14 research outputs found
Sykepleierenes egenvurderte faktorer som pÄvirker deres kompetanse i Ä bruke og vurdere forskningsbasert kunnskap i kommunehelsetjenesten: En tverrsnittstudie
In order to achieve quality of care and patient safety, it is important that nurses use research evidence in practice. Recent research indicates that nurses feel that they do not have the necessary competencies to implement research evidence in practice. This study aims to examine nurses self assessed factors influencing nurses competence in assessing and appraise research evidence in community health care. Cross-sectional data was collected from 41 nurses during the period May 8 to August 8, 2019, using the Norwegian version of Developing Evidence-based Practice questionnaire (DEBP). The results suggests that nurses with full employment are more likely to use research evidence to change practice. Younger nurses with less than 10 years of experience reported higher competence in appraising research evidence.For Ä oppnÄ kvalitet og pasientsikkerhet er det viktig at sykepleieren bruker forskningsbasert kunnskap i praksis. Nyere forskning antyder at sykepleiere opplever Ä ikke ha nÞdvendig kompetanse i Ä implementere forskningskunnskap i arbeidet. I denne studien Þnsker vi Ä undersÞke sykepleierenes egenvurderte faktorer som pÄvirker deres kompetanse i Ä bruke og vurdere forskningsbasert kunnskap i kommunehelsetjenesten. Tverrsnittdata ble innsamlet fra 41 sykepleiere I perioden 8. mai til 8. august 2019 gjennom den norske versjonen av Developing Evidence based Practice Questionnaire (DEBP). Resultatene fra studien tyder pÄ at det er stÞrre sjanse for at sykepleiere med full stillingsprosent benytter forskningskunnskap for Ä endre praksis. Yngre sykepleiere med mindre enn 10 Ärs erfaring ser ut til Ä ha betydelig stÞrre sjanse for Ä vurdere seg som kompetent til Ä vurdere forskningsbasert kunnskap.
Compliance of Recommendations from Health Professionals and Knowledge about Their Own Disease among Heart Failure Patients, 2000
The purpose of this survey was to gain more knowledge about patient's compliance of health professional's recommendations and based on this be better at giving guidance and recommendations to patients. The following research questions were developed in order to describe compliance among heart failure patients when it comes to the recommended factors; diet and diuretic medications; 1) How heart failure patients comply recommendations about diet and diuretic medications that were given to them by health professionals. 2) Which alternative factors that influence heart failure patient's compliance
Lifestyle Changes in Diet and Physical Activities after Group Education for Type 2 Diabetes : The Active Ingredient in the Education. A Qualitative Study
Background: Diabetes self-management education (DSME) for patients with type 2 diabetes requires efficient teaching methods that make patients want to change lifestyle in terms of their diabetes. The study looks at what may be the active ingredient in this DSME. Objective: To explore how participants in DSME, with an interactive learning method, experienced changes in relation to diet and physical activity. Method: We studied possible changes in diet and physical activity by semi-structured individual interviews of 16 participants attending DSME. Results: Before the DSME, the participants felt insecure about what to eat, and they expressed little interest in changing their physical activity. Just after the DSME, they were more optimistic about diet because they had learned how to interpret food labels and compose their meals. Furthermore, they had experienced the benefit of physical activity in relation to their blood glucose levels. Behavior changes appeared to persist the following half year. We discuss the findings in light of the principles of interactive learning. The participants experienced an effect of their behavior changes, and blood glucose measurement was used as a tool to gain control and reach a state of well-being. Conclusion: From being insecure about what to eat, the patients acquired knowledge to handle their diet through the DSME. They learned how to compose their meals and use physical activity to regulate their blood glucose. We suggest that the interactive learning used in the DSME was an active ingredient that led to changes in behavior and should be considered as an educational method in DSME for patient with type 2 diabetes
Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis
Background Diabetes self-management education (DSME) can be delivered in many forms. Group based DSME is widespread due to being a cheaper method and the added advantages of having patient meet and discuss with each other. assess effects of group-based DSME compared to routine treatment on clinical, lifestyle and psychosocial outcomes in type-2 diabetes patients.
Methods A systematic review with meta-analysis. Computerised bibliographic database were searched up to January 2008 for randomised controlled trials evaluating group-based DSME for adult type-2 diabetics versus routine treatment where the intervention had at least one session and =/>6âmonths follow-up. At least two reviewers independently extracted data and assessed study quality.
Results In total 21 studies (26 publications, 2833 participants) were included. Of all the participants 4 out of 10 were male, baseline age was 60âyears, BMI 31.6, HbA1c 8.23%, diabetes duration 8âyears and 82% used medication. For the main clinical outcomes, HbA1c was significantly reduced at 6âmonths (0.44% points; Pâ=â0.0006, 13 studies, 1883 participants), 12âmonths (0.46% points; Pâ=â0.001, 11 studies, 1503 participants) and 2âyears (0.87% points; Pâ<â0.00001, 3 studies, 397 participants) and fasting blood glucose levels were also significantly reduced at 12âmonths (1.26âmmol/l; Pâ<â0.00001, 5 studies, 690 participants) but not at 6âmonths. For the main lifestyle outcomes, diabetes knowledge was improved significantly at 6âmonths (SMD 0.83; Pâ=â0.00001, 6 studies, 768 participants), 12âmonths (SMD 0.85; Pâ<â0.00001, 5 studies, 955 participants) and 2âyears (SMD 1.59; Pâ=â0.03, 2 studies, 355 participants) and self-management skills also improved significantly at 6âmonths (SMD 0.55; Pâ=â0.01, 4 studies, 534 participants). For the main psychosocial outcomes, there were significant improvement for empowerment/self-efficacy (SMD 0.28, Pâ=â0.01, 2 studies, 326 participants) after 6âmonths. For quality of life no conclusion could be drawn due to high heterogeneity. For the secondary outcomes there were significant improvements in patient satisfaction and body weight at 12âmonths for the intervention group. There were no differences between the groups in mortality rate, body mass index, blood pressure and lipid profile.
