scholarly journals BARRIERS TO IMPLEMENTATION OF NURSING PROCESS AMONG NURSES WORKING IN NAROK COUNTY REFERRAL HOSPITAL

2020 ◽  
Vol 5 (4) ◽  
pp. 15
Author(s):  
Anna Saretin Lekenit ◽  
Ruth G. Gatere ◽  
Agnes K. Mutinda
Keyword(s):  
Work Experience ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Unique Contribution ◽  
Nursing Process ◽  
Chi Square ◽  
Cross Sectional ◽  
Process Implementation ◽  
Study Results

Purpose of the study: This study therefore assessed barriers of nursing process implementation by Narok County Referral Hospital nurses. Methodology: A descriptive cross sectional study design was used to collect data from 102 randomly sampled nurses in NCRH. The study instruments used were self-administered questionnaires and key informant interview. SPSS version 20.0 was used to analyze quantitative data and sample characteristics were analyzed using mean and median. Themes were used to analyze qualitative data and narratively presented. Association between the study variables was calculated using chi square at 95% level of significance while statistical significance of results obtained was calculated using p values of 0.05. Data analysis was presented using tables and graphs. Approval was sought from relevant authorities. Results: The study results revealed that female participants were the majority at (70.6%). Most participants (71.6%) had attained diploma level of education and among them, 92.2% had received training in nursing process. Majority 95 (93.2%) were observed not to implement nursing process and of those who implemented, only 1 (1%) correctly outlined all the steps, a sign of poor nursing process implementation. NP implementation was of statistical significance with age of nurses as 18 out of 29 of younger nurses aged 21-30 years were found to actively practice it (p =0.001, work experience (p = 0.001), training (p > 0.05): institutional factors (p = 0.001). Unique contribution to theory, practice and policy: Nursing process mainstreaming interventions such as regular staff refresher courses and mentorship On NP in the hospitals, availability of relevant resources: human resource and supplies can highly mitigate these barriers.

scholarly journals Implementation of nursing process among nurses at Woldia Referral hospital, Northern Ethiopia: An institution-based cross-sectional study

2021 ◽  
Author(s):  
Addisu Getie ◽  
Adam Wondmieneh ◽  
Teshome Gebremeskel
Keyword(s):  
Health Care ◽  
Organizational Support ◽  
Work Experience ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Northern Ethiopia ◽  
Nursing Process ◽  
Sectional Study ◽  
Cross Sectional ◽  
Process Work

Abstract Background Many countries have adopted the nursing process as a basic requirement for quality health care services, but there is a problem with its implementation in the clinical areas of many hospitals. Even though nurses accept the benefits of the nursing process, they do not use it practically. The implementation of the nursing process in Ethiopia is not well organized and developed. Many health care settings in Ethiopia demand the application of the nursing process in clinical practice. Methods An institutional-based, cross-sectional study design was conducted at Woldia referral hospital. A simple random sampling technique was applied to select study subjects. The data were collected using self-administered questionnaires from February to March 2020. Binary logistic regressions were used. Then, P-value < 0.05 was considered statistically significant in this study. Result This study reviled that 62.8% of nurses implemented the nursing process. Work experience greater than or equal to five years [AOR: 1.79; 95% CI (1.31–4.84)], support from the administration of the organization to do the nursing process [AOR: 1.98; 95% CI (1.22–3.01)], and knowledgeable nurses [AOR: 2.21; 95% CI (1.32–4.97)] are significantly associated with the implementation of the nursing process. Conclusion More than sixty present nurses implemented the nursing process. Work experience, organizational support to implement the nursing process, and knowledge were significant factors affecting the implementation of the nursing process.

scholarly journals Prevalence of Traumatic Dental Injuries and their relation with predisposing factors among 8-15 years old school children of Indore city, India

