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Minaei-Moghadam S, Manzari ZS, Vaghee S, Mirhosseini S. Effectiveness of a supportive care program via a smartphone application on the quality of life and care burden among family caregivers of patients with major depressive disorder: a randomized controlled trial. BMC Public Health 2024; 24:66. [PMID: 38166907 PMCID: PMC10762964 DOI: 10.1186/s12889-023-17594-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 12/27/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND The majority of patients with major depressive disorder require care that has generally affected caregivers' lives. Providing care could cause negative experiences as a care burden and deteriorate quality of life. However, there is a lack of evidence about caregiver training-based informatics and its impact on the caregiver's life. METHODS This experimental study was carried out in Mashhad, Iran. A total of 60 primary family caregivers of patients with major depressive disorder were included in the study between February and July 2021. The quadruple block randomization method was used to allocate the participants into control and intervention groups. In the intervention group, family caregivers used the application with weekly phone calls for one month. The app contains the most important points of patient care and has the possibility of communicating with the nurse. The Novak and Guest Care Burden Inventory and the short form of the World Health Organization Quality of Life Questionnaire were completed before and after the intervention. Data analysis was performed using chi-squared tests, independent sample t tests, and analysis of covariance. RESULTS At baseline, the mean scores of care burden and quality of life were homogeneous between the two groups. After the intervention, the mean scores of care burden and quality of life were significantly reduced and improved in the intervention group compared with the control group (p < 0.001). CONCLUSIONS Using the application with the ability to communicate with the caregiver, along with educational support, helps to strengthen the relationship between the family caregiver and the nurse. Despite the effectiveness of the present intervention, before including this form of implementation of support in care programs, it is necessary to evaluate its other positive aspects in future studies. TRIAL REGISTRATION Iranian Registry of Clinical Trials (IRCT), IRCT20210202050222N1. Registered on 05/02/2022.
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Affiliation(s)
- Somaye Minaei-Moghadam
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Zahra Sadat Manzari
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Saeed Vaghee
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
| | - Seyedmohammad Mirhosseini
- Department of Nursing, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
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Georgiou E, Hadjibalassi M, Friganović A, Sabou A, Gutysz-Wojnicka A, Constantinescu-Dobra A, Alfonso-Arias C, Curado-Santos E, Slijepčević J, Coţiu MĂA, Llaurado-Serra M, Borzuchowska M, Režić S, Dobrowolska B. Evaluation of a blended training solution for critical care nurses' work environment: Lessons learned from focus groups in four European countries. Nurse Educ Pract 2023; 73:103811. [PMID: 37922739 DOI: 10.1016/j.nepr.2023.103811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 10/06/2023] [Accepted: 10/13/2023] [Indexed: 11/07/2023]
Abstract
AIM The aim of this study was to evaluate a blended pilot training course on Healthy Work Environments (HWEs) for critical care nurses as follows: 1) to explore the experience of trainees and trainers who took part in the training; and 2) to identify the strengths and weaknesses of the training program in its potential transferability to nursing practice in Intensive Care Units (ICUs). BACKGROUND Despite the evidence supporting the association between HWEs and job satisfaction, nursing retention, and patient outcomes, nurses still have high rates of burnout, mental health problems and intent to leave. To address this challenge, a blended training was created and piloted with the aim to highlight the relevance and impact of HWEs, enhancing its transferability to daily practice. The training was based on the six standards of HWEs as proposed by the American Association of Critical Care Nurses and created within an Erasmus + project. The pilot was delivered by trainers (critical care nursing educators) to critical care nurses and included six workshops of eight hours each (48 h in total) in each country. DESIGN After the pilot testing, a qualitative approach, with focus group discussions was used. METHODS All the trainees (n=82), who had attended at least one workshop were invited to participate in the focus groups. Overall, eight focus groups were held with critical care nurses who participated as trainees (n=39) from four testing countries: Cyprus, Croatia, Spain and Poland. One international focus group was held with trainers who conducted the training (n=4). Four more trainers completed the questionnaire online. All focus group were video recorded, and transcribed verbatim. Then, the national transcripts were translated into English. An inductive thematic analysis was carried out. FINDINGS Three themes were identified: 1) Valuing the relevance of the training program and a positive learning experience; 2) A powerful insight leading to increased awareness and empowerment in personal and professional life; 3) Challenges identified in terms of training, follow up and management of change. Both trainees and trainers expressed a positive opinion with regard to the content of the training and the didactic methods used. They emphasized the strong influence of the training on their understanding of a HWEs, its impact in an ICU context and the need for action, mainly related to communication issues. CONCLUSION The proposed blended training program may be used by trainers, who can enable nurses develop the competencies required to influence their work environment, in a context of shared responsibility.
