Caritas Education: Theory to Practice

2020 ◽  
Vol 24 (2) ◽  
pp. 106-120
Author(s):  
Kim Rossillo ◽  
Vivian Norman ◽  
Mary Wickman ◽  
Elizabeth Winokur

Increasingly complex occupational demands along with varied educational and personal examples of caring, may impact the ability to deeply connect with patients. Literature has identified that nurses and patients have differing perceptions of caring behaviors. Jean Watson's Theory of Human Caring provides a framework for care delivery that focuses on the caring nurse–patient relationship and the experience through the patients' lens.Caring healing relationships are at the core of professional nursing. The purpose of this project was to design and deliver an educational seminar based on Jean Watson's Theory of Human Caring to newly graduated nurses to examine the impact on self-efficacy in caring behaviors.The project participants (N = 56) consisted of a nonprobability convenience sample of newly graduated nurses at a local faith-based community hospital. The educational intervention consisted of experiential learning activities to facilitate translating theory to practice. The study utilized the Caring Efficacy Scale (CES), which is an instrument based on Watson's caring theory and Albert Bandura's self-efficacy theory. Results demonstrated a significant improvement in caring efficacy between the preintervention (M = 5.1, SD = .47), and immediate post intervention (M = 5.5, SD = .38); t (52) = −9.09, p = .000.The knowledge from this study could provide insights for the development of effective teaching strategies to facilitate translating nursing theory to practice. Establishing and developing skills to facilitate nurturing, caring nurse–patient relationships may enhance both the patient and caregiver experience.

2014 ◽  
Vol 27 (2) ◽  
pp. 337-342 ◽  
Author(s):  
J. Fleet ◽  
S. Chen ◽  
F.C. Martin ◽  
T. Ernst

ABSTRACTBackground:Delirium is a major cause of morbidity and mortality amongst hospital patients. Previous studies have shown that it is often poorly recognized and managed. We wanted to assess the impact of a multifaceted intervention on delirium management.Methods:A pre/post-intervention design was used. The local hospital delirium guideline was adapted into A7 sized cards and A3/A2 posters. Cards were distributed to junior doctors and teaching sessions were held. Computer screen savers were displayed and delirium promotion days held. The pre/post-intervention data were used to audit the following: delirium knowledge through questionnaires, documented use of the confusion assessment method (CAM) and identification and management of eight common precipitating factors. Re-audit was four months post baseline with interventions within this period. χ2 tests were used for statistical analysis.Results:A convenience sample of randomly selected doctors in postgraduate training posts completed 100 questionnaires and 25 clinical notes were selected via retrospective identification of delirium. Results from questionnaires demonstrated significant improvements in: recognizing CAM as the diagnostic tool for delirium (24% vs. 71%, p < 0.01); identifying haloperidol as first line in pharmacological management (55% vs. 98%, p <0.01) and its correct dose (40% vs. 67%, p <0.01). In clinical practice, there was significant improvement in documentation of CAM for inpatient delirium assessments (0% vs. 77%, p <0.01). Trainees found the delirium card “very helpful” (82%) and carried it with them at all times (70%).Conclusion:This multifaceted intervention increased CAM use in delirium recognition and improved the knowledge of pharmacological management. The delirium card was highly popular.


2021 ◽  
Author(s):  
Mahboubeh Dadfar ◽  
Siyamak Sanadgol

Abstract BackgroundNowadays, COVID-19 constitutes a significant portion of the global burden of the diseases. Self-efficacy beliefs in disease management refer to individuals' confidence and certainty in their ability to successfully perform specific health-related behaviors. The aims of the study were: (i) to develop the COVID-19 Self-Efficacy Scale (COVID-19SES), and (ii) to investigate the impact of self-efficacy on COVID-19.MethodsThis was a descriptive cross-sectional study. A convenience sample of 66 medical students was recruited. The COVID-19SES was administered to the students.ResultsOnly 9 students (13.6%) chose statement 1 of the COVID-19SES, indicating a lack of knowledge and low self-efficacy; 9 students (22.73%) chose statements 3 and 4, indicating adequate knowledge but low self-efficacy. Of the students, 42 (63.6%) endorsed the statement 5, indicating adequate knowledge and high self-efficacy. Only 9 students (13.6%) chose statement 1 of the COVID-19SES, indicating a lack of knowledge and low self-efficacy; 9 students (22.73%) chose statements 3 and 4, indicating adequate knowledge but low self-efficacy. Of the students, 42 (63.6%) endorsed the statement 5, indicating adequate knowledge and high self-efficacy. ConclusionsThis study provides evidence for the usefulness of the COVID-19SES for assessing self-efficacy in students. Twenty-four students (36.4%) reported low COVID-19 self-efficacy, and education is necessary to promote self-efficacy in health-related matters during the COVID-19 pandemic.


