Content Experts Research Articles

Standards of Care for Peripheral Intravenous Catheters: Evidence-Based Expert Consensus

Highlights Abstract Background: The insertion of a peripheral intravenous catheter (PIVC) is the most commonly performed invasive procedure in healthcare. Despite its frequency in placement in hospitalized patients, PIVCs are generally perceived as being safe; however, the prevalence of failure ranges from 35%-50%. Additionally, complications are common and often deemed “acceptable” by clinicians. Healthcare provider and clinician foundational knowledge and competency is lacking nationally. Considering the mere volume of PIVCs placed, the failure and complication rates, the human impact is significant. Methods: The Association for Vascular Access (AVA) has led a collaborative effort with representatives from the Infusion Nurses Society (INS), the American Association of Critical Care Nurses (AACN), ECRI, and content experts representing nursing vascular access, infusion therapy, infection prevention, critical care, pediatrics, healthcare leadership, a physician, and a patient representative. Our aim is to provide concise guidance that will enhance and standardize practices related to peripheral intravenous catheters (PIVC). By consolidating current standards of practice into a comprehensive document, our framework seeks to advance the quality of care and improve patient safety. Results: This document has undergone meticulous scrutiny to ensure its quality; including incorporation of current standards, methodology for consensus from the expert panel, and input received from public comments. Conclusions: We anticipate that this work will have a significant impact on healthcare professionals, policymakers, and, most importantly, patients’ experiences by the promotion of consistent, high-quality treatment, safety, and comfort for patients receiving a PIVC.

Optimization of Digital Media Utilization for Anti-Bullying Campaigns Among Generation Z

Digital learning media based on applications are rarely found in anti-bullying education, yet the impact of using such learning tools cannot be underestimated. Therefore, this study aims to develop a digital learning media product based on an application to promote anti-bullying among Generation Z in junior high schools. This research adopts a Research and Development (R&D) approach using the ADDIE model, focusing on the process of producing application-based digital learning media suitable for educational purposes. The research subjects consist of media experts, content experts, and the director of the Children's Care Foundation (KAKAK) in Surakarta. Data collection techniques involved media validation questionnaires, which were then analyzed using percentages and described to provide an overview of the suitability level of this media. The research results show that the average validation results were 88%, while the average results from content were 87%. After validation, this digital media fall into the 'Very Good' qualification. Therefore, based on assessments from media experts, content experts, and the director of the KAKAK Foundation, it is concluded that this application-based digital learning media product is categorized as 'feasible' for use as an alternative learning medium in promoting anti-bullying in junior high schools. The existence of this media is evidently an innovative learning tool that enriches the process of anti-bullying education.

Field Work Practice Monitoring System to Support Practical Activities for Vocational High School Students

Internship (INTERNSHIP) is an important part of the vocational education curriculum in vocational high schools, including SMK Negeri 1 Gesi. However, its implementation often faces various obstacles, such as inefficient communication, delayed reporting, and difficulties in monitoring student progress. To address these issues, an Internship monitoring system has been developed with the aim of optimizing the learning process. Therefore, this research aims to develop a internship monitoring system that is suitable for use by vocational high school students to support their activities. The research method applied in this study is research and development adopting the Alessi & Trollip model. The research subjects include software/media experts, content experts, and teachers. Data collection is carried out using observation, interviews, and questionnaires. The data obtained from the research is then analyzed qualitatively descriptively and quantitatively in terms of percentage. The research results show that in the alpha testing phase, the internship monitoring system product received a High Validity qualification from experts. Based on these results, it can be concluded that the internship monitoring system product deserves the category of high feasibility to use as an application or system to support a series of internship activities, both for teachers and students.

