Background: Assessment is fundamental to medical education, driving student learning and ensuring that key objectives are met. Formative assessment, in particular, serves as both an instructional strategy and an assessment tool, aiding in the consolidation of learning. Objective: The objective of this narrative review was to examine the implementation of formative assessment in medical education, with a focus on its role in fostering deep learning, enhancing learning outcomes, and preparing students for real-world clinical challenges. Methods: This narrative review synthesized existing evidence on formative assessment in medical education. The authors employed a systematic approach to identify relevant literature using search strings such as "formative assessment in medical education" and "assessment for learning." Databases searched included PubMed, MEDLINE, Scopus, and the Cochrane Library. Inclusion criteria were studies examining formative assessment practices in medical education, while exclusion criteria included studies focusing solely on summative assessment or unrelated to medical education. Results: The findings highlighted the effectiveness of formative assessment in promoting deep learning, providing feedback, and addressing learning difficulties. Bloom's concept of mastery learning underscored the importance of diagnosing learning difficulties through formative evaluations. Consistent low scores on assessments were attributed to various factors, which were effectively addressed through weekly formative assessments. The review emphasized the need for formative assessment in medical education, balanced with summative assessment, while acknowledging challenges related to faculty training, resource limitations, and cultural emphasis on summative assessment. Conclusion: Balanced implementation of formative and summative assessments in medical education enhances learning outcomes, promotes intrinsic motivation, and ensures that future healthcare professionals are well-prepared, ultimately contributing to improved healthcare outcomes and patient experiences.
{"title":"Implementation of Formative Assessment ‘for’ Learning: A Review","authors":"Qurratulain Mushtaq, Pakeeza Aslam, Fraz Noor, Tamknat Ilyas, Sania Maqbool, Junaid Sarfraz","doi":"10.61919/jhrr.v4i2.843","DOIUrl":"https://doi.org/10.61919/jhrr.v4i2.843","url":null,"abstract":"Background: Assessment is fundamental to medical education, driving student learning and ensuring that key objectives are met. Formative assessment, in particular, serves as both an instructional strategy and an assessment tool, aiding in the consolidation of learning.\u0000Objective: The objective of this narrative review was to examine the implementation of formative assessment in medical education, with a focus on its role in fostering deep learning, enhancing learning outcomes, and preparing students for real-world clinical challenges.\u0000Methods: This narrative review synthesized existing evidence on formative assessment in medical education. The authors employed a systematic approach to identify relevant literature using search strings such as \"formative assessment in medical education\" and \"assessment for learning.\" Databases searched included PubMed, MEDLINE, Scopus, and the Cochrane Library. Inclusion criteria were studies examining formative assessment practices in medical education, while exclusion criteria included studies focusing solely on summative assessment or unrelated to medical education.\u0000Results: The findings highlighted the effectiveness of formative assessment in promoting deep learning, providing feedback, and addressing learning difficulties. Bloom's concept of mastery learning underscored the importance of diagnosing learning difficulties through formative evaluations. Consistent low scores on assessments were attributed to various factors, which were effectively addressed through weekly formative assessments. The review emphasized the need for formative assessment in medical education, balanced with summative assessment, while acknowledging challenges related to faculty training, resource limitations, and cultural emphasis on summative assessment.\u0000Conclusion: Balanced implementation of formative and summative assessments in medical education enhances learning outcomes, promotes intrinsic motivation, and ensures that future healthcare professionals are well-prepared, ultimately contributing to improved healthcare outcomes and patient experiences.","PeriodicalId":507812,"journal":{"name":"Journal of Health and Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Erectile dysfunction (ED) is notably prevalent among patients with type 2 diabetes mellitus (T2DM), especially those suffering from peripheral neuropathy. The condition significantly impacts the quality of life and is often exacerbated by diabetes-related complications. Objective: This study aims to ascertain the frequency and severity of ED among patients with T2DM and peripheral neuropathy, and to examine the association between ED and variables such as age, duration of diabetes, and glycemic control. Methods: A prospective cohort study was conducted at the Baqai Institute of Diabetology and Endocrinology, Karachi, from July 2021 to September 2022. We included 115 male patients aged 35-65 years with T2DM and diagnosed peripheral neuropathy. ED was assessed using the Urdu version of the International Index of Erectile Function-5 (IIEF-5) questionnaire. Demographic details, medical history, and laboratory results were collected and analyzed using SPSS version 25. Statistical tests included chi-squared and one-way ANOVA, with a significance level set at p<0.05. Results: The mean age of the participants was 50.97 ± 7.21 years, and the average duration of diabetes was 9.37 ± 6.56 years. The mean IIEF-5 score was 14.33 ± 6.0, indicating moderate ED. Severe ED was observed in 20% of the participants, moderate ED in 19.1%, and mild to moderate ED in 28.7%. The study found a significant association between the duration of diabetes and ED severity (p < 0.001), while age and HbA1c levels did not show a significant correlation with ED status. Conclusion: ED is highly prevalent and severe among patients with T2DM and peripheral neuropathy, with disease duration being a significant predictor of ED severity. These findings underscore the need for early screening and targeted interventions in this population.
