Browsing by Issue Date, starting with "2022-02-23"
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- Drama as an educational approach to enhance student nurses' comprehension of patient advocacy: a quantitative studyPublication . Nizamuddin, Maira; Mahoney, Catherine; Kyle, RichardBackground: In nursing education, educational theatre can be used for integrative and experiential learning. Integrative learning entails connecting knowledge and skills from a variety of sources and putting theory into practise, allowing students to learn how to put pieces together and transfer knowledge into a whole, a skill that will prepare them for complex situations in their personal and professional lives. Objectives: The aims of the study was to explore the use of drama as an educational approach to enhance student nurses’ understanding of patient advocacy. Methods: A pre-test and post-test quantitative study design was used in the study. A convenience sample of 275 pre-registration nurses was used. Results: Following the module, the participants' patient advocacy increased significantly (P 0.05). A paired Student's t-test was used to compare pre and post scores, with a P-value of P 0.05 considered significant. Before the session, the participants scored an average of 160 (SD= 18.4) on the advocacy scale, however after the intervention, they scored an average of 200 (SD= 23.3). This suggests that following the module, there was a considerable increase of 26.3 percent. Conclusion: The study's findings imply that theatre is regarded as a useful and acceptable supplement to nursing education. As a result, adapting to educate nursing students in today's world of science and technology could be a beneficial pedagogic method.
- The listening project: a qualitative study on the experiences of pre-registered nurses during the COVID-19 pandemic in ScotlandPublication . Calica, Kris Amor N.; Paterson, RuthBackground: Due to the rapid increase in the number of COVID-19 infections and deaths, academic institutes worldwide were forced to shift to distance learning. Within the period of global lockdown and isolation, student nurses were one of the groups who faced unique challenges due to the limited practical learning environment caused by the transition to online learning and the emergency hiring of nursing students to fill shortages in many health facilities and help in the COVID-19 response. Aim: To explore the experiences and perceptions of pre-registered nurses in relation to their university education during the COVID-19 pandemic. Methods: Underpinned by Lizzio’s (2011) five senses of student success model, a qualitative approach using peer-to-peer discussion was utilized to explore the experiences of pre-registered nurses during the COVID-19 pandemic. Students who are on their second and final year in the nursing program were invited to participate. Interviews were conducted and transcribed using an online meeting platform. Data were analyzed using the five main stages of framework analysis. Results: Eleven peer-to-peer discussion with 22 students were conducted. The five themes are linked with the five senses student success model: capability, connectedness, purpose, resourcefulness, and culture, which was strongly linked to their satisfaction in their program. Six sub-themes emerged in the data: confidence and learning process under capability, building relationships and communication under connectedness, and student health professional and mental health consequences of COVID-19 pandemic under purpose. Conclusion: The situation was a learning opportunity for the students and the university to further support students and build resilience during a pandemic. It is essential for the university to include concepts of transition, pandemic preparedness, work with practitioners, and provide catch up sessions to analyze gaps on their skills and areas where they need further support.
- Action mechanisms of deflamin in the treatment of colorectal cancerPublication . Silva, Sara Miguel Jesus; Martins, Marta; Tavares, ÁlvaroCRC is the third most common cancer in the world and the second leading cause of death worldwide, being its mortality associated with the dissemination to distant organs. For cancer to become invasive and metastatic it is necessary that a remodeling of the extracellular matrix occurs being the matrix metalloproteases (MMPs) the main molecules involved in this process. Since MMPs have major implications for migratory and angiogenic processes, promoting greater tumor malignancy, they are strong candidates to targeted therapies in order to delay malignant progression. Deflamin is a 17 kDa oligomeric protein extracted from the white lupine seeds (Lupinus albus) with anti-inflammatory and MMP-2 and 9 inhibitory functions. Deflamin has been shown to induce an improvement of the colonic mucosa and inhibit the migratory activity in CRC cell lines. In in vivo studies previously developed in our lab, deflamin was shown to exert an anti-tumor and pro-apoptotic activity. In this context, my work aimed to clarify the mechanism of deflamin action using 3D and in vivo zebrafish xenotransplant models. Overall, my results demonstrate that deflamin has an inhibitory role of the tumoral invasive process without significantly affecting proliferation of CRC cell lines. Regarding in vivo analysis, I found a trend towards less vessel infiltration in deflamin treated groups. Deflamin has also shown to be effective in reducing collagen degradation in the tumor microenvironment of zebrafish treated animals, indicating less extracellular matrix remodeling. These results agree with results obtained previously in CRC lines and in vivo assays. Therefore, increasing our knowledge on the role of deflamin for CRC development has the potential to reveal a new nutritional therapeutic approach, with major implications for the health and well-being of CRC patients.
