The effectiveness of an Instagram-based educational game in a Bachelor of Nursing course: An experimental study.

BACKGROUND: Gamification is a novel educational method that adopts elements of games to motivate students using participatory learning. The objective of this study was to measure the effect of participation in an Instagram-based educational game on learning outcomes. METHOD: Experimental design with 291 university students in a first-year course of the Bachelor of Nursing during the 2020-21 academic year. RESULTS: After ruling out pretest sensitization, we identified a positive effect of participation in the educational game. An average improvement of 0.62 points was observed in the final grade of the students belonging to the experimental groups. CONCLUSION: Nursing undergraduate students participating an Instagram-based educational game had better learning outcomes than their counterparts who did not participate in the game.

Efficacy of Plantago major, chlorhexidine 0.12% and sodium bicarbonate 5% solution in the treatment of oral mucositis in cancer patients with solid tumour: A feasibility randomised triple-blind phase III clinical trial.

PURPOSE: Oral mucositis is one of the most common adverse effects of chemotherapy and radiotherapy. The aim of this study was to compare the efficacy of Plantago major extract versus chlorhexidine 0.12% versus sodium bicarbonate 5% in the symptomatic treatment of chemotherapy-induced oral mucositis in solid tumour cancer patients. METHOD: Multicentre randomised controlled trial estimated sample of 45 solid tumour patients with grade II-III mucositis. The participants were randomised to one of three treatments, consisting of sodium bicarbonate 5% aqueous solution together with: an additional dose of sodium bicarbonate 5% aqueous solution, Plantago major extract, or chlorhexidine 0.12%. The primary outcomes were severity of mucositis, pain intensity, oral intake capacity and quality of life. The independent variable was treatment group, and confounders included sociodemographic data, neutrophil count, chemotherapy drug and dose received. RESULTS: Of the 50 patients enrolled, 68% (n = 34) achieved grade 0 mucositis (none), with those using the double sodium bicarbonate rinse healing in five days on average (95% CI 3.9, 6.5) versus seven days (95% CI 5.3, 9,0) for the chlorhexidine group and seven days (95% CI 5.3, 8.5) for the Plantago major group. The pain experienced by the participants lessened over the 14 days of treatment, but differences in pain intensity between the three groups did not show statistical significance (p = 0.762). CONCLUSIONS: Healing time was shorter with the double sodium bicarbonate solution compared to the other two rinses, but the differences were not significant. Our results suggest it may be time to reconsider the use of Plantago major extract in the management of oral mucositis.

Proporción de carga asistencial generada por la diabetes mellitus en las consultas de enfermería de atención primaria de salud / Proportion of workload generated by diabetes in primary health care nurse consultations

Objetivo: La mayoría de enfermos con diabetes mellitus tipo 2 (DM2) se controla en atención primaria de salud (APS). La atención y educación proporcionadas por enfermería son clave para controlar la glucemia y prevenir las complicaciones macro y microangiopáticas de la DM. El objetivo de este trabajo es conocer la proporción de carga asistencial atribuible a la DM en consultas de enfermería de APS. Material y método: Estudio observacional, analítico y transversal. Durante 2 semanas consecutivas se registraron datos de todos los enfermos que acudieron a 15 consultas de enfermería de APS ubicadas en 14 Áreas Básicas de Salud (ABS) de la provincia de Barcelona. Las variables de estudio fueron: edad, sexo, situación laboral, motivo de consulta, duración de la visita, presencia de DM y, en los enfermos diabéticos, el tipo de tratamiento. La recogida de datos se realizó en 2 períodos. El primero entre noviembre del año 2003 y enero del 2004 y el segundo en abril de 2005. Se realizó un análisis descriptivo de estas variables con un intervalo de confianza del 95% y la asociación entre variables mediante el programa SPSS v.11.1. Resultados: Tenía DM el 29% de los pacientes. La DM es el primer motivo de consulta (29,1%), aumenta con la edad y llega al 40% en mayores de 65 años. La duración media de una visita por DM es de 14,59 min, un 30,8% más elevada que la duración media del resto de los problemas de salud. Globalmente, las mujeres consultan más que los varones (56,6%) excepto en DM, curas y hábito tabáquico. Conclusiones: La DM es el problema de salud que genera más demanda y consume más tiempo de enfermería en la APS. Esta realidad y el futuro que se prevé con relación al incremento de la prevalencia de DM exigen considerar nuevas estrategias organizativas y formativas, y establecer criterios para mejorar la gestión de recursos y promover estrategias educativas más efectivas (AU)

Objective: Most patients with diabetes mellitus type 2 (DM2) are followed-up in primary care (PC). The healthcare and education provided by nurses are crucial to glycemic control and the prevention of macro- and microangiopathic complications. The aim of this study was to determine the workload generated by DM2 in PC nurse consultations. Material and method: An observational, analytical, cross-sectional study was conducted. For 2 consecutive weeks, data were registered from all patients attending 15 PC nurse consultations located in 14 basic health areas in Barcelona. The variables studied were age, gender, employment, reason for consultation, duration of the visit, and the presence or absence of DM2; among patients with DM2, the type of treatment was recorded. Data collection was performed in 2 periods: from November, 2003 to January, 2004 and in April, 2005. A descriptive analysis of these variables was carried out at a 95% confidence interval, and associations among variables were studied using the statistical software program SPSS v. 11.1. Results: Twenty-nine percent of the patients had DM2. DM2 was the main reason for consultation (29.1%) and increased with age, reaching a prevalence of 40% among patients over 65 years of age. The mean duration of the visit was 14.59 minutes, representing a 30.8% increase over the mean duration of visits for other reasons. Overall, women consulted more often than men (56.6%), except for DM2, topical treatments, and smoking-related issues. Conclusions: DM2 is the health issue generating the greatest demand and requiring the highest proportion of nurses' time in PC. In view of these findings and the expected increase in the prevalence of DM2, new organizational and educational strategies should be considered. In addition, criteria to improve resource management and foster more effective educational strategies should be established (AU)