Knowledge Assessment Questionnaire Research Articles

Teamwork Skills, Satisfaction, and Knowledge Level in Rehabilitation Students Through Team Observed Structured Clinical Examination

Introduction: Team-observed structured clinical examination (TOSCE) is a powerful approach to formative assessment resources, regarded as an essential element of students’ performance in a team format. Considering the importance of teamwork in rehabilitation, this study implements an intervention focused on enhancing teamwork skills within diverse groups of rehabilitation students, employing TOSCE as a tool for assessment and improvement. Materials and Methods: A total of 49 fourth-year undergraduate students specializing in audiology, physical therapy, and speech therapy constituted three groups in our study. Students in each major were randomly divided into four groups. The students were asked to complete the teamwork (19-item scale of Lencioni) and satisfaction (researcher-made scale) questionnaires after TOSCE. A knowledge assessment questionnaire was also conducted at pre- and post- TOSCE time points. Results: There was no significant difference between the average score of the teamwork (F=1.508, P>0.05) and satisfaction (F=3.508, P>0.05) levels across different majors. All participants had high scores on both teamwork and satisfaction scales. By comparing the pre-test and post-test knowledge assessment, in all groups, there was a statistically significant difference between the pre-and post-test results (P<0.05). The students obtained a higher score after the implementation of the TOSCE. Conclusion: The TOSCE method provides a valuable and viable educational opportunity for rehabilitation students to receive feedback on their clinical performance, enhance their knowledge, and, most importantly, lead to a positive feeling of teamwork among students.

Adverse Drug Reactions and Safety Profiles in Cardiovascular Drug Therapy: A Pharmacovigilance Analysis

Aims: The purpose of the study is to identify adverse drug reactions (ADRs) and evaluate patient knowledge of the disease using the Knowledge Assessment Questionnaire (KAQ). This study was designed to compare adverse effects on Cardiovascular Drug Therapy. Adverse drug reaction (ADRs) is a major cause of mortality worldwide. The objective of the present study were a) to find out the prevalence of adverse drug reaction (ADRs) in the hospitalized patient by active surveillance, b) to study the profile of ADRs detected. (3) This study was done in superspecialty hospital Netaji Subhash Chandra Bose medical college & Hospital, Jabalpur, for three month study. Methodology: This study was Pharmacovigilance group, belonging to department of cardiology at Netajisubhash Chandra bose medical college, Jabalpur M.P. (5) Total number of patients taken for study was 90 in number. Results and Conclusion: Total 90 subjects were recruited in the study. Drug used for their co morbidities to find out ADRs in which maximum ADRs found in chronic rheumatoid heart diseases, for this diseases patient took in two combination mainly Digoxin with Clopidogrel (47.36%) and another were with atorvastatin, spironolactone and warfarin (47.30% ADRs Adverse drug reactions on particular body system were mostly observed on CNS (32.14% ADRs). According to Naranjonaranjo causality assessment scale applied to this study illustrates that the maximum possible and probable adverse drug reaction were shown on Furosemide as well as for Digoxin and Spironolactone.

Understanding Hand Hygiene Knowledge Gaps: Insights from Primary Healthcare in Portugal