- Dramatic strategies for augmenting nursing student engagement with inter-agency care: a quantitative studyPublication . Zahid, Zahida; Mahoney, Catherine; Kyle, RichardBackground: Inter-agency working (IW) is critical to the delivery of safe and effective health care to service users, families, and health-care staff to ensures that high-quality, consistent care is always available for the users. Several studies have advised that pre-registered health students get Inter-professional Education (IPE) to improve their knowledge and attitudes regarding inter-agency collaboration. Students, on the other hand, are unsure of the relevance of these concepts to their careers and demonstrate a lack of interest in studying. Similarly, the optimal approach to learn inter-agency collaboration has yet to be determined. Objectives: The aim of the study is to explore the impact of peer-initiated authentic drama on pre-registered students’ attitudes towards health care team working before and after module implementation with content on health and social care integration/inter-agency working. Methods: In this study, a quantitative (before-and-after) design was chosen. The study included second-year nursing students from Bachelors in Nursing (BN) and Masters in Nursing (MN) programmes who were studying the module 'Effective Interagency Working in Health and Social Care.' A convenience sample of 450 student nurses completed a pre- and post-module questionnaire. For data analysis, descriptive analysis and the Paired Sample T test were used. Results: Overall, there was an increase in the student nurses’ attitudes towards health care team working, understanding of health and social care integration and confidence around working within integrated health and social care landscapes with 80%-90% of participants agreeing or strongly agreeing with the survey questionnaire. With regards to paired sample T test results, these demonstrated that there was no significant difference between the mean pre-module score and mean post-module score ratings (p=.136). Conclusion: Drama-based nursing education is a real-world learning strategy that helps students gain a better understanding of health-care team working. This innovative instructional technique should be employed in the curricula of pre-registration health students in the future.
- The effectiveness of computer-based gaming simulation on nursing students´ knowledge and confidence: a randomized controlled trialPublication . Abady, Gdiom Gebreheat; Paterson, Ruth; Whitehorn, JaneBackground: The current pandemic, COVID-19 disease, is a highly contagious viral infection caused by novel coronavirus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). For this reason, the Nursing and Midwifery Council have placed greater emphasis on digital simulated learning activities, yet it is not clear whether it is as an effective learning opportunity as on campus simulation. Aim: To evaluate the effectiveness of computer-based gaming simulation on nursing students' knowledge and confidence in Sighthill campus, Edinburgh Napier University, United Kingdom, 2021 Methods: A randomized controlled trial was carried out with 67 undergraduate nursing students between September 2021 and November 2021. Students were randomly assigned to either the computer-based COVID-19 gaming simulation (experimental group) or manikin-based face-to-face COVID-19 simulation (control group). An independent-samples T test and a paired-samples T test performed to detect mean differences (MD) between groups and within a group, respectively, at p < 0.05 and 95% confidence interval (CI). Results: The mean knowledge score for the participants in the control group was significantly higher than the intervention group, 21.4 + 1.6 and 19.8+ 2.1, respectively. A significant statistical difference for confidence was observed between pretest and posttest in the control group, (MD=-0.88, 95% CI (-1.1, -0.6)). The anxiety level of the students in the control group decreased from pretest (2.6 ± 0.6) to post (2.0 ± 0.5), MD=0.55, 95% CI (0.3, 0.7). Conclusion: Overall, computer-based gaming simulation was not as effective as the manikin-based simulation in improving student nurses’ self-efficacy and knowledge acquisition. The manikin-based face-to-face simulation was superior to the computer-based gaming simulation in knowledge acquisition. In the computer-based gaming simulation, whilst there were improvements in self-confidence and anxiety levels, there were no significant statistical differences between pre and posttests. Therefore, computer-based gaming could be an adjunct simulation in situations where in-person simulation is not possible.