The Design of the Nusantara Quest Game on Mobile Platforms for the Cultural Arts Subject for Grade X Students

This research aims to design a mobile-based game called Nusantara Quest to enhance student engagement and learning outcomes in Arts Education for 10th-grade students. The educational game is developed using the Unity platform and follows the ADDIE model (Analyze, Design, Development, Implementation, Evaluation). The analysis phase involves studying student characteristics and material needs. During the design phase, game flow, user interface, and educational content are created. The development phase includes game creation and validation by media and content experts. Implementation involves trials with students from SMK Negeri 5 Sidrap, and the evaluation phase assesses the effectiveness of the game in improving student interest and understanding of Arts Education material. The research findings indicate that the quiz-based educational game is valid and effective as an interactive learning media S

Information System for Managing Village-Owned Enterprises (BUMDes) in Bogoharjo Village with DevOps Method

Purpose: The purpose of this research is to build a Bogoharjo Village-Owned Enterprises (BUMDes) Business Unit Management Information System to facilitate BUMDes managers in managing business units and providing available services to the community online. Methods: The method used in this research is the DevOps method with the stages of plan, code, build, test, release, deploy, operate, and monitor. System design uses UML (Unifed Modeling Language), namely flowchart, use case diagram, activity diagram, class diagram, and sequence diagram. System development using the Laravel framework. Results: The results showed that expert validation with an average percentage by content expert validation of 89% and media expert validation of 84% so that the BUMDes Management Information System (Village-Owned Enterprises) in Bogoharjo Village with the DevOps Method was very feasible to use. While the results of the practicality trial using 25 respondents produced an average percentage of 89% with a very practical category. Thus, the BUMDes Management Information System (Village-Owned Enterprises) in Bogoharjo Village with the DevOps Method is very practical to use. Novelty: The novelty of this research is used to assist BUMDes managers in managing data or providing information related to the BUMDes itself. In addition, BUMDes management becomes more organized and structured so that services to the community become more effective and well managed.

Development of Problem Based Learning Teaching Modules Based on Blended Learning in the Implementation of the Independent Curriculum

The implementation of the independent curriculum in the education system requires teachers to develop teaching modules while conducting instructional activities in the right direction. This research aims to develop a problem-based learning teaching module based on blended learning that is suitable for implementation within the context of the independent curriculum. The type of this research is Research and Development using the ADDIE development model, which stands for analysis, design, development, implementation, and evaluation. In this research, the implementation is limited to the development stage only. The suitability of the teaching module is measured through the validation results of the teaching module, as well as the responses from teachers and students. The subjects of this research are physics teachers and 11th-grade students at SMA Methodist Banda Aceh. Data collection techniques involve the validation questionnaire for the teaching module by experts and practitioners, as well as questionnaires to gather responses from teachers and students. The research data is then analyzed using quantitative descriptive methods with percentage techniques. The overall validation results of the teaching module by content experts indicate a score of 99.7%, construction experts at 91.5%, and practitioners at 90%, all falling under the category of highly valid. Additionally, the results from the teacher response questionnaire show a score of 90%, and the student response questionnaire indicates a score of 86%, both falling into the category of very good. Based on the research findings, it can be concluded that the development of a problem-based learning teaching module based on blended learning is suitable for implementation within the framework of the independent curriculum.

Feasibility of a problem-based social constructivism learning model to improve higher-order thinking skills among primary school students

This research aims to demonstrate the results of an experiment on how the Problem-Based Social Constructivism Learning Model (PBSCL) can be developed to effectively promote Higher-Order Thinking Skills (HOTS) among primary school children. The methodology employed in this study was developmental research which involved thorough preliminary studies, meticulous product development and comprehensive product testing stages. Respondents for this study included model experts, language experts, content specialists and practitioners. Data collection instruments used were detailed questionnaires served during the feasibility test. In addition, product testing involved rigorously confirming the findings of product development through extensive expert validation, including learning model expert validation, content or material expert validation, language expert validation and practitioner validation. The results of the assessment on learning design expert validators for the PBSCL learning model indicated that they had high qualifications with the average score being 3.29. Consequently, learning design experts ensured that the criteria were meticulously met by the PBSCL learning model for HOTS improvement. Additionally, subject matter specialists confirmed the appropriateness and effectiveness of using the PBSCL learning model for HOTS improvement. The findings suggest that the PBSCL learning model has significant potential to substantially enhance HOTS among primary school students. However, further investigation is needed to fully validate its effectiveness and practical application in diverse educational settings.

