Science Publishing Group: American Journal of Nursing Science: Table of Contents
The purpose of the <i> American Journal of Nursing Science (AJNS) </i> is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. All research articles in <i> AJNS </i> will undergone rigorous peer review, based on initial editor screening and anonymized refereeing by an expert reviewer.
http://www.sciencepublishinggroup.com/j/ajns Science Publishing Group: American Journal of Nursing Science: Table of Contents
Science Publishing Group
en-US
American Journal of Nursing Science
American Journal of Nursing Science
http://image.sciencepublishinggroup.com/journal/152.gif
http://www.sciencepublishinggroup.com/j/ajns
Oral Contraception and Breast Diseases
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20120101.11
Objective: Benign breast disease includes a wide spectrum of lesions different for histology and natural history, whose association with oral contraceptives is of great interest because there are no univocal results in literature. Subjects and Methods: The purpose of our study is to assess the relationship between women who used long- term estro-progestin (for at least 12 consecutive months up to a maximum of 60 months) and the develop of benign breast disease comparing with a case- control group composed by patients with benign breast disease, non-users of oral contraceptives. The study included 263 women attending, from 2009 to 2012, the Gynecological Endocrinology and Ultrasounds outpatients of our Department, who used oestroprogestative pills for Contraception, treatment of acne, hirsutism and treatment of dysmenorrheal and a control group of 200 patients with benign breast disease, non-users of Oral Contraceptives.Results: According to recent trials we did not observe statistically significant morphological and anatomical alterations of the breast in the group treated with estrogen-progestin therapy in comparison with the control group. Conclusion: If the woman presents a nodular breast mass during estro-progestin therapy she should be evaluated ultrasonographically to assess if the formation grows. If there is an increase in volume of the mass the patient should suspend the therapy.
Objective: Benign breast disease includes a wide spectrum of lesions different for histology and natural history, whose association with oral contraceptives is of great interest because there are no univocal results in literature. Subjects and Methods: The purpose of our study is to assess the relationship between women who used long- term estro-progestin (for at least 12 consecutive months up to a maximum of 60 months) and the develop of benign breast disease comparing with a case- control group composed by patients with benign breast disease, non-users of oral contraceptives. The study included 263 women attending, from 2009 to 2012, the Gynecological Endocrinology and Ultrasounds outpatients of our Department, who used oestroprogestative pills for Contraception, treatment of acne, hirsutism and treatment of dysmenorrheal and a control group of 200 patients with benign breast disease, non-users of Oral Contraceptives.Results: According to recent trials we did not observe statistically significant morphological and anatomical alterations of the breast in the group treated with estrogen-progestin therapy in comparison with the control group. Conclusion: If the woman presents a nodular breast mass during estro-progestin therapy she should be evaluated ultrasonographically to assess if the formation grows. If there is an increase in volume of the mass the patient should suspend the therapy.
Oral Contraception and Breast Diseases
doi:10.11648/j.ajns.20120101.11
American Journal of Nursing Science
2014-01-01
© Science Publishing Group
A. Carbonaro
L. Ciotta
M. Stracquadanio
C. Formuso
M. R. Giunta
A. D. Agati
V. Leanza
T. T. Giannone
Mayada Chammas
Fawzi Chammas
C. Pafumi
G. Zarbo
Oral Contraception and Breast Diseases
1
1
4
4
2014-01-01
2014-01-01
10.11648/j.ajns.20120101.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20120101.11
© Science Publishing Group
Becoming an Exhausted Smoker: the Beginning of the End
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130201.12
There is a high smoking rate among male psychiatric nurses in Jordan and among psychiatric patients in general. Smoking addiction inhibits nurses from helping patients with smoking cessation. A better understanding of the smoking behaviors of male Jordanian psychiatric nurses is required if they help patients with smoking reduction and smoking cessation. This article reports the findings from a classical grounded theory study that explains why male Jordanian psychiatric nurses are not ready for a smoking cessation role. Analysis of the statements made by eight Jordanian psychiatric nurses during individual interviews identified the last phase in a psychosocial theory of the smoking trajectory of the smoking behaviors of these nurses, the contextualizing smoking behaviors over time theory. This phase explains eight categories describe the challenges involved in quitting. We conclude that local contextual challenges to quitting need to be understood if smoking reduction and cessation programs are to be effective.
There is a high smoking rate among male psychiatric nurses in Jordan and among psychiatric patients in general. Smoking addiction inhibits nurses from helping patients with smoking cessation. A better understanding of the smoking behaviors of male Jordanian psychiatric nurses is required if they help patients with smoking reduction and smoking cessation. This article reports the findings from a classical grounded theory study that explains why male Jordanian psychiatric nurses are not ready for a smoking cessation role. Analysis of the statements made by eight Jordanian psychiatric nurses during individual interviews identified the last phase in a psychosocial theory of the smoking trajectory of the smoking behaviors of these nurses, the contextualizing smoking behaviors over time theory. This phase explains eight categories describe the challenges involved in quitting. We conclude that local contextual challenges to quitting need to be understood if smoking reduction and cessation programs are to be effective.
Becoming an Exhausted Smoker: the Beginning of the End
doi:10.11648/j.ajns.20130201.12
American Journal of Nursing Science
2014-01-01
© Science Publishing Group
Khaldoun M. Aldiabat
Michael Clinton
Becoming an Exhausted Smoker: the Beginning of the End
2
1
13
13
2014-01-01
2014-01-01
10.11648/j.ajns.20130201.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130201.12
© Science Publishing Group
Holistic Nursing Care: Theories and Perspectives
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130201.11
Introduction: Holistic medicine and holistic nursing aim at the improvement of healing of the individual as a bio-psycho-social unity, from birth until death. Aim: To search for current data on the value and applications of holistic nursing, placing emphasis on the field of psychiatry. Literature review: International data bases and internet were searched (including Pubmed/Medline). Emphasis was placed on theoretical background, on alternative therapies and on the practical applications of holistic care. Conclusion: Holistic approach takes into account the biological, social and spiritual needs of the patient. A considerable number of alternative therapies can contribute to the management of psychiatric and other diseases.
Introduction: Holistic medicine and holistic nursing aim at the improvement of healing of the individual as a bio-psycho-social unity, from birth until death. Aim: To search for current data on the value and applications of holistic nursing, placing emphasis on the field of psychiatry. Literature review: International data bases and internet were searched (including Pubmed/Medline). Emphasis was placed on theoretical background, on alternative therapies and on the practical applications of holistic care. Conclusion: Holistic approach takes into account the biological, social and spiritual needs of the patient. A considerable number of alternative therapies can contribute to the management of psychiatric and other diseases.
Holistic Nursing Care: Theories and Perspectives
doi:10.11648/j.ajns.20130201.11
American Journal of Nursing Science
2014-01-01
© Science Publishing Group
Ioanna Papathanasiou
Melachrini Sklavou
Lambrini Kourkouta
Holistic Nursing Care: Theories and Perspectives
2
1
5
5
2014-01-01
2014-01-01
10.11648/j.ajns.20130201.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130201.11
© Science Publishing Group
Intelligent Decision Support in a Nursing Educational Institution
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130202.11
Evidence-based management is defined as a process of translating best evidence into organizational management practices. Surprisingly only 15 percent of decisions are evidence based. In the paper we present the idea how intelligent systems can be used to improve the current situation and show in a case study how intelligent systems can be successfully used to extract evidence to improve management practices and decision making, especially in human resource management.
Evidence-based management is defined as a process of translating best evidence into organizational management practices. Surprisingly only 15 percent of decisions are evidence based. In the paper we present the idea how intelligent systems can be used to improve the current situation and show in a case study how intelligent systems can be successfully used to extract evidence to improve management practices and decision making, especially in human resource management.
Intelligent Decision Support in a Nursing Educational Institution
doi:10.11648/j.ajns.20130202.11
American Journal of Nursing Science
2014-01-01
© Science Publishing Group
Peter Kokol
Intelligent Decision Support in a Nursing Educational Institution
2
2
17
17
2014-01-01
2014-01-01
10.11648/j.ajns.20130202.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130202.11
© Science Publishing Group
Metabolic Abnormalities in Colorectal Cancer Patients
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130202.12
Normally, cells grow, divide and produce more cells as they are needed to keep the body healthy and function-ing properly. Cancer cell growth is different from normal cell growth. Instead of dying, cancer cells continue to grow and form new, abnormal cells. Aim of the research. The aim of the study was to estimate of the association between the anthropometric obesity, fasting serum concentration of glucose, glycosylated hemoglobin, insulin, total cholesterol, HDL/LDL fractions, triglycerides, a homeostasis model of assessment (HOMA-IR) colorectal cancer patients. Colon cancer was diagnosed in 239 patients aged from 35 to 76 years. For each patient, the following data were considered: anthropometric measurements (weight, height, waist circumference values), fasting serum concentration of glucose, glycosylated hemoglobin, insulin, total cholesterol, HDL/LDL fractions, triglycerides. Also, three index: BMI (Body Mass Index; kg/m2) HOMA-IR (Homeostasis Model of Assessment - Insulin Resistance; fasting glucose (mmol/L) x fasting insulin (mU/L)/22.5). The average fasting serum concentration of glucose, glycosylated hemoglobin, insulin, total cholesterol, HDL/LDL fractions, triglycerides and HOMA-IR index were statistically significantly higher in patients transverse colon cancer (P < 0.001). Triglycerides increased with the appropriate forms of CRC by 58.8%, 47%, 52.9% and 64.7%. Studies have shown a violation of the protein and lipid metabolism in patients with colon carcinogenesis, which should be assumed to prevail over anabolic processes.
Normally, cells grow, divide and produce more cells as they are needed to keep the body healthy and function-ing properly. Cancer cell growth is different from normal cell growth. Instead of dying, cancer cells continue to grow and form new, abnormal cells. Aim of the research. The aim of the study was to estimate of the association between the anthropometric obesity, fasting serum concentration of glucose, glycosylated hemoglobin, insulin, total cholesterol, HDL/LDL fractions, triglycerides, a homeostasis model of assessment (HOMA-IR) colorectal cancer patients. Colon cancer was diagnosed in 239 patients aged from 35 to 76 years. For each patient, the following data were considered: anthropometric measurements (weight, height, waist circumference values), fasting serum concentration of glucose, glycosylated hemoglobin, insulin, total cholesterol, HDL/LDL fractions, triglycerides. Also, three index: BMI (Body Mass Index; kg/m2) HOMA-IR (Homeostasis Model of Assessment - Insulin Resistance; fasting glucose (mmol/L) x fasting insulin (mU/L)/22.5). The average fasting serum concentration of glucose, glycosylated hemoglobin, insulin, total cholesterol, HDL/LDL fractions, triglycerides and HOMA-IR index were statistically significantly higher in patients transverse colon cancer (P < 0.001). Triglycerides increased with the appropriate forms of CRC by 58.8%, 47%, 52.9% and 64.7%. Studies have shown a violation of the protein and lipid metabolism in patients with colon carcinogenesis, which should be assumed to prevail over anabolic processes.
Metabolic Abnormalities in Colorectal Cancer Patients
doi:10.11648/j.ajns.20130202.12
American Journal of Nursing Science
2014-01-01
© Science Publishing Group
Zhukov V. I.
Vinnik Y. A.
Perepadya S. V.
Moiseenko A. S.
Gramatyuk S. N.
Metabolic Abnormalities in Colorectal Cancer Patients
2
2
20
20
2014-01-01
2014-01-01
10.11648/j.ajns.20130202.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130202.12
© Science Publishing Group
Interacting with Suicidal Older Persons: an Application of Symbolic Interactionism for Nurses and Related Mental Health Professionals
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130203.11
Increasingly, nurses and other health care professionals are expected to engage in evidence-based practice , as well as apply a theoretical or philosophical framework or model to their day-to-day mental health caring practices. Although there is substantial research about caring for older people who are suicidal, the literature on the more basic aspect of how to apply concepts from a selected theoretical framework in one’s work with these clients is practically non-existent. The purpose of this paper is to present an easily understandable overview for these very busy health professionals of the basic tenets of a conceptual framework referred to as symbolic interactionism as applied to nurses and related mental health professionals who are interacting with a hypothetical older client who has been recently admitted to a nursing home and is experiencing suicidal thoughts.
Increasingly, nurses and other health care professionals are expected to engage in evidence-based practice , as well as apply a theoretical or philosophical framework or model to their day-to-day mental health caring practices. Although there is substantial research about caring for older people who are suicidal, the literature on the more basic aspect of how to apply concepts from a selected theoretical framework in one’s work with these clients is practically non-existent. The purpose of this paper is to present an easily understandable overview for these very busy health professionals of the basic tenets of a conceptual framework referred to as symbolic interactionism as applied to nurses and related mental health professionals who are interacting with a hypothetical older client who has been recently admitted to a nursing home and is experiencing suicidal thoughts.
Interacting with Suicidal Older Persons: an Application of Symbolic Interactionism for Nurses and Related Mental Health Professionals
doi:10.11648/j.ajns.20130203.11
American Journal of Nursing Science
2014-01-01
© Science Publishing Group
Khaldoun M Aldiabat
Carole-Lynne Le Navenec
Interacting with Suicidal Older Persons: an Application of Symbolic Interactionism for Nurses and Related Mental Health Professionals
2
3
26
26
2014-01-01
2014-01-01
10.11648/j.ajns.20130203.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130203.11
© Science Publishing Group
A Pictogram-Based Intervention to Reduce Parental Liquid Medication Errors: Health Literacy Approach
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130203.12
Evidence suggests that parents and caregivers make frequent errors when administering liquid medications to children. These errors, which include inaccurate dosing as well as non-adherence to medication regimens, place children at risk for morbidity and mortality. The study aim to explore the effectiveness of pictogram based intervention in reducing caregivers’ liquid medication errors as well as the extent to which health literacy impacts medication errors. Quasi-experimental study of caregivers (n=250) of young children (<6 years) enrolled at primary pediatric clinic in Zagazig University hospital. A total of 250 caregivers (121 standard medication counseling and 129 pictogram based intervention) were assessed for health literacy by means of the Newest Vital Sign measure; 84.4%% had low health literacy (Newest Vital Sign score 0-3). Pictogram based intervention recipients were less likely to make errors in knowledge related to medication storage (26.6% vs. 63.3%) dose frequency (20.2% vs. 25%), and preparation compared with caregivers of standard medication counseling recipients (12.8% vs. 31.7%). Pictogram was an efficient way to reduce the prevalence of caregivers' liquid medication errors.
Evidence suggests that parents and caregivers make frequent errors when administering liquid medications to children. These errors, which include inaccurate dosing as well as non-adherence to medication regimens, place children at risk for morbidity and mortality. The study aim to explore the effectiveness of pictogram based intervention in reducing caregivers’ liquid medication errors as well as the extent to which health literacy impacts medication errors. Quasi-experimental study of caregivers (n=250) of young children (<6 years) enrolled at primary pediatric clinic in Zagazig University hospital. A total of 250 caregivers (121 standard medication counseling and 129 pictogram based intervention) were assessed for health literacy by means of the Newest Vital Sign measure; 84.4%% had low health literacy (Newest Vital Sign score 0-3). Pictogram based intervention recipients were less likely to make errors in knowledge related to medication storage (26.6% vs. 63.3%) dose frequency (20.2% vs. 25%), and preparation compared with caregivers of standard medication counseling recipients (12.8% vs. 31.7%). Pictogram was an efficient way to reduce the prevalence of caregivers' liquid medication errors.
A Pictogram-Based Intervention to Reduce Parental Liquid Medication Errors: Health Literacy Approach
doi:10.11648/j.ajns.20130203.12
American Journal of Nursing Science
2014-01-01
© Science Publishing Group
Hanan Mohamed Mohamed Tork
A Pictogram-Based Intervention to Reduce Parental Liquid Medication Errors: Health Literacy Approach
2
3
32
32
2014-01-01
2014-01-01
10.11648/j.ajns.20130203.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130203.12
© Science Publishing Group
Developing Smoking Cessation Program for Older Canadian People: An Application of Precede-Proceed Model
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130203.13
Precede-Proceed model is a flexible and appropriate to develop a smoking cessation/prevention program. The main purpose of this paper is to develop a preliminary hypothetical health promotion program that is focused on smoking cessation / prevention for older Canadian people who smoke and live in nursing homes to improve their quality of life. It is hoped that advanced-practice gerontology nurses in a range of health settings will be able to gain insights from this paper to help older Canadian people who smoke to quit tobacco consistently and effectively. However, because this model assumes that health behavior is a complex and multidimensional process, the advanced- practice gerontology nurses who will staff this kind of practice will be guided by this framework to use their educational and practical knowledge regarding health promotion and smoking cessation/prevention programs, critical thinking, communication skills, and decision-making abilities.
Precede-Proceed model is a flexible and appropriate to develop a smoking cessation/prevention program. The main purpose of this paper is to develop a preliminary hypothetical health promotion program that is focused on smoking cessation / prevention for older Canadian people who smoke and live in nursing homes to improve their quality of life. It is hoped that advanced-practice gerontology nurses in a range of health settings will be able to gain insights from this paper to help older Canadian people who smoke to quit tobacco consistently and effectively. However, because this model assumes that health behavior is a complex and multidimensional process, the advanced- practice gerontology nurses who will staff this kind of practice will be guided by this framework to use their educational and practical knowledge regarding health promotion and smoking cessation/prevention programs, critical thinking, communication skills, and decision-making abilities.
Developing Smoking Cessation Program for Older Canadian People: An Application of Precede-Proceed Model
doi:10.11648/j.ajns.20130203.13
American Journal of Nursing Science
2014-01-01
© Science Publishing Group
Khaldoun M. Aldiabat
Carole-Lynne Le Navenec
Developing Smoking Cessation Program for Older Canadian People: An Application of Precede-Proceed Model
2
3
39
39
2014-01-01
2014-01-01
10.11648/j.ajns.20130203.13
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130203.13
© Science Publishing Group
The Effects of Personal Background and Occupational Stress on the QOL of Vietnamese Care Attendants Working at Medical Institutions in Taiwan
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130204.11
Background: With the rapid increase in the elderly population, there is a growing demand for care attendants at medical institutions in Taiwan The rapid growth in the number of foreign care attendants is significant and the quality of care provided by these foreign care attendants is directly related to the quality of care received by elderly people. However, few studies have addressed the relationship between occupational stress and quality of life (QOL) for foreign care attendants in Taiwan. Purpose: This study explored the relations between personal background and occupational stress and QOL of Vietnamese care attendants in Taiwan. Methods: This cross-sectional study recruited Vietnamese care attendants currently working at regional hospitals in Kaohsiung City and County who had worked in Taiwan for at least three months. We distributed a structured questionnaire to potential participants and collected 264 valid completed questionnaires between January and April 2010.Results: Significant statistical differences were detected in the QOL of Vietnamese care attendants of various ages and educational levels, in the number of non-work days in a month, the number of daily work hours, and the number of patients cared for. A negative correlation was found between the various levels of occupational stress and the eight dimensions of wellness for Vietnamese care attendants, indicating that higher occupational stress led to lower QOL. In addition, we developed a regression model for overall QOL (SF-36), a physical component summary (PCS) and a mental component summary (MCS). By entering the variables “workload and work procedures,” “number of daily work hours,” and “relationships with management supervisors” into our regression model, we calculated the variance for “overall QOL (SF-36),” “QOL for PCS,” and “QOL for MCS” to be 44.9%, 38.3%, and 41.7%, respectively. Conclusions: Higher levels of occupational stress led to a lower QOL for Vietnamese care attendants. Of all the factors, “workload and work procedures,” “number of daily work hours,” and “relationships with management supervisors” wielded the greatest influence on QOL.
Background: With the rapid increase in the elderly population, there is a growing demand for care attendants at medical institutions in Taiwan The rapid growth in the number of foreign care attendants is significant and the quality of care provided by these foreign care attendants is directly related to the quality of care received by elderly people. However, few studies have addressed the relationship between occupational stress and quality of life (QOL) for foreign care attendants in Taiwan. Purpose: This study explored the relations between personal background and occupational stress and QOL of Vietnamese care attendants in Taiwan. Methods: This cross-sectional study recruited Vietnamese care attendants currently working at regional hospitals in Kaohsiung City and County who had worked in Taiwan for at least three months. We distributed a structured questionnaire to potential participants and collected 264 valid completed questionnaires between January and April 2010.Results: Significant statistical differences were detected in the QOL of Vietnamese care attendants of various ages and educational levels, in the number of non-work days in a month, the number of daily work hours, and the number of patients cared for. A negative correlation was found between the various levels of occupational stress and the eight dimensions of wellness for Vietnamese care attendants, indicating that higher occupational stress led to lower QOL. In addition, we developed a regression model for overall QOL (SF-36), a physical component summary (PCS) and a mental component summary (MCS). By entering the variables “workload and work procedures,” “number of daily work hours,” and “relationships with management supervisors” into our regression model, we calculated the variance for “overall QOL (SF-36),” “QOL for PCS,” and “QOL for MCS” to be 44.9%, 38.3%, and 41.7%, respectively. Conclusions: Higher levels of occupational stress led to a lower QOL for Vietnamese care attendants. Of all the factors, “workload and work procedures,” “number of daily work hours,” and “relationships with management supervisors” wielded the greatest influence on QOL.
The Effects of Personal Background and Occupational Stress on the QOL of Vietnamese Care Attendants Working at Medical Institutions in Taiwan
doi:10.11648/j.ajns.20130204.11
American Journal of Nursing Science
2014-01-01
© Science Publishing Group
Hsiu-Chen Chang Chien
Su-Feng Chu
Chi Chang
Chien-An Sun
Yu-Ching Chou
Shu-Chun Hsueh
Tsan Yang
Tsan Yang
The Effects of Personal Background and Occupational Stress on the QOL of Vietnamese Care Attendants Working at Medical Institutions in Taiwan
2
4
49
49
2014-01-01
2014-01-01
10.11648/j.ajns.20130204.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20130204.11
© Science Publishing Group
Mislabelled Hospital Laboratory Specimen-A Risk Assessment Perspective
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140301.11
Mislabeling of laboratory samples has been found to be a high-risk issue in acute care hospitals. In cases where hospitals adopted a bar code tracking system to ensure proper identification of specimens moving from bedside to the laboratory, the error rates were reduced from 108 to just 8. It is therefore concluded that adoption of bar code tracking system is an effective strategy for reducing error rate when sample specimen are collected at the bedside and transmitted to the laboratory. In this literature review, we propose to explore the use of bar code technology as and alternative method to reduce mislabeling of patients’ specimen. Although the focus group assembled to explored the risk assessment issues surrounding the mislabeled labeled specimen did not, we believe based on the review of the existing literature that bar code technology is the only method that provide the most patient safety.
Mislabeling of laboratory samples has been found to be a high-risk issue in acute care hospitals. In cases where hospitals adopted a bar code tracking system to ensure proper identification of specimens moving from bedside to the laboratory, the error rates were reduced from 108 to just 8. It is therefore concluded that adoption of bar code tracking system is an effective strategy for reducing error rate when sample specimen are collected at the bedside and transmitted to the laboratory. In this literature review, we propose to explore the use of bar code technology as and alternative method to reduce mislabeling of patients’ specimen. Although the focus group assembled to explored the risk assessment issues surrounding the mislabeled labeled specimen did not, we believe based on the review of the existing literature that bar code technology is the only method that provide the most patient safety.
Mislabelled Hospital Laboratory Specimen-A Risk Assessment Perspective
doi:10.11648/j.ajns.20140301.11
American Journal of Nursing Science
2014-04-28
© Science Publishing Group
Anne Rowshan
Hooman Rowshan
Mislabelled Hospital Laboratory Specimen-A Risk Assessment Perspective
3
1
4
4
2014-04-28
2014-04-28
10.11648/j.ajns.20140301.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140301.11
© Science Publishing Group
Assessment of Knowledge among Saudi Diabetic Children/ Adolescent at Riyadh City
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140301.12
Background Puberty is a period of rapid growth and hormonal changes and is often characterized by deterioration in glycemic control, and all of these factors may promote the development of diabetes complications. Diabetes Mellitus (DM) is a serious disease and it causes a number of chronic diseases such as Ketoacidosis, cardiovascular disease, renal failure, and neuropathy. The purpose of the study was to determine the knowledge level of student regarding diabetic management and its effect on their health. Methods: A descriptive study design was used. A non-probability Convince sample of diabetic children/ adolescents the total sample 85 child/ adolescents patient met the study criteria age between 10 to 15 years. The study was conducted at in one governmental health care center in Riyadh city. Knowledge was measured by using (DKT) used to assess diabetes related knowledge of the respondents as regards diagnosis, treatment, complications and lifestyle. Results. The result showed that two third of the children (42.2%) were in the age group more than 14years (i.e. early adolescence stage), 99% of the children had type 1 diabetes mellitus (48.4% males and 50.6% females). While 41.5%, for both gender had the onset of diabetes since 1 year. More than have used insulin two times a day (55.6%), the majority of the sample didn't know which type of insulin they used (57.8%) As regard children’s if they do reds blood sugar at home moat more than half do it twice a day in addition the majority used blood test by strips. Also in this study the older children were found more educative and development in their self-care than younger children CONCLUSION This research is an important first step in identifying areas for continued intervention efforts for children/adolescents with type I diabetes, their parents, nurses and diabetes educators. Future researchers should examine additional factors related to children’s and adolescents’ knowledge, including differences in what they know and want to know based on the child’s gender, age, glycemic control, and diabetes management practices.
Background Puberty is a period of rapid growth and hormonal changes and is often characterized by deterioration in glycemic control, and all of these factors may promote the development of diabetes complications. Diabetes Mellitus (DM) is a serious disease and it causes a number of chronic diseases such as Ketoacidosis, cardiovascular disease, renal failure, and neuropathy. The purpose of the study was to determine the knowledge level of student regarding diabetic management and its effect on their health. Methods: A descriptive study design was used. A non-probability Convince sample of diabetic children/ adolescents the total sample 85 child/ adolescents patient met the study criteria age between 10 to 15 years. The study was conducted at in one governmental health care center in Riyadh city. Knowledge was measured by using (DKT) used to assess diabetes related knowledge of the respondents as regards diagnosis, treatment, complications and lifestyle. Results. The result showed that two third of the children (42.2%) were in the age group more than 14years (i.e. early adolescence stage), 99% of the children had type 1 diabetes mellitus (48.4% males and 50.6% females). While 41.5%, for both gender had the onset of diabetes since 1 year. More than have used insulin two times a day (55.6%), the majority of the sample didn't know which type of insulin they used (57.8%) As regard children’s if they do reds blood sugar at home moat more than half do it twice a day in addition the majority used blood test by strips. Also in this study the older children were found more educative and development in their self-care than younger children CONCLUSION This research is an important first step in identifying areas for continued intervention efforts for children/adolescents with type I diabetes, their parents, nurses and diabetes educators. Future researchers should examine additional factors related to children’s and adolescents’ knowledge, including differences in what they know and want to know based on the child’s gender, age, glycemic control, and diabetes management practices.
Assessment of Knowledge among Saudi Diabetic Children/ Adolescent at Riyadh City
doi:10.11648/j.ajns.20140301.12
American Journal of Nursing Science
2014-05-13
© Science Publishing Group
Salma Moawad
Amany Samy Badawy
Zainab Ahmed Al-saffar
Noraha Al-Hamdan
Ala'a M. Awadien
Assessment of Knowledge among Saudi Diabetic Children/ Adolescent at Riyadh City
3
1
12
12
2014-05-13
2014-05-13
10.11648/j.ajns.20140301.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140301.12
© Science Publishing Group
Osteoporosis Knowledge among Female Adolescents in Egypt
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140302.11
Osteoporosis is a growing chronic health problem that could result in mortalities and poor living quality. Although osteoporosis is a preventable disease affecting millions of people, the public awareness remains low and the most effective prevention of this disease is founded during childhood and adolescence when the prevention is actually the easiest. Aim: The current study assessed osteoporosis knowledge among female adolescents students in selected secondary school at El-Minia, Egypt. Methods: Information was gathered through across-sectional survey. Self-administered questionnaire consisted of 58 items assessing knowledge regarding osteoporosis was administered to one hundred and twelve female adolescent aged 15–18 years in one secondary school. Descriptive statistics was used to analyze the data. Results: Regarding knowledge of the studied sample about osteoporosis, it was found that 38.4 % of the studied sample didn’t know the meaning of osteoporosis, more over 75.9 % of them didn’t know what to do in the case of osteoporosis. Majority of the studied sample (90.2 %) mentioned exposure to sunlight as one of the preventive measures from osteoporosis. Conclusion: The present study revealed lack of awareness about osteoporosis among female adolescent, hence the findings highlight the need for educational interventions to enhance female adolescents' knowledge about osteoporosis.
Osteoporosis is a growing chronic health problem that could result in mortalities and poor living quality. Although osteoporosis is a preventable disease affecting millions of people, the public awareness remains low and the most effective prevention of this disease is founded during childhood and adolescence when the prevention is actually the easiest. Aim: The current study assessed osteoporosis knowledge among female adolescents students in selected secondary school at El-Minia, Egypt. Methods: Information was gathered through across-sectional survey. Self-administered questionnaire consisted of 58 items assessing knowledge regarding osteoporosis was administered to one hundred and twelve female adolescent aged 15–18 years in one secondary school. Descriptive statistics was used to analyze the data. Results: Regarding knowledge of the studied sample about osteoporosis, it was found that 38.4 % of the studied sample didn’t know the meaning of osteoporosis, more over 75.9 % of them didn’t know what to do in the case of osteoporosis. Majority of the studied sample (90.2 %) mentioned exposure to sunlight as one of the preventive measures from osteoporosis. Conclusion: The present study revealed lack of awareness about osteoporosis among female adolescent, hence the findings highlight the need for educational interventions to enhance female adolescents' knowledge about osteoporosis.
Osteoporosis Knowledge among Female Adolescents in Egypt
doi:10.11648/j.ajns.20140302.11
American Journal of Nursing Science
2014-05-15
© Science Publishing Group
Yosria El-Said Hossien
Hanan M. M. Tork
Amirat Ali El-Sabeely
Osteoporosis Knowledge among Female Adolescents in Egypt
3
2
17
17
2014-05-15
2014-05-15
10.11648/j.ajns.20140302.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140302.11
© Science Publishing Group
Nurses Knowledge, Attitudes, Practices and Familiarity Regarding Disaster and Emergency Preparedness – Saudi Arabia
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140302.12
The number of reported natural and human-made disasters continues to rise worldwide. Nurses comprise the highest percent of health and medical workforce. Nurses must understand the national disaster management cycle. The present study was aimed to examine nurses' knowledge, attitudes, practices and familiarity regarding disaster and emergency preparedness-Saudi Arabia. Cross-sectional descriptive study was conducted using five tools to obtain data from 252 two registered batches of bridging nurses students. Five tools were demonstrated to collect data about demographic data, questionnaire for knowledge, attitude and practice to measure disaster preparedness and emergency preparedness information questionnaire to measure nurses' familiarity. The study findings revealed that the mean age score was 26.36±1.82 and for the knowledge level was 21.2 ± 6.0. A highly significant difference was found for attitude and practice regarding disaster preparedness as well familiarity concerned emergency preparedness P≤.000. Based on the present study results; lacking of knowledge and practices with acceptable level of attitude regarding disaster preparedness and neutral familiarity with emergency preparedness were concluded. Thus an integration of clearly titled theory and practice teaching courses about disaster and emergency preparedness into nursing curricula are crucial needed and provided in respect to their learning/training preferences. Further, follow up research are necessary for maximizing nursing education and nursing quality in these critical areas applied to healthcare and community setting.