Abstract Background Healthcare-associated infections cause a significant burden of disease globally. Hand hygiene is crucial for preventing these infections but despite recommendations, compliance with hand hygiene protocols among healthcare professionals is often inadequate. In Portugal, there have been several initiatives aiming to increase awareness on the importance of hand hygiene practices amongst healthcare professionals including in primary healthcare facilities. Nationally, there are two models of organization of primary healthcare facilities with differences in funding and allocation of resources. Methods In this study, the World Health Organization’s Hand Hygiene Knowledge Assessment Questionnaire for Healthcare Professionals was translated into Portuguese and validated with infection control specialists. It was then distributed to primary healthcare professionals in the Northern Lisbon area, in March 2024 to assess knowledge on hand hygiene practices and highlight potential training needs. The responses were analyzed, with the Kruskal-Wallis test carried out, followed by the Mann-Whitney U test when required. Results A response rate of 21,5% (65/302) was obtained, with most participants being nurses (58%), followed by physicians (34%). There was a statistically significant difference depending on the model of organization of the primary healthcare unit to which the participant belonged (χ2 = 8.428, p = 0.014, df = 2)., There was no significant difference between the score and the professional category of the participant (χ2 = 5.76, p = 0.12, df = 3). Conclusions The findings of this study show that the model of organization of a primary healthcare unit can impact the knowledge of professionals and not just practices. This study also underscores the significance of comprehensive assessments of the context before interventions and the need for further studies to understand how we can better inform future training initiatives. Key messages • Organizational differences in primary healthcare units impact hand hygiene knowledge among professionals, emphasizing the need for tailored training initiatives. • Comprehensive assessments of healthcare contexts, coupled with validated linguistic tools, are crucial for reliable intervention strategies in infection control.

Adult Individuals Applicable to the Family Health Center Knowledge and Awareness About Osteoporosis

Abstract Background The aim of this study is to determine the knowledge and awareness of adult individuals applying to the Family Health Center (FHC) about osteoporosis. Methods A descriptive design study was conducted at a FHC in Turkey/Istanbul between January and May 2022. The sample of the research consisted of 320 adults selected by purposeful sampling method. Ethical approval and necessary permissions were obtained from the the conduct of the study. Data were collected through a socio-demographic characteristics form, a 20-item single-subscale Osteoporosis Knowledge Assessment Questionnaire (OKAQ), and a 27-item Osteoporosis Awareness Scale (OAS). Descriptive statistics, normality tests, analysis of variance, Kruskal-Wallis analysis of variance, t-test, and Mann-Whitney U test were used for data analysis. Statistical significance was accepted at p < 0.05. Results T The average age of adults is 60.47±13.17 and 55.9% are female and 44.1% are male. 34.7% had completed middle school. Participants’ highest correct response rate in the osteoporosis knowledge assessment questionnaire was for the item ‘Osteoporosis increases the risk of bone fracture’ (81.6%), while the lowest correct response rate was for the item ‘Osteoporosis generally causes symptoms (such as pain) before fractures occur’ (26.3%). According to the Osteoporosis Awareness Scale, adults’ awareness levels were above average. They scored the highest in the preventive behaviors subscale and the lowest in the risk factors subscale. Adults with university-level education scored significantly higher in all subscales of the OAS compared to other education levels (p < 0.05). Individuals with knowledge about osteoporosis and those who consumed milk regularly scored significantly higher in all subscales of the OAS (p < 0.05). Conclusions Although adults’ awareness of osteoporosis is above average, their correct knowledge about osteoporosis is inadequate. Key messages • An individual’s education level affects osteoporosis knowledge and awareness. • It is recommended to plan educational initiatives to increase osteoporosis knowledge and awareness.

Adherence and Knowledge among Geriatric Cardiac Patients

BACKGROUND: Non-adherence to medication is a public health problem that affects every age group, but geriatric patients are particularly at risk because they face a high likelihood of disease, cognitive decline, and polypharmacy. AIM: In this study, we evaluated the knowledge of prescribed medication and adherence to medication regimens among geriatric cardiac patients in Saudi Arabia. METHODS: We interviewed 750 geriatric patients at the cardiac center of King Fahad Medical City. We assessed their knowledge about their medications using the Medication Knowledge Assessment questionnaire and a validated Arabic version of The Medication Adherence Report Scale (MARS‐5). We analyzed the relationship between their knowledge of medication and their adherence to it. We assessed how well these patients understood the information given to them by their healthcare providers. RESULTS: The estimated mean rate of adherence to long-term medication regimens was 56%. There was a positive relationship between knowledge and adherence. CONCLUSION: Geriatric patients in Saudi Arabia have low overall adherence to medication regimens, and patients with higher knowledge levels are more adherent. Geriatric patients should receive detailed counseling from their care providers to ensure better adherence.

