Total Knowledge Score Research Articles

Breast Cancer Knowledge Among Amish and Mennonite Women.

Breast cancer is the most common cancer diagnosis for women in the USA and ranks second in cancer-related deaths. Disproportionately higher breast cancer rates can be found in rural and Appalachian regions due to several social drivers of health, including poverty, access to healthcare, and lack of culturally sensitive health education. Amish and Mennonite communities, religious groups with distinct cultural practices and beliefs, experience lower mammography screening and higher breast cancer mortality rates (among Amish women). This study focuses on knowledge about breast cancer and causes of cancer among Amish and Mennonite women. A total of 473 women participated in the study at 26 separate women's health clinics throughout Ohio, consisting of 348 Amish and 121 Mennonite women, the largest study conducted on breast cancer knowledge spanning dozens of communities. Statistically significant differences were found in total knowledge scores between Amish and Mennonite women (rpb = .178, n = 466, p = .007), with Amish women having lower scores and stronger beliefs in myths associated with breast cancer cause and symptoms (χ(1) = 7.558, p = .006). Both groups often provided scientifically accurate descriptions of cancer etiology. The majority of participants underestimated breast cancer risk, highlighting the need for culturally appropriate health education programs that consider numeracy and health literacy. By implementing targeted interventions and fostering partnerships with community stakeholders using a multifaceted approach that incorporates cultural sensitivity, community engagement, and collaboration, significant progress can be made towards reducing breast cancer disparities and improving health outcomes.

Knowledge, attitudes, and practices regarding self-medication for acne among medical students in Beni-Suef University.

To evaluate medical students' knowledge, attitudes, and self-medication practices for acne vulgaris. An analytical cross-sectional study was conducted at Beni-Suef University's Faculty of Medicine from January 2023 to June 2023. A pre-structured questionnaire was used for the study. A total of 297 students (85.1 %) used self-medications for acne without a prescription. The total knowledge score of self-medication among the study participants was 3.81 ± 2.23. About 71.4 % knew about precautions, and 72.7 % of the participants reported that self-medication is part of self-care. There was a statistical significance between the total mean knowledge score and age (p=0.007), gender (p=0.013), and academic year (p=0.001). A significant portion of students self-medicate about acne. The total knowledge score of self-medication was to some extent not relatively high. Educational programs can be developed to increase medical students' awareness of the risks and benefits of self-medication, information on appropriate use of medications, and when to seek medical attention.

Effect of Pender model-based educational program on selected outcomes among menopausal women with musculoskeletal health problems in Cairo

Background Menopause is a critical period in every woman’s life, in which women usually struggle with various bio-psycho-social problems. Aim The purpose of the current study is to evaluate the effect of Pender model-based educational program on selected outcomes among menopausal women with musculoskeletal health problems in Cairo. Design A quasi-experimental one-group pretest–posttest was used. Setting The study was conducted in Outpatient Maternity Clinics at El-Manil Hospital. Sample A purposive sample consisting of 70 menopausal women. Results Showed that there is a significant increase in the total score of knowledge and practice at the poststage. The mean knowledge score increased from 1.1 to 11.4 while the mean practice score increased from 3.8 to 10.2. Conclusions Findings demonstrated menopausal women who received a health educational program had a strong significant direct correlation between knowledge, practice, total benefits, total self-efficacy, and total interpersonal influences, while there is a strong significant inverse correlation between total barriers and all other variables. Recommendation Organizing training programs for menopausal women on musculoskeletal health problems that cover all Outpatient Maternity Clinics in different settings in Egypt.

