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Pérez-Rivas FJ, Rico-Blázquez M, López-López C, Domínguez-Fernández S, Cobos-Serrano JL, Ajejas Bazán MJ. 'Learning by doing', a model for improving the promotion of healthy lifestyles by student nurses. BMC Nurs 2023; 22:236. [PMID: 37420220 DOI: 10.1186/s12912-023-01398-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Accepted: 06/29/2023] [Indexed: 07/09/2023] Open
Abstract
BACKGROUND 'Learning by doing' is a learning model based on performing actions and gaining experience. The 'nursing process' is a systematic, rational method for providing nursing care. During their university education, nursing students need to acquire the ability to promote healthy lifestyles. OBJECTIVE To determine the effectiveness of a learning strategy based on learning by doing and grounded in the use of the nursing process, on the lifestyle of nursing students. METHODS This quasi-experimental intervention (before-after), performed over 2011-2022, involved 2300 nursing students at a university nursing school in Spain. The risk factors for chronic diseases-being a smoker, being overweight, or having high blood pressure-to which each student was exposed were recorded. Those positive for at least one risk factor selected companion students as 'support nursing students' who became responsible for designing an individualised care plan to reduce the risk(s) faced. To ensure the correct use of the nursing process, teachers approved and monitored the implementation of the care plans. Whether risk-reduction objectives were met was determined three months later. RESULTS The students with risk factors largely improved their lifestyles (targets for reducing smoking/body weight were met) with the help of their supporting peers. CONCLUSIONS The learning by doing method demonstrated its effectiveness, improving the lifestyle of at-risk students via the use of the nursing process.
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Affiliation(s)
- Francisco Javier Pérez-Rivas
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal nº3, Ciudad Universitaria, Madrid, 28040, Spain.
- Grupo de Investigación UCM "Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el entorno comunitario", Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain.
- Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud-RICAPPS-(RICORS), Instituto de la Salud Carlos III, Madrid, Spain.
- Instituto de Investigación Sanitaria Hospital 12 de Octubre (Imas12), Madrid, Spain.
| | - Milagros Rico-Blázquez
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal nº3, Ciudad Universitaria, Madrid, 28040, Spain
- Grupo de Investigación UCM "Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el entorno comunitario", Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
- Unidad de Investigación de la Gerencia Asistencial de Atención Primaria, Servicio Madrileño de la Salud, Madrid, Spain
| | - Candelas López-López
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal nº3, Ciudad Universitaria, Madrid, 28040, Spain
- Grupo de Investigación UCM "Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el entorno comunitario", Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
- Unidad de Cuidados Intensivos de Trauma y Emergencias, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Silvia Domínguez-Fernández
- Grupo de Investigación UCM "Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el entorno comunitario", Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
- Madrid Salud, Ayuntamiento de Madrid, Madrid, Spain
| | | | - María Julia Ajejas Bazán
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal nº3, Ciudad Universitaria, Madrid, 28040, Spain
- Grupo de Investigación UCM "Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el entorno comunitario", Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
- Academia Central de la Defensa, Escuela Militar de Sanidad, Ministerio de Defensa, Madrid, Spain
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Jin W, Wu Q, He Z, Fu Y. Positive effect of cognitive-behavioral intervention combined with integrated health care on patients with type 2 diabetes. Am J Transl Res 2022; 14:3946-3954. [PMID: 35836871 PMCID: PMC9274547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 04/30/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE This study was designed to investigate the effects of cognitive-behavioral intervention (CBI) combined with integrated health care (IHC) on glycemic control, adverse mood, health knowledge and self-efficacy in patients with type 2 diabetes mellitus. METHODS The clinical data of 115 patients with type 2 diabetes mellitus were retrospectively collected and divided into two groups according to the intervention methods, with 57 patients in group A receiving conventional care and 58 patients in group B receiving CBI combined with IHC. The blood glucose, scores of Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), health knowledge, self-efficacy, quality of life, and nursing satisfaction were compared between the two groups before and after intervention. RESULTS Compared with group A, group B had lower glycated hemoglobin (HbAlc), 2-h postprandial glucose (2 hPG), and fasting plasma glucose (FPG) levels (P < 0.05), lower HAMD and HAMA scores (P < 0.05), higher health knowledge and self-efficacy scores (P < 0.05), and higher quality of life after intervention (P < 0.05). Group B exhibited a nursing satisfaction rate of 94.83%, higher than that of 70.18% in group A (P < 0.05). CONCLUSION The effects of CBI combined with IHC can effectively control blood glucose and improve dysphoria, health knowledge, self-efficacy, and quality of life in patients with type 2 diabetes.