Examining the knowledge and attitude of nursing and midwifery students of medical sciences universities of Mazandaran province in the field of pain management and related factors in 2023

Considering the importance of pain management and the complications of non-management by nurses, the present study was carried out with the aim of determining the knowledge and attitude of nursing and midwifery students of medical sciences universities of Mazandaran province in the field of pain management and related factors in 2022. The current research is a cross-sectional study (descriptive and analytical) that was conducted at Universities of Medical Sciences of Mazandaran Province. The sample size was calculated to be 207 people who were selected from nursing and midwifery students of the 5th to 8th semesters who were eligible to enter the study by systematic random sampling. The data collection tools were: a demographic profile questionnaire, a Nurses’ Attitude Survey (NAS), a Nurses’ Knowledge Assessment Questionnaire in the field of pain management, Pain Management Principles Assessment Test (PMPAT). Experiment and data analysis were conducted with SPSS software version 26. The average age of the students was 21.61. The gender of most people (207 people) was female. The average score of knowledge about pain management was 41.53 ± 10.30 and the average score of attitude toward pain management was 65.24 ± 5.26 (on average). The results of the Mann–Whitney test indicated that there was a statistically significant difference between the average knowledge and attitude toward pain management according to gender (female), educational background, university semester, having a student work experience (P < 0.05). Also, Spearman’s test showed that there is a positive and significant correlation between students’ knowledge and attitude (R = 0.324), which was statistically significant (P < 0.05). The results of this study indicate that the amount of knowledge and attitude toward pain management in the studied nursing and midwifery students is average. In examining the factors related to pain management of patients, things like gender, education history, university semester, having a student work history are related to the level of knowledge and attitude. In this way, it seems necessary to carry out educational interventions in order to increase the knowledge and improve the attitude of students toward pain management.

Assessment of patients' baseline cystic fibrosis knowledge levels following translation and adaptation of the CF R.I.S.E translation program into Turkish.

Cystic fibrosis (CF) patients have a limited life expectancy, but significant medical advances now highlight the need for successful transition programs from pediatric to adult care. The goal of this project was to introduce the transition program CF R.I.S.E (Responsibility. Independence. Self-care. Education.) to a CF center with limited resources at Marmara University (MU). The program was adapted and translated into Turkish with the CF Foundation's permission. A team of experts collaborated to develop educational materials for patients and families. After translation and implementation of the CF S.O.B.E program, 11 Knowledge Assessment Questionnaire (KQA) tests were administered online to the patients aged between 16 and 25 years to assess the lack of patient knowledge. The CF R.I.S.E program was successfully implemented within 6 months. A pilot study showed positive feedback from randomly selected patients, indicating the program's effectiveness and understandability. The mean age of the patients was 19.4 ± 2.9 years, and 42 (52%) were female. The mean forced expiratory volume (FEV1pp) was 76.3 ± 23.2. Fourteen (17.3%) and 4 (4.9%) of the patients colonized with Pseudomonas aeruginosa and Methicillin-resistant Staphylococcus aureus (MRSA), respectively. Fifteen (18.5%) were on modulator therapy. Eleven Knowledge Assessment Questionnaires (KAQ) surveys were administered to 81 patients. The percentage of correct responses to the KAQs ranged from 47.9% to 68.3%. MU CF Center in Turkey implemented the CF S.O.B.E (Responsibility, Self-care, Independence, and Education in Turkish) program. The center aims to make the program a regular practice and expand collaboration with adult clinics. Future studies will assess its long-term impact and applicability in different health settings. The final goal is to disseminate the program's resources and promote structured transition practices across the country.

