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Structured Education (structured + education)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

Structured education and the changes in ENT training: background to recent changes in training

CLINICAL OTOLARYNGOLOGY, Issue 1 2000
Adrian Drake-Lee
First page of article [source]

Predictors of Adherence to the Use of Hip Protectors in Nursing Home Residents

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 3 2004
Andrea Warnke PhD
Objectives: To assess predictors of hip-protector use in nursing home residents under usual-care conditions and after intervention consisting of structured education of nurses and nursing home residents and provision of free hip protectors. Design: Nested cohort analyses within a cluster randomized, controlled trial with 18 months follow-up. Setting: Forty-nine nursing home clusters in Hamburg, Germany. Participants: Residents with at least one fall during the study period (intervention group, n=237; usual-care group, n=274). Measurements: Use of hip protector while falling. Regression analyses were performed for each of the two cohorts of fallers using the time to the first fall without hip protector as the dependent variable. Predefined nursing home cluster-related parameters (center, staffing ratio, proportion of registered nurses in nursing staff, hip-protector use before study period) and resident-related parameters (sex, history of falls and fractures, fear of falling, urinary incontinence, use of walking aid, degree of disablement) were considered as explanatory variables. Results: Under usual care, 97% of fallers (n=266), compared with 62% (n=148) in the intervention group, experienced at least one fall without hip protection. Using Cox proportional hazards models with and without frailty parameter (random cluster effect), the following predictors were identified: intervention group: use of walking aid, hazard ratio (HR)=1.53 (95% confidence interval (CI):0.98,2.39) and no urinary incontinence, HR=1.47 (95% CI:1.03,2.09); usual care: nursing staff per 10 residents, HR=0.78 (95% CI=0.63,0.96); high degree of disablement, HR=1.38 (95% CI=1.06,1.80); strong fear of falling, HR=0.78 (95% CI=0.60,1.02). The nursing home cluster was a significant predictor in the control group (P=.029), but not in the intervention group (P=.100). Conclusion:, Only a few and weak predictors of hip-protector use of questionable relevance could be identified in both groups. Future research should concentrate on the implementation of interventions of proven efficacy, such as provision of hip protectors combined with structured education of staff and residents. [source]

A randomized controlled trial to reduce delay in older adults seeking help for symptoms of acute myocardial infarction,

RESEARCH IN NURSING & HEALTH, Issue 5 2007
Dorothy F. Tullmann
Abstract Older adults with symptoms of acute myocardial infarction (AMI) have longer pre-treatment delay times than their younger counterparts. A 2-group, randomized controlled sample consisted of 115 adults, 65 years of age or older with a self-reported history of coronary artery disease. A pre-test was given to all participants followed by a structured education and counseling intervention to those in the experimental group. Data were re-collected at 3 months. There was a statistically significant increase in knowledge, beliefs, and perceived control without an increase in anxiety in the intervention group. There was no significant difference in attitudes. Older adults at risk for AMI should be targeted for individualized education and counseling in clinics, physician offices, and community centers. © 2007 Wiley Periodicals, Inc. Res Nurs Health 30:485,497, 2007 [source]

New horizons in simulation training for endoscopic surgery

ASIAN JOURNAL OF ENDOSCOPIC SURGERY, Issue 1 2010
D. King
Abstract In recent years there has been both a paradigm shift in the way surgery is carried out and also in the way in which we train health professionals undertaking interventional procedures. Endoscopic procedures have replaced many traditional operations and the benefits of such an approach to patient care are well documented. However, evidence exists of higher patient complications during a surgeon's learning curve in endoscopic surgery, and it is now considered essential that endoscopic skills are learned in training laboratories rather than on patients. A new model of structured education, where surgical skills are practiced on models and virtual reality simulators, is set to replace the traditional apprenticeship model of training. Simulation is a rapidly evolving field that can provide a safe and increasingly realistic learning environment for trainees to practice in. This paper explores the current role of simulation in endoscopic training and provides a review of the developments in the field, including advances in simulation technology, progress in curriculum design and the use of simulation in nontechnical skills training. [source]