Az ápolók infekciókontroll-intézkedésekkel kapcsolatos tudatosságának hatása a beteg-és családoktatásra

Healthcare-associated infections (HAIs) are among the most common adverse events in healthcare settings worldwide. Infection control (IC) is one of the most effective interventions to prevent HAIs. Thus, we aimed in this thesis to determine the level of IC awareness among nurses, assess patient and family members’ education on IC measures from different perspectives, explore the reasons that might prevent nurses from educating their patients and family members on IC, and determine the effect of nurses’ awareness of IC on implementing patient and family education. The study used a multisite, cross-sectional design among seven hospitals in Hungary. Two validated questionnaires were used to collect data from nurses, patients and family members. The results revealed a high percentage of patient and family education on IC. The highest percentages of education were on respiratory hygiene, HAIs, and hand hygiene (HH). Nurses had high scores of IC overall and standard precautions awareness as well as low scores of HAI and HH awareness. Concerning patient and family education on IC from the nurses’ perspective, nurses educated patients and family members the most on HH and respiratory hygiene. Education on other measures was low. Nurses’ shortages, time limits, and stress were the most common barriers to patient education, as stated by nurses. Nurses with high IC awareness educated patients and family members more than those with low awareness; however, the results were only significant when educating on respiratory hygiene and the reason for isolation. The study concludes that even with regular IC training in hospitals, gaps have been identified in the awareness of nurses. This underscores the need for creating standardized communication plans to disseminate essential information to nurses in a timely and organized manner. Concerning patient and family education on IC, it might be enhanced by improving nurses’ awareness of IC, and at the management level by building and enhancing the culture that is based on the partnership between nurses and their patients

Nurses’ Awareness of Infection Control Measures, and the Role and Effect in Patient and Family Education

Background: Healthcare Associated Infections are serious problems in healthcare sector that threatened patient safety since decades till present. The proper adherence to infection control measures is a major factor in reducing these infections. Objectives: The objectives of this study were, to assess the level of nurses’ awareness with infection control measures in Lebanon and to determine its role in implementing patient and family education. Methodology and Results: A quantitative study was done. Questionnaires were distributed over 260 nurses, and 260 patients and family members at four well known hospitals in Lebanon. The study showed a high level of infection control awareness (81.57 %) among Lebanese nurses, and showed that Lebanese hospitals are training their nurses on IC topics (99.1 % of nurses were trained). As for patients and family members’ education, the JCI accredited hospital showed the highest level of education on infection control measures (58.3 %). Conclusion and Recommendations: The study showed that nurses who had a high awareness in infection control educated more their patients and family members on these measures than nurses with low awareness. (64.1 % and 42.1 % when educating on respiratory hygiene, p=0.013, 86.2 % and 57.9 % when educating on usage of PPE, p=0.000, 89.2 % and 68.4 % when educating on the reason for isolation, p=0.001). The major recommendations were to enhance the culture that believes in the partnership between patients, their families and healthcare providers at the hospitals level, and to include a new standard in the Lebanese Accreditation Standards that requires educating patients and family members on infection control measures at the Ministry of Public Health level

Exploring fear of childbirth in Kenya through evaluation of the readability of Wijma Delivery Expectancy/Experience Questionnaire Version A (W-DEQ-A)

David Onchonga, MPH a,* , Sahar Hammoud, MSc a , Stephen Kuriakose, BAb , Emad Ahmad Khan Muhammad, Bsc

QUALITY OF LIFE OF PATIENTS WITH SEVERE KNEE OSTEOARTHRITIS IN HUNGARY: CROSS-SECTIONAL STUDY

Introduction: Knee osteoarthritis (OA) is a chronic musculoskeletal disease that is associated with mortality, disability, and low quality of life. In Hungary, the number of patients diagnosed with severe knee osteoarthritis is dramatically increasing yearly. Objective: This study aims to assess the quality of life among patients with severe knee osteoarthritis who undergo knee replacement surgery after one month to assess their quality of life (QoL). Material and Method: Ten patients (6 female, 4 male, 70±4 years, 30.7±3.4 kg/m2) with severe knee osteoarthritis were included from an orthopedic clinic in Pécs, Hungary. The SF-36 questionnaire (Hungarian version) was used to assess QoL of the patients one month prior to knee replacement surgery. Results: The participants with severe knee OA reported allow overall average of pain (40.95%), role limitations due to physical health (42.5%), and role limitations due to emotional problems (46.7%) that reduced their QoL. In addition, there are significant differences between women and men in some domains. Women had significantly lower physical functioning and role limitations due to emotional problems than men, by 42.8% (p=0.03) and 73.3% (P=0.005), respectively. Moreover, women had a higher feeling of pain than men; however, the differences was insignificant. Conclusions: Patients with severe knee osteoarthritis have low quality of life and severe pain during daily activities. Furthermore, women with severe knee OA had significantly higher pain and lower quality of life than men due to their emotional status. Further studies with large sample sizes are needed. Received 2022 June 30; Revised 2022 July 15; Accepted 2022 July 21; Available online 2022 June 30; Available print 2022 August 30

