Pub Date : 2018-06-26DOI: 10.4172/2167-1168.1000456
H. H., A. K
Performance evaluation is a continuous process in assessing the employee’s contribution to the organization. The aim of performance evaluation is to achieve an equitable capacity of the employee’s contribution to the workplace. In nursing, the evaluation performance encompasses cognitive skills; affective and psychomotor domains. The aim of this study was to evaluate the new nurse graduates' performance who had been trained within an environment of ‘everything is new to everyone’ in one of the teaching hospitals. A comparative descriptive study was conducted with 113 staff nurses as after 2 years of graduation. Work performance domains evaluated are; punctuality, physical appearance, attitude and commitment to work, service excellence, positive relationship, communication skills, and leadership. Results had shown 76.02% of the new nurse graduates’ performance was excellent as evaluated by the 1st evaluators. Similar results were obtained from the overall evaluation of the 2nd evaluators. However, in some aspect of the overall evaluations, there was an inconsistency that contradicts the evaluation of both evaluators. A system will run accordingly if it is well communicated and had mutual consensus between evaluators who regard performance evaluation is rather a continuous process even in a difficult environment when everything is new to everyone.
{"title":"A Follow up Study: New Nurse Graduatesâ Performance Evaluation in a Familiarized Nursing Environment when âEverything is New to Everyoneâ","authors":"H. H., A. K","doi":"10.4172/2167-1168.1000456","DOIUrl":"https://doi.org/10.4172/2167-1168.1000456","url":null,"abstract":"Performance evaluation is a continuous process in assessing the employee’s contribution to the organization. The aim of performance evaluation is to achieve an equitable capacity of the employee’s contribution to the workplace. In nursing, the evaluation performance encompasses cognitive skills; affective and psychomotor domains. The aim of this study was to evaluate the new nurse graduates' performance who had been trained within an environment of ‘everything is new to everyone’ in one of the teaching hospitals. A comparative descriptive study was conducted with 113 staff nurses as after 2 years of graduation. Work performance domains evaluated are; punctuality, physical appearance, attitude and commitment to work, service excellence, positive relationship, communication skills, and leadership. Results had shown 76.02% of the new nurse graduates’ performance was excellent as evaluated by the 1st evaluators. Similar results were obtained from the overall evaluation of the 2nd evaluators. However, in some aspect of the overall evaluations, there was an inconsistency that contradicts the evaluation of both evaluators. A system will run accordingly if it is well communicated and had mutual consensus between evaluators who regard performance evaluation is rather a continuous process even in a difficult environment when everything is new to everyone.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84313582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-20DOI: 10.4172/2167-1168.1000457
K. Bidu, Z. Babure
Background: Adolescent’s sexual abuse is any interaction between adolescents and an adult (or another adolescent) in which the adolescents is used for the sexual stimulation of the perpetrator or an observer. Sexual abuse can include both touching and non-touching behaviors. Abusers often do not use physical force, but may use play, deception, threats, or other forms of coercion to engage adolescents and maintain their silence. Objective: The objective of this study was to assess prevalence and associated factors of adolescents sexual abuse among adolescents in high school, Nekemte town, East Wollega Zone, Oromia Regional State, Ethiopia, 2017. Methods: School based cross sectional study was conducted in high school of Nekemte town, using systematic random sampling technique from March 1st to 15th, 2017. Data was collected from 377 adolescent students using structured, pre tested and self-administered questionnaire. After data collection, data was cleared, coded, checked and entered in to computer software SPSS version 20.0. Univariate, analysis was performed for frequency and percentage. Binary logistic regression analysis was done to identify factors associated with sexual abuse and these factors were taken in to multivariate analysis with 95% confidence interval. Result: Among study participants involved in the study 126 (33.4%) were sexually abused at least once in their life time and the remaining 251 (66.6%) were not sexually abused. Factors of sexual abuse associated significantly were grade attending, Fathers occupation and Mothers’ education and occupation positively associated with sexual abuse of adolescents while drinking alcohol and had sexual intercourse associated inversely. Conclusion and recommendation: The prevalence of sexual abuse is high and needs every one’s attention on its reduction. Awareness creation for families and communities on sexual abuse and education for adolescents on short and long impact of sexual abuse is recommended.