The changing role of educators in the age of artificial intelligence: Molding minds at the digital dawn

This study investigates the impact of artificial intelligence (AI) on the roles and practices of educators and outlines the professional development needs in the era of AI. Employing qualitative interviews with 75 teachers across 15 schools in Azerbaijan, the research explores the integration of AI into education. It leverages the Technological Pedagogical Content Knowledge (TPACK) framework to examine the convergence of technology, pedagogy, and content expertise in teaching. Findings reveal that while AI has the potential to enhance personalized learning, its adoption poses significant challenges, including teacher burnout, ethical concerns, and the need for professional development programs. The study highlights the importance of practical training to enable educators to effectively integrate AI into teaching. Limitations include context specificity and potential biases in self-reporting. Future research should assess the long-term educational impacts of AI and expand to various educational settings for a broader perspective.

The Development of Raya-In: Learning Media Based on Smart Apps Creator to Improve Primary School Social Science Learning

Technology-based learning media in social science are not readily available in primary schools. Meanwhile, learning media, especially technology-based, supports social science competencies for primary school students. This study aimed to develop learning media, named Raya-In (Ragam Budaya Indonesia), based on Smart Apps Creator to improve the social science learning of fourth-grade students in SDN Kangkung 01 within the Indonesian cultural diversity theme. This study used the Borg and Gall model design, which consisted of 8 stages: potential and problem analysis, data collection, product design, product validation, revision, small-scale trial, large-scale trial, and final product. The study involved media experts and content experts to validate the media. The subjects were fourth-grade students of SDN Kangkung 1 (n=39). Data was collected by observation, interview, pretest, questionnaire, documentation, and posttest. The final result showed that Raya-In passed the media and content experts' evaluation and revision processes. The media and content experts gave high scores in the qualified category. The Pretest, posttest, T-test, and N-gain tests showed that Raya-In supported social science learning. The study aligned with learning in the current era, using technology-based media. Raya-In development based on Smart Apps Creator was validated to support social science learning in primary school.

Kvisoft Flipbook Maker-Assisted E-Modules to Foster Learning Motivation in Elementary School Students on the Topic of Changes in The Shape of the Earth

Student motivation in learning IPAS (Natural and Social Sciences) subjects remains relatively low. This issue can be attributed to various factors, such as the limited utilization of learning resources and the lack of comprehensive content coverage. The purpose of this study is to create an electronic instructional module with the assistance of Kvisoft Flipbook Maker. The study used research and development (R&D) methodology, explicitly incorporating the ADDIE model. The participants were subject content experts, media experts, language experts, and 96 fifth-grade elementary school students. Data collection methods consist of observations and assessments. Expert evaluations were conducted utilizing questionnaires, whereas students were administered with Pre-test and Post-test assessments. Data analysis was performed using quantitative descriptive techniques. The evaluation results from media experts indicated a 77% feasibility score, while material experts scored 93% and language experts scored 100%, signifying high feasibility. The findings suggest that implementing E-Modules positively impacts student performance, as evidenced by improved evaluation outcomes following integrating of the Kvisoft Flipbook Maker-assisted electronic module. This research underscores the significant role of technology in boosting elementary school students' motivation.

Diversity, Equity, and Inclusion Competencies for a Graduate Nursing Program.

The integration of diversity, equity, and inclusion (DEI) concepts throughout the curriculum is imperative to the preparation of advanced-practice nurses to deliver person-centered care. This article describes the design and evaluation of one institution's faculty-developed DEI competencies for graduate nursing students. A task force of faculty and content experts utilized a modified Delphi approach in the development of DEI-focused competencies related to advanced-level nursing education. A literature review, a faculty survey, and content experts were employed in the modified Delphi approach. Creation of interdisciplinary faculty-lead graduate nursing DEI curricular competencies included an overview, identification of three domains, eight competencies with associated key elements, and a glossary clarifying nine essential DEI terms. The development of DEI competencies for graduate nursing programs is feasible and an important strategy for preparing students with the values and skills to address the ongoing embedded structural inequalities in health care. [J Nurs Educ. 2024;63(X):XXX-XXX.].