The number of reported natural and human-made disasters continues to rise worldwide. Nurses comprise the highest percent of health and medical workforce. Nurses must understand the national disaster management cycle. The present study was aimed to examine nurses' knowledge, attitudes, practices and familiarity regarding disaster and emergency preparedness-Saudi Arabia. Cross-sectional descriptive study was conducted using five tools to obtain data from 252 two registered batches of bridging nurses students. Five tools were demonstrated to collect data about demographic data, questionnaire for knowledge, attitude and practice to measure disaster preparedness and emergency preparedness information questionnaire to measure nurses' familiarity. The study findings revealed that the mean age score was 26.36±1.82 and for the knowledge level was 21.2 ± 6.0. A highly significant difference was found for attitude and practice regarding disaster preparedness as well familiarity concerned emergency preparedness P≤.000. Based on the present study results; lacking of knowledge and practices with acceptable level of attitude regarding disaster preparedness and neutral familiarity with emergency preparedness were concluded. Thus an integration of clearly titled theory and practice teaching courses about disaster and emergency preparedness into nursing curricula are crucial needed and provided in respect to their learning/training preferences. Further, follow up research are necessary for maximizing nursing education and nursing quality in these critical areas applied to healthcare and community setting.
Nurses Knowledge, Attitudes, Practices and Familiarity Regarding Disaster and Emergency Preparedness – Saudi Arabia
doi:10.11648/j.ajns.20140302.12
American Journal of Nursing Science
2014-07-04
© Science Publishing Group
Fatma Abdelalim Abdelghany Ibrahim
Nurses Knowledge, Attitudes, Practices and Familiarity Regarding Disaster and Emergency Preparedness – Saudi Arabia
3
2
25
25
2014-07-04
2014-07-04
10.11648/j.ajns.20140302.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140302.12
© Science Publishing Group
Comparative Evaluation of the Sleep Quality in Male Verses Female Students of Nursing at School of Nursing and Midwifery of MBU
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140303.11
Aims: Traditionally science students exhibit poor sleep quality and impaired academic and professional performances due to high sleep deprivation and high incidences of daytime dysfunctions. The present study was aimed to evaluate the sleep quality in nursing students from the School of nursing and midwifery, Shahid Beheshti University of Medical Sciences (MBU) in Tehran. Study design: Sleep quality was evaluated by filling out the Pittsburgh Sleep Quality Index (PSQI). Place and Duration of Study: School of nursing and midwifery, Shahid Beheshti University of Medical Sciences (MBU) in Tehran, during 1 November, 2012 to 1 May, 2014. Methodology: 133 nursing students were divided into different groups (on the basis of age; group to 4); each group was further divided into two groups based on sex. Mean values of the score obtained for each PSQI category were analyzed by the Student t-test and 95% of Confidence of Intervals, to investigate the statistical differences among the male verses female groups and the correlation between the group and its respective score. Results: Findings showed that nursing students presented a fairly poor subjective sleep quality. Mean scores of sleep quality (PSQI category 1), sleep latency (PSQI category 2), sleep duration (PSQI category 3) and sleep efficiency (PSQI category 4) of female students were found significantly high in comparison to male students, while mean score of sleep disturbances (PSQI category 5), use of hypnotics/anti33 depressants (PSQI category 6) and daytime dysfunction (PSQI category 7) were non-significantly different among female and male students. Conclusion: The poor sleep quality in nursing students suggests that authorities should have specific guidance on sleep hygiene and should provide support for students presenting disturbances in day-time activities.
Aims: Traditionally science students exhibit poor sleep quality and impaired academic and professional performances due to high sleep deprivation and high incidences of daytime dysfunctions. The present study was aimed to evaluate the sleep quality in nursing students from the School of nursing and midwifery, Shahid Beheshti University of Medical Sciences (MBU) in Tehran. Study design: Sleep quality was evaluated by filling out the Pittsburgh Sleep Quality Index (PSQI). Place and Duration of Study: School of nursing and midwifery, Shahid Beheshti University of Medical Sciences (MBU) in Tehran, during 1 November, 2012 to 1 May, 2014. Methodology: 133 nursing students were divided into different groups (on the basis of age; group to 4); each group was further divided into two groups based on sex. Mean values of the score obtained for each PSQI category were analyzed by the Student t-test and 95% of Confidence of Intervals, to investigate the statistical differences among the male verses female groups and the correlation between the group and its respective score. Results: Findings showed that nursing students presented a fairly poor subjective sleep quality. Mean scores of sleep quality (PSQI category 1), sleep latency (PSQI category 2), sleep duration (PSQI category 3) and sleep efficiency (PSQI category 4) of female students were found significantly high in comparison to male students, while mean score of sleep disturbances (PSQI category 5), use of hypnotics/anti33 depressants (PSQI category 6) and daytime dysfunction (PSQI category 7) were non-significantly different among female and male students. Conclusion: The poor sleep quality in nursing students suggests that authorities should have specific guidance on sleep hygiene and should provide support for students presenting disturbances in day-time activities.
Comparative Evaluation of the Sleep Quality in Male Verses Female Students of Nursing at School of Nursing and Midwifery of MBU
doi:10.11648/j.ajns.20140303.11
American Journal of Nursing Science
2014-07-14
© Science Publishing Group
Morteza Alibakhshi-kenari
Comparative Evaluation of the Sleep Quality in Male Verses Female Students of Nursing at School of Nursing and Midwifery of MBU
3
3
33
33
2014-07-14
2014-07-14
10.11648/j.ajns.20140303.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140303.11
© Science Publishing Group
Patients’ Satisfaction and Associated Factors with Nursing Care Services in Selected Hospitals, Northwest Ethiopia
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140303.12
Background: Patients satisfaction measures have developed tremendous attractions in the sector of health care delivery services for the purpose of ascertaining the quality of health care services in general and nursing care in particular. It is everyone’s most common experience to witness significant patient/ client complaints and dissatisfactions with respect to hospital healthcare deliveries, particularly nursing care services. The objectives of this study was to determine adult patients’ satisfaction and associated factors with nursing care at Felege Hiwot Referral and Finote Selam District hospitals, Amhara region, Northwest Ethiopia 2013. Methods: Institutional- based cross-sectional study was conducted from April 1-30, 2013. Systematic random sampling technique was employed and 374 patients were selected from the study wards of the selected hospitals. A 19-items questionnaire, which involved a 5-point Likert scale, was employed to collect the data. Data were collected by trained data collectors using pretested structured questionnaires. Data were checked for completeness, consistency, coded and entered into EPI Info (version 3.5.2) and transferred to SPSS version 16 for analysis. Bivariate and multivariate logistic regression analysis was computed to test the strength of association and level of significance. P-value <0.05 was considered as statistical significant. Results: The overall satisfaction was found to be 67.1%. Freedom, privacy given to patients and the capabilities of the nurses at their jobs were the top areas of patients have got satisfied on nursing care services delivered. Patients who were admitted to referral hospital were less likely to be satisfied (AOR= 0.047; CI: 0.02-0.14) than those admitted to district hospital. Patients who earned free hospital services were two times more likely to be satisfied in the overall satisfaction than those who paid for the hospital services (AOR=2.01;CI: 1.27-3.48) and those patients who were under acute conditions were less likely to report overall satisfaction with nursing care services (AOR = 0.406; CI 0.21-0.77) than those under chronic illness. Conclusions: A significant proportion of the study participants (67.1%) were satisfied with the overall nursing care services. Differences in the level hospitals where patients admitted to, their ward service type, and their condition of illness were found to be statistically significant predictors of patients' satisfaction. However, the hospitals service needs improvement. The Amhara national regional state (ANRS) Health Bureau is recommended to launch intervention programs to foster the information provision skills and the skills of making clients feel well of the nursing staff at the study hospitals. "
Background: Patients satisfaction measures have developed tremendous attractions in the sector of health care delivery services for the purpose of ascertaining the quality of health care services in general and nursing care in particular. It is everyone’s most common experience to witness significant patient/ client complaints and dissatisfactions with respect to hospital healthcare deliveries, particularly nursing care services. The objectives of this study was to determine adult patients’ satisfaction and associated factors with nursing care at Felege Hiwot Referral and Finote Selam District hospitals, Amhara region, Northwest Ethiopia 2013. Methods: Institutional- based cross-sectional study was conducted from April 1-30, 2013. Systematic random sampling technique was employed and 374 patients were selected from the study wards of the selected hospitals. A 19-items questionnaire, which involved a 5-point Likert scale, was employed to collect the data. Data were collected by trained data collectors using pretested structured questionnaires. Data were checked for completeness, consistency, coded and entered into EPI Info (version 3.5.2) and transferred to SPSS version 16 for analysis. Bivariate and multivariate logistic regression analysis was computed to test the strength of association and level of significance. P-value <0.05 was considered as statistical significant. Results: The overall satisfaction was found to be 67.1%. Freedom, privacy given to patients and the capabilities of the nurses at their jobs were the top areas of patients have got satisfied on nursing care services delivered. Patients who were admitted to referral hospital were less likely to be satisfied (AOR= 0.047; CI: 0.02-0.14) than those admitted to district hospital. Patients who earned free hospital services were two times more likely to be satisfied in the overall satisfaction than those who paid for the hospital services (AOR=2.01;CI: 1.27-3.48) and those patients who were under acute conditions were less likely to report overall satisfaction with nursing care services (AOR = 0.406; CI 0.21-0.77) than those under chronic illness. Conclusions: A significant proportion of the study participants (67.1%) were satisfied with the overall nursing care services. Differences in the level hospitals where patients admitted to, their ward service type, and their condition of illness were found to be statistically significant predictors of patients' satisfaction. However, the hospitals service needs improvement. The Amhara national regional state (ANRS) Health Bureau is recommended to launch intervention programs to foster the information provision skills and the skills of making clients feel well of the nursing staff at the study hospitals. "
Patients’ Satisfaction and Associated Factors with Nursing Care Services in Selected Hospitals, Northwest Ethiopia
doi:10.11648/j.ajns.20140303.12
American Journal of Nursing Science
2014-07-16
© Science Publishing Group
Azanu Kibret Negash
Wubante Demilew Negussie
Amsalu Feleke Demissie
Patients’ Satisfaction and Associated Factors with Nursing Care Services in Selected Hospitals, Northwest Ethiopia
3
3
42
42
2014-07-16
2014-07-16
10.11648/j.ajns.20140303.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140303.12
© Science Publishing Group
A Prospective Study on the Assessment of Level of Depression, Anxiety and Stress Among Teaching Faculties of a Nursing College
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140304.11
Aim: Psychological stability is indeed an important predictor that could contribute to high academic achievement. Depression, stress, and anxiety are among the psychological problems that are common among teachers and students. The study was aimed to assess the level of depression, anxiety and stress among the teaching faculties. Study design: It is a questionnaire based prospective observational study. Place and Duration of the study: The study was carried out at a Nursing college for a period of 3 months. Methodology: Depression, Anxiety and Stress score scale (DASS-21) questionnaire was used in the study to assess the parameters. Conclusion: The combined assessment on level of depression, anxiety and stress revealed that 16 percent of the teaching faculties were observed with anxiety alone and 16 percent with Depression with Anxiety. Twelve percent of the faculties were found to have all the three conditions. It indicates that nearly 44 percent of the faculties were found to have some level of mind strife, so this should be annulled in all the aspects to give more academic output and sound health. Dealing with issues surrounding workload, student behaviour, and employment conditions, may help reduce stress, and thus reduce depression and anxiety among teachers.
Aim: Psychological stability is indeed an important predictor that could contribute to high academic achievement. Depression, stress, and anxiety are among the psychological problems that are common among teachers and students. The study was aimed to assess the level of depression, anxiety and stress among the teaching faculties. Study design: It is a questionnaire based prospective observational study. Place and Duration of the study: The study was carried out at a Nursing college for a period of 3 months. Methodology: Depression, Anxiety and Stress score scale (DASS-21) questionnaire was used in the study to assess the parameters. Conclusion: The combined assessment on level of depression, anxiety and stress revealed that 16 percent of the teaching faculties were observed with anxiety alone and 16 percent with Depression with Anxiety. Twelve percent of the faculties were found to have all the three conditions. It indicates that nearly 44 percent of the faculties were found to have some level of mind strife, so this should be annulled in all the aspects to give more academic output and sound health. Dealing with issues surrounding workload, student behaviour, and employment conditions, may help reduce stress, and thus reduce depression and anxiety among teachers.
A Prospective Study on the Assessment of Level of Depression, Anxiety and Stress Among Teaching Faculties of a Nursing College
doi:10.11648/j.ajns.20140304.11
American Journal of Nursing Science
2014-07-18
© Science Publishing Group
Morteza Alibakhshi Kenari
A Prospective Study on the Assessment of Level of Depression, Anxiety and Stress Among Teaching Faculties of a Nursing College
3
4
47
47
2014-07-18
2014-07-18
10.11648/j.ajns.20140304.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140304.11
© Science Publishing Group
Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140304.12
Background: Observing quality from the patient’s perspective is of paramount importance for making the service more responsive to patients. However, little is known about the quality of tuberculosis treatment service from the patient’s perspective in Ethiopia. This study was carried out to assess the quality of tuberculosis treatment services from the patient’s perspective in South Ethiopia’s public health facilities. Methods: A facility-based, cross-sectional study design was employed, and data were collected from February to March, 2012. A QUOTE-TB tool validated for East African countries was used to collect data from a sample of 370 tuberculosis patients receiving treatments at public health facilities. The study participants were allocated proportionally to the number of client receives the service, and the relative importance of the aspects and perception of the quality of their received care was scored. Combining the relative importance and actual performance scores derived a measure of service quality. Analyses were performed using SPSS and statistical significance was set at a p-value less than 0.05. Results: The accommodation aspects of the facilities, patient-provider interactions, health information and communication, and availability of care had low quality impact scores. The highest service quality scores were for TB-HIV integration and cost of treatment. Shorter waiting times (ß=-1.85), routine observation, and checking the daily TB drug intake (ß=-1.26) and treatment by the same health provider (ß=1.13) independently predicted overall patient satisfaction. Conclusion: There were notable differences between TB patients ‘expectations and what they actually received in terms of accommodation, availability, patient-provider interactions, health information, and communication, which were identified as being of inadequate quality. Significant effort is needed to improve the quality of TB care with respect to these particular aspects from the perspectives of patients. Individuals caring for patients with TB in the health service should address these areas of care in order to enhance TB treatment services and satisfy patients.
Background: Observing quality from the patient’s perspective is of paramount importance for making the service more responsive to patients. However, little is known about the quality of tuberculosis treatment service from the patient’s perspective in Ethiopia. This study was carried out to assess the quality of tuberculosis treatment services from the patient’s perspective in South Ethiopia’s public health facilities. Methods: A facility-based, cross-sectional study design was employed, and data were collected from February to March, 2012. A QUOTE-TB tool validated for East African countries was used to collect data from a sample of 370 tuberculosis patients receiving treatments at public health facilities. The study participants were allocated proportionally to the number of client receives the service, and the relative importance of the aspects and perception of the quality of their received care was scored. Combining the relative importance and actual performance scores derived a measure of service quality. Analyses were performed using SPSS and statistical significance was set at a p-value less than 0.05. Results: The accommodation aspects of the facilities, patient-provider interactions, health information and communication, and availability of care had low quality impact scores. The highest service quality scores were for TB-HIV integration and cost of treatment. Shorter waiting times (ß=-1.85), routine observation, and checking the daily TB drug intake (ß=-1.26) and treatment by the same health provider (ß=1.13) independently predicted overall patient satisfaction. Conclusion: There were notable differences between TB patients ‘expectations and what they actually received in terms of accommodation, availability, patient-provider interactions, health information, and communication, which were identified as being of inadequate quality. Significant effort is needed to improve the quality of TB care with respect to these particular aspects from the perspectives of patients. Individuals caring for patients with TB in the health service should address these areas of care in order to enhance TB treatment services and satisfy patients.
Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia
doi:10.11648/j.ajns.20140304.12
American Journal of Nursing Science
2014-07-22
© Science Publishing Group
Belay Mergya Eticha
Alemayehu Atomsa
Birtukan Tsehaineh
Tezera Moshago Berheto
Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia
3
4
55
55
2014-07-22
2014-07-22
10.11648/j.ajns.20140304.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140304.12
© Science Publishing Group
Psychosocial Workload of Swedish Ambulance and Emergency Room Personnel with High Prevalence of Dying, Death and Grieving Relatives. A Descriptive and Comparison Study
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140305.11
Frequent caretaking of severely ill, dying, and dead people as well as bereaved close relatives could involve too much stress for emergency personnel to be satisfied with the job situation. Screening for critical aspects for work satisfaction and endurance at ambulance and emergency rooms would provide useful information to the workers themselves, their management, and for pre-hospital acute routines/programs. Two hundred and forty 40-item job-related, postal enquieries on demographical, as psychological, social, economical, and existential work aspects were sent to 26 clinical directors to be assessed by personnel at the ambulance and emergency rooms in Sweden. The response rate was 64%, the majority being nurses and nurse assistants, experiencing a very high, high, or rather high prevalence of severely ill or dead patients at their work place. The hospitals’ frequency of severely ill or dead patients predicted a higher mental workload experience in both ambulance and emergency room personnel. More personnel at the emergency rooms compared with ambulance workers expressed time pressure and were less satisfied with their caretaking, two of three reporting their job to be mentally straining as compared with one of three among the ambulance personnel. Change of work due to heavy workload was reported by one in three. The majority thought they could get used to a job with death and grieving, wellbeing however negatively affected. Still, the majority reported good health and little sick leave due to excessive workload. Several critical factors seemed important for job satisfaction among Swedish ambulance workers and personnel at the emergency rooms. Complaints about psychological stress, physically high workload, physical damage, many working hours, low salary, much shift- and night work, better vacation leave, more resources, too little time for recovery, crisis support and guidance, better routines, more explicit care programs including improved bereavement support for relatives, better possibilities for job control, self-efficacy, unit efficiency, and clearer work duties, and a family-non-conflicting job situation could favour work performance in both groups.
Frequent caretaking of severely ill, dying, and dead people as well as bereaved close relatives could involve too much stress for emergency personnel to be satisfied with the job situation. Screening for critical aspects for work satisfaction and endurance at ambulance and emergency rooms would provide useful information to the workers themselves, their management, and for pre-hospital acute routines/programs. Two hundred and forty 40-item job-related, postal enquieries on demographical, as psychological, social, economical, and existential work aspects were sent to 26 clinical directors to be assessed by personnel at the ambulance and emergency rooms in Sweden. The response rate was 64%, the majority being nurses and nurse assistants, experiencing a very high, high, or rather high prevalence of severely ill or dead patients at their work place. The hospitals’ frequency of severely ill or dead patients predicted a higher mental workload experience in both ambulance and emergency room personnel. More personnel at the emergency rooms compared with ambulance workers expressed time pressure and were less satisfied with their caretaking, two of three reporting their job to be mentally straining as compared with one of three among the ambulance personnel. Change of work due to heavy workload was reported by one in three. The majority thought they could get used to a job with death and grieving, wellbeing however negatively affected. Still, the majority reported good health and little sick leave due to excessive workload. Several critical factors seemed important for job satisfaction among Swedish ambulance workers and personnel at the emergency rooms. Complaints about psychological stress, physically high workload, physical damage, many working hours, low salary, much shift- and night work, better vacation leave, more resources, too little time for recovery, crisis support and guidance, better routines, more explicit care programs including improved bereavement support for relatives, better possibilities for job control, self-efficacy, unit efficiency, and clearer work duties, and a family-non-conflicting job situation could favour work performance in both groups.
Psychosocial Workload of Swedish Ambulance and Emergency Room Personnel with High Prevalence of Dying, Death and Grieving Relatives. A Descriptive and Comparison Study
doi:10.11648/j.ajns.20140305.11
American Journal of Nursing Science
2014-09-30
© Science Publishing Group
Ulf Erland Johansson
Åsa Katarina Johansson
Agneta Grimby
Psychosocial Workload of Swedish Ambulance and Emergency Room Personnel with High Prevalence of Dying, Death and Grieving Relatives. A Descriptive and Comparison Study
3
5
65
65
2014-09-30
2014-09-30
10.11648/j.ajns.20140305.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140305.11
© Science Publishing Group
Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140305.12
Objectives: was to assess patient delay in health care seeking behavior and associated factors among women with Tuberculosis in Mekelle City Governmental health facilities, Ethiopia 2012.Methods: The study design was Cross-sectional study and systematic random sampling technique was used to select participants from all governmental health facilities in Mekelle City. The study periods were from May 2012 to December, 2012.Data collection procedure was by using interviewer administered questionnaire. After completing data collection, data was coded and entered into SPSS version 20 software for analysis. univariate, Bivariate and multivariate logistic regression was computed and data was presented in texts, tables and figure. Result: A total of 257 participants were interviewed using standardized structured questionnaire and included in the analysis. Of those 15 respondents were excluded from the analysis for gross incompleteness and inconsistency of responses, made a response rate of 94.16 %. The mean age of respondents was30.59+12.61 years ranging from 16-75 years old. Being in age group >55 (AOR: 0.23, 95% CI 0.006, 0.03) was at risk for delay. Marital status 79(75.2%)was also found to be significantly associated with patient delay to seeking care and was found to be at great risk delay in seeking care (AOR: 0.002, 95% CI 0.001, 0.32) than that of other (divorce& widowed). Educational status was also found to be significantly associated with patient delay, illiterate 63(98.4%) by adjacently (AOR: 27, 95% CI 1.30, 60.45) was at risk for patient delay. Conclusion and Recommendation In conclusion the finding of this result showed that from the total respondents the reason of patient delay for seeking care for more than two third of the respondents were lack of money, illiteracy and being married was significantly associated with patient delay Therefore, Delay in care seeking behavior among women with TB more specific and effective education and income improvement needs work on self-esteem development on care seeking behavior among women’s with TB.
Objectives: was to assess patient delay in health care seeking behavior and associated factors among women with Tuberculosis in Mekelle City Governmental health facilities, Ethiopia 2012.Methods: The study design was Cross-sectional study and systematic random sampling technique was used to select participants from all governmental health facilities in Mekelle City. The study periods were from May 2012 to December, 2012.Data collection procedure was by using interviewer administered questionnaire. After completing data collection, data was coded and entered into SPSS version 20 software for analysis. univariate, Bivariate and multivariate logistic regression was computed and data was presented in texts, tables and figure. Result: A total of 257 participants were interviewed using standardized structured questionnaire and included in the analysis. Of those 15 respondents were excluded from the analysis for gross incompleteness and inconsistency of responses, made a response rate of 94.16 %. The mean age of respondents was30.59+12.61 years ranging from 16-75 years old. Being in age group >55 (AOR: 0.23, 95% CI 0.006, 0.03) was at risk for delay. Marital status 79(75.2%)was also found to be significantly associated with patient delay to seeking care and was found to be at great risk delay in seeking care (AOR: 0.002, 95% CI 0.001, 0.32) than that of other (divorce& widowed). Educational status was also found to be significantly associated with patient delay, illiterate 63(98.4%) by adjacently (AOR: 27, 95% CI 1.30, 60.45) was at risk for patient delay. Conclusion and Recommendation In conclusion the finding of this result showed that from the total respondents the reason of patient delay for seeking care for more than two third of the respondents were lack of money, illiteracy and being married was significantly associated with patient delay Therefore, Delay in care seeking behavior among women with TB more specific and effective education and income improvement needs work on self-esteem development on care seeking behavior among women’s with TB.
Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012
doi:10.11648/j.ajns.20140305.12
American Journal of Nursing Science
2014-10-27
© Science Publishing Group
Hiwot A. Hiluf
Ashenafi D. Ayele
Gereziher B. Abera
Hailemariam B. Kahisay
Kalayou K. Berhe
Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012
3
5
72
72
2014-10-27
2014-10-27
10.11648/j.ajns.20140305.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140305.12
© Science Publishing Group
Effect of Patient Education on Coping, Quality of Life, Knowledge and Self Efficacy of Kidney Recipient Patients
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140305.14
Background: kidney transplantation is the best method of treatment for improvement of renal functions in patients with end-stage renal failure. The main aims of patient education following renal transplantation are to help patients acquire the required skills for daily living without problem and to help patients cope with physiological and psychosocial problems. Purpose: The aim was to evaluate effect of patient education on knowledge, coping strategies, quality of life and self efficacy of kidney recipient patients. Subjects and methods: Quazi Experimental design was utilized for conducting the study. Purposive sample of 50 patients undergoing kidney transplantation were included in the study at center Giza outpatient clinics for kidney ( Prof. Dr. Mostafa Ayman) Cairo University, Cairo, Egypt. Data collected through; Patient's assessment and basic information, knowledge assessment sheet, self efficacy Scale, Brief Cope, Short Form Health Survey (SF-36). Results: All dimensions of HRQOL of patients were better after the education program, as compared with that of prior to the intervention. The mean score of self efficacy was improved post intervention. Also the patients had better knowledge and positive coping post intervention. Conclusions/Implications for Practice: patients' education program was enhance patients coping strategies, HRQOL, knowledge and self efficacy. Continuous education should be provided by the healthcare team for patients. An education consultant or education nurse should be trained to work in the transplantation unit.
Background: kidney transplantation is the best method of treatment for improvement of renal functions in patients with end-stage renal failure. The main aims of patient education following renal transplantation are to help patients acquire the required skills for daily living without problem and to help patients cope with physiological and psychosocial problems. Purpose: The aim was to evaluate effect of patient education on knowledge, coping strategies, quality of life and self efficacy of kidney recipient patients. Subjects and methods: Quazi Experimental design was utilized for conducting the study. Purposive sample of 50 patients undergoing kidney transplantation were included in the study at center Giza outpatient clinics for kidney ( Prof. Dr. Mostafa Ayman) Cairo University, Cairo, Egypt. Data collected through; Patient's assessment and basic information, knowledge assessment sheet, self efficacy Scale, Brief Cope, Short Form Health Survey (SF-36). Results: All dimensions of HRQOL of patients were better after the education program, as compared with that of prior to the intervention. The mean score of self efficacy was improved post intervention. Also the patients had better knowledge and positive coping post intervention. Conclusions/Implications for Practice: patients' education program was enhance patients coping strategies, HRQOL, knowledge and self efficacy. Continuous education should be provided by the healthcare team for patients. An education consultant or education nurse should be trained to work in the transplantation unit.
Effect of Patient Education on Coping, Quality of Life, Knowledge and Self Efficacy of Kidney Recipient Patients
doi:10.11648/j.ajns.20140305.14
American Journal of Nursing Science
2014-11-05
© Science Publishing Group
Fathia Ahmed Mersal
Rasmia Abd-El Sattar Aly
Effect of Patient Education on Coping, Quality of Life, Knowledge and Self Efficacy of Kidney Recipient Patients
3
5
86
86
2014-11-05
2014-11-05
10.11648/j.ajns.20140305.14
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140305.14
© Science Publishing Group
Politics of Organizational Restructuring in Health Care and Work Ability of Nurses’
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140305.13
Nurses are the largest employee group in health care but continue to lack presence in organizational restructuring processes. This study examines whether nurses’ opportunities to be involved in organizational restructuring are associated with their work ability. Respondents of a survey were asked to identify the organizational changes that had transpired at their workplaces in the previous two years, and to evaluate their opportunities to be involved in these changes. They were also asked to evaluate their work ability and to assess certain statements related to their individual resources and the characteristics of their work at the time of the survey. The study shows that exclusion of nurses from health care restructuring processes may cause feelings of injustice and lower commitment to work and thus decrease work ability. Nurses who evaluated their opportunities to be involved in the restructuring as poor were at a two-fold risk of decreased work ability in comparison to nurses who stated that their opportunities to be involved were good. We conclude that the nursing profession should collectively aim to enhance individual nurse's opportunities to take part in the planning and implementation of organizational restructuring in health care. Poor opportunities to be involved in restructuring processes may result in costs not only to individual nurses but also to society at large as successful public health outcomes of health care restructuring are dependent on nurses’ work ability and performance.
Nurses are the largest employee group in health care but continue to lack presence in organizational restructuring processes. This study examines whether nurses’ opportunities to be involved in organizational restructuring are associated with their work ability. Respondents of a survey were asked to identify the organizational changes that had transpired at their workplaces in the previous two years, and to evaluate their opportunities to be involved in these changes. They were also asked to evaluate their work ability and to assess certain statements related to their individual resources and the characteristics of their work at the time of the survey. The study shows that exclusion of nurses from health care restructuring processes may cause feelings of injustice and lower commitment to work and thus decrease work ability. Nurses who evaluated their opportunities to be involved in the restructuring as poor were at a two-fold risk of decreased work ability in comparison to nurses who stated that their opportunities to be involved were good. We conclude that the nursing profession should collectively aim to enhance individual nurse's opportunities to take part in the planning and implementation of organizational restructuring in health care. Poor opportunities to be involved in restructuring processes may result in costs not only to individual nurses but also to society at large as successful public health outcomes of health care restructuring are dependent on nurses’ work ability and performance.
Politics of Organizational Restructuring in Health Care and Work Ability of Nurses’
doi:10.11648/j.ajns.20140305.13
American Journal of Nursing Science
2014-11-05
© Science Publishing Group
Katja Raitio
Lauri Kokkinen
Politics of Organizational Restructuring in Health Care and Work Ability of Nurses’
3
5
77
77
2014-11-05
2014-11-05
10.11648/j.ajns.20140305.13
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140305.13
© Science Publishing Group
Access to Institutional Delivery of Mothers in Adigrat Town, Northern Ethiopia
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140305.15
Background: Institutional delivery has a great role in reducing maternal and child mortality. Yet maternal mortality remains a major challenge to health system worldwide. And the Maternal mortality rate in Ethiopia continues to be an acceptable high level. The main aim of this study is to assess the level of access to health institution for maternal delivery and identify the underlying reasons. Methods: We have use community based cross sectional study design, data was collected using structured interview from mothers who have at least one delivery with the last five years. Data was entered and analyzed using SPSS, descriptive statistics were performed results are presented in terms of Frequency and percentage. Result: Majority 179(75.8%) were in an age range of 18 – 35 years. Majority 208(88.1%) of our study subjects were attended antenatal care (ANC) follow up and majority of them 160(77.3%), 38(18.4%) and have followed ANC four times throughout their last pregnancy. Out of 208 respondents attended ANC follow up, 185(89.4%) have received all the necessary in formations, advice on birth preparedness and complication readiness. Of those who have no ANC follow up 28 (11.9%) ,half of them were due to reason that they have no any problem in their pregnancy and the other are due to too far distance home to health facility 5( 17.8)%. Majority, 201(85.2%) were delivered at health institution. The most common reasons for home delivery were normal previous delivery, labor at night, comfort at home, unwelcoming approaches of health workers. Conclusion: Institutional delivery coverage of the study area is good which 85.1% in the last five years. The ANC coverage 88.1% of the area is not proportional with the institutional delivery 85.1% which indicates that there is a gap in health education during ANC follow up especially about birth preparedness and complication readiness.
Background: Institutional delivery has a great role in reducing maternal and child mortality. Yet maternal mortality remains a major challenge to health system worldwide. And the Maternal mortality rate in Ethiopia continues to be an acceptable high level. The main aim of this study is to assess the level of access to health institution for maternal delivery and identify the underlying reasons. Methods: We have use community based cross sectional study design, data was collected using structured interview from mothers who have at least one delivery with the last five years. Data was entered and analyzed using SPSS, descriptive statistics were performed results are presented in terms of Frequency and percentage. Result: Majority 179(75.8%) were in an age range of 18 – 35 years. Majority 208(88.1%) of our study subjects were attended antenatal care (ANC) follow up and majority of them 160(77.3%), 38(18.4%) and have followed ANC four times throughout their last pregnancy. Out of 208 respondents attended ANC follow up, 185(89.4%) have received all the necessary in formations, advice on birth preparedness and complication readiness. Of those who have no ANC follow up 28 (11.9%) ,half of them were due to reason that they have no any problem in their pregnancy and the other are due to too far distance home to health facility 5( 17.8)%. Majority, 201(85.2%) were delivered at health institution. The most common reasons for home delivery were normal previous delivery, labor at night, comfort at home, unwelcoming approaches of health workers. Conclusion: Institutional delivery coverage of the study area is good which 85.1% in the last five years. The ANC coverage 88.1% of the area is not proportional with the institutional delivery 85.1% which indicates that there is a gap in health education during ANC follow up especially about birth preparedness and complication readiness.