Understanding quality-of-life determinants in coronary arterial disease patients

The study aimed to examine the correlation of determinant factors of quality of life in coronary arterial disease (CAD) patients, including knowledge of disease, smoking cessation, physical activity, and dietary regulation. A quantitative, cross-sectional study using convenience was conducted among 216 CAD patients from the West Sumatra, Indonesia, outpatient cardiovascular center. Data were collected using the cardiovascular disease knowledge assessment questionnaire, smoking cessation, physical activity, diet questionnaire, and self-assessment questionnaire to measure knowledge of the disease, smoking cessation, physical activity, diet, and quality of life, respectively data analysis using Chi-square, Pearson correlation, and multivariate linear regression test. The result showed that dietary regulation was the most influential variable on the quality of life of CAD patients (B=1.670, SE=0.341), followed by smoking cessation, physical activity, and knowledge about the disease. Our data suggest that dietary regulation, smoking cessation, and regular physical activity as modifiable CAD risk factors and disease knowledge improve the quality of life of CAD patients. Future research and clinician intervention for CAD awareness of lifestyle modification should be expanded to focus on barriers and their challenges during cardiac rehabilitation.

Workplace wellness across the lifespan: A pilot program for health promotion in a low- and middle-income country.

Considering that a sizable segment of the population spends significant amount of time at work, workplaces have been identified as practical platforms for health educational programs. Although employee wellness programs in high-income countries have shown measurable benefits in productivity and physical and mental health, evidence-based programs in low- and middle-income countries, such as Lebanon, are unavailable. The aim is to develop and implement a pilot workplace wellness program focusing on health-related areas to improve health knowledge and behavior among working men and women of reproductive age. In collaboration with March of Dimes, the National Collaborative Perinatal Neonatal Network developed a culturally sensitive health education program focusing on lifestyle, infection, nutrition and family planning. Sessions were delivered by a multidisciplinary team of specialists at a local bank in Lebanon. To assess the impact of the program, participants completed Knowledge and Behavior Assessment Questionnaire (KBAQ) before and after implementation. KBAQ was conducted 6 months after implementation to measure retention and continuing impact. Forty-seven participants completed the program, of whom 44.7% are male, 98% have university degree and 56.5% are married. Total knowledge score improved significantly from 64.2 to 74.3 and remained significant at 6 months post-implementation with a score of 71.7 (p < 0.001). At 6-month follow-up, emotional score improved (p = 0.028), while smoking decreased (p = 0.008). Also, employees' health knowledge and behavior showed sustained and significant improvement. We plan to implement our program at other sites and among employees from different backgrounds to understand the impact of the wellness program on employees' knowledge and behaviors at a larger scale.

Clinical and Psychosocial Impact of Psychoeducational Groups for Psychosis

IntroductionIndividuals with mental health disorders often lack access to appropriate care, including psychosocial rehabilitation programs, which are considered essential for their recovery. In 2019, as part of the intervention by the Community and Mental Health Service, at Hospital de Magalhães Lemos, we initiated a psychoeducational group for patients with psychotic spectrum disorders, with the purpose of providing our patients with comprehensive information about their condition and effective management strategies. Our 8-week program consisted of 16 sessions, including icebreaker activities, discussion of certain themes, sharing of experiences and practice of stress management techniques.ObjectivesThe aim of this study was to assess and quantify the impact of our 2023 program.MethodsOut of a total of 20 patients interviewed for our program in 2023, 16 began the program and 12 completed it. The program’s evaluation was based on several assessment tools, including a sociodemographic questionnaire, a knowledge assessment questionnaire, the Positive and Negative Syndrome Scale (PANSS), the Insight and Treatment Attitudes Questionnaire (ITAC), the World Health Organization Quality of Life (WHOQOL), and the Medication Adherence Rating Scale (MARS). We also created a health agenda to organize an individual plan of care.ResultsOur findings indicated an improvement in insight and attitudes towards treatment by 8.6%, an enhancement in treatment adherence by 5%, and an increase in knowledge by 11.9%. In terms of quality of life, we observed a slight improvement in the psychological domain by 0.6% and in the social domain by 1.2%. Regarding the impact on psychotic symptomatology, there was an average decrease in 4 points in the negative subscale and in 3 points in the general psychopathology subscale, whereas the positive subscale remained unchanged. None of the patients required hospitalization during this period.Conclusions Our study revealed some improvement in nearly all the evaluated parameters. There was an improvement of the therapeutic relationship, which we believe has contributed to lower scores in the negative symptoms and general psychopathology subscale. As for the study limitations, we acknowledge that we will need to expand our sample through additional programs in the next years, to include it in early intervention psychosis programs and to re-evaluate our patients’ outcomes after a more extended follow-up period, particularly if they continue to participate in our monthly mutual support group. Additionally, we must consider potential study biases, including the subjectivity of PANSS evaluations and the influence of other confounding factors, such as changes in treatment regimens during the program.Disclosure of InterestNone Declared

