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Factors Affecting Implementation of Nursing Process Among Nurses Working in Governmental Hospitals, Oromia Region, Ethiopia, 2016: Cross Sectional Study
Birhanu Alemu,
Tolessa Kebede
Issue:
Volume 6, Issue 3, May 2020
Pages:
28-34
Received:
8 April 2020
Accepted:
18 May 2020
Published:
9 June 2020
Abstract: Background: Nursing process used in clinical practice worldwide to deliver quality individualized care to patients and lack of its application can reduce the quality of care. Nursing Process is a systematic problem-solving approach used to identify, prevent and treat actual or potential health problems and promote wellness. It has five steps- assessment, diagnosis, planning, implementation, and evaluation. Applying nursing process requires understanding of factors affecting its implementation from the perspective of nurses. Nursing process implementation could be highly influenced by different factors that can lead to poor quality of nursing care, disorganization of the service, conflicting roles, medication error, poor diseases prognosis, readmission, dissatisfaction with the care provided, and increased mortality. These problems are manageable if a nurse can properly implement nursing process. Objective: The main aim of this study was to assess factors affecting implementation of nursing process among nurses in governmental hospitals of Arsi Zone. Materials and Methods: A cross-sectional study was used to conduct on governmental hospitals in Arsi Zone from December- June 2016. Both quantitative and qualitative methods were used. All governmental hospitals in Arsi Zone was used since they were convenient for the study. Numbers of the participants were small, so all those who full fill inclusion criteria were participant in the study. Tools were given to nurse out of the study to check for its validity and adjustment was made according to the feedback obtained before actual data collection. Data was collected using self-administered questionnaire and in-depth interview. Data was analyzed using SPSS 21.0 version. Result: Findings revealed that organizational factors have the highest predictive value in the use of nursing process, followed by practice related factors. Conclusion and Recommendation: The result concluded that the organizational factors have the most important influence on the use of nursing process. It is recommended that the organization should fulfill needed materials which are necessary to provide nursing care. This will enhance nurses’ ability to use nursing process to improve the quality of patient’s care.
Abstract: Background: Nursing process used in clinical practice worldwide to deliver quality individualized care to patients and lack of its application can reduce the quality of care. Nursing Process is a systematic problem-solving approach used to identify, prevent and treat actual or potential health problems and promote wellness. It has five steps- asses...
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A Rare Etiology of Small Intestinal Obstruction - Solitary Myelogenic Sarcoma of the Small Intestine: CT Findings and a Review of the Literature
Lesheng Huang,
Jun Chen,
Wei Peng,
Kaili Cai,
Hongyi Li,
Jinghua Jiang,
Wanchun Zhang,
Jiahui Tang,
Tianzhu Liu
Issue:
Volume 6, Issue 3, May 2020
Pages:
35-40
Received:
11 May 2020
Accepted:
4 June 2020
Published:
16 June 2020
Abstract: Background: Myelocytic sarcoma is a rare extramedullary tumor consisting of immature myeloid cells-granulocytes, mononuclear cells, or both. It usually occurs in patients with acute or chronic myeloid leukemia and is often found in the skin, bone, and lymphatic tissues. Isolated myeloid sarcomas are more uncommon in patients without leukemia in the small intestine. Case presentation: In the present study, a hospitalized case is discussed with intestinal obstruction as the primary symptom. During the CT examination, the local intestinal wall of the jejunum was found to possess ring thickening, intestinal lumen stenosis and proximal intestinal obstruction. The tumor presented with uniform and moderate progressive enhancement. The patient underwent emergency laparoscopic surgery in order to remove the tumor. Immunohistochemical staining on postoperative paraffin sections revealed myelosarcoma. The patient also underwent a bone marrow biopsy to exclude acute and chronic myeloid leukemia and the bone marrow smear indicated normal range. Conclusions: Myeloid sarcoma must be included in the differential diagnosis of small intestinal tumors, although the patient may not have history of leukemia. Radiologists should improve their imaging perception of myelosarcoma.
Abstract: Background: Myelocytic sarcoma is a rare extramedullary tumor consisting of immature myeloid cells-granulocytes, mononuclear cells, or both. It usually occurs in patients with acute or chronic myeloid leukemia and is often found in the skin, bone, and lymphatic tissues. Isolated myeloid sarcomas are more uncommon in patients without leukemia in the...
