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Assessment of Patients’ Satisfaction with Care at Selected Governmental Dialysis Units in Addis Ababa, Ethiopia, 2018
Teshome Habte Wurjine,
Semien Ketema Regasa
Issue:
Volume 7, Issue 6, December 2018
Pages:
202-209
Received:
3 September 2018
Accepted:
21 September 2018
Published:
22 October 2018
DOI:
10.11648/j.ajns.20180706.11
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Abstract: Background: Assessment of patient satisfaction is beneficial as an indicator of care values provided by health care workers. Patient satisfaction is examined as a significant and valid measure of efficiency in health care service. Objective: This study aimed to assess the patients’ satisfaction with care at selected dialysis unit in Addis Ababa, Ethiopia. Methods: The study was conducted in the capital city of Ethiopia, Addis Ababa at selected three government tertiary hospitals because maintenance of hemo-dialysis procedure is provided in these hospitals. Study design: facility based cross-sectional quantitative and qualitative mixed study design were employed on patients undergoing maintenance of hemo-dialysis care. The data was collected in a three selected dialysis units using a census method applied for quantitative approach to determine sample size because of few members of source population and snow ball sampling for qualitative method. The study carried out from May to June 2018. Participants: A total of 115 patients treated in hemo-dialysis unit. The primary outcome was patient with hemodialysis care satisfaction with the overall care and secondary outcomes of individual aspect of hemodialysis care in patient experiences. Data collection & analysis procedure: Data was collected by structured pre tested questionnaire and in-depth interview and analyzed using Epi data and SPSS. Descriptive statistics, Bivariate and multivariate logistic regression analyses was undertaken. Result: A total of 113 participants were responding to questionnaire with response rate 98.3% from this 76(67.3%) were male. The overall satisfaction level was found to be 41.6%. Majority of the respondents (81.4%) were rated high nurses care on vascular access site and nurses advice on post dialysis results were rated very low (1.8%). The regression analysis shows that income, educational status, occupation and frequency of dialysis were predictors of the overall satisfaction score (p<0.05). Strength and limitation: Applying mixed methods of quantitative data was supported by qualitative method could cross check one another. Whereas limitation of the study was in fact studies conducted so far in Ethiopia in this topic are very limited therefore scarcity of literature to compare the finding in Ethiopian context was inadequate. Conclusion& Recommendation: Only 41.6% participants were satisfied with the care provided in hemo-dialysis units. This shows that the level of patient satisfaction is severely deficient and recommended to work for the achievement of optimal health care outcome then subsequently increase patient satisfaction.
Abstract: Background: Assessment of patient satisfaction is beneficial as an indicator of care values provided by health care workers. Patient satisfaction is examined as a significant and valid measure of efficiency in health care service. Objective: This study aimed to assess the patients’ satisfaction with care at selected dialysis unit in Addis Ababa, Et...
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Current Status of Sexual Health in Korean Mothers Residing in Japan (Zainichi Mothers)
Issue:
Volume 7, Issue 6, December 2018
Pages:
210-217
Received:
10 September 2018
Accepted:
27 September 2018
Published:
25 October 2018
DOI:
10.11648/j.ajns.20180706.12
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Abstract: This study aimed to clarify the influence of traditional values and gender identity on sexual health among mothers in the Korean population living in Japan (zainichi). A cross-sectional survey was completed by 117 zainichi mothers aged 20–45 years in 2017. The questionnaire assessed participants’ characteristics, views on marriage/ pregnancy/ childbirth, reproductive health, domestic violence, and housework and childrearing burdens. We also evaluated traditional value, sex role attitudes, marital satisfaction, and trust, hope, and satisfaction regarding the Japanese and zainichi communities. Most zainichi mothers were satisfied with their pregnancy (96.3%) and childbirth (98.2%) timing, but the actual number of children was below the desired number of children. Of all participants, 10.0%, 25.0%, and 33.3%, respectively, reported dissatisfaction with decision-making regarding contraception, abortion, and divorce, and most participants reported a housework burden that was “strong” (46.5%) or “very strong” (14.7%). Women’s sexual health was associated with traditional values, gender role attitudes, marital satisfaction, and living in Koreatown. Ethnic school experience, hope for marriage, hope for a boy, and pressure for a boy were significantly associated with traditional values. zainichi Korean mothers’ wishes regarding contraception, abortion, and divorce are not respected. Many do not achieve their ideal number of children, and they are generally responsible for housework and childrearing. Traditional values, gender role attitudes, and marital satisfaction influence zainichi mothers’ sexual health. Midwives and nurses should provide information and training about sexuality, and facilitate childcare support resources in the zainichi Korean community.