{"title":"Assessment of Sexual Abuse and Associated Factors Among Adolescents in High Schools, Nekemte Town, East Wollega Zone, Oromia Regional State, Western Ethiopia, 2017","authors":"K. Bidu, Z. Babure","doi":"10.4172/2167-1168.1000457","DOIUrl":"https://doi.org/10.4172/2167-1168.1000457","url":null,"abstract":"Background: Adolescent’s sexual abuse is any interaction between adolescents and an adult (or another adolescent) in which the adolescents is used for the sexual stimulation of the perpetrator or an observer. Sexual abuse can include both touching and non-touching behaviors. Abusers often do not use physical force, but may use play, deception, threats, or other forms of coercion to engage adolescents and maintain their silence. Objective: The objective of this study was to assess prevalence and associated factors of adolescents sexual abuse among adolescents in high school, Nekemte town, East Wollega Zone, Oromia Regional State, Ethiopia, 2017. Methods: School based cross sectional study was conducted in high school of Nekemte town, using systematic random sampling technique from March 1st to 15th, 2017. Data was collected from 377 adolescent students using structured, pre tested and self-administered questionnaire. After data collection, data was cleared, coded, checked and entered in to computer software SPSS version 20.0. Univariate, analysis was performed for frequency and percentage. Binary logistic regression analysis was done to identify factors associated with sexual abuse and these factors were taken in to multivariate analysis with 95% confidence interval. Result: Among study participants involved in the study 126 (33.4%) were sexually abused at least once in their life time and the remaining 251 (66.6%) were not sexually abused. Factors of sexual abuse associated significantly were grade attending, Fathers occupation and Mothers’ education and occupation positively associated with sexual abuse of adolescents while drinking alcohol and had sexual intercourse associated inversely. Conclusion and recommendation: The prevalence of sexual abuse is high and needs every one’s attention on its reduction. Awareness creation for families and communities on sexual abuse and education for adolescents on short and long impact of sexual abuse is recommended.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"44 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86328443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-02DOI: 10.4172/2167-1168-C6-080
A. Permana
According to the facts of physics, if temperature increases, thermal expansion of an object is positive it will expand and with decrease of temperature, it will shrink. Pressure will increase due to an increase in temperature. On the contrary, during fever we can see blood vessels and skin are shrunk, pressure decreases, body shivers, sleep increases, motion decreases, inflammation increases, body pain increases, blood circulation decreases, dislike cold substances, etc. In fever the firing rate of warm sensitive neurons decreases and the firing rate of cold sensitive neurons increases. At the same time if we apply hotness from outside by thermal bag or if we drink hot water, our body acts according to the Facts of Physics- increase of temperature pressure will also increase, expands blood vessels and skin, body sweats, motion will increase, inflammation will decrease, body pain will decrease, blood circulation will increase, like cold substances, etc. During fever, why our body acts against the Facts of Physics? When disease increases, pressure and temperature will decrease. Blood circulation will decrease due to the decrease in pressure. If the essential temperature of the body is going out the essential temperature and pressure will further decrease. This will further endanger the life or action of organs. When disease increases, it is the sensible and discreet action of the brain that tends to act against facts of physics to sustain life or protect the organ. There is no way other than this for a sensible and discreet brain to protect the life or organ. We will get a clear answer if we find out the purpose of fever, sensible and discreet action of the brain. No medical books clarify this one during fever, if the temperature of fever is not a surplus temperature or if it is not supposed to be eliminated from the body, the shrinking of skin and blood vessels, shivering of body, dislike towards cold substances, etc are a protective covering of the body to increase blood circulation to important organs of the body it is against the facts of physics.