WITHDRAWN: Empowering tomorrow's healers: Unveiling the impact of a palliative education program on nursing students' efficiency in caring for dying patients

BackgroundMany nursing students lack comprehension of palliative care, which affects their readiness to care for individuals at the end of life. Implementing a focused educational strategy can improve their understanding, emotions, behavior, and attitudes, leading to exceptional care. AimTo evaluate the Impact of a Palliative Education Program on Nursing Students' Efficiency in Caring for Dying Patients. MethodsA quasi-experimental design involved 216 nursing students from Prince Sattam Bin Abdulaziz University, Saudi Arabia. Data collection included demographic details and questionnaires: Palliative Care Quiz, Frommelt Attitudes, and Death Attitude Profile—Revised. ResultsMore than half (51.9 %) of the participants were below 20 years old, with an average age of 22.8 ± 13.5 years. The majority were female (51.4 %), and 86.6 % had not received palliative care education. Post-program implementation, a significant improvement was observed in total mean scores of knowledge (62.46 ± 4.51), Frommelt Attitudes (240.16 ± 8.9), and Death Attitude Profile-Revised (4.51 ± 42.46). ConclusionThe study validates the efficacy of the Palliative Education Program, demonstrating a notable enhancement in nursing students' knowledge, attitudes, and preparedness to care for dying patients. These findings substantiate the beneficial influence of targeted educational approaches in augmenting students' proficiency in palliative care. RecommendationsIncorporate similar Palliative Education Programs widely to better equip nursing students for providing compassionate end-of-life care.

Influence of Animated Video Media on the Knowledge and Attitudes of Fluor Albus Prevention for Young Women at SMP PGRI 2 Ciledug

Cases of fluor albus are still common in women and if not addressed will lead to infection of the female genital area. Adolescent need to be educated in such a way, because education has an impact on long-term decisions. The existence of this study is to see the effect of fluor albus prevention education counseling using animated videos on the knowledge and attitudes of young women at SMP PGRI 2 Ciledug in 2023. This study applied a quantitative method of experimental design with non-randomised pre-test post-test control group design and non-probabilty sampling technique with purposive sampling. A total of 110 grade 9 young women were sampled. Wilcoxon and Mann-Whitney test were used as analysis techniques. There was a significant difference in the mean total score of pre-test (6,55) and post-test (8,82) of knowledge variables of the experimental group (p-value <0,00001). A significant difference was also found in the mean total score of pre-test (4,78) and post-test (7,69) attitude variables in the same group. There was a significant difference in the mean total score of the experimental groups’s knowledge post-test (8,82) with the control (6,84) and the mean total score of the experimental group’s attitude post-test (7,69) with the control (4,64). This happened because only the experimental group was exposed to education, so that the reasoning was that providing education using animated video media had an influence on the difference in the total score of knowledge and attitudes of young women at SMP PGRI 2 Ciledug

Assessment of knowledge, attitude, and practice of faculty and postgraduates toward Bisphenol A (BPA) exposure in dental care.

Bisphenol A (BPA) is commonly used in resin-based dental materials and is categorised as an endocrine-disrupting compound. This study aimed to evaluate the knowledge, attitudes, and practice toward the use of BPA among faculty members and postgraduate students. In this descriptive study, a validated self-administered questionnaire was used, and 204 dentists were included, with a response rate of 56.2%. The findings revealed that faculty members had significantly better knowledge (p=0.024) and practice (p=0.036) and more positive attitudes (p=0.024) toward BPA exposure. Regression analysis showed a significantly positive effect of attending a workshop/lecture or reading an article about BPA on the participants' total mean knowledge (p<0.001) and practice scores (p<0.001). Furthermore, faculty members showed a significantly more positive attitude (p<0.001) toward BPA exposure. These results emphasise the importance of increased awareness and education concerning BPA exposure to ensure optimal dental care.