Peri-renal adipose inflammation contributes to renal dysfunction in a non-obese prediabetic rat model: Role of anti-diabetic drugs

Diabetic nephropathy is a major health challenge with considerable economic burden and significant impact on patients’ quality of life. Despite recent advances in diabetic patient care, current clinical practice guidelines fall short of halting the progression of diabetic nephropathy to end-stage renal disease. Moreover, prior literature reported manifestations of renal dysfunction in early stages of metabolic impairment prior to the development of hyperglycemia indicating the involvement of alternative pathological mechanisms apart from those typically triggered by high blood glucose. Here, we extend our prior research work implicating localized inflammation in specific adipose depots in initiating cardiovascular dysfunction in early stages of metabolic impairment. Non-obese prediabetic rats showed elevated glomerular filtration rates and mild proteinuria in absence of hyperglycemia, hypertension, and signs of systemic inflammation. Isolated perfused kidneys from these rats showed impaired renovascular endothelial feedback in response to vasopressors and increased flow. While endothelium dependent dilation remained functional, renovascular relaxation in prediabetic rats was not mediated by nitric oxide and prostaglandins as in control tissues, but rather an upregulation of the function of epoxy eicosatrienoic acids was observed. This was coupled with signs of peri-renal adipose tissue (PRAT) inflammation and renal structural damage. A two-week treatment with non-hypoglycemic doses of metformin or pioglitazone, shown previously to ameliorate adipose inflammation, not only reversed PRAT inflammation in prediabetic rats, but also reversed the observed functional, renovascular, and structural renal abnormalities. The present results suggest that peri-renal adipose inflammation triggers renal dysfunction early in the course of metabolic disease.This study was supported by American University of Beirut Faculty of Medicine Medical Practice Plan grant #320148 granted to AFE. The funding body had no role in the design of the study or collection, analysis, and interpretation of data or in writing the manuscript

Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research

Abstract Background In recent years, patient and public involvement (PPI) in research has significantly increased; however, the reporting of PPI remains poor. The Guidance for Reporting Involvement of Patients and the Public (GRIPP2) was developed to enhance the quality and consistency of PPI reporting. The objective of this systematic review is to identify the frequency and quality of PPI reporting in patient safety (PS) research using the GRIPP2 checklist. Methods Searches were performed in Ovid MEDLINE, EMBASE, PsycINFO, and CINAHL from 2018 to December, 2023. Studies on PPI in PS research were included. We included empirical qualitative, quantitative, mixed methods, and case studies. Only articles published in peer-reviewed journals in English were included. The quality of PPI reporting was assessed using the short form of the (GRIPP2-SF) checklist. Results A total of 8561 studies were retrieved from database searches, updates, and reference checks, of which 82 met the eligibility criteria and were included in this review. Major PS topics were related to medication safety, general PS, and fall prevention. Patient representatives, advocates, patient advisory groups, patients, service users, and health consumers were the most involved. The main involvement across the studies was in commenting on or developing research materials. Only 6.1% (n = 5) of the studies reported PPI as per the GRIPP2 checklist. Regarding the quality of reporting following the GRIPP2-SF criteria, our findings show sub-optimal reporting mainly due to failures in: critically reflecting on PPI in the study; reporting the aim of PPI in the study; and reporting the extent to which PPI influenced the study overall. Conclusions Our review shows a low frequency of PPI reporting in PS research using the GRIPP2 checklist. Furthermore, it reveals a sub-optimal quality in PPI reporting following GRIPP2-SF items. Researchers, funders, publishers, and journals need to promote consistent and transparent PPI reporting following internationally developed reporting guidelines such as the GRIPP2. Evidence-based guidelines for reporting PPI should be encouraged and supported as it helps future researchers to plan and report PPI more effectively. Trial registration The review protocol is registered with PROSPERO (CRD42023450715)

