Utilizing the Fourth Dimension for Patient Education in Cardiovascular Surgery (original) (raw)
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Iranian Journal of Cardiovascular Nursing, 2017
Background. Self-care behaviors in cardiac patients are one of the essential factors in their treatments. The failure to apply proper self-care behaviors reduces their recovery and imposes high costs on the health care system. Aim. This study aimed for design and psychometric measurement of the questionnaire on attitude, knowledge and utilization of self-care for patients undergoing coronary artery bypass graft surgery based on Waltz model Method. In this methodological study, the following four steps were conducted for design and psychometric measurement of the questionnaire: 1) defining the theoretical and practical self-care concept for patients undergoing coronary artery bypass graft surgery in the domains of physical activity, sexual activity, social activity, mental state, and smoking; 2) designing the items of the questionnaire using other instruments which are being used in heart diseases; 3) determining the face validity (the assessment of facility, difficulty, and ambiguity of the items and their importance for patients) and content validity of the questionnaire (the assessment of appropriateness and necessity of items by experts opinions and measuring CVR and CVI; 4) the internal consistency of the questionnaire was evaluated by determining the Cranach's alpha coefficient. Findings. The first version of this questionnaire was produced with 56 items, of which 15 items were deleted during the process of validity and reliability confirmation. The final version of the questionnaire was provided with 41 items in three domains; knowledge domain with 14 items, attitude domain with 7 items and utilization domain with 20 items. The results of the psychometric procedure for the questionnaire was the content validity index of 0.99, the content validity ratio of 0.96 and the internal consistency of the questionnaire with Cronbach's alpha coefficient of 0.7 representing appropriate validity and reliability of the questionnaire. Conclusion. This 41-item questionnaire can be utilized in the assessment process of these patients. Measuring construct validity is recommended for the validity of the domains of the present questionnaire.
2017
Background: Quality improvement in delivering healthcare services is the main mission of every health system. Safe surgery checklist was introduced by World Health Organization (WHO), and hospitals were required to use it to reduce the risk of surgery-related mortality and morbidity. This study aimed to determine study hospitals' compliance with safe surgery checklist in 2016. Methods: A retrospective, descriptive study was done in training general hospitals affiliated by Qom University of Medical Sciences from April to June 2016. All surgery checklists in this period were collected, and its use regarding to each operation was mentioned. Data were entered into SPSS version 20 and analyzed through descriptive statistical tests and One-way ANOVA. Results: A total of 1771 surgeries in six university hospitals performed in three months study period and their related surgery checklists were investigated. The overall use and completion rate of checklists were 74%. Among which the sign-in, time-out, and sign-out items compliance were 58%, 16%, and 26% respectively. Conclusion: The overall compliance rate of safe surgery checklist was satisfactory except for time-out and sign-out processes. Complimentary training and regular assessment of checklist utilization could be suggested to ensure the positive attitude among operating room's staff about the value of such a safety tool in improving patient safety.
Journal of Modern Medical Information Sciences
Aim: Managing stress and proper communication with clients is a key element in patient-care. Study stress is very common among nursing students during Covid-19 crisis and has weakened trainees' relationship with patients. The aim of this study was to develop stress management training and communication skills of nursing students during Covid-19 crisis based on augmented reality. Methods: In this quasi-experimental study, 46 nursing students undergoing internship at Farabi Hospital in Bastak in 2020 were randomly divided into experimental and control groups. The experimental group participants received augmented reality-based education, and in the control group, education was conducted in the traditional way. The effectiveness of the training was assessed with a researcher-made questionnaire and the data were analyzed using SPSS software and independent t-test. Results: Augmented reality training was more effective than traditional training and independent t-test showed a significant difference between the experimental and control groups (P-Value=0.001). The mean scores of communication skills factors and stress management factors increased in the post-test compared to the pre-test. The mean scores of behavioral stress management, positive thinking, time management and relaxation techniques also increased in the post test. Conclusion: Training of stress management and communication skills to nursing students based on augmented reality can improve learning and increase the effectiveness of training in a stressful hospital environment, especially during COVID-19 conditions.
Study of Knowledge Sharing Approach: The Case of Teachers at Birjand University of Medical Sciences
2016
EDCBMJ 2017; 9(5): 400-405 Background and Aims: Effective sharing of knowledge requires a suitable cultural context. It is necessary for all persons, as individualistic organizations, after verifying and creating the information, exchange their information and Institutionalization for practical application of knowledge. If this culture don’t be institutionalized in people, they cannot succeed in the era of globalization and the explosion of knowledge.
Medical office management: need, awareness and educational priorities
2019
The management of most clinics and other outpatient centers are by clinicians. However, most clinicians do not educate any management courses and are not familiar with this field of science. This study aimed to study and describes training needs and priorities related to medical office management for clinicians. Methods: This was a cross-sectional study. All physicians affiliated to Academic Center for Education, Culture and Research (ACECR) with experiences of running a medical office in Tehran were invited to took part in the study. The data were collected using a self-designed questionnaire. Descriptive statistics and Friedman test were applied to analyze the data. Results: In all 37 physicians participated in the study. The general needs of medical office management categorized to 27 topics and 7 headlines: financial management, human resources management, medical risk management, non-medical risk management, process management, evaluation and informatics. Respondents were most aware on medical risk management and the least was on informatics. The most important educational needs and priorities for clinicians were 'Medical office informatics', 'human resources management', 'financial management' and 'evaluation'. Conclusion: The study results showed that physicians with experiences of medical office management identified that they need courses on management. Indeed priorties could be indentified with a study bigger sample size and better design.