2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Roya Sheybani ◽  
Zahra Hosseini ◽  
Sayed Hossein Davoodi ◽  
Teamur Aghamolaei ◽  
Amin Ghanbarnejad

Abstract Background Evidence indicates the lower intake of fruits and vegetables than the recommended daily amount. Study aimed at determining the effects of peer education intervention on the consumption of fruits and vegetable in housewives. Methods A quasi-experimental was conducted with 130 housewives referring to health care centers in Bandar Abbas, Iran. Sixty-five subjects were recruited in each of the intervention and the control groups. Intervention group were divided into three subgroups each receiving a seven-sessions educational programs (lecturing and group discussion) through peers about the importance of benefits of fruits and vegetables consumption. Participants were followed for two months. Data were collected using a questionnaire in two stages of pre- and post-intervention. Differences in the outcome before and after the intervention were tested using T-test and paired T-test. Results The daily servings of fruits and vegetables in the intervention group increased from 1.73 to 4.20 and in the control group from 1.96 to 2.16; a statistically significant difference was also observed between the groups (P < 0.001). After the intervention benefits and self-efficacy of fruits and vegetables consumption significantly increased and perceived barriers of fruits and vegetables consumption significantly decreased in the intervention group (P < 0.001). Conclusion Peer education improves benefits and self-efficacy, reduces barriers, and increases the daily servings of fruits and vegetables in housewives.


2020 ◽  
pp. 073346482097151 ◽  
Author(s):  
Khushboo Sheth ◽  
Kate Lorig ◽  
Anita Stewart ◽  
José F. Parodi ◽  
Philip L. Ritter

To understand how the COVID-19 pandemic has affected caregivers, we assessed its perceived impact on caregiving through a new measure: the Caregiver COVID-19 Limitations Scale (CCLS-9), in Spanish and English. We also compared levels of caregiver self-efficacy and burden pre-COVID-19 and early in the pandemic. We administered surveys via internet to a convenience sample of caregivers in January 2020 (pre-pandemic, n = 221) and in April–June 2020 (English, n = 177 and Spanish samples, n = 144) to assess caregiver self-efficacy, depression, pain, and stress. We used the early pandemic surveys to explore the validity of the CCLS-9. The pre-COVID-19 survey and the April English surveys were compared to determine how the COVID-19 pandemic affected caregivers. The CCLS-9 had strong construct and divergent validity in both languages. Compared to pre-COVID-19, caregiver stress ( p = .002) and pain ( p = .009) were significantly greater early in COVID-19, providing evidence of its validity. COVID-19 added to caregiver stress and pain.


2020 ◽  
Vol 20 (2) ◽  
pp. 4-24
Author(s):  
Theresa Garren-Grubbs ◽  
MariJo Letizia ◽  
Mary Minton

Purpose: Evaluate the impact of an advance care planning (ACP) educational session utilizing PREPARE for Your Care for South Dakota farm and ranch women and its ability to increase engagement in ACP and documentation of medical wishes in the form of an advance directive. Sample: A convenience sample of women (n = 23) represented members of the farm and ranch community in South Dakota who were participating in the Power of Women as AgVocates Conference. Inclusion criteria for this study included being 18 years old or older, female, and conference participation. Exclusion criteria included men and those under the age of 18. Method: This was a cross-sectional investigation, consisting of three phases, and included comparisons of the same sample population before and after an ACP intervention at different time intervals (baseline, 1 week after the educational session and 3 months after the educational session). Increased engagement in ACP was evaluated using a pre-test, post-test design and utilized the 15-item Advance Care Planning Engagement Survey. Demographic information including age and highest level of education completed was collected. Findings: In total, 23 women participated in education session. The median age range was 35-44 years of age. There were statistically significant increases in self-efficacy and readiness to complete ACP reported by participants. The objectives of this education session were met. Per the participants, this was an effective format for ACP. Advance directive completion rates did not increase. Conclusions: The use of PREPARE for Your Care during an education session on ACP can increase self-efficacy and readiness to engage in ACP. The format of this program is appropriate for future use in community settings with the farm and ranch population. Keywords: Advance Care Planning, farm and ranch womenDOI:  http://doi.org/10.14574/ojrnhc.v20i2.632