2018 ◽  
Vol 91 (3) ◽  
pp. 328-335 ◽  
Author(s):  
Preene Juneja ◽  
Sadanand Kulkarni ◽  
Sapna Raje
Keyword(s):  
School Children ◽  
Statistical Significance ◽  
Dental Trauma ◽  
Central India ◽  
Cross Sectional Study ◽  
Predisposing Factors ◽  
Chi Square ◽  
Cross Sectional ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Background. Dental injuries result in functional, esthetic and psychological disturbances accompanied by great concern from the child, the parent and the dentist. Oral injuries are fourth most common area of bodily injuries among 7-30 year-old individuals.Aim. a) To assess the prevalence of traumatic dental injuries (TDI) and their relation with predisposing factors among 8-15 years old school children in Indore city, India.b) To collect baseline data as there have been no reported studies of TDI in central India to this date.Methods. A cross sectional study was carried out among 4000 children of 60 schools in Indore using multistage random sampling method. Examination of permanent incisor teeth was done in accordance with the modified Elli’s and Davey Classification using a standard mouth mirror and probe. Subjects who had clinical evidence of trauma were interviewed for details of the injury event by using structured questionnaire. Chi square test was used to analyze the distribution of all the measurement in this study at the statistical significance of 0.05.Results. Among the 4000 children of 60 schools examined, 10.2% experienced TDI. 68.38% boys experienced TDI, which was approximately twice as higher in females being 31.62%. The most commonly affected teeth were maxillary central incisors. A higher number of children with incisal overjet greater than 3 mm had TDI than those with less than 3mm, although this difference was not statistically significant. Lip closure incompetence was found to be more common in subjects having a TDI. Fall was the most common cause for TDI and place of occurrence was home. Most common type of fracture was class I and most of them were untreated.Conclusion. The high level of dental trauma and low percentage of children with trauma seeking treatment stresses the need for increased awareness in Indore population.

scholarly journals The Study of Prescribing Errors Among General Dentists

2015 ◽  
Vol 8 (4) ◽  
pp. 32 ◽  
Author(s):  
Solmaz Araghi ◽  
Rohollah Sharifi ◽  
Goran Ahmadi ◽  
Mahsa Esfehani ◽  
Fatemeh Rezaei
Keyword(s):  
Work Experience ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Antimicrobial Treatment ◽  
Antifungal Drugs ◽  
Entrance Examination ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypothetical Patient ◽  
General Dentists

<p><strong>INTRODUCTION</strong><strong>:</strong> In dentistry, medicine often prescribed to relieve pain and remove infections .Therefore, wrong prescription can lead to a range of problems including lack of pain, antimicrobial treatment failure and the development of resistance to antibiotics.</p> <p><strong>MATERIALS &amp; METHODS</strong><strong>:</strong> In this cross-sectional study, the aim was to evaluate the common errors in written prescriptions by general dentists in Kermanshah in 2014. Dentists received a questionnaire describing five hypothetical patient and the appropriate prescription for the patient in question was asked. Information about age, gender, work experience and the admission in university was collected. The frequency of errors in prescriptions was determined. Data by SPSS 20statistical software and using statistical t-test, chi-square and Pearson correlation were analyzed (0.05&gt; P).</p> <p><strong>RESULTS</strong><strong>: </strong>A total of 180 dentists (62.6% male and 37.4% female) with a mean age of 8.23 ± 39.199 participated in this study. Prescription errors include the wrong in pharmaceutical form (11%), not having to write therapeutic dose (13%), writing wrong dose (14%), typos (15%), error prescription (23%) and writing wrong number of drugs (24%).The most frequent errors in the administration of antiviral drugs (31%) and later stages of antifungal drugs (30%), analgesics (23%) and antibiotics (16%) was observed. Males dentists compared with females dentists showed more frequent errors (P=0.046). Error frequency among dentists with a long work history (P&gt;0.001) and the acceptance in the university except for the entrance examination (P=0.041) had a statistically significant relationship.</p> <p><strong>CONCLUSION</strong><strong>:</strong> This study showed that the written prescription by general dentists examined contained significant errors and improve prescribing through continuing education of dentists is essential.</p>

scholarly journals Dor e adoecimento entre a equipe de enfermagem

2020 ◽  
Vol 14 ◽  
Author(s):  
Vitória De Barros Siqueira ◽  
Aislany Warlla Nunes Luna ◽  
Danielly Coelho De Melo ◽  
Lana Quele Pereira Da Silva ◽  
Mariana Pereira Gama ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Varicose Veins ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Low Back ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Activity ◽  
Nursing Team

