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Nurse Managers’ Attitude and Competency Towards Delegation in Jeddah City
Roaa Sabri Gassas,
Sabah Mahmoud Mahran,
Hasnah Irfan Banjar
Issue:
Volume 6, Issue 2, April 2017
Pages:
72-79
Received:
24 December 2016
Accepted:
7 January 2017
Published:
3 February 2017
Abstract: Delegation is the key for nurse managers and future leaders in order to guarantee productive outcomes. The use of delegation in nursing management can solve many issues including nurse shortages. The study aimed to describe nurse managers’ attitude and competency to delegate effectively in a hospital setting. Descriptive correlational design was used which is a type of non-experimental design to collect data from five hospitals, first is University Hospital affiliated to King Abdulaziz University, other four hospitals are affiliated to the Ministry of health. Non probability purposive sampling technique was used to recruit 90 nurse managers. Data were collected by a questionnaire to measure nurse mangers, attitude and competency in delegation. In general nurse managers were unsure about their attitude towards delegation, but agreed that it saves time. Regarding competency, nurse managers’ agreed on the importance of competency and that communication is an important part of delegation. All nurse managers agreed that they were familiar with their legal responsibility regarding delegation. The study concluded that there is a highly significant correlation between the attitude and competency where Pearson correlation coefficient is 0.000**. This study recommended that nurse managers should communicate and facilitate the delegation process through developing clear guidelines as well as creating an environment that supports delegation, resolution of conflict and encourages teamwork.
Abstract: Delegation is the key for nurse managers and future leaders in order to guarantee productive outcomes. The use of delegation in nursing management can solve many issues including nurse shortages. The study aimed to describe nurse managers’ attitude and competency to delegate effectively in a hospital setting. Descriptive correlational design was us...
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Labor Pain: Perception of the Parturient and Midwife Evaluation
Catia Borges,
Claudia José,
Patricia Sancho,
Maria Barros,
Margarida Sim-Sim
Issue:
Volume 6, Issue 2, April 2017
Pages:
80-86
Received:
29 December 2016
Accepted:
12 January 2017
Published:
6 February 2017
Abstract: Labor pain is an organic response which is important to make a correct assessment. Human evolution brought some modifications to the human body and as a consequence, labor pain is a major concern for women and simultaneously a professional matter for midwives. The aim of this study is to describe the perception of labor pain by the parturient and its evaluation by midwives of these episodes. A quantitative cross-sectional descriptive design was used. Non-parametric methods were applied because the sample obtained was not normal. The study was based on two convenience samples, totaling 164 parturients and 18 nurses. The visual analogue scale (VAS) was applied. Data were collected from 575 pain episodes. The age and parity of the parturient are not associated statistically with the intensity of labor pain at the time of hospital admission, as well as the presence of a companion. The level of pain mentioned by the parturients is significantly higher than indicated by the evaluation of the midwives. Midwives with between 6-10 and 11-15 years in practice assess pain at lower levels than nurses with 1-5 or 16-20 years in practice. Conclusions: The midwives underestimate labor pain. It is important to develop greater accuracy in assessing labor pain. Midwives can provide the stronger support if they do a correct evaluation of parturient’s pain.
Abstract: Labor pain is an organic response which is important to make a correct assessment. Human evolution brought some modifications to the human body and as a consequence, labor pain is a major concern for women and simultaneously a professional matter for midwives. The aim of this study is to describe the perception of labor pain by the parturient and i...