{"title":"An illustration of the modification task model of the primary team and experience of the nurses in preventing decubitus and phlebitis in Hasanuddin University Hospital, Indonesia","authors":"A. Permana","doi":"10.4172/2167-1168-C6-080","DOIUrl":"https://doi.org/10.4172/2167-1168-C6-080","url":null,"abstract":"According to the facts of physics, if temperature increases, thermal expansion of an object is positive it will expand and with decrease of temperature, it will shrink. Pressure will increase due to an increase in temperature. On the contrary, during fever we can see blood vessels and skin are shrunk, pressure decreases, body shivers, sleep increases, motion decreases, inflammation increases, body pain increases, blood circulation decreases, dislike cold substances, etc. In fever the firing rate of warm sensitive neurons decreases and the firing rate of cold sensitive neurons increases. At the same time if we apply hotness from outside by thermal bag or if we drink hot water, our body acts according to the Facts of Physics- increase of temperature pressure will also increase, expands blood vessels and skin, body sweats, motion will increase, inflammation will decrease, body pain will decrease, blood circulation will increase, like cold substances, etc. \u0000 \u0000During fever, why our body acts against the Facts of Physics? When disease increases, pressure and temperature will decrease. Blood circulation will decrease due to the decrease in pressure. If the essential temperature of the body is going out the essential temperature and pressure will further decrease. This will further endanger the life or action of organs. When disease increases, it is the sensible and discreet action of the brain that tends to act against facts of physics to sustain life or protect the organ. There is no way other than this for a sensible and discreet brain to protect the life or organ. We will get a clear answer if we find out the purpose of fever, sensible and discreet action of the brain. No medical books clarify this one during fever, if the temperature of fever is not a surplus temperature or if it is not supposed to be eliminated from the body, the shrinking of skin and blood vessels, shivering of body, dislike towards cold substances, etc are a protective covering of the body to increase blood circulation to important organs of the body it is against the facts of physics.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"338 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77314837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-02DOI: 10.4172/2167-1168-c5-077
I-Chen Yu
{"title":"Explore the effective of different mouthwash solutions on xerostomia among hemodialysis patients","authors":"I-Chen Yu","doi":"10.4172/2167-1168-c5-077","DOIUrl":"https://doi.org/10.4172/2167-1168-c5-077","url":null,"abstract":"","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"122 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77931467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-21DOI: 10.4172/2167-1168.1000448
R. Bayomi, N. Taha, Howida kameel Zatton, A. Elshora
Asthma is one of the most common chronic diseases worldwide. Although asthma is a major cause of patient disability and in rare cases causes premature death and it has a profound impact on all aspects of a patient's life. The aim of this study was to evaluate the effect of a nursing intervention program on nurses' knowledge and practices and outcomes for patients diagnosed with bronchial asthma. A quasi experimental research design with pre and post-test assessment was used on 30 participants of nurses working in the Chest ICU and the Chest Department at Zagazig University Hospitals, Egypt and 30 adult patients diagnosed with acute severe bronchial asthma under their care. Structured interview tool was used to assess nurses' knowledge, an observation checklist for their practice and the Asthma Severity Assessment Scale and Breathlessness Scale for patients. The researcher developed nursing intervention program based on analysis of assessment data and using pertinent literature to teach nurses guidelines for dealing with patients diagnosed with acute severe asthma. This was delivered to nurses in 12 sessions. Evaluation was done immediately (post-test) and three months after implementation (follow-up), along with evaluation of the patients. The results showed marked deficiencies in nurses’ knowledge and practices before the program, with significant improvements at the post and follow-up evaluations, associated with amelioration of the severity of asthma and dyspnea among studied patients. Therefore, a relatively short-term in service training programs for all nurses working in the Chest ICU and the Chest department is implemented to enable nurses to update their knowledge and practice. Evidence based protocols for patients diagnosed with bronchial asthma should be routinely implemented and evaluated.
{"title":"Effect of Nursing Intervention Program on Nurses Knowledge, Practices and Patients Outcomes with Bronchial Asthma","authors":"R. Bayomi, N. Taha, Howida kameel Zatton, A. Elshora","doi":"10.4172/2167-1168.1000448","DOIUrl":"https://doi.org/10.4172/2167-1168.1000448","url":null,"abstract":"Asthma is one of the most common chronic diseases worldwide. Although asthma is a major cause of patient disability and in rare cases causes premature death and it has a profound impact on all aspects of a patient's life. The aim of this study was to evaluate the effect of a nursing intervention program on nurses' knowledge and practices and outcomes for patients diagnosed with bronchial asthma. A quasi experimental research design with pre and post-test assessment was used on 30 participants of nurses working in the Chest ICU and the Chest Department at Zagazig University Hospitals, Egypt and 30 adult patients diagnosed with acute severe bronchial asthma under their care. Structured interview tool was used to assess nurses' knowledge, an observation checklist for their practice and the Asthma Severity Assessment Scale and Breathlessness Scale for patients. The researcher developed nursing intervention program based on analysis of assessment data and using pertinent literature to teach nurses guidelines for dealing with patients diagnosed with acute severe asthma. This was delivered to nurses in 12 sessions. Evaluation was done immediately (post-test) and three months after implementation (follow-up), along with evaluation of the patients. The results showed marked deficiencies in nurses’ knowledge and practices before the program, with significant improvements at the post and follow-up evaluations, associated with amelioration of the severity of asthma and dyspnea among studied patients. Therefore, a relatively short-term in service training programs for all nurses working in the Chest ICU and the Chest department is implemented to enable nurses to update their knowledge and practice. Evidence based protocols for patients diagnosed with bronchial asthma should be routinely implemented and evaluated.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"7 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84180248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-17DOI: 10.4172/2167-1168.1000452
