Background: Skin cancer is the most common form of cancer in the United States and is a public health concern. There are over 5 million new cases of keratinocyte skin cancer (KC) (previously known as non-melanoma skin cancer) and over 65,000 new cases of melanoma annually in the United States. Skin cancer is highly preventable, although prevention methods are not commonly practiced. Nurse practitioners have a key role in educating and encouraging patients to practice skin cancer prevention methods. Purpose/Aims: The purpose of this project was to determine whether a brief educational video can improve nurse practitioner knowledge, attitudes, and behaviors regarding skin cancer and skin cancer prevention counseling. Methods: A single subject pre-test post-test design guided this project. Participants completed an online pretest assessing skin cancer knowledge, attitudes, and behaviors. Following the pretest participants were given access to the video intervention. The intervention included information about skin cancer and published guidelines about skin cancer prevention counseling. Changes in knowledge, attitudes, and behaviors and satisfaction with the intervention were assessed through a post-test. Results: A total of 30 eligible Arizona nurse practitioners completed both the pretest and posttest surveys. There was a statistically significant increase (p=.000) in knowledge from 64.17% on the pretest to 87.5% on the posttest. Attitudes about skin cancer and skin cancer counseling were fair on the pretest and significantly improved (p=.000) on the posttest. On the pretest, nurse practitioners had poor attitudes regarding skin cancer prevention counseling practice behaviors. These attitudes favorably increased (p=.009) on the posttest. Self-reported practice behaviors also improved significantly following the intervention (p=.000). Participants' attitudes regarding the intervention were generally favorable. Conclusions: A brief educational intervention offered online to nurse practitioners is highly effective for improving their knowledge, attitudes, and behaviors regarding skin cancer and skin cancer prevention counseling. The intervention is feasible to administer and is acceptable to nurse practitioners.

Abstract Delivering a preterm baby who is admitted to a neonatal intensive care unit can be an enormous hardship for parents and families, and especially for mothers. The consequences of prematurity alter the parental role, affect their confidence in caring for the baby, and subsequently may impact infant outcomes. Adequately educating mothers of premature babies using an evidence-based practice approach may help them gain the confidence and skills needed to care for their infants. The purpose of this project was to create a tool kit to educate mothers of premature babies about the essential components of caring for their babies, establish content validity of the tool kit among clinical experts, and make recommendations about the use of the tool kit in the neonatal intensive care unit. Polit, Beck, and Owen’s framework was used to establish content validity. Neonatal intensive care nurses who were considered “experts” using Benner’s novice-to-expert theory (n = 7 reviewed the tools which were quantitatively computed and yielded an Item Content Validity Index value range of 0.86 to 1.00, and a Scale Content Validity Index of 0.97, reflecting that the content met the objectives of the toolbox. Positive social change can be realized through use of the tool kit in the neonatal intensive care unit to educate mothers in the care of their preterm babies, thus improving both maternal and infant outcomes.

This thesis summarizes a study conducted to explore the effect of an educational intervention on cognitive autonomy, identity, hope, and educational aspirations. The primary goal of this study was to investigate (1) the impact of awareness and readiness educational intervention on low-income adolescents’ cognitive autonomy, identity, hope, and educational intentions, and (2) how the low-income adolescents receiving the awareness readiness educational intervention compared to adolescents who did not receive the intervention. The Cognitive Autonomy and Self-Evaluation (CASE) inventory, the Modified Extended Version of the Object Measure of Ego Identity Status (EOMEIS), The Children’s Hope Scale, and a self-report of educational aspirations were used to measure the four variables in this study. Subjects included 38 adolescents, ages 13 to 17, from lower socioeconomic status (SES), located in the two different school districts who participate in the GEAR UP intervention, and a comparison sample included 47 adolescents, ages 14 to 17, from various classes at a local high school. Findings reveal that changes from time 1 to time 2 (four months) for adolescents participating in the educational intervention were not significant in three of the four areas. The educational aspirations results were statistically significant. The adolescents in the educational intervention group and from the comparison sample found to be similar on all measures, thus establishing a form or social validation. Results may be contingent on the type of sample obtained and testing procedures. The results of this study indicate there may need to be further research in this area.