Multicenter evaluation to determine the deficiencies of emergency nurses in forensic case management

IntroductionEmergency services are the first places where victims and/or perpetrators of different types of violence are brought for medical treatment. Emergency service nurses are the first health workers who first encounter with the forensic case, first communicate and are in an important position in the rapid and accurate continuation of the forensic process. In this study, it was aimed to determine the level of knowledge of emergency department nurses regarding the management of forensic cases. MethodsThe study was a cross-sectional, descriptive. Ninety-eight emergency nurses working in the emergency departments of three different public hospitals in the same province participated in the study. Study data were collected with the “Nurse Personal Information Form” and the “Knowledge Levels of Nurses related to the Approaches to Forensic Cases Questionnaire”. Results70.4 % of the nurses participating in the study were women, their mean age was (X ± SD = 27.36 ± 5.21). It is seen that 87.8 % of the nurses have a total working time in the emergency unit between 1 and 5 years and 11.2 % have received training on forensic nursing. “Total Knowledge Score” of undergraduate graduate nurses The mean score was higher and there was a significant difference between the groups (p > 0.05). The nurses who received in-service training and forensically evaluated all cases admitted to the emergency department had a higher mean score in the “Knowledge Score Regarding the Duties of Nurses Regarding Forensic Cases” mean was higher and there was a significant difference between the groups (p > 0.05). ConclusionWe recommend the use of institutional guides/protocols together with in-service training for emergency nurses to provide medically and legally correct forensic care and to have sufficient knowledge.

Knowledge in identifying venomous snakes and first aid methods of snakebites among nursing students: A cross-sectional study.

Snakebites are a dangerous and significant medical emergency that occurs worldwide. The World Health Organization has recommended that teaching and training in the prevention and management of snakebites be included in the curriculum of nursing schools and other educational activities. Identification of venomous snakes and first aid would be more critical in the prevention of occupational danger worldwide. This study aims to assess the knowledge in identifying venomous snakes, snakebites, and first aid methods of snakebites among nursing students in the Southern Province of Sri Lanka. A descriptive, cross-sectional study was performed among 425 nursing students who were studying in different educational settings: undergraduates at the University of Ruhuna, and nursing students in the three schools of nursing in Galle, Matara, and Hambantota. Data were gathered by incorporating a pre-tested self-administered questionnaire after obtaining institutional permission. The total score of whole knowledge ranged from 0 to 34 for the identification of venomous snakes. Data collection was performed after obtaining ethical clearance from the Ethics Review Committee, Faculty of Allied Health Sciences, University of Ruhuna, Sri Lanka. Most of the students (82.6%) were in the 24-26 age category and the majority were females. Most of the sample (64.7%) had low knowledge of identifying venomous snakes. A higher percentage of students (57.4%) had a sufficient level of knowledge about first aid methods associated with snakebites and 169 participants (39.8%) had a high level of knowledge regarding first aid methods. Further, a significant impact on students' knowledge and knowledge of first aid methods was reported. The overall knowledge of identifying venomous snakes among the nursing students was inadequate. However, the knowledge about the first aid methods was at a moderate level. Strategies are needed to improve knowledge in identifying venomous snakes and first aid methods of snakebites amongst nursing students in both educational settings.

Knowledge and practice of infection control measures among nurses in Jordan

Background/Aims Healthcare-associated infections are a global concern, with effective infection control measures being crucial in hospital settings. Nurses' knowledge and practice of infection control measures play a crucial role in ensuring patient safety. This study aimed to assess the knowledge and practice of infection control measures among nurses in Jordan. Methods A non-experimental, descriptive cross-sectional design was used in a not-for-profit, specialised cancer centre and two private hospitals in Jordan. A self-reported questionnaire was completed by 267 nurses. The questionnaire was divided into three parts. The first part collected sociodemographic data. The second part consisted of 17 multiple-choice questions assessing knowledge of infection control measures, with a score range of 0–17. The third part comprised 16 questions on a 5-point Likert scale (1=strongly disagree; 5=strongly agree), with a higher mean score indicating better self-reported infection control practice. Responses were analysed using standard statistical methods, with a P value of 0.05 indicating statistical significance. Results The majority of the sample were women (65.2%), with a mean age of 26.7±2.1 years. The mean total knowledge score was 13.81 out of 17.00 and the mean practice score was 4.02 out of 5.00. Significant differences were found across groups depending on hospital type (private vs not for profit), area of practice, years of experience, level of education and whether respondents had received specific training. Conclusions Level of education, training and specific workplace factors may all affect nurses' knowledge and practice of infection control measures. This study highlights the need for strategic educational and training programmes for nurses to improve patient safety.

