Team Of Health Educators Research Articles

Laporan Pendidikan Kesehatan Kebutuhan Nutrisi Untuk Proses Penyembuhan Luka Post OP di Bangsal Mawar RSUD Dr Soehadi Prijonegoro Sragen

: Background: Nutrients are obtained from food and fluids which are then assimilated by the body. Nutrition itself is one of the factors that can support the wound healing process, there are things that are no less important that must be considered as well, namely the nutrients from the food we eat during the wound healing process. Objective: The purpose of postoperative diet is to strive for the patient's nutritional status to return to normal immediately to accelerate the healing process and increase the patient's immune system, by providing basic needs (fluids, energy, protein), replacing the loss of protein, glycogen, iron, and other nutrients, correcting electrolyte and fluid imbalances, preventing and stopping bleeding. Methods: The media used in health education activities is leaflets. Through leaflets we hope that the delivery of material can be understood by participants and can be delivered well.Results: The results of observations from this health education activity, that the majority of participants are active in asking questions and answering questions given by the health education team and can explain the essence of the material that has been delivered by the speaker Conclusion: Of the 20 patient families who attended 15 people had understood the fulfillment of nutritional needs for the correct post op wound healing process.

Interprofessional Active Learning for Chronic Pain: Transforming Student Learning From Recall to Application.

Chronic pain (CP) affects over 50 million Americans daily and represents a unique challenge for healthcare professionals due to its complexity. Across all health professions, only a small percentage of the curriculum is devoted to treating patients with CP. Unfortunately, much of the content is delivered passively via lecture without giving students an opportunity to practice the communication skills to effectively treat patients in the clinic. An interprofessional team of health educators identified 5 essential messages that students frequently struggle to convey to patients with CP. Those messages were based on interprofessional and profession-specific competencies to treat patients with CP from the International Association for the Study of Pain. The 5 messages highlighted the importance of (1) therapeutic alliance, (2) consistent interdisciplinary language, (3) patient prognosis, (4) evidence for pain medicine, surgery, and imaging, and (5) early referral to the interprofessional team. For each message, the team summarized relevant research supporting the importance of each individual message that could serve as a foundation for didactic content. The team then developed active learning educational activities that educators could use to have students practice the skills tied to each message. Each learning activity was designed to be delivered in an interprofessional manner.

Glycemic Control and Self-Care Practice Among Adult Patients With Diabetes Mellitus: Cross-Sectional Study Conducted in Dawro Tercha Hospital, Ethiopia; 2020

Background: According to WHO Global report, in low-income countries, more than half of deaths attributable to poor glycemic control are premature. Studies compassed the prevalence of poor self-care practice and glycemic control is by now in the tip of the iceberg above diabetes by becoming a primary offender for fired morbidity and mortality but; they are a neglected tragedy. Currently, diabetes patients are exposed to the intolerable costs of dialysis and organ transplantation because of poor glycemic control and self-care practice induced complications; which in turn increased the beggar population and prevalence of suicidal attempts. Studies underlined optimum self-care practice is needed to avert these complications via adjusting glycemic control status. However, only a minute of relevant studies were conducted in Ethiopia to assess this problem. Therefore, this study was aimed to assess glycemic control and self-care practice among diabetes patients. Objective: The aim of this study was to assess glycemic control and self-care practice among diabetes patients. Methods: Cross-sectional study was conducted among 220 participants selected by systematic sampling technique. The collected data using a structured questionnaire developed for this study from related tools was coded and entered into Epi Data latent version and exported in to SPSS. Logistic regression analysis was carried out to identify independent predictors. Result: Status of self-care practice and glycemic control became good for 24.9% and 23%, respectively. Age, diabetes complications, medication adherence, glucometer, and appointment adherence for glycemic control and; whereas education, diabetes complications, diabetes category, distance, and appointment adherence became independent predictors for self-care practice. Furthermore, the presence of a significant association between glycemic control and self-care practice was assured. Conclusion: Status of good glycemic control and self-care practice were shine red lumps, since it indicates majority of the patients were closed to face premature death and permanent disability. Association between glycemic control and self-care practice, on the other hand, further brightened the need of maximum effort to enhance self-care practice to ease roads to good glycemic control and finally to save diabetes patients from the coming fatal consequences. Responsible bodies have to work hard to raise the coverage of a hospital or to enhance the material capacity of available primary hospitals to enable them to serve diabetes follow-up patients. Health education team has to be formed to provide problem solving-centered education supported by audio visual aids. Funding Statement: Not applicable. Declaration of Interests: No competing interests. Ethics Approval Statement: Ethical approval was obtained from Addis Ababa university Institutional Review Board having protocol number: 037/20/SNM and meeting number: 09/2012EC.