På senare år har antalet slutenvårdsplatser i Sverige minskat. Detta har lett till att patienter med psykisk ohälsa själva behöver bli experter på sin sjukdom. I flera delar av landet erbjuds därför psykopedagogiska interventioner som komplement till farmakologisk behandling vid behandling av bipolär sjukdom. Interventionerna har olika struktur och innehåll, men alla syftar till att stärka patienten och ge denne verktyg för att kunna hantera sin sjukdom. Syftet med denna studie var att belysa deltagarnas erfarenheter av att ha deltagit i den psykopedagogiska interventionen som Psykiatri Södra i Stockholm erbjuder, vilka nya kunskaper de har fått och vad de har tyckt varit givande/ mindre givande. Studiens design var kvalitativ och genomfördes med hjälp av personliga intervjuer. Vi tillfrågade 25 personer vilka samtliga har deltagit i psykopedagogiska interventioner. Av dessa tackade sju ja till intervjuerna. Innehållsanalys användes som metod vid bearbetandet av intervjuerna. Resultatet visar att deltagarna hade blivit stärkta i sig själva, att de hade lärt sig att separera sig själva från sjukdomen och att de hade fått större förståelse för vad de kan göra för att förhindra uppkomsten av nya skov. Framför allt visar dock resultatet att deltagarna hade blivit en del av en grupp, det vill säga fått en känsla av sammanhang, vilket de flesta dittills hade saknat i livet. Psykiatrin har en viktig roll i att aktivt bjuda in patienter och anhöriga till psykopedagogiska interventioner. Trots att forskningen påvisar att det bara finns fördelar med psykopedagogiska interventioner, finns det alldeles för få utbildningsplatser för att täcka patienternas behov. En del av specialistsjuksköterskans roll blir att se till att psykopedagogik implementeras i den psykiatriska vården. / During the last years institutional care in Sweden has decreased, which has led to the fact that patients need to become experts on their own disorder. In several parts of the country psycho educational interventions are offered as a complement to pharmacological treatment when treating people with bipolar disorder. The intervention programs have different structures and contents, but they all aim to strengthen the patient and provide him or her with tools to manage the disease. The aim of the study was to illuminate the participants’ experiences of taking part in a psycho educational intervention program offered by Psykiatri Södra in Stockholm, what sort of new knowledge they acquired, what was good/ less good. The design of the study was qualitativeand it was performed through personal interviews. Everyone who participated in the last intervention was asked to participate in the study. The sample was based on the above, and in the end seven people accepted taking part in an interview. A qualitative content analysis was used to process the interviews. The results showed that the participants felt empowered, they had learned to separate themselves from the disease, they had a bigger understanding for what they themselves could do to prevent new relapses, but most of all they had become a part of a group, and they finally felt a sense of coherence which they previously lacked in life.  Psychiatric caregivers have an important part in actively inviting people with bipolar disorder and their relatives to psycho educational intervention programs. Even though research shows that there only are benefits in psycho educational intervention programs, there aren’t enough programs to cover all in need.  A part of the specialist nurse’s roll therefore is to implement psycho educational intervention programs in psychiatric care.

Introduction The purpose of this study was to improve Indonesian nursing students' self-directed learning readiness. An educational intervention program (EIP) was developed, implemented and evaluated. Background to the study Many studies have documented the need for nursing students to be prepared for the rapidly changing and complex health care environment. Lifelong, self-directed learning (SDL) has been identified as an important ability for nursing graduates. However, no study has documented the needs of, or preparation required for, nursing students to function effectively in the rapidly changing health care system in Indonesia. The Indonesian diploma nursing schools still use a teacher-centred approach with little emphasis on a student-centred approach. Method The study used a mixed method involving both quantitative and qualitative design. Simple random sampling was used to select an intervention school and control school. The sample was 2nd year nursing students with 47 in the intervention group and 54 in the control group. A pre-post test questionnaire, using the Self-Directed Learning Readiness Scale (Guglielmino, 1978), was used to collect quantitative data and focus group discussions (FGD) were used to collect qualitative data regarding students' perceptions of SDL prior to and at the completion of study. The intervention group received an EIP. The Staged Self-Directed Learning Model (Grow, 1991) and the Teacher Student Control Continuum (D'A Slevin & Lavery, 1991) were used as the organising framework. A self-learning module and learning plans were used as learning strategies to operationalise SDL concepts alongside teacher-centred methods. The control group received the existing teacher-centred methods. At the completion of the intervention, clinical instructors from both the intervention and control groups participated in FGD to explore their perceptions of students' activities during the EIP. Results For the majority of students, readiness for SDL was 'below average'. The mean for the Indonesian nursing students was significantly lower than established norms (Guglielmino, 1978). The introduction of SDL concepts through an EIP improved the level of readiness for SDL in the intervention group from 'below average' to 'average' compared to the control group who remained in the 'below average' range. Higher SDL readiness was reported by female students and students who completed the educational intervention. The FGD before the intervention revealed that students perceived SDL as a 'self-activity'. Perceptions of students in the intervention group changed during the EIP compared to students in the control group. Students in the intervention group viewed SDL as a 'process of learning'. Increased self-confidence, incremental learning, and having direction in learning were identified as benefits of SDL. Knowledge and skills in SDL, learning materials and communication were identified as important issues that needed to be improved. Clinical Instructors' perceptions of students' clinical activities confirmed that students in the intervention group were 'more active' compared to the control group who were 'still inactive'. Conclusion The study confirmed the expected effect of the EIP on students' SDL readiness. The EIP improved nursing students' readiness for SDL and had a positive impact on students' perceptions of SDL. Introducing the concept of SDL through the EIP was found acceptable by the sample and was deemed feasible to implement within the Indonesian nursing education system. The study has potential to make a significant contribution to nursing education in Indonesia by promoting lifelong learning and SDL in nursing students and in curricula through the development of innovative curricula and teaching and learning practices. The study also has potential wider benefit to nursing practice and global health practice.