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Epidemiological Description of Chikungunya Virus Outbreak in Dire Dawa Administrative City, Eastern Ethiopia, 2019
Dessalegn Geleta,
Neammin Tesfaye,
Habtamu Ayigegn,
Abate Waldetensai,
Fekadu Gemechu,
Hiwot Amare
Issue:
Volume 6, Issue 3, May 2020
Pages:
41-45
Received:
11 May 2020
Accepted:
28 May 2020
Published:
28 June 2020
Abstract: Chikungunya virus (CHIKV) is an arbovirus transmitted to humans by Aedes mosquitoes. It is one of the epidemic vector-borne diseases which has recently re-emerged, mainly in Asian and African continents and has led to a significant global public health problem in these countries. In Ethiopia the Chikungunia outbreak was reported from Dire Dawa Administrative City on July 2019. Therefore this paper is to document and highlight the epidemiology of chikungunia outbreak in Dire Dawa Administrative City. The Data was analyzed from line list collected by Regional Health Bureau from different public and private health sectors during the course of the outbreak, July 29, 2019 to October 20, 2019. Accordingly, the total of 41162 suspected cases of Chikungunia with 16 laboratory confirmed cases were reported from the City Administration. All of the suspected cases fulfill the standard case definition of Chikungunya. The outbreak starts at one kebeles and finally affected whole part of the city. The median age of the patient is 25 years. The overall attack rate of the outbreak was 12.3% with zero case fatality rate. The outbreak affected all age groups and both sexes. However, females are more affected than males with an attack rate of 12.32% and 6.19% for female and male respectively. Higher attack rate was reported from 15 to 44 age group (AR=50.35%). Fever (99.9%), headache (99.4%), joint pain (99.3%) and back pain (87.7%) are the major clinical symptoms observed during the outbreak.
Abstract: Chikungunya virus (CHIKV) is an arbovirus transmitted to humans by Aedes mosquitoes. It is one of the epidemic vector-borne diseases which has recently re-emerged, mainly in Asian and African continents and has led to a significant global public health problem in these countries. In Ethiopia the Chikungunia outbreak was reported from Dire Dawa Admi...
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Maternal Age/Delivery Times-specific Reference Intervals of Fibrin Related Biomarkers During Normal Late Pregnancy in Han Population from Southwest China
Liu Dinghua,
Liu Huan,
He Qi,
Li Xin,
Cai Wei
Issue:
Volume 6, Issue 3, May 2020
Pages:
46-50
Received:
9 June 2020
Accepted:
23 June 2020
Published:
29 June 2020
Abstract: Objective: Human pregnancy requires hypercoagulation of blood, which means haemostatic reference intervals based on normal people may not be suitable for pregnant women. The aim of this study was to establish reference intervals of fibrin related biomarkers during normal late pregnancy in Han population from southwest China. Methods: Plasma samples were collected from 2374 healthy pregnant women (35-40 gestational weeks) and 326 healthy non-pregnant women at University-Town Hospital of Chongqing Medical University from January 2017 to December 2019. All of the subjects were assigned to 4 groups by age: A (18-29 years), B (30-34 years), C (35-39 years) and D (40-45 years). Further, the pregnant subjects were assigned to 2 groups by delivery times: I (first-delivery) and II (second-delivery). Fibrinogen (Fbg), D-Dimer and fibrin (-ogen) degradation products (FDP) were measured by Sysmex CS-5100 coagulation analyzer. Results: The Fbg reference intervals during late pregnancy in local Han population were 4.09±1.12 g/L. The D-Dimer reference interval for first-delivery pregnancy was <2.77mg/L, and those of second-delivering women were <3.37mg/L (18-34 years) and <3.99mg/L (35-45 years). The FDP reference interval for first-delivery pregnancy was <9.28mg/L, and those of second-delivering women were <10.52mg/L (18-34 years) and <11.72mg/L (35-45 years). Conclusion: In the current study, maternal age/delivery times-specific reference intervals of plasma Fbg, D-Dimer and FDP during normal late pregnancy in Han population from southwest China were presented, which could assist in clinical diagnosis and treatment. Furthermore, we demonstrated maternal age and delivery times did significantly affect the plasma levels of D-dimer and FDP in normal late pregnant women.
Abstract: Objective: Human pregnancy requires hypercoagulation of blood, which means haemostatic reference intervals based on normal people may not be suitable for pregnant women. The aim of this study was to establish reference intervals of fibrin related biomarkers during normal late pregnancy in Han population from southwest China. Methods: Plasma samples...
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