Investigation of Patient Satisfaction with Education in a Biosimilar Multiswitch Scenario - A Comparison Between Rheumatologists and Nurse Specialists

The aim of this project was to understand patients’ knowledge and opinion about biosimilars and to evaluate patient satisfaction with care after education on multiswitching of biosimilars (bsDMARDs) by rheumatologists in comparison to nurse specialists. Adult patients with rheumatoid arthritis, axial spondyloarthritis or psoriatic arthritis who underwent a non-medical switch to the adalimumab biosimilar MSB 11022 were randomized into a group in which information about multiswitching of bsDMARDs was provided by a nurse specialist or a rheumatologist. Validated outcome tools and standardized parameters for assessment of disease activity and function were used at baseline and 12 weeks after switching. Patients’ satisfaction with care was assessed by the Leeds Satisfaction Questionnaire. A structured questionnaire was used to assess patient’s knowledge. A total of 102 patients was randomized, 40 were seen by the rheumatologist (39.2%) and 62 by the nurse (60.8%). Fifty patients (49%) had already undergone one and 52 multiple switches (51%). Less than one third of patients was able to correctly answer questions on manufacturing, effectiveness, clinical trial evidence and cost of bsDMARDs. Patients were generally satisfied with care irrespective of whether the information had been given by the nurse or the rheumatologist. No difference in outcomes was seen.Patient satisfaction and outcomes after education about bsDMARDs and switching by nurses and rheumatologists were similarly good. The number of switches did not have a negative impact on patient satisfaction.

Effect of a Mobile Patient Education Application on Adjustment to Stoma and Development of Peristomal Skin Lesions: A Quasi-Experimental Study

BACKGROUND: Patients with a stoma face difficulties in everyday life. A mobile application (app) may assist them in managing their stoma and adjusting to change. PURPOSE: This study developed a mobile app for patients with a stoma and evaluated its effectiveness in improving psychosocial adjustment, self-care, and prevention of peristomal skin lesions. METHODS: The research utilized a quasi-experimental design and was conducted using a posttest control group. The study consisted of 60 patients who had undergone surgery in 3 university hospitals in Istanbul, Turkey, from November 2018 through December 2019. The experimental group (n = 30) used the STOMA-M mobile app, and the control group (n = 30) used an educational booklet that contained images and text that correlated to the content found in the app. Data collection was carried out using an individual characteristics assessment form, Ostomy Adjustment Inventory (OAI-23), Peristomal Skin Lesions Assessment and Classification Instrument, and a stoma care training evaluation form in the first and third months after discharge. Data were analyzed using IBM SPSS Statistics 22.0 software. RESULTS: Sociodemographic characteristics of individuals in the experimental and control groups were similar; 70% (n = 42) required stoma placement because of cancer treatment. More than half of the participants (53.3%; n = 32) had an ileostomy, and 78.3% (n = 47) had a temporary, open stoma. The experimental group’s OAI-23 score, social engagement subscale score, stoma care status, and satisfaction with education e high. The OAI-23 scores in the control group were not significant, and their anger subscale score and the score of item 16, Caring for my stoma is difficult, decreased in the third month compared with baseline. Peristomal skin lesions did not develop in the control group at the third month of follow-up. CONCLUSION: The levels of adjustment to stoma, ability to care for the stoma themselves, and satisfaction with education received were higher in individuals using the mobile app compared with those using the printed booklet. However, the app was not effective in preventing peristomal skin lesions. Additional studies are needed to determine what features of a mobile app may be useful for preventing such lesions.

Vietnamese Students’ Satisfaction toward Higher Education Service: The Relationship between Education Service Quality and Educational Outcomes

<p style="text-align: justify;">Student satisfaction with education service has been considered one of the most critical strategic factors to attract students of higher education institutions around the world. Various models of satisfaction with education service quality have been developed to motivate actions towards improving the education quality. This study aimed to confirm a Vietnamese theoretical five-dimension model of student satisfaction with higher education service and investigate the relationship between student satisfaction with education service quality and student satisfaction with educational outcomes in this model. A cross-sectional survey on 2933 students from four-member universities of Hue University in Central Vietnam was conducted. The research results showed that the model of student satisfaction with education service in Hue University was consistent with the proposed theoretical model, which comprises five dimensions including access to education service, facilities and teaching equipment, educational environment, educational activities, and educational outcomes. In addition, the satisfaction of all dimensions of education service quality from dimension 1 to 4 affects the satisfaction of educational outcomes, of which educational activities have the most significant impact. This research result can provide a number of implications and recommendations for Hue University to implement appropriate measures to improve student satisfaction with education services received, thereby enhancing educational outcomes, attracting and retaining students.</p>

Research on the impact of distance learning during the COVID-19 pandemic on the lifestyle and quality of education of medical students. Experience of the obstetrics and gynecology department

