Effectiveness Of Program Research Articles

Management training programs in healthcare: effectiveness factors, challenges and outcomes

BackgroundDifferent professionals working in healthcare organizations (e.g., physicians, veterinarians, pharmacists, biologists, engineers, etc.) must be able to properly manage scarce resources to meet increasingly complex needs and demands. Due to the lack of specific courses in curricular university education, particularly in the field of medicine, management training programs have become an essential element in preparing health professionals to cope with global challenges. This study aims to examine factors influencing the effectiveness of management training programs and their outcomes in healthcare settings, at middle-management level, in general and by different groups of participants: physicians and non-physicians, participants with or without management positions.MethodsA survey was used for gathering information from a purposive sample of professionals in the healthcare field attending management training programs in Italy. Factor analysis, a set of ordinal logistic regressions and an unpaired two-sample t-test were used for data elaboration.ResultsThe findings show the importance of diversity of pedagogical approaches and tools and debate, and class homogeneity, as effectiveness factors. Lower competencies held before the training programs and problems of dialogue and discussion during the course are conducive to innovative practice introduction. Interpersonal and career outcomes are greater for those holding management positions.ConclusionsThe study reveals four profiles of participants with different gaps and needs. Training programs should be tailored based on participants’ profiles, in terms of pedagogical approaches and tools, and preserve class homogeneity in terms of professional backgrounds and management levels to facilitate constructive dialogue and solution finding approach.

Effect of simulation-based emergency airway management education on the knowledge, skills and perceived confidence of medical interns

Background: An effective airway management education program is a crucial part of the undergraduate medical education curriculum. Theoretical instructions and practical demonstrations are the major modalities of medical education in Nepal. Simulation-based education (SBE) programs have not yet been implemented effectively. We aimed to determine the effects of an SBE program on the knowledge, skills, and perceived confidence of medical interns regarding emergency airway management. Methods: This mixed methods study comprised both quantitative and qualitative components. The study participants were 47 medical interns who had participated in the SBE program. Results: The mean age of the 47 participants was 24.74 years. There were 33 (70.21%) male and 14 (29.79%) female participants. The knowledge, skills, and perceived confidence scores of the participants for airway management preparation, basic airway management, endotracheal intubation, and laryngeal mask airway (LMA) insertion improved significantly following the SBE program (P<0.001). Analysis of the participants’ feedback indicated that they largely approved of the SBE program. The majority of students and faculty expressed a willingness to include similar programs in the undergraduate medical education curriculum. Conclusion: This study demonstrated through quantitative and qualitative metrics that SBE can enhance the knowledge, skills, and perceived confidence in performing emergency airway management among medical interns. We recommend measures to include and effectively implement SBE in the undergraduate medical education curriculum of Nepal.

Assessing the effectiveness and feasibility of the Experienced Carers Helping Others program in relatives of adolescents with eating disorders using an online application format with individual sessions.

Eating disorders (ED) usually involve hospital admission and a high relapse rate, with the return home being a critical moment for patients and their families. After their return home, they often have trouble incorporating the guidelines they have learned into their daily context. ECHOMANTRA intervention program aims to facilitate this transition by offering psychological strategies that involve both patients and their families and carers. Specifically, the ECHO program is aimed at the relatives of these patients. The present study aimed to analyze the efficacy of adding the ECHO program to the usual treatment (TAU) of relatives through a novel format based on individual intervention and with an online format and to examine the acceptability and feasibility of this new format. The study design was multi-center, randomized, controlled, with a longitudinal design and comparing two parallel groups. A total of 108 family members participated. Results indicated that relatives from both groups, TAU and ECHO + TAU, showed improvements in expressed emotion, accommodation, impact of the ED, emotional well-being, and caregiver skills. However, effect sizes in the ECHO + TAU group were slightly larger than the TAU group. In addition, the changes were greater in depression and caregiver skills when the ECHO component was added. Most caregivers (81.48%) completed the ECHO and indicated a high level of satisfaction with the program. These results suggest the efficacy and the feasibility of adding the ECHO intervention program to the usual treatment in an individual online format.