Access to Institutional Delivery of Mothers in Adigrat Town, Northern Ethiopia
doi:10.11648/j.ajns.20140305.15
American Journal of Nursing Science
2014-11-12
© Science Publishing Group
Kidane Tadesse
Addisu Haile
Michael Tezera
Alemtsehay Tewele
Access to Institutional Delivery of Mothers in Adigrat Town, Northern Ethiopia
3
5
90
90
2014-11-12
2014-11-12
10.11648/j.ajns.20140305.15
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140305.15
© Science Publishing Group
Improving Children Emergency Care Satisfaction through Standardized Approach of Pediatric Triage
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.11
Triage is the process of determining the priority of emergency patients' treatments based on the severity of their condition. Pediatric triage assessment is a rapid, focused evaluation to gather pertinent subjective and objective data to determine the severity of illness. This can be achieved through standardized triage approach. Patient satisfaction is considered an important indicator of the quality of care from the perspective of the consumer. Satisfied patients are more likely to comply with treatment, take an active role in their own care. The study aims to improve children emergency care satisfaction through standardized approach of pediatric triage. This is a quasi-experimental study design, which was carried out at Pediatric Emergency Department at Al-Menshawy General Hospital, Tanta City. Purposive sample of one hundred children were involved in the study. They were divided into two groups' fifty children in each one. Data was collected from the period of June to the end of September 2013. Two tools were used to collect data, the first tool was a questionnaire sheet used to collect socio-demographic data. The second tool was a Consumer Emergency Satisfaction Scale (CECSS). The results of this study revealed that, 60% of the triage group was satisfied by emergency visit compared to 26% of the non-triage group. There was a statistical significant difference regarding total nursing care and total education between the triage and non-triage group. It is recommended to apply triage nursing care at all Emergency Departments.
Triage is the process of determining the priority of emergency patients' treatments based on the severity of their condition. Pediatric triage assessment is a rapid, focused evaluation to gather pertinent subjective and objective data to determine the severity of illness. This can be achieved through standardized triage approach. Patient satisfaction is considered an important indicator of the quality of care from the perspective of the consumer. Satisfied patients are more likely to comply with treatment, take an active role in their own care. The study aims to improve children emergency care satisfaction through standardized approach of pediatric triage. This is a quasi-experimental study design, which was carried out at Pediatric Emergency Department at Al-Menshawy General Hospital, Tanta City. Purposive sample of one hundred children were involved in the study. They were divided into two groups' fifty children in each one. Data was collected from the period of June to the end of September 2013. Two tools were used to collect data, the first tool was a questionnaire sheet used to collect socio-demographic data. The second tool was a Consumer Emergency Satisfaction Scale (CECSS). The results of this study revealed that, 60% of the triage group was satisfied by emergency visit compared to 26% of the non-triage group. There was a statistical significant difference regarding total nursing care and total education between the triage and non-triage group. It is recommended to apply triage nursing care at all Emergency Departments.
Improving Children Emergency Care Satisfaction through Standardized Approach of Pediatric Triage
doi:10.11648/j.ajns.20140306.11
American Journal of Nursing Science
2014-11-17
© Science Publishing Group
Sahar Mahmoud El-Khedr Abd El-Gawad
Improving Children Emergency Care Satisfaction through Standardized Approach of Pediatric Triage
3
6
99
99
2014-11-17
2014-11-17
10.11648/j.ajns.20140306.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.11
© Science Publishing Group
A Study of Adverse Events in an Intensive Care Unit in Morocco
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.12
Adverse events in an intensive care unit can raise important medical, ethical, legal and economic problems. This study aims at pointing out these adverse events, by assessing their severity, identifying the very risk factors associated with them, and comparing our results with existing evidence-based data. Material and methods: This is a retrospective study in the intensive care unit of the Military Hospital of Instruction Mohammed V, at RABAT, carried out over a period of 3 years and half. Included in the study are medical records of patients with an adverse event (AE) during their hospitalization in the IC (Intensive Care) or elsewhere, and who required a stay in Intensive care. We excluded nosocomial infections and adverse events due to medicated side effects, as there is no conclusive evidence of the accountability of the event to the product. Results: The study focuses on 813 patients. 44 patients experienced at least one adverse event, with an incidence of 5.4%. They were dominated by those of respiratory type (34%), followed by cardiovascular events and neurological disorders. All events were considered as preventable. The identified risk factors were due to human errors in 95% of cases: mainly, careless mistakes. The consequences of adverse events were of varying severity, with a mortality rate of 39% and a residence time of 12 days on average, comparable to those of other patients without iatrogenic complications. Conclusion: In our study, AE are dominated by events of respiratory type, and human error is the main associated factor. The specific impact of these events on prognosis is difficult to assess because they occur in serious situations. The monitoring of AE may constitute a care quality indicator.
Adverse events in an intensive care unit can raise important medical, ethical, legal and economic problems. This study aims at pointing out these adverse events, by assessing their severity, identifying the very risk factors associated with them, and comparing our results with existing evidence-based data. Material and methods: This is a retrospective study in the intensive care unit of the Military Hospital of Instruction Mohammed V, at RABAT, carried out over a period of 3 years and half. Included in the study are medical records of patients with an adverse event (AE) during their hospitalization in the IC (Intensive Care) or elsewhere, and who required a stay in Intensive care. We excluded nosocomial infections and adverse events due to medicated side effects, as there is no conclusive evidence of the accountability of the event to the product. Results: The study focuses on 813 patients. 44 patients experienced at least one adverse event, with an incidence of 5.4%. They were dominated by those of respiratory type (34%), followed by cardiovascular events and neurological disorders. All events were considered as preventable. The identified risk factors were due to human errors in 95% of cases: mainly, careless mistakes. The consequences of adverse events were of varying severity, with a mortality rate of 39% and a residence time of 12 days on average, comparable to those of other patients without iatrogenic complications. Conclusion: In our study, AE are dominated by events of respiratory type, and human error is the main associated factor. The specific impact of these events on prognosis is difficult to assess because they occur in serious situations. The monitoring of AE may constitute a care quality indicator.
A Study of Adverse Events in an Intensive Care Unit in Morocco
doi:10.11648/j.ajns.20140306.12
American Journal of Nursing Science
2014-11-25
© Science Publishing Group
Hicham Bakkali
Salahedine Massou
Mohamed Moutaoukil
Khalil Aboulaala
Hicham Balkhi
Charqui Haimeur
A Study of Adverse Events in an Intensive Care Unit in Morocco
3
6
104
104
2014-11-25
2014-11-25
10.11648/j.ajns.20140306.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.12
© Science Publishing Group
Magnitude and Factors Associated to Physical Violence among House Maids of Mekelle Town, Tigray, Northern, Ethiopia: A Cross Sectional Study
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.13
Background: Housemaids are part of women’s with low socioeconomic status and most of their backgrounds are either with poor or divorced family and/or dead parents. They also spent their whole time on domestic work. Housemaid woman can experience physical violence. Therefore, the aim of the study is assess the magnitude and factors related to physical violence among house maids. Objective: To assess the magnitude and factors related to physical violence among house maids of Mekelle town, Tigray, Ethiopia. Methodology: Community based cross sectional study design with multistage sampling were conducted among female housemaids in Mekelle town Tigray, Ethiopia. The data was analyzed using SPSS. Using logistic regression crude and adjusted odds ratio with 95% confidence interval were calculated. Result: A total of 595 housemaid’s had participated with a response rate of 94%. In this finding the prevalence of physical violence was 16.3%. This finding showed that respondents’ family live together [AOR=0.41; 95% CI: 0.20-0.85], employers drink alcohol [AOR=7.50; 95% CI: 4.21-13.32] and when employers drink any alcohol [AOR=3.47; CI: 1.04-11.53] were significant predictors of physical violence among housemaids. Conclusion: The prevalence of physical violence was high. Drinking alcohol and housemaids living with their family were the determinant factors for physical violence among housemaids.
Background: Housemaids are part of women’s with low socioeconomic status and most of their backgrounds are either with poor or divorced family and/or dead parents. They also spent their whole time on domestic work. Housemaid woman can experience physical violence. Therefore, the aim of the study is assess the magnitude and factors related to physical violence among house maids. Objective: To assess the magnitude and factors related to physical violence among house maids of Mekelle town, Tigray, Ethiopia. Methodology: Community based cross sectional study design with multistage sampling were conducted among female housemaids in Mekelle town Tigray, Ethiopia. The data was analyzed using SPSS. Using logistic regression crude and adjusted odds ratio with 95% confidence interval were calculated. Result: A total of 595 housemaid’s had participated with a response rate of 94%. In this finding the prevalence of physical violence was 16.3%. This finding showed that respondents’ family live together [AOR=0.41; 95% CI: 0.20-0.85], employers drink alcohol [AOR=7.50; 95% CI: 4.21-13.32] and when employers drink any alcohol [AOR=3.47; CI: 1.04-11.53] were significant predictors of physical violence among housemaids. Conclusion: The prevalence of physical violence was high. Drinking alcohol and housemaids living with their family were the determinant factors for physical violence among housemaids.
Magnitude and Factors Associated to Physical Violence among House Maids of Mekelle Town, Tigray, Northern, Ethiopia: A Cross Sectional Study
doi:10.11648/j.ajns.20140306.13
American Journal of Nursing Science
2014-11-29
© Science Publishing Group
Milete Zenebe
Azeb Gebresilassie
Huruy Assefa
Magnitude and Factors Associated to Physical Violence among House Maids of Mekelle Town, Tigray, Northern, Ethiopia: A Cross Sectional Study
3
6
109
109
2014-11-29
2014-11-29
10.11648/j.ajns.20140306.13
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.13
© Science Publishing Group
Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.14
Despite the high prevalence of dual diagnosis in the world and the importance to treatment patients, very little is known about complexity of this phenomenon and the factors associates in this population. Aim: Of delineating the themes to related dual diagnosis. Methods: Integrative review, two investigators independently reviewed the articles. Pubmed, Scopus, CINAHL and LILACS using combinations of the keywords "dual diagnosis" and "drug users". Results: Our search identified 15 papers, showed about two emphases, one on the drug users and other on the professional of mental health. The themes related patients were: psychiatric comorbidity in injecting drug users; reasons for the drug consume; substance use disorders and not substance use disorders in patients with mental illness; dual diagnosis in VIH patients. Other themes were: necessity to train the team of professional mental health; necessity to supervision of professional mental health during their job with the patients with dual diagnosis; necessity to do scientific gap to this patients; need to identify early dual diagnosis in drug users; to work with expanded clinical in the treatment of dual diagnosis in drug users; necessity to beware professionals mental health. Limitations: the search strategy did not rescue any intervention article in dual diagnosis. Conclusion: Given the high prevalence of dual diagnosis, the relative paucity of clinical guidance, and the potential impact that occurrence of dual diagnosis can have on the course of treatment. Implications for nursing and health policy: Nurses care directly from these patients need to know the disease for taking better care of their clients. For public policy contributes to the exhortation need for changes in the operation of mental health services, because they realized that there is dichotomy between mental health policy and alcohol and other drugs that do not include the care of a patient with dual diagnosis.
Despite the high prevalence of dual diagnosis in the world and the importance to treatment patients, very little is known about complexity of this phenomenon and the factors associates in this population. Aim: Of delineating the themes to related dual diagnosis. Methods: Integrative review, two investigators independently reviewed the articles. Pubmed, Scopus, CINAHL and LILACS using combinations of the keywords "dual diagnosis" and "drug users". Results: Our search identified 15 papers, showed about two emphases, one on the drug users and other on the professional of mental health. The themes related patients were: psychiatric comorbidity in injecting drug users; reasons for the drug consume; substance use disorders and not substance use disorders in patients with mental illness; dual diagnosis in VIH patients. Other themes were: necessity to train the team of professional mental health; necessity to supervision of professional mental health during their job with the patients with dual diagnosis; necessity to do scientific gap to this patients; need to identify early dual diagnosis in drug users; to work with expanded clinical in the treatment of dual diagnosis in drug users; necessity to beware professionals mental health. Limitations: the search strategy did not rescue any intervention article in dual diagnosis. Conclusion: Given the high prevalence of dual diagnosis, the relative paucity of clinical guidance, and the potential impact that occurrence of dual diagnosis can have on the course of treatment. Implications for nursing and health policy: Nurses care directly from these patients need to know the disease for taking better care of their clients. For public policy contributes to the exhortation need for changes in the operation of mental health services, because they realized that there is dichotomy between mental health policy and alcohol and other drugs that do not include the care of a patient with dual diagnosis.
Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis
doi:10.11648/j.ajns.20140306.14
American Journal of Nursing Science
2014-12-17
© Science Publishing Group
Selene Cordeiro Vasconcelos
Rafaella Viana Teixeira
Paulo Dias de Amorim Neto
Murilo Duarte da Costa Lima
Vânia Pinheiro Ramos
Iracema da Silva Frazão
Ana Márcia Tenório de Souza Cavalcanti
Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis
3
6
116
116
2014-12-17
2014-12-17
10.11648/j.ajns.20140306.14
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.14
© Science Publishing Group
Factors Associated with Maternal Health Care Services in Enderta District, Tigray, Northern Ethiopia: A Cross Sectional Study
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.15
Introduction: Ethiopia is among the top six high burden countries in which half of global maternal deaths occur. To improve maternal health care service in Ethiopia, it is important to understand factors influencing maternal health care service utilization. This is study aimed at assessing the magnitude and factors associated with maternal health care service utilization. Objective: To determine the magnitude and factors associated with maternal health care service utilization in Enderta district, Tigray, Ethiopia. Method: Community based cross sectional study which contains both quantitative and qualitative methods of data collection was conducted among 574 married women in Enderta district from March 1-14, 2013. A multistage sampling technique was used to approach the study participants. Descriptive and multiple logistic regression analyses were performed using SPSS 20 for windows to estimate indicators and effect sizes of the predictors on maternal health care service. Result: The proportion of antenatal, delivery and postnatal care service utilization was 70%, 37.9% and 49.7%, respectively. Income status, knowledge on danger sign during pregnancy, husbands education and place of delivery were the determinant factors for ANC. Income status, family size, the women`s time taken to health facility, husband attend ANC with spouse and who decides place of delivery were the determinant factors for delivery service utilization. And postnatal care was associated with place of delivery, knowledge on complicated related pregnancy, from where got information and knowledge on postnatal care. Conclusion: The proportion of ANC and Delivery service, and postnatal care in the study area was fair. Women’s own monthly income, husbands’ educational status, place of delivery and their knowledge on danger sign that could occur during pregnancy could influence ANC utilization. Women husband educational status might have on women decision to deliver at health institution. And accompany of women to ANC by their husband and their awareness on postnatal care services could influence postnatal care utilization.
Introduction: Ethiopia is among the top six high burden countries in which half of global maternal deaths occur. To improve maternal health care service in Ethiopia, it is important to understand factors influencing maternal health care service utilization. This is study aimed at assessing the magnitude and factors associated with maternal health care service utilization. Objective: To determine the magnitude and factors associated with maternal health care service utilization in Enderta district, Tigray, Ethiopia. Method: Community based cross sectional study which contains both quantitative and qualitative methods of data collection was conducted among 574 married women in Enderta district from March 1-14, 2013. A multistage sampling technique was used to approach the study participants. Descriptive and multiple logistic regression analyses were performed using SPSS 20 for windows to estimate indicators and effect sizes of the predictors on maternal health care service. Result: The proportion of antenatal, delivery and postnatal care service utilization was 70%, 37.9% and 49.7%, respectively. Income status, knowledge on danger sign during pregnancy, husbands education and place of delivery were the determinant factors for ANC. Income status, family size, the women`s time taken to health facility, husband attend ANC with spouse and who decides place of delivery were the determinant factors for delivery service utilization. And postnatal care was associated with place of delivery, knowledge on complicated related pregnancy, from where got information and knowledge on postnatal care. Conclusion: The proportion of ANC and Delivery service, and postnatal care in the study area was fair. Women’s own monthly income, husbands’ educational status, place of delivery and their knowledge on danger sign that could occur during pregnancy could influence ANC utilization. Women husband educational status might have on women decision to deliver at health institution. And accompany of women to ANC by their husband and their awareness on postnatal care services could influence postnatal care utilization.
Factors Associated with Maternal Health Care Services in Enderta District, Tigray, Northern Ethiopia: A Cross Sectional Study
doi:10.11648/j.ajns.20140306.15
American Journal of Nursing Science
2014-12-19
© Science Publishing Group
Asfawosen Aregay
Mussie Alemayehu
Huruy Assefa
Wondeweson Terefe
Factors Associated with Maternal Health Care Services in Enderta District, Tigray, Northern Ethiopia: A Cross Sectional Study
3
6
125
125
2014-12-19
2014-12-19
10.11648/j.ajns.20140306.15
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.15
© Science Publishing Group
Peer to Peers Nurse Managers’ on Supporting Structures and Systems they Support in a Resource: Constrained Setting in Kenya
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.16
This is an excerpt from a wider study on job description of nurse managers. Aimed to describe the experiences and perceptions of nurse managers towards the various factors that affect their roles as nurse managers in the hospital. Methods: This was a descriptive phenomenological peer research design, drawing lived experiences and perceptions of nurse managers. Study was done in February 2012 in a 600 bed public hospital in Kenya, purposively targeting all the 16 consenting nurse managers working in the institution: 13 took part in the mixed study, 6 in the focus group discussion and 2 in the face to face in-depth interview. Experiences and incidents collected became the unit of analysis into 5 key points. They were subjected to secondary analysis resulting in this qualitative report. Results: Problem Recognition: Nurse as employee, awareness of the demanding job, reflecting. Reflexivity on the part of the peer researcher. Some respondents disagreed that the job was satisfying to them. Some apprehension was obvious. Commitment: Accepting the role, altruism, duplicating and reciprocating. All respondents agreed that they did work that someone else was supposed to do. Exhaustion: High expectations, lowly appreciated, stagnating but not redundant, wearing out, frustration. Lack of recognition, supplies and equipment came out strongly as limiting factors in the performance of their complex roles. The nurse managers felt generally overworked and were not paid in commensurate. Discussions: There is great need to clearly outline the nurse managers’ role in the hospital as their job description. Their roles were either complex, multidimensional or both. There is need to equip the nurse managers with leadership skills.
This is an excerpt from a wider study on job description of nurse managers. Aimed to describe the experiences and perceptions of nurse managers towards the various factors that affect their roles as nurse managers in the hospital. Methods: This was a descriptive phenomenological peer research design, drawing lived experiences and perceptions of nurse managers. Study was done in February 2012 in a 600 bed public hospital in Kenya, purposively targeting all the 16 consenting nurse managers working in the institution: 13 took part in the mixed study, 6 in the focus group discussion and 2 in the face to face in-depth interview. Experiences and incidents collected became the unit of analysis into 5 key points. They were subjected to secondary analysis resulting in this qualitative report. Results: Problem Recognition: Nurse as employee, awareness of the demanding job, reflecting. Reflexivity on the part of the peer researcher. Some respondents disagreed that the job was satisfying to them. Some apprehension was obvious. Commitment: Accepting the role, altruism, duplicating and reciprocating. All respondents agreed that they did work that someone else was supposed to do. Exhaustion: High expectations, lowly appreciated, stagnating but not redundant, wearing out, frustration. Lack of recognition, supplies and equipment came out strongly as limiting factors in the performance of their complex roles. The nurse managers felt generally overworked and were not paid in commensurate. Discussions: There is great need to clearly outline the nurse managers’ role in the hospital as their job description. Their roles were either complex, multidimensional or both. There is need to equip the nurse managers with leadership skills.
Peer to Peers Nurse Managers’ on Supporting Structures and Systems they Support in a Resource: Constrained Setting in Kenya
doi:10.11648/j.ajns.20140306.16
American Journal of Nursing Science
2014-12-31
© Science Publishing Group
Simon Macharia Kamau
Peer to Peers Nurse Managers’ on Supporting Structures and Systems they Support in a Resource: Constrained Setting in Kenya
3
6
132
132
2014-12-31
2014-12-31
10.11648/j.ajns.20140306.16
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20140306.16
© Science Publishing Group
Effect of Health Educational Program for Females Blinded Adolescents Students Regarding Reproductive Health
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150401.11
Reproductive health is one of the most fundamental aspects of life and it received little attention in public policy discussions because of cultural and political sensitivities. The study aimed to evaluate the effectiveness of health educational program for females blinded adolescents students regarding reproductive health. Research design: A quasi-experimental study was used. Setting: The study was conducted in El-Nor and El-Aml institute affiliated to the Ministry of Health and Population. Sample Convenient sample of all students attended to El-Nor and El-Aml institutional setting, staying and not staying at institute, undergoing the following criteria: Aged 10-18 years and free from medical problems. Tools: Two tools were used I): An interviewing questionnaire which include three parts 1) socio-demographic characteristics. 2) Knowledge about reproductive system. 3): Health problems during last six months related to reproductive system. II): Observational checklist that included questions about reproductive health practices regarding nutrition, personal hygiene, exercise, follow-up for reproductive health problems, sleep, and reproductive health. Results: around half of students(57.7%) not staying at El-Nor and El-Aml institution, and about two thirds (64.8%) of them living in urban area. There is a statistically significant improvement between pre-test and post-test results regarding nutrition, personal hygiene, exercise, follow-up, sleep, and reproductive health. Conclusion: Females blinded adolescents students' knowledge and practices in El-Nor and El-Aml institution were improved health after implementation of the health education program about reproductive health. Recommendations Continuous health educational program by using suitable strategies should be provided to this target population.
Reproductive health is one of the most fundamental aspects of life and it received little attention in public policy discussions because of cultural and political sensitivities. The study aimed to evaluate the effectiveness of health educational program for females blinded adolescents students regarding reproductive health. Research design: A quasi-experimental study was used. Setting: The study was conducted in El-Nor and El-Aml institute affiliated to the Ministry of Health and Population. Sample Convenient sample of all students attended to El-Nor and El-Aml institutional setting, staying and not staying at institute, undergoing the following criteria: Aged 10-18 years and free from medical problems. Tools: Two tools were used I): An interviewing questionnaire which include three parts 1) socio-demographic characteristics. 2) Knowledge about reproductive system. 3): Health problems during last six months related to reproductive system. II): Observational checklist that included questions about reproductive health practices regarding nutrition, personal hygiene, exercise, follow-up for reproductive health problems, sleep, and reproductive health. Results: around half of students(57.7%) not staying at El-Nor and El-Aml institution, and about two thirds (64.8%) of them living in urban area. There is a statistically significant improvement between pre-test and post-test results regarding nutrition, personal hygiene, exercise, follow-up, sleep, and reproductive health. Conclusion: Females blinded adolescents students' knowledge and practices in El-Nor and El-Aml institution were improved health after implementation of the health education program about reproductive health. Recommendations Continuous health educational program by using suitable strategies should be provided to this target population.
Effect of Health Educational Program for Females Blinded Adolescents Students Regarding Reproductive Health
doi:10.11648/j.ajns.20150401.11
American Journal of Nursing Science
2015-01-23
© Science Publishing Group
Rasmia Abd-El Sattar Ali
Ebtisam Mohamed Abd-El Aal
Effect of Health Educational Program for Females Blinded Adolescents Students Regarding Reproductive Health
4
1
8
8
2015-01-23
2015-01-23
10.11648/j.ajns.20150401.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150401.11
© Science Publishing Group
Factors Influencing the Practice of Exclusive Breastfeeding among Mothers in Tertiary Health Facility in Calabar, Cross River State, Nigeria
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150401.13
The study was conducted to investigate the factors influencing the practice of exclusive breastfeeding among nursing mothers in University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria. A non-experimental descriptive survey research design was used with a purposive sampling technique. The sample size was 300 nursing mothers. The instrument for data collection was a self developed questionnaire, and chi-square test analysis was used to test the relationship between variables. Majority of the respondents were aged 25 – 34. 138 (46%), attended secondary school 91(30.3%), married 192(64%). Result of the hypothesis testing on influence of educational level on practice of exclusive breast feeding, showed a non significant relationship with cal x2 = 6.61, crit x2 7.815, df 3, P < 0.05. Further results showed a statistical significant relationship between occupation and practice of exclusive breast feeding with cal x2 = 9.52, crit x2 = 5.991, df 2, P < 0.05 marital status and practice of exclusive breastfeeding with cal x2 = 23.9, crit x2 = 9.815, df 3, P < 0.05. The study suggests the need for clinical nurses to create awareness on the need for exclusive breastfeeding and the need for provision of crèches in ministries and parastatals for nursing mothers.
The study was conducted to investigate the factors influencing the practice of exclusive breastfeeding among nursing mothers in University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria. A non-experimental descriptive survey research design was used with a purposive sampling technique. The sample size was 300 nursing mothers. The instrument for data collection was a self developed questionnaire, and chi-square test analysis was used to test the relationship between variables. Majority of the respondents were aged 25 – 34. 138 (46%), attended secondary school 91(30.3%), married 192(64%). Result of the hypothesis testing on influence of educational level on practice of exclusive breast feeding, showed a non significant relationship with cal x2 = 6.61, crit x2 7.815, df 3, P < 0.05. Further results showed a statistical significant relationship between occupation and practice of exclusive breast feeding with cal x2 = 9.52, crit x2 = 5.991, df 2, P < 0.05 marital status and practice of exclusive breastfeeding with cal x2 = 23.9, crit x2 = 9.815, df 3, P < 0.05. The study suggests the need for clinical nurses to create awareness on the need for exclusive breastfeeding and the need for provision of crèches in ministries and parastatals for nursing mothers.
Factors Influencing the Practice of Exclusive Breastfeeding among Mothers in Tertiary Health Facility in Calabar, Cross River State, Nigeria
doi:10.11648/j.ajns.20150401.13
American Journal of Nursing Science
2015-02-03
© Science Publishing Group
Ojong Idang Neji
Chiotu Catherine Nkemdilim
Nlumanze Faith Ferdinand
Factors Influencing the Practice of Exclusive Breastfeeding among Mothers in Tertiary Health Facility in Calabar, Cross River State, Nigeria
4
1
21
21
2015-02-03
2015-02-03
10.11648/j.ajns.20150401.13
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150401.13
© Science Publishing Group
Fertility Intention and Family Planning Use among People Living with HIV/AIDS in Follow Up Care Western Shoa Zone (ART Treatment Unit)
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150401.12
HIV positive individuals may or may not have intention to have children. They could also have different degrees of utilization and demand for family planning. The desire of HIV infected persons to have children in the future has significant implication for the transmission of HIV to sexual partners or newborns. So this study contributes a lot for program planner or other influential people. The study was designed to determine the fertility desire and contraceptive utilization among People Living with HIV in ART follow up care in western Shoa Zone. A cross sectional institution based study design supplemented by qualitative in-depth interview was done between December to May 2012. The study was conducted in western Shoa Zone (three Hospital; Ambo, Gedo and Gindeberet hospital), western Ethiopia. The study population were all People Living with HIV who had at list one visit to the selected ARV treatment units and age group 18- 49 for women and 18-59 for men and the sample size taken were 462 and data were analyzed by SPPS version 16 computer soft ware. Seventy-eight (50.3%) male and One hundred twelve (36.5%) female respondents expressed the desire for children, giving a total of 190(41.13%) of all respondents. One hundred ninety-nine (43.1%) were using family planning during the study period. Majority of the respondents 150(71.8%) using condom. Those who intended children are those who have no children, married and partner desire for children. Those who use family planning were educated (secondary and post secondary education), married, having children of three or more and those having knowledge on Mother To Child Transmission of HIV. Couples or individuals in need of children should be supported by availing adequate information on Prevention of Mother To Child Transmission service link with the country HIV prevention and control plan and strategy since high number of participants are in need of children.
HIV positive individuals may or may not have intention to have children. They could also have different degrees of utilization and demand for family planning. The desire of HIV infected persons to have children in the future has significant implication for the transmission of HIV to sexual partners or newborns. So this study contributes a lot for program planner or other influential people. The study was designed to determine the fertility desire and contraceptive utilization among People Living with HIV in ART follow up care in western Shoa Zone. A cross sectional institution based study design supplemented by qualitative in-depth interview was done between December to May 2012. The study was conducted in western Shoa Zone (three Hospital; Ambo, Gedo and Gindeberet hospital), western Ethiopia. The study population were all People Living with HIV who had at list one visit to the selected ARV treatment units and age group 18- 49 for women and 18-59 for men and the sample size taken were 462 and data were analyzed by SPPS version 16 computer soft ware. Seventy-eight (50.3%) male and One hundred twelve (36.5%) female respondents expressed the desire for children, giving a total of 190(41.13%) of all respondents. One hundred ninety-nine (43.1%) were using family planning during the study period. Majority of the respondents 150(71.8%) using condom. Those who intended children are those who have no children, married and partner desire for children. Those who use family planning were educated (secondary and post secondary education), married, having children of three or more and those having knowledge on Mother To Child Transmission of HIV. Couples or individuals in need of children should be supported by availing adequate information on Prevention of Mother To Child Transmission service link with the country HIV prevention and control plan and strategy since high number of participants are in need of children.
Fertility Intention and Family Planning Use among People Living with HIV/AIDS in Follow Up Care Western Shoa Zone (ART Treatment Unit)
doi:10.11648/j.ajns.20150401.12
American Journal of Nursing Science
2015-02-02
© Science Publishing Group
Eshetu Ejeta
Mitsiwat Abebe
Fertility Intention and Family Planning Use among People Living with HIV/AIDS in Follow Up Care Western Shoa Zone (ART Treatment Unit)
4
1
15
15
2015-02-02
2015-02-02
10.11648/j.ajns.20150401.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150401.12
© Science Publishing Group
Health Related Quality of Life Regarding Physical and Physiological Parameters in Children suffering from Sickle Cell Anemia
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150402.11
Background: Sickle cell disease is an inherited blood disorder characterized by a chronic hemolytic anemia that contributes to painful crises. It is an autosomal recessive disorder caused by production of abnormal hemoglobin S and is associated with high morbidity and mortality. It may influence the quality of life of children, who may require more frequent hospital care. This study aimed to compare health related quality of life regarding physical and physiological parameters between children suffering from sickle cell Anemia and healthy children. A comparative study that was conducted at Outpatient Clinic and Pediatric Hematological Department in selected hospital at Makkah Al-Mukaramah. A purposive sample composed of 80 children was classified into two groups, 40 healthy children and 40 children suffering from SCD both groups fulfilling certain inclusion and exclusion criteria. Tools: First tool was an observation checklist that was composed of three parts. Second tool was Pediatric Quality of Life Inventory that was used to assess children's quality of life. Results: Most of the children suffering from SCA had low level of QOL physical, social and emotional wellbeing subcategories as compared to healthy children and statistical significant differences were found. There were statistical significant difference regarding weight, arm circumference physical parameters and respiration, systolic blood pressure and oxygen saturation physiological parameter. It was concluded that, sickle cell anemia affect the quality of life of children suffering from it & There are differences in quality of life between children with sickle cell disease and healthy children. Recommendations: Awareness of parents regarding sickle cell disease helps in improving children's quality of life. Develop an educational program for parents regarding the prevention of sickle cell crises.
Background: Sickle cell disease is an inherited blood disorder characterized by a chronic hemolytic anemia that contributes to painful crises. It is an autosomal recessive disorder caused by production of abnormal hemoglobin S and is associated with high morbidity and mortality. It may influence the quality of life of children, who may require more frequent hospital care. This study aimed to compare health related quality of life regarding physical and physiological parameters between children suffering from sickle cell Anemia and healthy children. A comparative study that was conducted at Outpatient Clinic and Pediatric Hematological Department in selected hospital at Makkah Al-Mukaramah. A purposive sample composed of 80 children was classified into two groups, 40 healthy children and 40 children suffering from SCD both groups fulfilling certain inclusion and exclusion criteria. Tools: First tool was an observation checklist that was composed of three parts. Second tool was Pediatric Quality of Life Inventory that was used to assess children's quality of life. Results: Most of the children suffering from SCA had low level of QOL physical, social and emotional wellbeing subcategories as compared to healthy children and statistical significant differences were found. There were statistical significant difference regarding weight, arm circumference physical parameters and respiration, systolic blood pressure and oxygen saturation physiological parameter. It was concluded that, sickle cell anemia affect the quality of life of children suffering from it & There are differences in quality of life between children with sickle cell disease and healthy children. Recommendations: Awareness of parents regarding sickle cell disease helps in improving children's quality of life. Develop an educational program for parents regarding the prevention of sickle cell crises.
