Multisite Single-Blinded Randomized Control Study of Transfer and Retention of Knowledge and Skill Between Nurses Using Simulation and Online Self-Study Module
Tonya Rutherford-HemmingNichole C. KelseyDeanna L. GrenigMichelle FelicianoLeslie SimkoChristina M. Henrich
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Abstract:
Obstetric (OB) nurses must be proficient in performing a basic neurologic examination to assess and detect changes in a patients' neurologic status. This study aimed to compare knowledge and skill acquisition for a basic neurologic examination between OB nurses who participated in simulation and those who participated in an online self-study module. Short- and long-term knowledge retention and skill transfer between groups were evaluated.Nurses were randomized to either simulation or online self-study module and assessed by direct observation and completion of a standardized instrument by the observer at 3 time points: baseline (time 1), within 7 days of baseline in the clinical setting (time 2), and at 2 months (time 3) using a validated12-item Neurologic Knowledge Assessment and a 14-item performance skill checklist.Among OB nurses, those in the simulation group demonstrated higher levels in both short-term (time 2) [mean (SD), 67.6 (20.2) vs. 29.6 (19.0); P < 0.001] and long-term (time 3) [mean (SD), 46.1 (17.6) vs. 27.5 (15.9); P < 0.001] skill performance compared with nurses in the online self-study module. Nurses in the simulation and online self-study module groups had similar mean levels on Neurologic Knowledge Assessment scores at time 2 (P = 0.86) and time 3 (P = 0.59), but these mean scores were not significant.The greater transfer of skills by nurses who received simulation education is an important finding because few studies have addressed this level of translation with practicing nurses. There was a lack of differences in short- and long-term knowledge acquisition between nurses in the simulation and online self-study module groups. More research is needed to determine the timing of simulation-based education repetition over time to aid in knowledge and skills retention.Keywords:
Knowledge retention
Purpose: The strategy used to improve effective checklist use in intensive care unit (ICU) setting is essential for checklist success. This study aimed to test the hypothesis that an electronic checklist could reduce ICU provider workload, errors, and time to checklist completion, as compared to a paper checklist. Methods: This was a simulation-based study conducted at an academic tertiary hospital. All participants completed checklists for 6 ICU patients: 3 using an electronic checklist and 3 using an identical paper checklist. In both scenarios, participants had full access to the existing electronic medical record system. The outcomes measured were workload (defined using the National Aeronautics and Space Association task load index [NASA-TLX]), the number of checklist errors, and time to checklist completion. Two independent clinician reviewers, blinded to participant results, served as the reference standard for checklist error calculation. Results: Twenty-one ICU providers participated in this study. This resulted in the generation of 63 simulated electronic checklists and 63 simulated paper checklists. The median NASA-TLX score was 39 for the electronic checklist and 50 for the paper checklist ( P = .005). The median number of checklist errors for the electronic checklist was 5, while the median number of checklist errors for the paper checklist was 8 ( P = .003). The time to checklist completion was not significantly different between the 2 checklist formats ( P = .76). Conclusion: The electronic checklist significantly reduced provider workload and errors without any measurable difference in the amount of time required for checklist completion. This demonstrates that electronic checklists are feasible and desirable in the ICU setting.
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Norwegian Psychomotor Physiotherapy (NPMP) has been an established treatment approach for more than 50 years, although mostly in the Scandinavian countries, and is usually applied to patients with widespread and long-lasting musculoskeletal pain and/or psychosomatic disorders. Few studies have been investigating outcome of NPMP and no randomized clinical trials (RCT) have been systematically tried out on individuals. This is a study protocol for a pragmatic, single blinded RCT, which will take place in a city of Norway. The participants will be block randomized either to receive NPMP or Cognitive Patient Education in combination with active individualized physiotherapy (COPE-PT). The intervention will reflect usual care and will be conducted in physiotherapy clinics by five experienced physiotherapists in each of the two treatment approaches. The findings of the present study may give an important contribution to our knowledge of the outcome of NPMP, on patients with long-lasting widespread musculoskeletal pain and/or pain located to the neck and shoulder region. The study has been registered with ClinicalTrials.gov (June 9 th 2015, NCT02482792).