A functional intervention within a cognitive approach to chronic cervical radiculopathy

BackgroundMost patients with cervical radiculopathy improve within the first months without treatment or with non-surgical treatment. A systematic review concluded that these patients improve, regardless of their intervention. Still, many patients are offered surgery, despite limited evidence regarding the indications for surgical treatments. The aim of this article is to describe the intervention that is going to be followed in the non-surgical treatment arm of a randomised controlled trial (RCT) comparing the effectiveness of surgical and non-surgical treatment for patients with cervical radiculopathy.MethodsThe non-surgical intervention is a functional intervention within a cognitive approach founded on previous experiences, and current recommendations for best practice care of musculoskeletal pain and cervical radiculopathy. It is based on the biopsychosocial rather than a biomedical perspective, comprises an interdisciplinary approach (physicians, physiotherapy specialists), and includes brief intervention and graded activities. The intervention consists of 6 sessions over 12 weeks. The primary goals are first, to validate the patients´ symptoms and build a therapeutic alliance, second, to explore the understanding and promote alternatives, and third, to explore problems and opportunities based on patients´ symptoms and function. Motivational factors toward self-management are challenging. We will attempt shared decision-making in planning progress for the individual patient and emphasise learning of practical self-help strategies and encouragement to stay active (reinforcing the positive natural course). General physical activities such as walking will be promoted along with simple functional exercises for the neck- and shoulder region. We will also explore social activity, comorbidities, pain location, sleep, and work-related factors. The health providers will set individualised goals together with each patient.DiscussionThe aim of the intervention is to describe a functional intervention within a cognitive approach for patients with chronic cervical radiculopathy. The effectiveness of the present program will be compared to surgery in a randomised controlled trial.

Clinical effects of a home care program for patients with peritoneal dialysis in a tertiary care hospital.

Digital health technologies have been rapidly adopted during the coronavirus disease 2019 pandemic. In Korea, a home care program, including face-to-face educational consultation and remote patient monitoring, was initiated to improve patients' quality of life. This study focused on patients with end-stage renal disease undergoing peritoneal dialysis to verify the long-term clinical effectiveness of this home care program. This retrospective cohort study was designed as a pre-post study to analyze the clinical impact of a home care program for patients undergoing peritoneal dialysis in a single tertiary care hospital. A total of 186 patients were selected from June 2017 to May 2022 to identify clinical changes after program implementation by analyzing changes in peritonitis incidence and laboratory test results. Interrupted time series analyses with ordinary least squares linear regression and chi-square tests were used. At baseline, the incidence of peritonitis continuously increased by 0.480 cases per 1,000 patient-months (p = 0.02). After program initiation, the trend significantly decreased by 0.886 cases per 1,000 patient-months (p = 0.02). In addition, the proportion of individuals reaching the clinical target range had increased calcium levels (4.9%p, p = 0.003), stable hemoglobin (1.2%p, p = 0.477), phosphorus (2.8%p, p = 0.09), potassium (-1.6%p, p = 0.22), while parathyroid hormone levels decreased (-6.6%p, p = 0.005). With a reduction in peritonitis incidence and overall improvement in laboratory test results, our study suggests that conducting a home care program for patients undergoing peritoneal dialysis is clinically effective.

Effectiveness of a Community-Based First Aid Education Program on Choking for Laypersons in Surabaya, Indonesia: A Quasi-Experimental Study

Choking is a leading cause of accidental death, particularly among children and the elderly. Prompt first aid, especially the Heimlich maneuver, is crucial in preventing fatalities. This study aimed to evaluate the effectiveness of a community-based first aid education program on choking in Surabaya, Indonesia. A quasi-experimental, pre-post design was implemented in Surabaya. Participants were recruited from various community settings (workplaces and community centers). The intervention group received a comprehensive first aid education program on choking, while the control group received standard health education. Knowledge and skills related to choking first aid were assessed before and after the intervention. A total of 350 participants completed the study (175 per group). The intervention group demonstrated a significant improvement in knowledge (p < 0.001) and skills (p < 0.001) related to choking first aid compared to the control group. Additionally, the intervention group reported increased confidence in their ability to respond to choking emergencies. The community-based first aid education program significantly enhanced knowledge, skills, and confidence in choking first aid among laypersons in Surabaya. Such programs should be considered as a public health strategy to reduce choking-related morbidity and mortality.