Health Related Quality of Life Regarding Physical and Physiological Parameters in Children suffering from Sickle Cell Anemia
doi:10.11648/j.ajns.20150402.11
American Journal of Nursing Science
2015-02-27
© Science Publishing Group
Lamiaa Ahmed Elsayed
Sahar Mahmoud El-Khedr Abd El-Gawad
Health Related Quality of Life Regarding Physical and Physiological Parameters in Children suffering from Sickle Cell Anemia
4
2
30
30
2015-02-27
2015-02-27
10.11648/j.ajns.20150402.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150402.11
© Science Publishing Group
The Frequency of the Depression Among Elderly Population and to Explore Possible Associations Between Depression Severity and Daily Accomplishments in Minia Geriatric Club
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150402.12
The aging process affects human bodies as well as human behaviors. In general, the extra years can be marked by declining health, reduced mobility that may lead to accidents, isolation, and loneliness. Some late-life problems can result in depression and anxiety include less of coping with physical health problems, caring for a spouse with dementia, and grieving the death of loved ones. The aim of the present study was to assess the frequency of the depression among elderly population and to explore possible associations between depression severity and daily accomplishments in Minia Geriatric Club. The study was conducted on 70 elderly persons (the elderly client attends the geriatric club and who agree to share in the study). The study tools are questionnaire sheet and geriatric depression scale. The questionnaires sheet the social and personal characteristics of the study sample. (Age, sex, marital status, level of education, presence of physical health problems, sensory changes, history of exposure to accident, and hobbies. While the Geriatric Depression Scale (GDS) is consisted of 30 statements, each statement is scored by one point and the total scores for are categorized into three levels as: normal 0-9; mild depression 10-19; severe depression 20-30. The study results denoted that: more than half of the study sample (55.7%) were had mild depression and 37.1% were had sever depression. 71.4% and 65.7% of the study sample were had physical health problems and cognitive problems respectively. In addition to 47.1% of them were previously exposed to accident. There are no statistically significance differences in level of depression as regard to sex, level of dependency and level of education. But there are statistically significant differences were noted regarding level of depression and (presence of physical health problems, and sensory changes P= 0.05). The study concludes that depression among elderly is often associated with presence of chronic health problems with mental or social stress. Recommendation; coordination between the health team members is needed to provide holistic and optimal care for elderly clients. All forms of cognitive and supportive psychotherapy are recommended for improving depression in elders.
The aging process affects human bodies as well as human behaviors. In general, the extra years can be marked by declining health, reduced mobility that may lead to accidents, isolation, and loneliness. Some late-life problems can result in depression and anxiety include less of coping with physical health problems, caring for a spouse with dementia, and grieving the death of loved ones. The aim of the present study was to assess the frequency of the depression among elderly population and to explore possible associations between depression severity and daily accomplishments in Minia Geriatric Club. The study was conducted on 70 elderly persons (the elderly client attends the geriatric club and who agree to share in the study). The study tools are questionnaire sheet and geriatric depression scale. The questionnaires sheet the social and personal characteristics of the study sample. (Age, sex, marital status, level of education, presence of physical health problems, sensory changes, history of exposure to accident, and hobbies. While the Geriatric Depression Scale (GDS) is consisted of 30 statements, each statement is scored by one point and the total scores for are categorized into three levels as: normal 0-9; mild depression 10-19; severe depression 20-30. The study results denoted that: more than half of the study sample (55.7%) were had mild depression and 37.1% were had sever depression. 71.4% and 65.7% of the study sample were had physical health problems and cognitive problems respectively. In addition to 47.1% of them were previously exposed to accident. There are no statistically significance differences in level of depression as regard to sex, level of dependency and level of education. But there are statistically significant differences were noted regarding level of depression and (presence of physical health problems, and sensory changes P= 0.05). The study concludes that depression among elderly is often associated with presence of chronic health problems with mental or social stress. Recommendation; coordination between the health team members is needed to provide holistic and optimal care for elderly clients. All forms of cognitive and supportive psychotherapy are recommended for improving depression in elders.
The Frequency of the Depression Among Elderly Population and to Explore Possible Associations Between Depression Severity and Daily Accomplishments in Minia Geriatric Club
doi:10.11648/j.ajns.20150402.12
American Journal of Nursing Science
2015-03-03
© Science Publishing Group
Yosria El-Sayed Hossein
The Frequency of the Depression Among Elderly Population and to Explore Possible Associations Between Depression Severity and Daily Accomplishments in Minia Geriatric Club
4
2
38
38
2015-03-03
2015-03-03
10.11648/j.ajns.20150402.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150402.12
© Science Publishing Group
Health Care Workers Adherence to Infection Prevention Practices and Control Measures: A Case of a Level Four District Hospital in Kenya
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150402.13
Infection prevention practices and control are critical activities that influence the quality of health care services. This study was conducted to determine the health workers adherence to infection prevention and control policies and procedures at a Level 4 Hospital in Kenya. A descriptive cross-sectional survey design were used. The objectives of the study were to: -Identify existing infection prevention and control policy guidelines at the level four hospital; -Evaluate the implementation of infection prevention and control measures; 3) Identify the barriers to compliance with infection prevention practices and control measures. Data was collected by questionnaire, record review and a focus group discussion. Quantitative data was analyzed by the statistical Package for Social Sciences (SPSS) while information from focus group was analyzed thematically. The results revealed that Health Care Workers (HCWs) had good knowledge on infection prevention practices and control. There were written infection prevention practices and control (IPPC) policy guidelines and high awareness (98.7%) of the IPPC policy guidelines. The record review showed that there was approximately 6.7% nosocomial infections rate among hospitalized patients. Barriers to IPPC compliance among the health care workers (HCWs) included frequent shortage of water, inadequate updates on IPPC through continuing professional education and inactive IPPC committee. The study concluded that there was adequate compliance with IPPC, though there were challenges to implementation that needed to be addressed. The study was done in October 2010 to January 2011
Infection prevention practices and control are critical activities that influence the quality of health care services. This study was conducted to determine the health workers adherence to infection prevention and control policies and procedures at a Level 4 Hospital in Kenya. A descriptive cross-sectional survey design were used. The objectives of the study were to: -Identify existing infection prevention and control policy guidelines at the level four hospital; -Evaluate the implementation of infection prevention and control measures; 3) Identify the barriers to compliance with infection prevention practices and control measures. Data was collected by questionnaire, record review and a focus group discussion. Quantitative data was analyzed by the statistical Package for Social Sciences (SPSS) while information from focus group was analyzed thematically. The results revealed that Health Care Workers (HCWs) had good knowledge on infection prevention practices and control. There were written infection prevention practices and control (IPPC) policy guidelines and high awareness (98.7%) of the IPPC policy guidelines. The record review showed that there was approximately 6.7% nosocomial infections rate among hospitalized patients. Barriers to IPPC compliance among the health care workers (HCWs) included frequent shortage of water, inadequate updates on IPPC through continuing professional education and inactive IPPC committee. The study concluded that there was adequate compliance with IPPC, though there were challenges to implementation that needed to be addressed. The study was done in October 2010 to January 2011
Health Care Workers Adherence to Infection Prevention Practices and Control Measures: A Case of a Level Four District Hospital in Kenya
doi:10.11648/j.ajns.20150402.13
American Journal of Nursing Science
2015-03-21
© Science Publishing Group
Alice W. Gichuhi
Simon M. Kamau
Elijah Nyangena
Z. Ngalo Otieno-Ayayo
Health Care Workers Adherence to Infection Prevention Practices and Control Measures: A Case of a Level Four District Hospital in Kenya
4
2
44
44
2015-03-21
2015-03-21
10.11648/j.ajns.20150402.13
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150402.13
© Science Publishing Group
The Use of Exercise in Mental Health Care
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.14
Aim of the present research was planned to examine: a) the perceptions of professionals of mental health with regard to the use of physical activity when working with patients with psychiatric disorders and b) to study professionals’ decisive factors for the promotion of physical activity in the working context. Material and Method: The sample of the research constituted of 173 professionals of mental health (men N = 52, women N = 121) from the state Psychiatric Hospital and other Mental health services in the area of The ssaloniki. Results: The Correlation Analysis showed that the intention is connected positively with the positive effect of physical activity (r = .49), the role of personal physical exercise ( r = .46), the relation between physical and mental health ( r = .33), weaker correlations were found with the negative effect of physical exercise ( r = .28) and with the convictions of control ( r = -.26).Regression Analysis showed that the professionals attitudes towards physical activity, as well as the role of personal physical exercise, constitute important predicting factors for their intention the promotion of physical activity (34%).On the other hand, the promotion in their working place, was very small, since 76% of them could not promote any physical activity at all. Conclusions: The promotion of physical activity from the mental health professionals depends so much on their personal positive opinions for the physical activity, but also from their personal evaluation of behavior and the availability of resources.
Aim of the present research was planned to examine: a) the perceptions of professionals of mental health with regard to the use of physical activity when working with patients with psychiatric disorders and b) to study professionals’ decisive factors for the promotion of physical activity in the working context. Material and Method: The sample of the research constituted of 173 professionals of mental health (men N = 52, women N = 121) from the state Psychiatric Hospital and other Mental health services in the area of The ssaloniki. Results: The Correlation Analysis showed that the intention is connected positively with the positive effect of physical activity (r = .49), the role of personal physical exercise ( r = .46), the relation between physical and mental health ( r = .33), weaker correlations were found with the negative effect of physical exercise ( r = .28) and with the convictions of control ( r = -.26).Regression Analysis showed that the professionals attitudes towards physical activity, as well as the role of personal physical exercise, constitute important predicting factors for their intention the promotion of physical activity (34%).On the other hand, the promotion in their working place, was very small, since 76% of them could not promote any physical activity at all. Conclusions: The promotion of physical activity from the mental health professionals depends so much on their personal positive opinions for the physical activity, but also from their personal evaluation of behavior and the availability of resources.
The Use of Exercise in Mental Health Care
doi:10.11648/j.ajns.s.2015040201.14
American Journal of Nursing Science
2014-11-29
© Science Publishing Group
Ziogou Theologia
Fradelos Evangelos
Kourkouta Lambrini
The Use of Exercise in Mental Health Care
4
2
21
21
2014-11-29
2014-11-29
10.11648/j.ajns.s.2015040201.14
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.14
© Science Publishing Group
Applying Margaret Newman’s Theory of Health as Expanding Consciousness to Psychosocial Nursing Care of HIV Infected Patients in Kenya
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.12
Margaret Newman’s Theory of Health as Expanding Consciousness is considered a grand nursing theory, she described a process of becoming more of oneself, of finding greater meaning in life, and of reaching new dimensions of connectedness with other people and the world. Nurses in Kenya have mostly used the psychosocial-medical model to nurse HIV infected patients which fails to answer many of the nursing concerns and reduces their autonomy in carrying out nursing care. Newman’s theory proposed that: Health is not lack of illness, or a process to become healthy from being ill, but it instead the expansion of consciousness as a result of choices made within the context of patterns of behavior. Methodology: This mini review was an evolving emergent design. Slightly adapted ‘Advanced Theory in Nursing’ coursework materials were used. The greatest resource were referrals to links and hints as offered by those who got interested in the study. A best case scenario is appended. Conclusion: Newman’s Theory of Health as Expanding Consciousness is therefore a generic tool applicable to guide psychosocial nursing care of clients infected with HIV. It would be a great resource with a potential to evidence based nursing care. It would provide a basis for several case studies. Nurses find more fulfilment in their work by utilizing a nursing theory.
Margaret Newman’s Theory of Health as Expanding Consciousness is considered a grand nursing theory, she described a process of becoming more of oneself, of finding greater meaning in life, and of reaching new dimensions of connectedness with other people and the world. Nurses in Kenya have mostly used the psychosocial-medical model to nurse HIV infected patients which fails to answer many of the nursing concerns and reduces their autonomy in carrying out nursing care. Newman’s theory proposed that: Health is not lack of illness, or a process to become healthy from being ill, but it instead the expansion of consciousness as a result of choices made within the context of patterns of behavior. Methodology: This mini review was an evolving emergent design. Slightly adapted ‘Advanced Theory in Nursing’ coursework materials were used. The greatest resource were referrals to links and hints as offered by those who got interested in the study. A best case scenario is appended. Conclusion: Newman’s Theory of Health as Expanding Consciousness is therefore a generic tool applicable to guide psychosocial nursing care of clients infected with HIV. It would be a great resource with a potential to evidence based nursing care. It would provide a basis for several case studies. Nurses find more fulfilment in their work by utilizing a nursing theory.
Applying Margaret Newman’s Theory of Health as Expanding Consciousness to Psychosocial Nursing Care of HIV Infected Patients in Kenya
doi:10.11648/j.ajns.s.2015040201.12
American Journal of Nursing Science
2014-11-03
© Science Publishing Group
Kamau Simon Macharia
Rotich Rose Jelagat
Mwembe David Juma
Applying Margaret Newman’s Theory of Health as Expanding Consciousness to Psychosocial Nursing Care of HIV Infected Patients in Kenya
4
2
11
11
2014-11-03
2014-11-03
10.11648/j.ajns.s.2015040201.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.12
© Science Publishing Group
Learning Difficulties: The Effect on Mental Health of Children
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.13
The following article is an approach to the subject of learning difficulties and its influence on the mental health of children. Through this article the characteristics of children with learning difficulties are highlighted and problems that are created in their mental health. It approximates the factors of perception, memory and language, to which children experience most such issues. It highlights the problems that arise in the mental health of children and their impact on the social environment. Finally, findings are presented and recommendations are given for addressing this phenomenon, like the reliable diagnosis and psychological support of each individual.
The following article is an approach to the subject of learning difficulties and its influence on the mental health of children. Through this article the characteristics of children with learning difficulties are highlighted and problems that are created in their mental health. It approximates the factors of perception, memory and language, to which children experience most such issues. It highlights the problems that arise in the mental health of children and their impact on the social environment. Finally, findings are presented and recommendations are given for addressing this phenomenon, like the reliable diagnosis and psychological support of each individual.
Learning Difficulties: The Effect on Mental Health of Children
doi:10.11648/j.ajns.s.2015040201.13
American Journal of Nursing Science
2014-11-18
© Science Publishing Group
Apergi Marioleni
Learning Difficulties: The Effect on Mental Health of Children
4
2
15
15
2014-11-18
2014-11-18
10.11648/j.ajns.s.2015040201.13
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.13
© Science Publishing Group
The Use of Essential Oils as a Complementary Treatment for Anxiety
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.11
Mental disorders occur in people in all countries, societies and in all ethnic groups, regardless socio-economic order with more frequent anxiety disorders. Through the process of time many treatment have been applied in order to address this complex mental issue. People with anxiety disorders can benefit from a variety of treatments and services. Following an accurate diagnosis, possible treatments include psychological treatments and mediation. Complementary and alternative medicine (CAM) plays a significant role in health care systems. Patients with chronic pain conditions, including arthritis, chronic neck and backache, headache, digestive problems and mental health conditions (including insomnia, depression, and anxiety) were high users of CAM therapies. Aromatherapy is a holistic method of treatment, using essential oils. There are several essential oils that can help in reducing anxiety disorders and as a result the embodied events that they may cause.
Mental disorders occur in people in all countries, societies and in all ethnic groups, regardless socio-economic order with more frequent anxiety disorders. Through the process of time many treatment have been applied in order to address this complex mental issue. People with anxiety disorders can benefit from a variety of treatments and services. Following an accurate diagnosis, possible treatments include psychological treatments and mediation. Complementary and alternative medicine (CAM) plays a significant role in health care systems. Patients with chronic pain conditions, including arthritis, chronic neck and backache, headache, digestive problems and mental health conditions (including insomnia, depression, and anxiety) were high users of CAM therapies. Aromatherapy is a holistic method of treatment, using essential oils. There are several essential oils that can help in reducing anxiety disorders and as a result the embodied events that they may cause.
The Use of Essential Oils as a Complementary Treatment for Anxiety
doi:10.11648/j.ajns.s.2015040201.11
American Journal of Nursing Science
2014-09-17
© Science Publishing Group
Fradelos E.
Komini A.
The Use of Essential Oils as a Complementary Treatment for Anxiety
4
2
5
5
2014-09-17
2014-09-17
10.11648/j.ajns.s.2015040201.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.11
© Science Publishing Group
The Value and Contribution of Foster Families in the Deinstitutionalization of the Mentally Ill
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.17
Introduction: The family is the first place where the values, principles and standards are instilled and absorbed. It is the main natural support system for the member who suffers from a serious mental disorder and it can play an important role in the progress and development of mental illness. Purpose: The purpose of this paper is to study the institution of the foster families in Greece, since it is considered innovative for the institutionalization of the mentally ill within the psychiatric reform. Material and method: Literature search from electronic databases Scopus, Ebsco, Pubmed, Wiley, was performed and 31 articles by Greek and foreign literature were isolated and studied. Information from EKEPSYE was sought as well as the testimony of responsible programs in Greece. A study was made on Programs of foster families, as well as analysis and an analysis of experience thus giving useful practices of Greece as well as abroad. Results: The placement and the staying of chronic patients under the care of foster families, provided that they continued their treatment, can help prevent relapses, as well as hospitalization. It can also improve the quality of life of the patient, reduce the cost of services. Thus enhancing the functioning of the patient as to become able in future to lead a more independent lifestyle. Conclusions: The institution of psychiatric reform and the principles are the basis for the development and implementation of foster families, with a view to the de-institutionalization of the mentally ill and a healthy transition into the community.
Introduction: The family is the first place where the values, principles and standards are instilled and absorbed. It is the main natural support system for the member who suffers from a serious mental disorder and it can play an important role in the progress and development of mental illness. Purpose: The purpose of this paper is to study the institution of the foster families in Greece, since it is considered innovative for the institutionalization of the mentally ill within the psychiatric reform. Material and method: Literature search from electronic databases Scopus, Ebsco, Pubmed, Wiley, was performed and 31 articles by Greek and foreign literature were isolated and studied. Information from EKEPSYE was sought as well as the testimony of responsible programs in Greece. A study was made on Programs of foster families, as well as analysis and an analysis of experience thus giving useful practices of Greece as well as abroad. Results: The placement and the staying of chronic patients under the care of foster families, provided that they continued their treatment, can help prevent relapses, as well as hospitalization. It can also improve the quality of life of the patient, reduce the cost of services. Thus enhancing the functioning of the patient as to become able in future to lead a more independent lifestyle. Conclusions: The institution of psychiatric reform and the principles are the basis for the development and implementation of foster families, with a view to the de-institutionalization of the mentally ill and a healthy transition into the community.
The Value and Contribution of Foster Families in the Deinstitutionalization of the Mentally Ill
doi:10.11648/j.ajns.s.2015040201.17
American Journal of Nursing Science
2014-12-27
© Science Publishing Group
Olga Velentza
The Value and Contribution of Foster Families in the Deinstitutionalization of the Mentally Ill
4
2
36
36
2014-12-27
2014-12-27
10.11648/j.ajns.s.2015040201.17
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.17
© Science Publishing Group
Effects of Unemployment in Mental Health of Young People
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.16
Introduction: Unemployment as a problem exceeds the individual level and is the result of structural mismatches of each society. Purpose: In the present retrospective study are investigated the effects of the unemployment, especially among young people, and the prevention thereof. Material and methods: The sample consisted of recent articles on the topic, found mainly in the electronic database Medline, the Greek Academic Libraries Link (HEAL-Link) and through search engine "Google scholar". Results: The effects of the unemployment are proving disastrous for the psychology of young people, and decreases their self-esteem, they feel losing part of their social role, their relationships are made dysfunctional and eventually losing their quality of life. Conclusions: It is necessary the support for the unemployed youth of a team of experts, so that young people be enable to reevaluate their self-image and promote their quality of life.
Introduction: Unemployment as a problem exceeds the individual level and is the result of structural mismatches of each society. Purpose: In the present retrospective study are investigated the effects of the unemployment, especially among young people, and the prevention thereof. Material and methods: The sample consisted of recent articles on the topic, found mainly in the electronic database Medline, the Greek Academic Libraries Link (HEAL-Link) and through search engine "Google scholar". Results: The effects of the unemployment are proving disastrous for the psychology of young people, and decreases their self-esteem, they feel losing part of their social role, their relationships are made dysfunctional and eventually losing their quality of life. Conclusions: It is necessary the support for the unemployed youth of a team of experts, so that young people be enable to reevaluate their self-image and promote their quality of life.
Effects of Unemployment in Mental Health of Young People
doi:10.11648/j.ajns.s.2015040201.16
American Journal of Nursing Science
2014-12-27
© Science Publishing Group
Ouzounakis Petros
Monios Alexandros
Vakalopoulou Marina
Dimitriadou Alexandra
Effects of Unemployment in Mental Health of Young People
4
2
30
30
2014-12-27
2014-12-27
10.11648/j.ajns.s.2015040201.16
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.16
© Science Publishing Group
Hospitalization in the Psychiatric Hospital of Corfu in 19th Century
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.15
The State Psychiatric Hospital of Corfu .Until the time of the founding of the Psychiatric Hospital of Corfu, generally in Greece, the mentally ill patients was closed in prison with thieves and thugs. The first move in the collection of psychopaths began on 10th March 1836 at the initiative of the British Governor Sir. Edward Douglas. As a result, on 18th November 1836 the President of the City Council submitted a draft certified to the Council for installation of Lunatics Foundation inside the Fortress of Saint Rocco (space occupied until today by the psychiatric hospital). On2th July 1838 in the Official Gazette of the Ionian State was published the Statutes Ordinance and the Regulation for the establishment of the Bedlam of Corfu. The inauguration took place on 4 July 1838 when the first eight psychopaths were hospitalized. The majority of them was chronic, destitute and had severe mental illnesses.
The State Psychiatric Hospital of Corfu .Until the time of the founding of the Psychiatric Hospital of Corfu, generally in Greece, the mentally ill patients was closed in prison with thieves and thugs. The first move in the collection of psychopaths began on 10th March 1836 at the initiative of the British Governor Sir. Edward Douglas. As a result, on 18th November 1836 the President of the City Council submitted a draft certified to the Council for installation of Lunatics Foundation inside the Fortress of Saint Rocco (space occupied until today by the psychiatric hospital). On2th July 1838 in the Official Gazette of the Ionian State was published the Statutes Ordinance and the Regulation for the establishment of the Bedlam of Corfu. The inauguration took place on 4 July 1838 when the first eight psychopaths were hospitalized. The majority of them was chronic, destitute and had severe mental illnesses.
Hospitalization in the Psychiatric Hospital of Corfu in 19th Century
doi:10.11648/j.ajns.s.2015040201.15
American Journal of Nursing Science
2014-12-27
© Science Publishing Group
Kourkouta Lambrini
Vakalopoulou Basiliki
Anca Mihalache
Plati Panagiota
Ziogou Theologia
Hospitalization in the Psychiatric Hospital of Corfu in 19th Century
4
2
26
26
2014-12-27
2014-12-27
10.11648/j.ajns.s.2015040201.15
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.15
© Science Publishing Group
Children with Gilles de la Tourette Syndrome at School
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.18
Gilles de la Tourette syndrome is a neuro-developmental disorder characterized by the presence of multiple kinetic and vocal tics. Tics are sudden, rapid, repetitive, pointless, arrhythmic, stereotyped kinetic or vocal muscle twitches. It usually occurs before puberty and it is more often in boys than in girls, at a rate 4-6 / 1000. Although it doesn’t affect the physical health of the patient, it creates several social problems. Most of the children who deal with Tourette syndrome have normal intelligence and brain anatomy. Purpose: this study is the early identification of children who are suffering with Tourette syndrome as a result of their clinical assessment and information of children and their families in an effort to understand the nature of this syndrome.Method:an extensive search for articles and publications in Greek and international literature was performed. Furthermore, search performed also in the electronic databases "pubmed" and "cinahl". Results: Depending on the severity of convulsive movements and if learning difficulties are present or not, the suffering student may face serious problems in school that may affect his performance. A coordinated effort by health professionals, parents and teachers who are addressing them can prevent the devastating consequences of the syndrome in childhood and later in adult life.It is helpful for the teacher to be aware of the syndrome and to encourage children that are suffering by the syndrome, to courses and protect them from being teased by their classmates. Conclusions: Parents should inform teachers about the syndrome and teachers in turn should encourage the child in his courses and protect it so in an effort to avoid isolation or aggression. Those children are usually able to attend an ordinary school unless there is a coexistence of learning disabilities or Attention-Deficit Disorder then special handling by the teacher is needed as well as tolerance, patience, and the assessment of the student should be under indulgence always in collaboration with parents and a child psychiatrist .
Gilles de la Tourette syndrome is a neuro-developmental disorder characterized by the presence of multiple kinetic and vocal tics. Tics are sudden, rapid, repetitive, pointless, arrhythmic, stereotyped kinetic or vocal muscle twitches. It usually occurs before puberty and it is more often in boys than in girls, at a rate 4-6 / 1000. Although it doesn’t affect the physical health of the patient, it creates several social problems. Most of the children who deal with Tourette syndrome have normal intelligence and brain anatomy. Purpose: this study is the early identification of children who are suffering with Tourette syndrome as a result of their clinical assessment and information of children and their families in an effort to understand the nature of this syndrome.Method:an extensive search for articles and publications in Greek and international literature was performed. Furthermore, search performed also in the electronic databases "pubmed" and "cinahl". Results: Depending on the severity of convulsive movements and if learning difficulties are present or not, the suffering student may face serious problems in school that may affect his performance. A coordinated effort by health professionals, parents and teachers who are addressing them can prevent the devastating consequences of the syndrome in childhood and later in adult life.It is helpful for the teacher to be aware of the syndrome and to encourage children that are suffering by the syndrome, to courses and protect them from being teased by their classmates. Conclusions: Parents should inform teachers about the syndrome and teachers in turn should encourage the child in his courses and protect it so in an effort to avoid isolation or aggression. Those children are usually able to attend an ordinary school unless there is a coexistence of learning disabilities or Attention-Deficit Disorder then special handling by the teacher is needed as well as tolerance, patience, and the assessment of the student should be under indulgence always in collaboration with parents and a child psychiatrist .
Children with Gilles de la Tourette Syndrome at School
doi:10.11648/j.ajns.s.2015040201.18
American Journal of Nursing Science
2014-12-30
© Science Publishing Group
Spyridoula Laschou
Maria Dermanopoulou
Alexandra Marmangelou
Maria Papaspyrou
Children with Gilles de la Tourette Syndrome at School
4
2
44
44
2014-12-30
2014-12-30
10.11648/j.ajns.s.2015040201.18
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.18
© Science Publishing Group
Stress: Concepts, Theoretical Models and Nursing Interventions
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.19
Stress is a fact of everyday life and it can be defined either as a reaction or as a stimulus. Over the years and with the progress of science many factors have been identified as sources of stress, such as Biological, Chemicals, Microbial, Psychological, Developmental, Socio-cultural and Environmental. Propose of this study is to present the basic concepts and the main theoretical models of stress, its effects on the individual, the coping strategies and the nursing methods of addressing it. The main theoretical approaches for stress are interpreting it differently, either as a stimulus, as a response or as a transaction. Nurses, after the recognition of patients’ needs and reactions, should choose those interventions that will be the most effective for each particular patient. Most important interventions for alleviating stress are: anxiety reduction, anger management, relaxation and sleep, proper diet, physical exercise, relaxation techniques and effective time management.
Stress is a fact of everyday life and it can be defined either as a reaction or as a stimulus. Over the years and with the progress of science many factors have been identified as sources of stress, such as Biological, Chemicals, Microbial, Psychological, Developmental, Socio-cultural and Environmental. Propose of this study is to present the basic concepts and the main theoretical models of stress, its effects on the individual, the coping strategies and the nursing methods of addressing it. The main theoretical approaches for stress are interpreting it differently, either as a stimulus, as a response or as a transaction. Nurses, after the recognition of patients’ needs and reactions, should choose those interventions that will be the most effective for each particular patient. Most important interventions for alleviating stress are: anxiety reduction, anger management, relaxation and sleep, proper diet, physical exercise, relaxation techniques and effective time management.
Stress: Concepts, Theoretical Models and Nursing Interventions
doi:10.11648/j.ajns.s.2015040201.19
American Journal of Nursing Science
2014-12-31
© Science Publishing Group
Ioanna V. Papathanasiou
Konstantinos Tsaras
Anna Neroliatsiou
Aikaterini Roupa
Stress: Concepts, Theoretical Models and Nursing Interventions
4
2
50
50
2014-12-31
2014-12-31
10.11648/j.ajns.s.2015040201.19
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.19
© Science Publishing Group
Psychosocial Rehabilitation: The Community Re-Entry Program (CREP) in Psychiatric Inpatient Settings, Systematic Review
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.20
Aim: This review is an update on the research evidence supporting psychosocial rehabilitation – the Community Re-Entry Program (CREP) in psychiatric inpatient settings. Method: This review is guided by the following questions: Is the Community Re-Entry Program (CREP) effective in psychiatric inpatient settings? What are the main results and benefits of using this program in this patient population? Search strategy on Databases= MEDLINE and CINAHL (EBSCO), Cochrane Library, and SciELO, with no restriction on publication date and with the following keywords: Community Re-Entry Program OR CREP AND inpatients, in full text, in consecutive studies conducted between February, 2013, and October, 2014, in order to find all studies published that had used this program. Results: Results show that Patients with Experience of Mental Illness (PEMI) in the community re-entry program significantly improved their knowledge and performance of the skills taught in the sessions, compared to other patients. Community re-entry participants were also significantly more likely to attend their first aftercare appointment than other participants. Conclusions: The findings of the study clearly demonstrate the effectiveness of the CREP for clinical practice in psychiatric inpatient settings. From the patients’ perspective, quality of life is enhanced. By learning skills to achieve their own personal relevant goals in life, individuals with serious mental disorders are empowered to function more autonomously from mental health professionals. Our general conclusion is that the Community Re-Entry Program for psychiatric inpatients is effective in teaching them about their illness and symptoms as well as improving their ability to make and keep appointments. Further studies should address the dissemination of the CREP in European countries, including a Portuguese Nursing version, as a way to increase the likelihood that the individual will be successful with skills training within the treatment and care areas of psychiatric and mental health nurses.
Aim: This review is an update on the research evidence supporting psychosocial rehabilitation – the Community Re-Entry Program (CREP) in psychiatric inpatient settings. Method: This review is guided by the following questions: Is the Community Re-Entry Program (CREP) effective in psychiatric inpatient settings? What are the main results and benefits of using this program in this patient population? Search strategy on Databases= MEDLINE and CINAHL (EBSCO), Cochrane Library, and SciELO, with no restriction on publication date and with the following keywords: Community Re-Entry Program OR CREP AND inpatients, in full text, in consecutive studies conducted between February, 2013, and October, 2014, in order to find all studies published that had used this program. Results: Results show that Patients with Experience of Mental Illness (PEMI) in the community re-entry program significantly improved their knowledge and performance of the skills taught in the sessions, compared to other patients. Community re-entry participants were also significantly more likely to attend their first aftercare appointment than other participants. Conclusions: The findings of the study clearly demonstrate the effectiveness of the CREP for clinical practice in psychiatric inpatient settings. From the patients’ perspective, quality of life is enhanced. By learning skills to achieve their own personal relevant goals in life, individuals with serious mental disorders are empowered to function more autonomously from mental health professionals. Our general conclusion is that the Community Re-Entry Program for psychiatric inpatients is effective in teaching them about their illness and symptoms as well as improving their ability to make and keep appointments. Further studies should address the dissemination of the CREP in European countries, including a Portuguese Nursing version, as a way to increase the likelihood that the individual will be successful with skills training within the treatment and care areas of psychiatric and mental health nurses.