Abstract: This study aimed to clarify the influence of traditional values and gender identity on sexual health among mothers in the Korean population living in Japan (zainichi). A cross-sectional survey was completed by 117 zainichi mothers aged 20–45 years in 2017. The questionnaire assessed participants’ characteristics, views on marriage/ pregnancy/ child...
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Pregnancy Outcomes and Nursing Care in a Large Cohort of Multiple Pregnancy Cases Undergoing Transvaginal Multifetal Pregnancy Reduction
Mingfen Deng,
Yulian Liang,
Hua Qin,
Li Zhou,
Liping Chen,
Lu Luo
Issue:
Volume 7, Issue 6, December 2018
Pages:
218-222
Received:
17 September 2018
Accepted:
6 October 2018
Published:
29 October 2018
DOI:
10.11648/j.ajns.20180706.13
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Abstract: Assisted reproductive techniques (ART) frequently result in multiple pregnancy, which in some cases poses a danger to the mother and may reduce fetal health and take-home baby rate. These adverse outcomes may be mitigated by transvaginal pregnancy reduction, but the perioperative nursing care related to good outcome has not been reported in large cohorts. This study therefore analyzed the pregnancy outcomes of twin and triplet pregnancies following early transvaginal multifetal pregnancy reduction, and summarized the experiences of perioperative nursing care. A total of 204 twin or triplet pregnancies conceived by ART who underwent transvaginal multifetal pregnancy reduction during gestational week 7 to 8 were retrospectively analyzed. Main outcome measures included operation success rate as well as rates of spontaneous abortion, preterm delivery, and cesarean section. Birth weight, gestational age at delivery, and take-home baby rate were also analyzed. The success rate of multifetal reduction was 100% with no perioperative complications. Pregnancy outcome after multifetal pregnancy reduction was satisfactory, with a take-home baby rate of 76.9% for twin-to singleton, 89.5% for triplet-to-twin reduction, and 92.3% for triplet-to singleton reduction. Perioperative nursing procedures critical for good outcome included facilitation of routine preoperative tests for surgical contraindications, pre- and intra-operative stress and anxiety counseling, disinfection and flushing of the vagina and perineum, inspection of aspiration equipment, postoperative management of diet, and education on postoperative signs of abnormality. In conclusion, multifetal reduction achieved satisfactory pregnancy outcomes. Efficient nursing care during the perioperative period is one of the most important factors for improved outcome following multifetal pregnancy reduction.
Abstract: Assisted reproductive techniques (ART) frequently result in multiple pregnancy, which in some cases poses a danger to the mother and may reduce fetal health and take-home baby rate. These adverse outcomes may be mitigated by transvaginal pregnancy reduction, but the perioperative nursing care related to good outcome has not been reported in large c...