Su Jung Lee
Objective: We investigated the association between stroke severity and pre-hospital delay of patients with an acute ischemic stroke (AIS).Method: A consecutive 1,412 patients with AIS enrolled in the acute stroke registry were included in the final study. Stroke severity was assessed by National Institute of Health Stroke Scale (NIHSS) score. A pre-hospital delay between less than 3 h and 3 h or more was compared using Pearson's chi-square for categorical variables and Student's t-test or Mann-Whitney U test for continuous variables, as appropriate. Association between initial NIHSS score and pre-hospital delay was plotted with Spearman’s correlation analysis. We used the analysis of variance or Kruskal-Wallis test and chi-squared test to compare the baseline characteristics according to NIHSS tertile. We analysed the variables associated with the higher shift of NIHSS tertile using an ordinal logistic regression analysis.Results: Increased stroke severity decreased the pre-hospital delay (Spearman’s rho=-0.216, p<0.001). Age (common odds ratio (cOR), 1.03; 95% confidence interval (CI), 1.02-1.03; p<0.001), history of previous stroke (cOR, 1.56; 95% CI, 1.25-1.94; p<0.001) and pre-hospital delay ≥ 3 h (cOR, 0.48; 95% CI, 0.39-0.59; p<0.001) were associated with higher shift of NIHSS tertiles in univariable ordinal logistic regression analyses. In multivariable model, pre-hospital delay ≥ 3 h is a negative predictor for higher shift of NIHSS tertile (cOR, 0.49; 95% CI, 0.39-0.61; p<0.001).Conclusion: As the stroke severity increased, onset-to-hospital arrival time was decreased in AIS patients. Therefore, the findings suggest the need for development of individualized educational programs for each stroke patient.
{"title":"Association between Prehospital Delay Status and Stroke Severity in Acute Ischemic Stroke: Shift-Analysis Approach","authors":"Su Jung Lee","doi":"10.4172/2167-1168.1000452","DOIUrl":"https://doi.org/10.4172/2167-1168.1000452","url":null,"abstract":"Objective: We investigated the association between stroke severity and pre-hospital delay of patients with an acute ischemic stroke (AIS).Method: A consecutive 1,412 patients with AIS enrolled in the acute stroke registry were included in the final study. Stroke severity was assessed by National Institute of Health Stroke Scale (NIHSS) score. A pre-hospital delay between less than 3 h and 3 h or more was compared using Pearson's chi-square for categorical variables and Student's t-test or Mann-Whitney U test for continuous variables, as appropriate. Association between initial NIHSS score and pre-hospital delay was plotted with Spearman’s correlation analysis. We used the analysis of variance or Kruskal-Wallis test and chi-squared test to compare the baseline characteristics according to NIHSS tertile. We analysed the variables associated with the higher shift of NIHSS tertile using an ordinal logistic regression analysis.Results: Increased stroke severity decreased the pre-hospital delay (Spearman’s rho=-0.216, p<0.001). Age (common odds ratio (cOR), 1.03; 95% confidence interval (CI), 1.02-1.03; p<0.001), history of previous stroke (cOR, 1.56; 95% CI, 1.25-1.94; p<0.001) and pre-hospital delay ≥ 3 h (cOR, 0.48; 95% CI, 0.39-0.59; p<0.001) were associated with higher shift of NIHSS tertiles in univariable ordinal logistic regression analyses. In multivariable model, pre-hospital delay ≥ 3 h is a negative predictor for higher shift of NIHSS tertile (cOR, 0.49; 95% CI, 0.39-0.61; p<0.001).Conclusion: As the stroke severity increased, onset-to-hospital arrival time was decreased in AIS patients. Therefore, the findings suggest the need for development of individualized educational programs for each stroke patient.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"1 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89851253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-05DOI: 10.4172/2167-1168.1000450
Adel M. Awajeh, M. Issa, Akram M Rasheed, Mohammad F. Amirah
Background: Burnout has been defined as an occupation stress, result of continues and long-term stress exposure, particularly related to King Saud Medical City (KSMC) in Saudi Arabia. Of burnout among critical care nurses at King Saud Medical City (KSMC) in Saudi Arabia has not been explored in previous research. Psychosocial factor at work. Burnout has significant effect on patient care and nursing performance. Objective: This study aims to explore level of burnout among critical care nurses at King Saud Medical City (KSMC) in Saudi Arabia-Riyadh Methods: A descriptive cross sectional design was utilized using a self-reporting questionnaire two sections contain demographic and Meslach burnout inventory (MBI) tool, obtain information from ICU nurses about level of burnout by measuring emotional exhaustion, personal accomplishment and depersonalization. The questionnaire was distributed to 300 nurses employed in King Saud Medical City (KSMC), which is one of the biggest tertiary hospitals in Riyadh, Saudi Arabia. 270 nurses responded to the questionnaire (90% response rate). Results and conclusion: The results showed sever level prevalence 65.9% of burnout among critical care nurses at King Saud Medical City (KSMC) in Saudi Arabia-Riyadh. Simple random method from four critical care department T1A1, T1A2, T1B1 and TRCU. The majority of the nurses were females, where (97%), median age 30.9- year, majority of staff (82.2%) their age range 25 yr -34 yr, around 60% married, 81.5% bachelor degree. Most of sample were staff nurse78.5%, staff selected in 68.5% of sample experience less 5 yr in hospital and their total ICU experience 48.5%. More than 5 year and less than 10 yr. 85.9% of them don’t have any medical illness. 56.3% of sample they are not satisfy about their salaries most of them complain from non-financial reason. 67% of them satisfy about 12 h duty most Of them less than 5 year experience in KSMC but nurses more than 5yr they prefer return to 8 hrs. Shift they bind this with ICU workload.