- Nurses´ perception of patient safety culture in emergency and critical care services of maternal and child health department of an University HospitalPublication . Fuseini, Abdul-Karim Jebuni; Costa, Emilia Isabel Martins Teixeira da; Matos, Filomena Adelaide Pereira Sabino deIntroduction: The ultimate goal of every health institution is quality health care. Patient safety is one of the characteristics of high-quality healthcare delivery. Patient safety remains a difficulty in health care delivery, despite technical advancements in medicine and health research, as well as sophisticated health facilities. Many patients still inadvertently get hurt in their pursuit of medical and health care. Unwanted incidents in healthcare are the world's third leading cause of death. Objectives: to evaluate the nurses' perception of the patient safety culture in the Emergency and Critical Care Services of the Maternal and Child Department of University hospital; to identify, strengths, vulnerabilities and opportunities for improvement, training needs or intervention in patient safety culture and respective corrective actions aimed at increasing the quality of care provided by nurses in these areas of activity; and to recognize, in this population of nurses, sociodemographic variables potentially associated with their perception of the patient safety culture. Methodology: The data was collected from 84 participants using a quantitative cross-sectional design. Statistical Package for Social Science (SPSS) software, version IBM SPSS, version 28.0.0.0, was used to analyze the data. Results: were presented using, Descriptive and Inferential statistics. According to the findings, patient safety culture received a 49.4 percent overall positive rating. Although teamwork within units has the highest average positive score of 87.8%, Non-punitive response to errors (27.3%) and Staffing (25.9) were both rated as unsatisfactory and the least developed. Conclusion: According to the results, patient safety culture is vital in boosting hospital overall performance and ensuring patient safety with teamwork within units as this was found to be strength (fortress). The overall average positive score seems weak in this study. Management is hereby encouraged to show greater interest in patient safety issues and make it a top priority in policy making.
- A feasibility study of psychosocial intervention pre-clinical program (PIPCP) to enhance the active coping among clinical nursing students in emergency room and critical unit amidst Covid-19 pandemic in Indonesia and Scotland: a quantitative research proposalPublication . Asriwhardani, Fialisa; Paterson, RuthBackground Existing evidence stressed that the COVID-19 Pandemic had an effect on nursing students' mental health and well-being in clinical placement settings, particularly in ER and ICU rotation. The literature suggests that problem-based and emotion-based coping strategies may mitigate stress, yet it is unclear what impact these have on coping and how effective these interventions are in middle income compared to high-income countries. Aim This research proposal will test the feasibility of using a structured psychoeducation programme in Nursing students in Scotland and Indonesia when preparing for and during placement. Methods A quantitative method with experimental participant blinded feasibility study will compare a psychoeducation intervention with usual placement preparation. A sample (n=20) of final-year nursing students from universities in Indonesia and Scotland UK toward clinical rotation in ER and ICU during COVID-19 Pandemic will be recruited. The experimental group will receive psychoeducation intervention in three sessions weekly. The data analysis will be assessed through Multivariate analysis by General Linear Model-Repeated Measure (GLM-RM) to determine the intervention’s effectiveness in coping ability and anxiety prevalence in both groups. Bowen's approach a feasibility study will be designed to evaluate statistical comparisons feedback between both randomized groups in establish a focus area of feasibility. Research dissemination The possible result will inform the design of subsequent full-size RCT on this particular setting in international comparison. The study results will be disseminated through publication in the fields of nursing education and mental health nursing journals in a timely fashion.
