Дисертації з теми "Wound care education"
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Stevenson, Patricia. "Education Plan to Empower Wound Care Nurses for Evidence-Based Practice." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6131.
Повний текст джерелаHebert, Kimberly Sanders. "Validating a Home Health Care Staff Educational Module for Wound Treatment and Documentation." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5719.
Повний текст джерелаSchmieding, Sally Renee. "Effect of written information of wound healing and self care practices in postoperative patients." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276827.
Повний текст джерелаSilva, Lúcia Marta Giunta da [UNIFESP]. "Avaliação da estrutura e processo assistencial de enfermagem na prevenção e controle da infecção de sítio cirúrgico em pacientes submetidas à cirurgia oncológica de mama." Universidade Federal de São Paulo (UNIFESP), 2009. http://repositorio.unifesp.br/handle/11600/9017.
Повний текст джерелаIntrodução: Altas taxas de infecção podem refletir a qualidade de um serviço de saúde. Considerando-se que as taxas de infecção de sítio cirúrgico (ISC) encontradas em estudos prévios no local do presente estudo variaram de 14,1% a 22%, questionou-se se a estrutura e o processo assistencial de enfermagem estariam influenciando estas taxas. Uma vez obtida esta resposta, outra indagação relacionou-se à capacidade de um programa educativo de gerar a construção de propostas ou projetos de mudanças por parte dos seus participantes, a partir e uma dinâmica que prime pela interatividade. Objetivo: Avaliar a estrutura e processo assistencial de enfermagem e um programa educativo para os enfermeiros, com o uso de estratégias educacionais interativas, para a prevenção e controle de ISC. Método: Estudo de intervenção, aprovado pelo Comitê de Ética em Pesquisa da UNIFESP sob o número 1486/07, desenvolvido em duas etapas. A primeira consistiu de um estudo observacional e de análise documental, realizado por meio de auditorias de estrutura e processo, na Unidade de Ginecologia e Setor de Oncomastologia do Hospital São Paulo (HSP), entre agosto de 2007 e março de 2008. Esta fase do estudo foi descrita no primeiro artigo que compõe o corpo desta tese. A segunda, de abordagem quali-quantitativa, foi realizada no período de outubro de 2008 a setembro de 2009 e compreende a estruturação, desenvolvimento e avaliação do projeto educacional em ambiente virtual voltado para as enfermeiras dos setores acima mencionados, para controle de ISC, baseado no Modelo Skopos e organizado a partir dos recursos do ambiente Moodle. O conjunto de dados desta etapa foi descrito nos três artigos subsequentes que compõem a tese. Resultados: A avaliação da estrutura e processo assistencial de enfermagem evidenciou que os documentos normativos estavam em consonância com o preconizado na literatura, porém, a estrutura física e os processos assistenciais dos locais pesquisados apresentavam limitações importantes com impacto negativo para o desenvolvimento dos processos assistenciais adequados à prevenção de ISC. No que se refere à estruturação e utilização de um ambiente virtual de aprendizagem na educação continuada em enfermagem, o Moodle mostrou-se valioso para estruturação de um programa educativo de enfermagem, que buscou distanciar-se do modelo de comunicação unilateral e hierárquico. A avaliação do alcance dos objetivos e da adequação dos conteúdos propostos pelo referido programa, por parte das quatro enfermeiras que participaram do processo, mostrou que as mesmas têm clareza dos benefícios e dos principais fatores limitantes atrelados aos programas educativos. E, ainda, embora novas estratégias pedagógicas, particularmente interativas, sejam bem-vindas, as profissionais preferiram os encontros presenciais para verbalização e organização das reflexões. Finalmente, a aplicação das ferramentas HFMEA® e diagrama de Ishikawa possibilitou a análise de quatro processos assistenciais de enfermagem e seus modos de falha: 1) Agendar cirurgia via Setor de Oncomastologia; 2) Fluxo de Admissão e Alta de Paciente Cirúrgico na Unidade de Internação de Ginecologia; 3) Realização de Procedimentos Cirúrgicos Ambulatoriais; 4) Retorno Ambulatorial de Pacientes Cirúrgicos. Possibilitou, ainda, a elaboração de ações de melhoria que foram iniciadas a partir das discussões realizadas no programa. Conclusões: Os resultados do estudo evidenciaram a necessidade de revisão do processo assistencial de enfermagem e adequação da estrutura, a fim de que os padrões de prevenção e controle da ISC fossem atendidos. Em relação ao programa educativo, a experiência de uso de tecnologia educacional na instituição em questão mostrou-se factível e propiciou a reflexão conjunta sobre a situação-problema vivenciada, bem como a proposta de ações para sua solução. Porém, como todo processo inovador, há uma trajetória a ser construída para que os enfermeiros habituados ao estilo expositivo, presencial e focado em objetos previamente determinados, sejam capazes de se beneficiarem de estratégias interativas, colaborativas e baseadas em projetos.