Oral Health Educational Intervention for Primary Healthcare Providers Using the Flipped Approach

Objectives: This study evaluated the effect of a flipped oral health educational program for primary healthcare providers (PHCPs) on their knowledge, attitude, and practice.Materials and Methods: This field trial was conducted on PHCPs (N=118; 61 cases and 57 controls) in District Health Centers (DHCs) of Tehran, Iran in 2012. The participants filled out a self-report questionnaire with questions on knowledge (N=34), attitude (N=8), and oral health practice (N=14). The intervention included an educational booklet delivered to the staff followed by a brief educational session using the flipped approach and a reminder pamphlet after 1 month. After 4 months, the questionnaire was completed again by the participants. Statistical analysis included paired sample t-test, ANCOVA, and linear and logistic regression.Results: Most participants were females (N=114), and the mean age was 37±8 years. The scores of the three domains of knowledge and also the total knowledge score, the attitude score, and the practice score significantly improved in the intervention group compared to the control group (P<0.001). Knowledge about the oral health of children (P=0.001) and the total knowledge score (P<0.05) significantly increased in the control group, but the increase in other domains was not statistically significant (P>0.05).Conclusion: The oral health knowledge of PHCPs was insufficient, and their practice and attitude were not desirable. The oral health educational program with the flipped approach had a positive impact on the PHCPs’ knowledge, attitude and practice, and may be utilized in the academic curriculum or continuing medical education (CME) courses.

The AI coach

The study aims to investigate the effect of a 5-week artificial intelligence-generated calisthenics training program (AIGCTP) on health-related physical fitness components, including flexibility, cardiovascular endurance, and muscular endurance. Utilizing a quasi-experimental design, the study employed a one-group pre-test-post-test design for within-group comparisons and a two-group pre-test-post-test design for between-group comparisons. Participants included 87 untrained collegiate students, divided into the AIGCTP group (43 participants) and a human-made calisthenics training program (HMCTP) group (44 participants), selected via purposive sampling. A paired t-test was used for within-group comparisons, and an independent sample t-test was used for between-group comparisons. The findings indicated that the AIGCTP effectively improved the flexibility of the lower extremities and the muscular endurance of the core and upper extremities. However, female participants did not show significant improvements in any health-related physical fitness components, whereas male participants demonstrated improvements in the flexibility of the lower extremities and muscular endurance of the upper extremities. The HMCTP was effective in improving the flexibility and muscular endurance of the lower and upper extremities for all participants. Between-group comparisons revealed that the cardiovascular endurance of the HMCTP group was significantly superior to that of the AIGCTP group, irrespective of sex. Additionally, males in the HMCTP group exhibited significantly higher muscular endurance of the lower extremities compared to those in the AIGCTP group. The study suggests that AI can be used for fitness training, but professional-made programs are superior in some areas. Future research should replicate these findings, examine more fitness components, and explore longer training durations for further validation.

Nurses’ perceptions of patient handoffs and predictors of patient handoff perceptions in tertiary care hospitals in Kelantan, Malaysia: a cross-sectional study

ObjectivesTo study nurses’ perceptions of patient handoffs in tertiary care hospitals in Kelantan, Malaysia, and to identify predictors of these perceptions.DesignCross-sectional study.SettingThree tertiary care hospitals in Kelantan, Malaysia, February–March 2023.ParticipantsThe...