Assessment of the Implementation of Global Initiative for Asthma (GINA) 2019 Guidelines for Treatment of Mild Asthma Among Pediatric Registrars: A Quasi-Interventional Study.

It is essential to have proper treatment and management for asthma in order to minimise symptoms, lessen the burden, and lower the chance of exacerbations. To better control asthma, the purpose of this study was to evaluate and enhance paediatric registrars' understanding and application of asthma treatment. The Sudan Medical Specialisation Board (SMSB) paediatric registrars provided data for this quasi-interventional study between April and September of 2021. Twice, both before to and following the intervention education sessions, the questionnaire was delivered. SPSS version 28 was used to analyse the data after it had been cleaned up in an Excel document. 203 (or 77.8%) of the 261 were women. A substantial rise from 8.1 ± 4.12 SD to 18 ± 5.03 SD in the mean overall knowledge score of registrars between the pre-and post-intervention periods. A significant difference (p=0.001) was observed in the post-intervention phase, with first-year registrars (R1) demonstrating higher scores than their senior colleagues. The registrars' total knowledge scores did not differ significantly from one another during the pre-intervention period. The Global Initiative of Asthma (GINA) guidelines of management were implemented to a certain extent, according to the study. Of the registrars, 148 (56.7%) and 203 (77.8%) evaluated step one management in children ages 5 and under; 66 (25.3%) and 213 (81.6%) evaluated step one management in children ages 6 to 11; and 66 (25.3%) and 213 (81.6%) evaluated step one management in children ages 6 to 11 in pre- and post-intervention, respectively. Given that the intervention in this study greatly increased registrars' knowledge, doctors should obtain training on the GINA 2019 recommendations through conferences, workshops, and academic programmes. To find out why R1 outperforms their older counterparts, more investigation has to be done.

Assessment of the Level of Knowledge About Risk Factors, Prevention, and Treatment of Gestational Diabetes Mellitus in a Community Sample From Saudi Arabia.

Introduction Gestational diabetes mellitus (GDM) is a common disease affecting pregnant females, and it carries a major risk of short and long-term health problems for both mothers and their offspring. Multiple factors like advanced maternal age, obesity, and unhealthy lifestyle can increase the risk of GDM. The current guidelines recommend screening all pregnant females for risk factors during the first trimester with subsequent testing of the blood glucose level at 24 weeks gestation. Lack of awareness about GDM is a main contributing factor in the delay in screening and diagnosis of GDM with subsequent fetal and maternal complications. This study aims to identify the level of knowledge about GDM among the adult population in the Kingdom of Saudi Arabia (KSA). Material and methods A descriptive cross-sectional questionnaire-based study was conductedto identify the level of knowledge about risk factors, prevention, and treatment of GDM in a community sample from Saudi Arabia. A self-administered electronic questionnaire was designed, tested for validity and reliability, and distributed through social media platforms. It consisted of 18 questions asking about the socio-demographic characteristics, the type of hospital in which the participant receives their medical care, whether the participant heard about GDM or not, and if they knowsomeone with GDM, in addition to questions to assess the level of knowledge about risk factors, complications, prevention, and treatment of GDM. The total score of knowledge was calculated. The multivariate regression analysis test was employed to analyze the relationship between various demographic variables and the level of knowledge about GDM among the study population. A p-value of 0.05 or less was considered statistically significant. Results A total of 539 (100%) participants completed the questionnaire: 263 (48.8%) of them were in the age category (18-25 years), 440 (81.6%) of them were females, 307 (57%) had a bachelor's degree, 275 (51%) were single, 454 (84.2%) had heard about GDM, and 258 (47.9%) of them have or know someone with GDM. The total score of knowledge revealed excellent, good, fair, and poor levels among 334 (62%), 140 (26%), 49 (9%), and 16 (3%) of participants, respectively. The multivariable linear regression model revealed that participants who received health care from governmental hospitals heard about GDMand had or knew someone with GDM were positively associated with a higher level of knowledge. Conclusions The findings revealed that among participants, 62% showed excellent knowledge about GDM, although, the other 38% had non-optimal levels of knowledge. Awareness campaigns are recommended to improve the level of knowledge about this disease, its risk factors, treatment, and complications.