Phenomenology of Affective Domain, Neglected Element of the Nursing Curriculum
Education Strategies in Medical Sciences, 2016
Background and Aims: One of the principles that should always be considered in designing curriculum, pursuing the goals and content of the curriculum in three dimensions: cognitive, affective and psycho-motor. If one of these dimensions be neglected in the curriculum, the curriculum will lose its balance and will not lead to sustainable learning. Therefore, this study aimed to investigate the attention to the emotional domain in the nursing curriculum. Methods: This research method is qualitative and phenomenological which was conducted in 2014. The research population included a fourth-year nursing students at the Urmia University of Medical Sciences. 14 students were interviewed using purposive sampling. The recorded interviews were transcribed and were analyzed by Diekelmann approach. To ensure the validity of the findings the validity of respondent and member check were used. Results: After collecting data using Diekelmann's seven steps approach, information was analyzed. After analyzing the data, five obtained main themes are: Lack of student's interest in their field of study, Lack of motivation to learn new things, Lack of sufficient attention to the interests and preferences of students by Professors, Negative attitude towards the content of some courses, Negative attitudes about education in clinical situations. Conclusions: The findings showed that the nursing curriculum designers and implementers have failed to pay attention to the affective domain in their curriculum and focus more on achieving cognitive and psycho-motor goals.
Effect of Education by Lecture and Pamphlet Methods on Soldiers Knowledge about Meningitis Disease
Journal of Military Medicine, 2015
Aims: Meningitis is an important health issue. As crowded areas is a predisposing factor to the meningitis disease, thus, the aim of this study was to survey the effect of education by lecture and pamphlet methods on soldiers' knowledge about meningitis disease. Methods: This research is a Quasi-experimental study with a before and after design which was conducted among the air defense soldiers of Semnan. The sampling method in this study was census and the data gathering instrument was a self-made questionnaire. At first, the knowledge about meningitis disease among soldiers was measured. After on, training was conducted by presence education methods and distribution of educational pamphlet. At the end the questionnaires were given to the research samples. The obtained data were entered into SPSS 21 and were analyzed by using paired t-test, and descriptive statistics including mean and standard deviation. Results: The total score of knowledge about meningitis disease among soldiers before training was 36.3± 3.94 and after training was 65.76±3.57. Actually the paired t-test showed a significant difference between the training score of soldiers knowledge about meningitis before and after trainings (P = 0.001). Conclusion: According to the results of this study, educational interventions causes an increase in the knowledge of soldiers in regards to the meningitis disease. On the other hand, as all the men have to pass a military service period, this period is considered a great time to increase their knowledge.
بررسی نیازها و چالشهای وجود متخصص طب اورژانس در یک بیمارستان آموزشی; یک مطالعه کیفی
2019
مقدمه:رشته تخصص طب اورژانس در سال 1380 در ایران به دلیل نیاز به ایجاد یک رشته تخصصی برای پاسخ به نیازهای حیاتی بیماران به وجود آمد . با توجه به عمر کم این رشته و چالشهای به وجود آمده از زمان ایجاد آن تا کنون به بررسی اهمیت، نیازها و چالشهای وجود طب اورژانس در یک بیمارستان آموزشی پرداختیم. روش کار:مطالعه حاضر یک مطالعه کیفی از نوع عرفی قراردادی است. در این مطالعه نمونه گیری به صورت هدفمند از بین متخصصین با سابقه رشته طب اورژانس و بنیان گذاران این رشته و مسئولین نظام سلامت صورت گرفت. مصاحبه با گروههای فوق به صورت نیمه ساختارمند و ملاک حجم نمونه اشباع در اطلاعات قرار گرفت و در نهایت کدهای مهم به صورت گروه و زیر گروه انتخاب شد و تحت آنالیز قرار گرقت. یافتهها:در این مطالعه پس از مصاحبه با 12 فرد صاحب نظر به اشباع اطلاعات رسیدیم. از مهمترین نیازهای ایجاد رشته طب اورژانس نیاز به یک متخصص با دید جامع برای درمان بیماران بحرانی و یک مدیریت جامع برای اورژانس دیده شد و بزرگترین چالشها تداخلات مالی با سایر رشتهها و تداخل در حوزه کاری مشترک بوده است. نتیجه گیری:با توجه به مطالعه حاضر و ...
2019
مقدمه: یکی از مهمترین اقدامات جهت نجات بیمار انجام عملیات احیا می باشد. این مطالعه با هدف بررسی اگاهی و عملکرد تکنسین های اورژانس پیش بیمارستانی شاغل در شهر تهران در خصوص سطح پیشرفته عملیات احیا انجام گرفت. روش کار: پژوهش حاضر یک مطالعه اي مقطعی بود كه در سال 1396 با هدف بررسی آگاهی و عملکرد تکنسین های اورژانس پیش بیمارستانی در احياي قلبي و ريوي پیشرفته انجام شد. جمعيت مورد مطالعه شامل تکنسین های اورژانس پیش بیمارستانی شاغل در شهر تهران با حجم نمونه 200 نفر بود. برای نمونه گیری تعدادی از پایگاه های اورژانس تهران به صورت تصادفی ساده انتخاب شدند. ابزار گردآوري اطلاعات در اين پژوهش، پرسشنامه محقق ساخته ای بود که بعد از تایید روايي و پایایی مورد استفاده قرار گرفت. بخش اول پرسشنامه اطلاعات دموگرافیک، بخش دوم اين پرسشنامه داراي 39 سوال تئوری بود که میزان اگاهی پرسنل را بررسی می کرد. بخش سوم نیز حاوی 19 سوال بلی و خیر برای بررسی وضعیت عملکرد بود. یافته ها: تعداد 200 نفر از تکنسین های اورژانس پیش بیمارستانی شاغل در تعداد 20 پایگاه واقع در شهر تهران در این مطالعه شرکت کردند که میانگین سنی ای...