Blended Tele-mentoring Support for Strengthening Antenatal Care by Private Health care Facilities: FOGSI VISTRIT INITIATIVE.

The objective of the present initiative was to build capacity of health care providers in private sector along with standardisation of care during antenatal period for common antenatal problems of GDM and iron deficiency anaemia in private sector. A pilot project for all levels of health care providers including doctors, nurses, counsellors and laboratory technicians of 34 private facilities in six districts of Jharkhand was planned. Training modules for GDM and anaemia based on government of India guidelines were developed. End line evaluation included data collection and descriptive analysis of quantitative data quality scores from assessment standards on GDM and anaemia in pregnancy. Knowledge assessment of health care providers and doctors through baseline and end line knowledge assessment survey questionnaire showed that 100% health care providers who were trained scored 85% or more in knowledge assessment questionnaires as seen by baseline and end line questionnaire results. All project hospitals (n = 34) in Jharkhand achieved quality standards of care in intervention period for gestational diabetes mellitus and anaemia in pregnancy. They achieved total score more than 80% and exceeded target of 80% of the quality standards. A systematic strengthening of private health care facilities through a blended tele-mentoring and onsite support is possible. The online version contains supplementary material available at 10.1007/s13224-023-01866-5.

Effectiveness of Distance Training Based on Simple Triage and Quick Treatment System (START) Triage System in Pre-Hospital Emergency.

Triage is the key to success in managing many injured people with limited resources. Therefore, triage training for crisis team medical staff is critical. This study aimed to evaluate the effectiveness of asynchronous learning on immediate care personnel based on the Simple Triage and Quick Treatment System (START) triage system. In this quasi-experimental study, asynchronous learning based on the START triage system was performed on the immediate care staff of Ahvaz Jundishapur University of Medical Sciences from February 2021 to December 2021. Sixty pre-hospital emergency medical staff were randomly assigned to intervention and control groups. Intervention group participants were provided an asynchronous digital training module, and control group participants received the usual training. Data were collected in both groups as pre-test and post-test with demographic information and knowledge assessment questionnaires. Distance triage training based on the START triage system has a significant effect on the level of awareness of the need for triage and knowledge (awareness) and performance (individual efficiency) of immediate care in the intervention group compared to before training (P < 0.001). Considering the positive results of the pre-organizing model on raising the level of awareness of immediate care personnel, the use of this training method in triage in emergency medicine and retraining workshops could be considered.

Improving Pediatric Critical Care Nurses' Practice in Implementing the Full Outline of Unresponsiveness Coma Scale.

Clinical estimation of consciousness is the most fundamental and crucial component of neurological examinations for pediatric patients in the pediatric intensive care unit (PICU). The full outline of unresponsiveness (FOUR) Coma Scale assesses four variables: eye response, motor response, brainstem reflexes, and respiratory pattern. A score of 0 represents non-function in each category, whereas a score of 4 indicates normal functioning. The FOUR Coma Scale is easy to apply and is currently the most widely used scale for assessing consciousness, particularly in intubated children. This study aimed to improve pediatric critical care nurses' practice in implementing the FOUR Coma Scale. A quasi-experimental research design (pre/post-test design) was employed on a convenience sample composed of 45 male and female nurses who participated in the study and provided direct care for critically ill children at the Medical Pediatric Intensive Care Unit affiliated with the Mansoura University Children's Hospital, Mansoura University, Egypt. All the participants completed the FOUR Coma Scale knowledge and practice assessment questionnaire. Majority of the nurses were females and had bachelors' degrees in nursing (94.6% and 71.1%, respectively). Moray Coma Scale was used to assess level of consciousness (LOC) by more than half the number of nurses (55.6%) in the PICU. All PICU nurses had poor knowledge and practice scores in the pre-intervention phase, and this percentage statistically significantly improved in the post-intervention phase (P = .001). The mean score of nurses' knowledge and practice on the FOUR Coma Scale significantly improved after the implementation of instructional intervention.

