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Improving Children Emergency Care Satisfaction through Standardized Approach of Pediatric Triage
Sahar Mahmoud El-Khedr Abd El-Gawad
Issue:
Volume 3, Issue 6, December 2014
Pages:
91-99
Received:
30 October 2014
Accepted:
13 November 2014
Published:
17 November 2014
Abstract: 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.
Abstract: 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 satisfacti...
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A Study of Adverse Events in an Intensive Care Unit in Morocco
Hicham Bakkali,
Salahedine Massou,
Mohamed Moutaoukil,
Khalil Aboulaala,
Hicham Balkhi,
Charqui Haimeur
Issue:
Volume 3, Issue 6, December 2014
Pages:
100-104
Received:
28 January 2014
Accepted:
21 November 2014
Published:
25 November 2014
Abstract: 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.
Abstract: 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 retrospect...
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Magnitude and Factors Associated to Physical Violence among House Maids of Mekelle Town, Tigray, Northern, Ethiopia: A Cross Sectional Study
Milete Zenebe,
Azeb Gebresilassie,
Huruy Assefa
Issue:
Volume 3, Issue 6, December 2014
Pages:
105-109
Received:
18 November 2014
Accepted:
26 November 2014
Published:
28 November 2014
Abstract: 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.
Abstract: 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 physic...
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Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis
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
Issue:
Volume 3, Issue 6, December 2014
Pages:
110-116
Received:
25 November 2014
Accepted:
5 December 2014
Published:
16 December 2014
Abstract: 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.
Abstract: 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. Pub...
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Factors Associated with Maternal Health Care Services in Enderta District, Tigray, Northern Ethiopia: A Cross Sectional Study
Asfawosen Aregay,
Mussie Alemayehu,
Huruy Assefa,
Wondeweson Terefe
Issue:
Volume 3, Issue 6, December 2014
Pages:
117-125
Received:
27 October 2014
Accepted:
4 November 2014
Published:
18 December 2014
Abstract: 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.
Abstract: 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 c...
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Peer to Peers Nurse Managers’ on Supporting Structures and Systems they Support in a Resource: Constrained Setting in Kenya
Issue:
Volume 3, Issue 6, December 2014
Pages:
126-132
Received:
9 November 2014
Accepted:
21 November 2014
Published:
31 December 2014
Abstract: 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.
Abstract: 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 nur...
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