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Factors Influencing Post-Operative Pain Management Among Neonates at Moi Teaching and Referral Hospital, Kenya
Mosol Priscah,
Mukami Martina
Issue:
Volume 7, Issue 6, December 2018
Pages:
223-230
Received:
25 September 2018
Accepted:
16 October 2018
Published:
29 October 2018
DOI:
10.11648/j.ajns.20180706.14
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Abstract: Background: Neonatal post-operative pain management poses a unique challenge particularly with regard to assessing and treating the pain. In spite of the existence of empirical evidence on safety and effectiveness of neonatal postoperative pain management strategies, little is known about postoperative pain assessment and management practices in neonatal units in Kenya. In the Newborn Unit (NBU) at Moi Teaching and Referral Hospital (MTRH), neonatal assessment and treatment of neonatal postoperative pain is influenced by the knowledge base and personal decision of the health care provider. Objective: The objective of the study was to determine factors influencing postoperative pain management practices among neonates at MTRH, in Kenya in order to inform policy. Methods: This was a descriptive cross-sectional study design. The study was done at the newborn unit at MTRH, Eldoret. A semi –structured questionnaire and observation check-list was used to collect data. Data was analyzed using Statistical Package for the Social Sciences (SPSS) version 21.0 program and presented in tables, graphs, frequencies and content analysis. Statistical techniques including logistic regression and correlation statistical procedures were employed in analysis. Results: Data from 45 health care providers were collected. The mean years of practice were 9 years, while the mean score for the assessment was 3.7. There was a negative correlation (r = - 0.058) between professional years of practice and assessment scores though it was not significant 0.703. There was a positive correlation between the intervention scores and professional years of practice (r = 0.028, p > 0.05) hence not significant. There was a positive correlation between the intervention scores and assessment scores (r = 0.546) and it was statistically significant p < 0.001. The mean score between doctors and the nurses differed and was slightly higher on assessment as compared to intervention. All health care providers cited that there were no written guidelines and pain assessment scale for use at NBU. Majority of the doctors and nurses had adequate knowledge on assessment of postoperative pain in neonates and the subsequent intervention to alleviate pain although none of them had attended any course on the same. Conclusion and Recommendations: From the study, there was lack of provision of objective tools to assess neonatal pain. Postoperative pain management was influenced by the knowledge base and personal decision of the health care provider. The study recommends the need for evidence-based guidelines for postoperative pain management at the newborn unit of MTRH. In addition, there is need for Continuing Professional Development for professional staff working at the newborn unit on the systematic assessment and management of postoperative pain in neonates.
Abstract: Background: Neonatal post-operative pain management poses a unique challenge particularly with regard to assessing and treating the pain. In spite of the existence of empirical evidence on safety and effectiveness of neonatal postoperative pain management strategies, little is known about postoperative pain assessment and management practices in ne...
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Assess Knowledge and Practice of Preparatory Student About Personal Hygiene in Riyadh City
Norah Alsager,
Shouq Abdali,
Salma Moawad
Issue:
Volume 7, Issue 6, December 2018
Pages:
231-238
Received:
25 August 2018
Accepted:
21 September 2018
Published:
31 October 2018
DOI:
10.11648/j.ajns.20180706.16
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Abstract: Adolescence is the stage of human life, which transition from childhood to adulthood. Personality accentuated and where knowledge and habits that can last a lifetime acquired. In what concerns to health education, adolescence is the most difficult period in accepting health education, because it is characterized by non-accepting information advice provided by parents or teachers. There are many risks to health during adolescence, mainly because young people are not care in risks and believe they are not at risk or vulnerable to disease. Personal hygiene is the basic concept of cleaning and it is the first step to good health, it consider as one of the most important part of our daily lives at everywhere (home and workplace) and which help us to avoid disease and protect our health. Appropriate knowledge and practices of personal hygiene plays an important role in prevent communicable diseases. The aim of this study was to assess knowledge of personal hygiene in preparatory student in Riyadh City. About 246 female students were participated in this study through Google forms –create and analyze surveys, selected by convenience sample. Questionnaire included four parts, first part consist of demographic data, health history (personal and menstrual), 2nd part was regarding menstruation hygiene, third part was about personal hygiene, fourth part was about hand hygiene, shower, mouth hygiene. The data collected, tabulated and analyzed by using SPSS V.25, descriptive and inferential statistics employed. There is a definite need for intense personal hygiene education programs in Riyadh City based on preparatory students' needs.
Abstract: Adolescence is the stage of human life, which transition from childhood to adulthood. Personality accentuated and where knowledge and habits that can last a lifetime acquired. In what concerns to health education, adolescence is the most difficult period in accepting health education, because it is characterized by non-accepting information advice ...