Objetivo: verificar a prevalência de dor e adoecimento relacionados à atividade laboral e referidos pela equipe de enfermagem. Método: trata-se de um estudo quantitativo, analítico, de corte transversal realizado com 202 técnicos de enfermagem e enfermeiros assistenciais. Coletaram-se os dados por meio de questionário semiestruturado auto aplicado. Realizou-se a análise bivariada dos dados. Avaliou-se a significância estatística por meio do IC 95% e do teste Qui-quadrado. Resultados: identificou-se prevalência de 69,3% de relato de dor e de 34,2% de adoecimento relacionado à atividade laboral, destacando-se a lombalgia crônica e as varizes; houve prevalência de 19,3% de ansiedade entre os entrevistados e estes apresentaram 20 vezes mais chances de relatar dores. Conclusão: conclui-se que dor e adoecimento são muito prevalentes nos profissionais de enfermagem e parecem ser inerentes às características da atividade exercida e do processo de trabalho, e a discussão desses problemas é de grande relevância para a Enfermagem e para os gestores de serviços de saúde. Descritores: Equipe de Enfermagem; Saúde do Trabalhador; Morbidade; Ansiedade; Prevalência; Dor Lombar.AbstractObjective: to verify the prevalence of pain and illness related to work activity and referred by the nursing team. Method: this is a quantitative, analytical, cross-sectional study conducted with 202 nursing technicians and nursing assistants. Data was collected using a self-administered semi-structured questionnaire. Bivariate data analysis was performed. Statistical significance was assessed using the 95% CI and the chi-square test. Results: a prevalence of 69.3% of reports of pain and 34.2% of illness related to work activity was identified, with emphasis on chronic low back pain and varicose veins; there was a 19.3% prevalence of anxiety among the interviewees and they were 20 times more likely to report pain. Conclusion: it is concluded that pain and illness are very prevalent in Nursing professionals and seem to be inherent to the characteristics of the activity performed and the work process, and the discussion of these problems is of great relevance for Nursing and healthcare service managers. Descriptors: Nursing, Team; Ocupational Health; Morbidity; Anxiety; Prevalence; Low Back Pain.                                                                                           ResumenObjetivo: verificar la prevalencia de dolor y enfermedad relacionados con la actividad laboral y referidos por el equipo de enfermería. Método: se trata de un estudio cuantitativo, analítico, transversal realizado con 202 técnicos de enfermería y auxiliares de enfermería. Los datos fueron recolectados usando un cuestionario semiestructurado autoadministrado. Se realizó un análisis de datos bivariados. La significación estadística se evaluó utilizando el IC del 95% y la prueba de chi-cuadrado. Resultados: se identificó una prevalencia del 69,3% de los informes de dolor y del 34,2% de enfermedades relacionadas con la actividad laboral, con énfasis en el dolor lumbar crónico y las venas varicosas; hubo una prevalencia de ansiedad del 19,3% entre los entrevistados y tenían 20 veces más probabilidades de informar el dolor. Conclusión: se concluye que el dolor y la enfermedad son muy frecuentes en los profesionales de enfermería y parecen ser inherentes a las características de la actividad realizada y el proceso de trabajo, y la discusión de estos problemas es de gran relevancia para la enfermería y los gerentes de servicios de salud. Descriptores: Grupo de Enfermeira; Salud Laboral; Morbilidad; Ansiedad; Prevalencia; Dor de la Región Lumbar.