A transitional care program in a technologically monitored in‐hospital facility reduces the length of hospital stay and improves multidimensional frailty in older patients: a Randomized Clinical Trial

BackgroundLonger length of hospital stay (LOS) negatively affects the organizational efficiency of public health systems and both clinical and functional aspects of older patients. Data on the effects of transitional care programs based on multicomponent interventions to reduce LOS of older patients are scarce and controversial.AimsThe PRO‐HOME study aimed to assess the efficacy in reducing LOS of a transitional care program involving a multicomponent intervention inside a technologically monitored in‐hospital discharge facility.MethodsThis is a Randomized Clinical Trial on 60 patients (≥65 years), deemed stable and dischargeable from the Acute Geriatrics Unit, equally assigned to the Control Group (CG) or Intervention Group (IG). The latter underwent a multicomponent intervention including lifestyle educational program, cognitive and physical training. At baseline, multidimensional frailty according to the Multidimensional Prognostic Index (MPI), and Health‐Related Quality of Life (HRQOL) were assessed in both groups, along with physical capacities for the IG. Enrolled subjects were evaluated after 6 months of follow‐up to assess multidimensional frailty, HRQOL, and re‐hospitalization, institutionalization, and death rates.ResultsThe IG showed a significant 2‐day reduction in LOS (median days IG = 2 (2–3) vs. CG = 4 (3–6); p < 0.001) and an improvement in multidimensional frailty at 6 months compared to CG (median score IG = 0.25(0.25–0.36) vs. CG = 0.38(0.31–0.45); p = 0.040). No differences were found between the two groups in HRQOL, and re‐hospitalization, institutionalization, and death rates.DiscussionMultidimensional frailty is a reversible condition that can be improved by reduced LOS.ConclusionsThe PRO‐HOME transitional care program reduces LOS and multidimensional frailty in hospitalized older patients.Trial registration: ClinicalTrials.gov n. NCT06227923 (retrospectively registered on 29/01/2024).

Stochastic energy planning of a deltoid structure of interconnected multilateral grids by considering hydrogen station and demand response programs

This paper presents triple-objective stochastic energy planning and management of a deltoid structure in which a microgrid, nano-grid, and main grid connect and exchange power simultaneously. In addition, the impact of hydrogen stations due to the growth of hydrogen vehicles and their crucial role in the power system's future to reduce pollution is also discussed. Moreover, the effect of time-based demand response programs (TOU) according to the elasticity matrix (different operators and price-sensitive flexible loads) for the proposed multilateral grid is investigated under diverse scenarios. Stochastic planning is performed to make results more realistic and authentic. The uncertain parameters for stochastic planning include wind pace, solar radiation, fuel rate, and various demands. The assumed triple objective functions for the proposed planning are the microgrid's profit, the nano-grid's cost, and the total multilateral grid's pollution. The problem is modeled as mixed-integer linear programming (MILP) and solved using the GAMS and LP metric approach. The final results show that by implementing the supposed planning, the microgrid's profit increases by about 22.53 $/day (10.8%), and the nano-grid's cost decreases by about 1.31 $/day (9.8%). On the other hand, the total environmental pollution is reduced significantly and reaches 1.06 kg/day.

Effectiveness of preventive intervention programmes aiming to improve oral health in children who have undergone caries-related dental extractions: a rapid review.

To determine the effectiveness of preventive interventions in children who have undergone caries-related dental extractions. Rapid review across five databases (CENTRAL, Ovid Medline, Embase, Web of Science and Scopus). Quality was assessed using the Risk of Bias 2 tool. Five studies were included, all randomised controlled trials involving pre-and/or post-extractions activity. Three studies involved oral health education (computer game, motivational interviewing, visual aids), one delivered clinical prevention (fissure sealants), and one an enhanced prevention programme combining additional health education and a clinical intervention (fluoride varnish). Retention was mixed (55%-80% in the intervention groups). Of the three studies measuring caries, all reported less caries development in the test group. However, only a study involving a dental nurse-delivered structured conversation, informed by motivational interviewing, showed an improvement in oral health. Two studies reporting on plaque and gingival bleeding had conflicting results. A study reporting on subsequent dental attendance did not demonstrate a clear improvement. Few published studies have explored prevention-based interventions in high caries-risk children requiring dental extractions. Whilst evidence of clinical benefit of preventive interventions in this population is limited, the potential use of contemporary behaviour change techniques appears promising. There is an urgent need for more high-quality longer-term trials using contemporary methodologies.