Introduction. To prevent the spread of the COVID-19 pandemic, medical educational institutions have moved o quarantine with distance learning. It was implemented suddenly and imperatively, which can have long-term consequences not only in the form of a decrease in the quality of education, but also in the form of certain psychological problems for both students and faculty.Aims: to assess the impact of the forced transition to distance learning during the pandemic of a new coronavirus infection on the lifestyle and the degree of satisfaction with education of medical students.Materials and methods. A one-stage descriptive study was carried out in which 165 students of the 4th-5th year of the Faculty of Medicine and Prevention, who studied remotely at the Department of Obstetrics and Gynecology, took part in it. Among them, an anonymous survey was conducted, which included questions of lifestyle, degree of satisfaction and their opinion on the quality of education.Results. According to the results of the questioning, distance education influenced the lifestyle of the majority of the students surveyed — 32% began to get better sleep, 26% noted the appearance of sleep disorders. With regard to the nutrition of students, a similar picture is observed — 55% began to eat more regularly and balanced, 21% - ate excessively. Only 7.3% students are most actively involved in the distance learning process, most are periodically distracted (88.5%) or are engaged in other activities (4.2%). The theoretical component of distance learning was assessed by students quite high — 7.7 ± 2.4 points. However, the practical skills caused a lot of dissatisfaction were rated low 4.1 ± 2.4 points. Among the advantages of distance education — 92.7% singled out time and financial savings. Of the shortcomings — 86.1% indicated the lack of work with patients.Conclusions. The transfer of medical students to distance education entails not only a possible decrease in the quality of education and student motivation to study, but also a significant change in lifestyle.

PICU Passport: Pilot study of a handheld resident curriculum

Background To explore the impact of an educational tool designed to streamline resident learning during their pediatric intensive care (PICU) rotations. Methods Topics and procedures were chosen for inclusion based on national requirements for pediatric residents. Residents received a PICU Passport at the beginning of their rotations. PICU faculty were provided learning objectives for each topic. Residents and faculty were surveyed before and after starting use of the Passport. Results Twenty-two residents pre-Passport and 38 residents post-Passport were compared. Residents were more satisfied with their educational experiences (27 % vs. 79 %; P < 0.001), more likely to report faculty targeted teaching towards knowledge gaps (5 % vs. 63 %; P < 0.001) and felt more empowered to ask faculty to discuss specific topics (27 % vs. 76 %; P = 0.002). The median number of teaching sessions increased from 3 to 10 (Z = 4.2; P < 0.001). Most residents (73 %) felt the Passport helped them keep track of their learning and identify gaps in their knowledge. Conclusions The PICU Passport helps residents keep track of their learning and identify gaps in their knowledge. Passport use increases resident satisfaction with education during their PICU rotation and empowers residents to ask PICU faculty to address specific knowledge gaps.

The Usefulness of the QR Code in Orthotic Applications after Orthopedic Surgery

The purpose of this study is to evaluate the utility of QR (quick response) codes in explaining the proper method for orthotic use after orthopedic surgery. A questionnaire survey was adopted to evaluate patient satisfaction with education and training in orthotic applications after orthopedic surgery. The study periods were 1 April to 30 April 2017, and 1 October to 31 October 2017. The oral training involving the conventional orthoses was conducted in April, and the videos with the orthosis on the QR code were captured in October. The QR code containing the data was distributed and the education was conducted. A total of 68 patients (QR-code group: 33) participated in the questionnaire survey. After the QR code application, the number of retraining cases increased from 62.9 to 93.9% (p-value < 0.01). The mean scores of the four items measuring the comprehension increased from 10.97 to 14.39. The satisfaction level rose from 7.14 to 9.30, and the performance increased from 7.14 to 9.52 (p-value < 0.01). The QR code is expected to be a valuable method for explaining the orthotic application after orthopedic surgery, and especially when repeated explanations are needed for elderly patients.

Satisfaction of College and University Students With Education: a Comparative Analysis

The problem of student satisfaction with secondary vocational and higher education is one of the central ones for both students and educational institutions. The social well-being of students at each university and college, their achievement of academic success largely depends on its solution. It is proved that students 'satisfaction with education affects the students' life success and their assessment of the possible results of this influence. The novelty of the material consists in a comparative study of student opinions and assessments concerning the problems of satisfaction with the received education.

Discovering the Relationships Between Perceived Emotional Value, City and Friend Attachment, School ID, WOM and Educational Satisfaction: A Structural Research for University Students

Rapid transformations in higher education in recent years have made deeper researches about student-university relationship mandatory. Regarding the subject, Anderson, Sullivan, and Swidler (1993) stated that students who are the consumers of universities will have very important benefits for higher education institutions in determining the factors related to education satisfaction. So, the aim of this research is designed to determine the relationships between university students&rsquo; satisfaction with education, the emotional value they perceive, school identity, city attachment and positive WOM behavior. For the relevant purpose, 366 university students were reached online. The empirical data obtained were analyzed with a two-step approach (measurement and structural) in line with the basic methodological principles of SEM. Acceptance of all hypotheses created within the scope of the structural model proved empirical relationships between the related structures. The research has provided new perspectives to the ongoing discussions in the related literature by proving the direct or indirect effects of structures such as city attachment, emotional value, and school identity on university satisfaction. The results provided tips for professionals in the field to create educational satisfaction.