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Teikyo Medical Journal


Journal ID : TMJ-22-09-2023-11570
Total View : 354

Title : Online Interprofessional Simulation in Indonesian Health Institutions: Assessing Students' Readiness and Group Discussion Activities during COVID-19

Abstract :

AbstractBackground: COVID-19 pandemic is a deadly disease that has affected health education institutions. During this time, these institutions went through a lot of changes. They moved from face-to-face learning to virtual learning, and one of the courses that should be taught online is interprofessional education (IPE). This study aimed to measure students group discussion activities and students' readiness during online interprofessional simulation based on case scenarios with standardized patients (SPs). Methods: The respondents were 956 students, 112 instructors, and 15 SPs. The study was done at six Indonesian colleges of health professions with students in nursing, midwifery, pharmacy, environmental sanitation, medical laboratory technology, dental health, and nutrition. Collecting data was done by using an online survey of the RIPLS (readiness of interprofessional learning scale) and IGD scales. Results: The results showed that how students felt about their readiness for IPE and activities during IGD depended a lot on the type of discipline, the degree program, and the number of people in the group. Multi-comparisons using post-hoc tests showed that the type, degree program, and several disciplines have a big impact on IPE and IGD readiness. Conclusion: An online interprofessional simulation that used case-based scenarios and involved SPs showed positive and meaningful results in group discussion activities and learning readiness. It takes careful planning to combine online IPE learning with other professions or fields of study while combating the COVID-19 pandemic.

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Journal ID : TMJ-02-09-2023-11569
Total View : 459

Title : Effectiveness and Safety of Aquacel Ag in Burn Injury Management: a Systematic Review and Meta-Analysis of Randomized Controlled Trial

Abstract :

In low- and middle-income countries, accidents resulting from burn injuries in wilderness activities often cause high mortality and morbidity due to lack of therapeutic options and resources. Current research demonstrates the potential of Aquacel Ag in providing a cost-effective and rapid healing process for burn injury patients. This literature review includes valid experimental studies drawn from the PubMed, ScienceDirect, EBSCO, Cochrane, ProQuest and Taylor & Francis Journal databases, which met the inclusion criteria. The search method used a boolean operator with literature quoted from 2012 – 2022. Seven studies with a total 451 of burn injury patients were included in this review. Seven studies with 460 burn patients treated with Aquacel Ag were included in this review. When compared to other regimens, Aquacel Ag has shown to reduce healing time, improve cost-effectiveness, be easier to apply, and increase convenience for the patient with no serious side effects. The effectiveness and safety of Aquacel Ag in burn injury management are all significant, but it is recommended that further research be conducted more in Asian populations, especially Indonesia.

Full article
Journal ID : TMJ-31-08-2023-11567
Total View : 442

Title : The Emotional Discipline Role of Nursing Personnel in the Control of Narcotic-Induced Psychosis Seizures

Abstract :

The nursing team is one of the cornerstones of any health institution around the world, as the nursing team deals with various cases on a daily basis. To ensure the continued good performance of the nursing team in any health institution, it must be checked periodically that the team has the appropriate level of mental health to deal with patients. In mental health and addiction treatment institutions, the nursing team constantly deals with various seizures of mental illness symptoms or the effects of withdrawal in an addicted patient. Accordingly, it directly affects the impulses and emotions of the nursing staff to the extent that it may lead to a deterioration in their mental health, especially if they do not have a healthy psychological defense and awareness of the nature of the cases they deal with. This necessitates a periodic psychological assessment of them to ensure their emotional steadiness and to keep performing their work successfully. The study aimed to reveal the role of the emotional discipline of nursing personnel in controlling patients with narcotic-induced psychosis seizures. The researcher used the descriptive analytical approach through two tools, which are the emotional discipline scale and the questionnaire form. They were applied to a sample of (150) nurses and healthcare workers at the (Iradat al-Amal Complex for Mental Health) in the Kingdom of Saudi Arabia. The sample was randomly selected. The collected data were processed by the two research tools using the SPSS26 statistical processing package. The results of the research on the questionnaire showed that there is a positive effect on the level of emotional discipline of the nursing staff in their ability to control the seizures of narcotic-induced psychosis patients. Whereas, the medical team and nurses have a medium ability to control their impulses with drug abuse psychosis patients, with a mean ranging from 1.525 to S.D 0.423. The medical team and nurses show a high level of flexibility in emotional responses when dealing with psychotic patients' seizures resulting from drug use in appropriate situations, with a mean ranging from 1.800 and S.D 0.389. The medical team and nurses have a medium level of flexibility in emotional responses when dealing with psychotic patients' seizures resulting from drug use in situations that call for these feelings, with a mean ranging from 1.622 and S.D 0.419. The medical and nursing staff have a medium level of flexibility in the role of emotional discipline to control psychotic episodes among drug abusers, with a mean ranging from 2.099 and S.D 0.723. The results of analyzing the data collected from the research sample concluded that there is a fundamental role in the level of emotional discipline among nursing personnel. Consequently, their role-playing abilities are evident when dealing with seizures of narcotic-induced psychosis patients.

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Journal ID : TMJ-31-08-2023-11566
Total View : 373

Title : Home Telemonitoring in Heart Failure Care during COVID-19 Pandemic: Spot on Time to Implement?

Abstract :

Patients with heart failure (HF) are pertinent to significant risks of mortality and rehospitalization overtime. Most of them suffer worsening HF condition requiring readmission as the result of poor compliance on medication and lifestyle changes. In parallel, the Corona virus Disease 2019 (COVID-19) pandemic has put enormous pressure on health care systems worldwide, including in Indonesia. This pandemic imposes on restricted access to public healthcare, and the same time it also hinders the patients to seek medical service related to the fear of getting infected by the viral disease. Nevertheless, home telemonitoring could be a promising solution upon this matter. This worrisome period might be a proper time to revisit the implementation of this contactless, safe, practical, and effective approach for managing HF patients. Thus, this review would describe: 1) the impact of the COVID-19 pandemic to HF management, 2) the rationale of telemonitoring for HF patients in pandemic era, 3) the telemonitoring process and current guidelines recommendation, and 4) telemonitoring interventions in HF trials. A comprehensive search was conducted through Pubmed published until 28th July 2021. Searched terms expressing heart failure were used in combination with terms identifying telemonitoring or remote patient monitoring. COVID-19 pandemic has accelerated the movement towards telemonitoring solutions in clinical practice worldwide. Early interventions with telemonitoring among HF patients may be effective to detect initial adverse events which leads to reduced morbidity, mortality, and re-hospitalization. Telemonitoring may also improve quality of life, increase patients’ self-confidence or self-care behavior with a cost-effective method. Home telemonitoring has the potential to maintain and optimize the management of patients with HF, and COVID-19 pandemic is a golden opportunity to implement this strategy. However, healthcare services should adapt to this method to support optimal remote patient monitoring and care.

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