Psychosocial Rehabilitation: The Community Re-Entry Program (CREP) in Psychiatric Inpatient Settings, Systematic Review
doi:10.11648/j.ajns.s.2015040201.20
American Journal of Nursing Science
2015-01-22
© Science Publishing Group
Carlos Melo-Dias
Psychosocial Rehabilitation: The Community Re-Entry Program (CREP) in Psychiatric Inpatient Settings, Systematic Review
4
2
59
59
2015-01-22
2015-01-22
10.11648/j.ajns.s.2015040201.20
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.20
© Science Publishing Group
Family Support, Social and Demographic Correlations of Non-Adherence among Haemodialysis Patients
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.21
Non-adherence to treatment is an increasing problem for patients with end stage renal disease under haemodialysis.Aim: This study aimed to review the basic literature mentioned to the correlation between haemodialysis patient demographic characteristics and non-adherence to their treatment regimen.Method: Studies written in English published in 2002-2013 were identified through PubMed, PubMed Central, Dove press, Scopus. Clinical trials and review articles were excluded. Key- words used for search included a combination of adherence / non-adherence and haemodialysis in titles. Results: According to the literature, patient demographic characteristics are important factors for patient adherence to treatment regimen. Generally, factors associated with increased level of non-adherence to haemodialysis treatment regimen included young age, sex, race and educational level. Conclusions: Early identification of risk factors, inclusion of patients in the health care team and participation in clinical decision making, can lead to behavior adherence.
Non-adherence to treatment is an increasing problem for patients with end stage renal disease under haemodialysis.Aim: This study aimed to review the basic literature mentioned to the correlation between haemodialysis patient demographic characteristics and non-adherence to their treatment regimen.Method: Studies written in English published in 2002-2013 were identified through PubMed, PubMed Central, Dove press, Scopus. Clinical trials and review articles were excluded. Key- words used for search included a combination of adherence / non-adherence and haemodialysis in titles. Results: According to the literature, patient demographic characteristics are important factors for patient adherence to treatment regimen. Generally, factors associated with increased level of non-adherence to haemodialysis treatment regimen included young age, sex, race and educational level. Conclusions: Early identification of risk factors, inclusion of patients in the health care team and participation in clinical decision making, can lead to behavior adherence.
Family Support, Social and Demographic Correlations of Non-Adherence among Haemodialysis Patients
doi:10.11648/j.ajns.s.2015040201.21
American Journal of Nursing Science
2015-01-23
© Science Publishing Group
Alikari Victoria
Fradelos Evangelos
Zyga Sofia
Family Support, Social and Demographic Correlations of Non-Adherence among Haemodialysis Patients
4
2
65
65
2015-01-23
2015-01-23
10.11648/j.ajns.s.2015040201.21
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.21
© Science Publishing Group
Assessment of Quality of Life and Fatigue among Haemodialysis Patients
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.22
Fatigue is one of the most common symptoms of haemodialysis patients and is associated with poor quality of life. Purpose: To investigate the levels of fatigue and its correlation with quality of life of haemodialysis patients. Results: Of the 134 haemodialysis patients, the majority of patients (52,9%) seemed to have low rates of fatigue (10 <FAS <= 20). However, 15% of these patients seemed to appear high to very high levels of fatigue (30 <FAS <= 50). Studying the quality of life of these patients we can observe a correlation between fatigue and quality of life. In particular , patients who experience higher rates of fatigue seem to have worse quality of life (MVQOLI total score 2.90) than those experiencing lower rates of fatigue (MVOQLI total score 3.67) (p <0,005). Conclusions: The analysis of the results enable us to understand the correlation between fatigue and quality of life among haemodialysis patients with ESRD and the importance of prevention, diagnosis and treatment of fatigue in order to optimize the quality of life in dialysis patients with ESRD.
Fatigue is one of the most common symptoms of haemodialysis patients and is associated with poor quality of life. Purpose: To investigate the levels of fatigue and its correlation with quality of life of haemodialysis patients. Results: Of the 134 haemodialysis patients, the majority of patients (52,9%) seemed to have low rates of fatigue (10 <FAS <= 20). However, 15% of these patients seemed to appear high to very high levels of fatigue (30 <FAS <= 50). Studying the quality of life of these patients we can observe a correlation between fatigue and quality of life. In particular , patients who experience higher rates of fatigue seem to have worse quality of life (MVQOLI total score 2.90) than those experiencing lower rates of fatigue (MVOQLI total score 3.67) (p <0,005). Conclusions: The analysis of the results enable us to understand the correlation between fatigue and quality of life among haemodialysis patients with ESRD and the importance of prevention, diagnosis and treatment of fatigue in order to optimize the quality of life in dialysis patients with ESRD.
Assessment of Quality of Life and Fatigue among Haemodialysis Patients
doi:10.11648/j.ajns.s.2015040201.22
American Journal of Nursing Science
2015-01-27
© Science Publishing Group
Tsiamis Georgios
Alikari Victoria
Fradelos Evangelos
Papapetrou Savvas
Zyga Sofia
Assessment of Quality of Life and Fatigue among Haemodialysis Patients
4
2
73
73
2015-01-27
2015-01-27
10.11648/j.ajns.s.2015040201.22
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.22
© Science Publishing Group
Measuring Death Attitude and Burnout of Greek Nursing Personnel
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.23
Occupational burnout is defined as a physical and mental exhaustion syndrome and is the result of chronic stress. Nurses are exposed to the physical and emotional effects of the experience of caring for a dying patient. Aim of this study was to investigate nurses’ burnout caring patients at their end of their life. Material and Method: The sample of the research constituted of 110 nursing professionals who are caring patients facing death. Data were obtained using Death Attitude Profile-Revised (DAP-R) and Maslach’s burnout inventory (MBI). Results: The factors that appeared to shape the nurses attitudes towards death were age, marital status, education level, position in the workplace, department at work and professional experience. Conclusions: Fear of death and death avoidance were found to correlate statistically significant with the subscale depersonalization and with emotional exhaustion.
Occupational burnout is defined as a physical and mental exhaustion syndrome and is the result of chronic stress. Nurses are exposed to the physical and emotional effects of the experience of caring for a dying patient. Aim of this study was to investigate nurses’ burnout caring patients at their end of their life. Material and Method: The sample of the research constituted of 110 nursing professionals who are caring patients facing death. Data were obtained using Death Attitude Profile-Revised (DAP-R) and Maslach’s burnout inventory (MBI). Results: The factors that appeared to shape the nurses attitudes towards death were age, marital status, education level, position in the workplace, department at work and professional experience. Conclusions: Fear of death and death avoidance were found to correlate statistically significant with the subscale depersonalization and with emotional exhaustion.
Measuring Death Attitude and Burnout of Greek Nursing Personnel
doi:10.11648/j.ajns.s.2015040201.23
American Journal of Nursing Science
2015-02-08
© Science Publishing Group
Malliarou Maria
Zyga Sofia
Fradelos Evangelos
Sarafis Paulos
Measuring Death Attitude and Burnout of Greek Nursing Personnel
4
2
77
77
2015-02-08
2015-02-08
10.11648/j.ajns.s.2015040201.23
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.23
© Science Publishing Group
Psychosocial Rehabilitation of Disability
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.24
Introduction: Disability may be a consequence of deformations or developmental failures or the result of functional damages or traumatic effects of the posture or motion systems. There are also "social factors" that contribute to its definition, as the everyday life of the disabled is getting worst due mainly to the existing situation. The integration of these persons into the society should be a major objective of the health care sector. Αim: This retrospective study examines the contribution of psychosocial support for people with disabilities in the restoration and promotion of their health. It strives to contribute to their socialization and their acceptance by the community in which they live and work. Material and Method: An extensive review of the recent Greek and International literature was conducted in electronic databases (Pubmed, Google scholar, Scopus) and in scientific journals. Results: The concept of "autonomous living" is a key element for the achievement of the full participation of people with disabilities in real life. The concept of adaptation, which emphasizes the elimination of indirect barriers that appear in activities of everyday life and the principle of equality which is based on the dynamic of equal opportunities, are also vital components of the psychosocial rehabilitation of the disabled. Equalization involves the procedure and the steps needed for the equalization of opportunities for individuals and groups, for the employment and social protection. The equal inclusion and participation of persons with disabilities in cultural activities as well as relief and support services should be available to families who have a disabled person. The consideration of the issues concerning people with disabilities should not be separate from the policy planning mechanism, but as an integral part of it. Equal opportunities are not a formulation which can be applied everywhere in the same way. They are a series of principles that each country might apply its own way and within its own policy. Conclusions: The recognition that the environment itself can contribute to or enhance the nature or the intensity of the effects of a disability, is a challenge for today’s society that has the responsibility to reduce and where possible to remedy the consequences of the disability.
Introduction: Disability may be a consequence of deformations or developmental failures or the result of functional damages or traumatic effects of the posture or motion systems. There are also "social factors" that contribute to its definition, as the everyday life of the disabled is getting worst due mainly to the existing situation. The integration of these persons into the society should be a major objective of the health care sector. Αim: This retrospective study examines the contribution of psychosocial support for people with disabilities in the restoration and promotion of their health. It strives to contribute to their socialization and their acceptance by the community in which they live and work. Material and Method: An extensive review of the recent Greek and International literature was conducted in electronic databases (Pubmed, Google scholar, Scopus) and in scientific journals. Results: The concept of "autonomous living" is a key element for the achievement of the full participation of people with disabilities in real life. The concept of adaptation, which emphasizes the elimination of indirect barriers that appear in activities of everyday life and the principle of equality which is based on the dynamic of equal opportunities, are also vital components of the psychosocial rehabilitation of the disabled. Equalization involves the procedure and the steps needed for the equalization of opportunities for individuals and groups, for the employment and social protection. The equal inclusion and participation of persons with disabilities in cultural activities as well as relief and support services should be available to families who have a disabled person. The consideration of the issues concerning people with disabilities should not be separate from the policy planning mechanism, but as an integral part of it. Equal opportunities are not a formulation which can be applied everywhere in the same way. They are a series of principles that each country might apply its own way and within its own policy. Conclusions: The recognition that the environment itself can contribute to or enhance the nature or the intensity of the effects of a disability, is a challenge for today’s society that has the responsibility to reduce and where possible to remedy the consequences of the disability.
Psychosocial Rehabilitation of Disability
doi:10.11648/j.ajns.s.2015040201.24
American Journal of Nursing Science
2015-02-08
© Science Publishing Group
Tsaloglidou Areti
Psychosocial Rehabilitation of Disability
4
2
83
83
2015-02-08
2015-02-08
10.11648/j.ajns.s.2015040201.24
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.24
© Science Publishing Group
The Role of Nurses in the Systemic Therapy of Mental Diseases
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.25
Introduction: Systemic therapy is an approach to helping people with psychological difficulties which is radically different from other therapies. It does not see its work as being to cure mental illnesses that reside within individuals, but to help people to mobilize the strengths of their relationships so as to make disturbing symptoms less problematic. Aim: The objective of this retrospective study is to highlight the role of nurses in the safe and successful application of systemic therapy and in the formation of the therapeutic relationship. Material and methods: The sample consisted of recent articles (2000-2014) on the topic, found mainly in the electronic database Medline, the Greek Academic Libraries Link (HEAL-Link) and through search engine "Google scholar". Results: The use of systemic thinking presupposes acknowledgement of the fact that living creatures directly depend on their external environment. A nurse also plays a part in the creation of the reality seen. A nurse does not discover the truth, but the things he/she sees constitute products of his/her own observations about family. Conclusions: Systemic therapy is a form of psychotherapy. It addresses behavior and psychological symptoms within the context of people’s day to day lives and interpersonal relations and interactions. The key guiding principle in systemic therapy is the focus on the system rather than the individual.
Introduction: Systemic therapy is an approach to helping people with psychological difficulties which is radically different from other therapies. It does not see its work as being to cure mental illnesses that reside within individuals, but to help people to mobilize the strengths of their relationships so as to make disturbing symptoms less problematic. Aim: The objective of this retrospective study is to highlight the role of nurses in the safe and successful application of systemic therapy and in the formation of the therapeutic relationship. Material and methods: The sample consisted of recent articles (2000-2014) on the topic, found mainly in the electronic database Medline, the Greek Academic Libraries Link (HEAL-Link) and through search engine "Google scholar". Results: The use of systemic thinking presupposes acknowledgement of the fact that living creatures directly depend on their external environment. A nurse also plays a part in the creation of the reality seen. A nurse does not discover the truth, but the things he/she sees constitute products of his/her own observations about family. Conclusions: Systemic therapy is a form of psychotherapy. It addresses behavior and psychological symptoms within the context of people’s day to day lives and interpersonal relations and interactions. The key guiding principle in systemic therapy is the focus on the system rather than the individual.
The Role of Nurses in the Systemic Therapy of Mental Diseases
doi:10.11648/j.ajns.s.2015040201.25
American Journal of Nursing Science
2015-02-10
© Science Publishing Group
Koukourikos Konstantinos
The Role of Nurses in the Systemic Therapy of Mental Diseases
4
2
87
87
2015-02-10
2015-02-10
10.11648/j.ajns.s.2015040201.25
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.25
© Science Publishing Group
Depression and Quality of Life in Patients with Diabetes
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.26
Diabetes mellitus is a syndrome of disorders where the patient follows a personalized insulin therapy and adjusts his diet and way of life. The purpose of this study is to describe the correlation of depression and anxiety experienced by patients with diabetes compared with their quality of life. Diabetic patient must make significant changes in daily life and lifestyle and has a greater need for social and psychological support, due to permanent complications and negative emotions experienced.
Diabetes mellitus is a syndrome of disorders where the patient follows a personalized insulin therapy and adjusts his diet and way of life. The purpose of this study is to describe the correlation of depression and anxiety experienced by patients with diabetes compared with their quality of life. Diabetic patient must make significant changes in daily life and lifestyle and has a greater need for social and psychological support, due to permanent complications and negative emotions experienced.
Depression and Quality of Life in Patients with Diabetes
doi:10.11648/j.ajns.s.2015040201.26
American Journal of Nursing Science
2015-02-10
© Science Publishing Group
Papadopoulou L.
Papoulia F.
Depression and Quality of Life in Patients with Diabetes
4
2
91
91
2015-02-10
2015-02-10
10.11648/j.ajns.s.2015040201.26
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.26
© Science Publishing Group
Smoking is Associated with Osteoporosis Development in Primary Care Population
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.28
Introduction: Osteoporosis is a disease of bones and it has been associated with various risk factors such as female gender, advanced age and smoking habit. However, evidence has shown that the true figures between osteoporosis and smoking are conflicted. Aim: This study was aimed to screen individuals for potential risk factors related to osteoporosis and to assess whether smoking habit is associated with osteoporosis development in Primary care population aged 45 years and over. Materials and Methods: A screening program for osteoporosis was conducted in two Primary care settings in the island of Crete – Greece, during a 3-month period (April to June 2013). We studied 400 participants aged 45 years old and over for risk-factors associated with osteoporosis development using the ONE Minute Osteoporosis Risk Test. Participants were screened for to 19 risk-factors related to osteoporosis such as fracture, diagnosis of Thyroid, Alcohol Consumption and smoking responding to Yes or No. Statistically, chi square and/or Variance analysis were used for the descriptive characteristics of the study participants and the significance of association among demographic characteristics. The method of variance analysis was applied to determine associations between risk factors and demographic characteristics. Bivariate associations were described using Odds Ratio (OR) with 95% Confidence Intervals (CI). P-values≤0.05 was considered significant using the SPSS version 21.0. Results: The mean age of participants (50% males) was 61.94 ± 11.6. Males were smoked significantly more often (75.5% vs. 43%, p<0.001) than females and, current smokers both females (OR=1.12; 95%CI: 0.25-1.99, p=0.012) and, males (OR=0.85; 95%CI: 0.10-1.59, p=0.027) were significantly more likely to report an increased number of risk-factors for osteoporosis compared to never smokers. We also found that obese participants were less likely to report an increased number of risk-factors (OR=-1.87; 95%CI: -3.54, -0.20, p=0.029) compared to reference category suggesting that obesity was a protective factor for osteoporosis, but this association was significant only for males. Conclusion: Although a number of risk-factors did not differ among non-smokers, former and current smokers, current smokers had a greater likelihood of reporting a number of risk-factors related to osteoporosis, suggesting that smoking is an important risk factor for osteoporosis development.
Introduction: Osteoporosis is a disease of bones and it has been associated with various risk factors such as female gender, advanced age and smoking habit. However, evidence has shown that the true figures between osteoporosis and smoking are conflicted. Aim: This study was aimed to screen individuals for potential risk factors related to osteoporosis and to assess whether smoking habit is associated with osteoporosis development in Primary care population aged 45 years and over. Materials and Methods: A screening program for osteoporosis was conducted in two Primary care settings in the island of Crete – Greece, during a 3-month period (April to June 2013). We studied 400 participants aged 45 years old and over for risk-factors associated with osteoporosis development using the ONE Minute Osteoporosis Risk Test. Participants were screened for to 19 risk-factors related to osteoporosis such as fracture, diagnosis of Thyroid, Alcohol Consumption and smoking responding to Yes or No. Statistically, chi square and/or Variance analysis were used for the descriptive characteristics of the study participants and the significance of association among demographic characteristics. The method of variance analysis was applied to determine associations between risk factors and demographic characteristics. Bivariate associations were described using Odds Ratio (OR) with 95% Confidence Intervals (CI). P-values≤0.05 was considered significant using the SPSS version 21.0. Results: The mean age of participants (50% males) was 61.94 ± 11.6. Males were smoked significantly more often (75.5% vs. 43%, p<0.001) than females and, current smokers both females (OR=1.12; 95%CI: 0.25-1.99, p=0.012) and, males (OR=0.85; 95%CI: 0.10-1.59, p=0.027) were significantly more likely to report an increased number of risk-factors for osteoporosis compared to never smokers. We also found that obese participants were less likely to report an increased number of risk-factors (OR=-1.87; 95%CI: -3.54, -0.20, p=0.029) compared to reference category suggesting that obesity was a protective factor for osteoporosis, but this association was significant only for males. Conclusion: Although a number of risk-factors did not differ among non-smokers, former and current smokers, current smokers had a greater likelihood of reporting a number of risk-factors related to osteoporosis, suggesting that smoking is an important risk factor for osteoporosis development.
Smoking is Associated with Osteoporosis Development in Primary Care Population
doi:10.11648/j.ajns.s.2015040201.28
American Journal of Nursing Science
2015-03-05
© Science Publishing Group
Kleisiaris F. Christos
Plaiti E. Maria
Papathanasiou V. Ioanna
Papaioannou Polina
Kastrinakis Ioannis
Diakantoni Sofia
Fradelos Evangelos
Kourkouta Lamprini
Smoking is Associated with Osteoporosis Development in Primary Care Population
4
2
101
101
2015-03-05
2015-03-05
10.11648/j.ajns.s.2015040201.28
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.28
© Science Publishing Group
Depression in Children and Teenagers
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.27
Depression is a psychiatric disease with dominant symptom, disorder of emotion and can affect people of all ages, including children and adolescents. The main feature of depression is the persistent and enduring sadness, the irritability and the absence of interest or satisfaction of any activity. Children and adolescents with depression are usually sad, and generally experiencing similarly the disease with older people. The untreated depression may result in a school failure, alcohol and substance abuse, and suicide. A decisive role for the management of depression in children and adolescents plays both family and school with the help and support of teachers.T he mental health of humans, particularly children, threatened by the disease of our century which is none other than depression, for this reason it is necessary for its cure the family cooperation with the school.
Depression is a psychiatric disease with dominant symptom, disorder of emotion and can affect people of all ages, including children and adolescents. The main feature of depression is the persistent and enduring sadness, the irritability and the absence of interest or satisfaction of any activity. Children and adolescents with depression are usually sad, and generally experiencing similarly the disease with older people. The untreated depression may result in a school failure, alcohol and substance abuse, and suicide. A decisive role for the management of depression in children and adolescents plays both family and school with the help and support of teachers.T he mental health of humans, particularly children, threatened by the disease of our century which is none other than depression, for this reason it is necessary for its cure the family cooperation with the school.
Depression in Children and Teenagers
doi:10.11648/j.ajns.s.2015040201.27
American Journal of Nursing Science
2015-03-05
© Science Publishing Group
Iliadis Ch.
Papadopoulou L.
Papoulia F.
Depression in Children and Teenagers
4
2
95
95
2015-03-05
2015-03-05
10.11648/j.ajns.s.2015040201.27
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.s.2015040201.27
© Science Publishing Group
Female Students’ Attitude toward Mental Illness in Qassim University, KSA
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.12
Background: People’s beliefs and attitudes toward mental illness set the stage for how they interact with, provide opportunities for, and help support a person with mental illness. Objective: the present study aimed to assess the medical and non-medical female students' attitudes toward mental illness and psychiatric patients in Qassim University, KSA. Methods: descriptive design was adopted for the present study. Data collection took place from April to June 2014 via the Attitudes Scale for Mental Illness (ASMI) and Beliefs Scale for Mental Illness (BSMI); which tested in several studies worldwide. A total of 232 undergraduates were recruited from different colleges; 94 students from medical colleges “Nursing, Pharmacy Dentistry, Medicine and Applied Medical Science” and 138 from non-medical college “Business Administration”. Results: on the Separatism sub-scale, more medical students (93.6%) than non-medical students (85.5%) disagreed with the statement: ‘If a mental health facility is set up in my street or community, I will move out of the community’ (χ2=6.249, p<0.044) and these differences were not statistically significant. Medical and non-medical students responded similarly to statements in the Restrictiveness sub-scale. However, 86.2% of medical students compared to 87% of non-medical students agreed that the ‘After mentally ill patients are treated and rehabilitated, individuals should make friends of them’ (χ2=2.824, p<0.242).Conclusion: Medical and non-medical University students show broadly similar positive attitudes toward speople with a mental illness. There is scope for further research including examining the effects of educational interventions.
Background: People’s beliefs and attitudes toward mental illness set the stage for how they interact with, provide opportunities for, and help support a person with mental illness. Objective: the present study aimed to assess the medical and non-medical female students' attitudes toward mental illness and psychiatric patients in Qassim University, KSA. Methods: descriptive design was adopted for the present study. Data collection took place from April to June 2014 via the Attitudes Scale for Mental Illness (ASMI) and Beliefs Scale for Mental Illness (BSMI); which tested in several studies worldwide. A total of 232 undergraduates were recruited from different colleges; 94 students from medical colleges “Nursing, Pharmacy Dentistry, Medicine and Applied Medical Science” and 138 from non-medical college “Business Administration”. Results: on the Separatism sub-scale, more medical students (93.6%) than non-medical students (85.5%) disagreed with the statement: ‘If a mental health facility is set up in my street or community, I will move out of the community’ (χ2=6.249, p<0.044) and these differences were not statistically significant. Medical and non-medical students responded similarly to statements in the Restrictiveness sub-scale. However, 86.2% of medical students compared to 87% of non-medical students agreed that the ‘After mentally ill patients are treated and rehabilitated, individuals should make friends of them’ (χ2=2.824, p<0.242).Conclusion: Medical and non-medical University students show broadly similar positive attitudes toward speople with a mental illness. There is scope for further research including examining the effects of educational interventions.
Female Students’ Attitude toward Mental Illness in Qassim University, KSA
doi:10.11648/j.ajns.20150403.12
American Journal of Nursing Science
2015-04-22
© Science Publishing Group
Hanan Mohamed Mohamed Tork
Azza El Sayed Abdel-Fattah
Female Students’ Attitude toward Mental Illness in Qassim University, KSA
4
3
56
56
2015-04-22
2015-04-22
10.11648/j.ajns.20150403.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.12
© Science Publishing Group
Assessment of Quality of Antenatal Care (ANC) Service Provision Among Pregnant Women in Ambo Town Public Health Institution, Ambo, Ethiopia, 2013
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.13
Introduction: Antenatal care refers to care given to pregnant women so that they have safe pregnancy and healthy baby. Improving the quality of ANC and other reproductive health services has been shown to increase uptake of services and reduce the number of adverse maternal health outcomes. There is a limited attempt to measure the quality of ANC services in Ethiopia. Although, the coverage of ANC services has improved in the last few years, the quality of the services has remained comparatively low. The objective of the study is to assess quality of antenatal care services provision in governmental health institution. Methods: Institutional based descriptive cross-sectional study design was employed from October 23, 2013 to December 30, 2013. A pretested and semi structured questionnaire via interview was used to collect quantitative data from 288 pregnant women and in-depth interview of focal person at facility level to collect the qualitative data. The collected data was entered &analyzed using SPSS version 16.0. Results: Overall 256 (89%) of clients reported satisfaction with services they had received. Regarding client-provider relationship, about 206(71.5%) of women reported that the provider were attentively listening to their problems but 16% of clients believe that there was a problem of privacy. About 266 (92.3%) of clients received information on the services given, from this only 28(9.03%) had obtain information on how to recognize/danger sign of pregnancy. Conclusion and recommendation: The study revealed that majority of women was satisfied with the services they had received. however; only small number of participants had information on how to recognize serious problems occurring during pregnancy. Even if, as a principle all pregnant women should properly involved in decision making process, in this study almost half (44.5%) had not properly involved in decision making process during ANC service provision. Giving greater emphasis on the delivering information on how to recognize serious problems (danger sign) occurring during pregnancy and securing privacy of clients in order to improve quality of care was recommended. Pregnant women should be encouraged to reach at decision during client provider interaction by health care provider.
Introduction: Antenatal care refers to care given to pregnant women so that they have safe pregnancy and healthy baby. Improving the quality of ANC and other reproductive health services has been shown to increase uptake of services and reduce the number of adverse maternal health outcomes. There is a limited attempt to measure the quality of ANC services in Ethiopia. Although, the coverage of ANC services has improved in the last few years, the quality of the services has remained comparatively low. The objective of the study is to assess quality of antenatal care services provision in governmental health institution. Methods: Institutional based descriptive cross-sectional study design was employed from October 23, 2013 to December 30, 2013. A pretested and semi structured questionnaire via interview was used to collect quantitative data from 288 pregnant women and in-depth interview of focal person at facility level to collect the qualitative data. The collected data was entered &analyzed using SPSS version 16.0. Results: Overall 256 (89%) of clients reported satisfaction with services they had received. Regarding client-provider relationship, about 206(71.5%) of women reported that the provider were attentively listening to their problems but 16% of clients believe that there was a problem of privacy. About 266 (92.3%) of clients received information on the services given, from this only 28(9.03%) had obtain information on how to recognize/danger sign of pregnancy. Conclusion and recommendation: The study revealed that majority of women was satisfied with the services they had received. however; only small number of participants had information on how to recognize serious problems occurring during pregnancy. Even if, as a principle all pregnant women should properly involved in decision making process, in this study almost half (44.5%) had not properly involved in decision making process during ANC service provision. Giving greater emphasis on the delivering information on how to recognize serious problems (danger sign) occurring during pregnancy and securing privacy of clients in order to improve quality of care was recommended. Pregnant women should be encouraged to reach at decision during client provider interaction by health care provider.
Assessment of Quality of Antenatal Care (ANC) Service Provision Among Pregnant Women in Ambo Town Public Health Institution, Ambo, Ethiopia, 2013
doi:10.11648/j.ajns.20150403.13
American Journal of Nursing Science
2015-04-22
© Science Publishing Group
Amsalu Nemera Yabo
Mitsiwat Abebe Gebremicheal
Eshetu Ejeta Chaka
Assessment of Quality of Antenatal Care (ANC) Service Provision Among Pregnant Women in Ambo Town Public Health Institution, Ambo, Ethiopia, 2013
4
3
62
62
2015-04-22
2015-04-22
10.11648/j.ajns.20150403.13
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.13
© Science Publishing Group
Determinants towards Implementation of Nursing Process
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.11
Nursing Process is a systematic method which utilizes scientific reasoning, problem solving and critical thinking to direct nurses in caring for patients effectively however, little is known about factors affecting the implementation of nursing process. The study intended to assess factors affecting implementation of nursing process among nurses in Arbaminch General Hospital, Ethiopia. Institutional based cross-sectional study with quantitative data collection through Self-administered pre-tested Semi Structured questionnaire and observational checklist used among randomly selected 105 nurses. Data analysis was done by SPSS version 15 for its objectives. Out of 105 studies 98 were participated in the study with 93.3% response rate. Forty two (42.85%) of the total respondents were working in a stressful working environmental. Thirty five (35.7%) of respondents were challenged to provide their nursing care due to patients inability to collect the required material for care provision. Factor affecting implementation of nursing process were working in a stressful environment were 0.23 times less likely to implement nursing process than those working in organized environment (OR: 0.23, [95% CI: (0.07-0.78)], highly knowledgeable nurses were 8.78 times more likely to implementation of nursing process than nurses who were not knowledgeable (OR: 8.78, [95%CI: (2.97-77.48)] and economic status of patient to collect material for nursing care were negatively associated with implementation of nursing process(OR: 0.07, [95%CI: (0.02-0.31)]. The study has identified lack of facility from organizational factors, economic status of the patient to collect material for nursing care, early discharge, lack of cooperation and complicated problems from patient related factors and level of knowledge were among those factors highly affecting nursing process implementation. Nearly, one third of respondents have consistent with the implementation of nursing process in the clinical setting. This factors cause poor quality of nursing care disorganized caring system, conflicting role, medication error and re-admission with similar problems, dissatisfaction with the care patients have received, and increased mortality. Recommendation: The essence of nursing process for client lies on the great benefits to the client, nurses and nursing profession as a whole. So, to provide quality of nursing care the management body of the hospital should flow and supervise the implementation of nursing process in the hospital, the health professional should train periodically and Information should be disseminated regarding nursing process.
Nursing Process is a systematic method which utilizes scientific reasoning, problem solving and critical thinking to direct nurses in caring for patients effectively however, little is known about factors affecting the implementation of nursing process. The study intended to assess factors affecting implementation of nursing process among nurses in Arbaminch General Hospital, Ethiopia. Institutional based cross-sectional study with quantitative data collection through Self-administered pre-tested Semi Structured questionnaire and observational checklist used among randomly selected 105 nurses. Data analysis was done by SPSS version 15 for its objectives. Out of 105 studies 98 were participated in the study with 93.3% response rate. Forty two (42.85%) of the total respondents were working in a stressful working environmental. Thirty five (35.7%) of respondents were challenged to provide their nursing care due to patients inability to collect the required material for care provision. Factor affecting implementation of nursing process were working in a stressful environment were 0.23 times less likely to implement nursing process than those working in organized environment (OR: 0.23, [95% CI: (0.07-0.78)], highly knowledgeable nurses were 8.78 times more likely to implementation of nursing process than nurses who were not knowledgeable (OR: 8.78, [95%CI: (2.97-77.48)] and economic status of patient to collect material for nursing care were negatively associated with implementation of nursing process(OR: 0.07, [95%CI: (0.02-0.31)]. The study has identified lack of facility from organizational factors, economic status of the patient to collect material for nursing care, early discharge, lack of cooperation and complicated problems from patient related factors and level of knowledge were among those factors highly affecting nursing process implementation. Nearly, one third of respondents have consistent with the implementation of nursing process in the clinical setting. This factors cause poor quality of nursing care disorganized caring system, conflicting role, medication error and re-admission with similar problems, dissatisfaction with the care patients have received, and increased mortality. Recommendation: The essence of nursing process for client lies on the great benefits to the client, nurses and nursing profession as a whole. So, to provide quality of nursing care the management body of the hospital should flow and supervise the implementation of nursing process in the hospital, the health professional should train periodically and Information should be disseminated regarding nursing process.