Antibiotic knowledge assessment questionnaire in undergraduate pharmacy students: A Rasch analysis of validity evidence

Background: Antibiotic knowledge is crucial for undergraduate pharmacy students who are future healthcare professionals. However, a valid and reliable instrument to assess their knowledge is scarce. This study aimed to develop and validate an Antibiotic Knowledge Assessment Questionnaire (AKAQ). Methods: The AKAQ had three domains and 29 items, encompassing general antibiotic knowledge, antibiotic resistance, and antibiotic stewardship. Rasch analysis was used to assess psychometric properties, including validity parameters (item and person fit and structural validity), reliability (person and item reliability, Cronbach’s Alpha value), item-person interaction, and item bias, using differential item functioning (DIF) based on tems. Results: This study included 500 undergraduate pharmacy students from 90 Indonesian universities. The validity of the questionnaire was demonstrated, except for one item. Person means infit and outfit for MNSQ were 1.02 and 0.95, whereas ZSTD were 0.11 and 0.08, respectively. Items means infit and outfit for MNSQ were 1.01 and 0.96, while ZSTD were 0.11 and -0.23. Item and person reliabilities were acceptable at 0.99 and 0.68. Cronbach’s alpha reliability was acceptable at 0.71. Two items were biased by term. Conclusion: The AKAQ is a valid, reliable, and standard instrument for assessing the antibiotic knowledge levels of undergraduate pharmacy students.

Medical Device-Related Pressure Injury Care and Prevention Training Program (DevICeU): Effects on intensive care nurses' knowledge, prevention performance and point prevalence

ObjectiveTo determine the effect of the training given to intensive care unit (ICU) nurses to prevent medical device-related pressure injuries (MDRPIs) on nurses' knowledge levels, their prevention performance, and the point prevalence (PP) of MDRPIs. Research Methodology/DesignA pre-post test intervention study without a control group. SettingThe study was conducted between May and July 2023 with ICU nurses in three phases: pre-training phase (E0) (104 nurses, 116 patients), training implementation phase (E) and post-training phase (E1) (89 nurses, 120 patients). Main Outcome MeasuresThe data were collected by using the Patient (E0, E1) and Nurse (E0) Characteristic Forms, MDRPI Follow-up and Prevalence Form (E0, E1), D.E.V.I.C.E Performance Observation Checklist (E0, E1), MDRPI Knowledge Assessment Questionnaire (E0, E1), Braden Pressure Ulcer Risk Assessment Scale (E0, E1), Pressure Injury Grading Form (E0, E1), and Feedback Form about the Training Process (E). ResultsThe mean MDRPI knowledge score of the nurses increased significantly from E0 to E1 (13.23 ± 1.43 vs. 20.02 ± 1.30, p = 0.001), with the highest improvement in the staging and prevention themes. Nurses’ MDRPI prevention performance increased significantly from E0 to E1 (2.15 ± 1.01 vs. 11.17 ± 1.65, p = 0.001). There was a significant difference between the PP rate at E0 (61.2 %) and E1 (27.5 %) (p = 0.001). ConclusionThe study indicated that the training on MDRPIs given to ICU nurses increased their knowledge and prevention performance and decreased the prevalence of MDRPIs. However, further studies with a larger sample size are needed to confirm these findings. Implications for clinical practiceSince MDRPIs have more complex staging and prevention practices than conventional PIs, they require the adoption of a training approach that includes visual materials and practical methods in addition to theoretical knowledge. Accurate definitions of medical device dimensions and fixation, skin assessment, and prevention practices will lead to the desired outcome of reducing MDRPIs in ICUs.