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Effect of Designed Wound Care Guidelines for Pediatric Nurses on Occurrence of Surgical Site Complications
Hanaa Diab Khalafallha,
Soheir Abd-Rabou Mohammed,
Nesreen Sayed Mohamed Bahnsawy
Issue:
Volume 7, Issue 6, December 2018
Pages:
239-249
Received:
17 October 2018
Accepted:
2 November 2018
Published:
14 December 2018
DOI:
10.11648/j.ajns.20180706.17
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Abstract: Surgical site complications are the commonest nosocomial infections and responsible for considerable morbidity and mortality as well as increased hospitalizations and treatment cost related to surgical operations, wound care guidelines proved to avoid occurrence of wound complications. The aim of the current study: was to evaluate the effect of designed wound care guidelines for pediatric nurses on occurrence of surgical site complications. Design: pre-posttest quasi-experimental research design was utilized to fit the aim of the current study. Setting: the study was conducted in the Intermediate Surgical Intensive Care Unit (ISICU) at Cairo University Specialized Pediatric Hospital (CUSPH). Sample: A convenient sample of 30 nurses and 60 children in the postoperative period after abdominal surgeries were participated in the current study; children were divided into two equal groups: 30 as a control group and 30 as a study group and nurses were the same for the study and control group of children. Data collection tools: data were collected using the following tools: structured interview sheet, pre/posttest sheet and observation checklists to evaluate nurse's knowledge and practice as well as postoperative recording sheet. Results: the results revealed that, there was statistically significant difference between the total mean score of nurses’ knowledge and practice before and after implementation of wound care guidelines. Children in the study group exposed to less wound complications than children in the control group. Conclusion: the study concluded that children who cared by nurses receiving wound care guidelines sessions were exposed to less surgical site complications than those in the control group.
Abstract: Surgical site complications are the commonest nosocomial infections and responsible for considerable morbidity and mortality as well as increased hospitalizations and treatment cost related to surgical operations, wound care guidelines proved to avoid occurrence of wound complications. The aim of the current study: was to evaluate the effect of des...
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The Effects of Simulated Teaching on Prevention of Catheter Extrusion of Patients with PICC
Zhu Wei,
Qiao Xiaoying,
Xiang Xiaoyan,
Chen Lijiao,
Chen Xiaomin,
Zhang Ye
Issue:
Volume 7, Issue 6, December 2018
Pages:
250-253
Received:
8 October 2018
Accepted:
14 November 2018
Published:
20 December 2018
DOI:
10.11648/j.ajns.20180706.18
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Abstract: Objective: To explore the effects of simulated teaching on avoidance of catheter extrusion in patients with PICC. Background Catheter extrusion is one of the most common complications after PICC catheterization. The incidence is 5% to 3l% in literature which have reported. Catheter prolapse not only directly affects the treatment of patients, but also increases the pain and financial burden of patients. The main causes of catheter prolapse are improper external fixation, traction of external force, excessive activity of patients and lack of self-protection catheter knowledge. Health education can promote patients who are the co-administrator of the catheter to form correct behaviors and concepts. Health education has become an important part of clinical nursing work. Methods: A total of 915 patients with PICC were recruited in the present study. Simulated teaching regarding prevention of catheter extrusion to get her with previous health education was carried out in the laboratory center. Participants were required to do re-demonstration after the critical skills were taught. The tests core was compared before and after the simulated teaching . Besides , the rate of catheter extrusion was also recorded and compared with those patient s who did not receive the simulated teaching before. Results: Compared with the test score before the simulated teaching, test score after the teaching was higher. Rate of catheter extrusion among those who received simulated teaching was lower than those who did not get the teaching (χ2= 23.701, P< 0.001). Conclusion: Health education with simulated teaching can help patients with PICC know the key points that they should pay attention to. Such teaching method can significantly decrease the rate of catheter extrusion.
Abstract: Objective: To explore the effects of simulated teaching on avoidance of catheter extrusion in patients with PICC. Background Catheter extrusion is one of the most common complications after PICC catheterization. The incidence is 5% to 3l% in literature which have reported. Catheter prolapse not only directly affects the treatment of patients, but a...