Determinants towards Implementation of Nursing Process
doi:10.11648/j.ajns.20150403.11
American Journal of Nursing Science
2015-04-15
© Science Publishing Group
Zewdu Shewangizaw
Abera Mersha
Determinants towards Implementation of Nursing Process
4
3
49
49
2015-04-15
2015-04-15
10.11648/j.ajns.20150403.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.11
© Science Publishing Group
Improving the Quality of Nursing Care for Patients with Leukemia in Day Care Units Through Nursing Education
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.14
Quality of nursing care is a vital element in the treatment of the patient with leukemia in day care units. The aim of study was to test the effect of nursing education for quality of nursing care for patients with leukemia in day care units. Design: A quasi-experimental design was used in this study. Setting: The study was conducted at Day Care Unit Clinic for patients with leukemia at University Hospital and the Clinic Oncology Department (Cobalt unit) .Sample: A sample of purposive of all nurses is (n=50 ) and 10% of patients is (n=50) with leukemia were recruited for the study. Tools: Data was collected through: (1) An interviewing questionnaire to assess nurse's knowledge and patient's satisfaction regarding the quality of nursing care. (2) An observational checklist to assess day care units and nursing performance. Results: the majority of nurses had poor knowledge about leukemia. Besides, they don’t follow a standard of quality of nursing care related to the disease of leukemia. Furthermore, most of the facilities were unavailable in the day care units and about three quarters of patients were not satisfied with the quality of nursing care. The implementation of the nursing education program has improved nurse's knowledge, performance and patient's satisfaction with statistically significant differences (p=<0.001) . The study has concluded that the nursing education program has improved nurses’ knowledge and performance concerning the disease of leukemia, and patients were also satisfied with the quality of nursing care. Recommendations: Continuing educational program to keep nurses updated in their knowledge and performance regarding the quality of care, a simple Arabic illustrated booklet for discharge instructions should be available in hematology units as a reference for patients. And additional research is needed to assess the long–term effects of such educational program.
Quality of nursing care is a vital element in the treatment of the patient with leukemia in day care units. The aim of study was to test the effect of nursing education for quality of nursing care for patients with leukemia in day care units. Design: A quasi-experimental design was used in this study. Setting: The study was conducted at Day Care Unit Clinic for patients with leukemia at University Hospital and the Clinic Oncology Department (Cobalt unit) .Sample: A sample of purposive of all nurses is (n=50 ) and 10% of patients is (n=50) with leukemia were recruited for the study. Tools: Data was collected through: (1) An interviewing questionnaire to assess nurse's knowledge and patient's satisfaction regarding the quality of nursing care. (2) An observational checklist to assess day care units and nursing performance. Results: the majority of nurses had poor knowledge about leukemia. Besides, they don’t follow a standard of quality of nursing care related to the disease of leukemia. Furthermore, most of the facilities were unavailable in the day care units and about three quarters of patients were not satisfied with the quality of nursing care. The implementation of the nursing education program has improved nurse's knowledge, performance and patient's satisfaction with statistically significant differences (p=<0.001) . The study has concluded that the nursing education program has improved nurses’ knowledge and performance concerning the disease of leukemia, and patients were also satisfied with the quality of nursing care. Recommendations: Continuing educational program to keep nurses updated in their knowledge and performance regarding the quality of care, a simple Arabic illustrated booklet for discharge instructions should be available in hematology units as a reference for patients. And additional research is needed to assess the long–term effects of such educational program.
Improving the Quality of Nursing Care for Patients with Leukemia in Day Care Units Through Nursing Education
doi:10.11648/j.ajns.20150403.14
American Journal of Nursing Science
2015-04-24
© Science Publishing Group
Sahar Ahmad Shafik
Eman Shokry Abd Allah
Improving the Quality of Nursing Care for Patients with Leukemia in Day Care Units Through Nursing Education
4
3
72
72
2015-04-24
2015-04-24
10.11648/j.ajns.20150403.14
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.14
© Science Publishing Group
Assessment of Nurses’ Perceptions and Barriers on Evidence Based Practice in Tikur Anbessa Specialized Hospital Addis Ababa Ethiopia
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.15
Background: Historically, nurses have relied on expert’ opinions in clinical decision-making. However, these ways of practicing may not only be outdated but unsafe. Experienced-based knowledge may be associated with biased thinking that lead to errors. Objective: Assessment of nurses’ perceptions, level of use and barriers on Evidence Based Practice. Method: Two hundred ten nurses were assessed through self-administer questionnaires for quantitative and fifteen nurses were also involved in in-depth interview for qualitative. The quantitative data was analysis in SPSS version 21. The qualitative was analyzed through open code. Results: 90% and 73.8% have good perception and positive attitude respectively. Of the total 210 121(57.6%) of nurses were integrate EBP in their clinical practice. Only 19 (15.7%) use EBP in their clinical practice always. Knowledgeable (AOR 3.2 95%CI 1.5-7.0); skill, (AOR 2.4, 95%CI 1.1-5.4); free time (AOR 7.9, 95%CI 3.5-17.6); supportive nursing managers (AOR 5, 95%CI 1.7-14.5) have significant association with implementation of EBP. But, year of experience and perception have no association. Conclusion: Both individual and organizational factors are the predominant factors that hinder implementation of EBP. So, hospital managements and nursing leaders can easily overcome some of these barriers through arranging EBP training.
Background: Historically, nurses have relied on expert’ opinions in clinical decision-making. However, these ways of practicing may not only be outdated but unsafe. Experienced-based knowledge may be associated with biased thinking that lead to errors. Objective: Assessment of nurses’ perceptions, level of use and barriers on Evidence Based Practice. Method: Two hundred ten nurses were assessed through self-administer questionnaires for quantitative and fifteen nurses were also involved in in-depth interview for qualitative. The quantitative data was analysis in SPSS version 21. The qualitative was analyzed through open code. Results: 90% and 73.8% have good perception and positive attitude respectively. Of the total 210 121(57.6%) of nurses were integrate EBP in their clinical practice. Only 19 (15.7%) use EBP in their clinical practice always. Knowledgeable (AOR 3.2 95%CI 1.5-7.0); skill, (AOR 2.4, 95%CI 1.1-5.4); free time (AOR 7.9, 95%CI 3.5-17.6); supportive nursing managers (AOR 5, 95%CI 1.7-14.5) have significant association with implementation of EBP. But, year of experience and perception have no association. Conclusion: Both individual and organizational factors are the predominant factors that hinder implementation of EBP. So, hospital managements and nursing leaders can easily overcome some of these barriers through arranging EBP training.
Assessment of Nurses’ Perceptions and Barriers on Evidence Based Practice in Tikur Anbessa Specialized Hospital Addis Ababa Ethiopia
doi:10.11648/j.ajns.20150403.15
American Journal of Nursing Science
2015-04-28
© Science Publishing Group
G. Hadgu
S. Almaz
S. Tsehay
Assessment of Nurses’ Perceptions and Barriers on Evidence Based Practice in Tikur Anbessa Specialized Hospital Addis Ababa Ethiopia
4
3
83
83
2015-04-28
2015-04-28
10.11648/j.ajns.20150403.15
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.15
© Science Publishing Group
Premenstrual Syndrome, Associated Symptoms and Evidence – Based Nursing Management: A Comparative Study Between Rural Menoufia Governorate (Egypt) and Hodidha Governorate (Yemen)
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.16
Background: Premenstrual syndrome (PMS) is a com¬mon cause of substantial psychological and physical distress for women during their reproductive years. Forty percent of women have symptoms that are severe enough to disrupt some aspect of their daily lives, 5% are inca¬pacitated by their symptoms. Despite the magnitude of this problem, a lot of confusion exists in medical and lay communities alike about what is and is not effective for treatment of PMS. The study aimed assessing premenstrual symptoms, self care practices among women at reproductive age attending Maternal and Child Health (MCH) centers in Menoufia governorate, Egypt and Hodidha governorate, Yemen and evaluate the effect of evidence-based nursing management on severity of premenstrual syndrome among them. Subjects and methods: A quasi experimental study was used. Subjects consisted of 2000 clients (1000 Hodidha clients and 1000 Menoufia clients). Structured Interviewing questionnaire, tool about assessment of premenstrual symptoms severity and pre – post knowledge test were used. Results: there was statistically significant differences in the severity of premenstrual symptoms before and after administration of evidence based nursing management for 3 months (3menstrual cycles). Conclusion: clients experience decrease severity of premenstrual syndrome after administration of evidence based nursing management for 3 months (3 menstrual cycle). Recommendation: Effective evidence based program about premenstrual syndrome, care of gynecological problems should be included into educational program of maternal and child health (MCH) centers in rural Menoufia governorate, Egypt and Hodidha governorate, Yemen. More research is needed to expand the evidence base on effective interventions for premenstrual syndrome and to translate knowledge into practices. Future studies are needed to be performed about prevalence, consequences, and management methods of premenstrual syndrome in different settings in Egypt and Yemen and other Arabic countries.
Background: Premenstrual syndrome (PMS) is a com¬mon cause of substantial psychological and physical distress for women during their reproductive years. Forty percent of women have symptoms that are severe enough to disrupt some aspect of their daily lives, 5% are inca¬pacitated by their symptoms. Despite the magnitude of this problem, a lot of confusion exists in medical and lay communities alike about what is and is not effective for treatment of PMS. The study aimed assessing premenstrual symptoms, self care practices among women at reproductive age attending Maternal and Child Health (MCH) centers in Menoufia governorate, Egypt and Hodidha governorate, Yemen and evaluate the effect of evidence-based nursing management on severity of premenstrual syndrome among them. Subjects and methods: A quasi experimental study was used. Subjects consisted of 2000 clients (1000 Hodidha clients and 1000 Menoufia clients). Structured Interviewing questionnaire, tool about assessment of premenstrual symptoms severity and pre – post knowledge test were used. Results: there was statistically significant differences in the severity of premenstrual symptoms before and after administration of evidence based nursing management for 3 months (3menstrual cycles). Conclusion: clients experience decrease severity of premenstrual syndrome after administration of evidence based nursing management for 3 months (3 menstrual cycle). Recommendation: Effective evidence based program about premenstrual syndrome, care of gynecological problems should be included into educational program of maternal and child health (MCH) centers in rural Menoufia governorate, Egypt and Hodidha governorate, Yemen. More research is needed to expand the evidence base on effective interventions for premenstrual syndrome and to translate knowledge into practices. Future studies are needed to be performed about prevalence, consequences, and management methods of premenstrual syndrome in different settings in Egypt and Yemen and other Arabic countries.
Premenstrual Syndrome, Associated Symptoms and Evidence – Based Nursing Management: A Comparative Study Between Rural Menoufia Governorate (Egypt) and Hodidha Governorate (Yemen)
doi:10.11648/j.ajns.20150403.16
American Journal of Nursing Science
2015-05-05
© Science Publishing Group
Amal Mohamed Gamal
Marwa Ahmed Shahin
Premenstrual Syndrome, Associated Symptoms and Evidence – Based Nursing Management: A Comparative Study Between Rural Menoufia Governorate (Egypt) and Hodidha Governorate (Yemen)
4
3
93
93
2015-05-05
2015-05-05
10.11648/j.ajns.20150403.16
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.16
© Science Publishing Group
The Effect of Healthy Nutritional Program on Cognitive and Physical Function Among Fast Food Addict Students
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.17
Fast foods are easy available and their delicious taste help students especially the teenagers, get hooked on to it. Fast foods are addictive, and are the silent killer. Aim of the study: Evaluating the effectiveness of healthy nutritional program on cognitive and physical function among fast food addict students. Setting: - Faculty of Nursing Menoufia University. Design: - quiz experimental design (one group pre post test) was utilized. Sample: a purposeful sample of 183 first year female nursing students. Data were collected using structured interviewing questionnaire schedule, it consisted of two parts: Part one: socio demographic data as age, sex, marital status, and education. Part two: assessment of student's knowledge about balanced diet and their state of cognitive and physical function. The collected data were organized, tabulated and statistically analyzed using soft ware statistical computer package version 13. Descriptive statistic for quantitative data using mean and stander deviation while for qualitative data using frequency and percentage for comparison before and after the program using chi-square for qualitative data. Significance adopted at P<0.05 for interpretation of the results of tests of significance. Result: - there were statistical significant improvements of students' knowledge, level of performance, cognitive and physical function also student's perception about dangerous of fast food 3 months post program than pre program. Conclusion:-It is concluded that: the program about healthy nutrition had a positive effect on student's knowledge, cognitive and physical function. Recommendation: - based on this study it was recommended that: special attention should be given regarding teaching students family members about the importance of balanced diet and healthy food to minimize fast food addiction and improve students' cognitive and physical function.
Fast foods are easy available and their delicious taste help students especially the teenagers, get hooked on to it. Fast foods are addictive, and are the silent killer. Aim of the study: Evaluating the effectiveness of healthy nutritional program on cognitive and physical function among fast food addict students. Setting: - Faculty of Nursing Menoufia University. Design: - quiz experimental design (one group pre post test) was utilized. Sample: a purposeful sample of 183 first year female nursing students. Data were collected using structured interviewing questionnaire schedule, it consisted of two parts: Part one: socio demographic data as age, sex, marital status, and education. Part two: assessment of student's knowledge about balanced diet and their state of cognitive and physical function. The collected data were organized, tabulated and statistically analyzed using soft ware statistical computer package version 13. Descriptive statistic for quantitative data using mean and stander deviation while for qualitative data using frequency and percentage for comparison before and after the program using chi-square for qualitative data. Significance adopted at P<0.05 for interpretation of the results of tests of significance. Result: - there were statistical significant improvements of students' knowledge, level of performance, cognitive and physical function also student's perception about dangerous of fast food 3 months post program than pre program. Conclusion:-It is concluded that: the program about healthy nutrition had a positive effect on student's knowledge, cognitive and physical function. Recommendation: - based on this study it was recommended that: special attention should be given regarding teaching students family members about the importance of balanced diet and healthy food to minimize fast food addiction and improve students' cognitive and physical function.
The Effect of Healthy Nutritional Program on Cognitive and Physical Function Among Fast Food Addict Students
doi:10.11648/j.ajns.20150403.17
American Journal of Nursing Science
2015-05-06
© Science Publishing Group
Maaly El-Malky
Nahid El-Gahsh
Samira Abo-Alizm
The Effect of Healthy Nutritional Program on Cognitive and Physical Function Among Fast Food Addict Students
4
3
100
100
2015-05-06
2015-05-06
10.11648/j.ajns.20150403.17
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.17
© Science Publishing Group
Effect of Self Care Management Program regarding Fatigue among Adolescents' Cancer Patients
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.18
Fatigue is a common and complex, subjective symptom with physical, emotional and cognitive dimensions. The aim of the study is to evaluate the effect of self-care management program regarding fatigue among adolescents' cancer patients. Research design Quasi-experimental design was used to complete this study. Setting: The study was conducted at the Outpatient Unit at Specialized Children Hospital in Kalyobia Governorate, and Cancer Institute in Cairo City. Sample: Simple random sample of forty six adolescents' patients with cancer who were newly or old diagnosed with cancer. Tools: Two tools were used to collect the study data: I): An interviewing Questionnaire which includes five parts: a): A study subjects' characteristics. b): Burden of the disease on patients. c): Present medical history of the study subject. d): Adolescents' patients' knowledge regarding fatigue. e): Self-care practices as reported regarding fatigue. II): Multidimensional assessment of fatigue (MAF) scale which includes 12 questions -after modifying- ranged from no fatigue to sever felling with fatigue. Results: 65.2% aged less than14 years as the same percentage were female while 63.0% engaged in secondary education and 54.3 living in urban areas. 43.5% of study subjects had dependent on other persons for daily living activities, 69.6% having no any sports. Overall the results have statistically significant differences before and after implementing the program regarding (MAF) scale. Conclusion: the study concluded that the adolescent patient with cancer had inadequate knowledge regarding fatigue, and the health educational program was succeed to increasing their knowledge, and improving health practices to deal with fatigue, their overall activities were improved after implementation the program regarding MAF scale. Recommendations: The study recommended that the importance of health educational program for patients and families regarding self care management of fatigue related cancer should be provided.
Fatigue is a common and complex, subjective symptom with physical, emotional and cognitive dimensions. The aim of the study is to evaluate the effect of self-care management program regarding fatigue among adolescents' cancer patients. Research design Quasi-experimental design was used to complete this study. Setting: The study was conducted at the Outpatient Unit at Specialized Children Hospital in Kalyobia Governorate, and Cancer Institute in Cairo City. Sample: Simple random sample of forty six adolescents' patients with cancer who were newly or old diagnosed with cancer. Tools: Two tools were used to collect the study data: I): An interviewing Questionnaire which includes five parts: a): A study subjects' characteristics. b): Burden of the disease on patients. c): Present medical history of the study subject. d): Adolescents' patients' knowledge regarding fatigue. e): Self-care practices as reported regarding fatigue. II): Multidimensional assessment of fatigue (MAF) scale which includes 12 questions -after modifying- ranged from no fatigue to sever felling with fatigue. Results: 65.2% aged less than14 years as the same percentage were female while 63.0% engaged in secondary education and 54.3 living in urban areas. 43.5% of study subjects had dependent on other persons for daily living activities, 69.6% having no any sports. Overall the results have statistically significant differences before and after implementing the program regarding (MAF) scale. Conclusion: the study concluded that the adolescent patient with cancer had inadequate knowledge regarding fatigue, and the health educational program was succeed to increasing their knowledge, and improving health practices to deal with fatigue, their overall activities were improved after implementation the program regarding MAF scale. Recommendations: The study recommended that the importance of health educational program for patients and families regarding self care management of fatigue related cancer should be provided.
Effect of Self Care Management Program regarding Fatigue among Adolescents' Cancer Patients
doi:10.11648/j.ajns.20150403.18
American Journal of Nursing Science
2015-05-12
© Science Publishing Group
Eman N. Ramadan
Shimmaa M. Moustafa
Ebtisam M. Abd El aal
Effect of Self Care Management Program regarding Fatigue among Adolescents' Cancer Patients
4
3
106
106
2015-05-12
2015-05-12
10.11648/j.ajns.20150403.18
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.18
© Science Publishing Group
Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.20
Objectives: To examine the impact of multi faceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with moderate and severe TBI. Design: Cohort, non-randomized, interventional study, pre-test, post-test design. Setting: Community integrated post acute rehabilitation centre. Main outcome measures: Galvenston Orientation and Amnesia Test (GOAT), Mini Mental Status Examination (MMSE), Functional Independence Measure (FIM), Glasgow outcome scale extended (GOSE). Results: Mean change in MMSE scores from admission to twelve months was 23.48 in moderate injury group and 21.26 in severe injury group. This change was significant in both the severity groups. Mean change in GOAT scores from admission to twelve months was 74.85 in moderate injury group and 70.71 in the severe injury group which also was significant. Predictors such as Length of stay (LOS) in acute care (B=-0.913), GCS at the time of acute admission (B=0.402), FIM at the time of discharge (B=.241), injury severity (B=0.221) and LOS in rehabilitation (B=0.168) explained 85.7% of the variation in the value of FIM at 12 months after injury. Conclusion: Impairment of cognitive function and its socio-economic impact is vast such that it affects the socio economic status of a community and country as a whole. Cognitive rehabilitation remains central to the management of persons with TBI.
Objectives: To examine the impact of multi faceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with moderate and severe TBI. Design: Cohort, non-randomized, interventional study, pre-test, post-test design. Setting: Community integrated post acute rehabilitation centre. Main outcome measures: Galvenston Orientation and Amnesia Test (GOAT), Mini Mental Status Examination (MMSE), Functional Independence Measure (FIM), Glasgow outcome scale extended (GOSE). Results: Mean change in MMSE scores from admission to twelve months was 23.48 in moderate injury group and 21.26 in severe injury group. This change was significant in both the severity groups. Mean change in GOAT scores from admission to twelve months was 74.85 in moderate injury group and 70.71 in the severe injury group which also was significant. Predictors such as Length of stay (LOS) in acute care (B=-0.913), GCS at the time of acute admission (B=0.402), FIM at the time of discharge (B=.241), injury severity (B=0.221) and LOS in rehabilitation (B=0.168) explained 85.7% of the variation in the value of FIM at 12 months after injury. Conclusion: Impairment of cognitive function and its socio-economic impact is vast such that it affects the socio economic status of a community and country as a whole. Cognitive rehabilitation remains central to the management of persons with TBI.
Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury
doi:10.11648/j.ajns.20150403.20
American Journal of Nursing Science
2015-05-13
© Science Publishing Group
Mahima Agrawal
Mrinal Joshi
Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury
4
3
118
118
2015-05-13
2015-05-13
10.11648/j.ajns.20150403.20
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.20
© Science Publishing Group
Assessment of Factors Affecting Turnover Intention Among Nurses Working at Governmental Health Care Institutions in East Gojjam, Amhara Region, Ethiopia, 2013
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.19
Background: The growth and success of any organization usually depends on its employees. Turnover in health care institutions has significant challenge on customer service levels, company profits, and cause training and expatriation losses cost. In light of current concerns over nursing shortages, nurse’s turnover intent is a topic of great importance. The healthcare community needs to be concerned about nursing turnover intention and the effect on the projected nursing shortage. The evaluation of nursing turnover intention and the association between turnover intention and various predictors needs to be determined. To comprehend the factors of nurses’ turnover intention can help the top management in designing effective strategies to overcome this issue. Method: Cross-sectional study design was used. Data was collected from March 2013 to April 2013 by using a structured questionnaire. A total of 372 respondents were filed the questionnaire with the response rate of 87.84%.Odds ratio and regression analysis were performed at a P value of 0.05. Result: Findings suggested that 59.4% of respondents indicating a turnover intention from their current health care institution. Family arrangement is significantly associated with nurses’ turnover intention (P-0.009, 95% C.I. 1.20-3.50).In this study procedural justice was significantly associated with nurses’ turnover intention (P 0.013, 95% C.I. 1.14-3.02). Lack or low procedural justice in the health institutions increases the turnover intention of nurses. Organizational commitment was found to significantly association with nurses’ turnover intention (P-0.026, 95% C.I. 1.07-2.84). The study shows that level of salary was significantly associated with nurses’ turnover intention (p. 0.007, 95%C.I., 1.22-3.52). The result shows that training opportunity affect turnover intention. Low training opportunity significantly associated with nurses’ turnover intention (P.0.000, 95%C.I., 1.54- 4.35). Nurses with lower salary demonstrated higher intent of turnover than higher salary employees. Lack of transport was also significantly associated with nurses’ turnover intention (P. 0.018, 95%C.I., 1.13-3.71) in these study findings. The result indicated that job satisfaction is significantly associated with nurses’ turnover intention (P. 0.029, 95%C.I. 1.06-2.97). Conclusion: Nurses are useful to the health care institution to provide quality care. If the health care institution want to reduce nurses’ turnover, then it is important to understand factors which increase nurses’ turnover intentions. The results of this study suggest that interventions should be carried out to reduce the nurses’ turnover intention in East Gojjam governmental health care institutions.
Background: The growth and success of any organization usually depends on its employees. Turnover in health care institutions has significant challenge on customer service levels, company profits, and cause training and expatriation losses cost. In light of current concerns over nursing shortages, nurse’s turnover intent is a topic of great importance. The healthcare community needs to be concerned about nursing turnover intention and the effect on the projected nursing shortage. The evaluation of nursing turnover intention and the association between turnover intention and various predictors needs to be determined. To comprehend the factors of nurses’ turnover intention can help the top management in designing effective strategies to overcome this issue. Method: Cross-sectional study design was used. Data was collected from March 2013 to April 2013 by using a structured questionnaire. A total of 372 respondents were filed the questionnaire with the response rate of 87.84%.Odds ratio and regression analysis were performed at a P value of 0.05. Result: Findings suggested that 59.4% of respondents indicating a turnover intention from their current health care institution. Family arrangement is significantly associated with nurses’ turnover intention (P-0.009, 95% C.I. 1.20-3.50).In this study procedural justice was significantly associated with nurses’ turnover intention (P 0.013, 95% C.I. 1.14-3.02). Lack or low procedural justice in the health institutions increases the turnover intention of nurses. Organizational commitment was found to significantly association with nurses’ turnover intention (P-0.026, 95% C.I. 1.07-2.84). The study shows that level of salary was significantly associated with nurses’ turnover intention (p. 0.007, 95%C.I., 1.22-3.52). The result shows that training opportunity affect turnover intention. Low training opportunity significantly associated with nurses’ turnover intention (P.0.000, 95%C.I., 1.54- 4.35). Nurses with lower salary demonstrated higher intent of turnover than higher salary employees. Lack of transport was also significantly associated with nurses’ turnover intention (P. 0.018, 95%C.I., 1.13-3.71) in these study findings. The result indicated that job satisfaction is significantly associated with nurses’ turnover intention (P. 0.029, 95%C.I. 1.06-2.97). Conclusion: Nurses are useful to the health care institution to provide quality care. If the health care institution want to reduce nurses’ turnover, then it is important to understand factors which increase nurses’ turnover intentions. The results of this study suggest that interventions should be carried out to reduce the nurses’ turnover intention in East Gojjam governmental health care institutions.
Assessment of Factors Affecting Turnover Intention Among Nurses Working at Governmental Health Care Institutions in East Gojjam, Amhara Region, Ethiopia, 2013
doi:10.11648/j.ajns.20150403.19
American Journal of Nursing Science
2015-05-12
© Science Publishing Group
Girma Alem Getie
Erdaw Tachbele Betre
Habtamu Abera Hareri
Assessment of Factors Affecting Turnover Intention Among Nurses Working at Governmental Health Care Institutions in East Gojjam, Amhara Region, Ethiopia, 2013
4
3
112
112
2015-05-12
2015-05-12
10.11648/j.ajns.20150403.19
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.19
© Science Publishing Group
Nursing Intervention Program for Tuberculosis Patients by Using Epidemiological Model
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.21
Tuberculosis is more prevalent in developing countries, in which up to 95% of cases occur. It remains a major challenge to global public health in the 21st century. Aim: The study aimed to evaluate the effect of nursing intervention program for tuberculosis patients by using epidemiological model. Setting: The study was conducted at outpatient clinics in Benha Chest Hospital and El-Fayoum University Hospital. Sample: A simple random sample of 95 tuberculosis patients who attended to the previous mentioned settings; 45 patients from El-Fayoum University Hospital and 50 patients from Benha Chest Hospital, were selected randomly and representing 15% of 1425 attended patients over six months in the year 2013. Tool: An interviewing questionnaire included four parts 1): Socio-demographic characteristics. 2): Patient past and present medical history. 3): Patient knowledge regarding tuberculosis. And 4): Patient knowledge about practices through asking questions related to tuberculosis, which included: a) Patient health practices regarding tuberculosis. b): Patient knowledge regarding epidemiological model as person (host), agent, and environment. Results: 84.2% of the study sample were males while 48.4% their age ranged from 20 to 40 years, and 83.2% of them were smokers. 34.7% of study sample had especial equipment compared to 85.3% of them post intervention program. Furthermore 65.3% of the study sample avoided overcrowding places pre intervention program compared to 74.7% of them post intervention program. Statistically significant differences were detected between pre and post program regarding epidemiological model. Conclusion: The present study concluded that the patients' knowledge were increased after implementing the program and their practices were improved regarding health practices and epidemiological model. Recommendations: Health education program should be provided for tuberculosis patients regarding epidemiological model during treatment phases and follow-up visits.
Tuberculosis is more prevalent in developing countries, in which up to 95% of cases occur. It remains a major challenge to global public health in the 21st century. Aim: The study aimed to evaluate the effect of nursing intervention program for tuberculosis patients by using epidemiological model. Setting: The study was conducted at outpatient clinics in Benha Chest Hospital and El-Fayoum University Hospital. Sample: A simple random sample of 95 tuberculosis patients who attended to the previous mentioned settings; 45 patients from El-Fayoum University Hospital and 50 patients from Benha Chest Hospital, were selected randomly and representing 15% of 1425 attended patients over six months in the year 2013. Tool: An interviewing questionnaire included four parts 1): Socio-demographic characteristics. 2): Patient past and present medical history. 3): Patient knowledge regarding tuberculosis. And 4): Patient knowledge about practices through asking questions related to tuberculosis, which included: a) Patient health practices regarding tuberculosis. b): Patient knowledge regarding epidemiological model as person (host), agent, and environment. Results: 84.2% of the study sample were males while 48.4% their age ranged from 20 to 40 years, and 83.2% of them were smokers. 34.7% of study sample had especial equipment compared to 85.3% of them post intervention program. Furthermore 65.3% of the study sample avoided overcrowding places pre intervention program compared to 74.7% of them post intervention program. Statistically significant differences were detected between pre and post program regarding epidemiological model. Conclusion: The present study concluded that the patients' knowledge were increased after implementing the program and their practices were improved regarding health practices and epidemiological model. Recommendations: Health education program should be provided for tuberculosis patients regarding epidemiological model during treatment phases and follow-up visits.
Nursing Intervention Program for Tuberculosis Patients by Using Epidemiological Model
doi:10.11648/j.ajns.20150403.21
American Journal of Nursing Science
2015-05-27
© Science Publishing Group
Ebtisam Mohamed Abd El-Aal
Manal Mansour Mostafa
Nursing Intervention Program for Tuberculosis Patients by Using Epidemiological Model
4
3
126
126
2015-05-27
2015-05-27
10.11648/j.ajns.20150403.21
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.21
© Science Publishing Group
The Relationship Between Learning Style, Self-Directed in Learning and Undergraduate Nursing Students’ Academic Achievement in Tehran University of Medical Science (TUMS)
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.24
Background: Self-Directed in Learning has been emphasized nursing education settings based on many factors such as changing in learning teaching methods, nursing professions development, etc. Awareness and identification of the students learning and their academic achievement are important factors in nursing Course. Objective: The purpose of this study was to determine the relationship between self-directed in learning and undergraduate nursing students’ academic achievement in Tehran University of Medical Sciences (TUMS), Tehran, Iran. Method: The cross sectional study with 232 sample size was conducted. The subjects of this study were 232 undergraduate nursing students from school grades of years attending to school of nursing and midwifery of Tehran University of Medical Sciences. Data was collected from students through an anonymous self-administrated questionnaire. The questionnaire was divided into three sections including (a) demographic profile(b)Fisher’s Self-Directed in Learning Readiness questionnaire, (d) academic achievement. Data analysis was carried out by using the latest version of the statistical software package SPSS (Version-21). Descriptive and analytical statistical test were used to analyze the data. Results: A total of 232 participated in study of relationship between learning styles, Self-directed in learning and undergraduate nursing students’ academic achievement. One hundred –Forty three participants were female (61.6%), and 89 respondents were male (38.4%); 60.8% were between 20 and 25 years, 33.6% were <20 years, and 5.6% were >25 years old. The most frequency learning style of students was AC (37.5%).The majority of subjects (90.52%) SDLR were in the level of Self-Control (Score >150).The majority of subjects (52.8%) their academic achievements were at level of Good (the Median score were between (13-16). There was no significant relationship between Learning styles and Academic Achievement (P> 0.05).Conclusion: Not all students are self-directed, and this study suggests that mature students are more self-directed than that entering nurse education direct from high school. Nurses’ educators need to assess the Learning style and preferences of their students in order to determine the appropriateness of Self-Directed in learning. It is important to acknowledge that Self-Directed in Learning is only one teaching method that can be used to meet the learning needs of all students.
Background: Self-Directed in Learning has been emphasized nursing education settings based on many factors such as changing in learning teaching methods, nursing professions development, etc. Awareness and identification of the students learning and their academic achievement are important factors in nursing Course. Objective: The purpose of this study was to determine the relationship between self-directed in learning and undergraduate nursing students’ academic achievement in Tehran University of Medical Sciences (TUMS), Tehran, Iran. Method: The cross sectional study with 232 sample size was conducted. The subjects of this study were 232 undergraduate nursing students from school grades of years attending to school of nursing and midwifery of Tehran University of Medical Sciences. Data was collected from students through an anonymous self-administrated questionnaire. The questionnaire was divided into three sections including (a) demographic profile(b)Fisher’s Self-Directed in Learning Readiness questionnaire, (d) academic achievement. Data analysis was carried out by using the latest version of the statistical software package SPSS (Version-21). Descriptive and analytical statistical test were used to analyze the data. Results: A total of 232 participated in study of relationship between learning styles, Self-directed in learning and undergraduate nursing students’ academic achievement. One hundred –Forty three participants were female (61.6%), and 89 respondents were male (38.4%); 60.8% were between 20 and 25 years, 33.6% were <20 years, and 5.6% were >25 years old. The most frequency learning style of students was AC (37.5%).The majority of subjects (90.52%) SDLR were in the level of Self-Control (Score >150).The majority of subjects (52.8%) their academic achievements were at level of Good (the Median score were between (13-16). There was no significant relationship between Learning styles and Academic Achievement (P> 0.05).Conclusion: Not all students are self-directed, and this study suggests that mature students are more self-directed than that entering nurse education direct from high school. Nurses’ educators need to assess the Learning style and preferences of their students in order to determine the appropriateness of Self-Directed in learning. It is important to acknowledge that Self-Directed in Learning is only one teaching method that can be used to meet the learning needs of all students.