Using the word "Healthy" in an emergency food pantry: An unexpected response.

The word "healthy" holds significant value when discussing health and nutrition; however, the word was identified as having a negative and confusing connotation at an Emergency Food Pantry (EFP). The sample of 11 women, ages 40-70years, who are patrons at an EFP in Southeastern Pennsylvania shared that "healthy" is a misunderstood term, frequently perceived as expensive and tasteless. Identification of the word "healthy" as a barrier was unexpected for the interprofessional team of health educators. Understanding the perspectives of individuals who utilize EFPs can benefit anyone working in public health and community settings since "healthy" and "healthy eating" are common words. When planning nutrition and health education classes, barriers must be recognized in order to promote health by using words that resonate with EFP patrons and their community. It is crucial for nurses and providers to communicate with patients using the most effective and impactful terminology.

Federal Weatherization and Health Education Team up: Process Evaluation of a New Strategy to Improve Health Equity for People With Asthma and Chronic Obstructive Pulmonary Disease.

Unhealthy housing is a major cause of respiratory health inequity. In-home health education improves health equity for low-income and minority populations with asthma and chronic obstructive pulmonary disease. Yet, outcomes of educational interventions are limited by poor housing conditions. Federal weatherization programs represent a promising source of funding for home repairs. Innovative legislation in Washington State integrates the 2 interventions as "Weatherization Plus Health," offering environmental health education in partnership with the Weatherization Assistance Program for low-income families with respiratory disease. This practice brief describes process evaluation results of a Weatherization Plus Health program in Pierce County, Washington. Evaluation data were gathered via interviews with service providers and ethnographic observation. Workers report that the combined intervention expanded their understanding of their practice, skills, and feelings of efficacy in meeting client needs. Integrating federally funded home weatherization with health education shows promise for building public health system capacity and increasing health equity.

Using Action Research to prevent work-related illness among rubber farmers in Northeastern Thailand.

This research aimed to enhance self-care among rubber farmers for preventing work-related illness. The project used Action Research's four phase iterative process: fact-finding to understand the problems, action planning, action plan implementation, and evaluation and reflection on action plan impacts. Sixty-six participants (46 rubber farmers and 20 community stakeholders) were purposively recruited from two villages in the top 10 rubber producing provinces in Northeastern Thailand. Demographic and work-related illness data were collected in face-to-face structured interviews, Focus group interviews and participant observations were used to collect data in each project phase. Night group meetings were held throughout the research phases. The intervention included training workshops and establishing a community health education team for ongoing farmer support. Results showed improved farmer self-care behaviors and establishment of a community health education team to encourage farmers to care for themselves properly. Community nurses, other health personnel, and the Thai government can build on initiatives like this to strengthen occupational health and safety practices and services policy for rubber farmers.

Demands of self-monitoring in patients with chronic heart failure: a qualitative research

Objective To explore the self-monitoring needs of patients with chronic heart failure, so as to understand their needs for self-monitoring and provide references for clinical nursing healthcare education. Methods From October 2016 to January 2017, totally 9 cases of heart failure patients who met the inclusion criteria in an affiliated hospital were enrolled in this study. In-depth interviews were conducted and analyzed by phenomenological data analysis to form the main topic. Results At last, 5 subjects were extracted, namely, the needs for self-monitoring knowledge, the needs for suitable monitoring tools selection, the needs for self-monitoring skill, the willingness of self-monitoring and the needs for support from affection and friends. Conclusions The long-term treatment and rehabilitation of chronic heart failure patients was not only to improve symptoms and prolong life, but also to build a diversified health education and follow up model, to establish a professional health education team; to construct a rational service support system, to provide professional services for chronic heart failure patients, so as to meet the self-monitoring needs, help with symptom recognition and ultimately improve patients' quality of life. Key words: Heart failure; Qualitative research; Self-monitoring needs