Nepali Translation, Validity and Reliability Study of the Cohen-Hoberman Inventory of Physical Symptoms for Utilization With Bhutanese Refugees.

Language-appropriate outcome measurements help to improve health equity. The purpose of this study was to translate and validate the Cohen-Hoberman Inventory of Physical Symptoms (CHIPS) in Nepali for Bhutanese refugee utilization. English-Nepali forward and back translations of CHIPS were completed by an official translator and evaluated by three content experts. A scaled rubric measured the following constructs: neurogenic stress response (NSR), somatic stress response (SSR), and visceral stress response (VSR). Data were analyzed using SPSS 26.0. The Nepali version of CHIPS reported good content validity, strong internal consistency (Cronbach's α =.94), and inter-rater reliability (ICC=0.91). Kappa statistic reported 88% to 96% agreement. Constructs of NSR (0.91), SSR (0.94), and VSR (0.94) reported strong internal consistency. The Nepali translated version of CHIPS showed strong validity and reliability for utilization in the Bhutanese refugee population and improves health access to outcome measurements for a vulnerable population.

Moving the needle for laparoscopic common bile duct exploration: defining obstacles for the path forward.

Laparoscopic cholecystectomy is performed very commonly but laparoscopic common bile duct exploration (LCBDE) is performed infrequently. We aimed to determine the most significant barriers to performing LCBDE and to identify the highest yield interventions to facilitate adoption. A national survey was designed by content experts, who regularly perform LCBDE. The survey was distributed by email to the Society of American Gastrointestinal and Endoscopic Surgeons and the American Association for the Surgery of Trauma memberships. Non-U.S. surgeon responses were excluded. Descriptive statistics were used to analyze the results. Seven hundred twenty six practicing surgeons responded to the survey, 543 of which were US surgeons who perform laparoscopic cholecystectomy. Only 27% of respondents preferred to manage choledocholithiasis with LCBDE. Their technique of choice was choledochoscopy (70%). Despite this, 36% of surgeons did not have access to a choledochoscope or were unsure if they did. Seventy percent of surgeons who performed LCBDE did not have supplies readily available in a central stocking location. Only 8.5% of surgeons agreed that routine LCBDE would impact their referral relationship with gastroenterology. About half the respondents (47%) considered LCBDE worth the time, but only 25% knew about reimbursement for the procedure. Almost all (85%) of surgeons understood that LCBDE results in shorter length of stay compared to ERCP. Only a quarter of the surgeons performing cholecystectomy perform LCBDE. Multiple barriers contribute to low LCBDE utilization. Increasing availability of appropriate equipment, a dedicated supply cart, and teaching fluoroscopic LCBDE interventions may address limitations and increase adoption. These efforts may also increase efficiency, minimizing perceived time and skill restraints. Although many surgeons understand LCBDE decreases length of stay, they are unaware of surgeon-specific LCBDE financial benefits. Systematically addressing these barriers may increase LCBDE adoption, improve patient care, and decrease healthcare costs.

Development of School-Based Comprehensive Sexuality Education Module in Junior High School

Adolescent's sexual changes without being accompanied by the proper arrangements can make young people caught in risky sexual behavior which affects their future. Various challenges in giving sex instruction encourage the realization of comprehensive school-based sexuality education that's compelling in avoiding risky sexual behavior in adolescents. The objectives of this study are (1) Development of comprehensive school-based sex education using the ADDIE model. (2) Validation of a comprehensive school-based sex education module. The research method is research and development using the ADDIE model. A questionnaire served as the instrument. Data were analyzed descriptively qualitatively and descriptively quantitatively. The results showed that (1) the module design and development process followed five steps of the ADDIE model as follows: Analysis, Design, Development, Implementation, and Evaluation. (2) Based on the content expert validation, the module was suitable for use with improvements. There were some comments given by experts about the module. The average of student's questionnaires fell into the good category.

Contextualizing Measurement: Establishing a Construct and Content Foundation for the Assessment of Cancer-Related Dyadic Efficacy.