Pediatric Nurses’ performance enhancement regarding management of quality Sensitive nursing Indicator: Pediatric IV infiltration in intensive care units

BackgroundIntravenous complications, especially pediatric IV infiltration, are common in pediatric departments because such complications occur more frequently in children than in adults. AimTo investigate the pediatric nurses’ performance enhancement regarding the management of Pediatric IV infiltration. Subjects and MethodA quasi-experimental study was conducted. The study was carried out at Pediatric and Neonatal Intensive Care Units in Port Said Universal Health Insurance Hospitals. Data was collected from 50 pediatric nurses by using the Pediatric Nurses’ Knowledge Assessment Questionnaire and an observational checklist schedule for nurses’ practice before and after the implementation of an educational program regarding intravenous infiltration management. ResultsNo statistically significant relationship between pediatric nurses’ knowledge before and after the program, while a statistically significant relation was evidenced between their practice before and after the program. Conclusionthe educational program was effective for pediatric nurses’ performance by increasing their knowledge and improving their practice, with only a statistically significant difference between nurses’ practice before and after the program. RecommendationsThe educational program should be periodically conducted for pediatric nurses to enhance their performance to achieve high-quality nursing care for pediatric patients.

Ab. No. 98 Development and Validation of a Questionnaire for Assessment of Awareness and Knowledge About Parasports Among Parents of Children With Disabilities

Introduction: Physiotherapists play a significant role in improving the overall well-being of children with disability by engaging them in exercise programs, sports, or recreational activities. To promote their participation in physical activity, para-sports is one of the avenues. Since parents are the primary caregivers, it is important to assess their level of awareness and knowledge about para-sports. As an initiative, it is crucial to develop and construct a standard tool that can measure the level of awareness and knowledge about parasports among the parents of children with disabilities. Methods: The panel members for questionnaire validation were Sports Medicine Physicians, Physiotherapists (Academicians and clinicians), Para-Athletes and Parents. The process of developing and constructing the questionnaire involved an extensive literature search, development of questionnaire structure and item generation. The questionnaire format, items format and questionnaire length were determined. The initial items were reviewed and revised later. After a preliminary pilot study, face validity and content validity were done. The face validation was done by three members and content validation was done by five members of the panel. Results: The identified domains under Awareness were sources, opportunity, eligibility, facility and under Knowledge were benefits, challenges, programs and events. After the validation process, the final questionnaire contained 16 questions under 8 domains with 2 closed-ended questions each. Conclusion: Based on the validators’ consensus, the questionnaire was considered understandable and relevant to measure the important aspects of awareness and knowledge about parasports in the targeted population. Implications: Subsequent validation can be processed and the questionnaire can be administered to assess the level of awareness and knowledge among the parents of children with disability.

Educational video for teaching safe practices in the perioperative period: randomized controlled trial.

to assess the effectiveness of an educational video on hospitalized patients' knowledge of safe practices in the perioperative period. randomized, double-blind controlled trial carried out in a teaching hospital in the countryside of Minas Gerais. 100 participants undergoing elective orthopaedic surgery were randomly allocated (50 participants in the experimental group and 50 participants in the control group). Patient knowledge was assessed using a questionnaire constructed by the researchers and validated by specialists, before and after the intervention (educational video) or standard guidelines were applied. Descriptive statistics were used for quantitative variables and Student's t-test for independent samples to analyze the mean difference in knowledge between the experimental and control groups (α = 0.05). 100 participants took part in the study, 50 participants in the experimental group and 50 participants in the control group. The experimental group showed a significantly higher gain in knowledge (t =3.72 ±1.84; p<0.001) than the control group. Cohen's d was 1.22, indicating a large magnitude of the effect. the educational video was effective in improving patients' knowledge and can contribute to nurses in the practice of health education, optimizing time and disseminating knowledge about safe practices in the perioperative period. Brazilian Registry of Clinical Trials (REBEC): RBR-8x5mfq. (1) Development of a valid patient knowledge assessment questionnaire. (2) Production of a valid educational video on perioperative safety. (3) The final version of the educational video is 7 minutes and 50 seconds long. (4) The educational video was effective in improving patient knowledge. (5) It contributes to patient involvement in safe care.