scholarly journals Spirometric evaluation of pulmonary function in Yazd’s dental laboratory workers in 1398

2020 ◽  
Author(s):  
M Hatami ◽  
AH Mehrpaevar ◽  
A Kouchak zadeh
Keyword(s):  
Pulmonary Function ◽  
Work Experience ◽  
Screening Method ◽  
Cross Sectional Study ◽  
Influential Factor ◽  
Chi Square ◽  
Cross Sectional ◽  
Dental Staff ◽  
Laboratory Workers ◽  
Student’S T

Introduction: Spirometry is used as a screening method for occupational lung diseases. Dental laboratory workers are exposed to solvent vapors, toxic gases, and dust from metal alloys, acrylics, and gypsum. This study aimed to investigate the spirometric function of lung function in dental staff in Yazd. Materials and Methods: This descriptive cross-sectional study was performed on 37 technicians of dental laboratories in Yazd in the three months of spring 2017. To evaluate respiratory problems and their pulmonary function, standard respiratory and spirometry questionnaires according to ATS / ESR guidelines were used, respectively. Data were analyzed by SPSS software version 18 using Mann-Whitney U, Chi-square, and Student's T-test. Results: Mean age of participants was 35.59±1.13. 54% of participants had no respiratory symptoms. The most common respiratory complain were dry and exudative cough. The work field was the only influential factor in FVC%. Age and work experience, and exercise no significant effect on respiratory parameters. Overall spirometry parameters were in the normal pattern range, and only 5% of participants showed a mild restrictive pattern. Conclusion: Spirometric pulmonary function of Yazd'dental laboratory technicians was in the normal range, and possibly working in the dental laboratory did not have a significant effect on the pulmonary Function of technicians based on spirometric indices.

scholarly journals Comparative attitude and plans of the medical students and young Nepalese doctors

1970 ◽  
Vol 7 (2) ◽  
pp. 177-182 ◽  
Author(s):  
M Lakhey ◽  
S Lakhey ◽  
SR Niraula ◽  
D Jha ◽  
R Pant
Keyword(s):  
Medical Students ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Chi Square ◽  
Cross Sectional ◽  
Developed Country ◽  
Significance Level ◽  
Work Abroad ◽  
Job Prospects

Introduction: Many doctors are leaving Nepal to work abroad. To understand this problem better, we decided to study the attitude and plans of young doctors and medical students. Materials and methods: This cross-sectional study was conducted at Kathmandu Medical College involving 65 firstyear medical students, 100 interns and 100 house officers. The data collected was entered in Microsoft excel and analysed by SPSS (Statistical Package for Social Sciences) programme. Chi-square test was used to compare two proportions. Significance level was set at 5%. Results: Only 2% house officers said that their job prospects were excellent as compared to 22.4% of students, whereas 20% house officers as compared to 9% students thought job prospects in Nepal were poor (p= 0.003). Eighty two percent of students thought that a doctor's service to his country was very important as compared to 51% of interns (p=‹ 0.001) and 58% of house officers. Forty percent of students, 58% of interns and 48% of house officers (no statistical significance between the three groups) planned to migrate to a developed country after graduation. Eighty eight percent of students, 89% interns and 74% of house officers (no statistical significant differences between the three groups) were of the opinion that improving career opportunities or working environment of the doctor could make the profession more attractive. Conclusion: Although majority of students, interns and house officers were of the opinion that a doctor's service to his community/country was very important, almost half of them still planned to migrate to a developed country after graduation. Improving the chances of professional advancement and professional working environment can make the profession more attractive, and therefore, may decrease this tendency for brain drain from our country. Key words: Attitude; medical students; migration; young doctors; statistical significance. DOI: 10.3126/kumj.v7i2.2717 Kathmandu University Medical Journal (2009) Vol.7, No.2 Issue 26, 177-182

scholarly journals Correlation of Myopia with Physical Exercise and Sleep Habits among Suburban Adolescents