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Affiliation(s)
- Evanthia Georgiou
- Εducation Sector, Nursing Services, Ministry of Health, 1 Prodromou & Chilonos Street 17, Nicosia 1448, Cyprus.
| | - Maria Hadjibalassi
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, 11 Greg. Afxentiou street, Paleometocho, Nicosia 2682, Cyprus
| | - Adriano Friganović
- University of Applied Health Sciences Zagreb, Department of Nursing, Mlinarska cesta 38, Zagreb 10000, Croatia
| | - Adrian Sabou
- Technical University of Cluj-Napoca, Faculty of Automation and Computer Science, 28 Memorandumului Street, Cluj-Napoca 400114Romania
| | - Aleksandra Gutysz-Wojnicka
- University of Warmia and Mazury in Olsztyn, Department of Nursing, School of Health Sciences, Collegium Medicum, Żołnierska 14c Street, Olsztyn 10-681, Poland
| | - Anca Constantinescu-Dobra
- Technical University of Cluj-Napoca, Faculty of Electrical Engineering, 28 Memorandumului Street, Cluj-Napoca 400114, Romania
| | - Cristina Alfonso-Arias
- Nursing Department, Universitat Internacional de Catalunya, Av. Josep Trueta s/n Sant Cugat del Vallès, Barcelona 08195, Spain
| | - Estel Curado-Santos
- Internal Medicine and Medical Specialties, Granollers General Hospital, Av. Francesc Ribas s/n Granollers, Barcelona 08402, Spain
| | - Jelena Slijepčević
- University Hospital Centre Zagreb, Department of Anesthesiology, Reanimatology, Intensive Medicine and Pain Treatment, Kispaticeva 12, Zagreb 10000, Croatia
| | - M Ădălina-Alexandra Coţiu
- Technical University of Cluj-Napoca, Faculty of Electrical Engineering, 28 Memorandumului Street, Cluj-Napoca 400114, Romania
| | - Mireia Llaurado-Serra
- Nursing Department, Universitat Internacional de Catalunya, Av. Josep Trueta s/n Sant Cugat del Vallès, Barcelona 08195, Spain
| | - Monika Borzuchowska
- Medical University of Lodz, Department of Management and Logistics in Healthcare, Al. Kościuszki 4, Lodz 90-131, Poland
| | - Slađana Režić
- University Hospital Centre Zagreb, Department of Quality, Kispaticeva 12, Zagreb 10000 Croatia
| | - Beata Dobrowolska
- Faculty of Health Sciences, Medical University of Lublin, S. Staszica Str. 4-6, Lublin 20-081, Poland
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Markaki A, Malhotra S, Billings R, Theus L. Training needs assessment: tool utilization and global impact. BMC MEDICAL EDUCATION 2021; 21:310. [PMID: 34059018 PMCID: PMC8167940 DOI: 10.1186/s12909-021-02748-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Accepted: 05/17/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Global demand for standardized assessment of training needs and evaluation of professional continuing education programs across the healthcare workforce has led to various instrumentation efforts. The Hennessy-Hicks Training Needs Analysis (TNA) questionnaire is one of the most widely used validated tools. Endorsed by the World Health Organization, the tool informs the creation of tailored training to meet professional development needs. The purpose of this project was to describe TNA tool utilization across the globe and critically appraise the evidence of its impact in continuous professional development across disciplines and settings. METHODS A systematic integrative literature review of the state of the evidence across PubMed, Scopus, CINAHL, and Google Scholar databases was carried out. Full-text, peer reviewed articles and published dissertations/theses in English language that utilized the original, adapted or translated version of the TNA tool were included. Selected articles were appraised for type and level of evidence. RESULTS A total of 33 articles were synthesized using an inductive thematic approach, which revealed three overarching themes: individual, team/interprofessional, and organizational level training needs. Included articles represented 18 countries, with more than two thirds involving high-income countries, and one third middle-income countries. Four studies (12.1%) used the original English version instrument, 23 (69.7%) adapted the original version, and 6 (18.2%) translated and culturally adapted the tool. Twenty-three studies targeted needs at the individual level and utilized TNA to determine job roles and responsibilities. Thirteen articles represented the team/interprofessional theme, applying the TNA tool to compare training needs and perceptions among professional groups. Last, three articles used the tool to monitor the quality of care across an institution or healthcare system, demonstrating the organizational training needs theme. CONCLUSIONS Overall evidence shows that the TNA survey is widely used as a clinical practice and educational quality improvement tool across continents. Translation, cultural adaptation, and psychometric testing within a variety of settings, populations, and countries consistently reveals training gaps and outcomes of targeted continuous professional development. Furthermore, it facilitates prioritization and allocation of limited educational resources based on the identified training needs. The TNA tool effectively addresses the "know-do" gap in global human resources for health by translating knowledge into action.
