Nurse-led Education Programme Research Articles

The effect of an educational program on wellbeing and symptom control of hospitalized chronic obstructive pulmonary disease patients in Jordan

ABSTRACT This study was conducted to determine what impact a structured nurse-led educational program has on patient self management and symptom control of hospitalized Chronic Obstructive Pulmonary Disease (COPD) patients in Jordan. An experimental design was used to guide data collection from 100 COPD patients who were randomly assigned to the intervention (n = 50) and control groups (n = 50). Participants in the intervention group underwent a two-week health education program that discussed smoking, medications and how to use them, exercise, and diet. A COPD educational pamphlet was also provided. Participants in the control group received only routine health education. A COPD Assessment Test (CAT) was used to measure the impact of the COPD educational program on wellbeing. The test consists of eight short questions covering cough, sputum production, chest tightness, breathlessness, activity limitations at home, confidence leaving home, sleep, and energy. The independent samples t-test findings revealed a significant difference between the two groups in relation to the post-test results (p = 0.039), with a 95 percent confidence interval −25.24 to −6.46, providing empirical support for the educational program’s success. Moreover, and as compared to the control group, participants in the intervention group showed significantly fewer COPD-related hospital admissions (p = .033). These programs should be integral components of a nurse-led COPD clinic to improve patients’ experience with the disease and reduce the risk of readmission, resulting in reduced cost and improved quality of life.

Development of Nurse-led Self-Management Education Instruments for Type 2 Diabetes Mellitus Patients

Purpose: The purpose of this study is to develop and outline the Nurse-Led Diabetes Mellitus Self-Management Education (Nu-DiMENTION) program, aimed at improving knowledge and behavior change among type 2 diabetes mellitus (DM) patients. Given the challenges faced by these patients in managing their disease effectively, including risks of complications such as diabetic foot ulcers, retinopathy, and ketoacidosis, there is a pressing need for tailored self-management education programs. The study seeks to address this need by creating a web-based nurse-led educational intervention that has demonstrated efficacy in increasing patient knowledge and promoting positive behavior change. Methods: The research adopts a research and development (R&D) approach to outline the development process of Nu-DiMENTION. Drawing upon theory, existing research evidence, international guidelines, and qualitative data from target users, the study identifies determinants of self-management and defines the content to be included in the program. The development process involves multiple stages, including evaluating existing educational instruments, conducting focus groups with relevant stakeholders (e.g., healthcare professionals and type 2 DM patients), and assessing item validity through expert evaluation. Results and discussion: The initial evaluation of 19 diabetes mellitus educational instruments revealed inadequacies in terms of goals, targets, content, methods, media, time, and evaluation. Subsequent focus groups involving healthcare professionals and type 2 DM patients provided valuable insights into strategic issues and innovation plans for the Nu-DiMENTION program. The assessment of item validity conducted by diabetes mellitus education experts confirmed the validity and reliability of the developed instruments, with a Cronbach's alpha value of 0.834 indicating good internal consistency. Implications of the research: The development of Nu-DiMENTION holds significant implications for improving the self-management capabilities of type 2 DM patients and reducing the risk of diabetes-related complications. By providing accessible, web-based nurse-led education, the program has the potential to empower patients with the knowledge and skills necessary to effectively manage their condition. Moreover, the rigorous development process, including expert validation, ensures the quality and reliability of the program, enhancing its suitability for implementation in clinical settings. Originality/value: This study contributes to the literature by outlining the development process and subject matter of Nu-DiMENTION, a novel web-based nurse-led self-management education program for type 2 DM patients. By synthesizing theory, existing evidence, and stakeholder insights, the program offers a comprehensive approach to addressing the educational needs of this patient population. Furthermore, the emphasis on item validity assessment ensures the program's reliability and effectiveness, adding to its value as a practical intervention for improving diabetes self-management. Overall, Nu-DiMENTION represents an innovative and valuable contribution to diabetes care and patient education.

Effects of school nurse-led health education to reduce malnutrition among primary school children in Bangladesh: Cluster nonrandomized controlled trial.