The Relationship Between Learning Style, Self-Directed in Learning and Undergraduate Nursing Students’ Academic Achievement in Tehran University of Medical Science (TUMS)
doi:10.11648/j.ajns.20150403.24
American Journal of Nursing Science
2015-06-13
© Science Publishing Group
Addis Adera Gebru
Shahrazad Ghiyasvandian
Nooroodin Mohammadi
The Relationship Between Learning Style, Self-Directed in Learning and Undergraduate Nursing Students’ Academic Achievement in Tehran University of Medical Science (TUMS)
4
3
150
150
2015-06-13
2015-06-13
10.11648/j.ajns.20150403.24
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.24
© Science Publishing Group
Effect of Diet Therapy Program on Dietary Knowledge and Practice of Elderly Patients on Regular Hemodialysis
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.23
The identification and proper management of risk factors for chronic renal diseases is a public health priority. Diet Nutrition program on elderly patients with uraemia on dialysis plays an important role in the process of treatment, decreasing complications and improving quality life of patients. The aim of this study was to assess the effectiveness of diet therapy program on dietary knowledge and practice of elderly patients on regular hemodialysis. Design: An interventional study was used. Setting: The study was conducted at the hemodialysis units of the Urology and Nephrology Centers at Zagazig University Hospitals. Sample: The study sample consisted of 90 elderly patients on regular hemodialysis who received the diet therapy program. Tools: Data was collected through: (1) An interviewing questionnaire to assess sociodemographic characteristics of patients, their dietary knowledge and practice before and after diet therapy program; (2) physical assessment checklist to assess abnormal physical findings of patients before and after intervention. Results: the elderly patients under hemodialysis have deficient dietary knowledges and practices. The implementation of the diet therapy program was effective in improving dietary knowledge and practices of elderly patients. The total knowledge and practice of the patients showed statistically significant improvements after the intervention ( 61.1% and 67.8% )respectively after the intervention compared with 18.9% and 23.3% respectively before intervention( p<0.001). Recommendations: Diet therapy programs need to be a priority on management of elderly patients under regular hemodialysis.
The identification and proper management of risk factors for chronic renal diseases is a public health priority. Diet Nutrition program on elderly patients with uraemia on dialysis plays an important role in the process of treatment, decreasing complications and improving quality life of patients. The aim of this study was to assess the effectiveness of diet therapy program on dietary knowledge and practice of elderly patients on regular hemodialysis. Design: An interventional study was used. Setting: The study was conducted at the hemodialysis units of the Urology and Nephrology Centers at Zagazig University Hospitals. Sample: The study sample consisted of 90 elderly patients on regular hemodialysis who received the diet therapy program. Tools: Data was collected through: (1) An interviewing questionnaire to assess sociodemographic characteristics of patients, their dietary knowledge and practice before and after diet therapy program; (2) physical assessment checklist to assess abnormal physical findings of patients before and after intervention. Results: the elderly patients under hemodialysis have deficient dietary knowledges and practices. The implementation of the diet therapy program was effective in improving dietary knowledge and practices of elderly patients. The total knowledge and practice of the patients showed statistically significant improvements after the intervention ( 61.1% and 67.8% )respectively after the intervention compared with 18.9% and 23.3% respectively before intervention( p<0.001). Recommendations: Diet therapy programs need to be a priority on management of elderly patients under regular hemodialysis.
Effect of Diet Therapy Program on Dietary Knowledge and Practice of Elderly Patients on Regular Hemodialysis
doi:10.11648/j.ajns.20150403.23
American Journal of Nursing Science
2015-06-13
© Science Publishing Group
Eman Shokry Abd Allah
Eman El-Shahat El-Sayed Oraby
Rasha Gad Ibrahim
Effect of Diet Therapy Program on Dietary Knowledge and Practice of Elderly Patients on Regular Hemodialysis
4
3
137
137
2015-06-13
2015-06-13
10.11648/j.ajns.20150403.23
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.23
© Science Publishing Group
Determinants of Quality of Life Among Gynaecological Cancer Patients on Follow Up at a Referral Hospital in Kenya
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.22
Various factors influence the quality of life (QOL) in cancer patients. This study sought to determine the predictors and factors associated with quality of life among gynaecological cancer patients on follow up at Kenyatta National Hospital, Kenya. A cross-sectional descriptive study was carried out between April and June 2014, involving both outpatient and inpatient gynaecological cancer patients receiving care at the palliative care unit. A structured questionnaire adopting the Missoula Vitas Quality of Life Index was used to collect information on socio-demographics, clinical characteristics and their perceptions about quality of life. The association between socio-demographic and clinical factors with QOL was analyzed using one way ANOVA and linear regression analysis to identify the predictors of QOL. A total of 108 study patients were interviewed. Their mean age was 48 years with a range of 18 to 72 years. Age, level of education, marital status, occupation and monthly income were the socio-demographic factors significantly associated with QOL scores, (p<0.05). The patients’ type of cancer, type of cancer treatment, duration of illness and palliative care services were the clinical characteristics significantly associated with QOL scores, (p<0.05). Age, level of education, occupation, average monthly income, type of cancer treatment, duration of illness and type of cancer were the independent predictors of QOL. Vulnerable patients were those who were less educated, peasant farmers or casual workers, had a long duration of illness and underwent combined therapy. Age, education, occupation, income, type of cancer, type of cancer treatment and duration of illness were the determinants of quality of life among gynaecological cancer patients in the study. Sufficient attention should be given to the more vulnerable gynaecological cancer patients in identifying and addressing their specific needs by the palliative care team.
Various factors influence the quality of life (QOL) in cancer patients. This study sought to determine the predictors and factors associated with quality of life among gynaecological cancer patients on follow up at Kenyatta National Hospital, Kenya. A cross-sectional descriptive study was carried out between April and June 2014, involving both outpatient and inpatient gynaecological cancer patients receiving care at the palliative care unit. A structured questionnaire adopting the Missoula Vitas Quality of Life Index was used to collect information on socio-demographics, clinical characteristics and their perceptions about quality of life. The association between socio-demographic and clinical factors with QOL was analyzed using one way ANOVA and linear regression analysis to identify the predictors of QOL. A total of 108 study patients were interviewed. Their mean age was 48 years with a range of 18 to 72 years. Age, level of education, marital status, occupation and monthly income were the socio-demographic factors significantly associated with QOL scores, (p<0.05). The patients’ type of cancer, type of cancer treatment, duration of illness and palliative care services were the clinical characteristics significantly associated with QOL scores, (p<0.05). Age, level of education, occupation, average monthly income, type of cancer treatment, duration of illness and type of cancer were the independent predictors of QOL. Vulnerable patients were those who were less educated, peasant farmers or casual workers, had a long duration of illness and underwent combined therapy. Age, education, occupation, income, type of cancer, type of cancer treatment and duration of illness were the determinants of quality of life among gynaecological cancer patients in the study. Sufficient attention should be given to the more vulnerable gynaecological cancer patients in identifying and addressing their specific needs by the palliative care team.
Determinants of Quality of Life Among Gynaecological Cancer Patients on Follow Up at a Referral Hospital in Kenya
doi:10.11648/j.ajns.20150403.22
American Journal of Nursing Science
2015-06-10
© Science Publishing Group
Isaac Machuki Ogoncho
Blasio Osogo Omuga
Sabina Wakasiaka
Margaret Muiva
Determinants of Quality of Life Among Gynaecological Cancer Patients on Follow Up at a Referral Hospital in Kenya
4
3
130
130
2015-06-10
2015-06-10
10.11648/j.ajns.20150403.22
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150403.22
© Science Publishing Group
The Relationship Between Learning Style and Undergraduate Nursing Students’ Academic Achievement in School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.11
Background: The Learning style has been the focus of numerous studies, but it remains complex and affected by many factors. Nursing students should learn large quantities of theoretical content in a short period of time. Objective: The Relationship between Learning style and undergraduate nursing students’ Academic Achievement in School of nursing and midwifery, Tehran University of Medical Sciences, Tehran, Iran Methods: A correlational cross sectional study was conducted. The subjects of this study were Undergraduate nursing students 232 from school grades of years attending to school of nursing and midwifery of Tehran University of Medical Sciences. Data was collected from students through an anonymous learning style questionnaire. The questionnaire was divided into three sections including (a) demographic profile (b) Kolb’s Learning Style Inventory (c) Academic achievement. An initial version of the questionnaire was piloted on a small group of nursing students as the context was validated by a panel of expertise in nursing education. All ethical considerations were applied in this study. Data analysis was carried out by using the latest version of the statistical software package SPSS (Version-21). Descriptive and analytical statistical test were used to analyze the data. Results: A total of 232 participated in study of relationship between learning styles, and undergraduate nursing students’ academic achievement. One hundred –Forty three participants were female (61.6%), and 89 respondents were male (38.4%); 60.8% were between 20 and 25 years, 33.6% were <20 years, and 5.6% were >25 years old. The most frequency learning style of students was Abstract Conceptualization (37.5%). In addition, Active Experiential (30.17%), Reflective Observation (19.83%) and Concrete Experiencing (12.5%) were in the next order in LS of students. The majority of subjects (52.8%) their academic achievements were at level of Good (the Median score were between (13-16). There was no significant relationship between Learning style and Academic Achievement (P> 0.05). There was a relationship between Learning styles and gender (P<0.05). There was a relationship between learning style and academic level (P=0.041). Conclusion: Not all students are self-directed, and this study suggests that mature students are more self-directed than that entering nurse education direct from high school. Nurses’ educators need to assess the Learning style and preferences of their students in order to determine the appropriateness of Self-Directed in learning.
Background: The Learning style has been the focus of numerous studies, but it remains complex and affected by many factors. Nursing students should learn large quantities of theoretical content in a short period of time. Objective: The Relationship between Learning style and undergraduate nursing students’ Academic Achievement in School of nursing and midwifery, Tehran University of Medical Sciences, Tehran, Iran Methods: A correlational cross sectional study was conducted. The subjects of this study were Undergraduate nursing students 232 from school grades of years attending to school of nursing and midwifery of Tehran University of Medical Sciences. Data was collected from students through an anonymous learning style questionnaire. The questionnaire was divided into three sections including (a) demographic profile (b) Kolb’s Learning Style Inventory (c) Academic achievement. An initial version of the questionnaire was piloted on a small group of nursing students as the context was validated by a panel of expertise in nursing education. All ethical considerations were applied in this study. Data analysis was carried out by using the latest version of the statistical software package SPSS (Version-21). Descriptive and analytical statistical test were used to analyze the data. Results: A total of 232 participated in study of relationship between learning styles, and undergraduate nursing students’ academic achievement. One hundred –Forty three participants were female (61.6%), and 89 respondents were male (38.4%); 60.8% were between 20 and 25 years, 33.6% were <20 years, and 5.6% were >25 years old. The most frequency learning style of students was Abstract Conceptualization (37.5%). In addition, Active Experiential (30.17%), Reflective Observation (19.83%) and Concrete Experiencing (12.5%) were in the next order in LS of students. The majority of subjects (52.8%) their academic achievements were at level of Good (the Median score were between (13-16). There was no significant relationship between Learning style and Academic Achievement (P> 0.05). There was a relationship between Learning styles and gender (P<0.05). There was a relationship between learning style and academic level (P=0.041). Conclusion: Not all students are self-directed, and this study suggests that mature students are more self-directed than that entering nurse education direct from high school. Nurses’ educators need to assess the Learning style and preferences of their students in order to determine the appropriateness of Self-Directed in learning.
The Relationship Between Learning Style and Undergraduate Nursing Students’ Academic Achievement in School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
doi:10.11648/j.ajns.20150404.11
American Journal of Nursing Science
2015-06-13
© Science Publishing Group
Addis Adera Gebru
Shahrazad Ghiyasvandian
Nooroodin Mohammadi
The Relationship Between Learning Style and Undergraduate Nursing Students’ Academic Achievement in School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
4
4
153
153
2015-06-13
2015-06-13
10.11648/j.ajns.20150404.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.11
© Science Publishing Group
Mothers’ Experiences of Kangaroo Mother Care During Hospitalization of Their Preterm Babies at an Academic Hospital in Johannesburg
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.18
Kangaroo mother care (KMC) implies placing the newborn pre-term baby in intimate skin-to-skin contact with the mother's chest and abdomen coupled with frequent and preferably exclusive breast-feeding. This is similar to marsupial care-giving, where the premature baby is kept warm in the maternal pouch and close to the breasts for unlimited feeding. KMC has emerged as a non-conventional low cost method for newborn care that provides warmth, touch, and security to the newborn and is believed to confer significant survival benefit. The purpose of this study was to understand the mothers lived experience and perception towards 24-hour Kangaroo Mother Care (KMC) during hospitalization of their preterm babies. Phenomenological study methods were applied through in-depth unstructured interviews, on purposefully selected participants. Their lived experience was analyzed using Collaizzi’s steps to phenomenological data analysis. Data analysis revealed three major themes: (a) “it is a bond between me and my child” (b) nurse-parent interaction, and (c) “it is tiring and exhaustive”. The study found that all the mothers in spite of exhaustion, reported high level of satisfaction with KMC because it allowed them to be closer to their babies, hence giving them the opportunity to observe their growth and became fully involved in the care. The excellent nurse-mothers’ interaction reinforced the KMC concept in care of preterm babies and was rated significant in the transition period of motherhood. The interaction enabled mothers to shift from passive observers to active participants in the care of the preterm babies. KMC was additionally noted to have provided a comforting and warm environment for the babies, thus enabling them to grow faster via weight gains and this in turn increased maternal satisfaction. Recommendation for further research preferably using quantitative methods to establish relationship between production of breast milk and the use of KMC is envisaged. The principle of 24-hour KMC should also be incorporated and emphasized in all levels of preterm baby care hospitals and educational training as this practice has been found to have numerous benefits both to the mothers and to their preterm babies.
Kangaroo mother care (KMC) implies placing the newborn pre-term baby in intimate skin-to-skin contact with the mother's chest and abdomen coupled with frequent and preferably exclusive breast-feeding. This is similar to marsupial care-giving, where the premature baby is kept warm in the maternal pouch and close to the breasts for unlimited feeding. KMC has emerged as a non-conventional low cost method for newborn care that provides warmth, touch, and security to the newborn and is believed to confer significant survival benefit. The purpose of this study was to understand the mothers lived experience and perception towards 24-hour Kangaroo Mother Care (KMC) during hospitalization of their preterm babies. Phenomenological study methods were applied through in-depth unstructured interviews, on purposefully selected participants. Their lived experience was analyzed using Collaizzi’s steps to phenomenological data analysis. Data analysis revealed three major themes: (a) “it is a bond between me and my child” (b) nurse-parent interaction, and (c) “it is tiring and exhaustive”. The study found that all the mothers in spite of exhaustion, reported high level of satisfaction with KMC because it allowed them to be closer to their babies, hence giving them the opportunity to observe their growth and became fully involved in the care. The excellent nurse-mothers’ interaction reinforced the KMC concept in care of preterm babies and was rated significant in the transition period of motherhood. The interaction enabled mothers to shift from passive observers to active participants in the care of the preterm babies. KMC was additionally noted to have provided a comforting and warm environment for the babies, thus enabling them to grow faster via weight gains and this in turn increased maternal satisfaction. Recommendation for further research preferably using quantitative methods to establish relationship between production of breast milk and the use of KMC is envisaged. The principle of 24-hour KMC should also be incorporated and emphasized in all levels of preterm baby care hospitals and educational training as this practice has been found to have numerous benefits both to the mothers and to their preterm babies.
Mothers’ Experiences of Kangaroo Mother Care During Hospitalization of Their Preterm Babies at an Academic Hospital in Johannesburg
doi:10.11648/j.ajns.20150404.18
American Journal of Nursing Science
2015-07-17
© Science Publishing Group
Titus Kipchumba Tarus
Adele Agatha Tjale
Mothers’ Experiences of Kangaroo Mother Care During Hospitalization of Their Preterm Babies at an Academic Hospital in Johannesburg
4
4
206
206
2015-07-17
2015-07-17
10.11648/j.ajns.20150404.18
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.18
© Science Publishing Group
The Effects and Behaviours of Home Alone Situation by Latchkey Children
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.19
Economic and social pressures are forcing more parents into the workplace at a time when children appear to most need adult guidance and supervision. These children, in turn, face a growing number of problems such as physical and sexual abuse, crime and delinquency, depression and suicide, drug and alcohol abuse, emotional and behavioral problems, learning difficulties, school attendance problems, domestic violence, pregnancy, abortion, and venereal disease. Many "latchkey" children experience stressful and even dangerous situations without ready access to adult guidance and support. It is estimated that as many as 10 million children care for themselves before or after school. Many latchkey kids begin their self-care responsibilities at about 8 years of age.
Economic and social pressures are forcing more parents into the workplace at a time when children appear to most need adult guidance and supervision. These children, in turn, face a growing number of problems such as physical and sexual abuse, crime and delinquency, depression and suicide, drug and alcohol abuse, emotional and behavioral problems, learning difficulties, school attendance problems, domestic violence, pregnancy, abortion, and venereal disease. Many "latchkey" children experience stressful and even dangerous situations without ready access to adult guidance and support. It is estimated that as many as 10 million children care for themselves before or after school. Many latchkey kids begin their self-care responsibilities at about 8 years of age.
The Effects and Behaviours of Home Alone Situation by Latchkey Children
doi:10.11648/j.ajns.20150404.19
American Journal of Nursing Science
2015-07-23
© Science Publishing Group
J. Rajalakshmi
P. Thanasekaran
The Effects and Behaviours of Home Alone Situation by Latchkey Children
4
4
211
211
2015-07-23
2015-07-23
10.11648/j.ajns.20150404.19
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.19
© Science Publishing Group
Living and Dying with Alzheimer’s Disease: A Case Presentation
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.20
The following is a case presentation on the life of Leslie Bernard Wynne, an individual crippled by Alzheimer’s Disease (AD) during the last five years of his life. The case study briefly describes the disease process, discusses the genetic component of late-onset AD in regards to the apolipoprotein E (APOE) gene, provides a suggested care plan which spans the course of illness from diagnosis until death, outlines treatment options, highlights common comorbidities, and considers the availability of genetic testing. Recommendations based on best practices and research available are provided throughout and have been integrated into the suggested plan of care. The case study also includes recollections of the family of Mr. Wynne during his illness and exposes the great emotional and physical toll that Alzheimer’s takes beyond the diagnosed individual.
The following is a case presentation on the life of Leslie Bernard Wynne, an individual crippled by Alzheimer’s Disease (AD) during the last five years of his life. The case study briefly describes the disease process, discusses the genetic component of late-onset AD in regards to the apolipoprotein E (APOE) gene, provides a suggested care plan which spans the course of illness from diagnosis until death, outlines treatment options, highlights common comorbidities, and considers the availability of genetic testing. Recommendations based on best practices and research available are provided throughout and have been integrated into the suggested plan of care. The case study also includes recollections of the family of Mr. Wynne during his illness and exposes the great emotional and physical toll that Alzheimer’s takes beyond the diagnosed individual.
Living and Dying with Alzheimer’s Disease: A Case Presentation
doi:10.11648/j.ajns.20150404.20
American Journal of Nursing Science
2015-07-25
© Science Publishing Group
Lorena M. De La Rosa
Living and Dying with Alzheimer’s Disease: A Case Presentation
4
4
217
217
2015-07-25
2015-07-25
10.11648/j.ajns.20150404.20
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.20
© Science Publishing Group
Effectiveness of Application of PLISSIT Counseling Model on Sexuality for Breast Cancer's Women Undergoing Treatment
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.21
Background: A breast cancer's diagnosis and treatment can bring changes related to women’s body image and sexuality, which can have a devastating impact on intimate relationships and sexuality. The study aim to examine the effectiveness of PLISSIT Counseling Model on female sexuality, body image and couple satisfaction for breast cancer women undergoing treatment. Subjects &methods a quasi-experimental design was used. The study was conducted at Out-patient Oncology Institute, Menoufia University-Egypt. A purposive sample of 66 women with breast cancer was included. Four tools were used to collect data., a structured interviewing questionnaire, body image scale, female sexual function index (FSDI), the revised dyadic adjustment scale. Results. A significant relationship was found between treatment side effects pre and post intervention regarding nausea & vomiting, diarrhea and pain. The mean score of body image, couple satisfaction and sexual dysfunction were improved after application of PLISST counseling model. Conclusion: application of PLISSIT model was effective in enhancing sexual functioning, body image and couple satisfaction for breast cancer women under treatment regimen. Recommendation: Adopting PLISSIT sexual counseling model in addressing sexual dysfunction in a cancer treatment institutions. Applying the evidence –based nursing interventions to address and manage the effects of breast cancer on sexuality.
Background: A breast cancer's diagnosis and treatment can bring changes related to women’s body image and sexuality, which can have a devastating impact on intimate relationships and sexuality. The study aim to examine the effectiveness of PLISSIT Counseling Model on female sexuality, body image and couple satisfaction for breast cancer women undergoing treatment. Subjects &methods a quasi-experimental design was used. The study was conducted at Out-patient Oncology Institute, Menoufia University-Egypt. A purposive sample of 66 women with breast cancer was included. Four tools were used to collect data., a structured interviewing questionnaire, body image scale, female sexual function index (FSDI), the revised dyadic adjustment scale. Results. A significant relationship was found between treatment side effects pre and post intervention regarding nausea & vomiting, diarrhea and pain. The mean score of body image, couple satisfaction and sexual dysfunction were improved after application of PLISST counseling model. Conclusion: application of PLISSIT model was effective in enhancing sexual functioning, body image and couple satisfaction for breast cancer women under treatment regimen. Recommendation: Adopting PLISSIT sexual counseling model in addressing sexual dysfunction in a cancer treatment institutions. Applying the evidence –based nursing interventions to address and manage the effects of breast cancer on sexuality.
Effectiveness of Application of PLISSIT Counseling Model on Sexuality for Breast Cancer's Women Undergoing Treatment
doi:10.11648/j.ajns.20150404.21
American Journal of Nursing Science
2015-07-29
© Science Publishing Group
Nabila El- Sayed Saboula
Marwa Ahmed Shahin
Effectiveness of Application of PLISSIT Counseling Model on Sexuality for Breast Cancer's Women Undergoing Treatment
4
4
230
230
2015-07-29
2015-07-29
10.11648/j.ajns.20150404.21
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.21
© Science Publishing Group
Home Education Impact on Peritoneal Dialysis-Associated Peritonitis Episode
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.12
The present study was aimed to evaluate the impact of home education on peritoneal dialysis (PD)-associated peritonitis episode in Al Medina- KSA. Thirty patients' on home PD were identified during their follow up visits to three dialysis units. Data were collected through three structured interviews questionnaire at their home via three tools; sheet for demographic characteristics and PD data and history, pre-posttests questionnaire for knowledge, and observational checklist for practice. Peritonitis episodes indicated by three cultures which were done at the times of; pretest, 3 and 6 months after posttest one. The main study findings revealed that 73.3% of the subjects were males with mean age of 26 year. A highly significant differences were found among pre and posttest one of knowledge part {t (27.892) p˂ (0.001)}, pretest-posttest one and posttest one- two of practice part, {t (8.475) p˂ (0.001) and t (4.805) p˂ (0.001)} respectively. The three consecutive cultures results were showed peritonitis episode as followed (30%, 10% and 13.3%). Positive impact was showed on minimizing peritonitis episode in PD patients following home education but by time spent the patients’ compliance declined. Thus periodical refreshment home education provided by experienced nurses is critically needed to maintain standardized PD practice.
The present study was aimed to evaluate the impact of home education on peritoneal dialysis (PD)-associated peritonitis episode in Al Medina- KSA. Thirty patients' on home PD were identified during their follow up visits to three dialysis units. Data were collected through three structured interviews questionnaire at their home via three tools; sheet for demographic characteristics and PD data and history, pre-posttests questionnaire for knowledge, and observational checklist for practice. Peritonitis episodes indicated by three cultures which were done at the times of; pretest, 3 and 6 months after posttest one. The main study findings revealed that 73.3% of the subjects were males with mean age of 26 year. A highly significant differences were found among pre and posttest one of knowledge part {t (27.892) p˂ (0.001)}, pretest-posttest one and posttest one- two of practice part, {t (8.475) p˂ (0.001) and t (4.805) p˂ (0.001)} respectively. The three consecutive cultures results were showed peritonitis episode as followed (30%, 10% and 13.3%). Positive impact was showed on minimizing peritonitis episode in PD patients following home education but by time spent the patients’ compliance declined. Thus periodical refreshment home education provided by experienced nurses is critically needed to maintain standardized PD practice.
Home Education Impact on Peritoneal Dialysis-Associated Peritonitis Episode
doi:10.11648/j.ajns.20150404.12
American Journal of Nursing Science
2015-06-25
© Science Publishing Group
Fatma Abdelalim Abdelghany Ibrahim
Amany Hassen Abdelsattar
Home Education Impact on Peritoneal Dialysis-Associated Peritonitis Episode
4
4
158
158
2015-06-25
2015-06-25
10.11648/j.ajns.20150404.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.12
© Science Publishing Group
Job Satisfaction among Nurses in Public Hospitals in Calabar, Cross River State Nigeria
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.22
Background: Job satisfaction is an essential part of nurses’ lives, influencing patient safety, productivity, performance, quality of care, retention, turnover, commitment to the organization and the profession. Little is known about determinants of job satisfaction and their relationship with overall job satisfaction among nurses in Calabar, Cross River State, Nigeria. The study was undertaken to assess the level of job satisfaction and the relationship between determinants and overall job satisfaction. Methods: A descriptive survey with a sample of 346 nurses selected through stratified random sampling was used in this study. A self-reported questionnaire labeled “Work Quality Index” was used in collecting data on job satisfaction. The instrument yielded a test-retest reliability of ® 0.73 to 0.85. Data were computer analyzed using Statistical Package for Social Sciences (SPSS) version 15.0 for Windows. Results: Majority of respondents 262 (75.7%) were between ages 31-40 years while most (48.5%) had 16-25 years of working experience. The respondents were predominantly female (88.4%). Regarding education, most of the respondents (69.9%) had diploma in Nursing while 28.6% were first degree holders. The mean overall of job satisfaction was 146.7. The results also revealed that majority of the respondents 265 (82.4%) were moderately satisfied with their work. Nurses were least satisfied with their salaries. The level of achievement, advancement, responsibility, recognition, work itself, nursing practice environment, hospital policy, interpersonal relationship, salary, supervision and working conditions were significantly positively related to the overall job satisfaction. Conclusion: The study has shown that nurses in the hospital under study were not totally satisfied with their job. In view of the negative impact of lack of job satisfaction, the main recommendation was that all determinants of job satisfaction must be addressed by the government, hospital management and professional associations.
Background: Job satisfaction is an essential part of nurses’ lives, influencing patient safety, productivity, performance, quality of care, retention, turnover, commitment to the organization and the profession. Little is known about determinants of job satisfaction and their relationship with overall job satisfaction among nurses in Calabar, Cross River State, Nigeria. The study was undertaken to assess the level of job satisfaction and the relationship between determinants and overall job satisfaction. Methods: A descriptive survey with a sample of 346 nurses selected through stratified random sampling was used in this study. A self-reported questionnaire labeled “Work Quality Index” was used in collecting data on job satisfaction. The instrument yielded a test-retest reliability of ® 0.73 to 0.85. Data were computer analyzed using Statistical Package for Social Sciences (SPSS) version 15.0 for Windows. Results: Majority of respondents 262 (75.7%) were between ages 31-40 years while most (48.5%) had 16-25 years of working experience. The respondents were predominantly female (88.4%). Regarding education, most of the respondents (69.9%) had diploma in Nursing while 28.6% were first degree holders. The mean overall of job satisfaction was 146.7. The results also revealed that majority of the respondents 265 (82.4%) were moderately satisfied with their work. Nurses were least satisfied with their salaries. The level of achievement, advancement, responsibility, recognition, work itself, nursing practice environment, hospital policy, interpersonal relationship, salary, supervision and working conditions were significantly positively related to the overall job satisfaction. Conclusion: The study has shown that nurses in the hospital under study were not totally satisfied with their job. In view of the negative impact of lack of job satisfaction, the main recommendation was that all determinants of job satisfaction must be addressed by the government, hospital management and professional associations.
Job Satisfaction among Nurses in Public Hospitals in Calabar, Cross River State Nigeria
doi:10.11648/j.ajns.20150404.22
American Journal of Nursing Science
2015-08-06
© Science Publishing Group
Samson-Akpan Patience Edoho
EdetOlaide Bamidele
Ojong Idang Neji
Asuquo Ekaette Frank
Job Satisfaction among Nurses in Public Hospitals in Calabar, Cross River State Nigeria
4
4
237
237
2015-08-06
2015-08-06
10.11648/j.ajns.20150404.22
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.22
© Science Publishing Group
Effect of the Mandatory Community Midwifery Service on Maternal Health Care Utilization in Nigeria
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.23
The unacceptably high maternal mortality in Nigeria led the Nursing and Midwifery Council of Nigeria to introduce the basic midwifery training with the view of producing skilled personnel to provide midwifery services. Built into the programme is the one-year mandatory community service. The one-year mandatory community service in an intervention aimed at ensuring the availability of midwives (skilled attendants) to provide maternal care in the communities and thus encourage women to access care at the health centre. The study investigated the variation in the levels of utilization of maternal healthcare before and after the inception of the one year mandatory midwives’ community service by assessing the perceptions of the Midwives regarding the impact of the mandatory service on the utilization of maternal care services. The General System Theory and the Logic Model were the theoretical models used in this study. The research was conducted in three selected local government areas (LGAs) out of the eighteen (18) LGAs in Ondo State. The time-series type of non-controlled experimental design was the research design used for the study. Records of maternal health care attendance from the selected health facilities from July 2002 to July 2010 were assessed to generate data for the study. The study population comprised the midwives who had participated in the mandatory service in the three selected communities where the three primary health care centres are located. Multistage sampling technique was adopted to select three Local Government Areas (LGAs) from where data was collected. All midwives that have served or are still serving in the selected PHCs were purposely involved, a total of 50 in number. In-depth interview guide and format for recording data from records were used in the study. The interview guide was divided into two sections. Section A, was a checklist was used to explore the participants’ opinions on the mandatory community service and Section B was a questionnaire to assess the midwives experience, opinions and challenges. Lastly, a format/checklist was developed to record data from records (antenatal care attendance, deliveries and postnatal care attendance between July 2002 and July 2011). Data from the study was analyzed using both descriptive and inferential statistics utilizing the Statistical Package for the Social Sciences (SPSS) Correlation coefficient was used. The result obtained from the study indicated that there was no significant difference in the levels of utilization of maternal care services before and after the inception of the mandatory community service except for the slight increase in antenatal care utilization. The majority of the midwives claimed that their presence had increased the patronage of maternal care services. However this subjective data was not justified by the statistics obtained. The midwives also highlighted their challenges as well as the way forward.
