Background Education of patients and their families is the cornerstone of effective diabetes care. The present study aimed to compare the effects of a face-to-face and telephone-based family-oriented educational program on self-care behavior and patient outcomes in type 2 diabetes patients. Methods In the present randomized controlled trial, 90 type 2 diabetes patients were randomly divided into three groups of 30 participants: a face-to-face education group, a telephone-based education group, and a control group. The educational program lasted for 3 months. Outcomes evaluated included self-care, fasting blood sugar, hemoglobin A1c, cholesterol, and triglyceride. Results The overall self-care scores in the intervention groups were significantly higher than that in the control group (P = 0.0001). In addition, lipid profiles significantly improved in the interventions compared to the control (P < 0.05). Comparing the two interventions showed better results for the face-to-face group regarding dietary adherence and physical activity, but the latter group had comparable results in blood glucose monitoring, foot care, and cholesterol level. Conclusions This study shows the beneficiary effects of a family-oriented education on self-care and patient outcomes. It also shows the potential value of low-cost telephone technology in delivering effective diabetes care.
As most paediatric teams are multidisciplinary, sharing the information regarding QoL barriers as part of ongoing clinical care is crucial and should help to tailor care to the needs of the adolescent with diabetes.
Introduction: Team-based learning is one of the active
learning approaches in which independent learning is combined with small group discussion
in the class. This study aimed to determine the impact of team-based learning in nervous
system examination knowledge of nursing students.
Methods: This quasi-experimental study was conducted on
3rd grade nursing students, including 5th semester (intervention group) and
6th semester (control group). The traditional lecture method and the
team-based learning method were used for educating the examination of the nervous system
for intervention and control groups, respectively. The data were collected by a test
covering 40-questions (multiple choice, matching, gap-filling and descriptive questions)
before and after intervention in both groups. Individual Readiness Assurance Test (RAT)
and Group Readiness Assurance Test (GRAT) used to collect data in the intervention group.
In the end, the collected data were analyzed by SPSS ver. 13 using descriptive and
inferential statistical tests.
Results: In team-based learning group, mean and standard
deviation was 13.39 (4.52) before the intervention, which had been increased to 31.07
(3.20) after the intervention and this increase was statistically significant. Also, there
was a statistically significant difference between the scores of RAT and GRAT in
team-based learning group.
Conclusion: Using team-based learning approach resulted in
much better improvement and stability in the nervous system examination knowledge of
nursing students compared to traditional lecture method; therefore, this method could be
efficiently used as an effective educational approach in nursing education.
Introduction: Nurses are the largest group of health-care providers and their clinical decisions have an essential role in patients' clinical condition. Evidence-based nursing has been proposed as a health-care method based on the latest findings and evidence. Therefore, we aimed to determine the effect of evidence-based nursing education on dialysis nurses' clinical decision-making.Material and Methods: This single-blind experimental study conducted in 2021 at dialysis wards of teaching hospitals affiliated to Urmia University of Medical Sciences. In this study, a total of 60 dialysis nurses were recruited using convenience sampling and allocated to two groups of intervention (n = 30) and control (n = 30). Data were collected at three time points of before, 1 week after, and 1 month after the intervention using a demographic questionnaire and the Lauri and Salantera Clinical Decision-Making Questionnaire (LSCD-MQ). Nurses in the intervention group received 12 sessions of evidence-based nursing education, while nurses in the control group received no intervention.
Results:The results showed the mean score of clinical decision-making had a significant decreasing trend over time (p < 0.001) so that it decreased significantly 1 week after the intervention (72.83 ± 4.90) compared with before the intervention (69.5 ± 67.34) in the intervention group. Moreover, participants' decision-making moved toward analytical decision-making. The results also indicated there was a significant difference between the baseline mean score of clinical decision-making and the postintervention mean scores obtained 1 week (p = 0.025) and 1 month (p = 0.001) after the intervention.However, this difference was not found to be significant in the control group (p = 1.000).
Conclusions:The study results indicate the positive effect of evidence-based education on nurses' clinical decision-making. Therefore, nurses are recommended to apply evidence-based education methods to improve their level of clinical decision-making. Health officials are also recommended to hold in-service evidencebased workshops to update nurses' knowledge.
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