Malnutrition is a major health concern among children especially in low and middle-income countries. However, there are limited studies on school health in Bangladesh. This study aimed to reduce malnutrition among primary school children in Bangladesh by increasing awareness and knowledge through school nurse-led health education. A prospective, open-label, parallel-group (1:1), cluster nonrandomized controlled trial on primary school children conducted in rural Bangladesh. The study lasted 13 months between September 2021 and September 2022. Four schools were selected and assigned to the intervention and control groups (CGs). Next, school nurses provided evidence-based health education to the children in the intervention group (IG) for 9 months to improve awareness and knowledge of malnutrition. Data were collected at baseline, midline, and endline. Overall, 604 children were enrolled at the baseline; among them, 455 (CG, n = 220; IG, n = 235) completed the study. Changes in the malnutrition rate-the primary outcome-were not significant (P = 0.225). However, after adjusting the endline data with baseline and sociodemographic data, the children's body mass index improved significantly in the IG than in the CG (P < 0.05). Changes in eating behavior, and awareness and knowledge of malnutrition-the secondary outcomes-significantly differed between the groups (P < 0.001). The school nurse-led health education program significantly improved primary school children's awareness and knowledge of malnutrition. This study revealed the effectiveness of school nurses in reducing malnutrition among children, which may decrease future morbidity and mortality rates in children.

P692 An IBD nurse-led educational programme on safety and efficacy of adjuvated recombinant zoster vaccine can improve vaccine uptake in IBD patients on immunosuppressive treatment

Abstract Background Herpes Zoster (HZ) represents one of the most frequent opportunistic infections in IBD patients under immunosoppressive treatment and can be prevented by vaccination. Adjuvated recombinant zoster vaccine (RZV) is the first HZ vaccine approved for immunocompromised persons. IBD patients are less likely to receive appropriate vaccinations compared to the general population. IBD nurses operate as the primary point of contact for patients and this unique position provides a suitable opportunity to positively impact patient care and encourage vaccination. We aimed to improve RZV vaccination rates by a nurse-led education intervention within an on-site RZV vaccination programme. Methods IBD patients on immunosuppressive therapies were actively recruited by phone contact, mail and during outpatient clinic or infusion centre attendance. Prior immunization to VZV was collected from medical records. Patients were randomly assigned to receive either standard explanation on the importance of HZ vaccination by the IBD attending physician (group P) or additional education by an IBD nurse (group N). Patients in group N were referred to an IBD nurse for an individual 15 minutes nurse–patient interview. During the interview, disease activity and current treatment, previous immunization to VZV and history of HZ were reviewed; the importance, benefits and safety of HZ vaccination with RZV were discussed with the patient. Patients were then referred to dedicated on-site vaccination clinics where vaccine administration was provided by the IBD nurses running the infusion centre. Reasons for vaccine refusal was also recorded. Results From February to April 2022, 164 (80%) out of 205 eligible patients were enrolled (median age 48.5 years, 54.1% male; 48.7% UC, 51.3% CD); 65 patients (39.6%) were randomized to group P and 99 patients (60.4%) to group N. Six months after randomization, 112 (68.2%) had received at least 1 RZV vaccine dose whereas vaccination was completed in 110 patients (67%). Vaccination rate was significantly higher in the nurse-led education intervention group compared to standard clinical care (group N 75.7% vs group P 56.9%,p&amp;lt;0.05). Most common reasons for vaccine hesitancy were concerns about side effects (40.9%), fear of vaccine aggravating the disease (14.7%), considering themselves not at risk (13.3%) and objection to the administration of vaccine (10.1%). Conclusion Vaccination recommendations should be responsibility of the IBD patient care team and efforts should be made to reduce vaccine hesitancy. We showed that a simple nurse-led educational intervention on vaccine safety and efficacy was able to improve RVZ vaccination rates in IBD patients on immunosuppressive treatment.