背景：勃起功能障碍（ED）在2型糖尿病（T2DM）患者中非常普遍，尤其是那些患有周围神经病变的患者。勃起功能障碍严重影响患者的生活质量，糖尿病相关并发症往往会加重病情：本研究旨在确定 T2DM 和周围神经病变患者发生 ED 的频率和严重程度，并探讨 ED 与年龄、糖尿病病程和血糖控制等变量之间的关系：一项前瞻性队列研究于 2021 年 7 月至 2022 年 9 月在卡拉奇 Baqai 糖尿病与内分泌研究所进行。我们纳入了 115 名年龄在 35-65 岁之间、患有 T2DM 并确诊为周围神经病变的男性患者。采用乌尔都语版的国际勃起功能指数-5（IIEF-5）问卷对ED进行评估。使用 SPSS 25 版收集并分析了人口统计学细节、病史和实验室结果。统计检验包括卡方检验和单因素方差分析，显著性水平设定为 p<0.05：参与者的平均年龄为（50.97±7.21）岁，平均糖尿病病程为（9.37±6.56）年。IIEF-5 平均得分为（14.33±6.0）分，显示为中度 ED。20%的参与者出现严重ED，19.1%的参与者出现中度ED，28.7%的参与者出现轻度至中度ED。研究发现，糖尿病病程与 ED 严重程度之间存在明显关联（p < 0.001），而年龄和 HbA1c 水平与 ED 状况没有明显关联：结论：在患有 T2DM 和周围神经病变的患者中，ED 的发病率高且严重，病程是预测 ED 严重程度的重要因素。这些发现强调了对这一人群进行早期筛查和有针对性干预的必要性。
{"title":"Frequency of Erectile Dysfunction in Patients with Type 2 Diabetes Mellitus Presenting with Peripheral Neuropathy at a Tertiary Care Hospital","authors":"Sarmad Ali, M. Riaz, Abdul Basit","doi":"10.61919/jhrr.v4i2.778","DOIUrl":"https://doi.org/10.61919/jhrr.v4i2.778","url":null,"abstract":"Background: Erectile dysfunction (ED) is notably prevalent among patients with type 2 diabetes mellitus (T2DM), especially those suffering from peripheral neuropathy. The condition significantly impacts the quality of life and is often exacerbated by diabetes-related complications.\u0000Objective: This study aims to ascertain the frequency and severity of ED among patients with T2DM and peripheral neuropathy, and to examine the association between ED and variables such as age, duration of diabetes, and glycemic control.\u0000Methods: A prospective cohort study was conducted at the Baqai Institute of Diabetology and Endocrinology, Karachi, from July 2021 to September 2022. We included 115 male patients aged 35-65 years with T2DM and diagnosed peripheral neuropathy. ED was assessed using the Urdu version of the International Index of Erectile Function-5 (IIEF-5) questionnaire. Demographic details, medical history, and laboratory results were collected and analyzed using SPSS version 25. Statistical tests included chi-squared and one-way ANOVA, with a significance level set at p<0.05.\u0000Results: The mean age of the participants was 50.97 ± 7.21 years, and the average duration of diabetes was 9.37 ± 6.56 years. The mean IIEF-5 score was 14.33 ± 6.0, indicating moderate ED. Severe ED was observed in 20% of the participants, moderate ED in 19.1%, and mild to moderate ED in 28.7%. The study found a significant association between the duration of diabetes and ED severity (p < 0.001), while age and HbA1c levels did not show a significant correlation with ED status.\u0000Conclusion: ED is highly prevalent and severe among patients with T2DM and peripheral neuropathy, with disease duration being a significant predictor of ED severity. These findings underscore the need for early screening and targeted interventions in this population.","PeriodicalId":507812,"journal":{"name":"Journal of Health and Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141002570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hafiza Sana Liaqat, Mian Muhammad Waqas, Summera Hina, Ezza Mahmood
Background: Workplace bullying is characterized by unpleasant and unethical behavior, which can manifest directly or indirectly, affecting individuals' mental health. Insomnia is also a known consequence of workplace bullying, which can lead to depression. Objective: To explore the association between workplace bullying, insomnia, and depression among employees in Lahore, and to determine the mediating role of insomnia in the relationship between workplace bullying and depression. Methods: This study employed a correlational research design with a purposive sample of 200 employees, both male and female, from Lahore, Pakistan. Data were collected using a demographic form, a 21-item Workplace Bullying Scale, the Insomnia Severity Index (ISI), and the Depression, Anxiety, and Stress Scale-21 (DASS-21). The study followed the principles outlined in the Declaration of Helsinki, and statistical analysis was conducted using SPSS version 25, including descriptive statistics, correlation analysis, and regression analysis. Results: The mean score for workplace bullying was 42.54 (SD = 15.8), for insomnia was 9.88 (SD = 6.26), and for depression was 18.97 (SD = 13.69). There were significant positive correlations between workplace bullying, insomnia, and depression, with correlation coefficients of 0.53, 0.62, and 0.61, respectively (all p < 0.01). Both workplace bullying (B = 0.36, p < 0.001) and insomnia (B = 0.84, p < 0.001) were significant predictors of depression. Insomnia also mediated the relationship between workplace bullying and depression, with an indirect effect of 0.1714 (95% CI: 0.1105, 0.2393). Conclusion: Workplace bullying contributes to higher levels of depression among employees, with insomnia serving as a mediator. Both workplace bullying and insomnia are significant predictors of depression. These findings highlight the importance of addressing workplace bullying to improve employee mental health.