Introduction: High rates of infection can reflect low health service quality. The fact that previous studies performed at the same location of the present study found surgical site infection rates (SSI) ranging from 14.1% to 22% raised questions about the possibility of the nursing care structure and process to affect those rates. After obtaining this first answer, another question emerged, concerning the capacity of an inservice training program be able to encourage the participants, by means of an interactive dynamics, to develop proposals or projects from making changes. Objectives: To evaluate nursing care structure and process in preventing and managing SSI; and evaluate an inservice training program for nurses involved in the context of the identified problems, using interactive educational strategies aiming at the prevention and control of this complication. Method: This intervention study was approved by the UNIFESP Research Ethics Committee under register 1486/07, and was developed in two stages. The first stage consisted of and observation and analysis study, performed by means of inspections of the structure and process at the Gynecology Oncomastology Units at Hospital São Paulo (HSP), between August 2007 and March 2008. This stage was described in the first article that composes this dissertation. The second stage used a quali-quantitative approach and was performed from October 2008 to September 2009. It consisted of the structure, development, and evaluation of the educational project in a virtual environment for the Training Program at Work for nurses of the referred hospital units, in SSI control, based on the Skopos Model, and organized based on the resources of the Moodle environment. The data regarding this stage was described in the three subsequent articles that comprise the dissertation. Results: The evaluation of the nursing care structure and process showed that the normative document were in agreement with the literature; however, the physical structure and the nursing care processes of the studied locations presented important limitations, which had a negative impact on the development of adequate health care processes to prevent SSI. In terms of the structure and use of a virtual learning environment in continuing nursing education, Moodle showed to be valuable in structuring a nursing training program, which sought to stand apart from a unilateral and hierarchical communication model. The evaluation of goal achievement and content adequacy of the referred program was performed by four nurses who participated in the process. The nurses found that the program presents clear benefits and the main limiting factors associated with inservice training. In addition, although new educational strategies, particularly if interactive, are welcome, the professionals preferred in-person meetings. Finally, using the HFMEA® and the Ishikawa diagram permitted to analyze four nursing care processes and their forms of failure: 1) scheduling a surgery through the Oncomastology Unit; 2) Surgery Patient Admission and Discharge Flow at the Gynecology Hospitalization Unit; 3) Performing Outpatient Surgical Procedures; 4) Outpatient Return Appointments for Surgery Patients. In addition, it was possible to make a list of improvement actions that were initiated based on the discussions held during the training program. Conclusions: The study results evidenced the need to review the nursing care process and to make the structure adequate with a view to meet the standards for SSI prevention and control. As for the inservice training program, the experience of using educational technology at the referred institution was feasible and provided the chance for group analyses about the problematic situation, as well as the proposal of actions for its solution. However, just as any innovative process, there is a pathway to be constructed so that nurses, who are used to training programs that are expositive, performed on-site and focused on previously determined objectives become capable of benefiting from interactive, collaborative, and project-based strategies.
TEDE
Brown, Jackson Tiffany L. "Knowledge and attitudes of Ball State University pre-service elementary education teachers toward emergency care in the school setting." CardinalScholar 1.0, 2009. http://liblink.bsu.edu/uhtbin/catkey/1538077.
Повний текст джерелаDepartment of Physiology and Health Science
Uwins, Janet. ""I would question my role if I felt that mothering wasn't a part of it" : mother practitioners' empathetic contributions to Early Childhood Education and Care." Thesis, University of Sheffield, 2015. http://etheses.whiterose.ac.uk/12050/.
Повний текст джерелаNjoki, Emmah. "Health promotion needs of youth with physical disabilities with specific reference to spinal cord injury in the Western Cape -- South Africa." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&.