The unacceptably high maternal mortality in Nigeria led the Nursing and Midwifery Council of Nigeria to introduce the basic midwifery training with the view of producing skilled personnel to provide midwifery services. Built into the programme is the one-year mandatory community service. The one-year mandatory community service in an intervention aimed at ensuring the availability of midwives (skilled attendants) to provide maternal care in the communities and thus encourage women to access care at the health centre. The study investigated the variation in the levels of utilization of maternal healthcare before and after the inception of the one year mandatory midwives’ community service by assessing the perceptions of the Midwives regarding the impact of the mandatory service on the utilization of maternal care services. The General System Theory and the Logic Model were the theoretical models used in this study. The research was conducted in three selected local government areas (LGAs) out of the eighteen (18) LGAs in Ondo State. The time-series type of non-controlled experimental design was the research design used for the study. Records of maternal health care attendance from the selected health facilities from July 2002 to July 2010 were assessed to generate data for the study. The study population comprised the midwives who had participated in the mandatory service in the three selected communities where the three primary health care centres are located. Multistage sampling technique was adopted to select three Local Government Areas (LGAs) from where data was collected. All midwives that have served or are still serving in the selected PHCs were purposely involved, a total of 50 in number. In-depth interview guide and format for recording data from records were used in the study. The interview guide was divided into two sections. Section A, was a checklist was used to explore the participants’ opinions on the mandatory community service and Section B was a questionnaire to assess the midwives experience, opinions and challenges. Lastly, a format/checklist was developed to record data from records (antenatal care attendance, deliveries and postnatal care attendance between July 2002 and July 2011). Data from the study was analyzed using both descriptive and inferential statistics utilizing the Statistical Package for the Social Sciences (SPSS) Correlation coefficient was used. The result obtained from the study indicated that there was no significant difference in the levels of utilization of maternal care services before and after the inception of the mandatory community service except for the slight increase in antenatal care utilization. The majority of the midwives claimed that their presence had increased the patronage of maternal care services. However this subjective data was not justified by the statistics obtained. The midwives also highlighted their challenges as well as the way forward.
Effect of the Mandatory Community Midwifery Service on Maternal Health Care Utilization in Nigeria
doi:10.11648/j.ajns.20150404.23
American Journal of Nursing Science
2015-08-11
© Science Publishing Group
Fadare R. I.
Akpor O. A.
Oyetunde M. O.
Effect of the Mandatory Community Midwifery Service on Maternal Health Care Utilization in Nigeria
4
4
246
246
2015-08-11
2015-08-11
10.11648/j.ajns.20150404.23
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.23
© Science Publishing Group
Effect of a Breast-Self Examination (BSE) Educational Intervention among Female University Students
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.13
Although evidence shows that women who correctly practice BSE monthly are more likely to detect a lump in the early stage, with early diagnosis and treatment yielding better survival, few women regularly perform BSE and many do not even know how to perform it. The aim of this study was to evaluate the effect of a health education intervention on “breast self-examination” regarding for knowledge, attitude, and practice among female students. Quasi-experimental study was carried out on 180 female student's sitting in the Faculty of Physical Education at Zagazig University and its affiliated hostel. The data collection tools included a self-administered questionnaire and an observation checklist to assess student’s performance of BSE before and after the intervention. The results showed that these students have deficient knowledge and low perceptions regarding breast cancer and BSE; although the majority had positive attitudes, their practice of BSE is very deficient. The educational intervention was effective in improving students’ knowledge, perceptions, attitudes, and practice. The intervention was a significant independent positive predictor of student's knowledge and practice scores, while the attitude score is modulated through the knowledge score. In conclusion, the university students at the Faculty of physical Education have deficient knowledge, low perceptions and inadequate practice regarding breast cancer and BSE. The educational intervention is effective in improving their knowledge, perceptions, attitudes, and practice. It is recommended that health education programs for university students, and the curriculum of the faculties of education should include some health-related issues. It is proposed to replicate this study using a randomized clinical trial design in order to confirm the findings and to provide a higher level of evidence.
Although evidence shows that women who correctly practice BSE monthly are more likely to detect a lump in the early stage, with early diagnosis and treatment yielding better survival, few women regularly perform BSE and many do not even know how to perform it. The aim of this study was to evaluate the effect of a health education intervention on “breast self-examination” regarding for knowledge, attitude, and practice among female students. Quasi-experimental study was carried out on 180 female student's sitting in the Faculty of Physical Education at Zagazig University and its affiliated hostel. The data collection tools included a self-administered questionnaire and an observation checklist to assess student’s performance of BSE before and after the intervention. The results showed that these students have deficient knowledge and low perceptions regarding breast cancer and BSE; although the majority had positive attitudes, their practice of BSE is very deficient. The educational intervention was effective in improving students’ knowledge, perceptions, attitudes, and practice. The intervention was a significant independent positive predictor of student's knowledge and practice scores, while the attitude score is modulated through the knowledge score. In conclusion, the university students at the Faculty of physical Education have deficient knowledge, low perceptions and inadequate practice regarding breast cancer and BSE. The educational intervention is effective in improving their knowledge, perceptions, attitudes, and practice. It is recommended that health education programs for university students, and the curriculum of the faculties of education should include some health-related issues. It is proposed to replicate this study using a randomized clinical trial design in order to confirm the findings and to provide a higher level of evidence.
Effect of a Breast-Self Examination (BSE) Educational Intervention among Female University Students
doi:10.11648/j.ajns.20150404.13
American Journal of Nursing Science
2015-06-29
© Science Publishing Group
Doaa Gharieb Moustafa
Eman Shokry Abd-Allah
Nadia Mohamed Taha
Effect of a Breast-Self Examination (BSE) Educational Intervention among Female University Students
4
4
165
165
2015-06-29
2015-06-29
10.11648/j.ajns.20150404.13
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.13
© Science Publishing Group
Coordination Strategies of Care Across Stroke Recovery: Proposals for Nursing Interventions in Primary Care
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.14
Background. Stroke is characterized by its complexity as a result of residual deficits, dependence in basic activities of daily living, and new needs for caregivers. The purpose of this study was to propose nursing interventions in accordance with general practice to provide continuity of care of stroke patients across the stroke-recovery trajectory and support for caregivers beyond the patient’s length of stay. Methods. This is a longitudinal prospective study of a population-based cohort of all cases recorded in inpatient care of a first episode of stroke that occurred between 1 April 2006 and 31 December 2014. Results. There were 1,494 cases (54.1% male) and the mean age was 77.4±12.9 years. Only 27.9% were evaluated by their disability after hospital discharge. Ischemic stroke treated with thrombolysis had the best results in mortality (6.3%) and Barthel score (85.5). Mild dependence for thrombolysis was OR=2.5 with RRR=46%, ARR=9.4%, and NNT=10 to get a Barthel score >60 at discharge. After the episode the percentage of individuals with moderate or greater dependence increased up to 22.5%, with a loss (p=0.023) higher in women, halving the number of individuals with early independence. Of the stroke survivors 43.4% went directly home after acute care and needed a home caregiver. Age (p<0.001) and NIHSS <12 (p=0.045) were identified as the only prognostic factors associated with mild dependence (Barthel>60).Conclusions. This study recommends consideration of special interests, both standardization of a discharge report as organizing an individualized primary care plan and the unification of processes for assessment of the situation of dependency among all public administrations to facilitate the necessary support planning for the stroke patient and their family in primary care.
Background. Stroke is characterized by its complexity as a result of residual deficits, dependence in basic activities of daily living, and new needs for caregivers. The purpose of this study was to propose nursing interventions in accordance with general practice to provide continuity of care of stroke patients across the stroke-recovery trajectory and support for caregivers beyond the patient’s length of stay. Methods. This is a longitudinal prospective study of a population-based cohort of all cases recorded in inpatient care of a first episode of stroke that occurred between 1 April 2006 and 31 December 2014. Results. There were 1,494 cases (54.1% male) and the mean age was 77.4±12.9 years. Only 27.9% were evaluated by their disability after hospital discharge. Ischemic stroke treated with thrombolysis had the best results in mortality (6.3%) and Barthel score (85.5). Mild dependence for thrombolysis was OR=2.5 with RRR=46%, ARR=9.4%, and NNT=10 to get a Barthel score >60 at discharge. After the episode the percentage of individuals with moderate or greater dependence increased up to 22.5%, with a loss (p=0.023) higher in women, halving the number of individuals with early independence. Of the stroke survivors 43.4% went directly home after acute care and needed a home caregiver. Age (p<0.001) and NIHSS <12 (p=0.045) were identified as the only prognostic factors associated with mild dependence (Barthel>60).Conclusions. This study recommends consideration of special interests, both standardization of a discharge report as organizing an individualized primary care plan and the unification of processes for assessment of the situation of dependency among all public administrations to facilitate the necessary support planning for the stroke patient and their family in primary care.
Coordination Strategies of Care Across Stroke Recovery: Proposals for Nursing Interventions in Primary Care
doi:10.11648/j.ajns.20150404.14
American Journal of Nursing Science
2015-06-29
© Science Publishing Group
Queralt-Tomas Mª Ll.
Gil-Guillen V. F.
Clua-Espuny J. L.
Forcadell-Arenas T.
González-Henares M. A.
Panisello-Tafalla A.
Ripolles-Vicente R.
López-Pablo C.
Lucas-Noll J.
Coordination Strategies of Care Across Stroke Recovery: Proposals for Nursing Interventions in Primary Care
4
4
173
173
2015-06-29
2015-06-29
10.11648/j.ajns.20150404.14
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.14
© Science Publishing Group
Impact of Stress on Immune Response of Breast Cancer Women After Mastectomy
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.16
Aim of the study was to determine the impact of stress on immune responses of breast cancer women after Mastectomy Materials and method: study was carried out on a convenient sample of 60 adult women diagnosed as breast cancer for stage II or III and scheduled for mastectomy at Oncology University Hospital of Menoufia A descriptive design was used. Two tools; were utilized to collect data related to this study were (1) Stress Assessment Scale, and (2) Immune Response Assessment Questionnaire. Results: revealed that 46.7% of breast cancer women in the study aged between (45 – to less than 55) years, 80.0% were married, 63.3% lived in rural areas, 50.0% monthly income between (150 – less than 300) Egyptian pounds, 40.0% were illiterate, 36.7% of the sample had sever degree of stress at preoperative assessment while 56.7% had sever degree of stress at post operative assessment, there was negative statistically significant correlations between total stress and immune responses were T lymphocytes, CD4 helper, CD56 NK cell, and CD14 Monocytes in pre operative assessment. And T lymphocytes, CD4 helper, CD8 Cytotoxic, CD56 NK cell, and CD14 Monocytes in post operative assessment. Conclusions: the higher the degree of stress, the lower the values of T Lymphocytes, CD4 helper, CD8 Cytotoxic, CD56 NK cells, and CD14 Monocytes. Supporting cancer women during treatments through instructing their psychological and physical well-being. Recommendation: Further researches are needed with large sample size and control group.
Aim of the study was to determine the impact of stress on immune responses of breast cancer women after Mastectomy Materials and method: study was carried out on a convenient sample of 60 adult women diagnosed as breast cancer for stage II or III and scheduled for mastectomy at Oncology University Hospital of Menoufia A descriptive design was used. Two tools; were utilized to collect data related to this study were (1) Stress Assessment Scale, and (2) Immune Response Assessment Questionnaire. Results: revealed that 46.7% of breast cancer women in the study aged between (45 – to less than 55) years, 80.0% were married, 63.3% lived in rural areas, 50.0% monthly income between (150 – less than 300) Egyptian pounds, 40.0% were illiterate, 36.7% of the sample had sever degree of stress at preoperative assessment while 56.7% had sever degree of stress at post operative assessment, there was negative statistically significant correlations between total stress and immune responses were T lymphocytes, CD4 helper, CD56 NK cell, and CD14 Monocytes in pre operative assessment. And T lymphocytes, CD4 helper, CD8 Cytotoxic, CD56 NK cell, and CD14 Monocytes in post operative assessment. Conclusions: the higher the degree of stress, the lower the values of T Lymphocytes, CD4 helper, CD8 Cytotoxic, CD56 NK cells, and CD14 Monocytes. Supporting cancer women during treatments through instructing their psychological and physical well-being. Recommendation: Further researches are needed with large sample size and control group.
Impact of Stress on Immune Response of Breast Cancer Women After Mastectomy
doi:10.11648/j.ajns.20150404.16
American Journal of Nursing Science
2015-07-05
© Science Publishing Group
Amal Mohamed Gamal
Sanaa Ibrahim Abd El-Gaffar
Impact of Stress on Immune Response of Breast Cancer Women After Mastectomy
4
4
189
189
2015-07-05
2015-07-05
10.11648/j.ajns.20150404.16
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.16
© Science Publishing Group
Assessment of the Role of Men in Family Planning Utilization at Edaga-Hamuse Town, Tigray, North Ethiopia
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.15
Back Ground: Family planning is a key for slowing unsustainable population growth and the resulting negative impacts on the economy, environment, and national and regional development efforts. Men are also recognized to be responsible for the large proportion of ill reproductive health Suffered by their female partners. In addition; male involvement helps not only in accepting a contraceptive but also in its effective use and continuation. But men involvement in family planning at the study setting is rarely known. Objectives: To assess male involvement in Family planning utilization at Edaga-Hamuse town, Tigray, North Ethiopia. Methods: A Community based analytical cross-sectional study design was conducted, from August 27, 2014 up to September, 15, 2014. Population of married couples in selected households available during the study period was included in the study. The data was collected using pre-tested self-administered questionnaires. The findings of the study was summarized and presented using tables, descriptive measures and statistical diagrams. The data editing and clearance was done on the same software. Finally, the data was taken to SPSS version 16.0 for the final analysis. And P-value was used. Result: More than 99% of the subjects have heard about modern family planning methods/current contraceptive use. The most commonly mentioned 114(38.8%) of modern family planning methods was pills and followed by 91(30.9%) was inject able. The rate of current contraceptive use is significantly higher for those women with between 3-4 births or having between 1-3 live children (34.3%; n=101) and (25.5%; n=75) respectively. Of the participants 78(26.5%) were used Pills by need of 3-4 children ever born. The result shows that the more than half of the subjects (60.7%; n=176) did get married between 21-28 years old. The result shows that the more than half of the subjects (59%; n=170) had experienced in pregnancy terminated with Abortion (By asking Husband’s experience of their wife). Conclusion and recommendation: of the subjects had never been involved themselves in FP with their wife and this may be attributed to negative perceptions recorded among them. More research with larger groups is needed to generalize this result. The majority of the subjects had never been involved themselves in FP with their wife and this may be attributed to negative perceptions recorded among them.
Back Ground: Family planning is a key for slowing unsustainable population growth and the resulting negative impacts on the economy, environment, and national and regional development efforts. Men are also recognized to be responsible for the large proportion of ill reproductive health Suffered by their female partners. In addition; male involvement helps not only in accepting a contraceptive but also in its effective use and continuation. But men involvement in family planning at the study setting is rarely known. Objectives: To assess male involvement in Family planning utilization at Edaga-Hamuse town, Tigray, North Ethiopia. Methods: A Community based analytical cross-sectional study design was conducted, from August 27, 2014 up to September, 15, 2014. Population of married couples in selected households available during the study period was included in the study. The data was collected using pre-tested self-administered questionnaires. The findings of the study was summarized and presented using tables, descriptive measures and statistical diagrams. The data editing and clearance was done on the same software. Finally, the data was taken to SPSS version 16.0 for the final analysis. And P-value was used. Result: More than 99% of the subjects have heard about modern family planning methods/current contraceptive use. The most commonly mentioned 114(38.8%) of modern family planning methods was pills and followed by 91(30.9%) was inject able. The rate of current contraceptive use is significantly higher for those women with between 3-4 births or having between 1-3 live children (34.3%; n=101) and (25.5%; n=75) respectively. Of the participants 78(26.5%) were used Pills by need of 3-4 children ever born. The result shows that the more than half of the subjects (60.7%; n=176) did get married between 21-28 years old. The result shows that the more than half of the subjects (59%; n=170) had experienced in pregnancy terminated with Abortion (By asking Husband’s experience of their wife). Conclusion and recommendation: of the subjects had never been involved themselves in FP with their wife and this may be attributed to negative perceptions recorded among them. More research with larger groups is needed to generalize this result. The majority of the subjects had never been involved themselves in FP with their wife and this may be attributed to negative perceptions recorded among them.
Assessment of the Role of Men in Family Planning Utilization at Edaga-Hamuse Town, Tigray, North Ethiopia
doi:10.11648/j.ajns.20150404.15
American Journal of Nursing Science
2015-07-05
© Science Publishing Group
Addis Adera
Tilahun Belete
Asefa Gebru
Alganesh Hagos
Woldegebriel Gebregziabher
Assessment of the Role of Men in Family Planning Utilization at Edaga-Hamuse Town, Tigray, North Ethiopia
4
4
181
181
2015-07-05
2015-07-05
10.11648/j.ajns.20150404.15
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.15
© Science Publishing Group
Impact of a Planned Sexual Harassment Protective Program on Feeling of Safety and Self Confidence among Adolescent Girls
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.17
Background: Sexual harassment is a widespread phenomenon among adolescents. Its emergence is correlated to biological development; this behavior is neither normative nor socially appropriate given the negative impact on victims and its association with other aggressive and violent behavior. Enhancing adolescents’ self-confidence is helpful in empowering then to feel safe and protected against this antisocial phenomenon. Aim: is to assess the impact of a planned sexual harassment protective program on feeling of safety and self confidence among adolescent girls. Design: A quasi experimental research design was utilized. Setting: The study was conducted in two secondary schools at Menoufia Governerate: (1) El-Sanawia banat old secondary school. (2) El-Sanawia banat new secondary school. Sample: a number of 100 secondary school adolescent girls were selected randomly from the previously mentioned settings. Tools: Two tools were used for data collection. Tool one: Students’ knowledge questionnaire: it consisted of two parts. Part one: a structured: socio-demographic questionnaire to obtain demographic data about the studied sample. Part two: - sexual harassment structured questionnaire. Tool two: Five points Likert- scale structured questionnaire regarding degree of self confidence and felling of safety of adolescent girls. .Results: The results of the current study showed that, there were highly statistically significant differences between pre and after implementation of planned sexual harassment protective program of studied group regarding their level of confidence in their abilities and their actions for facing sexual harassment. Also, highly statistically significant differences were found between pre and after implementation of planned sexual harassment protective program of studied group concerning levels of self confidence and feeling of safety where p: (<0.001). Conclusion: it was concluded that, adolescent girls had significant improvement in their feeling of safety and self confidence after utilization of a planned sexual harassment protective program .Recommendation: the study recommended to urgently utilize a planned sexual harassment protective programs for all adolescent girls as a mean to protect themselves and enhance their feeling of safety and self confidence regarding this negative phenomenon.
Background: Sexual harassment is a widespread phenomenon among adolescents. Its emergence is correlated to biological development; this behavior is neither normative nor socially appropriate given the negative impact on victims and its association with other aggressive and violent behavior. Enhancing adolescents’ self-confidence is helpful in empowering then to feel safe and protected against this antisocial phenomenon. Aim: is to assess the impact of a planned sexual harassment protective program on feeling of safety and self confidence among adolescent girls. Design: A quasi experimental research design was utilized. Setting: The study was conducted in two secondary schools at Menoufia Governerate: (1) El-Sanawia banat old secondary school. (2) El-Sanawia banat new secondary school. Sample: a number of 100 secondary school adolescent girls were selected randomly from the previously mentioned settings. Tools: Two tools were used for data collection. Tool one: Students’ knowledge questionnaire: it consisted of two parts. Part one: a structured: socio-demographic questionnaire to obtain demographic data about the studied sample. Part two: - sexual harassment structured questionnaire. Tool two: Five points Likert- scale structured questionnaire regarding degree of self confidence and felling of safety of adolescent girls. .Results: The results of the current study showed that, there were highly statistically significant differences between pre and after implementation of planned sexual harassment protective program of studied group regarding their level of confidence in their abilities and their actions for facing sexual harassment. Also, highly statistically significant differences were found between pre and after implementation of planned sexual harassment protective program of studied group concerning levels of self confidence and feeling of safety where p: (<0.001). Conclusion: it was concluded that, adolescent girls had significant improvement in their feeling of safety and self confidence after utilization of a planned sexual harassment protective program .Recommendation: the study recommended to urgently utilize a planned sexual harassment protective programs for all adolescent girls as a mean to protect themselves and enhance their feeling of safety and self confidence regarding this negative phenomenon.
Impact of a Planned Sexual Harassment Protective Program on Feeling of Safety and Self Confidence among Adolescent Girls
doi:10.11648/j.ajns.20150404.17
American Journal of Nursing Science
2015-07-07
© Science Publishing Group
Jaklein R. Younis
Mona A. Elnagar
Mervat M. Atia
Impact of a Planned Sexual Harassment Protective Program on Feeling of Safety and Self Confidence among Adolescent Girls
4
4
199
199
2015-07-07
2015-07-07
10.11648/j.ajns.20150404.17
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150404.17
© Science Publishing Group
Health Protecting and Health Promoting Behaviors Among Preparatory School Students in Zagazig City
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150405.11
Background. Adolescents’ lifestyle change can be facilitated through a combination of learning experiences that enhance awareness, increase motivation, and build skills. The aim of this study was to describe the health protecting and health promoting behaviors among preparatory school students in Zagazig city. This study was aimed to identify the most common health-related modified and non-modified behaviors and how they effect on wellness of the preparatory school students. Research design: A descriptive cross-sectional design was used to carry out the study. Setting: in a preparatory school in Kafr Mohamed Gawish at Zagazig city on 150 male and female students aged 12 to 15 recruited through stratified cluster random sampling. Tools: The data were collected using an interview questionnaire. →(Please, give some info regarding questionnaire; it is self-structured? Validated? Self-administrative? How is it scoring? Additionally, how the behavior was assessed? (Cut-off 60%). Tools: Two tools, the first tool (the data collection tool consisted of an interview questionnaire consisted two parts, socio-demographic characteristics, and medical history) and the second tool (a health promoting lifestyle questionnaire, in addition to a section asking students about the topics they suggest for personal growth. Results: The study results showed that approximately two thirds of adolescent preparatory school students from middle class families in rural areas had adequate total wellness behavior. The wellness behaviors' areas of most deficiency were those of exercise and mental activity, whereas the best areas were those of medication use, environmental, social, and spiritual aspects. Students' total wellness was significantly influenced by higher mother education, and lower crowding index, as well as the history of chronic diseases and previous surgery. Some of the wellness behavior aspects were also affected by students' age, gender, and father education. Conclusion and summary: Multivariate analysis identified → (Not in conclusion section) mother education as the only significant independent factor positively influencing adolescent's total wellness score. Students need to know more about topics related to nutrition, exercise, and anxiety. The wellness behaviors' areas of most deficiency are those of exercise and mental activity, whereas the best areas were those of medication use, environmental, social, and spiritual aspects. Recommendations: School health team should construct and implement special nutritional education intervention programs, promote physical exercise, and develop a hotline service for adolescents' health
Background. Adolescents’ lifestyle change can be facilitated through a combination of learning experiences that enhance awareness, increase motivation, and build skills. The aim of this study was to describe the health protecting and health promoting behaviors among preparatory school students in Zagazig city. This study was aimed to identify the most common health-related modified and non-modified behaviors and how they effect on wellness of the preparatory school students. Research design: A descriptive cross-sectional design was used to carry out the study. Setting: in a preparatory school in Kafr Mohamed Gawish at Zagazig city on 150 male and female students aged 12 to 15 recruited through stratified cluster random sampling. Tools: The data were collected using an interview questionnaire. →(Please, give some info regarding questionnaire; it is self-structured? Validated? Self-administrative? How is it scoring? Additionally, how the behavior was assessed? (Cut-off 60%). Tools: Two tools, the first tool (the data collection tool consisted of an interview questionnaire consisted two parts, socio-demographic characteristics, and medical history) and the second tool (a health promoting lifestyle questionnaire, in addition to a section asking students about the topics they suggest for personal growth. Results: The study results showed that approximately two thirds of adolescent preparatory school students from middle class families in rural areas had adequate total wellness behavior. The wellness behaviors' areas of most deficiency were those of exercise and mental activity, whereas the best areas were those of medication use, environmental, social, and spiritual aspects. Students' total wellness was significantly influenced by higher mother education, and lower crowding index, as well as the history of chronic diseases and previous surgery. Some of the wellness behavior aspects were also affected by students' age, gender, and father education. Conclusion and summary: Multivariate analysis identified → (Not in conclusion section) mother education as the only significant independent factor positively influencing adolescent's total wellness score. Students need to know more about topics related to nutrition, exercise, and anxiety. The wellness behaviors' areas of most deficiency are those of exercise and mental activity, whereas the best areas were those of medication use, environmental, social, and spiritual aspects. Recommendations: School health team should construct and implement special nutritional education intervention programs, promote physical exercise, and develop a hotline service for adolescents' health
Health Protecting and Health Promoting Behaviors Among Preparatory School Students in Zagazig City
doi:10.11648/j.ajns.20150405.11
American Journal of Nursing Science
2015-08-20
© Science Publishing Group
Eman Shokry Abd Allah
Hanaa Hamdi Ali Elzeiny
Ragaa Elsayed Abass Ali
Health Protecting and Health Promoting Behaviors Among Preparatory School Students in Zagazig City
4
5
254
254
2015-08-20
2015-08-20
10.11648/j.ajns.20150405.11
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150405.11
© Science Publishing Group
Comparison of Japanese Nursing Students’ Image of Children and Medical Institutions Before and After a Pediatric Nursing Modules
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150405.12
The nursing students have fewer opportunities to come into contact with children due to the declining birth rate in Japan. The objective of this study was to clarify the changing of the feelings of children and the image of nursing students about the medical institutes of pediatric before and after a pediatric nursing modules. We also aimed to identify related issues in education of pediatric nursing that need to be addressed in Japanese nursing education in order to facilitate faculty development. Students who had taken a 4-year nursing course (244 nursing students from one university) were asked to rate items on the Affection for Babies Scale (ABS; Hanazawa, 1992) and a questionnaire on their image of hospitals (clean, scary, it seems tough, an unknown world, etc.) created by the authors before 2nd-year modules and after 3rd-year modules. Informed consent was obtained from all students who agreed to participate. Analysis of 217 valid responses of students who took the survey both before and after the course was conducted. In response to the question regarding contact with children before the 2nd-year modules, showing that more than 70% of students had limited contact with children. Approximately 60% of the students answered that they “consciously watched children” after the 3rd-year modules. There was no significant difference in the mean of ABS scores before and after the course. While this course evoked a general interest in children, additional measures are needed to develop a course tailored to students with strong avoidance feelings towards children. Students’ image of hospitals as “scary” places and “an unknown world” therefore decreased, and answers of “it seems tough” and “I am unsure (how to interact with children)” increased as students’ image of hospitals improved to “friendly and helpful” as a result of this course. This suggested that students need psychological support for times when they actually come into contact with children and to teach child health nursing with a good relationship between the mentor and mentee at Japanese nursing education
The nursing students have fewer opportunities to come into contact with children due to the declining birth rate in Japan. The objective of this study was to clarify the changing of the feelings of children and the image of nursing students about the medical institutes of pediatric before and after a pediatric nursing modules. We also aimed to identify related issues in education of pediatric nursing that need to be addressed in Japanese nursing education in order to facilitate faculty development. Students who had taken a 4-year nursing course (244 nursing students from one university) were asked to rate items on the Affection for Babies Scale (ABS; Hanazawa, 1992) and a questionnaire on their image of hospitals (clean, scary, it seems tough, an unknown world, etc.) created by the authors before 2nd-year modules and after 3rd-year modules. Informed consent was obtained from all students who agreed to participate. Analysis of 217 valid responses of students who took the survey both before and after the course was conducted. In response to the question regarding contact with children before the 2nd-year modules, showing that more than 70% of students had limited contact with children. Approximately 60% of the students answered that they “consciously watched children” after the 3rd-year modules. There was no significant difference in the mean of ABS scores before and after the course. While this course evoked a general interest in children, additional measures are needed to develop a course tailored to students with strong avoidance feelings towards children. Students’ image of hospitals as “scary” places and “an unknown world” therefore decreased, and answers of “it seems tough” and “I am unsure (how to interact with children)” increased as students’ image of hospitals improved to “friendly and helpful” as a result of this course. This suggested that students need psychological support for times when they actually come into contact with children and to teach child health nursing with a good relationship between the mentor and mentee at Japanese nursing education
Comparison of Japanese Nursing Students’ Image of Children and Medical Institutions Before and After a Pediatric Nursing Modules
doi:10.11648/j.ajns.20150405.12
American Journal of Nursing Science
2015-08-20
© Science Publishing Group
Naomi Matsumori
Ryoko Ito
Yukiko Hyakuta
Comparison of Japanese Nursing Students’ Image of Children and Medical Institutions Before and After a Pediatric Nursing Modules
4
5
260
260
2015-08-20
2015-08-20
10.11648/j.ajns.20150405.12
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150405.12
© Science Publishing Group
Effect of Nursing Intervention Guidelines on Nurses’ Role, Patients’ Needs, and Visual Problems Post Cataract Surgery
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150405.13
In Egypt, cataract is the major cause of blindness of the population aged 65 years or older. Inadequate postoperative nursing care may lead to serious complications for the patient with cataract surgery. The aim of this study was to evaluate the effect of the use of nursing guidelines on nurses’ knowledge and practices and on their achievement of patients’ needs post cataract surgery. This quasi-experimental pre-post assessment study was carried out on 34 nurses working at the outpatient clinics and ophthalmology departments in El Ramad Hospital, Rod El Farag, Cairo, affiliated to Ministry of Health and 34 patients undergoing cataract surgery in the setting. Data collection tools were a self-administered questionnaire and an observation checklist. The researcher developed nursing guidelines based on analysis of the data collected in the assessment phase to provide nurses with guides for care of cataract patients after surgery. The evaluation of the guidelines’ effects on nurses' knowledge and practice, and consequently on patients' needs was carried out immediately after implementation (post-test), and 3 months after (follow-up). The results showed statistically significant improvements in nurses’ knowledge and practice at the post and follow-up tests (p<0.001), with statistically significant strong positive correlation (r=0.714) between them. Also, there were statistically significant improvements in all areas of patient needs after implementation (p<0.001). In multivariate analysis, the intervention was a statistically significant independent positive predictor of the improvement in nurses’ knowledge and practice, and of patients’ needs. In conclusion, implementing nursing guidelines for care of cataract patients after surgery is effective in inducing improvements in nurses’ related knowledge and practice, which better achievement of patients' needs. It is recommended that these guidelines be used in similar settings. Further research is proposed to investigate the effect of the implementation of these guidelines on decreasing the incidence of complications after the surgical technique.
In Egypt, cataract is the major cause of blindness of the population aged 65 years or older. Inadequate postoperative nursing care may lead to serious complications for the patient with cataract surgery. The aim of this study was to evaluate the effect of the use of nursing guidelines on nurses’ knowledge and practices and on their achievement of patients’ needs post cataract surgery. This quasi-experimental pre-post assessment study was carried out on 34 nurses working at the outpatient clinics and ophthalmology departments in El Ramad Hospital, Rod El Farag, Cairo, affiliated to Ministry of Health and 34 patients undergoing cataract surgery in the setting. Data collection tools were a self-administered questionnaire and an observation checklist. The researcher developed nursing guidelines based on analysis of the data collected in the assessment phase to provide nurses with guides for care of cataract patients after surgery. The evaluation of the guidelines’ effects on nurses' knowledge and practice, and consequently on patients' needs was carried out immediately after implementation (post-test), and 3 months after (follow-up). The results showed statistically significant improvements in nurses’ knowledge and practice at the post and follow-up tests (p<0.001), with statistically significant strong positive correlation (r=0.714) between them. Also, there were statistically significant improvements in all areas of patient needs after implementation (p<0.001). In multivariate analysis, the intervention was a statistically significant independent positive predictor of the improvement in nurses’ knowledge and practice, and of patients’ needs. In conclusion, implementing nursing guidelines for care of cataract patients after surgery is effective in inducing improvements in nurses’ related knowledge and practice, which better achievement of patients' needs. It is recommended that these guidelines be used in similar settings. Further research is proposed to investigate the effect of the implementation of these guidelines on decreasing the incidence of complications after the surgical technique.
Effect of Nursing Intervention Guidelines on Nurses’ Role, Patients’ Needs, and Visual Problems Post Cataract Surgery
doi:10.11648/j.ajns.20150405.13
American Journal of Nursing Science
2015-09-05
© Science Publishing Group
Nadia Mohamed Taha
Nahla Ahmed Abd Elaziz
Effect of Nursing Intervention Guidelines on Nurses’ Role, Patients’ Needs, and Visual Problems Post Cataract Surgery
4
5
269
269
2015-09-05
2015-09-05
10.11648/j.ajns.20150405.13
http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=152&doi=10.11648/j.ajns.20150405.13
© Science Publishing Group