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At least 631 records · Page 35Linked to original sources
PubMed1984

A self-instructional manual for installing low-cost/no-cost weatherization materials: Experimental validation with scouts.

In this study, we describe the development and evaluation of a self-instructional program for installing 10 low-cost/no-cost weatherization materials (e.g., weatherstripping, caulking). This program was a weatherization and retrofit manual (WARM) providing step-by-step instructions and illustrations. Boy and Girl Scouts participated and used either the WARM or existing product instructions (EPI) to apply the materials. Scouts installed the materials properly only when they used the WARM.

Journal Article↗
PubMed1998

Computer-assisted training program for simulation of triage, resuscitation, and evacuation of casualties.

The purpose of this paper is to introduce a multimedia computer software package that has been developed for the Federal Armed Forces of Germany to train military physicians in trauma management. The program presents different groups of casualties with characteristic wounds and multiple injuries on a CD-ROM and provides many clinical options at each decision point. Automatically evaluating the decisions for accuracy, the objective of the program is to train for triage, resuscitation, and evacuation of wounded in combat under pressure of time. The computer-assisted instruction program is inexpensive and allows easily accessible self-instruction as a supplement to formal classroom training. Using this teaching software, it may be possible to teach a standardized emergency case-management algorithm for battlefield trauma. There was a high level of acceptance for this type of instruction. This is encouraging for medical educators involved in producing multimedia packages for teaching emergency medicine.

CD-ROM↗
PubMed1997

Development of a CAI program entitled 'Introduction to Nursing Process'. Requirement for nursing education in Japan.

A new teaching strategy is required in nursing education in Japan. A multimedia CAI (Computer Assisted Instruction) program entitled "Introduction to Nursing Process." was developed. The aim of this study was to examine whether CAI could assist students' knowledge acquisition, and increase their motivation and readiness to learn clinical nursing practice. This study involved the process of developing CAI and a pilot study for measuring and evaluating the CAI program. Results demonstrate that CAI can increase students' understanding about the nursing process, enhance their motivation to learn, and provide realistic situations describing the concept of nursing the process.

Computer-Assisted Instruction↗
PubMed1995

Health education curricula in residential schools for the deaf.

The purpose of the present study was to determine the extent to which comprehensive (K-12) school health education was required. Permission to modify survey questions from the American School Health Association and the National School Board Association was obtained. As part of a larger study, ten items of the questionnaire were used to identify the status of health education in residential schools for the deaf. The questionnaire was mailed to institutions listed in a Reference Issue of the American Annals of the Deaf. Twenty-five institutions responded and results were tabulated using descriptive statistics. Twenty-two (88%) of the responding schools indicated a comprehensive health instruction program was in place, with 60% of respondents had specified time requirement for health instruction. The majority of responding institutions reported that teachers responsible for teaching the health curriculum to the deaf were not required to be certified in health education. Health education certification for educators of the deaf would assist in upgrading the quality of health education in residential schools for the deaf.

Curriculum↗
PubMed2003

[Screening for high risk population of dementia and development of the preventive program using web].

PURPOSE: This study was to develop a screening model for identifying a high risk group of dementia and to develop and evaluate the web-based prevention program. METHOD: It was conducted in 5 phases. 1) Data were collected from dementia patients and non-dementia patients in a community. 2) A screening model of the high risk population was constructed. 3) The validity test was performed and the model was confirmed. 4) Four weeks-prevention program was developed. 5) The program was administered, and evaluated the effects. RESULT: The model consisted of age, illiteracy, history of stroke and hypercholesterolemia. The program was designed with 12 sessions, group health education using web-based individual instruction program, and 12 sessions of low-intensity physical exercise program. After the completion, their self-efficacy, and health behaviors in experimental group were significantly improved over those in the control group. The perceived barrier in the treatment group is significantly decreased. CONCLUSION: The screening model developed is very simple and can be utilized in diverse community settings. And the web based prevention program will encourage individual learning and timely feedback, therefore it can facilitate their active participation and promote health management behaviors at home.

English Abstract↗
PubMedDate not supplied

Second skill educational development of personnel for a single-room maternity care system.

A modified cross-training approach was used to train nurses for a single-room maternity care unit. This cross-training program included development of a skills list for the labor/delivery and nursery/postpartum areas and an instruction program including formal lectures, independent study, and clinical experience. The clinical part of the program was a preceptor-based experience. The results of this program indicated that competency-based skills and objective selection criteria are mandatory for a successful cross-training program.

Female↗
PubMedDate not supplied

Profile of a leader: Margaret Mary Hunter CM, CStJ, CD, RN.

Margaret Mary Hunter (1918-1991) was Chief Nursing Officer for the St.John Ambulance Association from 1965-1981. She vigorously promoted the Association's Home Nursing course believing every Canadian household should have some one trained in home nursing. Her greatest achievement came in 1976 when, at her initiative, the Department of National Health and Welfare awarded 1,000,000 dollars jointly to the Association and the Canadian Red Cross Society to develop the multi-media program "There' s No Place Like Home for Health Care". Unfortunately this award-winning instructional program was never widely implemented and, following her retirement, home health care training in the Association declined in importance. Margaret Hunter's efforts to effect change illuminate the complex challenges facing nursing leaders of all generations.