Wpływ tańca na pacjentów z chorobą Parkinsona

Background. Parkinson’s disease (PD) is a neurological chronic disorder that impacts motor and non-motor functions. It has been shown that rhythmic movements reduce PD symptoms. Thus, the aim in this study was to investigate the effect of dancing on PD patients as a non-pharmacological treatment. Material and methods. A quasi-experimental, interventional, follow-up study involved 23 PD patients (average age 62.6±8.8 years): 8 patients in the intervention group (IG) and 15 in the control group (CG). SF-36 and PDQ-39 validated questionnaires were used to collect health status and quality of life (QoL) data. BBT and FSST tests were applied to measure balance and speed. Data was collected from February 2021 to January 2022. Statistical analysis was conducted by IBM SPSS. The significance level was p<0.05. Results. In SF-36, only 13.3% of the patients from the CG and 37.5% from the IG reported very good or good health. However, the difference was not significant (p=0.681). Regarding QoL, the IG had higher mobility (p=0.873), daily activities (p=0.083), well-being (p=0.082), cognition (p=0.335) and communication (p=0.811) than the CG but the results were not significant. Concerning FSST, significant balance differences were found in all trials (FSST trials) (p≤0.001, p=0.035, p≤0.001). BBT improved but not significantly. Conclusions. Dance intervention could improve PD patients’ balance according to the BBT and FSST results. Further studies are needed to prove the dance effect on health status and QoL.Wprowadzenie. Choroba Parkinsona (CP) to przewlekłe zaburzenie neurologiczne, które wpływa na funkcje motoryczne i niemotoryczne. Wykazano, że rytmiczne ruchy redukują objawy CP. Dlatego celem niniejszej pracy było zbadanie wpływu tańca na pacjentów z CP jako leczenia niefarmakologicznego. Materiały i metody. W quasi-eksperymentalnym, interwencyjnym badaniu kontrolnym wzięło udział 23 pacjentów z CP (średni wiek 62,6±8,8 lat): 8 pacjentów w grupie interwencyjnej (GI) i 15 w grupie kontrolnej (GK). Wykorzystano zwalidowane kwestionariusze SF-36 i PDQ-39 do zbierania danych dotyczących stanu zdrowia i jakości życia (QoL). Testy BBT i FSST zastosowano do pomiaru równowagi i prędkości. Dane gromadzono od lutego 2021 r. do stycznia 2022 r. Analizę statystyczną wykonano za pomocą IBM SPSS. Poziom istotności określono jako p<0,05. Wyniki. W kwestionariuszu SF-36 tylko 13,3% pacjentów z GK i 37,5% z GI zgłosiło bardzo dobry lub dobry stan zdrowia. Różnica nie była jednak istotna (p=0,681). W odniesieniu do QoL, GI wykazywała większy poziom mobilności (p=0,873), wykonywania codziennych czynności (p=0,083), dobrego samopoczucia (p=0,082), poznawczy (p=0,335) i komunikacji (p=0,811) niż GK, ale wyniki nie były istotne statystycznie. Biorąc pod uwagę test FSST, we wszystkich próbach stwierdzono znaczące różnice w zakresie równowagi (p≤0,001, p=0,035, p≤0,001). Wyniki testu BBT poprawiły się, ale nieznacznie. Wnioski. Wyniki testów BBT i FSST wskazują, że interwencja w postaci tańca mogłaby poprawić równowagę u pacjentów z CP. Konieczne są dalsze badania, aby dowieść wpływu tańca na stan zdrowia i QoL

How to Engage Health Care Workers in the Evaluation of Hospitals: Development and Validation of BSC-HCW1&mdash;A Cross-Sectional Study

Organizations worldwide utilize the balanced scorecard (BSC) for their performance evaluation (PE). This research aims to provide a tool that engages health care workers (HCWs) in BSC implementation (BSC-HCW1). Additionally, it seeks to translate and validate it at Palestinian hospitals. In a cross-sectional study, 454 questionnaires were retrieved from 14 hospitals. The composite reliability (CR), interitem correlation (IIC), and corrected item total correlation (CITC) were evaluated. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used. In both EFA and CFA, the scale demonstrated a good level of model fit. All the items had loadings greater than 0.50. All factors passed the discriminant validity. Although certain factors&rsquo; convergent validity was less than 0.50, their CR, IIC, and CITC were adequate. The final best fit model had nine factors and 28 items in CFA. The BSC-HCW1 is the first self-administered questionnaire to engage HCWs in assessing the BSC dimensions following all applicable rules and regulations. The findings revealed that this instrument&rsquo;s psychometric characteristics were adequate. Therefore, the BSC-HCW1 can be utilized to evaluate BSC perspectives and dimensions. It will help managers highlight which BSC dimension predicts HCW satisfaction and loyalty and examine differences depending on HCWs&rsquo; and hospital characteristics

Corrigendum to “Peri-renal adipose inflammation contributes to renal dysfunction in a non-obese prediabetic rat model: Role of anti-diabetic drugs” [Biochem. Pharmacol. 186 (2021) 114491] (Biochemical Pharmacology (2021) 186, (S0006295221000873), (10.1016/j.bcp.2021.114491))

We regret to report that a mistake occurred in preparation of Fig. 4. The modified figure is included below. We apologize for any confusion this might have created

Correction to: Relationship between Toxoplasma gondii seropositivity and schizophrenia in the Lebanese population: potential implication of genetic polymorphism of MMP-9

International audienceAn amendment to this paper has been published and can be accessed via the original article