The function of health education team in promoting health education activities in hospital

目的 探讨健康教育小组在医院健康教育活动中的作用。 方法 护理部于2013年1月成立健康教育小组，通过基线调查收集全院健康教育资料，对资料进行分类、分析与归纳，设计新的健康教育手册、折页单张、宣教海报及检查表。 结果 经过3年整改，新健康宣教手册增至250种疾病，图片222幅，字数36万余，增加全院共识性及检查治疗内容，制作专科健康教育单张51种，设计海报15张，2015年开展团体卫教492次，修订《健康教育检查表》，改革了检查方式。 结论 护理部下设健康教育小组，能更全面、深入的开展健康宣教工作，促进全院健康教育活动，产生积极效应。

Writing Multiple Choice Outcome Questions to Assess Knowledge and Competence.

Few articles contemplate the need for good guidance in question item-writing in the continuing education (CE) space. Although many of the core principles of sound item design translate to the CE health education team, the need exists for specific examples for nurse educators that clearly describe how to measure changes in competence and knowledge using multiple choice items. In this article, some keys points and specific examples for nursing CE providers are shared.

Abstract IA25: Impact of a biospecimen collection seminar on willingness to donate biospecimens among Chinese Americans: Results from a randomized, controlled community-based trial

Abstract Background: Biospecimen collection from diverse populations can advance cancer disparities research, but are currently underrepresented. Little is known about the baseline knowledge, attitudes, and behaviors related to biospecimen collection among most racial/ethnic minority populations. Furthermore, appropriate messages that might increase biospecimen donations have yet to be explored and developed. Among Asian Americans, Chinese Americans are the largest subgroup, of which Cantonese-speaking men may have a higher cancer risk because they have the highest smoking prevalence rate (21.7%) among Californian Chinese, compared to 7.2% for English-speaking and 14.1% for Mandarin-speaking men; this rate is higher than the general California population whose rate is 15.2%. The purpose of this study was to evaluate the impact of an educational seminar on an Asian American community's willingness to donate biospecimens in a randomized, controlled trial. Methods: We partnered with a community-based clinic, Chinatown Public Health Center (CPHC) in San Francisco, serving Cantonese-speaking Chinese Americans to develop and revise an educational seminar on biospecimen collection. As a community-based participatory research project, the CPHC health education team was a key partner in all aspects of this study including design, recruitment, conduct, data collection, and analysis. Over 700 Chinese Americans from the general community contacted CPHC about the study from a bilingual flyer distributed at CPHC health education outreach events. From the large community response, 511 Chinese American adults were screened, 400 were randomized, and 395 were available for analysis. In the trial, the intervention seminar was compared with a control seminar (cancer prevention) on change in willingness to donate biospecimens. Results: At baseline, many were willing to donate a biospecimen (saliva, urine, hair, toenails, blood, unused cancerous tissue) whether healthy or hypothetically had cancer. Also, many would donate because future generations would benefit, and few had concerns about donation. In logistic regression analyses, there was an intervention effect for willingness to donate: urine if had cancer (OR=2.2, 95% CI: 1.3-3.7), toenails if healthy (OR=2.1, 95% CI: 1.4-3.2) or had cancer (OR=2.3, 95% CI: 2.0-2.7), hair if healthy (OR=1.8, 95% CI: 1.3-2.5) or had cancer (OR=2.8, 95% CI: 1.9-4.0), and unused cancerous tissue (OR=1.8, 95% CI:1.2-2.9). There was also an intervention effect for donating because future generations would benefit (OR=2.0, 95% CI: 1.4-3.0), and this attitude was a strong independent predictor for willingness to donate all biospecimens, whether healthy or had cancer (OR=2.9-4.2). Conclusion: Cantonese-speaking Chinese American participants of an educational seminar on biospecimen collection showed greater increases in willingness to donate biospecimens and donating for the benefit of future generations, than participants who attended a control seminar. Impact: Donating for the benefit of future generations is a theme that should be incorporated in messages that encourage biospecimen donation for Chinese Americans. Citation Format: Elisa K. Tong, Lei-Chun Fung, Susan L. Stewart, Debora A. Paterniti, Julie H.T. Dang, Moon S. Chen, Jr.. Impact of a biospecimen collection seminar on willingness to donate biospecimens among Chinese Americans: Results from a randomized, controlled community-based trial. [abstract]. In: Proceedings of the Seventh AACR Conference on The Science of Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; Nov 9-12, 2014; San Antonio, TX. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2015;24(10 Suppl):Abstract nr IA25.