VIANA, Flavia Roldan. Análise do desenvolvimento do processo de autorregulação por alunos com deficiência intelectual: implicações dos princípios de mediação de Feuerstein na intervenção pedagógica tutorada. 2016. 319f. - Tese (Doutorado) – Universidade Federal do Ceará, Programa de Pós-graduação em Educação Brasileira, Fortaleza (CE), 2016. / Submitted by Gustavo Daher (gdaherufc@hotmail.com) on 2017-01-18T10:52:20Z No. of bitstreams: 1 2016_tese_frviana.pdf: 7710568 bytes, checksum: 8425368847e70cf058fbaf6e51298f0f (MD5) / Approved for entry into archive by Márcia Araújo (marcia_m_bezerra@yahoo.com.br) on 2017-01-25T13:59:30Z (GMT) No. of bitstreams: 1 2016_tese_frviana.pdf: 7710568 bytes, checksum: 8425368847e70cf058fbaf6e51298f0f (MD5) / Made available in DSpace on 2017-01-25T13:59:30Z (GMT). No. of bitstreams: 1 2016_tese_frviana.pdf: 7710568 bytes, checksum: 8425368847e70cf058fbaf6e51298f0f (MD5) Previous issue date: 2016 / A tese objetivou analisar a manifestação da autorregulação em alunos que apresentam deficiência intelectual. Para isso, se investigou, no contexto da proposição de jogos didáticos-pedagógicos, os aspectos envolvidos em uma intervenção pedagógica tutorada, fundamentada nos princípios de mediação de Feuerstein, que poderiam potencializar o desenvolvimento da autorregulação como componente metacognitivo. O quadro teórico se apoiou na perspectiva sociointeracionista, e abrangeu cinco categorias conceituais: O sujeito com deficiência intelectual e seus processos de aprendizagem, Metacognição, Autorregulação, Mediação e Jogos em contextos de mediação na intervenção pedagógica tutorada, no favorecimento da autorregulação. Adotou-se a metodologia fundamentada nos pressupostos de uma pesquisa de caráter quase-experimental. O estudo de campo desenvolveu-se no período de agosto de 2015 a junho de 2016, contou com a participação de três sujeitos com diagnóstico de deficiência intelectual, e organizou-se em duas fases. A fase 1, Exploração da pesquisa de campo, subdividiu-se em três etapas: Pesquisa exploratória; Seleção de sujeitos; e Estudo Piloto (aplicado com quatro sujeitos com deficiência intelectual); e a fase 2, Desenvolvimento da pesquisa de campo (contou com a participação de três sujeitos com deficiência intelectual acompanhados nas Salas de Recursos Multifuncionais de duas escolas públicas), também subdividida em três etapas: Traçando perfis: avaliação cognitiva e pré-teste (avaliação da autorregulação); Sessões de intervenção pedagógica tutorada; e Avaliação do pós-teste. A análise de dados organizou-se em duas categorias: A influência dos princípios de mediação de Feuerstein sobre o avanço conceitual de alunos que apresentam deficiência intelectual; Manifestação de estratégias metacognitivas autorregulatórias em alunos com deficiência intelectual por meio do uso de jogos no contexto de uma intervenção pedagógica tutorada. Verificou-se que, a mediação, fundamentada nos princípios de Feuerstein, possibilitou que os sujeitos participantes demonstrassem capacidade de alcançar um nível de complexidade elaborado no desenvolvimento de estratégias metacognitivas de autorregulação, as quais promoveram o processo de autorregulação nas situações de aprendizagem. Constatou-se que, ao longo das sessões tutoradas de intervenções, eles passaram a estabelecer objetivos, usar diferentes estratégias metacognitivas de autorregulação, autocontrolar o próprio desempenho, gerenciar o tempo para concluir a atividade, e antecipar resultados dos jogos. Conclui-se que é fundamental oportunizar aos alunos com deficiência intelectual situações de aprendizagens, que promovam o diálogo com o mundo de significados, tornando-os ativos e sujeitos de sua aprendizagem, para que apreendam informações e se conscientizem de sua própria aprendizagem. As contribuições deste estudo residem na compreensão de que sujeitos que apresentam deficiência intelectual se beneficiam da mediação, e, portanto, são capazes de desenvolverem estratégias de autorregulação diante de situações de aprendizagens desafiadoras. Para isso, é necessário conceder a esses sujeitos a oportunidade de estabelecerem e seguirem seus objetivos pessoais, assim como de criarem as suas situações de aprendizagem.