{"title":"Workplace Bullying and Depression, Mediating Role of Insomnia Among Employees","authors":"Hafiza Sana Liaqat, Mian Muhammad Waqas, Summera Hina, Ezza Mahmood","doi":"10.61919/jhrr.v4i2.832","DOIUrl":"https://doi.org/10.61919/jhrr.v4i2.832","url":null,"abstract":"Background: Workplace bullying is characterized by unpleasant and unethical behavior, which can manifest directly or indirectly, affecting individuals' mental health. Insomnia is also a known consequence of workplace bullying, which can lead to depression.\u0000Objective: To explore the association between workplace bullying, insomnia, and depression among employees in Lahore, and to determine the mediating role of insomnia in the relationship between workplace bullying and depression.\u0000Methods: This study employed a correlational research design with a purposive sample of 200 employees, both male and female, from Lahore, Pakistan. Data were collected using a demographic form, a 21-item Workplace Bullying Scale, the Insomnia Severity Index (ISI), and the Depression, Anxiety, and Stress Scale-21 (DASS-21). The study followed the principles outlined in the Declaration of Helsinki, and statistical analysis was conducted using SPSS version 25, including descriptive statistics, correlation analysis, and regression analysis.\u0000Results: The mean score for workplace bullying was 42.54 (SD = 15.8), for insomnia was 9.88 (SD = 6.26), and for depression was 18.97 (SD = 13.69). There were significant positive correlations between workplace bullying, insomnia, and depression, with correlation coefficients of 0.53, 0.62, and 0.61, respectively (all p < 0.01). Both workplace bullying (B = 0.36, p < 0.001) and insomnia (B = 0.84, p < 0.001) were significant predictors of depression. Insomnia also mediated the relationship between workplace bullying and depression, with an indirect effect of 0.1714 (95% CI: 0.1105, 0.2393).\u0000Conclusion: Workplace bullying contributes to higher levels of depression among employees, with insomnia serving as a mediator. Both workplace bullying and insomnia are significant predictors of depression. These findings highlight the importance of addressing workplace bullying to improve employee mental health.","PeriodicalId":507812,"journal":{"name":"Journal of Health and Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Baneeha Zainab, Um I Lela, Kiran Shahzadi, Laiba Manzoor
Background: Chemotherapy-induced peripheral neuropathy (CIPN) is a significant complication of cancer treatments, affecting a substantial proportion of patients and severely impacting their quality of life. Current management strategies often fall short in addressing the multifaceted nature of this condition, highlighting the need for integrated approaches that encompass physical, psychological, and social elements. Objective: This study aimed to evaluate the efficacy of a multimodal rehabilitation program in improving physical function and psychological well-being in a patient with Stage IV breast cancer experiencing moderate CIPN. Methods: A 40-year-old female with Stage IV breast cancer underwent a 5-week multimodal rehabilitation program, including physical therapy, psychosocial support, and mobility therapy. Assessments of grip strength, knee and shoulder flexion, neuropathic pain (DN4), anxiety and depression (HADS), and overall quality of life were conducted pre- and post-intervention using a hand dynamometer, goniometer, and standardized psychological scales. Results: Post-treatment results demonstrated significant improvements: grip strength increased from 10 kg to 13 kg (right hand) and 9 kg to 14 kg (left hand); knee flexion improved from 120° to 129° (right) and 125° to 132° (left); shoulder flexion increased from 149° to 160° (right) and 152° to 159° (left). Psychological assessments showed a reduction in anxiety (HADS) scores from 12 to 8 and depression from 10 to 5. The DN4 score decreased from 7 to 4, indicating a reduction in neuropathic pain. Quality of life assessments also noted significant enhancements. Conclusion: The integrated rehabilitation program was effective in significantly improving both the physical and psychological parameters in a patient with severe CIPN. This case supports the potential benefits of multidisciplinary approaches in managing CIPN, suggesting wider applicability for similar comprehensive care models in oncological rehabilitation.