Author(s):  
Allyson S Graf ◽  
Abigail Nehrkorn-Bailey ◽  
Amy Knepple Carney

As the impact of COVID-19 continues, engagement in social distancing is essential. Using Social Cognitive Theory, the current study examined the unique roles of COVID-19 anxiety and self-efficacy on the relationships between information-seeking and risk perception as predictors of social distancing intention. A convenience sample of 960 adults (<em>M </em>= 37.81 years, <em>SD </em>= 11.65) completed an author-designed online survey. Participants completed measures on behavioral intention, information-seeking, risk perception, COVID-19 anxiety, and self-efficacy. Moderated mediations examined the theoretically proposed relationships among the variables. COVID-19 anxiety moderated the relationship between risk perception and self-efficacy, but not the association between information-seeking and self-efficacy. Self-efficacy mediated the role of risk perception and information-seeking on behavioral intent. Self-efficacy was strongly associated with social distancing intention, consistent with previous research and underscoring the need to identify factors influencing self-efficacy in the context of a pandemic. Risk perception and information-seeking both directly and indirectly related to intention to social distance, with COVID-19 anxiety dampening the influence of perceived risk on self-efficacy. The roles of risk perception and information-seeking in relation to self-efficacy suggest the need to adequately describe risk, reduce pandemic-related anxiety, and provide accurate, transparent information.


2018 ◽  
Author(s):  
Anna Laine ◽  
Maritta Välimäki ◽  
Eliisa Löyttyniemi ◽  
Virve Pekurinen ◽  
Mauri Marttunen ◽  
...  

BACKGROUND Continuing education has an important role in supporting the competence of health care professionals. Although Web-based education is a growing business in various health sectors, few studies have been conducted in psychiatric settings to show its suitability in demanding work environments. OBJECTIVE We aimed to describe the impact of a Web-based educational course to increase self-efficacy, self-esteem, and team climate of health care professionals. Possible advantages and disadvantages of the Web-based course are also described. METHODS The study used nonrandomized, pre-post intervention design in 1 psychiatric hospital (3 wards). Health care professionals (n=33) were recruited. Self-efficacy, self-esteem, and team climate were measured at 3 assessment points (baseline, 8 weeks, and 6 months). Possible advantages and disadvantages were gathered with open-ended questions at the end of the course. RESULTS Our results of this nonrandomized, pre-post intervention study showed that health care professionals (n=33) had higher self-efficacy after the course, and the difference was statistically significant (mean 30.16, SD 3.31 vs mean 31.77, SD 3.35; P=.02). On the other hand, no differences were found in the self-esteem or team climate of the health care professionals before and after the course. Health care professionals found the Web-based course useful in supporting their work and relationships with patients. The tight schedule of the Web-based course and challenges in recruiting patients to use the patient education program with health care professionals were found to be the disadvantages. CONCLUSIONS Web-based education might be a useful tool to improve the self-efficacy of health care professionals even in demanding work environments such as psychiatric hospitals. However, more studies with robust and sufficiently powered data are still needed.


2017 ◽  
Vol 28 (5) ◽  
pp. 516-522 ◽  
Author(s):  
Joanne K. Singleton

Purpose: The Doctor of Nursing Practice (DNP) degree is the most advanced clinical leadership role in nursing. Curricula prepare these students to design, implement, evaluate, and continuously improve high-quality culturally specific health care delivery and outcomes. Design: Guided by the cultural competence and confidence model, the Transcultural Self-Efficacy Tool was used to assess the impact of an enhanced cultural competence curriculum on transcultural self-efficacy perceptions of DNP students ( n = 54). Method: The study used a pre–post paired t test, nonexperimental design. Findings: A significant gain from pre- to postmeasure in students’ overall transcultural self-efficacy was demonstrated. Discussion: Changes in DNP students’ transcultural self-efficacy were identified after completing an enhanced cultural competence curriculum. Conclusions: Transcultural self-efficacy may be influenced by formal education and learning experiences of DNP students. Implication for Practice: Educational outcomes research can demonstrate the impact of a DNP programs curriculum on meeting national and professional goals for culturally competent nursing practice.


2017 ◽  
Vol 40 (5) ◽  
pp. 648-664 ◽  
Author(s):  
Lin Wang ◽  
Hong Tao ◽  
Barbara J. Bowers ◽  
Roger Brown ◽  
Yaqing Zhang

The aim of this study was to examine the relationships among social support, self-efficacy, and resilience in early career registered nurses. A cross-sectional study was conducted with a convenience sample of 747 early career registered nurses. Data collection was performed between August and November 2015. Data were analyzed using structural equation modeling. Among the three factors of social support, only the impact of coworker support on nurse resilience is fully mediated by self-efficacy; friend support had a significant positive direct effect on self-efficacy and an indirect effect on nurse resilience. This would suggest the importance of administrators/managers understanding how to promote coworker support, increase self-efficacy, foster a positive work climate, and develop effective mentorship programs to improve early career registered nurses resilience and mitigate factors leading to turnover.


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