Quality of care is indicating that the right things are being done right, and is vital in improving the patient outcomes and safety. The aim of this study was to evaluate the effect of an educational program on improving quality of nursing care for patients with thalassemia major as regards blood transfusion. Research design: A quasi-experimental research design was utilized in this study. Research setting: The study was conducted at both in-and out-patient pediatric and adult medicine hematology departments affiliated to Ain Shams University Hospital. Sample: A purposive sample consisted of two groups: The first group included all nurses (n=30) working in the above mentioned settings; and the second group included adolescent and adult patients with thalassemia major (n=50), who were attending the above mentioned settings over a period of six months, they were chosen randomly. Tools: Data were collected through: (I) An interviewing questionnaire which include: sociodemographic data sheet for nurses and patients, nurse's knowledge sheet and routine blood transfusion knowledge questionnaire (RBTKQ) (II) An observational checklist to assess nurse's practice related to blood transfusion, assessment of the body system, measuring of vital signs and administration of intravenous iron chelation therapy. (III) Patient satisfaction scale. Based upon the actual need assessment of the study subjects an intervention program was designed and implemented. Results: The most important findings of the study revealed that, most of nurses had poor knowledge about blood transfusion and thalassemia. Besides, they don't follow a standard of quality of nursing care related to blood transfusion and other basic procedures as measuring of vital signs and administration of intravenous iron chelation therapy. In addition, the majority of patients were unsatisfied for quality of nursing care pre program, which improved to more than two thirds of patients were satisfied regarding quality of nursing care post program. The implementation of the education program has improved nurses' knowledge, practice and patients' satisfaction with statistically significant differences (p=< 0.05, 0.01 & 0.01). Conclusion: Findings revealed that, the educational program had a positive effect on nurses' knowledge and practice related to thalassemia and blood transfusion, which improved quality of nursing care as well as increased patients' satisfaction. The study recommended that, a specialized orientation program should be developed for newly appointed nurses to prepare them before working at the hematology departments further studies should be conducted to improve nurses' knowledge and practice regarding to blood transfusion care of patients with thalassemia.
Background: Gaming disorder has become a significant health issue in pediatric care. While gaming is an important form of entertainment, excessive children's gaming may cause serious consequences for them and may be addicting. Aim: This study aimed to evaluate the effect of a parent-based module for preventing gaming disorder and improving self-regulation among children. Design: A quasi-experimental research design. Setting: This study was carried out in two governmental schools; Abobakr Elsedeak, and Anas Ben Malek preparatory schools, at El-Maasara Administration, Cairo Governorate, Egypt. Sample: A multi-stage random sample was used composed of 314 children and their parents. Tools: Three tools were used in this study: 1) A Structured Interviewing Questionnaire for children and their parents. 2) Game Addiction Screening Test. 3) Self-Regulation Questionnaire for Children. Results: The current study revealed that nearly one-tenth of parents and children had poor knowledge, which changed to slightly less than three-quarters and two-thirds of parents and children respectively having good knowledge after the intervention. As well, before the intervention, slightly less than three-quarters had high game addiction and nearly four-fifths had low self-regulation, while after intervention they changed to more than three-fifths had low game addiction and less than three-fifths of children had high self-regulation. A negative statistically significant correlation was detected between children's total knowledge scores and their total scores of the game addiction screening test as revealed by r = -0.132 and P<0.044. There was also a positive statistically significant correlation between children's total knowledge scores and their self-regulation (r = 0.316 at p = 0.047) after 3 months of module intervention. Conclusion: Implementation of the parent-based module had positive effects in improving knowledge scores of children and their parents. As well, children's game addiction scores were decreased and there was an improvement in children's self-regulation after the implementation of parent-based module. There were negative statistically significant correlations between children's game addiction with total knowledge and self-regulation scores. Recommendations: Parentbased module intervention guidelines on gaming disorder and self-regulation should be given to school-age children and their parents to prevent gaming disorder and improve their self-regulation, knowledge, and behaviors. Further research is needed to understand the underlying causes of video and internet gaming addiction and to explore effective preventative or intervention strategies for these children.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.