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PubMed1997

A Multiple Sclerosis (MS) Center Injection Training Program.

Injectable treatments for Multiple Sclerosis inspire hope and challenges. Abilities, anxiety levels and acceptance of treatment modalities vary so a creative program and comprehensive care plan combined to meet individual needs. A flexible, two session program developed at the University of Pennsylvania MS Center includes planning, practice, and even "homework" before the initiation of drug therapy. Hints are given to manage anticipated side effects and written instructions supplement product literature. Training focuses on subcutaneous or intramuscular injection technique. Since IM injections require special skills, those prescribed Avonex (beta Interferon la) are given "anatomy lessons"; they ease tension and are fun. Learning is informal, stories are shared and expectations discussed. The patient is encouraged to maintain an informed, active role in his care, adopt a wellness lifestyle and participate fully in goals of treatment. Physical, psychological and cognitive capabilities are assessed. Safety, compliance, and relationship issues are evaluated. Rapport developed during training goes far to promote adherence to therapy, minimize lifestyle disruption and preserve an acceptable quality of life. The nurse as liaison to other professionals, particularly the prescribing physician, facilitates innovative management of treatment issues. Moving patients and carepartners toward self responsibility, informed choices and competent administration of treatments benefits all. New models of care develop and by empowering others, we empower ourselves.

Humans↗
PubMed1996

The efficacy of a standard training program for transillumination-guided endotracheal intubation.

OBJECTIVE: To evaluate the success rate, intubation time, and complication rate of transillumination-guided intubation following two hours of instruction in the use of the Trachlight (TL) device. METHODS: A prospective, randomized crossover laboratory trial was conducted at an emergency medical service training site with 30 nonpaid volunteer paramedic students, one month prior to their graduation. The students were instructed in the use of the TL in a standardized curriculum consisting of didactic, video, and demonstration sessions. Each student was required to successfully intubate a training manikin with the TL five times. Approximately three weeks later, the students were asked to intubate the manikin 20 times, alternating between direct laryngoscopy (DL) and TL. RESULTS: The success rates were 94% for DL and 63% for TL (p < 0.0001). The mean intubation times were 14.6 seconds for DL and 16.8 seconds for TL (p < 0.001). The incidences of trauma were 7.3% for DL and 1.4% for TL (p < 0.001). CONCLUSION: A two-hour training session, including five successful light-guided intubations using the TL, was inadequate for producing acceptable success rates during manikin intubations by paramedic students. While TL intubation intervals were shorter when successful, the 2.2-second difference was not clinically meaningful. The incidence of trauma in our manikin model during TL intubations was significantly lower than that with DL.

Cross-Over Studies↗
PubMed2006

K-Train--a computer-based, interactive training program with an incorporated certification system for practicing kinetic perimetry: evaluation of acceptance and success rate.

PURPOSE: To evaluate, in an experimental study, an interactive, computer-based teaching procedure for kinetic perimetry that incorporates an evaluation system for scoring examination technique. METHODS AND SUBJECTS: K-Train was developed and based on the original user interface of the new semi-automated kinetic perimetry (SKP) feature of the OCTOPUS 101 perimeter (HAAG-STREIT, Koeniz, Switzerland). The trainer creates a 3D individual "hill of vision" for a specific pathology and the trainee can individually select target characteristics and independently define origin, end and direction of each kinetic stimulus with the help of vectors. Quality of the perimetric examination can be quantitatively assessed by the ratio of intersection area and union area of the trainee's result and the related trainer-defined original isopter. This ratio and other parameters are used to define a score of "perimetric quality". The general acceptance of K-Train was assessed in 30 participants in two perimetric courses. The success rate was examined by comparing the scores before and after a perimetric training session. RESULTS: The K-Train course was graded by the participants with an average score of 1.35 (range 1-3) in a scoring system ranging from 1=excellent to 6=unsatisfactory. The average perimetric quality score increased from 48 before to 59 (max. 100) after the training (27 trainees) indicating that K-Train was able to achieve and also verify a considerable success rate. CONCLUSION: The acceptance of K-Train, a computer-based, interactive tool that allows for certification, education and quality control of kinetic perimetry, is high. K-Train is capable of improving a trainee's individual performance in kinetic perimetry and of verifying this by an appropriate scoring system.

Adult↗
PubMed2003

Multidisciplinary pediatric pathology rotations in a residency training program.

The pediatric pathology residency rotations described herein represent an innovative multidisciplinary approach to residency education that combines concepts from anatomic pathology and laboratory medicine, and utilizes faculty members from pathology, pediatrics, and obstetrics/gynecology to teach pathology residents the clinicopathological highlights of antenatal, perinatal, and postnatal pathology. Training is provided through a combination of didactic interactions, laboratory experiences, and current clinical cases. As such, it can be a model for other multidisciplinary residency rotations that could span graduate medical education in pathology to permit a more thorough, informative, and stimulating residency experience.

Education, Medical, Graduate↗
PubMed2005

[A new training program--a status report: vasculitis].

Referring to the literature, it is known that structured standardized patient education represents an effective additional treatment in patients with chronic diseases. Programs are based on cognitive behavioral interventions. Within the last years an interdisciplinary approach for providing information on disease, therapies, side effects, coping strategies, nutrition and physiotherapy has been developed for patients with primary systemic vasculitides (PSV) in the vasculitis center Medical University of Luebeck/Bad Bramstedt. The contents of the seminars were revised and condensed into five modules. To evaluate the new program a documentation system consisting of patient and physician-administered questionnaires assessing socioeconomic, knowledge and disease-related outcome-parameters has been designed. Patients completed the questionnaires at baseline, 4 weeks, 6 and 12 months after training. First results show statistically significant improvement of knowledge and health-related quality of life.