{"title":"A Case Study on the Integrated Rehabilitation of Chemotherapy-Induced Peripheral Neuropathy in a Patient with Stage IV Breast Cancer","authors":"Baneeha Zainab, Um I Lela, Kiran Shahzadi, Laiba Manzoor","doi":"10.61919/jhrr.v4i2.850","DOIUrl":"https://doi.org/10.61919/jhrr.v4i2.850","url":null,"abstract":"Background: Chemotherapy-induced peripheral neuropathy (CIPN) is a significant complication of cancer treatments, affecting a substantial proportion of patients and severely impacting their quality of life. Current management strategies often fall short in addressing the multifaceted nature of this condition, highlighting the need for integrated approaches that encompass physical, psychological, and social elements.\u0000Objective: This study aimed to evaluate the efficacy of a multimodal rehabilitation program in improving physical function and psychological well-being in a patient with Stage IV breast cancer experiencing moderate CIPN.\u0000Methods: A 40-year-old female with Stage IV breast cancer underwent a 5-week multimodal rehabilitation program, including physical therapy, psychosocial support, and mobility therapy. Assessments of grip strength, knee and shoulder flexion, neuropathic pain (DN4), anxiety and depression (HADS), and overall quality of life were conducted pre- and post-intervention using a hand dynamometer, goniometer, and standardized psychological scales.\u0000Results: Post-treatment results demonstrated significant improvements: grip strength increased from 10 kg to 13 kg (right hand) and 9 kg to 14 kg (left hand); knee flexion improved from 120° to 129° (right) and 125° to 132° (left); shoulder flexion increased from 149° to 160° (right) and 152° to 159° (left). Psychological assessments showed a reduction in anxiety (HADS) scores from 12 to 8 and depression from 10 to 5. The DN4 score decreased from 7 to 4, indicating a reduction in neuropathic pain. Quality of life assessments also noted significant enhancements.\u0000Conclusion: The integrated rehabilitation program was effective in significantly improving both the physical and psychological parameters in a patient with severe CIPN. This case supports the potential benefits of multidisciplinary approaches in managing CIPN, suggesting wider applicability for similar comprehensive care models in oncological rehabilitation.","PeriodicalId":507812,"journal":{"name":"Journal of Health and Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Changes in knowledge and technology are continually shaping the educational environment, thereby influencing curriculum implementation. Innovations are being made to meet the evolving educational goals, which includes overcoming various barriers to curriculum implementation. Objective: The aim of this study was to examine the existing literature on curriculum implementation problems, particularly focusing on the issues faced by educational institutions in effectively applying educational theories and practices. Methods: A comprehensive literature review was conducted, utilizing databases such as PubMed, ERIC, Google Scholar, and JSTOR. Articles published from 1997 to 2022 that discussed challenges and strategies in curriculum implementation across various educational levels and settings were included. Thematic analysis was employed to synthesize the data, identifying common themes related to the challenges and solutions of curriculum implementation. Results: The review identified critical challenges related to four main areas: teachers, students, the curriculum itself, and institutional factors. Teacher-related challenges included inadequate professional development and inefficient teaching methods. Student-related challenges highlighted diverse learning needs and varying levels of engagement. Institutional challenges pointed to resource limitations and insufficient stakeholder support. Curriculum-related challenges were mostly about alignment and compatibility with educational goals. Conclusion: Effective curriculum implementation is pivotal in educational settings and requires comprehensive strategies to address the myriad of challenges identified. Enhancing teacher training, improving resource allocation, and ensuring curriculum relevance are crucial for improving educational outcomes.
{"title":"The Literature Review on Curriculum Implementation Problems","authors":"Pakeeza Aslam, Qurratulain Mushtaq, Fraz Noor, Sania Maqbool, Nadeem Yar Khan, Junaid Sarfraz","doi":"10.61919/jhrr.v4i2.844","DOIUrl":"https://doi.org/10.61919/jhrr.v4i2.844","url":null,"abstract":"Background: Changes in knowledge and technology are continually shaping the educational environment, thereby influencing curriculum implementation. Innovations are being made to meet the evolving educational goals, which includes overcoming various barriers to curriculum implementation.\u0000Objective: The aim of this study was to examine the existing literature on curriculum implementation problems, particularly focusing on the issues faced by educational institutions in effectively applying educational theories and practices.\u0000Methods: A comprehensive literature review was conducted, utilizing databases such as PubMed, ERIC, Google Scholar, and JSTOR. Articles published from 1997 to 2022 that discussed challenges and strategies in curriculum implementation across various educational levels and settings were included. Thematic analysis was employed to synthesize the data, identifying common themes related to the challenges and solutions of curriculum implementation.\u0000Results: The review identified critical challenges related to four main areas: teachers, students, the curriculum itself, and institutional factors. Teacher-related challenges included inadequate professional development and inefficient teaching methods. Student-related challenges highlighted diverse learning needs and varying levels of engagement. Institutional challenges pointed to resource limitations and insufficient stakeholder support. Curriculum-related challenges were mostly about alignment and compatibility with educational goals.\u0000Conclusion: Effective curriculum implementation is pivotal in educational settings and requires comprehensive strategies to address the myriad of challenges identified. Enhancing teacher training, improving resource allocation, and ensuring curriculum relevance are crucial for improving educational outcomes.","PeriodicalId":507812,"journal":{"name":"Journal of Health and Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141002809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Junaid, Humaira Saddique, Syeda Sidra Tasneem
Background: Enteral nutrition is a critical aspect of care for patients in intensive care units (ICUs) who cannot consume food orally. Understanding the practices and knowledge of ICU nurses regarding enteral nutrition is essential for ensuring effective patient care and outcomes. Objective: This study aimed to assess the knowledge and practices of ICU nurses regarding enteral nutrition and identify any gaps that could potentially impact patient care. Methods: A cross-sectional study was conducted at Jinnah Hospital, Lahore, using purposive sampling to recruit 142 ICU nurses. Data were collected over a nine-month period using a validated questionnaire designed to evaluate the nurses' knowledge and practices concerning enteral nutrition. Statistical analysis was performed using SPSS software version 25, focusing on descriptive and inferential statistics to understand the trends and associations within the data. Results: The study revealed that 65% of nurses correctly identified pancreatitis as an indication for starting enteral nutrition. However, 73% incorrectly believed that a continuous drip method of enteral feeding does not require a pump. Furthermore, 63% recognized tube dislodgement as a complication, yet 57% either did not know or incorrectly handled protocols for flushing enteral feeding tubes before use. The assessment of nasogastric tube placement every 24 hours was misunderstood by 57% of the participants. Conclusion: The findings indicate a considerable deficiency in the knowledge and practices of ICU nurses regarding enteral nutrition, with significant implications for patient care. There is a clear need for targeted educational programs and updated protocols to enhance the skills and understanding of nurses in this crucial area.