A Cross-sectional Study Assessing the Saudi Population’s Awareness and Perception of the Nutritional and Medicinal Benefits of the Miracle Tree: Moringa oleifera

ABSTRACT Aim: The Moringa genus, which is part of the Moringaceae family, has thirteen distinct species of fast-growing, multipurpose deciduous or evergreen trees. Moringa is widely recognized for both its high nutritional content when consumed by humans and its wide range of advantageous medical uses. In this study, the Saudi population’s awareness and impression of the nutritional and therapeutic benefits of Moringa were assessed in Saudi Arabia. Methods: Over the course of two months, a cross-sectional study was carried out in a number of Saudi Arabian locations. A questionnaire was used to gather data from 330 Saudi participants who were selected at random for the study. Results: The majority of respondents (approximately 79%) were female, and the greatest percentage (73%) belonged to the 18 to 29 age group. Sixty-six percent of the participants were well educated. Of the research participants, 87% said they were among the first to try new food products and more than two-thirds (69%) reported utilizing herbal products. The total knowledge score about Moringa was 32%; the mean score for understanding the plant’s health advantages was 34%, and the mean score for understanding its nutritional value was 31%. Approximately 20% of the participants said that they were eating Moringa, and 59% of them expressed a high level of satisfaction with the advantages that came with its use. Of those who had never used it, about 55 expressed willingness to try it if it was made available to them. Conclusion: There was a lack of knowledge among Saudi citizens about the nutritional benefits and health advantages of the Moringa plant. Therefore, there is a need to enhance the dissemination of information about the benefits of Moringa oleifera, particularly its role in disease prevention and treatment.

Knowledge, attitudes, and practice toward postoperative cognitive dysfunction among anesthesiologists in China: a cross-sectional study

BackgroundTo investigate the knowledge, attitudes, and practice (KAP) toward postoperative cognitive dysfunction (POCD) among anesthesiologists in China.MethodsThis cross-sectional study was conducted nationwide among Chinese anesthesiologists between December 2022 and January 2023. The demographic information and KAP scores of the respondents were collected using a web-based questionnaire. The mean KAP dimension scores ≥ 60% were considered good.ResultsThis study enrolled 1032 anesthesiologists (51.2% male). The mean total scores of knowledge, positive attitude, and positive practice were 9.3 ± 1.2 (max 12), 34.8 ± 3.3 (max 40), and 30.6 ± 6.7 (max 40), respectively. The knowledge items with correctness scores < 60% were “the anesthetic drugs that tend to cause POCD” (23.3%) and “Treatment of POCD” (40.3%). Multivariable analysis showed that ≥ 40 years old, master’s degree or above, intermediate professional title (i.e., attending physician), senior professional title (i.e., chief physician), and working in tertiary hospitals were independently associated with adequate knowledge. Multivariable analysis showed that the attitude scores, middle professional title, and ≥ 16 years of experience were independently associated with good practice.ConclusionsThese results suggest that Chinese anesthesiologists have good knowledge, favorable attitudes, and good practice toward POCD. Still, some points remain to be improved (e.g., the drugs causing POCD and managing POCD) and should be emphasized in training and continuing education.Trial registrationChiCTR2200066749.

Comparison of Different Modes of Oral Health Education in Visually Impaired Children.

