Incorporating peer-to-peer facilitation with a mid-level fidelity student led simulation experience for undergraduate nurses

BackgroundThe aim of this study was to evaluate peer-to-peer facilitated student led mid-level fidelity simulation experiences.MethodsSecond and third year nursing students (N = 637) were invited to complete a 16-item 6-point Likert scale questionnaire after the simulation experience.ResultsStudents reported high self-confidence in their nursing skills (M = 4.14, SD = 0.92) and a high level of satisfaction in the learning they received during the peer-to-peer facilitated student led simulation experience (M = 4.42, SD = 0.93).ConclusionUsing peer-to-peer teaching strategies during student led simulation experience is an effective approach for ensuring active engagement of all learners during midlevel fidelity group-based simulations and has the potential for broad applicability.     

Validation of the Hebrew Birth Satisfaction Scale – Revised (BSS-R) and its relationship to perceived traumatic labour

ABSTRACT

Objective and background: The Birth Satisfaction Scale-Revised (BSS-R) is a multi-dimensional measure which is recommended by international clinical guidelines for global use as the birth satisfaction outcome measure of choice. The current investigation sought to develop a Hebrew version of the BSS-R for use in the Jewish–Israeli context and examine the relationship between BSS-R domains and the perception of the experience of labour as traumatic.

Methods: Following review, translation, and back-translation for linguistic equivalence, a Hebrew version of the BSS-R (H-BSS-R) was prepared and psychometrically evaluated using key indices of validity and reliability. Complete multivariate normal data from 288 first-time Jewish Israeli mothers within two years after childbirth was entered into the analysis.

Results: The H-BSS-R was found to have a good fit to the BSS-R tridimensional measurement model, excellent internal consistency, divergent and known-group discriminant validity. Moreover, women who experienced their labour as traumatic had significantly lower H-BSS-R subscale scores than women who reported that their birth experience was non-traumatic.

Conclusion: The H-BSS-R is a robust and valid measure suitable for use with Jewish–Israeli women, as well as for investigating the relationship between traumatic labour and birth satisfaction.     

支气管肺泡灌洗术（ＢＡＬ）用于难治性肺部 感染的疗效分析

探讨支气管肺泡灌洗术（ＢＡＬ）用于难治性肺部感染的治疗效果。方法　选取２０１２年１月— ２０１４年１月入我院就诊的难治性肺部感染患者１６０例，随机分为观察组和对照组，各８０例，对照组采取常规抗 菌、雾化吸入、体位引流等治疗，观察者在此基础上进行支气管肺泡灌洗术。分析比较两组患者治疗效果以及患 者满意度情况。结果　观察组患者治疗效果明显优于对照组（９７５％ ＞６５０％），两组相比较差别具有统计学 意义（Ｐ＜００５）；观察组患者满意度为９６３％，对照组为５６３％，两组相比较差别具有统计学意义（Ｐ＜００５）。 结论　通过研究可知，支气管肺泡灌洗术用于难治性肺部感染效果显著，明显改善患者病情，提高满意度，值得 临床推荐应用。     

近视患者LASIK术后满意度与疗效的相关性分析

目的：回顾分析近视患者经准分子手术激光治疗后的临床客观检查结果（裸眼视力、散光及减少度数）改变；分析其对术后满意度的影响，以期提高患者术后满意度。方法：对256例（511眼）准分子激光手术患者术后随访1个月；分析其术后疗效及不同满意度之间关系。结果：术后满意度与近视度数改善程度有统计学意义；与另两项客观检查结果的改善无统计学意义，其他因素也会对术后满意度有所影响。结论：LASIK术后满意度与临床疗效密切相关，应采取综合措施改善术后满意度。     

开展疼痛评估对提高住院患者护理服务满意度的调查分析

目的：探讨开展疼痛评估对住院患者的护理服务满意度的影响。方法对2935例住院患者进行护理服务满意度调查，按开展疼痛评估前后进行分组，其中2012年7～12月开展疼痛评估前所获得的1463例病人为对照组，2013年1～6月开展疼痛评估后所获得的1472例病人为实验组，对两组病人的护理服务满意度调查结果进行比较。结果住院患者对护理服务的满意度，开展疼痛评估后明显高于开展疼痛评估前（P＜0．05）。结论开展疼痛评估可提高住院患者对护理服务的满意度。     

