Health workers knowledge and attitude towards palliative care in an emerging tertiary center in south west Nigeria
Assessment of caregiving burden of family caregiver of advanced cancer patients and their satisfaction with the dedicated inpatient palliative care provided to their parents
final project (nursing major) najah universitymahdyvika
The knowledge of nursing toward the role of them in End of life care in Intensive care units and oncology units in Nablus hospitals- Cross sectional study.
Health workers knowledge and attitude towards palliative care in an emerging tertiary center in south west Nigeria
Assessment of caregiving burden of family caregiver of advanced cancer patients and their satisfaction with the dedicated inpatient palliative care provided to their parents
final project (nursing major) najah universitymahdyvika
The knowledge of nursing toward the role of them in End of life care in Intensive care units and oncology units in Nablus hospitals- Cross sectional study.
MR. BHUSHAN R JOSHI (IV B. BSc. NSG
The curriculum must reflect the needs of patients and be immediately relevant and applicable to the central role of nurses: caring for patients.”
MR. BHUSHAN R JOSHI (IV B. BSc. NSG
The curriculum must reflect the needs of patients and be immediately relevant and applicable to the central role of nurses: caring for patients.”
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Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Stem Therapy.ppt
1. A STUDY TO EVALUATE THE EFFECTIVENESS OF
PLANNED TEACHING PROGRAM ON KNOWLEDGE
REGARDING STEM CELL THERAPY AMONG
STUDENT NURSES AT SELECTED NURSING
INSTITUTION, HUBBALLI, KARNATAKA.
Presented by :
MS. R SANDHYA DEVI
M.Sc Nursing 2nd year
Department of Medical Surgical Nursing,
KLES’ Institute of Nursing Sciences, Hubli.
2. • Stem cells are autologous cells having a long
term self-renewal ability that regenerates and
differentiates into various cells, tissues, organs
and systems in the human body.
• Stem-cell therapy is the use of stem cells to
treat or prevent a disease or condition..
• Stem cell therapy is an emerging therapeutic
modality and is believed to be one of the
greatest untapped resources currently available
for the prevention and treatment of many
diseases.
NEED FOR THE STUDY
2
3. • As it is a new approach in medical science most
of the patients and their relatives are unaware
about this clinical entity. The nurses also lack
adequate knowledge about this new innovative
approach.
• Nurses’ knowledge on stem cells and their
attitude towards stem cell application in
medical setting are very important as these
could affect the decision on providing
appropriate stem cell-based treatments for
many diseases including cancer and
cardiovascular diseases.
NEED FOR THE STUDY –Contd
3
4. • To assess the level of knowledge of student nurses
regarding stem cell therapy before the planned teaching
program by self administered structured knowledge
questionnaire.
• To assess the level of knowledge of student nurses
regarding stem cell therapy after the planned teaching
program by self administered structured knowledge
questionnaire.
• To assess the effectiveness of planned teaching program
regarding stem cell therapy in terms of gain in
knowledge among the student nurses.
• To find out an association between the pretest
knowledge scores with their selected demographic
variables.
• To find out the relationship between Patient
Satisfaction & Selected Sociodemographic variables.
OBJECTIVES
4
5. • Effectiveness: It refers to determine the extent
to which the structured teaching program has
achieved the desired effect as measured by the
gain in post test knowledge scores.
• Knowledge: It refers to the correct response to
questions included in the structured knowledge
questionnaire regarding stem cell therapy and
expressed in terms of knowledge scores.
• Stem Cell Therapy: It is the use of stem cells
i.e., Umbilical cord stem cells, embryonic stem
cell & Adult stem cells to treat or prevent a
disease or condition.
OPERATIONAL DEFINITIONS
5
6. • Planned Teaching Programme : It refers to the
written / verbal material on stem cell therapy
which includes – General information on stem
cells, characteristics of stem cells, types of stem
cells, sources of stem cells, potential uses of
stem cells, definition of stem cell therapy,
advantages & disadvantage of stem cell therapy,
procedure of stem therapy, Complications of
stem cell therapy, centers of stem cell therapy in
India, legal implications & nurses role in stem
cell therapy and is developed by the investigator
and validated by the experts in the field of
Nursing & Medicine.
OPERATIONAL DEFINITIONS - contd
6
7. • Student Nurses: It refers to the final year
Basic B.Sc Nursing & GNM students of a
selected Nursing Institutions.
• Socio-Demographic Variables: It refers to age,
gender, religion, type of family, Professional
education, habitat & source of information
regarding stem cell therapy.
• Selected Nursing Institution: It refers to KLES
Institute of Nursing Sciences, Hubballi.
7
OPERATIONAL DEFINITIONS - contd
8. • H1 : The mean post test knowledge scores of the
student nurses receiving planned teaching
program on knowledge regarding stem cell
therapy will be significantly higher than the
mean pre-test knowledge scores at 0.05 level of
Significance.
• H2 : There will be a statistical association
between pre-test knowledge scores and selected
socio demographic variables at 0.05 level of
significance.
HYPOTHESES
8
9. • Student Nurses have some basic knowledge
regarding stem cell therapy.
• Planned Teaching program is effective strategy
to impart knowledge regarding stem cell
therapy.
• Socio-Demographic variables of the student
Nurses have influence on knowledge regarding
stem cell therapy.
• The result of the study may help the student
nurses to know more about the stem cell
therapy which will help them to apply in the
future endeavors.