{"title":"Burnout among Critical Care Nurses in King Saud Medical City (KSMC)","authors":"Adel M. Awajeh, M. Issa, Akram M Rasheed, Mohammad F. Amirah","doi":"10.4172/2167-1168.1000450","DOIUrl":"https://doi.org/10.4172/2167-1168.1000450","url":null,"abstract":"Background: Burnout has been defined as an occupation stress, result of continues and long-term stress exposure, particularly related to King Saud Medical City (KSMC) in Saudi Arabia. Of burnout among critical care nurses at King Saud Medical City (KSMC) in Saudi Arabia has not been explored in previous research. Psychosocial factor at work. Burnout has significant effect on patient care and nursing performance. Objective: This study aims to explore level of burnout among critical care nurses at King Saud Medical City (KSMC) in Saudi Arabia-Riyadh Methods: A descriptive cross sectional design was utilized using a self-reporting questionnaire two sections contain demographic and Meslach burnout inventory (MBI) tool, obtain information from ICU nurses about level of burnout by measuring emotional exhaustion, personal accomplishment and depersonalization. The questionnaire was distributed to 300 nurses employed in King Saud Medical City (KSMC), which is one of the biggest tertiary hospitals in Riyadh, Saudi Arabia. 270 nurses responded to the questionnaire (90% response rate). Results and conclusion: The results showed sever level prevalence 65.9% of burnout among critical care nurses at King Saud Medical City (KSMC) in Saudi Arabia-Riyadh. Simple random method from four critical care department T1A1, T1A2, T1B1 and TRCU. The majority of the nurses were females, where (97%), median age 30.9- year, majority of staff (82.2%) their age range 25 yr -34 yr, around 60% married, 81.5% bachelor degree. Most of sample were staff nurse78.5%, staff selected in 68.5% of sample experience less 5 yr in hospital and their total ICU experience 48.5%. More than 5 year and less than 10 yr. 85.9% of them don’t have any medical illness. 56.3% of sample they are not satisfy about their salaries most of them complain from non-financial reason. 67% of them satisfy about 12 h duty most Of them less than 5 year experience in KSMC but nurses more than 5yr they prefer return to 8 hrs. Shift they bind this with ICU workload.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"35 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85421395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-02-27DOI: 10.4172/2167-1168.1000449
Tseganesh Gedilu, Desta Debalkie, Tesfaye Setegn
Background: Although institutional delivery is the corner stone to reduce maternal death and improve child health, institutional delivery in Ethiopia is the lower in the world where only 26% of women attained skilled delivery. This study aimed to identify factors determininging the utilization of delivery services among women in Farta District. Method: A community based cross sectional study design was conducted from March 1-30, 2017. Multistage sampling was used to select women. Data were collected from a sample of 779 women using structured questionnaire, entered in to EPI-info version 7.2, and analysed by SPSS Version 23. Frequencies, percentages and summary statistics were computed to describe the study population. Logistic regression was computed to identify the associated predictors with skilled delivery service utilization. Statistical level of significance was declared at p<0.05. Results: The prevalence of institutional delivery was 64.4% (95% CI=61, 67.4). A multivariable logistic regression model indicated that family size, availability of transport, planned pregnancy, information about place of delivery, participation of women monthly health conference (PWMHC), information about exempted service, and having antenatal care (ANC) follow up during their last pregnancy were found to be significantly associated with institutional delivery service utilization. Conclusion: The attendance of women for institutional delivery care is good but below the national plan. Maternal care information, women monthly conference and behavioural change for planning pregnancy should be taken due attention to mobilize mothers towards skilled birth attendance. Allocation of more resource to the program and increasing availability of transportation during labor is also commendable. Improving mother’s ANC follow up attendance in resource limited regions is warmly suggested.