Educational intervention on perceived stress among adults with type 2 diabetes and metabolic syndrome: a non-randomized clinical trial

Objective. To assess the effectiveness of an educational intervention on perceived stress and metabolic syndrome parameters among adults with type 2 diabetes mellitus. Method. Fifty-one adults (aged 48.73±7.84; 86.3% of women) were included in a non-randomized clinical trial performed in a healthcare unit for six months (Brazilian Clinical Trial Registry: RBR-43K52N). All participants were diagnosed with type 2 diabetes mellitus and metabolic syndrome (intervention group, n=26; control group, n=25). The intervention consisted of a nurse-led educational health-promoting program with a multidisciplinary approach organized in seven workshops. The primary outcome was decreased perceived stress, and the secondary outcome was improvement in metabolic syndrome parameters according to perceived stress levels. These outcomes were assessed at two points in time, at the baseline and follow-up. Results. Participation in the intervention program resulted in a significant decrease in perceived stress (p=0.028). The stressed participants in the intervention group experienced a significant decrease in blood glucose levels (p=0.001) and a significant increase in high-density lipoprotein-cholesterol (p=0.003) concentrations after the six-month intervention. Conclusion. The nurse-led educational health-promoting program decreased perceived stress among adults with type 2 diabetes mellitus and metabolic syndrome, improving fasting blood glucose and high-density lipoprotein cholesterol among the stressed participants in the intervention group.

Educational intervention to improve self-care behaviours for heart failure patients who develop renal insufficiency

Abstract Background Renal insufficiency is common in adults with heart failure. Promoting heart failure self-care behaviours contributes to avoid poor prognosis of acute kidney injury. Aims To introduce a nurse-led educational program for patients with heart failure who suffer from acute kidney injury and asses its impact on patients' perception and self-care behaviours. Methods In this pretest-posttest interventional study, patients were assessed for their perception and self-care behaviours before and after enrolling in an educational program. Results Among fifty patients, ages means were 51.16 years old (SD=5.35). Based on New York Heart Association (NYHA), 62% of patients had class II and IV symptoms, and 76 % had mild to moderate decrease in estimated Glomerular Filtration Rate. In the pre-education assessment, moderate deficits were present in both perception and self-care behaviours. After delivery of self-care education, patients demonstrated an improvement in perception (t: 3.65, df: 49, SE: 0.34, p&amp;lt;0.001, CI: 0.61-2.19), and self-care behaviours (t: 8.66, df: 49, SE: 1.05, p&amp;lt;0.001, CI: 7.02-11.18). In multivariate analysis, the educational program explained 68.1% of the variation in posttest self-care behaviours scores. Conclusion Education on self-care behaviour improved the perception and self-care of patients with heart failure who suffer from evolving acute kidney injury.

Nurse-Led Educational Program on Practice of Asthma Management Using Global Initiative for Asthma Guideline

The pivotal and nodal role of nurses in the healthcare industry is very vital for the proper management of asthma. To effectively intervene, nurses must be skillful in techniques used in asthma management which must be evidenced-based. The study objective is to use educational program to enhance nurses’ asthma management practice. This study adopted Quasi-experimental one group pre-post research design. Two government teaching hospitals in Rivers State were used in this study. A total number of 52 nurses were purposively selected in collaboration with nurse-leaders in each study setting. Checklist developed by the researcher and experts in the field of medical surgical nursing using modified Delphi method was used to collect data based on GINA guidelines pre- and post-educational program. Reliability test for the checklist using Cronbach’s alpha co-efficient yielded .89. Educational program was administered for six days respectively at the two study settings. Data collected were analysed using descriptive and inferential statistics (paired t-test) at level of 0.05 level of significance. Participants with good asthma management practice at pre-educational program were 36.5% while at post-educational was 80.8%. Paired-simple t-test analysis on the difference in asthma management practice before and after nurse led educational program using GINA guideline indicates that tcal = 51.23, df = 51, and ttab = 1.96 Since tcal&gt;ttab at P&lt;0.05, Hence, the null hypotheses was rejected. The study concluded that nurse-led educational program using adopted GINA guidelines enhanced practice of asthma management among nurses.