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Affiliation(s)
- Wei Jin
- Department of Endocrinology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical UniversityHaikou 570311, Hainan, China
| | - Qiumin Wu
- Department of Outpatient, Hainan Cancer HospitalHaikou 570311, Hainan, China
| | - Zhiwei He
- Department of Radiology, Hainan Cancer HospitalHaikou 570311, Hainan, China
| | - Yilan Fu
- Department of Endocrinology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical UniversityHaikou 570311, Hainan, China
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Fennelly O, Grogan L, Reed A, Hardiker NR. Use of standardized terminologies in clinical practice: A scoping review. Int J Med Inform 2021; 149:104431. [PMID: 33713915 DOI: 10.1016/j.ijmedinf.2021.104431] [Citation(s) in RCA: 39] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 01/20/2021] [Accepted: 02/19/2021] [Indexed: 12/13/2022]
Abstract
AIM To explore the use and impact of standardized terminologies (STs) within nursing and midwifery practice. INTRODUCTION The standardization of clinical documentation creates a potential to optimize patient care and safety. Nurses and midwives, who represent the largest proportion of the healthcare workforce worldwide, have been using nursing-specific and multidisciplinary STs within electronic health records (EHRs) for decades. However, little is known regarding ST use and impact within clinical practice. METHODS A scoping review of the literature was conducted (2019) across PubMed, CINAHL, Embase and CENTRAL in collaboration with the Five Country Nursing and Midwifery Digital Leadership Group (DLG). Identified studies (n = 3547) were reviewed against a number of agreed criterion, and data were extracted from included studies. Studies were categorized and findings were reviewed by the DLG. RESULTS One hundred and eighty three studies met the inclusion criteria. These were conducted across 25 different countries and in various healthcare settings, utilising mainly nursing-specific (most commonly NANDA-I, NIC, NOC and the Omaha System) and less frequently local, multidisciplinary or medical STs (e.g., ICD). Within the studies, STs were evaluated in terms of Measurement properties, Usability, Documentation quality, Patient care, Knowledge generation, and Education (pre and post registration). As well as the ST content, the impact of the ST on practice depended on the healthcare setting, patient cohort, nursing experience, provision of education and support in using the ST, and usability of EHRs. CONCLUSION Employment of STs in clinical practice has the capability to improve communication, quality of care and interoperability, as well as facilitate value-based healthcare and knowledge generation. However, employment of several different STs and study heterogeneity renders it difficult to aggregate and generalize findings.
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Affiliation(s)
- Orna Fennelly
- Insight Centre for Data Analytics, University College Dublin, Ireland; School of Public Health, Physiotherapy and Sports Science, University College Dublin, Ireland.
| | - Loretto Grogan
- Office of the Nursing and Midwifery Services Director, Health Service Executive (HSE), Ireland.
| | - Angela Reed
- Northern Ireland Practice & Education Council for Nursing and Midwifery, Northern Ireland.
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Pérez‐Rivas FJ, Martín‐García Á, Sánz‐Bayona MT, Fernández‐Díaz MC, Barberá‐Martín A, Cárdenas‐Valladolid J, López‐Palacios S, Rico‐Blázquez M. Establishing Technical Values for Nursing Diagnoses in Primary Healthcare. Int J Nurs Knowl 2020; 31:124-133. [DOI: 10.1111/2047-3095.12253] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 07/01/2019] [Accepted: 07/08/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Francisco Javier Pérez‐Rivas
- Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain, and Associate Professor at the Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y PodologíaUniversidad Complutense de Madrid Madrid Spain
| | - Ángel Martín‐García
- San Blas Primary Healthcare Center (Southern Area) of the Gerencia Asistencial de Atención PrimariaServicio Madrileño de Salud Madrid Spain
| | - María Teresa Sánz‐Bayona
- Primary Healthcare Centers (Western Area) at the Gerencia Asistencial de Atención PrimariaServicio Madrileño de Salud Madrid Spain
| | | | | | - Juan Cárdenas‐Valladolid
- Gerencia Asistencial de Atención PrimariaServicio Madrileño de Salud, Madrid, Spain, and Associate Professor at the Facultad de EnfermeríaUniversidad Alfonso X el Sabio Madrid Spain
| | - Sonia López‐Palacios
- Primary Healthcare Centers (Central Area) at the Gerencia Asistencial de Atención PrimariaServicio Madrileño de Salud Madrid Spain
| | - Milagros Rico‐Blázquez
- Gerencia Asistencial de Atención PrimariaServicio Madrileño de Salud, Madrid, Spain and Associate Professor at the Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y PodologíaUniversidad Complutense de Madrid Madrid Spain
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Brito‐Brito PR, Martín‐García Á, Oter‐Quintana C, Paloma‐Castro O, Romero‐Sánchez JM. Development and Content Validation of a NOC‐Based Instrument for Measuring Dietary Knowledge in Patients with Diabetes: CoNOCidiet‐Diabetes. Int J Nurs Knowl 2019; 31:59-73. [DOI: 10.1111/2047-3095.12243] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Pedro Ruymán Brito‐Brito
- Primary Care Management of Tenerife, The Canary Islands Health ServiceUniversity of La Laguna San Cristóbal de La Laguna Spain
| | - Ángel Martín‐García
- Health Care Directorate (South District)Primary Care Management Madrid Spain
| | | | - Olga Paloma‐Castro
- Nursing and Physical Therapy Department, Faculty of Nursing, University of Cadiz at Algeciras, and Research Group under the Andalusian ResearchDevelopment, and Innovation Scheme CTS‐1019, University of Cadiz Cadiz Spain
| | - José Manuel Romero‐Sánchez
- Health and Safety Department of Airbus Group for Spain AIRBUS, Research Group under the Andalusian ResearchDevelopment, and Innovation Scheme CTS‐1019, Universidad de Cadiz Cadiz Spain
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