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No. of bitstreams: 1 renatamotateixeira.pdf: 558361 bytes, checksum: 709f67998a9849717b2c64ff66feca49 (MD5) Previous issue date: 2013-08-15 / Esta Dissertação analisa a situação de duas escolas estaduais de Juiz de Fora, sendo uma delas com baixo desempenho no Programa de Avaliação da Alfabetização – PROALFA, considerada escola estratégica, e outra que melhorou sua proficiência no mesmo programa do ano de 2010 para 2011 e atingiu as metas propostas pela Secretaria de Estado de Educação de Minas Gerais, buscando identificar práticas escolares que possam contribuir para justificar essa diferença de resultados, a partir da implementação do Programa de Intervenção Pedagógica / Alfabetização no Tempo Certo – PIP/ATC. O interesse pelo tema da pesquisa se justifica pela constatação de que apesar do investimento do governo estadual em capacitações e materiais, com foco na alfabetização, ainda temos muitas escolas consideradas estratégicas, que são escolas que possuem dez ou mais alunos com proficiência abaixo do nível recomendado nas avaliações do PROALFA, ou seja, nos níveis intermediário ou baixo.No âmbito da pesquisa qualitativa foi realizado um estudo de caso que verificou a influência do Programa de Intervenção Pedagógica sobre o planejamento e o direcionamento das ações dos professores alfabetizadores das escolas mencionadas anteriormente. Foi investigada a importância dada pelo gestor às ações e materiais do programa advindos da SEE/MG e a existência de possíveis entraves no desenvolvimento do programa que apontem para a necessidade de ajustes e reformulações do mesmo, ou seja, foi realizada uma análise da gestão do PIP dentro das escolas. Os resultados indicaram que o PIP/ATC tem influenciado as escolas a desenvolverem ações que interfiram na condição de alfabetização dos alunos, tendo como elemento motivador da mudança o monitoramento do aprendizado dos alunos via avaliações externas, ou seja, é a avaliação que está mobilizando as escolas. A pesquisa também identificou pontos de dicotomia entre a escola estratégica e a escola que não está nessa condição. Os principais pontos são: gestor que conduz a discussão do PIP na escola X gestor que atua como coparticipante na implementação do PIP; maior frequência nas capacitações X menor frequência nas capacitações e PIP centrado em ações específicas em sala de aula X PIP com base em intervenções mais gerais, ainda que os dados analisados nesse último ponto sejam menos consistentes. / This thesis analyzes the situation of two state schools in Juiz de Fora city, one of them with low performance in Assessment Program of Literacy – called in portuguese PROALFA considered strategic school, and another who improved their proficiency in the same program from 2010 to 2011 and reached the goals proposed by the State Department of Education of Minas Gerais, searching to identify school practices that may contribute to explain this difference results from the implementation of the Educational Intervention Program / Literacy at the Right Time - PIP / ATC (Portuguese Abreviations). The interest in the subject of the research is justified by the fact that despite the state government's investment in training and materials, with a focus on literacy, we still have many schools considered strategic, which are schools that have ten or more students with proficiency below the recommended level evaluations of PROALFA, which means, with low or intermediate levels of literacy. Within the qualitative research was conducted a case study that examined the influence of Pedagogical Intervention Program for planning and directing the actions of literacy teachers of the schools mentioned above. We investigated the importance given by the manager to the actions and program materials given by SEE / MG ( State Departament of Education of Minas Gerais) and possible obstacles in the development of the program which may indicate the need for adjustments and restatements of the same, in other words, an analysis of the management of PIP (Abreviation in Portuguese for a program in Education) was done inside the schools. The results indicated that the PIP / ATC has influenced schools to develop actions that has been interfering in the condition of literacy students taking as basic motivator of change the monitoring of students learning via external evaluations, in other words, it is the school evaluation that is mobilizing schools. The survey also identified points of dichotomy between strategic school and the school that is not in this condition. The main points are: school manager leading the discussion of PIP in school X and school manager who acts as a co-participant in the implementation of the PIP; greater frequency in the training X less frequently in the training and PIP focused on specific actions in the classroom based on X PIP based on more general interventions, although the data analyzed in this last point are less consistent.