Ambulances↗
PubMed1992

Will computers replace or complement the diabetes educator?

Computer programs are playing an increasingly important role in the management of diabetes and fall into various categories. Instructional programs are used to teach patients about diabetes. They cover the principles of blood glucose monitoring, diet, exercise, foot care and so on. Statistical and graphical analysis programs are used in diabetes clinics to help the physician, diabetes educator and patient detect patterns and trends in the patient's home blood glucose readings. Hand-held insulin dosage computers have been used by patients to advise them on insulin dosage adjustment on a day-to-day basis. The diabetes simulator we have recently developed allows patients to practise, and gain experience with insulin dosage adjustment; the patient decides on alterations to insulin dose, diet or the amount of exercise and the computer program demonstrates the resulting effect on blood glucose levels. Overall, computers complement and enhance, rather than replace the functions of the diabetes educator.

Blood Glucose Self-Monitoring↗
PubMed1976

Computerized system analyzes epidemiological data.

The computer is a valuable tool in helping to analyze epidemiological data that are collected through the infection surveillance system. The computerized system described has many significant advantages over the manual system of infection surveillance: quick assimilation, computation, and dissemination of the nosocomial infection summary report (within seven working days of the month's end); identification of infection problems and problem areas; and ability to retrieve data necessary for a complete establishment of a hypothesis regarding cause and effect implicated by an epidemiological investigation. Above all, timely and accurate infection data must be obtained in order for the reports to be beneficial in the decision-making process used by the infection control committee. Manual systems of month-to-month correlation of infection data are difficult and extremely time consuming for the surveillance person. Often the infection control committee cannot act intelligently and quickly because it is not knowledgeable of current trends occurring within the hospital. The computer has a number of limitations, and any computerized surveillance system should be approached with caution, especially during the developmental stages. The computer uses input data, follows instructions, and thus formulates output. If the computer is given either inadequate input data or inaccurately programmed instructions, the output will be erroneous. Therefore, a close working relationship should be established between the epidemiologist and the hospital's data processing department. The goals of the system must be clearly defined and understood by both areas. Once the system is established, the output is only as good as the data supplied by the epidemiologist. If this system is properly utilized, valuable information can be obtained that would have been difficult to obtain using a manual surveillance method.

Communicable Disease Control↗
PubMed1976

House staff training in cardiopulmonary resuscitation.

An audiovisual instructional program has been developed to teach cardiopulmonary resuscitation (CPR) to new interns and house staff. The entire program conformed to standards established in this subject and was devised so that it could be used for either large or small group instruction. Special projection equipment and a computerized student response system made it possible to use the audiovisual material with large groups and yet maintain most advantages of individual instruction. Following the instructional sessions small group workshops gave students an opportunity to demonstrate CPR and to receive guidance from trained personnel. Small group instruction was also enhanced by use of the audiovisual materials. After participation in the program, all interns were judged competent in performing required CPR tasks; 98% rated the program "good" or "excellent".

Audiovisual Aids↗
PubMed1995

A multimedia guide to spinal cord injury: empowerment through self instruction.

The Spinal Cord Injury (SCI) Project is developing a series of instructional modules on SCI that will be distributed via CD-ROM for patient and family education. The modules are based on an instructional program and patient manual distributed by the Paralyzed Veterans of America. The program includes topics ranging from the anatomy and physiology of spinal cord injuries to legal rights established under the Americans With Disabilities Act. The SCI project expands on the instructional manual by combining digital multimedia techniques with motivational features such as games and personal guides. The user selects a personal guide from among a selection of individuals with spinal cord injuries to guide them through tutorials that include accounts of personal experiences. The guides appear in small video windows at various points throughout the tutorials and give personal insight into the topic at hand. The user can also query the other guides to hear their views on a topic. The user interface incorporates 'seamless access' features, which enable persons with a wide range of disabilities to use the program. Innovative features of these modules are the use of personal instructional guides, motivational games and activities, incorporation of alternative input or access strategies, and the use of high quality, low cost, multimedia production strategies.

Audiovisual Aids↗
PubMed1993

Behavioral analysis and behavioral strategies to improve self-management of type II diabetes.

The implications of behavioral analysis for practice and research have significant potential for nursing. This present study was conducted to determine the effectiveness of nurses and patients actively participating in behavioral analysis and the implementation of behavioral strategies in order to improve the patients' self-management of their Type II diabetes. Patients (N = 156) were randomly assigned to one of four groups. The attention control group (n = 41) received routine care. The compliance group (n = 32) agreed to practice compliance behaviors related to the prescribed medical regimen. The behavioral strategies group (n = 42) participated in behavioral analysis and agreed to practice behavioral strategies. The behavioral strategies with instruction group (n = 41) participated in behavioral analysis, agreed to practice behavioral strategies, and received classes and programmed instruction about behavioral analysis and behavioral strategies. There were no outcome differences between groups relative to glycosylated hemoglobin (GHb) and weight loss. There were differences in the outcome measures in subgroups by age, gender, and employment, which have practice and research implications for the individualization of interventions using behavioral strategies.