{"title":"The Knowledge and Practice of ICU Nurses Regarding Enteral Nutrition","authors":"Muhammad Junaid, Humaira Saddique, Syeda Sidra Tasneem","doi":"10.61919/jhrr.v4i2.894","DOIUrl":"https://doi.org/10.61919/jhrr.v4i2.894","url":null,"abstract":"Background: Enteral nutrition is a critical aspect of care for patients in intensive care units (ICUs) who cannot consume food orally. Understanding the practices and knowledge of ICU nurses regarding enteral nutrition is essential for ensuring effective patient care and outcomes.\u0000Objective: This study aimed to assess the knowledge and practices of ICU nurses regarding enteral nutrition and identify any gaps that could potentially impact patient care.\u0000Methods: A cross-sectional study was conducted at Jinnah Hospital, Lahore, using purposive sampling to recruit 142 ICU nurses. Data were collected over a nine-month period using a validated questionnaire designed to evaluate the nurses' knowledge and practices concerning enteral nutrition. Statistical analysis was performed using SPSS software version 25, focusing on descriptive and inferential statistics to understand the trends and associations within the data.\u0000Results: The study revealed that 65% of nurses correctly identified pancreatitis as an indication for starting enteral nutrition. However, 73% incorrectly believed that a continuous drip method of enteral feeding does not require a pump. Furthermore, 63% recognized tube dislodgement as a complication, yet 57% either did not know or incorrectly handled protocols for flushing enteral feeding tubes before use. The assessment of nasogastric tube placement every 24 hours was misunderstood by 57% of the participants.\u0000Conclusion: The findings indicate a considerable deficiency in the knowledge and practices of ICU nurses regarding enteral nutrition, with significant implications for patient care. There is a clear need for targeted educational programs and updated protocols to enhance the skills and understanding of nurses in this crucial area.","PeriodicalId":507812,"journal":{"name":"Journal of Health and Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: High alert medications (HAMs) are associated with a higher risk of causing significant patient harm when used in error. Understanding the administration and regulation of these medications within oncology settings is critical due to the complex nature of cancer treatment regimens and the severity of potential medication errors. Objective: To assess the knowledge of nurses regarding the administration and regulation of high alert medications in an oncology department of a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted among 133 registered nurses in the oncology department of Jinnah Hospital, Lahore. Data were collected using a structured questionnaire designed to evaluate nurses' knowledge of HAMs. Participants included both male (29.3%) and female (70.7%) nurses, with varying educational backgrounds and work experiences. Statistical analysis was performed using SPSS version 25, focusing on descriptive statistics such as frequencies, percentages, means, and standard deviations. Results: The results revealed moderate knowledge levels among nurses with significant gaps in critical areas. Only 20.3% correctly identified the protocol for fast IV push of 1:1000 epinephrine in mild allergic reactions, and 33.8% mistakenly believed that 10% calcium gluconate and 10% calcium chloride were interchangeable. Additionally, 44.4% incorrectly used 'Amp' or 'Vial' for dose expression instead of 'mg' or 'gm', and 53.4% failed to recognize the importance of distinctive labeling on look-alike drugs. Conclusion: The study highlights the need for enhanced educational programs and standardized protocols to improve the safe administration and regulation of HAMs in oncology settings. Strengthening nurses' knowledge and practices regarding HAMs is essential to reduce medication errors and improve patient outcomes.