To compare the effectiveness of various modes of oral health education in visually impaired children. A total of 100 students aged 8-15 years were included. The children were divided randomly into four groups. Children in Group I received oral hygiene instructions through Braille pamphlets. In Group II, children received instructions through nonvisual desktop access (NVDA). For children in Group III, both Braille and NVDA were used to deliver the instructions. Children included in Group IV served as controls, who did not receive any information in any form for the study period. After oral examination to record plaque and OHI-S scores, a questionnaire was given to the children to assess their knowledge scores. The same questionnaire was repeated after 1 month to reassess the knowledge score in different groups. Chi-square test, Wilcoxon test, and post hoc analysis tests were used. The mean plaque scores among the control group children at the follow-up were significantly higher (2.5 ± 0.64) than any other group. Similarly, the control group had higher mean oral hygiene simplified scores (1.75 ± 1.32) than the Braille (1.12 ± 0.65), NVDA (0.85 ± 1.38), and Braille + NVDA (0.2 ± 0.64) groups at follow-up. With regards to the mean total knowledge score, the control group scored the least (2.16 ± 1.46), while the Braille, NVDA, and Braille + NVDA groups scored 3.16 ± 1.43, 4.52 ± 1.12, and 6.36 ± 0.52, respectively. Combination of Braille and NVDA was found to be effective in educating and motivating visually impaired children regarding maintenance of oral hygiene.

A cross-sectional study on knowledge of epidemiological determinants, prevention and management of rabies among MBBS interns of a tertiary health care center of central India

Background: According to World Health Organization (WHO), rabies is a vaccine-preventable, zoonotic, viral disease caused by Lyssavirus type 1. It causes 20,000 deaths annually in India. MBBS interns represent the physicians who will graduate and practice medicine from next year. Hence, keeping this in mind, the present study was carried out to assess the knowledge regarding epidemiological determinants, prevention and management of rabies among MBBS interns. Methods: A cross-sectional study was conducted between April 2023 to June 2023 among 200 MBBS interns of Indira Gandhi Government Medical College, Nagpur, Maharashtra. Data was collected by the self-administered, pre-designed, pre-structured questionnaire and was analysed using statistical package for the social sciences (SPSS) software version 25. Results: It was seen that the mean age of participants was 23.34 (±0.859) years. The majority of participants were males (51.5%). The majority (80%) of interns knew the correct causative agent of rabies, while only 40% knew the correct incubation period of rabies. The majority, that is 63.5%, 85.5% and 75% of interns, knew the correct route, site and schedule of post exposure prophylaxis (PEP) respectively. Only 26.5% interns knew the correct management of category I animal bites, while 74.5% and 89% knew the correct management of category II and category III animal bites, respectively. The mean total knowledge score among interns was 13.17±2.63. Conclusions: The study found that interns with experience in dealing with animal bite cases had significantly higher total knowledge scores. To improve knowledge, interactive animal bite case-dealing sessions and regular CMEs should be conducted.

Assessment of Women's Awareness of the Effects of Gestational Diabetes Mellitus on the Mother and Fetus in Saudi Arabia: A Cross-Sectional Study.

Introduction Gestational diabetes mellitus (GDM) is a form of glucose intolerance that arises during pregnancy, affecting a significant portion of women. It has immediate and long-term effects on both the mother and fetus, including complications like preeclampsia, premature delivery, and an increased risk of cesarean sections. A cross-sectional study among Saudi Arabia's general population, which included 979 women aged between 18 and 60, found varying levels of awareness of GDM, emphasizing the need for more research on awareness levels regarding GDM in Saudi Arabia and more educational campaigns to improve awareness. Objectives The study evaluates the knowledge of pregnant women about GDM and its implications for the mother and fetus. It investigates the relationship between knowledge levels and demographic factors like age, education, and socioeconomic status, aiming to identify knowledge gaps regarding this health issue and develop targeted educational initiatives. Methodology This was a cross-sectional study that included 979 women and was conducted using a Google Forms (Google Inc., Mountainview, CA) questionnaire. The questionnaire covered demographics and explored the knowledge level of women about the impact of GDM on the mother and fetus. Statistical analysis was implemented by IBM SPSS software version 27.0 (IBM Corp., Armonk, NY), with a 5% significance level. Ethical approval was sought, emphasizing anonymous data collection. We did not collect any identifying or private information from participants, and all responses were kept confidential. Results A study of 979 women revealed that their knowledge of GDM was significantly influenced by their age, gestational age, and the number of prior deliveries (p-value < 0.05). The total mean knowledge score for women's correct responses stood at 7.62 (±4.49). The study found that a majority of women, exceeding 60%, accurately answered certain questions about GDM, such as its association with heightened risks, neonatal intensive care unit (NICU) admissions, cesarean section likelihood, high birth weight, and preeclampsia. However, less than 30% could answer yes to questions that indicated that GDM could increase the risk of shoulder dystocia, hypoglycemia at birth, premature rupture of membranes, postpartum hemorrhage, and vacuum delivery. Conclusion There is a need for targeted educational initiatives, particularly focusing on knowledge gaps that women are lacking regarding GDM. Age and prior deliveries were identified as significant determinants of knowledge levels.