The effect of the antibiotic stewardship program (ASP) on community-acquired pneumonia (CAP): a before–after study

Background: Community-acquired pneumonia (CAP) is one of the leading causes of death worldwide. Antibiotic stewardship program (ASP) has been implemented to improve rational and responsible antibiotic use by encouraging guideline adherence.Objective: This retrospective observational before–after study aimed to evaluate whether the ASP may improve guideline adherence, antibiotic exposure, and clinical outcomes in patients hospitalized due to CAP in Hungary.Methods: The study was conducted at a pulmonology department of a tertiary care medical center in Hungary. The ASP implementation consisted of written and published guidelines available to all professionals, continuous supervision, and counseling services on antibiotic therapies at an individual level, with the aim of ensuring compliance with CAP guidelines. Overall guideline adherence (agent selection, route of administration, and dose), clinical outcomes (length of stay and 30-day mortality), antibiotic exposure, and direct costs were compared between the two periods. Fisher’s exact test and t-test were applied to compare categorical and continuous variables, respectively. P-values below 0.05 were defined as significant.Results: Significant improvement in overall CAP guideline adherence (30.2%), sequential therapy (10.5%), and a significant reduction in the total duration of antibiotic therapy (13.5%) were observed. Guideline non-adherent combination therapies with metronidazole decreased significantly by 28.1%. Antibiotic exposure decreased by 7.2%, leading to a significant decrease in direct costs (23.6%). Moreover, the ASP had benefits for clinical outcomes, and length of stay decreased by 13.5%.Conclusion: The ASP may play an important role in optimizing empirical antibiotic therapy in CAP having a sustained long-term effect.

Exploring the effectiveness of youth outreach programmes: the case of Singapore

ABSTRACT In recent decades, some governments have sought greater youth participation in government and public life. This study examines Singapore’s efforts to foster youth participation in government-led community service projects, public conversations, and opportunities for citizen feedback. Using a mixed-methods design that combines a survey questionnaire and semi-structured interviews, we explore the effectiveness of these government outreach programmes in the eyes of youth themselves, and whether they meet the government’s goal of promoting the active and engaged participation of young Singaporeans over the long term. We find that while local youth value the opportunity to participate meaningfully in governance, they also critique the government-led youth participation initiatives as top-down, choreographed, and inauthentic, saying that the views expressed therein do not sufficiently represent youth in Singapore. They also suggest feasible strategies to achieve genuine, inclusive youth participation in the public decision-making process.

Investigation of the effectiveness of a complex injury prevention programme among young swimmers

AbstractPurposeThe training load required at elite level can lead to shoulder pain even among the youngest swimmers, thus, besides modern water training plans and swimming technique development, the planning of dryland training with a preventive approach is of the utmost importance. The aim of the present study was to map kinetic patterns and sports injury risk factors among young competitive swimmers (between 9 and 12 years of age) and to investigate the effectiveness of a complex injury prevention programme on dry land.Materials and methodsA total of 37 swimmers (19 girls and 18 boys, aged 10.8 ± 1 yrs) participated in the research. We performed a physical examination using the PostureScreen11.1 application, a digital goniometer, a manual dynamometer, and functional and diagnostic orthopaedic tests. The swimmers were divided into a trained group and a control group. A three-month complex injury prevention programme was developed for the trained group. We analysed our data using Statistica for Windows.ResultsWe found that 19% of the swimmers had experienced shoulder pain since starting swimming. We also found several postural faults, a reduction in the rotational arc of motion in the shoulder joint, rotational muscle imbalance, serratus anterior weakness, and scapular dyskinesia. Following the programme, swimmers in the trained group showed significant improvement in the rotational arc of the shoulder joint, internal rotational range of motion, rotational muscle strength, and upper limb stability. Progress was also made in many other areas, although these results were not significant.ConclusionsAs shoulder pain and its risk factors can be observed even among the youngest competitors, a dryland training plan tailored to this group can reduce the occurrence of sports injuries.