{"title":"Knowledge about Administration and Regulation of High Alert Medication among Nurses in Oncology Department","authors":"Shifra Aziz, Humaira Saddique, Syeda Sidra Tasneem","doi":"10.61919/jhrr.v4i2.893","DOIUrl":"https://doi.org/10.61919/jhrr.v4i2.893","url":null,"abstract":"Background: High alert medications (HAMs) are associated with a higher risk of causing significant patient harm when used in error. Understanding the administration and regulation of these medications within oncology settings is critical due to the complex nature of cancer treatment regimens and the severity of potential medication errors.\u0000Objective: To assess the knowledge of nurses regarding the administration and regulation of high alert medications in an oncology department of a tertiary care hospital.\u0000Methods: A descriptive cross-sectional study was conducted among 133 registered nurses in the oncology department of Jinnah Hospital, Lahore. Data were collected using a structured questionnaire designed to evaluate nurses' knowledge of HAMs. Participants included both male (29.3%) and female (70.7%) nurses, with varying educational backgrounds and work experiences. Statistical analysis was performed using SPSS version 25, focusing on descriptive statistics such as frequencies, percentages, means, and standard deviations.\u0000Results: The results revealed moderate knowledge levels among nurses with significant gaps in critical areas. Only 20.3% correctly identified the protocol for fast IV push of 1:1000 epinephrine in mild allergic reactions, and 33.8% mistakenly believed that 10% calcium gluconate and 10% calcium chloride were interchangeable. Additionally, 44.4% incorrectly used 'Amp' or 'Vial' for dose expression instead of 'mg' or 'gm', and 53.4% failed to recognize the importance of distinctive labeling on look-alike drugs.\u0000Conclusion: The study highlights the need for enhanced educational programs and standardized protocols to improve the safe administration and regulation of HAMs in oncology settings. Strengthening nurses' knowledge and practices regarding HAMs is essential to reduce medication errors and improve patient outcomes.","PeriodicalId":507812,"journal":{"name":"Journal of Health and Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Chronic Obstructive Pulmonary Disease (COPD) remains a significant public health challenge globally, particularly affecting middle-aged and older adults. Effective management of COPD requires not only clinical interventions but also patient-centric educational programs that enhance illness perception and encourage appropriate health services utilization. Objective: This study aimed to evaluate the effectiveness of a home-based educational intervention in improving illness perception and health services utilization among COPD patients. Methods: A quasi-experimental study was conducted at the Pulmonology Out-Patient Department of a public hospital in Lahore. From an initial screening of 200 participants, 130 met the inclusion criteria based on their illness perception scores. Following random sampling, 84 participants were enrolled and divided into control and intervention groups. The intervention group received a structured educational program on COPD management. Data on demographics, illness perception, and health services utilization were collected pre and post-intervention. Statistical analyses were performed using SPSS version 25, employing t-tests to compare the outcomes between the groups. Results: The study consisted predominantly of participants aged 30-60 years, with the majority (57.1%) in the 30-40 year age group. Post-intervention, the illness perception in the intervention group showed a significant improvement, with the mean score increasing from 54.24 ± 5.905 to 75.24 ± 7.564 (t = -14.183, p < 0.000). Health services utilization also saw a notable enhancement in the intervention group, with the mean score rising from 12.38 ± 1.396 to 20.07 ± 2.202 (t = -19.117, p < 0.000). Conclusion: The home-based educational intervention significantly improved both the illness perception and health services utilization among COPD patients. Such interventions can be pivotal in managing COPD effectively, reducing hospital readmissions, and promoting self-management.
{"title":"Role of Home Based Educational Intervention on Illness Perception and Health Services Utilization among Chronic Obstructive Pulmonary Disease Patients","authors":"Farzana Yasmin, Quratul Ain, Ayesha Liaqat, Abdul Haseeb Danish, Humaira Saddique","doi":"10.61919/jhrr.v4i2.892","DOIUrl":"https://doi.org/10.61919/jhrr.v4i2.892","url":null,"abstract":"Background: Chronic Obstructive Pulmonary Disease (COPD) remains a significant public health challenge globally, particularly affecting middle-aged and older adults. Effective management of COPD requires not only clinical interventions but also patient-centric educational programs that enhance illness perception and encourage appropriate health services utilization.\u0000Objective: This study aimed to evaluate the effectiveness of a home-based educational intervention in improving illness perception and health services utilization among COPD patients.