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Effect of Educational Program on Vulvitis Prevention Among Nursing Students
Somaya Ouda Abd EL-Menim,
Huda Abdalla Moursi,
Ahlam Elahmady Mohamed Sarhan
Issue:
Volume 7, Issue 6, December 2018
Pages:
254-267
Received:
7 November 2018
Accepted:
23 November 2018
Published:
2 January 2019
DOI:
10.11648/j.ajns.20180706.19
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Abstract: The aim of this study was to evaluate the effect of educational program on vulvitis prevention among nursing students Research design: A quasi-experimental design was utilized. Setting: This study was conducted at Faculty of Nursing, Benha University. Sample: convenient sample included two hundred and fifty nursing students female all enrolled in first academic years. Tools of data collection1) a structured interviewing sheet to collect data about socio-demographic characteristics, menstrual and gynecological history and knowledge of nursing students regarding vulvitis 2) reported practices assessment 3) modified likert scale for students' attitude regarding vulvitis. Results: there were general improvements regarding students' knowledge, attitude and practice regarding prevention of vulvitis with highly significant (P ≤ 0.001) difference after educational Program. The mother was the main sources of knowledge to students (60%). There was insignificant relation between students' total knowledge, total attitude and total practice scores with their age. Conclusion: The implementation of educational Program significantly improved students’ knowledge, practices and attitude towards prevention of vulvitis. There were positive high statistically significant correlations between students' total knowledge, total practices and total attitude scores after educational Program. Recommendation: Provide students booklets and pamphlet about healthy habits and measures to prevent infection in reproductive system. Replication of the study on a larger sample and in different geographical areas in Egypt is recommended for generalization of findings.
Abstract: The aim of this study was to evaluate the effect of educational program on vulvitis prevention among nursing students Research design: A quasi-experimental design was utilized. Setting: This study was conducted at Faculty of Nursing, Benha University. Sample: convenient sample included two hundred and fifty nursing students female all enrolled in f...
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The Program for Coping Methods to Improve Auditory Hallucinations Among Patients with Psychiatric Disorders: A Randomized Controlled Trial
Saida El-Sayed Hassan Ibrahim El-Azzab
Issue:
Volume 7, Issue 6, December 2018
Pages:
268-280
Received:
24 November 2018
Accepted:
18 December 2018
Published:
2 January 2019
DOI:
10.11648/j.ajns.20180706.20
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Abstract: Auditory hallucinations are hearing experiences that happen in the absenteeism of an external stimulus. When auditory hallucinations in the patients with a psychotic disorder happen, they affect their lives. Thankfully, many coping approaches that be used to challenge these voices and regain some control. Aimed to evaluate the effectiveness of a training program on coping methods, to improve auditory hallucinations among patients with psychiatric disorders. A randomized control design was employed. Fifty patients were engaged. It was implemented at the inpatients of the Psychiatric Hospital in Beni-Suef, Egypt. A constructed interview schedule to collect data of socio-demographic, clinical characteristics, the Psychotic Symptom Rating Scales for Auditory Hallucination and Self-Management Strategies to Control the Auditory Hallucinations. The program contained 10 sessions. The means of cognitive, behavioral and physiological coping methods have increased among participants in the experimental group from before to follow up observations. The training program on coping methods was effective in improving auditory hallucinations among psychiatric patients. The most common was used behavioral coping methods. The nursing staff should apply training programs for patients with psychiatric disorders who suffer from auditory hallucinations and teach them how to use cognitive, behavioral and physical coping methods to deal with the hallucinations.
Abstract: Auditory hallucinations are hearing experiences that happen in the absenteeism of an external stimulus. When auditory hallucinations in the patients with a psychotic disorder happen, they affect their lives. Thankfully, many coping approaches that be used to challenge these voices and regain some control. Aimed to evaluate the effectiveness of a tr...
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Effect of Personal and Working Characteristics on Staff Nurses’ Leadership Behaviors in Acute Care Setting
Mohammed Shahin,
Amany Abdrbo,
Somaya Ahmed Bayoumy
Issue:
Volume 7, Issue 6, December 2018
Pages:
281-286
Received:
18 November 2018
Accepted:
13 December 2018
Published:
4 January 2019
DOI:
10.11648/j.ajns.20180706.21
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Abstract: Contemporary health care organizations focus on the capability and efficiency of front-line staff to minimize bureaucracy and ensure better performance to meet the vision, mission, and values of the organization. In health care organizations, front line staff must gain leadership abilities which enable them to perform multifocal and complex tasks required by healthcare. Those leadership abilities will certainly optimize the quality of services which cannot be achieved without effective leadership. This study aims to assess nurses’ leadership behaviors and the effect of personal and working characteristics on their leadership behaviors in acute care hospitals. Cross-sectional correlational design is used to collect data from a stratified randomized sample of 129 nurses from different wards. The questionnaire includes demographic data and self-assessment leadership instrument. Most of the participants are females, married, and have children. Their age range is about 37. Nurses’ age which ranges between 35-54 years (X-Generation) rated the highest score of leadership behaviors in comparison with other generations. The results revealed that only personal characteristics (gender, education and nationality) have significant effect on nurses’ leadership behaviors. Assessing factors affecting nurses’ leadership behaviors is crucial for health care organizations to survive and succeed in the current globalized competitive work environment.