This paper illustrates a rigorous approach to the initial phases of scale development when evaluating an existing construct, dyadic efficacy, in a new population. Cancer-related dyadic efficacy represents a couples' confidence in their conjoint abilities to manage the effects of cancer. Two samples of individuals diagnosed with cancer and their partners, along with a professional panel, contributed lay and content expertise, respectively. Thematic analysis was used to describe cancer-related dyadic efficacy and identify content domains. Cancer-related dyadic efficacy was conceptualized as multidimensional, consistent with relational functioning, and distinct from self-efficacy. A pool of 50 items was developed to assess eight content domains grouped into three main themes: dyadic efficacy for managing (a) illness intrusions, (b) emotional responses and (c) communication and care for children. This paper responds to calls for more rigorous reporting of the qualitative procedures required to establish a conceptual grounding for a new scale.

Adapting and Evaluating the Feasibility and Acceptability of a Behavioral Intervention to Promote Sleep Health in Cardiac Rehabilitation

ABSTRACT Objectives Study objectives were to: 1) iteratively adapt the Transdiagnostic Sleep and Circadian Intervention (TranS-C) for patients in cardiac rehabilitation (CR; Phase 1) and 2) conduct a preliminary single group pre-post intervention test to a) evaluate procedural feasibility and intervention acceptability and b) to explore preliminary pre-post changes in self-reported sleep, disability, and health-related quality of life (HRQoL; Phase 2). Method In Phase 1, 12 individuals in CR and six content experts completed interviews to inform TranS-C adaptations. Interviews were analyzed using rapid qualitative analysis. In Phase 2, eight individuals in CR completed a baseline assessment, the adapted TranS-C intervention, and a post-intervention assessment. Intervention acceptability was assessed via questionnaire and interview. Sleep, disability, and HRQoL outcomes were assessed using questionnaires. Descriptive statistics were calculated for quantitative measures; interviews were analyzed using rapid qualitative analysis. Results Phase 1 participants were receptive to the premise and structure of the adapted intervention. In Phase 2, participants endorsed positive attitudes toward the intervention. Seven of eight participants demonstrated improvements in sleep outcomes. Disability and HRQoL results did not consistently improve. Conclusion The adapted TranS-C intervention was acceptable to CR patients and could yield improvements in subjective sleep outcomes. Larger-scale testing in CR is warranted.

Large Language Models in Pediatric Education: Current Uses and Future Potential.

Generative artificial intelligence, especially large language models (LLMs), has the potential to affect every level of pediatric education and training. Demonstrating speed and adaptability, LLMs can aid educators, trainees, and practicing pediatricians with tasks such as enhancing curriculum design through the creation of cases, videos, and assessments; creating individualized study plans and providing real-time feedback for trainees; and supporting pediatricians by enhancing information searches, clinic efficiency, and bedside teaching. LLMs can refine patient education materials to address patients' specific needs. The current versions of LLMs sometimes provide "hallucinations" or incorrect information but are likely to improve. There are ethical concerns related to bias in the output of LLMs, the potential for plagiarism, and the possibility of the overuse of an online tool at the expense of in-person learning. The potential benefits of LLMs in pediatric education can outweigh the potential risks if employed judiciously by content experts who conscientiously review the output. All stakeholders must firmly establish rules and policies to provide rigorous guidance and assure the safe and proper use of this transformative tool in the care of the child. In this article, we outline the history, current uses, and challenges with generative artificial intelligence in pediatrics education. We provide examples of LLM output, including performance on a pediatrics examination guide and the creation of patient care instructions. Future directions to establish a safe and appropriate path for the use of LLMs will be discussed.

Comparison of the Usability and Reliability of Answers to Clinical Questions: AI-Generated ChatGPT versus a Human-Authored Resource.