\u0000Methods: A quasi-experimental study was conducted at the Pulmonology Out-Patient Department of a public hospital in Lahore. From an initial screening of 200 participants, 130 met the inclusion criteria based on their illness perception scores. Following random sampling, 84 participants were enrolled and divided into control and intervention groups. The intervention group received a structured educational program on COPD management. Data on demographics, illness perception, and health services utilization were collected pre and post-intervention. Statistical analyses were performed using SPSS version 25, employing t-tests to compare the outcomes between the groups.\u0000Results: The study consisted predominantly of participants aged 30-60 years, with the majority (57.1%) in the 30-40 year age group. Post-intervention, the illness perception in the intervention group showed a significant improvement, with the mean score increasing from 54.24 ± 5.905 to 75.24 ± 7.564 (t = -14.183, p < 0.000). Health services utilization also saw a notable enhancement in the intervention group, with the mean score rising from 12.38 ± 1.396 to 20.07 ± 2.202 (t = -19.117, p < 0.000).\u0000Conclusion: The home-based educational intervention significantly improved both the illness perception and health services utilization among COPD patients. Such interventions can be pivotal in managing COPD effectively, reducing hospital readmissions, and promoting self-management.","PeriodicalId":507812,"journal":{"name":"Journal of Health and Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Kashif, Rahat Ayub, Sufyan Nawaz, Nimra Hanif, Aiman Shahzadi, Baseer Ullah, Wirda, Noor Fatima, Mahnoor Asif, Mahrukh Asif, Tooba Naveed, Atika Javed, Muniba Zubair, Bazal Rao, Sania Maqbool
Background: Upper cross syndrome involves an imbalance between the muscles of the anterior and upper trunk and the posterior skeletal muscles, leading to postural and functional issues. Muscle Energy Techniques (METs) and stretching exercises are common interventions, but their comparative effectiveness remains unclear.Objective: The study aimed to compare the effectiveness of METs and stretching in treating pain and improving functional status in patients with upper cross syndrome.Methods: This randomized clinical trial was conducted at the Physical Therapy Department of Mayo Hospital, Lahore, over six months. Sixty-two patients with upper cross syndrome were randomly assigned to two groups, each consisting of 31 participants. Group 1 received METs and conventional therapy, while Group 2 received static stretching and conventional therapy. The primary outcome measures were pain intensity, measured by the Visual Analogue Scale (VAS), and functional status, assessed using the Neck Disability Index (NDI). The intervention period lasted four weeks, and statistical analyses were performed using SPSS version 25.Results: In Group 1, the pre-treatment VAS score was 7.41 (± 1.08), decreasing to 3.41 (± 1.11) post-treatment, while in Group 2, the VAS score dropped from 7.16 (± 1.50) to 4.87 (± 1.56). The pre-treatment NDI score in Group 1 was 40.19 (± 6.15), which improved to 32.51 (± 6.16) post-treatment. In Group 2, the NDI score improved from 40.06 (± 5.88) to 35.74 (± 5.82). Both groups demonstrated significant improvement in pain and functional status, with METs showing greater effectiveness (p < 0.05).Conclusion: Muscle Energy Techniques were more effective in reducing pain and improving functional status in patients with upper cross syndrome compared to stretching exercises.
背景：上交叉综合征涉及躯干前部和上部肌肉与骨骼后部肌肉之间的不平衡，导致姿势和功能问题。肌肉能量技术（MET）和伸展运动是常见的干预措施，但它们的比较效果仍不明确：本研究旨在比较肌肉能量疗法和拉伸运动在治疗上交叉综合征患者疼痛和改善其功能状态方面的效果：这项随机临床试验在拉合尔梅奥医院理疗科进行，为期六个月。62 名上交叉综合征患者被随机分配到两组，每组 31 人。第一组接受 METs 和传统疗法，第二组接受静态拉伸和传统疗法。主要结果指标是疼痛强度（用视觉模拟量表（VAS）测量）和功能状态（用颈部残疾指数（NDI）评估）。干预期为四周，采用 SPSS 25 版本进行统计分析：第一组患者治疗前的 VAS 评分为 7.41（±1.08）分，治疗后降至 3.41（±1.11）分；第二组患者的 VAS 评分从 7.16（±1.50）分降至 4.87（±1.56）分。第 1 组治疗前的 NDI 得分为 40.19（± 6.15）分，治疗后提高到 32.51（± 6.16）分。第 2 组的 NDI 分数从 40.06（± 5.88）分降至 35.74（± 5.82）分。两组患者的疼痛和功能状况均有明显改善，其中肌肉能量疗法的效果更好（P < 0.05）：结论：与拉伸运动相比，肌肉能量技术在减轻上交叉综合征患者的疼痛和改善其功能状况方面更为有效。
{"title":"Comparison between Effectiveness of Mets and Static Stretching on Trapezius in Upper Cross Syndrome","authors":"Muhammad Kashif, Rahat Ayub, Sufyan Nawaz, Nimra Hanif, Aiman Shahzadi, Baseer Ullah, Wirda, Noor Fatima, Mahnoor Asif, Mahrukh Asif, Tooba Naveed, Atika Javed, Muniba Zubair, Bazal Rao, Sania Maqbool","doi":"10.61919/jhrr.v4i2.841","DOIUrl":"https://doi.org/10.61919/jhrr.v4i2.841","url":null,"abstract":"Background: Upper cross syndrome involves an imbalance between the muscles of the anterior and upper trunk and the posterior skeletal muscles, leading to postural and functional issues. Muscle Energy Techniques (METs) and stretching exercises are common interventions, but their comparative effectiveness remains unclear.Objective: The study aimed to compare the effectiveness of METs and stretching in treating pain and improving functional status in patients with upper cross syndrome.Methods: This randomized clinical trial was conducted at the Physical Therapy Department of Mayo Hospital, Lahore, over six months. Sixty-two patients with upper cross syndrome were randomly assigned to two groups, each consisting of 31 participants. Group 1 received METs and conventional therapy, while Group 2 received static stretching and conventional therapy. The primary outcome measures were pain intensity, measured by the Visual Analogue Scale (VAS), and functional status, assessed using the Neck Disability Index (NDI). The intervention period lasted four weeks, and statistical analyses were