Behavior Therapy↗
PubMedDate not supplied

Teaching history-taking: where are we?

Knowledge in history-taking has increased rapidly over the last twenty years. Currently the principles to be taught include "conduct," "content," and "diagnostic reasoning." However, inattentiveness of medical schools, reluctance of busy faculty to be involved, and increasing enrollments have resulted in difficulties in teaching these skills. Studies have shown a beneficial short-term effect of teaching these materials on interview performance but it is unknown whether this effect is long-lasting. The methods for instruction include the bedside and videotape models utilizing the concept of the fifteen-minute interview technique, programmed instruction, patient instructors, and direct student feedback. Future research should focus on identifying strategies in diagnostic reasoning, developing graduated competency criteria for trainees at different levels of their education, refining methods to evaluate large numbers of students, measuring outcomes of effective training such as compliance, and comparing costs and effectiveness of various methods. In addition, there remains the need to establish an association of course directors.

Communication↗
PubMedDate not supplied

A comparison of resuscitation skills of qualified general nurses and ambulance nurses in The Netherlands.

OBJECTIVE: To investigate the ability of qualified general nurses to perform cardiopulmonary resuscitation and to compare these skills with those of a group of ambulance nurses. DESIGN: Cross-sectional assessment of practical cardiopulmonary resuscitation skills. SUBJECTS: 141 Dutch general nurses. OUTCOME MEASURES: The practical skills were tested with six primary variables that describe the quality of cardiopulmonary resuscitation techniques in a training situation. A total score on the skills was computed based on a predefined scoring system. RESULTS: The percentage of general nurses who were able to achieve a pass score (i.e., the total score did not exceed 15 penalty points) was 6.4 percent. The average score was 37.8 penalty points. Eighty-eight percent of the ambulance nurses achieved a pass score. The average number of penalty points was 10.5. CONCLUSIONS: The practical skills in cardiopulmonary resuscitation are insufficient in the majority of this sample of general nurses in The Netherlands. The findings of this study should be used as a base to design an optimal form and content of an educational re-instruction program. We expect that a considerable improvement could be achieved by more frequent cardiopulmonary resuscitation re-instruction.

Adult↗
PubMed1991

Be a winner: Arkansas' approach to involving law enforcement officers in drug education.

This paper describes a project which is a joint venture of the Northwest Arkansas Police Institute and the Program in Health Sciences at the University of Arkansas. Funded by the U.S. Department of Education under the Drug Free Schools and Communities Act, the focus of the project has been the development of an innovative drug education program which brings uniformed law enforcement officers into the elementary school classroom. The officers lead an eight week instructional program at the fifth or sixth grade levels using our Be A Winner curriculum.

Arkansas↗
PubMed2006

Results of a proposed breath alcohol proficiency test program.

Although proficiency test programs have long been used in both clinical and forensic laboratories, they have not found uniform application in forensic breath alcohol programs. An initial effort to develop a proficiency test program appropriate to forensic breath alcohol analysis is described herein. A total of 11 jurisdictions participated in which 27 modern instruments were evaluated. Five wet bath simulator solutions with ethanol vapor concentrations ranging from 0.0254 to 0.2659 g/210 L were sent to participating programs, instructing them to perform n = 10 measurements on each solution using the same instrument. Four of the solutions contained ethanol only and one contained ethanol mixed with acetone. The systematic errors for all instruments ranged from -11.3% to +11.4% while the coefficient of variations ranged from zero to 6.1%. A components-of-variance analysis revealed at least 79% of the total variance as being due to the between-instrument component for all concentrations. Improving proficiency test program development should consider: (1) clear protocol instructions, (2) frequency of proficiency testing, (3) use lower concentrations for determining limits-of-detection and -quantitation, etc. Despite the lack of a biological component, proficiency test participation should enhance the credibility of forensic breath test programs.

Acetone↗
PubMedDate not supplied

Measurement and improvement of humanistic skills in first-year trainees.

The American Board of Internal Medicine (ABIM) has recently emphasized the development of humanistic skills in trainees. Using video technology, transition outpatient visits of first-year house officers in a primary care training program were evaluated for the presence or absence of nine humanistic skills before and after the initiation of an instructional program to reinforce the skills. Thirteen videotaped PGY-1 encounters constituted the preintervention group and 16 videotaped PGY-1 encounters constituted the postintervention group. The preintervention group performed a mean of 1.38 skills while the postintervention group performed a mean of 3.56 skills, a statistically significant improvement (p less than 0.05). The authors conclude that an educational approach that focuses on specific elements of interactions facilitates the incorporation of skills associated with humane medical care.

Clinical Competence↗