Abstract: Contemporary health care organizations focus on the capability and efficiency of front-line staff to minimize bureaucracy and ensure better performance to meet the vision, mission, and values of the organization. In health care organizations, front line staff must gain leadership abilities which enable them to perform multifocal and complex tasks r...
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The Effect of an Educational Intervention About Disaster Preparedness on Knowledge and Attitudes of Technical Nursing Institute Intern-nurse Students
Sahar Abdel Latif Abdel Sattar,
Nehad Ahmed Ibrahim Zahra,
Wafaa Mostafa Mohamed
Issue:
Volume 7, Issue 6, December 2018
Pages:
287-295
Received:
20 November 2018
Accepted:
11 December 2018
Published:
4 January 2019
DOI:
10.11648/j.ajns.20180706.22
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Abstract: Disasters often result in significant impacts on people’s health. Nurses play a central role in disaster preparedness and management. Nursing school has a vital role in preparing the future nurses with basic knowledge in disaster preparedness, response and recovery. The aim of the study is to evaluate the effect of an educational intervention about disaster preparedness on technical nursing institute intern- nurse students' knowledge and attitude. A quasi-experimental inquiry design was utilized with pre-test post-test and follow up. The study was accomplished at the Technical Nursing Institute, Zagazig University, Egypt. A convenience sample of 119 technical nursing institute intern- nurse students were enrolled in the study. Two tools were used for data collection self-administered questionnaire and attitudes scale. It appeared that, there were 18.5% of the considered subjects had adequate knowledge some time recently the program. Too there were as it was 19.3% of the examined subjects had positive attitude toward disaster preparedness at pre-test. There were advancement in knowledge and attitude of the members post program. It was concluded that, instructive intervention was effective in accomplishing noteworthy change in specialized nursing founded student’ knowledge around disaster preparedness, which was showed in advancement and altering in their demeanours concerning disaster. Training programs are fundamental for all nursing undergraduate to prepare them to oversee their awareness around disaster preparation.
Abstract: Disasters often result in significant impacts on people’s health. Nurses play a central role in disaster preparedness and management. Nursing school has a vital role in preparing the future nurses with basic knowledge in disaster preparedness, response and recovery. The aim of the study is to evaluate the effect of an educational intervention about...
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Empowerment Improves Older Adults’ Rehabilitation in Homecare Settings
Britta Hørdam,
Kim Petersen,
Heidi Næsted Stuhaug,
Rikke Volmer Brandsen,
Merete Watt Boolsen
Issue:
Volume 7, Issue 6, December 2018
Pages:
296-303
Received:
19 November 2018
Accepted:
17 December 2018
Published:
16 January 2019
DOI:
10.11648/j.ajns.20180706.23
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Abstract: Background: A study carried out in a public homecare setting aimed at determining older adults’ satisfaction with, evaluation of and attitudes toward personal hygiene by comparing a traditional bath with soap and water to a bath in which prepacked disposable washcloths were used. Based on the results, the purpose of this subsequent study was to refine our methodology in order to compare and identify older adults’ needs and choice of bathing procedure. Methodology: Twenty older adults completed two questionnaires and were interviewed before and after the bathing procedure just like the nurses. Baseline data regarding age, gender, type of housing, bath facilities, activities of daily living and self-rated health were obtained from one questionnaire and questions regarding the older adults' satisfaction with, evaluation of and attitudes toward personal hygiene from another. Nurses completed a questionnaire regarding their satisfaction with the two types of personal hygiene. Data regarding nurses' preferences and recommendations on traditional bath and prepacked disposable washcloths were obtained from another two questionnaires. On the original questionnaires satisfaction were rated using three possible answers. Questions regarding the number of minutes spent for the individual personal hygiene, description of the conditions under which the bath took place, and an evaluation of the ethical dimension were asked. Two questions clarified the bath recommended by nurses and patients, two questions were used to evaluate skin reactions to soap and water and prepacked disposable washcloths. In the refining process the rating of satisfaction was expanded as well as the evaluation of skin condition, the recommendation of either types of bathing procedure was specified. Ideas from the Most Significant Change model were incorporated into the nurses' questionnaire, and self-determination was incorporated in the revised questionnaire. Outcome: Overall, the older adults preferred to have their own individual choice of daily bathing procedure. The nurses’ choice and recommendation of prepacked washcloths was significant and motivated by concern for the older adults’ efforts, time spent and personal wellbeing. The questionnaires containing baseline data, nurses' preferences and recommendations on traditional bath, and prepacked disposable washcloths were considered sufficient for future studies. Specification of questions, expansions, more balanced scales and incorporation of older adults' self-determination increased the quality of the two questionnaires for future investigations. Conclusion: As this is the first and only study of nurses' and older adults’ attitude and experiences with two types of nurse-assisted baths in a homecare setting improved questionnaires have been prepared for further studies.