Nursing experiences and knowledge of paediatric delirium: Analysing knowledge-practice gaps.

Delirium commonly occurs in paediatric patients with acute critical illness and negatively affects clinical outcomes. Variations in delirium knowledge levels and its management have been noted among nurses. This study investigated nurses' experiences and knowledge levels regarding paediatric delirium. Additionally, we aimed to assess the gap between knowledge levels and practical experiences with paediatric delirium. This cross-sectional descriptive study conveniently sampled paediatric nurses from a university hospital in South Korea between September 2022 and March 2023. Nursing experiences with paediatric delirium and delirium knowledge levels were measured using structured survey questionnaires. Delirium knowledge was scored 0 to 47, and higher scores indicated higher levels of delirium-related knowledge. Data were analysed using descriptive statistics and presented as mean, standard deviation, frequency and percentage. A total of 127 paediatric nurses participated in this study; 40.2% had experience with 1-5 delirium cases in the previous year, and 86.6% (n = 110) had never used assessment tools for paediatric delirium assessment. The mean total delirium knowledge score was 34.45 ± 5.4; the mean scores of knowledge regarding aetiology, signs and symptoms and nursing management of delirium were 8.93 ± 1.31, 13.24 ± 2.81 and 12.3 ± 2.7, respectively. Interventions associated with a lower level of delirium-related knowledge and a lower performance rate included avoiding restraint use and maintaining hydration and electrolyte levels. Interventions associated with a higher level of delirium-related knowledge but a lower rate of performance comprised providing orientation, offering emotional support, allowing participants to stay with family members and administering medications to manage delirium. Although nurses working in paediatric units exhibited high rate of delirium nursing care, there was the gap between their delirium-related knowledge and practice. Nurses need to be aware of the insufficient part of delirium care, and paediatric delirium education should be reinforced. Preventing, assessing and systematically managing paediatric delirium is crucial, and considering the study results, delirium education among nurses is needed.

Impact of the ´Alforja Educativa’ on Ecuadorian schoolchildren’s knowledge of bacteria, antibiotics, and antibiotic resistance, a pretest-posttest study