Cognitive Behavioral Therapy↗
PubMed1983

[Effect of a bicycle ergometry training program in the acute phase of viral hepatitis on its late prognosis].

37 patients with clinically and histologically ascertained acute virus hepatitis (51% virus hepatitis B) underwent a bicycle-ergometric load a short time after admission to hospital and 17 of them were subsequently submitted to a training from twice a day to 30 minutes with 70% of the submaximal steady state effect. After their discharge from hospital all patients were repeatedly examined in the outpatient department for on an average 2.7 years; 20 patients (8 in the load group, 12 in the comparative group) were submitted to a liver biopsy on an average after one year. In 11 of the other patients the result of a histological examination of the liver from the end of the clinical treatment was present. The comparison of the training group and the control group showed nearly the same percentage of cures for the two groups as well as no transitions into chronic hepatitis in the training group. Also clinical and biochemical relapses did not appear in the load group. In a follow-up observation up to five years in the training group did not appear any disadvantage concerning the complete cure of virus hepatitis so that we apparently do not fear any negative sequels of physical activity in the acute phase of virus hepatitis. A forced immobilisation of the body--after proved ineffectiveness of diet and medicamentous treatment last support of the therapeutic regime--thus seems no more be indicated, since it is also accompanied by impairing reduction of the bodily function.

Acute Disease↗
PubMed1998

Results of a domestic violence training program offered to the staff of urban community health centers. Evaluation Committee of the Philadelphia Family Violence Working Group.

INTRODUCTION: Domestic violence (DV) against women often goes unrecognized by health care providers due to multiple barriers. In an effort to increase screening, identification, and referral for services, the RADAR Training Project was created for the health care staff of 12 federally qualified community health centers (CHCs). METHODS: A two-phase evaluation was conducted to assess the intervention. Phase one evaluated the health care providers' perceived knowledge and comfort pre-training, post-training, and at 3 months follow-up. The second phase included a medical chart review of 4 CHCs to assess the rates of screening, documentation of abuse, assessment of safety, and referrals for help at baseline (6 months pre-training) as compared to the intervention period (6 months post-training). RESULTS: The health care providers' perceived level of knowledge and comfort increased significantly post-training and then later decreased at 3 months follow-up. The rate of screening for DV (25% vs. 5%), suspicion of DV (6% vs. 2%), completion of safety assessments (17% vs. 5%), and referrals (4% vs. 0%) increased significantly between the intervention and baseline periods. However, the rates of documentation of abuse did not change. CONCLUSIONS: This intervention was successful in increasing provider perceived knowledge and comfort; however, comfort decreased at follow-up. Additionally, the rates of screening and referrals increased 6 months post-training. Health care provider training and support and integrated quality assurance mechanisms may be necessary to increase the overall rate of these activities, and to sustain this effort over time. Further study is needed to identify effective methods to increase provider comfort regarding DV screening.

Adolescent↗
PubMed1997

Effectiveness of a training program with physical education students and experienced physical education teachers in scoring the Test of Gross Motor Development.

Recently there has been an increase in the need for instruction and assessment of motor skills of students with disabilities for the regular physical education teacher; however, research has indicated that training of physical educators in assessment of motor skills for students with disabilities is often inadequate. Models of teaching preparation such as the infusion approach stress the need to integrate teaching and assessment techniques applicable to students with and without disabilities. In this study, the effectiveness of assessment training on the accuracy of scoring the Test of Gross Motor Development was investigated. Two students (one special education, one nonspecial education) were filmed and evaluated by three experts in the field of adapted physical education. The expert raters' scores were then compared to scores obtained by 26 physical education students and 26 experienced physical education teachers. Results of the study indicate that the instruction received in an assessment course enables undergraduate physical education students to assess accurately the motor skill performance of students with and without disabilities.

Adolescent↗
PubMed1981

Training program for a myo-electrically controlled prosthesis with sensory feedback system.

A myo-electrically controlled prosthesis that incorporates a sensory feedback mechanism to provide the wearer with a sense of touch or gripping force in the prosthetic hand was developed for patients with below-elbow amputations. A training protocol was established in which patients were taught to produce myo-electric control signals and to interpret the sensory feedback. The protocol includes functional training in daily living skills. The experiences of four patients trained with these limbs are described.

Activities of Daily Living↗
PubMed1991

A hospital-based chemotherapy education and training program.

Impatient chemotherapy administered by nurses from the outpatient setting causes fragmentation of care by impeding the primary nursing model. The inpatient oncology nursing staff, highly motivated to expand their knowledge base for cancer patient care, expressed interest in chemotherapy administration. In a collaborative effort among the oncology clinical nurse specialist, nurse educator, and nurse manager, a program was designed based on The Oncology Nursing Society Cancer Chemotherapy Guidelines and Recommendations for Nursing Education and responses from an education-needs assessment survey. The program consists of a theoretical and a practical component. This article will describe the planning, implementation, and evaluation of the Chemotherapy Certification Program at St. Elizabeth's Hospital.

Antineoplastic Agents↗
PubMed1983

A model for an outreach social work oncology training program.

The video tapes and guide books are being developed to give social workers and other health care professionals new information that can be readily applied to their day to day interactions with cancer patients and their families. Anticipated outcomes will be social workers and other health care professionals will have access to training materials to increase their knowledge and self-awareness about cancer, cancer patients and their families. Lastly, it should assist them in being more comfortable and knowledgeable in working with cancer patients.

Humans↗