The Effectiveness of a Nurse-led Glaucoma Education on Patient Knowledge and Compliance Motivation Levels: A 1-year Prospective Case Series.

To evaluate the impact of a nurse-led glaucoma education program on patient knowledge and compliance levels in an Asian population. A 1-year prospective case series involving 69 adult glaucoma patients. Each patient attended a standardized nurse-led glaucoma education session. A questionnaire was administered by a single nurse-clinician and analyzed at three time points (preeducation for baseline, immediately posteducation, and at the 1-year follow-up) to evaluate for associations with patient knowledge and compliance motivation levels. A total of 64 patients were included in the final analysis. Patients with higher educational qualifications or who were employed had better baseline knowledge of glaucoma. Younger patients had higher baseline compliance motivation levels. Immediately posteducation, both median patient knowledge score and compliance motivation levels had a statistically significant increase. Patients on more glaucoma eye drops had greater immediate improvement in confidence in eye drop application. Patients with more positive Humphrey visual field mean deviation values had a greater immediate improvement in confidence in their understanding of glaucoma. A total of 34 patients were readministered the questionnaire at the 1-year time point. Median score for patient knowledge was highest at this point. Employed patients demonstrated better patient knowledge at baseline and at 1-year time point compared to unemployed patients. Unemployed patients experienced a significant improvement in scores from baseline to immediately posteducation, but improvement from immediately posteducation to the 1-year time point was insignificant was insignificant. Our study has examined the effectiveness of a nurse-led glaucoma education program in an Asian population, demonstrating improvement in both patient knowledge and compliance motivation levels up to 1 year after intervention. Sng JJ, Ang BCH, Soo Hoo WC, et al. The Effectiveness of a Nurse-led Glaucoma Education on Patient Knowledge and Compliance Motivation Levels: A 1-year Prospective Case Series. J Curr Glaucoma Pract 2023;17(3):149-156.

A Nurse-Led Education Program to Improve COVID-19 Prevention Knowledge Among Adolescent Students.

Adolescents are more susceptible than originally thought to COVID-19, and they could play a significant role in community transmission. We aim to evaluate a health education program on students' declarative knowledge and risk awareness concerning COVID-19-related public health recommendations. A quasi-experimental pre-post pilot study was conducted. A number of 487 students aged between 12 and 17 years old participated in an educational program. Following Socratic Method, preventive actions were simulated in order to encourage students to seek answers about the correct application of measures. The program covered 3 prevention areas: (1) practice hygienic handwashing; (2) instruction on the appropriate use of masks; and (3) promotion of physical distancing, and was implemented in class by 3 registered nurses. Following the educational program, declarative knowledge regarding handwashing and mask use improved along with the students' total score. In the pre-test, students 16 years and older as well as female students obtained higher scores in declarative knowledge. Age-dependent differences between groups vanished in the post-test, but girls still achieved better scores. This nurse-led health education program proved to be effective to enhance declarative knowledge about COVID-19-related public health recommendations.

Dry mouth in patients with a life-limiting condition or frailty: a study protocol for two intervention studies and a nested qualitative sub-study (the Dry mOuth Project, DROP)