Pediatric hypertension in the Eastern Province of Saudi Arabia.

Objectives:To compare the levels of blood pressure (BP) between male and female adolescents in the Eastern Province of Saudi Arabia and reference percentiles for Saudi adolescents. A secondary aim was to explore the distribution of BP among the participants based on age and gender.Methods:This cross-sectional study was conducted among 146 boys and girls attending intermediate and secondary schools in 2 regions (Al-Mallaha and Al-Mubarraz) in the Eastern Province of Saudi Arabia. Weight, random blood glucose, and BP were collected by a team of health educators in the morning of the school day between April and May 2014.Results:Of the current sample of adolescents originally from the Eastern Province, 30% had systolic blood pressure (SBP) of ≥140 mm Hg and 22% had diastolic blood pressure of ≥90 mm Hg. For girls between 13 and 16 years old, the SBP was greater than the 95th percentile of Saudi national norms. Participants were classified by gender and school stage, and one-way analysis of variance showed significant differences in the means of SBP between intermediate boys (127±2.5 mm Hg) and secondary boys (136±2.1 mm Hg) (p<0.05), and between intermediate boys and intermediate girls (138±1.6 mm Hg) (p<0.01).Conclusion:The increased level of BP among adolescents originally from the Eastern Province raises the need to update the current BP nomograms, considering possible differences for specific geographic areas across the country. Implementing therapeutic life style management in girls’ schools is recommended.

Effect of multi-disciplinary health education team intervention on disease related knowledge and life style change of patients with hyperuricemia

Objective To analyze the effect of multi-disciplinary health education team on disease related knowledge and life style of patients with hyperuricemia.Methods Totals of 800 cases with hyperuricemia between January 2011 and June 2012 were randomly divided into observation group (n =400) and control group (n =400).Observation group received the intervention of multi-disciplinary health education team,while control group received the routine health education.Blood uric acid level were monitored and compared between two groups before and after health education.Through the questionnaire survey form,before and after health education,knowledge of two groups about prevention and control of hyperuricemia and life habits change situation were studied.Results Comparison of two groups of hyperuricemia curative effect,observation group was obviously higher than that of the control group [(91.25 ％ vs 53.00％) ;Z =-5.930,P ＜ 0.05)].No significant difference was found in the hyperuricemia knowledge awareness about prevention and control between two group before the intervention (P ＞ 0.05),while after the intervention,the knowledge awareness rote of health education group was significantly higher than that of the control group (94.50％ vs 66.25％ ;x2 =5.343,P ＜ 0.05).The reasonable diet proportion (96.75％ vs 53.25％),the proportion of drinking less than 200 ml (94.00％ vs 58.75 ％),the proportion of moderate exercise (91.25％ vs 66.75 ％) between two group were significant difference (x2 =5.231,5.038,4.987 ; P ＜ 0.05).Conclusions The intervention of multidisciplinary health education team on patients with hypemricemia can achieve the effect of prevention and control of hyperuricemia,and promote the change of patients' way of life,improve their awareness for hyperuricemia harmfulness,and improve their medical treatment compliance. Key words: Hyperuricemia; Health intervention; Nursing

Evaluating STAR – a transformative learning framework: interdisciplinary action research in health training

Transformative learning aims to awaken students to issues of injustice, and to promote their critical analysis of assumptions, beliefs and values that lead to and sustain social inequities, so that they may become agents of social change. This paper introduces the Sensitise Take Action and Reflection (STAR) framework, which encapsulates transformative learning principles, as a tool for educators to enhance student health professionals’ capacity and preparedness to address health inequities they are likely to encounter in their future practice. Using an action research methodology within a three-cycle process, STAR was trialled and evaluated by an interdisciplinary team of health educators (n = 25) in an Australian university. Disciplines included: nursing, nutrition and dietetics, public health, occupational therapy and paramedic science. Data were gathered via individual interviews, focus group discussions and field notes, and were analysed inductively, with member-checking of emerging themes to ensure interpretive rigour. The results of this research suggest that STAR is easily understood by users, has relevance for health professional education, and holds promise for producing desired educational outcomes within and across health disciplines. Furthermore, this project could be considered a model for fostering inter-professional collaboration in health education, research and practice.