ASSUMPTIONS
9
10. CONCEPTUAL FRAMEWORK
10
INPUT THROUGH PUT OUT PUT
Testing of hypothesis
Impact between pre test & post-test
knowledge scores
Association of post- test knowledge
FEEDBACK
Socio
demographic
variables
•Age
Gender
Course of
study
Religion
Type of
family
Habitat
Exposure to
information
Source of
information
PRE TEST
Assessment of
knowledge of
student nurses
by
administration
of structured
knowledge
questionnaire
and
development
of planned
teaching
program
regarding stem
cell therapy
INTERVENTION
Impart
knowledge
regarding
stem cell
therapy
among
student
nurses by
administratio
n of planned
teaching
program
ADEQUATE
INADEQUATE
POST TEST
Evaluation
of
knowledge
on stem cell
therapy
By
administrati
on of
planned
teaching
program
FIGURE 1: CONCEPTUAL FRAMEWORK BASED ON MODIFIED LUDWIG VON BERTALANIFFY’S GENERAL SYSTEM
11. The literature reviewed were categorized into :
3.1. Literature pertaining to knowledge regarding
stem cell & Stem cell therapy
3.2. Literature pertaining to stem cell therapy
3.2. Literature pertaining to effectiveness of
planned teaching program among nursing
students.
11
CONCEPTUAL FRAMEWORK
12. Research Approach Evaluative
Research Design Pre Experimental : One Group Pre test
Post Test
Research setting KLES Institute of Nursing Sciences,
Hubballi
Population Student Nurses studying at KLES
Institute of Nursing Sciences, Hubballi
Sample Final Year B.Sc Nursing & GNM students
Sample Size 50
Sampling Technique Non Probability Purposive Sampling
12
RESEARCH METHODOLOGY
13. Criteria for selection of samples :
Inclusion criteria
- Student Nurses who were;
- Studying in final year Basic B.Sc Nursing & GNM
- Willing to participate in the study
- available at the time of data collection
Exclusion Criteria
• Student Nurses who were;
• sick during the time of data collection
13
RESEARCH METHODOLOGY
14. The tool consists of structured knowledge questionnaire on :
• Section I: Items on socio-demographic data of student nurses
with 8 variables that include age, gender, course of study,
religion, type of family, habitat, and exposure to information &
source of information related to stem cell therapy.
• Section II: Items on structured knowledge questionnaire
• Part A): Items on knowledge regarding stem cell: definition,
types & sources
• Part B): Items on knowledge regarding stem cell properties,
role, advantage & disadvantage.
• Part C): Items on knowledge regarding stem cell therapy –
introduction, definition & indication
• Part D): Items on knowledge regarding stem cell therapy –
bone marrow & umbilical cord blood & complications
• Part E): Items on knowledge regarding stem cell therapy –
procedure & role of nurse.
14
DESCRIPTION OF THE TOOL
15. • The tool and Planned Teaching Program were
validated by the experts in the field of Medicine,
Medical Surgical Nursing and Community Health
Nursing and by the members of the research
committee of KLES Institute of Nursing Sciences,
Hubballi.
• All the experts were requested to review and
verify the tool & PTP for adequacy, clarity,
appropriateness, and degree of agreement in each
item in the tool.
• Minor modifications of the items were made on
the basis of suggestions and comments given by
the experts.
15
VALIDITY OF THE TOOL
16. • The tool was tested for reliability on 10
student nurses by using Split Half
Method and applying Karl Pearson’s
Correlation Coefficient formula.
• The reliability of structured knowledge
questionnaire was r= 0.94.
• The tool was found to be reliable.
16
RELIABILITY
17. • Pilot study was conducted at Govt.
College of Nursing, KIMS, Hubballi from
11/01/2019 to 18/01/2019.
• The findings of the post test in the pilot
study revealed that 10 (100%) of student
nurses had good Knowledge scroes.
Hence, the planned teaching programme
was effective. The pilot study confirmed
that the final study will be feasible.
17
PILOT STUDY
18. 18
RESEARCH APPROACH EVALUATIVE APPROACH
RESEARCH DESIGN PRE-EXPERIMENTAL
ONE GROUP PRE TEST POST TEST
SETTING
SAMPLE POPULATION
SAMPLE SIZE
SAMPLE TECHNIQUE
INSTRUMENT
METHOD OF DATA COLLECTION
ANALYSIS AND
IINTERPRETATION OF DATA
KLES’ INSTITUTE OF NURSING SCIENCES, HUBBALLI
STUDENT NURSES STUDYING AT KLES’ INSTITUTE OF NURSING
SCIENCES, HUBBALLI
50 STUDENT NURSES
(25 GNM & 25 B.Sc.FINAL YEAR)
NON PROBAILITY PURPOSIVE SAMPLING TECHNIQUE
STRUCTURED KNOWLEDGE QUESTIONNAIRE
PRE TEST
PLANNED TEACHING PROGRAM
POST TEST
DESCRIPTIVE AND INFERENTIAL STASTISTICS
SCHEMATIC REPRESENTATION OF RESEARCH PROCESS
19. 19
RESULTS
1. DISTRIBUTION OF SAMPLE CHARACTERISTICS ACCORDING TO SOCIO DEMOGRAPHIC
VARIABLES
Graph 1: The cone graph represents percentage distribution of subjects
according to their age group
20. 20
RESULTS
Graph 2: The bar graph represents percentage distribution of subjects
according to their gender