BackgroundDespite its prevalent and impactful nature, dry mouth remains an underexposed and undertreated symptom in patients with a life-limiting condition or frailty. The main contributing factors are a lack of awareness and knowledge amongst both healthcare professionals and patients, and a scarcity of effective, evidence-based interventions. In the DRy mOuth Project (DROP), we address these factors by investigating both a non-pharmacological and a pharmacological intervention: a nurse-led patient education program and locally applied pilocarpine.MethodsThis intervention-based research project consists of two parallel studies. The non-pharmacological study is a cluster non-randomized controlled trial in 228 palliative nursing home and hospital patients, investigating the effect of structured use of guidelines and of patient education on dry mouth symptoms. This intervention, a nurse-led patient education program (the Mouth Education Program, MEP), will be compared to care as usual, the control. The pharmacological study is a double-blind placebo-controlled randomized trial that examines the effect of locally applied pilocarpine drops in 120 patients with dry mouth symptoms. Both studies use the same mixed-methods study design, in which the primary outcome is the clinical response to the intervention at 4 weeks, as measured by a dry mouth severity score (numeric rating scale from 0 to 10). Other outcomes, as measured by questionnaires over a 12-week follow-up period, include durability of the effect, impact on quality of life and, adherence and acceptability of the intervention. In addition, the feasibility and cost-effectiveness are evaluated by means of questionnaires and focus groups with healthcare professionals, and interviews with patients.DiscussionThis study investigates the effectiveness and feasibility of two interventions for dry mouth symptoms in patients with life-limiting conditions or frailty. Due to the large-scale and mixed-method nature of the study, this study will also improve our understanding of dry mouth and its relating factors and of the patients’ and healthcare professionals’ experiences with symptoms, care and guidelines of dry mouth, including any perceived barriers and facilitators.Trial registrationNCT05964959 & NCT05506137.

The Effectiveness of nurse-led PMTCT health education on self-stigma reduction among HIV-positive women in Mombasa County, Kenya

BACKGROUND &#x0D; Stigma compromises the quality of life of people living with HIV/AIDS. There is a critical knowledge gap on how to combat self-stigma among HIV-positives. the study assessed the effectiveness of nurse-led PMTCT health education on self-stigma reduction among HIV-positive women attending PMTCT antenatal clinics in Mombasa County, Kenya. &#x0D; METHODOLOGY &#x0D; The study used a two-group, quasi-experimental research design. All pregnant HIV-positive women of reproductive age (18-49) who attended PMTCT prenatal clinics at the selected Mombasa County healthcare facilities were included in the study. A nurse-led health education program on PMTCT was provided at the intervention location but not at the control site. The mean difference in the proportion of mothers who reported self-stigma between the intervention and control groups was computed using a chi-square statistic. To assess the effectiveness of nurse-led PMTCT health education intervention, the difference in difference (DiD) was conducted. &#x0D; RESULT &#x0D; Chi-square statistics indicated that there were significantly (χ2=151.096, df=1, p&lt;0.001) more HIV-positive women with low self-stigma in the intervention group compared to the control group at the end-line survey. Nurse-led health education on PMTCT reduced the proportion of self-stigma in HIV-positive women from 62.1% to 10.6%. It thus reduced the proportion of self-stigma in HIV-positive women significantly by 82.6%. &#x0D; CONCLUSION &#x0D; Nurse-led PMTCT health education should be integrated with other interventional strategies aimed at reducing self-stigma among HIV-positive women attending PMTCT antenatal clinics

A Nurse-Led Telehealth Program for Diabetes Foot Care: Feasibility and Usability Study.