BackgroundWidespread use of antibiotics disrupts the balance in the microbial world and promotes development and spread of antibiotic resistant bacteria. Educational initiatives are important as part of strategies to mitigate antibiotic resistance. The Alforja Educativa is an innovative educational program developed in Ecuador with the aim to teach schoolchildren about antibiotic use and antibiotic resistance. The program places antibiotic resistance within a broader frame of health, well-being, and ecological awareness, highlighting the importance to maintain balance in the microbial world. The objective of this study was to evaluate the effect of the Alforja Educativa on knowledge about bacteria, antibiotics and antibiotic resistance amongst fifth and sixth grade Ecuadorian schoolchildren.MethodsThis pretest-posttest intervention study was conducted between April and June 2017 and comprised fifth and sixth grade schoolchildren from 20 schools in Cuenca, Ecuador, recruited by purposeful sampling. The Alforja Educativa was implemented over twelve 80-minute sessions by trained university students. Schoolchildren’s knowledge was assessed before and after participation in the educational program using a structured questionnaire. A mean total score, the proportion of correct responses for each individual knowledge-based question, as well as correct responses for each of the multiple-choice options of the knowledge-based questions were calculated for the pretest and posttest.ResultsA total of 1,257 schoolchildren participated in the Alforja Educativa program, of which 980 (78%) completed both the pretest and posttest. Overall, the mean total knowledge score increased from pretest to posttest (2.58/7.00 vs. 3.85/7.00; CI = 0.5, p < 0.001). After participation in the program, the proportion of schoolchildren that correctly identified that bacteria can be both good and bad increased from 35.0 to 84.3%. In addition, scores increased for correctly identifying the meaning of antibiotic resistance (37.4–72.0%); how to prevent antibiotic resistance (63.2–74.6%); and for identifying the meaning of self-medication (46.3–54.3%).ConclusionThe Alforja Educativa was effective in improving the knowledge of participating schoolchildren about concepts related to bacteria, antibiotics and antibiotic resistance. The holistic perspective taken to explain the complex relationship between humans and bacteria, as well as the effect of antibiotics on the microbial world, may help provide a foundation for more sustainable antibiotic use.

Nutrition-Related Knowledge, Attitudes, Practices, and Anemia Status of Lactating Mothers in Bukavu, Democratic Republic of the Congo-A Cross-Sectional Analysis.

Maternal nutrition is impacted by personal and environmental factors including dietary intake, knowledge, food availability, and affordability. This cross-sectional analysis aimed to evaluate nutrition-related knowledge, attitudes, practices, and associations with hemoglobin concentration among lactating mothers in the Bukavu region, Democratic Republic of the Congo. In 444 lactating mothers, nutrition-related knowledge and practice were assessed by questionnaires and translated into knowledge and practice scores ranging from 0 to 1, attitudes and drivers of food choice were assessed, the Dietary Diversity Score (DDS) was assessed with 24 h dietary recalls in a potential range from 0 to 10, and hemoglobin (Hb) was measured in mothers and their infants. Anemia prevalence was 28.2% among mothers and 74.3% among infants aged 3-8 months. Nutritional knowledge and practice were limited (the median total knowledge score was 0.39, median DDS was 3.0). While there were slight positive correlations between knowledge and maternal Hb, DDS did not significantly correlate with either knowledge or Hb. Although half of the mothers stated a perception about their own susceptibility to anemia or vitamin A deficiency (56.4%, 47.4%), less than half of those could justify their estimation (40.9%, 44.2%). Taste (68.1%), appearance (42.5%), availability (29.0%), and health effects (25.6%) were important drivers of food choice. In conclusion, interventions on the different influencing factors including nutrition education strategies are needed.

Factors associated with Parental Knowledge and Attitudes towards Concussions in the Republic of Korea.

This study investigated the status and evaluated factors associated with knowledge and attitudes regarding concussions among Korean parents of children aged 6-18 years. A cross-sectional online survey was employed to collect data from a panel of parents in the Republic of Korea in 2023. To assess knowledge and attitudes regarding concussions, participants completed a validated questionnaire. The outcome variables of the total knowledge and total attitude scores, which ranged from 0 to 30 and 7 to 49, respectively, were categorized into three levels based on approximately 33% increments. We conducted multivariable ordinal logistic regression analyses with the participants' and their children's demographics and characteristics as covariates. A total of 260 parents responded to the survey and demonstrated moderate concussion-related knowledge (median total score, (Inter Quartile Range (IQR) 18-22.5)). The respondents exhibited favorable attitudes toward concussions (median total score, 39 (IQR 34-43)). Multivariate ordinal regression analysis for outcomes revealed that, except for the careers of healthcare providers (adjusted odds ratio (AOR) 3.15, 95% confidence interval (CI), 1.13-8.75), no factors were associated with parental concussion-related knowledge. Among the factors, none exhibited a statistically significant association with concussion-related parental attitudes. Our results confirmed the knowledge-attitude gap regarding concussions among Korean parents and novel strategies are warranted to improve parental knowledge and attitudes.