背景:虽然机构分娩是减少孕产妇死亡和改善儿童健康的基石,但埃塞俄比亚的机构分娩是世界上最低的,只有26%的妇女获得熟练分娩。这项研究旨在确定决定法尔塔地区妇女利用接生服务的因素。方法:2017年3月1-30日采用基于社区的横断面研究设计。采用多阶段抽样方法选择女性。采用结构化问卷收集779名女性样本的数据,输入EPI-info 7.2版本,并通过SPSS version 23进行分析。计算频率、百分比和汇总统计来描述研究人群。计算逻辑回归以确定与熟练交付服务利用率相关的预测因子。p<0.05为差异有统计学意义。结果:机构分娩的患病率为64.4% (95% CI=61, 67.4)。多变量logistic回归模型表明,家庭规模、交通工具的可用性、计划怀孕、分娩地点信息、妇女每月健康会议(PWMHC)的参与情况、豁免服务信息以及上次怀孕期间产前保健(ANC)随访情况与机构分娩服务的利用显著相关。结论:妇女参加机构分娩护理的情况良好,但低于国家计划。应适当注意产妇保健信息、妇女每月会议和改变计划怀孕的行为,以动员母亲接受熟练的助产服务。为该计划分配更多资源和增加劳动力期间运输的可用性也是值得赞扬的。热忱建议在资源有限的地区改善母亲的ANC后续出勤率。
{"title":"Prevalence and Determinants of Institutional Delivery Service Uptake among Women in Farta District, Northwest Ethiopia","authors":"Tseganesh Gedilu, Desta Debalkie, Tesfaye Setegn","doi":"10.4172/2167-1168.1000449","DOIUrl":"https://doi.org/10.4172/2167-1168.1000449","url":null,"abstract":"Background: Although institutional delivery is the corner stone to reduce maternal death and improve child health, institutional delivery in Ethiopia is the lower in the world where only 26% of women attained skilled delivery. This study aimed to identify factors determininging the utilization of delivery services among women in Farta District. Method: A community based cross sectional study design was conducted from March 1-30, 2017. Multistage sampling was used to select women. Data were collected from a sample of 779 women using structured questionnaire, entered in to EPI-info version 7.2, and analysed by SPSS Version 23. Frequencies, percentages and summary statistics were computed to describe the study population. Logistic regression was computed to identify the associated predictors with skilled delivery service utilization. Statistical level of significance was declared at p<0.05. Results: The prevalence of institutional delivery was 64.4% (95% CI=61, 67.4). A multivariable logistic regression model indicated that family size, availability of transport, planned pregnancy, information about place of delivery, participation of women monthly health conference (PWMHC), information about exempted service, and having antenatal care (ANC) follow up during their last pregnancy were found to be significantly associated with institutional delivery service utilization. Conclusion: The attendance of women for institutional delivery care is good but below the national plan. Maternal care information, women monthly conference and behavioural change for planning pregnancy should be taken due attention to mobilize mothers towards skilled birth attendance. Allocation of more resource to the program and increasing availability of transportation during labor is also commendable. Improving mother’s ANC follow up attendance in resource limited regions is warmly suggested.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"45 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87293060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diet is one of the main factors related to various diseases including Diabetes Mellitus (DM). High carbohydrate, fat, protein, and low fiber diets can increase the risk of type 2 DM occurrence, especially in the patient’s family as a risk group. Previous research on students with DM families in Central Java still had a high-calorie food consumption pattern. The diversity of population, culture, and age may affect the results. Therefore, this study aimed to describe the diet in the family of patients with type 2 DM in the working area of Puskemas (Community Health Center) Garuda Bandung. This research used a quantitative descriptive method by purposive sampling technique. The respondents in this study involved 46 people who were the children of type 2 DM patients in the working area of Puskesmas Garuda. Dietary data obtained from the food record sheet for 3 days and was calculated using Nutrisurvey software in kilocalories (kcal) as