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Quality of Life Among Girls with or Without Clinically Significant Premenstrual Syndrome
Wafaa Taha Ibrahim Elgzar,
Samiha Hamdi Sayed
Issue:
Volume 6, Issue 2, April 2017
Pages:
87-98
Received:
29 December 2016
Accepted:
10 January 2017
Published:
16 February 2017
Abstract: Premenstrual syndrome (PMS) is one of the most vague and ill-defined phenomena in the field of woman health. Almost all its definitions concluded that it is a cyclic recurrence of distressing physical, psychological and behavioral symptoms, that occur during the luteal phase of menstrual cycle and evaporates within two days of the onset of menses. PMS may range in its severity from mild (90% of females) to moderate or severe (12.6-31% of females). The last type is called Clinically Significant Premenstrual Syndrome (CSPMS). The emergence of CSPMS during the teen years complicates the process of puberty and assumed to have negative impact on the girl's Health Related Quality of Life (HRQOL). This study aimed to compare HRQOL in the girls with and without CSPMS. This was a comparative study which was carried out on 600 female students (300 free from CSPMS and 300 suffer from CSPMS) at Damanhur University, Elbehira governorate, Egypt. A modified version of Premenstrual Symptoms Screening Tool (PMSST) for clinicians was used to assess the severity of subject's PMS. Each subject was assigned to either CSPMS free group or CSPMS group based on the severity of their PMS symptoms. Then the HRQOL was assessed in the two groups, using a translated version of RAND36- item Health Survey Questionnaire. The study results indicated a statistically significant difference between the two groups in their total quality of life score. The quality of life among the free group was almost equally good or fair while poor quality of life was found among around one tenth (12%) of CSPMS group compared to none among the free group. The largest proportion (86%) among CSPMS group had fair quality of life. The most negatively affected domains were social functioning, role limitations due to physical health, role limitations due to emotional problems, energy/fatigue and emotional well-being respectively. The least affected domains were physical functioning and general health perception. On the other hand, bodily pain wasn't affected at all. The study findings revealed that girls with CSPMS suffer from poorer health-related quality of life than those without CSMPS. Appropriate PMS management strategies should be initiated in order to improve the health related quality of life among girls with CSPMS. The culture of silence surrounding PMS should be broken by focusing on researches that highlight its importance and negative impact on quality of life.
Abstract: Premenstrual syndrome (PMS) is one of the most vague and ill-defined phenomena in the field of woman health. Almost all its definitions concluded that it is a cyclic recurrence of distressing physical, psychological and behavioral symptoms, that occur during the luteal phase of menstrual cycle and evaporates within two days of the onset of menses. ...
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Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China
Boka Dugassa Tolera,
Feng Hui
Issue:
Volume 6, Issue 2, April 2017
Pages:
99-112
Received:
5 January 2017
Accepted:
16 January 2017
Published:
20 February 2017
Abstract: Background: Evidence-Based Practice (EBP) is one of the nursing professional roles that can lead them to provide the best and more effective quality patient care. However, little studies are available across china on registered nurses’ attitude, skills and utilization of knowledge source for implementation of evidence based practice. Due to this the extent to which evidence based practice being utilized and implemented in nursing practice is still in its infancy across China. Objectives: The aim of this study was to assess the attitude, skills and source of knowledge on implementation of EBP among registered nurses working at selected teaching hospitals. Method: A descriptive institutional based cross-sectional study was conducted to assess nurses’ attitude, skills and utilization of knowledge source for implementation of EBP. A total of 366 RN were participated in filling self-administered questionnaire. The descriptive and inferential statistical analysis was performed by using SPSS version 20. The cut point for level of statistical significance was set at P < 0.05 and all tests were 2-sided. Result: Overall, registered nurses who were participated in this study had a positive attitudes towards utilization of evidence based practice (M = 3.53, SD = 0.97). However, the level of skill in performing different EBP activities (M = 2.82 SD = 1.34) and the use of knowledge source to support daily care practice (M = 3.01, SD = 0.98) were found to be low. Similarly, participants indicated that they use more human and printed resources than electronic resources for supporting their practice (mean = 3.69, SD = 1.01; mean = 2.88, SD = 0.80; and mean = 2.57, SD = 1.05) respectively. Conclusion: It is recommended that organizational and nursing educational support were needed to improve this gap through providing training, creating awareness, and enhancing nurses’ abilities for utilization and implementation of evidence based practice. Additionally, it is recommended that further research is needed to identify the influence of individual and organizational factors on implementation of evidence based nursing practice.
Abstract: Background: Evidence-Based Practice (EBP) is one of the nursing professional roles that can lead them to provide the best and more effective quality patient care. However, little studies are available across china on registered nurses’ attitude, skills and utilization of knowledge source for implementation of evidence based practice. Due to this th...