Abstract: Background: A study carried out in a public homecare setting aimed at determining older adults’ satisfaction with, evaluation of and attitudes toward personal hygiene by comparing a traditional bath with soap and water to a bath in which prepacked disposable washcloths were used. Based on the results, the purpose of this subsequent study was to ref...
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Problems and Obstacles Facing Nursing Interns and Its Relation to Their Performance at Clinical Setting: A Comparative Study
Sanaa Moustafa Safan,
Rehab Mohamed Rashad Ebrahim
Issue:
Volume 7, Issue 6, December 2018
Pages:
304-313
Received:
27 November 2018
Accepted:
19 December 2018
Published:
16 January 2019
DOI:
10.11648/j.ajns.20180706.24
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Abstract: Nursing interns face multifaceted issues, obstacles, and problems that oblige them to use clinical skills that affect their performance; Some of the intern-nurses expressed anxiety that they had not assumed the opportunity to improve all of the psychomotor skills required to practice efficiently in the clinical setting. Aim: Assess problems and obstacles faced nursing interns and its relation to their performance at the clinical setting. Design: Descriptive, comparative design was used.Setting: Conducted at medical and surgical departments at Benha University Hospital and private Hospitals. Subjects: Convenience sample of nursing interns [150 from Benha University Hospital and 101 nursing interns from private Hospitals.Tools: a) Internship year problems questionnaires b) Nursing interns Obstacles Questionnaire. c) Observation checklist of nursing intern's performance. Results: level of problems occurrence that faced nursing interns during internship year was the average level (65.3%) at Benha University Hospital and Private Hospitals had low level (85.1%) of problems occurrence. Especially the highest mean score of problems dimension were clinical setting; supervision and communication at both hospitals.Additionally there was the highest level of total obstacles present at Benha University were (65.3.%) than private Hospitals that faced nursing interns during internship year. The most common obstacles faced nursing interns were social and cultural obstacles, while economic constraints were the lowest obstacles at the study setting.Finally level of nursing interns performance was satisfactory (84.0%) at private Hospitals and unsatisfactory (36.6%) at Benha University Hospital.More ever performance was higher in private Hospitals than Benha University Hospital. Conclusions: There were positive correlation between problems and obstacles facing nursing interns and there were negative correlation between Problems, obstacles, and nursing intern's performance. Recommendations: Nursing colleges should provide good relationship between faculty and training hospital staff and Preparation of nursing interns through well-organized program, especially the clinical experiences part.
Abstract: Nursing interns face multifaceted issues, obstacles, and problems that oblige them to use clinical skills that affect their performance; Some of the intern-nurses expressed anxiety that they had not assumed the opportunity to improve all of the psychomotor skills required to practice efficiently in the clinical setting. Aim: Assess problems and obs...