performed using SPSS version 25.Results: In Group 1, the pre-treatment VAS score was 7.41 (± 1.08), decreasing to 3.41 (± 1.11) post-treatment, while in Group 2, the VAS score dropped from 7.16 (± 1.50) to 4.87 (± 1.56). The pre-treatment NDI score in Group 1 was 40.19 (± 6.15), which improved to 32.51 (± 6.16) post-treatment. In Group 2, the NDI score improved from 40.06 (± 5.88) to 35.74 (± 5.82). Both groups demonstrated significant improvement in pain and functional status, with METs showing greater effectiveness (p < 0.05).Conclusion: Muscle Energy Techniques were more effective in reducing pain and improving functional status in patients with upper cross syndrome compared to stretching exercises.","PeriodicalId":507812,"journal":{"name":"Journal of Health and Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background:Catheter-associated urinary tract infections (CAUTIs) are a common healthcare-associated infection among patients with indwelling urinary catheters. The role of nursing staff is crucial in preventing these infections through proper knowledge and practices. Objective:To assess the knowledge and practices among nurses regarding the prevention of catheter-associated urinary tract infections in a tertiary hospital in Lahore, Pakistan. Methods:This descriptive cross-sectional study was conducted among 164 nurses from various departments, including medical, surgical, and gynecological units. Nurses with more than one year of experience were included, while student nurses and head nurses not directly involved in patient care were excluded. Data were collected through a survey assessing knowledge and practices related to CAUTIs. The sample size was determined using Solvin's formula. Ethical approval was obtained, and participants gave informed consent. The data were analyzed using IBM SPSS Statistics Version 25.0 for descriptive statistics, including frequencies and percentages. Results:The majority of participants were female (85.4%), and most were aged between 31 and 35 years (50%). About 51.2% of the nurses had 6 to 10 years of experience, and 46.2% had received prior information or training on catheter-related urinary tract infections. The majority of participants (92.8%) knew that CAUTIs result from prolonged catheter use, and 95.7% were aware that aseptic technique with sterile equipment is crucial for catheter insertion. However, only 67.4% used a sterile technique for insertion, and 79.3% did not perform daily catheter care. The overall knowledge level was low for 29.3% of participants, moderate for 43.5%, and high for 16.3%, while the practice level was poor for 52.2% and good for 37%. Conclusion:Nurses demonstrated moderate knowledge but poor practices in preventing catheter-related urinary tract infections, indicating the need for targeted interventions and educational programs to bridge the gap and enhance patient care.
{"title":"To Assess Knowledge and Practice among Nurses Regarding Prevention of Catheter-Associated Urinary Tract Infection","authors":"Ruah Sohail, Humaira Saddique, Rubina Jabeen","doi":"10.61919/jhrr.v4i2.895","DOIUrl":"https://doi.org/10.61919/jhrr.v4i2.895","url":null,"abstract":"Background:Catheter-associated urinary tract infections (CAUTIs) are a common healthcare-associated infection among patients with indwelling urinary catheters. The role of nursing staff is crucial in preventing these infections through proper knowledge and practices.\u0000Objective:To assess the knowledge and practices among nurses regarding the prevention of catheter-associated urinary tract infections in a tertiary hospital in Lahore, Pakistan.\u0000Methods:This descriptive cross-sectional study was conducted among 164 nurses from various departments, including medical, surgical, and gynecological units. Nurses with more than one year of experience were included, while student nurses and head nurses not directly involved in patient care were excluded. Data were collected through a survey assessing knowledge and practices related to CAUTIs. The sample size was determined using Solvin's formula. Ethical approval was obtained, and participants gave informed consent. The data were analyzed using IBM SPSS Statistics Version 25.0 for descriptive statistics, including frequencies and percentages.\u0000Results:The majority of participants were female (85.4%), and most were aged between 31 and 35 years (50%). About 51.2% of the nurses had 6 to 10 years of experience, and 46.2% had received prior information or training on catheter-related urinary tract infections. The majority of participants (92.8%) knew that CAUTIs result from prolonged catheter use, and 95.7% were aware that aseptic technique with sterile equipment is crucial for catheter insertion. However, only 67.4% used a sterile technique for insertion, and 79.3% did not perform daily catheter care. The overall knowledge level was low for 29.3% of participants, moderate for 43.5%, and high for 16.3%, while the practice level was poor for 52.2% and good for 37%.\u0000Conclusion:Nurses demonstrated moderate knowledge but poor practices in preventing catheter-related urinary tract infections, indicating the need for targeted interventions and educational programs to bridge the gap and enhance patient care.","PeriodicalId":507812,"journal":{"name":"Journal of Health and Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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