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Sociodemographic Factors Influencing the Experience of Ethical Dilemmas Among Nurses in Critical Care Unit of Kenyatta National Hospital
Jostine Ndunge Mutinda,
Miriam Wagoro
Issue:
Volume 6, Issue 2, April 2017
Pages:
113-124
Received:
22 November 2016
Accepted:
9 January 2017
Published:
24 February 2017
Abstract: Ethical issues have emerged in the recent years as a major component of health care for the critically ill patients, who are vulnerable and totally depend on nurse working in the critical care unit. The perception and magnitude of ethical dilemmas faced by nurses working in critical care unit of Kenyatta National Hospital (KNH) as well as the socio-demographic factors influencing this experience had not been determined. This exploratory survey was conducted on 123 nurses working in three critical care areas of the Kenyatta National Hospital. The research aimed to identify the ethical dilemmas by nurses working in Critical Care Units of the Kenyatta National Hospital in their everyday practice and the socio-demographic factors influencing the experience. Personnel records showed the nurses had varying socio-demographic characteristics which were found to influence the experience of dilemmas. Data were collected using questionnaires which were distributed to the123 nurses working in the critical care areas. The participants were selected using stratified random sampling method. Data was cleaned and analyzed using SPSS. Chi square test was used to assess the relationship between variables. The following were identified as the emerging ethical issues: end-of-life decisions (prolonging the dying process, withholding treatment, DNR orders and patients’ religious values), Patient care issues (unsafe nurse-patient ratios, allocation of scarce medical resources, breaches of patients’ privacy, ignoring patients’ autonomy, dealing with incompetent colleagues, discriminatory treatment of patients, patient/ relatives uninformed about the patient’s prognosis) and human rights issues (advance directives, informed consent, rights of pediatric patients and nursing of critically ill patients posing a risk to nurses). Various factors have been attributed to influencing the way one perceives ethical dilemmas. These include knowledge, age and gender among others. The study focused on the socio-demographic factors that significantly affected the experience of ethical dilemmas which included: age, professional qualification and level of knowledge of ethical issues. In conclusion this study shows that ethical dilemmas are an issue of concern among the nurses working in the critical care units of the KNH. The experience of ethical dilemmas is influenced by various socio-demographic factors.
Abstract: Ethical issues have emerged in the recent years as a major component of health care for the critically ill patients, who are vulnerable and totally depend on nurse working in the critical care unit. The perception and magnitude of ethical dilemmas faced by nurses working in critical care unit of Kenyatta National Hospital (KNH) as well as the socio...
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Determinants of Substance Abuse among Commercial Bus Drivers in Kano Metropolis, Kano State, Nigeria
Umar Yunusa,
Umar Lawal Bello,
Munir Idris,
Mahfuz Muhammad Haddad,
Dalhatu Adamu
Issue:
Volume 6, Issue 2, April 2017
Pages:
125-130
Received:
20 December 2016
Accepted:
29 December 2016
Published:
24 February 2017
Abstract: Background: The use of illicit substances among commercial bus drivers is not only increasing but strangelypredisposing the drivers and their passengers to health hazards. There is however paucity of empirical data on the factors associated with this increase. Aim: This study was conducted to explore the determinants of substance abuse among commercial bus drivers in Kano Metropolis, Kano state, Nigeria. Methodology: A descriptive cross sectional design was used for the study where by 196 respondents were selected through a multi-stage cluster sampling technique. A validated and structured interviewer administered questionnaire (IAQ) was used to collect data from the eligible respondents. The data were analysed using descriptive statistics. Results: Findings from the study showed that eight out of every ten (81.1%) of the respondents has ever abused a substance. The desires to relax/sleep after a hard days job (84.8%), work hard (48%), relieve stress (81%), relieve anxiety (66.5%) and pleasure (72%) are the major factors associated with the abuse of substances by the respondents. The most commonly abused substances by the respondents include solution (93.3%) coffee (85.2%), Tramadol (80.6%), local stimulant tea (Gadagi) (78.1%), cola-nut (66.3%) and tobacco (65%), Substance abuse can be reduced by controlling the production and sale of commonly abused substance (27.6%). Conclusion: The major determinants of substance abuse among commercial bus drivers are the desires to work hard, relieve of stress and anxiety. It is therefore recommended that Government should control the production, supply and sale of these illicit substances.
Abstract: Background: The use of illicit substances among commercial bus drivers is not only increasing but strangelypredisposing the drivers and their passengers to health hazards. There is however paucity of empirical data on the factors associated with this increase. Aim: This study was conducted to explore the determinants of substance abuse among comm...