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Affiliation(s)
- Adelais Markaki
- PAHO/WHO Collaborating Center for International Nursing, Birmingham, AL USA
- School of Nursing, University of Alabama at Birmingham, 1701 University Boulevard, Birmingham, AL 35294 USA
| | | | - Rebecca Billings
- School of Nursing, University of Alabama at Birmingham, 1701 University Boulevard, Birmingham, AL 35294 USA
| | - Lisa Theus
- PAHO/WHO Collaborating Center for International Nursing, Birmingham, AL USA
- School of Nursing, University of Alabama at Birmingham, 1701 University Boulevard, Birmingham, AL 35294 USA
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Byamugisha J, Munabi IG, Mubuuke AG, Mwaka AD, Kagawa M, Okullo I, Niyonzima N, Lusiba P, Ainembabazi P, Kankunda C, Muhumuza DD, Orem J, Atwine D, Ibingira C. A health care professionals training needs assessment for oncology in Uganda. HUMAN RESOURCES FOR HEALTH 2020; 18:62. [PMID: 32873293 PMCID: PMC7465387 DOI: 10.1186/s12960-020-00506-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Accepted: 08/20/2020] [Indexed: 05/25/2023]
Abstract
BACKGROUND Cancer incidence and mortality in sub-Saharan Africa are increasing and do account for significant premature death. The expertise of health care providers is critical to downstaging cancer at diagnosis and improving survival in low- and middle-income countries. We set out to determine the training needs of health care providers for a comprehensive oncology services package in selected hospitals in Uganda, in order to inform capacity development intervention to improve cancer outcomes in the East African region. METHODS This was a cross-sectional survey using the WHO Hennessey-Hicks questionnaire to identify the training needs of health workers involved in cancer care, across 22 hospitals in Uganda. Data were captured in real time using the Open Data Kit platform from which the data was exported to Stata version 15 for analysis using the Wilcoxon signed-rank test and Somers-Delta. RESULTS There were 199 respondent health professionals who were predominately female (146/199, 73.37%), with an average age of 38.97 years. There were 158/199 (79.40%) nurses, 24/199 (12.06%) medical doctors and 17/199 (8.54%) allied health professionals. Overall, the research and audit domain had the highest ranking for all the health workers (Somers-D = 0.60). The respondent's level of education had a significant effect on the observed ranking (P value = 0.03). Most of the continuing medical education (CME) topics suggested by the participants were in the clinical task-related category. CONCLUSION The "research and audit" domain was identified as the priority area for training interventions to improve oncology services in Uganda. There are opportunities for addressing the identified training needs with an expanded cancer CME programme content, peer support networks and tailored training for the individual health care provider.
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Affiliation(s)
- Josaphat Byamugisha
- Department of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda
| | - Ian G. Munabi
- Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda
| | - Aloysius G. Mubuuke
- Department of Radiology, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda
| | - Amos D. Mwaka
- Department of Medicine, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda
| | - Mike Kagawa
- Department of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda
| | - Isaac Okullo
- Department of Dentistry, School of Health Sciences, Makerere University College of Health Sciences, Kampala, Uganda
| | | | - Pastan Lusiba
- Office of the Principal, Makerere University College of Health Sciences, Kampala, Uganda
| | - Peruth Ainembabazi
- Office of the Principal, Makerere University College of Health Sciences, Kampala, Uganda
| | - Caroline Kankunda
- Office of the Principal, Makerere University College of Health Sciences, Kampala, Uganda
| | - Dennis D. Muhumuza
- Office of the Principal, Makerere University College of Health Sciences, Kampala, Uganda
| | | | | | - Charles Ibingira
- Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda
- Office of the Principal, Makerere University College of Health Sciences, Kampala, Uganda
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Adeniji FP, Adewole D, Makanjuola A. Self-reported training needs among physicians in a tertiary institution, Southwest, Nigeria: An application of hennessy-hicks training needs assessment tool. NIGERIAN JOURNAL OF MEDICINE 2020. [DOI: 10.4103/njm.njm_27_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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