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This article aims to present a dataset on compliance and completeness of the Surgical Safety checklist at Bahir Dar City Administration Public Hospitals. The data showed that of the patient׳s files only 85.1% had the Surgical Safety Checklist and the remaining 14.9% of operations had not used the Surgical Safety Checklist. Of the total 313 Surgical Safety Checklists patient׳s files used, only 102 (32.6%) were complete (all items on the checklist had been 'ticked off') and 67.4% (211/313) were partially complete (all items on the checklist had not been 'ticked off'). Even though the surgical safety checklist was not used in all operations, all three parts of the surgical safety checklist had been 'ticked off' in the majority of the operations among those who utilized the checklist.
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[Ten years with the WHO Checklist for Safe Surgery. A new Swedish version is soon to be introduced].
The WHO Checklist for Safe Surgery has been in use in Swedish healthcare since 2009. Based on national and international experiences, we have developed the original checklist, with the aim to keep its strengths and remove the weaknesses. The most obvious difference is that each section of the original checklist has been split into a pure checklist and corresponding instructions. It is now also more obvious that the basis for the checklist is local guidelines/routines. It is primarily via these local guidelines/routines that local adaptations can be made. The new checklist has been tested and gradually improved during six rounds at large and small Swedish hospitals, where comments from staff have been considered. The name has been changed to Checklist for Safe Surgery 2.0, and distribution to all Swedish hospitals will commence in the early autumn of 2018.
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The WHO Surgical Safety Checklist was published in 2008 as an attempt to decrease complications and death from surgery. This checklist was implemented and evaluated using questionnaires in an intermediate size general hospital. We attempted to confirm how the WHO checklist has been implemented and assessed as a medical safety system.Using questionnaires, we surveyed anesthesiologists, surgeons and operating room nurses at Kosei Chuo General Hospital regarding the effectiveness of the WHO Surgical Safety Checklist on three occasions (immediately following implementation, after half a year, after one year).Immediately after its implementation, 50% of the anesthesiologists, surgeons and operating room nurses evaluated the checklist positively. That percentage decreased after half a year, and then increased significantly to 85% after one year following the use of our amended checklist.According to our questionnaires, after the adoption of our checklist, which amended the WHO Surgical Safety Checklist, positive evaluation increased significantly after one year, compared with evaluation immediately following implementation. At least one year was required for the checklist to be favorably received by anesthesiologists, surgeons and operating room nurses. We anticipate that the WHO Surgical Safety Checklist, amended to meet the circumstances of individual facilities, will be effectively implemented and firmly established.
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A review of the literature on the mammals of Nepal revealed a series of checklists improving in accuracy over time. However, there are contradictions in these checklists and there has been no checklist published since 1975. Here, I present a checklist based on a review of the literature on the mammals of Nepal. The Mammals of Nepal comprise 192 species within 37 families in 12 orders.
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Background: The use of WHO surgical safety checklist results in striking improvements in surgical outcomes and decreases effectively the adverse events; accordingly, it necessitates rapid adoption worldwide. We are going to assess the extent of application of such checklist in our surgical setting. Methods: we surveyed all six hospitals in Mukalla city in three months period (aug- oct 2016), Observations and interviews were conducted using already prepared forms. The data was analyzed by SPSS version 20. Results: Atotal of six hospitals performed 110 procedures during the three months period. The private hospitals implementing the WHO surgical safety checklist more than government hospitals 87.10 % vs 79.39%. (Sign out) part of the checklist was the most applied 86.75% followed by (sign in) and (Time out) 86.37%, 81.08% respectively. The overall application of the standards of the checklist in Mukalla hospitals was 81.77%. Conclusion: The surgical safety checklist of WHO was partially applied in our hospitals. The checklist is a simple tool, which can downloaded freely from the WHO. Adaptation of the checklist to suit local conditions is encouraged.
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Abstract A 21 CFR Part 11 Checklist can satisfy many business, process, and educational needs of companies that use computer systems that must comply with Part 11. This article identifies a strategy for creating your own Part 11 Checklist. Suggestions are presented for: analyzing and sorting the regulations into manageable units; organizing the Checklist; adding supportive information to help users understand and navigate through the Checklist; and including enhancement features such as information mapping and special software. Finally, a sample excerpt from our own Checklist is provided. Copyright © 2002 John Wiley & Sons, Ltd.
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You can use this checklist as a means to optimize your own sites. You may want to adjust it according to your own settings. Note that this checklist only contains items related to SEO and performance. The order of the checklist is different from that followed in the book. This checklist is more oriented to an efficient workflow. Often, options for both performance and SEO can be found on the same screen; therefore, and it is more efficient to set these simultaneously.
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