- Counselling support for critically ill patients and their families following a critical care experience: a qualitative studyPublication . Rayamajhi, Sharad; Kydonaki, ClaireAbstract Background Patients recovering from the critical illness and their family members can suffer significant psychological distress affecting activity of daily living, family relationship, social participation and professional life. There are few initiatives where the psychological interventions were provided to patients and family group which have shown significantly beneficial impact on psychological health. However, there is a limited number of studies that address the psychological needs of patients, family members and bereaved family members with critical care experience. Objectives The aim of this study was to explore patients’, family members’ and bereaved family members’ experiences of counselling provision. Methods We conducted a qualitative study in three Scottish Intensive care units (ICU) between 2015-2017. Counselling service was provided to former ICU patients and their family members, including those bereaved following a critical illness experience by a qualified, professionally accredited counsellor who had a background in Intensive Care nursing. Participants self-referred to the service. Semi-structured interviews were conducted to explore participants’ experience of accessing the counselling service, their expectations and experiences of the counselling sessions, and their recommendations for future development. Thematic analysis was used to analyse the data. Data reporting was done using Consolidated Criteria for reporting qualitative research checklist (COREQ). Results All twelve participants (Patients n= 3, Family members n = 7 and Bereaved family members n=2) considered their overall experience of the counselling support positive. Four key themes were identified: perceived benefits, feasibility, appraisal and context of care. Conduit to resilience, enhanced coping, relief through disclosure, maintaining family relationship and individualised support were the main perceived benefits experienced by participants. The nurse-counsellor’s counselling expertise and critical care background was appreciated by the majority of the participants. Conclusion In conclusion, the counselling support provided to patients, family members and bereaved family members was considered a feasible and acceptable intervention. Relevance to future research: A full-scale randomised control trial is required to measure the impact of counselling service on patient and family outcomes. Keywords: Critical care, counselling, patients, family members, and bereaved family members.
- Impact of pain education program (pep) on the knowledge and attitude of surgical unit nurses in postoperative pain assessment (pop) and managementPublication . Alhassan, Hamdiya-tu; Sharp, SandraBackground: Acute pain after surgery is often unavoidable and its effective assessment and management is an essential component to good quality of care. Unfortunately, despite strategies and interventions to increase awareness of postoperative pain (POP) and clinical improvements in pain management, there is still evidence that pain is undertreated in the postoperative setting. The inadequacy in pain assessment and management has been linked to nurses' inadequate knowledge and training in this area. Implementing a pain education program (PEP) is an approach for improving the knowledge and attitudes of surgical unit nurses in POP assessment and management.
- A língua inglesa no mundo dos negócios e seu impacto nas empresas Cabo-Verdianaso caso da Ilha de São NicolauPublication . Dinis, Jael do Rosário; Flores, Adão de Jesus GonçalvesO domínio da língua inglesa é praticamente uma necessidade em um mundo dos negócios globalizado. Dada essa necessidade, o objetivo deste estudo é entender como a l íngua inglesa é usada no ambiente de neg ó cios em Cabo Verde, par ticularmente na Ilha de Sã o Nicolau . A l ém disso o estudo pretende ide ntificar as possíveis dificuldades causadas nas empresas pel o uso deficiente da língua inglesa . Para atin gir os objetivos propostos, foi realizada uma investigação qualitativa de caráter exploratório, por meio de entrevistas semiestruturadas a membros representativos do mundo dos negócios na ilha de São Nicolau, como gerentes de hotéis e guias turísticos. A an á lise de conte ú do das entrevistas permitiu identificar alguns temas emergentes, dos quais foi possível derivar algumas conclusões. A mais importante é a de que é pouco fluente o uso da língua inglesa nas empresas da amostra, em função da deficiência na formação base dos funcionários e até mesmo dos próprios gestores. Em consequência, as empresas são menos competitivas, me smo quando pretendem internacionalizar os seus negócios.