the unit of measurement then the results were categorized based on Consensus Perkeni 2015. Data analysis was using frequency distribution. The results showed that 39 (84.8%) respondents in the diet category less than body requirements, 37 (80.4%) respondents in the category of sufficient carbohydrate intake, 39 (84.6%) respondents in the category of excess fat intake, 45 (97.8%) respondents in the category of adequate protein intake, and 41 (89.1%) respondents in the category of less fiber. The conclusions from this study that almost all families of patients with type 2 DM in the work area of Puskesmas Garuda were in the diet category less than body requirement but with the excess fat intake and less fiber. Based on these results, the nurses in Puskesmas are expected to optimize the outreach programs by addressing families of DM patients to make the diet as an attempt to prevent the risk in the family of patients with type 2 DM. Key words: Diet, DM patients’ families, food record. Gambaran Diet pada Keluarga Pasien Diabetes Melitus Tipe 2 Abstrak Diet adalah salah satu faktor utama yang berhubungan dengan berbagai penyakit termasuk Diabetes Melitus (DM). Diet tinggi karbohidrat, lemak, protein, serta rendah serat dapat meningkatkan risiko kejadian DM tipe 2 terutama pada keluarga pasien sebagai kelompok berisiko. Penelitian sebelumnya pada mahasiswa dengan keluarga DM di Jawa Tengah masih memiliki pola konsumsi makanan yang tinggi kalori. Perbedaan populasi, budaya, serta usia mungkin akan mempengaruhi hasil. Oleh karena itu, tujuan penelitian ini untuk menggambarkan diet pada keluarga pasien DM tipe 2 di wilayah kerja Puskemas Garuda Kota Bandung. Penelitian ini menggunakan metode deskriptif kuantitatif dengan teknik purposive sampling. Responden dalam penelitian ini berjumlah 46 orang yang merupakan anak kandung pasien DM tipe 2 di Wilayah Kerja Puskesmas Garuda. Data diet diperoleh melalui lembar food record selama 3 hari dihitung mengunakan software Nutrisurvey dengan hasil ukur dalam kilokalori (kcal) yang kemudia
饮食是包括糖尿病(DM)在内的各种疾病的主要影响因素之一。高碳水化合物、高脂肪、高蛋白质和低纤维饮食可增加2型糖尿病发生的风险,特别是患者的家庭作为风险群体。先前对中爪哇糖尿病家庭学生的研究仍然存在高热量食物消费模式。人口、文化和年龄的多样性可能会影响结果。因此,本研究旨在描述鹰航万隆社区卫生中心(Puskemas)工作区域2型糖尿病患者家庭的饮食情况。本研究采用目的性抽样的定量描述方法。本研究的调查对象为Puskesmas Garuda公司工作区域的46名2型糖尿病患者的儿童。从食物记录表中获取3天的膳食数据,使用nutrissurvey软件以千卡(kcal)为计量单位进行计算,然后根据Consensus Perkeni 2015对结果进行分类。数据分析采用频率分布。结果显示,饮食类低于身体需要的有39例(84.8%),碳水化合物摄入充足的有37例(80.4%),脂肪摄入过量的有39例(84.6%),蛋白质摄入充足的有45例(97.8%),纤维摄入少的有41例(89.1%)。本研究的结论是浦斯克玛鹰航空公司工作区域几乎所有2型糖尿病患者的家庭都属于低于身体需求的饮食类别,但脂肪摄入过多,纤维摄入较少。基于这些结果,Puskesmas的护士应优化外展计划,通过向糖尿病患者家庭宣传饮食,以预防2型糖尿病患者家庭的风险。关键词:饮食,糖尿病患者家庭,饮食记录。【摘要】甘巴兰饮食对糖尿病(DM)的影响。日粮中有糖、糖、蛋白、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖、糖等。Penelitian sebelumnya pada mahasiswa dengan keluarga DM di Jawa Tengah masih memiliki pola konsumsi makanan yang tinggi kalori。Perbedaan populasi, budaya, serta usia mungkin akan mempengaruhi hasil。Oleh karena itu, tujuan penelitian ini untuk menggambarkan diet pada keluarga pasien DM titi2 di wilayah kerja Puskemas Garuda Kota Bandung。Penelitian ini menggunakan方法描述,定量登干技术,目的抽样。回复dalam penelitian ini berjumlah 46 orang merupakan anak kandung pasen DM titi2 di Wilayah Kerja Puskesmas Garuda。数据饮食diperoleh melalui lembar食物记录selama 3 hari dihitung mengunakan软件营养调查dunan hasil ukur dalam kilokalori (kcal) yang kemudian hasilnya dikategorikan berdasarkan共识Perkeni 2015。孟古那坎分布规律分析资料。Hasil penelitian menujukkan bahwa sebanyak 39(84.8%)响应dalam kategori diet kurang dari kebutuhan, sebanyak 37(804%)响应dalam kategori asupan karbohidrat cuup, sebanyak 39(84.6%)响应dalam kategori asupan lemak berlebih, sebanyak 45(97.8%)响应dalam kategori asupan protein cuup, dan 41(89.1%)响应dalam kategori serat kurang。Simpulan达里语penelitian ini bahwa hampir seluruh keluarga pasien DM tipe 2 di wilayah kerja Puskesmas揭路荼berada篇kategori饮食kurang达里语kebutuhan tetapi dengan asupan laksa berlebih丹杨serat kurang。Berdasarkan hasil tersebut, maka perawat puskesmas diharapkan dapat mengoptimalkan程序luar gedung dengan menyasar keluarga penderita DM untuk menjadikan diet sebagai upaya untuk menegah risko DM paada keluarga pasien DM type2。Kata kunci:饮食,食物记录,keluarga pasien DM。
