodontic temporary anchorage devices in canine retraction and anchorage preservation during the two-step technique: A systematic review and meta-analysis

2020 ◽  
Author(s):  
Haonan Tian ◽  
Congman Xie ◽  
Min Lin ◽  
Hongmei Yang ◽  
Aishu Ren
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Mean Difference ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Canine Retraction ◽  
Temporary Anchorage Devices ◽  
The Mean ◽  
Implant Anchorage

Abstract Background: Temporary anchorage devices have been used for decades in orthodontic practice for many applications. The aim of this systematic review was to assess the effectiveness of orthodontic temporary anchorage devices in canine retraction during the two-step technique. Methods: A search was systematically performed for articles published prior to June 30, 2019 in five electronic databases (PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, Scopus). The risk of bias was assessed using the Cochrane risk of bias tool for randomized controlled trials (RCTs) and the risk of bias in nonrandomized studies of interventions (ROBINS-I) tool for controlled clinical trials (CCTs) . The Grading of Recommendation, Assessment, Development and Evaluation (GRADE) approach was used for the quality assessment. Data concerning the mean difference in mesial molar movement and extent of canine retraction were extracted for statistical analysis. The mean difference s and 95% confidence intervals were analyzed for continuous data. A meta-analysis with a random-effects model for comparable outcomes was carried out. Results: Three RCTs and five CCTs were finally included. Meta-analysis showed a significant increase not only in anchorage preservation in the implant anchorage group in both the maxilla (1. 56 mm , 95% CI: 1.14 to 1.98, P <0.00001 ) and the mandible (1.62 mm , 95% CI: 1.24 to 2.01, P <0.00001 ) but also in canine retraction in the implant anchorage group in both the maxilla (0.43 mm , 95% CI: 0.16 to 0.69, P =0.001 ) and the mandible (0.26 mm , 95% CI: 0.02 to 0.49, P =0.03 ). Conclusions: There is very low-quality evidence showing that implant anchorage is more efficient than conventional anchorage during canine retraction. Additional high-quality studies are needed. Keywords: Orthodontic implants; Canine retraction; Systematic review; Meta-analysis

scholarly journals Evaluation of Self-Directed Learning in Nursing Students: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Mohammad Nazarianpirdosti ◽  
Maryam Janatolmakan ◽  
Bahareh Andayeshgar ◽  
Alireza Khatony
Keyword(s):  
Systematic Review ◽  
Nursing Education ◽  
Nursing Students ◽  
Meta Analysis ◽  
Self Directed Learning ◽  
Positive Role ◽  
Directed Learning ◽  
Training Courses ◽  
The Mean

Background. Self-directed learning plays an important role in nursing education and is associated with academic achievement, communication self-efficacy, assertiveness, responsibility, and students’ clinical competencies. This study was conducted to analyze the existing research on the level of self-directed learning in nursing students. Methods. In this systematic review and meta-analysis, all studies that had examined the level of self-directed learning in nursing students until March 2, 2020, were searched in Science Direct, Ovid, Scopus, PubMed, ProQuest, Web of Science, and Google Scholar databases. In the meta-analysis section, I2 index and the random effects model were used. Comprehensive Meta-Analysis software (version 2) was used for data analysis. Results. The mean score of self-directed learning in 12 articles with 3830 samples was 156.73 ± 1.47 out of 200 (95% CI: 153.3–160.1). These scores were 153.50 ± 2.71 (95% CI: 148.18–158.82) and 154.67 ± 1.32 (95% CI: 157.50–159.32) in the male and female students, respectively. There was a significant relationship between self-directed learning and sample size, year of study, and semester ( p < 0.05 ). Conclusion. The mean self-directed learning in nursing students was at a moderate level, which does not seem to be sufficient. Given the positive role of self-directed learning in nursing education, it is essential that nursing professors teach self-directed learning skills to students via training courses.

A Quasi – Experimental Study to Assess the Effectiveness of Structured Teaching Programme Regarding Knowledge of Personal Protective Equipment (Ppe) use in Among Nursing Students at Selected Nursing Institute Faridabad (Haryana)

2021 ◽  
pp. 469-472
Author(s):  
Sudhir Singh
Keyword(s):  
Nursing Students ◽  
Infection Control ◽  
Health Workers ◽  
Control Group ◽  
Teaching Programme ◽  
Structured Teaching ◽  
Post Test ◽  
Quasi Experimental ◽  
And Control ◽  
Experimental Group

Health worker are constantly exposed to infectious pathogens while they provide care to the patients. There are plenty of infection, for health workers to get affected by infection, so infection control measures are most necessary for health workers. By practicing infection control techniques, the health workers can avoid spreading microorganism. This can be possible when there is up gradation of knowledge and attitude of health workers regarding PPE. In this study the researcher Aimed: to assess the effectiveness of Structured teaching programmed on use of PPE among nursing students. Research design: adopted for this study was quasi experimental design, samples for this study was selected through convenient sampling technique. Total sample size for study was 100. Pre- test was done for the subjects in both group experimental and control group and experimental group received structured teaching programme regarding PPE use. Control group subjects did not receive any special intervention. On the seventh day took post- test among subjects in both groups to assess the structured teaching programme regarding use of PPE. Data collection were analyzed with the help of descriptive and inferential statistics. Results: Mean post test score in experimental and control group was 25.72and 13.71 respectively. The mean difference score was 12.01. The standard deviation score in experimental group was 2.170 and in control group 9.131. The ‘t’ Value was 59.524 which was statistically significant at ‘P’ value 0.000. Conclusion: This study imposes importance of suitable health teaching intervention through proper structure to the nursing students, for use of PPE.

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