Dermatological Examination Training: Shaping Careers Through Hands-On Practice

BACKGROUND: Choosing a career path represents a decision of immense significance in the lives of aspiring medical professionals and is influenced by several pivotal factors such as: clinical exposure, hands-on experience and interaction with specialists in the field. Dermatology represents one speciality in which hands-on experience is crucial and medical simulation training can ensure an innovative and transformative tool to develop the skills needed for dermatological evaluation. AIM: Our research explores the impact of participating in hands-on dermatological evaluation training on the decision to pursue a career path within this field. By analyzing the participants’ views regarding the training, their skill self-assessment and the objective evaluation of theoretical knowledge, we aim to analyze how this type of workshop shapes professional goals. METHODS: We conducted a single-center analysis on the training experience of 50 medical students, divided in groups of ten. The training, conducted by a dermatologist, consisted of 1-hour theoretical presentation and 3-hour bedside practice, the students examining each other alternately. A ten questions knowledge assessment questionnaire was used to evaluate the participants before and after the workshop. Additionally, the students were surveyed regarding their views on the impact of this training on their decision to pursue a career in dermatology and the self-assessment pre- and post-training on a five-point Likert scale. RESULTS: We observed a 48% increase in the knowledge assessment scores (before: 5.26±1.33 out of 10, after: 7.8±0.88 out of 10). A similar increase was observed in the participants’ self-assessment scores, as they doubled (before: 1.76+/-0.62 out of 5, after: 3.84+/-0.88 out of 5). Although 60% of the participants were not interested in pursuing a career in dermatology before the training, the hands-on experience determined 64% to take this speciality into consideration as a potential career path. Unanimously, the participants agreed that this training represents a valuable addition to the classical clinical curriculum as it allows hands-on practice which could improve their confidence in the future patient interactions. CONCLUSION: In summary, our research highlights the importance of integrating hands-on training into medical education to better prepare students for their roles in healthcare and adapt to evolving medical practices.

Comparative assessment of medication knowledge among ambulatory patients: A cross-sectional study in Nigeria

BackgroundPatient knowledge on medication is considered a critical aspect of medication self-management by the patient. Medication education and counseling is an important component of pharmaceutical care services. ObjectiveThis study was aimed at evaluating the impact of medication education and counseling services offered to ambulatory patients receiving care in a typical Nigerian healthcare setting on the patients' knowledge of their medication. MethodsA cross sectional prospective study conducted at the outpatient pharmacy unit of University of Uyo Teaching Hospital, Nigeria. The patient population was divided into two arms: those who were yet to receive medication education/counseling – Arm 1, and those who had received medication education/counseling from the clinical pharmacist – Arm 2. A patient medication knowledge assessment questionnaire was used to assess patients' knowledge of their prescribed medication. Data obtained were analyzed using the IBM SPSS computer package version 25.0. ResultsThree hundred and ninety-one outpatients (196 in Arm-1 and 195 in Arm-2) participated in the study. There was a statistically significant difference in the mean medication knowledge score between patients in Arm-1 and those in Arm-2. Patients in Arm-2 had a statistically significant higher mean medication knowledge score than those in Arm-1 (5.228 versus 3.191; t = 10.152; P = 0.000). ConclusionOutpatients who received medication education and counseling from clinical pharmacists had better knowledge of their prescribed medications than those who were yet to receive this pharmaceutical intervention.