Повний текст джерелаStack, Jessica Danielle. "The effects of glove fit on task performance and on the human operator." Thesis, Rhodes University, 2010. http://hdl.handle.net/10962/d1005197.
Повний текст джерелаAlto, Lucio de Sousa Monte. "Análise do impacto do Programa ATLS (R) (Advanced Trauma Life Support (R)) no atendimento do traumatizado em cidade de pequeno porte no Brasil." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/5/5159/tde-04042008-154357/.
Повний текст джерелаIntroduction: the ATLS Program was developed in U.S.A. in the decade of 70, aiming to provide a standardized method for initial evaluation and management of the trauma patient for the doctors that work at the emergency room. Today, despite the success and of its ample international dissemination, the impact of the benefits of the Program on trauma care has not been wide scientifically proven. Objectives: the objective of this study is to analyze the effectiveness of the ATLS Program in the management of trauma patients in a small size city of Brasil, studying the real impact on the mortality index, the time of hospital stay and the accomplishment of determined diagnostic and therapeutic procedures. Methods: starting on January 01, 2003 and ending on December 31, 2005, 240 trauma victims were studied at the university hospital of a small size city of Brasil, with RTS (Revised Trauma Score) < 6.62, subdivided in two samples: group pre-ATLS (120 patients) - when there was no specific protocol for trauma care, and group post-ATLS (120 patients) - after the implementation of the program. Results: It had statistical significant difference in mortality, with average reduction of 17% in the group post-ATLS. Also it was evidenced, in the group after-ATLS, statistical significant increase of mortality after 24 hours of the arrival of the patient to the hospital. Concerning the length of hospital stay, there was no statistical significant difference between the groups. Conclusion: the implementation of the ATLS program reduced the index of global mortality certifying effectiveness in the management of the trauma patient.
Chen, Yen-Chin, and 陳豔晴. "The Effectiveness of a Health Education in Wound Self-care of Emergency Traumatic Patients." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/28133892363061864204.
Повний текст джерела中國醫藥大學
護理學系碩士班
98
Aim: The purpose of study is to explore the effectiveness of wound self-care program for emergency traumatic patient in Taiwan. Methods: The study is a quasi-experimental design by using two groups posttest. Random sampling was used to recruit participants in emergency department at a level one medical center hospital in a central district of Taiwan. A total of 178 participants were recruited, 89 participants in each groups. A 20-minuet of Wound Self-care Health Education was given in the experimental group. The health program included the oral description, demonstration, practice of wound care, education sheet, and resources of wound self-care while regular service was given in control group . A questionnaire was used to evaluate the effectiveness of the program after 2-3 days as patient followed up in the out-patient department. Results: After Wound Self-care Program, the knowledge, skills of wounds self-care, the satisfaction of health education in experimental group are better than the control group (p <.05). Wound infection rate in experimental group (9%) is lower than control group (20.2%), and statistically significant (p <.05). Education, age, wound with foreign body are significantly correlate with wound infection (p <.05). Age is related to the knowledge of wound self-care (p <.05). Wound with foreign body and the location of wound relate with skills of wound self-care (p <.05). The knowledge and skills of wounds self-care, and the satisfaction of health education are positive related to each other, revealing the better care knowledge, better care skills, and better satisfaction. Skills of wounds self-care and wound with foreign body are the major predictors of wound infection. Conclusions: The Wound Self-care Health Education could increase the knowledge and skill of wound self-care, satisfaction of health care education, and reduce the rate of wound infection. Wound care requites technical knowledge, thus, practical demonstration of teaching and practice is more effectiveness for patient’s wound self-care. A appropriated health resources with cartoon illustrations and mnemonics care process can improve the patients’ motivation and self-care effectiveness.
KANG, FANG-YU, and 康芳瑜. "Effectiveness of An Interactive Multimedia Education Program for Wound Care , Pain Relief, Infection, and Anxiety in Patients With External Skeletal Pins:Randomized Controlled Trial." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/9p83bb.