Genomics Education for Health Educators in Texas: The Family Health History Training Program

Aims: This paper describes the development and pilot-testing of The Family Health History Training Program for Health Educators (FHHTP). Although in recent years professional organizations have urged the health promotion workforce to adopt genomics-related competencies, training opportunities designed specifically for health educators (HEs) remain scarce. Designed by a team of HEs, the FHHTP aims at preparing HEs in the state of Texas, USA, to use a family health history as a genomic health promotion tool. Methods: In this report, we describe (a) the program's empirical and theoretical grounding, (b) its components, and (c) pilot-testing of the 2 main components (Web-based and workshop trainings). The FHHTP addresses the training needs expressed by HEs and anchors itself in a theoretical model previously tested with 1,607 US-based HEs. The model draws from Social Cognitive Theory, the Theory of Planned Behavior, and Diffusion of Innovations theory. The program comprises 6 elements; the Web-based training and the training workshops are the focus of this paper. Results: Pilot data indicate participants' knowledge and intention improved significantly (p < 0.05) at post-test and remained significantly higher at the 3-month follow-up. Attitudes, self-efficacy, behavior, knowledge/awareness, and intention also exhibited improvement in scores over time. Conclusion: We conclude, therefore, that the FHHTP can contribute significantly to the adoption of genomic competencies by Texas HEs. This report describes how the first-of-its-kind genomics training for HEs in the USA - FHHTP - was developed and pilot-tested with HEs in Texas.

Health Education: A “Primary” Component to the Delivery of Comprehensive Primary Care

Forty-three million Americans lack access to primary health care services. Barriers such as a lack of insurance or financial resources, lack of transportation or child care, and cultural and language differences prevent many Americans from obtaining the health care they need. Delivery of high quality, comprehensive primary care designed with community input can help vulnerable persons overcome these barriers. A comprehensive primary care model should include health education components targeted to the identified needs of the population, presented in a culturally appropriate manner, and delivered via multiple strategies. The provision of enabling services by the primary care provider, specifically, a health center, facilitates client access to health education activities, and ultimately to primary care services. Linkages between the multidisciplinary team of primary care providers and the health education team offer expanded opportunities to assist clients to improve their own health. This article describes the following: (1) characteristics of comprehensive quality primary care, with attention to its health education components, (2) examples of programs that have successfully incorporated health education into the primary care setting, and (3) recommendations for health educators and primary care program administrators to successfully incorporate health education programming into the primary care setting.

Disclosure and informed-consent: does it matter how we tell it?

Traditionally, informed consent has been handled by the physician in a one-to-one interchange with the patient. As standards for adequate disclosure become more rigid and demands on physician time increase, however, the physician-patient model may cease to be practical. This study evaluated four alterative disclosure models: a formal discussion, a videotape, a pamphlet, and an informal discussion, each designed and executed by a team of health educators. Study results suggest that the informed consent process is little affected by disclosure medium and that it may be possible to strive for cost-efficiency in disclosure without compromising the quality of the consent obtained. Based on these results, a two-part disclosure process is proposed which allocates certain aspects of the disclosure to the treating physician, others to health education.

CIGARETTE SMOKING, RESPIRATORY SYMPTOMS, AND ANTI-SMOKING PROPAGANDA: An Experiment

In four areas of South-East England all children in secondary and grammar schools completed a questionary themselves about respiratory symptoms and smoking habits in 1965 and 1966. Half the schools received a visit from a team of health educators after the first questionary was completed. Children who smoked had more respiratory symptoms than those who do not smoke. Smoking habits were unaffected by propaganda. Changes in smoking habits resulted in changes of their symptoms.