Our aim was to compare the usability and reliability of answers to clinical questions posed of Chat-Generative Pre-Trained Transformer (ChatGPT) compared to those of a human-authored Web source (www.Pearls4Peers.com) in response to "real-world" clinical questions raised during the care of patients. Two domains of clinical information quality were studied: usability, based on organization/readability, relevance, and usefulness, and reliability, based on clarity, accuracy, and thoroughness. The top 36 most viewed real-world questions from a human-authored Web site (www.Pearls4Peers.com [P4P]) were posed to ChatGPT 3.5. Anonymized answers by ChatGPT and P4P (without literature citations) were separately assessed for usability by 18 practicing physicians ("clinician users") in triplicate and for reliability by 21 expert providers ("content experts") on a Likert scale ("definitely yes," "generally yes," or "no") in duplicate or triplicate. Participants also directly compared the usability and reliability of paired answers. The usability and reliability of ChatGPT answers varied widely depending on the question posed. ChatGPT answers were not considered useful or accurate in 13.9% and 13.1% of cases, respectively. In within-individual rankings for usability, ChatGPT was inferior to P4P in organization/readability, relevance, and usefulness in 29.6%, 28.3%, and 29.6% of cases, respectively, and for reliability, inferior to P4P in clarity, accuracy, and thoroughness in 38.1%, 34.5%, and 31% of cases, respectively. The quality of ChatGPT responses to real-world clinical questions varied widely, with nearly one-third or more answers considered inferior to a human-authored source in several aspects of usability and reliability. Caution is advised when using ChatGPT in clinical decision making.

The Surgical Infection Society Guidelines on the Management of Intra-Abdominal Infection: 2024 Update.

Background: The Surgical Infection Society (SIS) published evidence-based guidelines for the management of intra-abdominal infection (IAI) in 1992, 2002, 2010, and 2017. Here, we present the most recent guideline update based on a systematic review of current literature. Methods: The writing group, including current and former members of the SIS Therapeutics and Guidelines Committee and other individuals with content or guideline expertise within the SIS, working with a professional librarian, performed a systematic review using PubMed/Medline, the Cochrane Library, Embase, and Web of Science from 2016 until February 2024. Keyword descriptors combined "surgical site infections" or "intra-abdominal infections" in adults limited to randomized controlled trials, systematic reviews, and meta-analyses. Additional relevant publications not in the initial search but identified during literature review were included. The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system was utilized to evaluate the evidence. The strength of each recommendation was rated strong (1) or weak (2). The quality of the evidence was rated high (A), moderate (B), or weak (C). The guideline contains new recommendations and updates to recommendations from previous IAI guideline versions. Final recommendations were developed by an iterative process. All writing group members voted to accept or reject each recommendation. Results: This updated evidence-based guideline contains recommendations from the SIS for the treatment of adult patients with IAI. Evidence-based recommendations were developed for antimicrobial agent selection, timing, route of administration, duration, and de-escalation; timing of source control; treatment of specific pathogens; treatment of specific intra-abdominal disease processes; and implementation of hospital-based antimicrobial agent stewardship programs. Summary: This document contains the most up-to-date recommendations from the SIS on the prevention and management of IAI in adult patients.

Tri Hita Karana Based Yoga Model Instrument for Independent Student Exchange Students

Implementing the Tri Hita Karana concept in character and spiritual values education in higher education significantly impacts students' holistic well-being. However, developing assessment instruments for implementing this concept is still lacking. This research aims to develop a Tri Hita Karana-based yoga model instrument for Merdeka exchange students. This type of research is development research using the ADDIE method. The subjects of this research were 2 learning content experts, 2 language experts, and 2 learning design experts. The trial subjects were 30 independent exchange students (3 in individual trials and 27 in small group trials). Data collection methods used include observation, interviews, and questionnaires. The instrument used in this research was a questionnaire sheet. The techniques used to analyze data are qualitative descriptive analysis and quantitative and inferential statistics. The research results, namely the assessments given by learning content experts, obtained an average score of 94.5%, resulting in very good qualifications. The assessment results given by language experts were 93% (very good qualifications). The assessment results given by learning design experts were 96.5% (very good qualifications). The results of the practicality test given by the lecturer received an average score of 96% (very practical). The results of the individual trial assessment were 92% and small group trials 95%, so getting a very practical qualification. The t-test results show a difference in the average value of holistic well-being among students after using the Tri Hita Karana Based Yoga Model Instrument. It was concluded that the Tri Hita Karana Based Yoga Model Instrument is feasible and effective to use to improve the holistic well-being of independent exchange students.