Diabetes mellitus can lead to severe and debilitating foot complications, such as infections, ulcerations, and amputations. Despite substantial progress in diabetes care, foot disease remains a major challenge in managing this chronic condition that causes serious health complications worldwide. The primary aim of this study was to examine the feasibility and usability of a telehealth program focused on preventive diabetes foot care. A secondary aim was to descriptively measure self-reported changes in diabetes knowledge, self-care, and foot care behaviors before and after participating in the program. The study used a single-arm, pre-post design in 2 large family medical practice clinics in Texas. Participants met individually with the nurse practitioner once a month for 3 months using synchronous telehealth videoconferencing. Each participant received diabetes foot education guided by the Integrated Theory of Health Behavior Change. Feasibility was measured with rates of enrollment and program and assessment completion. Usability was measured with the Telehealth Usability Questionnaire. Diabetes knowledge, self-care, and foot care behaviors were measured with validated survey instruments at baseline, 1.5 months, and 3 months. Of 50 eligible individuals, 39 (78%) enrolled; 34 of 39 (87%) completed the first videoconference and 29 of 39 (74%) completed the second and third videoconferences. Of the 39 who consented, 37 (95%) completed the baseline assessment; 50% (17/34) of those who attended the first videoconference completed the assessment at 1.5 months, and 100% (29/29) of those who attended the subsequent videoconferences completed the final assessment. Overall, participants reported a positive attitude toward the use of telehealth, with a mean Telehealth Usability Questionnaire score of 6.24 (SD 0.98) on a 7-point scale. Diabetes knowledge increased by a mean of 15.82 (SD 16.69) points of 100 (P<.001) from baseline to 3 months. The values for the Summary of Diabetes Self-Care Activities measure demonstrated better self-care, with participants performing foot care on average 1.74 (SD 2.04) more days per week (P<.001), adhering to healthy eating habits on average 1.57 (SD 2.12) more days per week (P<.001), and being physically active on average 1.24 (SD 2.21) more days per week (P=.005). Participants also reported an improvement in the frequency of foot self-examinations and general foot care behaviors. The mean scores for foot care increased by a mean of 7.65 (SD 7.04) points (scale of 7 to 35) from baseline to 3 months postintervention (P<.001). This study demonstrates that a nurse-led telehealth educational program centered on diabetes foot care is feasible, acceptable, and has the potential to improve diabetes knowledge and self-care, which are precursors to preventing debilitating foot complications.

Randomized controlled study of pain education in patients receiving radiotherapy for painful bone metastases

BackgroundAlthough short-course radiotherapy is an effective treatment for patients with painful bone metastases, pain is not always sufficiently controlled. We therefore investigated the additional effect of a nurse-led pain education program on pain control and quality of life (QoL). Patients and methodsIn this multicenter study, patients with solid tumor bone metastases and a worst pain intensity of ≥5 on a 0–10 numeric rating scale (NRS) were randomized between care as usual (control-group) and care as usual plus the Pain Education Program (PEP-group). PEP consisted of a structured interview and personalized education with follow-up phone calls. Patients completed the Brief Pain Inventory, EORTC QLQ-C15-PAL and BM22 at week 0, 1, 4, 8 and 12. The primary outcome was pain control, defined as the number of patients whose worst pain intensity was <5 on a 0–10 NRS after 12 weeks. Secondary outcomes were time to reach control of pain (NRS < 5), mean worst pain and average pain, and QoL at weeks 1, 4, 8 and 12. ResultsOf 308 included patients, 182 (92 PEP-group) completed 12 weeks follow-up. At 12 weeks, more patients in the PEP-group (71%) compared to the control-group (52%) reported pain control (P =.008). In the PEP-group, pain control was reached earlier than in the control-group (median 29 days versus 56 days; P =.003). Mean worst and average pain decreased in both groups but decreased more in the PEP-group. QoL did not differ between the groups. ConclusionThe addition of PEP to care as usual for patients treated with radiotherapy for painful bone metastases resulted in less pain and faster pain control.

Effectiveness of A Nurse-Led Educational Program On Knowledge of Asthma Based On Global Initiative for Asthma Strategy

Asthma is a significant issue in Niger Delta region in Nigeria, especially Rivers State due to side effect of oil exploration. Asthma is generally under- treated resulting in significant burden of disease due to lack of understanding and use of established guidelines and this impacts negatively on the individual, their family, and society as a whole. The study objective is to enhance asthma knowledge among nurses in Rivers State Teaching Hospitals through educational program using adopted GINA guidelinesQuasi-experimental one group pre-post research design was utilized in this study. Self- structure questionnaire developed by researcher was used to collect data before and after the educational program. 52 nurses were purposively selected for this study in collaboration with nurse-leaders in each study setting. 52 questionnaires were administered pre and post educational program and all 52-questionnaire returned yielding 100%. The instrument was validated by supervisor, reliability test using Cronbach's Alpha coefficient yielded 80. Data were analysed using descriptive(percentage) and inferential statistics (paired simple T-test) with use of SPSS version 25. All ethical consideration were strictly adhered to.The findings in this study shows statistically significant improvement in the knowledge of asthma among the participants post educational program with 86.5% (45) of the participants having high level of asthma knowledge against 26.9% (14) of the participants pre -educational program. The summary of paired-sample t-test analysis on the difference in knowledge of asthma before and after nurse led educational program using GINA guideline indicated tcal = 21.00, df = 51, and ttab = 1.96. Since tcal&gt;ttab and P&lt;0.05 indicate significant, hence the null hypothesis which stated that there is no significant difference in knowledge of asthma before and after nurse led educational program using GINA guidelines in Rivers State Teaching Hospitals was rejected. The study concluded that nurse-led educational program using adopted GINA guidelines enhanced nurses’ knowledge of asthma. This implies that with the use of evidence-based guideline, nurses can develop their knowledge, hence enhance their practice of asthma management which will in turn close asthma management gap.