The Thai Folk Game “Jik Sen” has Become a Recreational Sport for Older People in Senior Citizen Schools

Objectives. The purposes of this study were to: 1) develop an exercise program incorporating the Thai recreational sport “Jik Sen” for older people in senior citizen schools; 2) investigate the effects of the exercise program incorporating the Thai recreational sport “Jik Sen” on the physical fitness of older people in senior citizen schools; and 3) assess the satisfaction level of older people with the exercise program incorporating the Thai recreational sport “Jik Sen”. Materials and methods. This was a two-group experimental study including the experimental group of 17 people (65.53 ± 3.43 years) and the control group of 17 people (65.76 ± 3.60 years). The participants in this study were healthy individuals aged 60 years and above, who were actively engaged in the elderly school program. They were selected using a purposive sampling method and subsequently assigned them to the experimental and control groups using a matching method based on BMI. The research tools consisted of the exercise program, which incorporated the Thai recreational sport “Jik Sen” developed by the research team, and the Senior Fitness Test (SFT). For a period of 8 weeks, the experimental group involved in an exercise regimen comprising 60 minutes of daily training in the Thai recreational sport “Jik Sen”, with a frequency of 3 days per week. The control group was instructed to maintain their normal daily routine and did not participate in any physical activities or exercise programs during the experiment. The data were analyzed using mean, standard deviation, percentage, and t-test. Results. 1) The exercise program incorporating the Thai recreational sport “Jik Sen” for older people in senior citizen schools can be appropriately used to promote exercise and sports in elderly schools in Thailand. The IOC value was 0.97. 2) A significant difference was observed in the mean scores of the 8-foot up-and-go test between the pre-experimental ( = 7.94, S.D. = 1.34) and post-experimental (after 8 weeks) ( = 6.70, S.D.= 0.79) periods for the experimental group at the level of 0.05. The mean scores of the 8-foot up-and-go test between the control group (= 7.84, S.D. = 1.16) and the experimental group (=6.70, S.D. = 0.79) were also found to be significantly different at the level of 0.05. 3) The experimental group expressed high levels of satisfaction with the exercise program involving the Thai recreational sport “Jik Sen” for older people in senior citizen schools, with a mean score of 4.62 ± 0.51 points. Conclusion. The exercise program incorporating the Thai recreational sport "Jik Sen" can effectively enhance the dynamic balance of older individuals in senior citizen schools. Furthermore, it has been shown to facilitate social interaction, improve cognitive abilities including thinking and planning skills, and promote enjoyment.

Evaluation of the Impact of a University Accelerator on Students’ Entrepreneurial Attitudes, Intentions, and Learning Experience

University accelerator programs have exhibited remarkable growth in recent years, and many countries have embraced their potential to support entrepreneurship education and ultimately the development of successful startups. Despite their widespread adoption, additional research is needed to comprehensively grasp their potential impact on entrepreneurship education. This case study adopted a mixed-method approach to assess (a) the impact of a university accelerator program for healthcare innovation on participant’s attitudes and intentions towards entrepreneurship and (b) the learning experience and knowledge gains of the participants through the process of forming multidisciplinary teams, generating a startup idea and creating a Minimum Viable Product (MVP). The authors draw data from a quantitative measure of attitudes towards entrepreneurship and entrepreneurial intentions and a series of interviews with the participants. Findings showed that personal attitudes (i.e., favorable or not toward an entrepreneurial career) and subjective norm (i.e., perceived social pressure) weren’t affected by the program. However, the program positively impacted the participants’ perceived behavioral control (i.e., perceived ease or difficulty of entrepreneurship) and entrepreneurial intention (i.e., participant’s intent to become an entrepreneur). Furthermore, the findings indicated that the content and the activities of the program were beneficial for participants supporting their learning and competences including knowledge and entrepreneurial skills and social skills. However, challenges in multidisciplinary team formation, content delivery, and mentorship were identified. The study suggests the need for future research with a larger sample size in varied contexts to deepen our understanding of the impact of university accelerator programs on entrepreneurial attitudes and learning experiences. The case study contributes valuable insights to enhance the design and effectiveness of university accelerator programs.