Повний текст джерела國立臺北護理健康大學
護理研究所
107
Background: According to the statistics by the Ministry of Health and Welfare (MOHW), the number of patients with orthopedic disease accounts for 31.3% of the total patient number of inpatients and outpatients combined; among which, bone fracture accounts for 18.5%. An external fixator is one of the treatments for bone fracture. In the past decade, the infection rate of using external fixator was between 5-15%, which was mainly due to improper care after returning home from surgery. As we live in an era of information development, diversified health care educational videos are now offered by the health care system. Not only can it be used for repeatedly educational purposes, but is also cost effective for hospitals and enhances satisfaction and convenience for the patients’ families. The work load of clinical care has increased as medical system becomes more complicated than before. Therefore, health care educational videos are being developed to replace the traditional health education instructions for the patients’ benefit. Purpose: The purpose of this research is to discuss the effectiveness of the Interactive Multimedia Education Program (IMEP) on patients returning home from external fixation treatment, in terms of the controlling of wound care, pain, infection rate and anxiety. Method: Adopting the randomized controlled trial research design, the trial was conducted in a regional university hospital located in northern Taiwan. The subjects for the trial were patients under external fixation treatment, who are randomly assigned to experiment and control groups. Patients in the experiment group are taught with traditional health education while also watching Interactive Multimedia Education Program videos. Traditional health education is conducted in an one-on-one format by the researcher, with the demonstrations and responds to the demonstration as feedback. The health education video has a total playback time of 15 minutes, inclusive of 5 interactive questions on wound care knowledge instructed by the researcher. Finally, the patients are provided the QR Code to the health education video before they return home. The control group is given traditional health education solely, with nurses handing out A4 double sided health education sheets and conducting health education teaching through verbal education, teaching patients about wound dressing procedures. The tool for this research is a structured survey, with its content including demographic attributes (social demography and relevant medical information), external fixation cognitive scale for home-use and visual analog and situational anxiety scale, which are tested 2 days, 7 days, 14 days, 28-42 days after the surgery for the comparison on the efficacy of both experiment group and control group on the aspects of would care knowledge, pain level, infection rate and situational anxiety. Results: Generally, patients under external fixation treatment showed significant difference on the results of efficacy after taking the IMEP. In terms of wound care knowledge, the experiment group outscored the control group on average during the post-test, with an increasing score of 0.48 after each post-test. In terms of pain level, significant difference was found between the 14th day after the fourth post-test and on the 42nd day after the fifth post-test, showing that the experiment group has lower pain level than the control group on average, with a decreasing score of 0.87 for both groups after each post-test; Judging by the wound type on both groups the 2nd day and the 14th day after the surgery, a significant difference was shown, the experiment group has more dried wound that the control group, while more skin redness appeared in the control group than the experiment group; In terms of infection rate, both group saw no significant difference, total number of patients infected in the experiment group and control group was 1:2, with a total infection rate of 4.76%. As for anxiety, both groups taking the IMEP showed significant difference in each post-test, with the experiment group scoring lower than the control group, decreasing 2.3 by score for each post-test. Conclusion: IMEP is an easy, conductible educational method with theoretical basis, applicable to health education of all ages and disease types. Confirmed by this research, the IMEP promotes wound care knowledge, reduces wound pain, results in dried wound and lowers anxiety level for patients under external fixation treatment. Therefore, it is recommended for clinical care workers to apply for health education purposes, in order to enhance medical care proficiency.
FRANKOVÁ, Šárka. "Ošetřovatelská péče o rány v Namibii, Irsku a České republice." Master's thesis, 2015. http://www.nusl.cz/ntk/nusl-188720.
Повний текст джерелаLIN, CHAIR-HUA, and 林佳樺. "Investigation of Learning Effectiveness of SICU Nurses in Wound Care Before and After The Interactive Multimedia DVD Education Intervention in a Medical Center of Central Taiwan." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/6d5k53.
Повний текст джерела中臺科技大學
護理系碩士班
106
The purpose of this study was to investigate the effectiveness of wound dressing change knowledge, self-efficacy and state-trait anxiety Inventory for SICU registered nurses by multimedia teaching. In this study, one single group was designed as pre-test and post-test by convenient sample.The registered nurses in SICU of a medical center in midland Taiwan were recruited.The date collection were conducted from October to November.Total 55 questionnaires were valid ,and 96.5% of all was completed. After completing to fill in the consent,the researcher conducted the pretest for SICU subjects.Then, multimedia teaching about wound changing dressing was performed .One month later the subjects receired the post-test. The data collected were statistically analyzed by using SPSS 20.0 package software as inferential statistics, including Chi-square test , Wilcoxon signed-rank test and, Mann-Whitney U test and regression analysis . In this study, we found that multimedia teaching intervention related with high score of the general surgical wound dressing knowledge and situational anxiety, trait anxiety with low score. The scores in post-test of wound dressing self-efficacy were lower. After intervention in multimedia teaching, significant differences in the scores of dressing change self-efficacy and trait anxiety was found in the staffs with level N0 nurses without wound education. According to the results of the study, nursing attendants receive training in wound education improve their knowledge of the wound dressing, self-efficacy and situational characteristics. The results of this study stressed the educational strategy for new caregivers who need to implement a multimedia approach to wound dressing change. Therefore, the strategies of new nursing education and training should include the wound dressing multimedia teaching in future. It is not only enhance the integrity of the postoperative wound care, but also improve the nursing skills, ensure the patient's quality of care, and enhance the ability of nursing care.