Conclusions Group-based DSME in people with type 2 diabetes results in improvements in clinical, lifestyle and psychosocial outcomes
Introducing Videoconferencing on Tablet Computers in NurseâPatient Communication: Technical and Training Challenges
Background. This article examines personnel and patient experiences of videoconferencing (VC) trials on tablet computers between oncology certified nurses (OCNs) and patients with cancer who live at home. The study points to organizational pitfalls during the introduction process. In many different arenas, the use of VC has increased recently owing to improved Internet access and capacity. This creates new opportunities for contact between patients living at home and their nurses. Video conferencing presupposes knowledge about Internet access, training, and usability of technological equipment. The aim of this pilot study was to illuminate patientsâ and nursesâ experiences of the technical functionality, usability, and training of tablet use in VC in primary cancer care. The results point to the drawbacks concerning the introduction of VC. Method. A pilot study with an explorative design was used to describe patientsâ and OCNsâ experiences of technical functionality and usability of VC on tablet computers. After a three-month trial, data were gathered, focusing on both patientsâ and nursesâ perspectives. Individual interviews with four female OCNs, aged 32â65 (mean 46), and six patients with cancer, two men and four women aged 49â78 (mean 69), were content-analyzed. Results. The analysis revealed two main categories: network connectivity and tablet usability and training and educational pitfalls. Conclusion. When planning VC implementation, the organizational leadership should consider network access and stability, as well as individualized VC training on tablets. Ensuring patient safety should also be a priority. Further research should provide knowledge of technological and educational pitfalls, and possible implications of VC on the care quality of nursing
Evaluering av fagplan 2010 - 2013 Sykepleie, bachelorgradsstudium
Omorganisering av helsefagavdelingen ved studiested Namsos og sykepleierutdanningen i Levanger til en avdeling, ble vedtatt i HĂžgskolen i Nord-TrĂžndelag (HiNT) 22.02.2007. Dette var bakgrunn for en ny felles fagplan for sykepleierutdanningen i HiNT. Fagplan 2010-2013 Sykepleie, bachelorgradsstudium ble godkjent i styret ved HiNT 26.03.2010. HĂžsten 2012 ble det belsuttet Ă„ evaluere og revidere denne fagplanen. Arbeidsnotatet skulle danne grunnlag for revidering av Fagplan 2010-201
Evaluering av fagplan 2010 - 2013 Sykepleie, bachelorgradsstudium
Omorganisering av helsefagavdelingen ved studiested Namsos og sykepleierutdanningen i Levanger til en avdeling, ble vedtatt i HĂžgskolen i Nord-TrĂžndelag (HiNT) 22.02.2007. Dette var bakgrunn for en ny felles fagplan for sykepleierutdanningen i HiNT. Fagplan 2010-2013 Sykepleie, bachelorgradsstudium ble godkjent i styret ved HiNT 26.03.2010. HĂžsten 2012 ble det belsuttet Ă„ evaluere og revidere denne fagplanen. Arbeidsnotatet skulle danne grunnlag for revidering av Fagplan 2010-201
Introducing Videoconferencing on Tablet Computers in NurseâPatient Communication: Technical and Training Challenges
Making and Maintaining Lifestyle Changes after Participating in Group Based Type 2 Diabetes Self-Management Educations: A Qualitative Study
Background:
Disease management is crucial in type 2 diabetes. Diabetes self-management education aims to provide the knowledge necessary to make and maintain lifestyle changes. However, few studies have investigated the processes after such courses. The aim of this study was to investigate how participants make and maintain lifestyle changes after participating in group-based type 2 diabetes self-management education.
Methods:
Data was collected through qualitative semi-structured interviews with 23 patients who attended educational group programs in Central Norway. The participants were asked how they had used the advice given and what they had changed after the course.
Results:
Knowledge was essential for making lifestyle changes following education. Three factors affected whether lifestyle changes were implemented: obtaining new knowledge, taking responsibility, and receiving confirmation of an already healthy lifestyle. Four factors motivated individuals to maintain changes: support from others, experiencing an effect, fear of complications, and the formation of new habits.
Conclusion:
Knowledge was used to make and maintain changes in diet, medication and physical activity. Knowledge also acted as confirmation of an already adequate lifestyle. Knowledge led to no changes if diabetes appeared ânot that scaryâ or if changes appeared too time consuming. Those involved in diabetes education need to be aware of the challenges in convincing asymptomatic patients about the benefits of adherence to self-management behaviour