Feasibility and acceptability of a culinary nutrition programme for adults with mild-to-moderate intellectual disability: FLIP Food and Lifestyle Information Programme.

Culinary nutrition education can support improved diet-related health and wellbeing. This pre-post pilot study aimed to assess feasibility and acceptability of an eight-session culinary nutrition programme, the Food and Lifestyle Information Programme (FLIP), for adults with mild-to-moderate intellectual disability. A secondary aim was to evaluate preliminary programme effectiveness. Participants were recruited through a disability service provider. Feasibility measures were: recruitment and retention; implementation; engagement and participation; adverse outcomes; and feasibility of outcome measures. Acceptability was assessed using an interactive process evaluation. Effectiveness measures included cooking frequency, cooking and food skill confidence and diet quality. Six of eight participants completed the intervention with high attendance and programme engagement. FLIP was well received by participants and support workers. No adverse outcomes occurred. Diet quality was feasible to assess. Findings can inform content, delivery and evaluation of future culinary nutrition programmes for adults with mild-to-moderate intellectual disability.

Enhancing Education and Training Effectiveness for Microtrans Public Transportation Crews in DKI Jakarta

This research examines the effectiveness of education and training programs for Microtrans public transportation crews in DKI Jakarta, focusing on improving operational efficiency and service quality. Through a mixed-methods approach combining qualitative interviews and surveys, key challenges were identified across six critical indicators: punctuality of training sessions, achievement of training targets, implementation of training outcomes, utilization of training benefits, post-training work performance, and behavioral changes. Findings reveal significant gaps, including delays in training sessions, missed training targets, and difficulties in applying acquired skills on the job. Recommendations include enhancing scheduling systems, aligning curricula with operational needs, and integrating practical training methods to bridge these gaps. Furthermore, fostering a culture of continuous learning and professional development among crews is essential to sustain improvements over time. By addressing these challenges, stakeholders can enhance crew competency, service reliability, and overall public transportation quality in DKI Jakarta

TikTok as a teaching and learning method for nursing students: A quasi-experimental study

BackgroundSocial networks have emerged as powerful tools in education, offering new opportunities for interactive learning. TikTok has gained popularity among young people and has potential for use as a teaching tool in health disciplines. ObjectiveTo evaluate the effectiveness of an educational program based on a multimodal intervention using the TikTok platform to improve theoretical-practical knowledge about diabetic debut and vaccination schedules and satisfaction in nursing students. DesignA quasi-experimental study design. SettingsFaculty of Nursing, University of Cadiz, Spain. Participants74 third-year undergraduate university nursing students. MethodsAccording to Kolb's experiential learning model, a multimodal educational intervention was carried out during the academic year 2022/2023, with 12 h of training. In these sessions, theoretical content on the vaccination calendar and diabetic debut was developed with written case studies. In the last session, 19 working groups were formed and each group was given a practical case study to solve through role-playing and creating a video in TikTok. A questionnaire to measure individual knowledge and a rubric questionnaire were used to evaluate the simulations in TikTok platform. ResultsA significant improvement (z = 6.843, p < 0.001) was observed in the mean scores (9.93 ± 1.65) of the posttest of the knowledge questionnaire, used to evaluate abstract conceptualisation abilities. Additionally, a mean score of 10.42 (SD = 1.42) of the items on the rubric questionnaire, designed to assess active experimentation and reflective observation abilities, were correctly performed. It stands out that 97.1 % of the students positively valued the elements of teaching innovation implemented, while 82.9 % showed a high level of satisfaction with their activity. ConclusionA multimodal educational intervention using TikTok platform proved to be effective in improving the acquisition of theoretical-practical knowledge in the university students included in the study. Therefore, this type of experiential training is recommended for the training of future health professionals.