CHING-YI, PAN, and 潘靜怡. "A Study of Educational & Training Needs Assessment of Chronic Wound Care Competencies for Vocational and Technical Nurse Students." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/529zjg.
Повний текст джерела國立臺北護理健康大學
醫護教育研究所
105
The objective of this study was to examine the training needs of the chronic wound care ability for the nursing students. A cross-sectional design was used. Data were collected using a self administered questionnaire— job capability assessment tool, and the CVI was 0.925 . The sample consisted of purposeful sampling from the first-year students of the 2-year Bachelor degree program in a techology college. A total of 125 valid questionnaires were obtained.The response rate was 84.5%. The research findings reveal that (1) incorrect rate of the chronic wound care ability learning-prerequisite was 48% and the chronic wound care ability learning-prerequisite have to be strengthened. (2) The passing rate of chronic wound care ability was 88% and the chronic wound care ability could be improve by the training program. (3) The correct rate of the chronic wound care ability items were less than 60%, which includes 6 chronic wound care ability learning-prerequisite items and 2 chronic wound care ability items. The chronic wound care program needs to put these items into the nursing student training course. The study was evaluated the correct rate of the chronic wound care ability for the freshman of nursing students. These results could be used as a reference to the nursing teachers to know how to arrangement the teaching resources and learning strategies.
HOU, YA-PING, and 侯雅萍. "The Effects of Educational Program using Mobile Application(APP) on Pre-Discharge Knowledge, Skills and Anxiety of Wound Care." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/89173645209347458476.
Повний текст джерела輔英科技大學
護理系碩士班
105
Background: Wound care is a major stress to patients or their primary caregivers no matter what their size of wound may be. Knowledge and skills of wound care would affect their willing and determination to perform the wound care as well as affect their self-care ability on wound care after discharge. Many patients and their primary caregivers are afraid of performing wound care incorrectly and lead to developing anxiety which, in turn, affects the learning outcome of wound care. Thus, the purpose of this study was to explore the effects of patient education applications (APP) on self-care of wound before discharging from the hospital. Aims: This research used the self-regulation theory to design patient education on wound care with Mobile Applications in comparison of routine patient education on knowledge, skills and anxiety of on wound care. Research Methods: A single-blinded experimental research design was used. The study recruited patients from the Department of Plastic Surgery at a Medical Center Hospital in Southern Taiwan. A total of 70 participants were randomized to each group for 35 people, the control group receiving the oral patient education and the experimental group receiving patient education using mobile applications. Both groups collected data using “Wound Care Knowledge Scale,” “Wound Care Skills Scale,” “State Trait Anxiety Inventory,” “Visual Analogue Scale” and “Heart Rate Variability” at three phases, including before the intervention (T1), after 3 times of intervention (T2), and before discharge from hospital (T3). The SPSS 22.0 for Windows was used for statistics analyses. Results: The major findings indicated that the scores of knowledge and skills on wound care were improved after receiving patient education for both the experimental and control group. The findings revealed that both oral education and education Applications (APP) had a positive effect on the knowledge and skills of the Wound Care. The change degree of knowledge, skills and anxiety of wound care for experimental group was significantly improved than the control group (p < .05). Conclusion: The Mobile Applications (APP) for patient education has promoted the knowledge, skills on the Wound Care and reduced the anxiety of wound care which can not only serves as the individual nursing education but also provide as a reference for nurses when planning the patient education in clinical settings. In recent years, the popularity of smart healthcare and mobile devices has helped us develop and design the interactive healthcare platform to provide the quality and ability of a continuing care after discharging from the hospital for patients and reduce the numbers of return visits and rates of unexpected readmission.