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The Effectiveness Analysis of Different Procedure of Nursing Coordination for Phacoemulsification Combined with Intraocular Lens Implantation Surgery
Lihuan Hou,
Aizhu Qiu,
Xiaojuan He,
Daoting Chen,
Xiaohong Huang
Issue:
Volume 6, Issue 2, April 2017
Pages:
131-134
Received:
22 December 2016
Accepted:
18 January 2017
Published:
24 February 2017
Abstract: To analysis the effectiveness of different procedure of nursing coordination for phacoemulsification combined with intraocular lens implantation (IOL) surgery. Forty patients who received phacoemulsification combined with intraocular lens implantation surgery from Feb, 2014 to Sep, 2015 in the department of Ophthalmology in the First Affiliated Hospital of Jinan University were recruited for analysis. Patients were divided into two groups randomly: 20 patients with usual nursing procedure (the control group) and 20 patients in improved nursing procedure (the experimental group). The following parameters were collected: intraoperative swelling pain of the eye, operation time, complications of conjunctiva and cornea 1 and 7 days after the surgery, the position of IOL, intraocular pressure, visual acuity and the satisfactory level of surgeon and patients. The significant differences between the two groups were analysis by SPSS 19.0. Compared with the control group, the improved nursing coordination procedure showed less intraoperative swelling pain of the eye, shorter operation time, reduced corneal edema rate 1 day after the surgery, greater satisfaction of both the surgeons and patients. The improved nursing coordination procedure suggests success and safety of this combined surgery by shortening the operation time, reducing postoperative complications and improving the satisfaction of doctors and patients.
Abstract: To analysis the effectiveness of different procedure of nursing coordination for phacoemulsification combined with intraocular lens implantation (IOL) surgery. Forty patients who received phacoemulsification combined with intraocular lens implantation surgery from Feb, 2014 to Sep, 2015 in the department of Ophthalmology in the First Affiliated Hos...
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Effect of an Interventional Program on Pregnant Women’s Knowledge and Attitude Toward Mode of Delivery at Beni -Suef City, Egypt
Safaa Soliman Ahmed Mohamed,
Hanan Fawzy Elsayed Ali,
Abeer Mohammed Elmaghawry,
Eman Hessien Heggy
Issue:
Volume 6, Issue 2, April 2017
Pages:
135-140
Received:
3 January 2017
Accepted:
13 January 2017
Published:
27 February 2017
Abstract: Background: The rate of caesarean section (CS) has been increasing among women in Egypt, However, it is selected by pregnant women without medical rationales and justification, thus the wrong concepts and knowledge can play a role on decision for selecting CS as the easier mode of delivery. Aim: To evaluate the effect of an interventional program on pregnant women’s knowledge and attitude toward mode of delivery at Beni -Suef city. Methods: A quasi-experimental research design was used in this study composed of 287 primiparous women with normal pregnancy at 34–36 weeks of gestational age and with no indication to cesarean section was selected from antenatal clinic at Beni Suef general Hospital. The study was conducted from April to September 2016. Data collection tools: a structured interview questionnaires part I, Socio- demographic characteristics, part II; Knowledge Test regarding mode of delivery, and part III, Attitude Test regarding normal and cesarean delivery. Results: the study findings was reported that significantly higher total scores of pregnant women’s knowledge (P=0.00) toward caesarian section after intervention compared with before intervention program. As regard to attitude of women toward cesarean section significantly decreased scores indicating lower positive attitude to cesarean section after intervention (P=0.00). Conclusion: based on the study findings and Hypothesis there were improvement of pregnant women’s knowledge toward the mode of delivery. Recommendations: Based on the results study recommended that urgent preventive measures should be taken to reduce the high rate of cesarean deliveries by improving women’s knowledge toward the advantage and disadvantage for different modes of delivery which can lead to positive attitude.
Abstract: Background: The rate of caesarean section (CS) has been increasing among women in Egypt, However, it is selected by pregnant women without medical rationales and justification, thus the wrong concepts and knowledge can play a role on decision for selecting CS as the easier mode of delivery. Aim: To evaluate the effect of an interventional program o...
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