A Cognitive-Behavioral Therapy Group Intervention for Hypersexual Disorder: A Feasibility Study

BackgroundThe proposed criteria of the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition for hypersexual disorder (HD) included symptoms reported by patients seeking help for excessive and out-of-control non-paraphilic sexual behavior, including sexual behaviors in response to dysphoric mood states, impulsivity, and risk taking. Although no prior studies of cognitive-behavioral therapy (CBT) for the treatment of HD have been performed, CBT has been found effective for dysphoric mood states and impulsivity.AimTo investigate the feasibility of a CBT manual developed for HD explored through symptom decrease, treatment attendance, and clients’ treatment satisfaction.MethodsTen men with a diagnosis of HD took part in the CBT group program. Measurements were taken before, during, and at the end of treatment and 3 and 6 months after treatment.OutcomesThe primary outcome was the Hypersexual Disorder: Current Assessment Scale (HD:CAS) score that measured the severity of problematic hypersexual symptoms and secondary outcomes were the Hypersexual Disorder Screening Inventory (HDSI) score, the proportion of attended sessions, and the Client Satisfaction Questionnaire (CSQ-8) score.ResultsMain results were significant decreases of HD symptoms from before to after treatment on HD:CAS and HDSI scores and a decrease in the number of problematic sexual behaviors during the course of therapy. A high attendance rate of 93% and a high treatment satisfaction score on CSQ-8 also were found.Clinical ImplicationsThe CBT program seemed to ameliorate the symptoms of HD and therefore might be a feasible treatment option.Strengths and LimitationsThis study provides data from a CBT program for the treatment of the specific proposed criteria of HD. Because of the small sample and lack of a control group, the results can be considered only preliminary.ConclusionAlthough participants reported decreased HD symptoms after attending the CBT program, future studies should evaluate the treatment program with a larger sample and a randomized controlled procedure to ensure treatment effectiveness.Hallberg J, Kaldo V, Arver S, et al. A Cognitive-Behavioral Therapy Group Intervention for Hypersexual Disorder: A Feasibility Study. J Sex Med 2017;14:950–958.     

Measuring patient satisfaction following epilepsy surgery

Purpose: To systematically review primary research examining patient satisfaction with epilepsy surgery in order to obtain evidence‐based estimates of this surgical outcome; to assess methods used to measure epilepsy surgery satisfaction, overall epilepsy surgery satisfaction ratings, and predictors of epilepsy surgery satisfaction. Methods: Systematic review of published studies in English up to June 2009, focusing on patient satisfaction with all types of epilepsy surgery in patients of all ages. We excluded studies that focused on satisfaction with epilepsy treatment in general, on quality of life without specific exploration of patient satisfaction with surgery, and on satisfaction with the process of health care delivery, rather than with surgery and its outcomes. Key Findings: Eight studies met inclusion criteria. Satisfaction was assessed using one or more global questions. Four epilepsy surgery satisfaction question content patterns emerged: (1) satisfied or dissatisfied, (2) perceived success or failure, (3) overall positive or negative impact, and (4) willingness to repeat surgery or regretting surgery. Overall 71% were satisfied; 64% considered it a success; it had a positive effect for 78%; and 87% would repeat surgery. Seizure freedom was the most common predictor of epilepsy surgery satisfaction, whereas postoperative neurologic deficit predicted dissatisfaction. Significance: Patient satisfaction with interventions is an important aspect of patient‐centered care, but it has received little attention in epilepsy surgery. Future research is required to develop and validate epilepsy surgery satisfaction tools. We provide preliminary guiding principles for measuring satisfaction after epilepsy surgery.     

护士说话音调、响度对患者满意度的影响

目的:探讨护理人员说话音调与响度对患者满意度的影响。方法:将544例患者分为两组,观察组268例,根据护士个体声音的差异、沟通对象及具体情形确定声音音调的高低及响度大小。对照组276例,护士按原习惯声音与患者沟通,观察两组患者的满意度。结果:观察组满意193例,基本满意69例,不满意6例,总满意度97.76%;对照组满意169例,基本满意71例,不满意36例,总满意度86.96%,两组比较差异有统计学意义(P0.01)。结论:调整护士说话的音调和响度可以提高患者满意度。