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Effect of Centering Pregnancy Model Implementation on Prenatal Health Behaviors and Pregnancy Related Empowerment
Hend Abdallah El Sayed,
Eman Mohammed Abd-Elhakam
Issue:
Volume 7, Issue 6, December 2018
Pages:
314-324
Received:
10 December 2018
Accepted:
22 December 2018
Published:
16 January 2019
DOI:
10.11648/j.ajns.20180706.25
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Abstract: Background: Centering pregnancy model has been associated with motivating behavior change, increasing women’s empowerment and satisfaction in comparison to standard, individual prenatal care. Aim of the present study was to evaluate the effect of centering pregnancy model implementation on prenatal health behaviors and pregnancy related empowerment. Research design: A quasi-experimental (pre-posttest comparison group). Sample: A purposive sample of 151 pregnant women was recruited for the study and divided into centering pregnancy group was (75 women) and individual prenatal care group was (76 women). Setting: The study was conducted at Obstetrics and Gynecology Outpatient Clinic along with meeting room at Outpatient Clinics' floor affiliated to Benha University Hospital. Tools used for data collection were a structured self-administrating questionnaire, prenatal health behaviors scale, pregnancy-related empowerment scale, and women’s satisfaction visual analogue scale. Results: post intervention, the total mean self-reported health behaviors score in the centering pregnancy group was higher than individual prenatal care group (18.13 versus 13.11) respectively. The mean pregnancy related empowerment score centering pregnancy group was significantly higher than individual prenatal care group (54.32 ± 3.28 versus 40.13 ± 7.74, p ≤ 0.0001) respectively. Two-thirds of the centering pregnancy group reported high satisfaction level compared to one-tenth of individual prenatal care group. Conclusion: A positive effect of centering pregnancy model, including a greater engagement in favorable health behaviors, a higher pregnancy-related empowerment, and higher satisfaction compared to individual prenatal care. Recommendation: Implementing centering pregnancy model of care more widely for promoting healthy behaviors and empowering pregnant women.
Abstract: Background: Centering pregnancy model has been associated with motivating behavior change, increasing women’s empowerment and satisfaction in comparison to standard, individual prenatal care. Aim of the present study was to evaluate the effect of centering pregnancy model implementation on prenatal health behaviors and pregnancy related empowerment...
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Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya
Issue:
Volume 7, Issue 6, December 2018
Pages:
325-332
Received:
12 December 2018
Accepted:
25 December 2018
Published:
17 January 2019
DOI:
10.11648/j.ajns.20180706.26
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Abstract: Health Related Quality of Life (HRQoL) is an important health outcome in the holistic management of patients especially those suffering from life limiting conditions such as cervical cancer. In Kenya, Cervical cancer is the most frequent cancer among women. However, little is known and documented on HRQoL of cervical cancer patients. This study assessed HRQoL of cervical cancer patients in western Kenya. A cross-sectional study involving 334 cervical cancer patients was conducted in Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kisumu from September 2014 to February 2015. FACT-Cx (The Functional Assessment of Chronic Illness Therapy –for measuring Quality of Life in cervical cancer patients) Version 4 and a structured questionnaire were used to collect data. Quantitative data was analyzed using Statistical Package for Social Scientists (SPSS) Version 20 and Statistical Application Software (SAS) version 9.2 at a statistical significance of P ≤ 0.05, descriptive and inferential statistics were performed. The mean HRQoL was 35.35 (SD=13.21). More than half of the respondents experienced poor functional and physical wellbeing, 221 (66%) and 201 (60%) respectively and no patient experienced good functional and physical wellbeing. While 189 (57%) experienced fair overall quality of life. Multiple cumulative logistic regression analysis between cancer stage and treatment had statistically significant association with overall quality of life (X2 = 105.34 and 70.72; with df=3 and 6; p-values = 0.0001 and 0.0001, respectively); also between age, marital status, level of education and religion showed positive influence on overall quality of life except for religion (X2 = 21, 11, 113 and 4 with df=3 for all and p-values = 0.0001, 0.0121, 0.0001, 0.2563 respectively). Cervical cancer patients do fairly better with emotional and social wellbeing, while they experience poor functional and physical wellbeing due to large proportion of patients presenting at stage IV and III of the disease. There is a need to include HRQoL assessment in routine management of cervical cancer patients to enhance their quality of life.
Abstract: Health Related Quality of Life (HRQoL) is an important health outcome in the holistic management of patients especially those suffering from life limiting conditions such as cervical cancer. In Kenya, Cervical cancer is the most frequent cancer among women. However, little is known and documented on HRQoL of cervical cancer patients. This study ass...
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