In order to reach sustainability, a greater capacity to facilitate the implementation of the principles on which sustainability is founded is required. Effective methods of communicating sustainability will be necessary. Although there is a notable range of successful methods, opportunities to expand that range always remain and are worthy of exploration. This study pursues capacity building by testing a communication method variation that uses questions, audience participation, and metaphors intended to make the subject matter more easily understood and more permanently retained. An initial trial of the method was attempted with several groups of senior secondary students who were introduced to the ideas of sustainability during group and individual sessions. The students were surveyed before, during and after the sessions to measure their understanding and acceptance of sustainability concepts and principles. Of the students surveyed, all showed greater knowledge after instructional sessions using this technique. Results suggest that using a consciously dynamic and adaptive approach to choice of metaphors and questions can make the subject of sustainability easier to understand and remember.

Smärta är den vanligaste sökorsaken för patienter på akutmottagningar, trots detta visar forskning att underbehandling av akut smärta förekommer över hela världen På grund av att smärta är subjektiv kan det vara mycket svårt att mäta patienternas smärta. Bedömningen av smärta bygger på patienternas självskattning. Adekvat bedömning av smärta är avgörande för att effektiv smärtlindring ska kunna ges. Syftet med kvalitetförbättringsstudien var att införa ett nytt smärtskattningsverktyg samt att utvärdera om en utbildningsintervention i form av korta utbildningstillfällen kan öka antalet smärtskattningar på en akutmottagning. Studien hade en kvasi-experimentell design. Avbruten tidsserie användes för utfallsmätning före och efter utbildningsinterventionen. Utbildningsinterventionen bestod av korta utbildningstillfällen under en veckas tid där information gavs om smärtskattning med hjälp av smärtskattningsskalan Verbal Rating Scale och hur smärtskattningen skulle dokumenteras. Studien utfördes simultant på två akutmottagningar i södra Sverige under en period av totalt 13 veckor under våren 2022. Resultatet av studien visar att före interventionen genomfördes i medel 5,6% smärtskattningar och efter interventionen ökade antalet smärtskattningar per vecka i till 9,3%. Kvalitetsförbättringsstudien har varit till fördel på respektive akutmottagning då dokumentation av smärtskattning har ökat. För att bibehålla och vidareutveckla denna kunskap krävs det fortlöpande utbildningstillfällen och påminnelser kring smärtskattning samt regelbunden utvärdering av mängden dokumenterad smärtskattning. / Pain is the most presenting complaint to emergency departments. Despite this, research shows that undertreatment of acute pain occurs worldwide Because pain is subjective, it can be very difficult to measure patients pain. The valuation of pain is based on patients self-assessment. Adequate assessment of pain is crucial for effective pain relief to be provided. The purpose of this study was to introduce a new pain assessment tool and to evaluate whether an educational intervention in the form of short training sessions can increase the number of pain estimates in an emergency department. The study had a quasi-experimental design. Interrupted timeseries was used for outcome measurement before and after the training intervention. The training intervention consisted of short micro sessions over a period of one week where information was given about pain assessment using the Verbal Rating Scale and how the pain assessment was to be documented. The study was performed simultaneously in two emergency departments in southern Sweden for a period of a total of 13 weeks in the spring of 2022. The results of the study show that before the intervention, 5.6% pain estimates were performed and after the intervention the number of pain estimates per week increased to 9.3%. The quality improvement study has been to the advantage of the respective emergency department as documentation of pain assessment has increased. In order to maintain and further develop this knowledge, continuous training opportunities and reminders about pain assessment are required, as well as regular evaluation of the amount of documented pain assessment.

No description available.