A structured nurse-led diabetes education program for type 2 diabetes patients receiving hypoglycemic therapy in Serbia

A structured nurse-led diabetes education program for type 2 diabetes patients receiving hypoglycemic therapy in Serbia

The effectiveness of a nurse-led health development programme on fourth-grade school-age children in North Cyprus: A randomised-controlled trial

Objective: This study sought to analyse the effectiveness of a nurse-led health development programme for school-aged children in North Cyprus. Design: This study utilised a randomised-controlled experimental research design. Setting: The study was conducted on fourth-grade students in two primary schools. Method: Participants in the intervention group received a 12-week online health education course. Students in both the control ( n = 38) and intervention ( n = 38) groups completed the Food Behaviour Scale, the Children Health Perceptions and Behaviours Scale, and the Physical Activity Self-Efficacy Scale pre-intervention, at the end of intervention and 3 months post-intervention. Results: Post-test scores for the intervention group on the Food Behaviour Scale, Children Health Perceptions and Behaviours Scale, and Physical Activity Self-Efficacy Scale were significantly higher than their pre-test scores. In contrast, the control group exhibited no statistically significant difference between the pre- and post-test scores on the three scales. Conclusion: The findings suggest that a nurse-led health education programme had a positive effect on food behaviour, physical activity self-efficacy, and health perception and behaviours among school-age children.

Motivational interviewing to improve self-management in youth with type 1 diabetes: A randomized clinical trial

PurposeEffective interventions are needed to help adolescents with T1D develop independent self-management skills to prevent commonly observed deterioration of disease self-management resulting in poor health outcomes. Using a prospective RCT design, we assessed the impact of a nurse-led education program based on motivational interviewing (MI) in youth with Type 1 diabetes (T1D). Design and methodsAfter parental consent and youth assent, we prospectively randomized 66 adolescents 13–18 years old with T1D to either usual care (every 3 months visit with pediatric endocrinologist) or usual care supplemented by 2 in-person and 4 follow-up phone calls with a nurse educator in a pediatric endocrinology clinic of the University Hospital Farhat Hached, Sousse, Tunisia. We used MI sessions to support youth general and disease specific self-management skills. Outcomes were change, between baseline and 6 months, in TRAQ (a validated measure of youth self-management) scores and HbA1c values. ResultsMean TRAQ scores (based on a 5-point Likert scale) increased by 1.44 points (s.d. = 0.56) in the Intervention Group versus 0.26 points (s.d. = 0.34) in the control group (p < 0.001). The mean HbA1C value decreased in the intervention group by 0.95 units versus a decrease of 0.12 units in the control group (p = 0.047). ConclusionWe found that a brief, nurse-led MI-based educational intervention, integrated into specialty pediatric care, resulted in a significant improvement in both self-reported self-management skills and in HbA1c values.Trial registration: Registered in ClinicalTrials.gov Identifier: NCT04798937

Effectiveness of Nurse-Led Educational Package (NLEP) on Knowledge Regarding HPV Infection, HPV Vaccination, and Cervical Cancer