{"title":"A Descriptive Study Of Diet In Family Of Patients With Diabetes Mellitus Type 2","authors":"C. Sari, Fitri Nurul Khotimah, S. Hartati","doi":"10.24198/JNC.V1I1.15772","DOIUrl":"https://doi.org/10.24198/JNC.V1I1.15772","url":null,"abstract":"Diet is one of the main factors related to various diseases including Diabetes Mellitus (DM). High carbohydrate, fat, protein, and low fiber diets can increase the risk of type 2 DM occurrence, especially in the patient’s family as a risk group. Previous research on students with DM families in Central Java still had a high-calorie food consumption pattern. The diversity of population, culture, and age may affect the results. Therefore, this study aimed to describe the diet in the family of patients with type 2 DM in the working area of Puskemas (Community Health Center) Garuda Bandung. This research used a quantitative descriptive method by purposive sampling technique. The respondents in this study involved 46 people who were the children of type 2 DM patients in the working area of Puskesmas Garuda. Dietary data obtained from the food record sheet for 3 days and was calculated using Nutrisurvey software in kilocalories (kcal) as the unit of measurement then the results were categorized based on Consensus Perkeni 2015. Data analysis was using frequency distribution. The results showed that 39 (84.8%) respondents in the diet category less than body requirements, 37 (80.4%) respondents in the category of sufficient carbohydrate intake, 39 (84.6%) respondents in the category of excess fat intake, 45 (97.8%) respondents in the category of adequate protein intake, and 41 (89.1%) respondents in the category of less fiber. The conclusions from this study that almost all families of patients with type 2 DM in the work area of Puskesmas Garuda were in the diet category less than body requirement but with the excess fat intake and less fiber. Based on these results, the nurses in Puskesmas are expected to optimize the outreach programs by addressing families of DM patients to make the diet as an attempt to prevent the risk in the family of patients with type 2 DM. Key words: Diet, DM patients’ families, food record. Gambaran Diet pada Keluarga Pasien Diabetes Melitus Tipe 2 Abstrak Diet adalah salah satu faktor utama yang berhubungan dengan berbagai penyakit termasuk Diabetes Melitus (DM). Diet tinggi karbohidrat, lemak, protein, serta rendah serat dapat meningkatkan risiko kejadian DM tipe 2 terutama pada keluarga pasien sebagai kelompok berisiko. Penelitian sebelumnya pada mahasiswa dengan keluarga DM di Jawa Tengah masih memiliki pola konsumsi makanan yang tinggi kalori. Perbedaan populasi, budaya, serta usia mungkin akan mempengaruhi hasil. Oleh karena itu, tujuan penelitian ini untuk menggambarkan diet pada keluarga pasien DM tipe 2 di wilayah kerja Puskemas Garuda Kota Bandung. Penelitian ini menggunakan metode deskriptif kuantitatif dengan teknik purposive sampling. Responden dalam penelitian ini berjumlah 46 orang yang merupakan anak kandung pasien DM tipe 2 di Wilayah Kerja Puskesmas Garuda. Data diet diperoleh melalui lembar food record selama 3 hari dihitung mengunakan software Nutrisurvey dengan hasil ukur dalam kilokalori (kcal) yang kemudia","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"16 1","pages":"69-77"},"PeriodicalIF":0.0,"publicationDate":"2018-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72746788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}