The authors developed the Nurse-Led Educational Program (NLEP) about HPV infection, HPV vaccination, and cervical cancer. They evaluated its efficacy by using descriptive and inferential statistics. The research plan was a quantitative research study that included one group, pre-and post-test. The cluster sampling technique was employed to select the sample. The data was gathered through the structured closed-ended interview. A greater or less similar set of information about demographics was observed in both the experimental and control group. In the experimental group, the significance of differences between pre-tests and post-test was tested statistically by using a paired test and found to be extremely relevant and there was no correlation between pre-test knowledge scores and post-test knowledge score demographic variables. The results of the study showed that there was a substantial improvement in the knowledge level of rural women about HPV infections, HPV vaccination, and cervical cancer. This means that NLEP is highly effective in rural women.

Effectiveness of Nurse-led Intervention to Improve Quality of life for Family Caregivers of Children with Leukemia: A Quasi-Experimental Study from Karachi Pakistan

Background: Acute lymphoblastic leukemia accounts for 25% of all cancers in children less than 15 years old. The treatment phase of leukemia is lengthy and takes 2-3 years. Due to prolonged treatment, family caregivers often become exhausted, highly distressed with low quality of life and unsatisfactory patient outcomes. Thus, caregivers need interventions such as adaptation strategies and access to support groups that enhance their wellbeing and improves their quality of life (QoL).&#x0D; Objectives: To determine the effectiveness of nurse-led structured educational intervention for family caregivers having a child diagnosed with leukemia and to examine the association between socio-demographic variables and quality of life of leukemia child caregiver.&#x0D; Methodology: A Quasi-Experimental pre-post-test design was applied at the tertiary care hospital of Karachi. A total of 74 family caregivers of leukemia children were recruited from outpatient and inpatient oncology departments using purposive sampling. The data was collected pre-intervention and post-intervention using QoL-FV. Intervention of educational session given in 30-45 minutes for 4 days and after 1month of intervention, posttest done by same questionnaire to estimate the effect of nurse-led education&#x0D; Results: Study findings revealed that mean score of overall QoL improved after one-month of nurse-led educational intervention 95+ 23 and had a significant difference in post-test QOL (&lt;0.001). The sub-dimensions of QoL such as physical wellbeing, psychological wellbeing, and social concern improved significantly in posttest interventions group (P&lt; 0.01). Whereas the spiritual wellbeing was found insignificant after interventions (p&gt;0.080). &#x0D; Conclusion: The study suggests that Nurse-Led education program is helpful to improve family caregivers' quality of life during the treatment journey of their leukemia patient. it must be considered and acknowledged with prime importance and caregivers should be supported by health care professionals.&#x0D; Recommendation: It should be an important aspect to include counseling sessions of families to improve their coping, problem solving and awareness.

Effect of Nurse-led Educational Program on Knowledge of Lifestyle Modification among Patients with Hypertension in Selected Hospital

Introduction: Hypertension is the leading cause of cardiovascular disease and death in the world. Arecent estimate suggests that approximately billions of people have hypertension. Hypertension is a major public health problem in India and its prevalence is rapidly increasing among both urban and rural populations. To prevent high blood pressure, everyone should be encouraged to make lifestyle modifications, such as eating healthier diet (DASH diet), weight reduction and stress management, quit smoking and alcohol consumption, and getting more exercise. Since nurse-led educational program has proved to be effective tool in educating people, the researcher felt that by providing nurse-led educational program to hypertensive patients would be highly benefitted as they form a very vulnerable group of people. Aims: The aims of this study were to assess the effect of nurse-led educational program on knowledge of lifestyle modification among patients with hypertension in selected hospital. Materials and Methods: One group pre-and post-test research design was adopted. Astructured nurse-led educational program and questionnaire administered to asses pre-and post-test knowledge of lifestyle modification among patients with hypertension in selected hospital. Results: The analysis of the study found that there was a significant change (P &lt; 0.05) in knowledge of the hypertensive patients. There was no association found between the various demographic variables and their pre-test knowledge. Conclusion: The nurse-led educational program proves to be effective in improving the knowledge regarding lifestyle modification among patients with hypertension.