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Yuan Qu ◽  
Jianfeng Yu ◽  
Wei Xia ◽  
Huijuan Cai
Keyword(s):  
Physical Exercise ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Future Research ◽  
Sleep Habits ◽  
Chi Square ◽  
Cross Sectional ◽  
Wake Time ◽  
Potential Association ◽  
Chi Square Test

Purpose. To analyse the correlation of myopia with physical exercise and sleep habits to explore the possible risk or protective factors of juvenile myopia. Methods. This study was a retrospective cross-sectional study. A total of 1831 students aged 11–18 years from five schools in Qingpu completed questionnaires from 2018 to 2019; the students were divided into the nonmyopia group and the myopia group, with students in the myopia group having myopia in at least one eye. Based on the chi-square test, the variables with statistical significance were selected for the logistic regression analysis. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were determined. Results. Myopia was positively associated with older age (OR = 2.216, 95% CI: 1.720–2.855), having a parent with myopia (father: OR = 2.463, 95% CI: 1.900–3.193; mother: OR = 2.853, 95% CI: 2.232–3.646), and a late bedtime during holidays (before 10 pm: p = 0.002; 10 pm-11 pm: OR = 1.516, 95% CI: 1.095–2.100; 11 pm-12 am: OR = 1.966, 95% CI: 1.383–2.795), but negatively correlated with male gender (OR = 0.693, 95% CI: 0.549–0.876), a late daily wake time (OR = 0.782, 95% CI: 0.621–0.985), and having more days per week of outdoor activities during the semester (OR = 0.764, 95% CI: 0.597–0.978). After adjustment for demographic characteristics, myopia was positively associated with a late bedtime during holidays (before 10 pm: p = 0.003; 10 pm-11 pm: OR = 1.570, 95% CI: 1.076–2.289; 11 pm-12 am: OR = 2.173, 95% CI: 1.451–3.253; after 12 am: OR = 1.786, 95% CI: 1.093–2.919), but negatively correlated with a late daily wake time during the semester (OR = 0.761, 95% CI: 0.581–0.997). Conclusion. The association of outdoor exercise with myopia among Chinese suburban adolescents does not seem to be as strong as that of sleep habits. Future research could seek to provide consistent evidence for a potential association between myopia and sleep habits.

scholarly journals Knowledge on Pre-Hospital Emergency Management of Tooth Avulsion among Croatian Kindergarten Teachers

2020 ◽  
Vol 44 (3) ◽  
pp. 133-138
Author(s):  
Zvonimir Užarević ◽  
Marko Matijević ◽  
Nikola Matijević ◽  
Vedrana Nikolašević ◽  
Vesnica Mlinarević ◽  
...  
Keyword(s):  
Emergency Management ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Kindergarten Teachers ◽  
Hospital Emergency ◽  
Chi Square ◽  
Cross Sectional ◽  
Tooth Avulsion ◽  
Chi Square Test ◽  
Dental Professionals

The aim of this study was to evaluate knowledge on pre-hospital emergency management of tooth avulsion among Croatian kindergarten teachers. A cross-sectional study was conducted among 33 educators in kindergarten (average 43.9±9.7 years). The questionnaire contained 10 close-ended questions with two or eleven possible answers. Statistical significance was determined using chi-square test. Majority of participants had no experience with tooth injury among children in kindergarten. Questions about the familiarity with the terms of a knocked-out tooth and tooth replantation and whether the knocked-out tooth should be replanted were confirmatively answered by 90.9%, 57.6% and 63.6% of participants, respectively. Only 9.1% of participants provided the correct answer that replantation should be done within 30 minutes. 78.8% of participants would choose correct medium for cleaning if avulsed tooth got dirty. Tooth would be transported in appropriate medium by 48.5% of participants. Correct answers on both the transport medium and the cleaning of knocked-out tooth were provided by 45.5% participants. 57.6% participants would seek help for replantation by visiting the nearest dentist. None of the participants had ever received any kind of information on management of a knocked-out tooth. The kindergarten teachers have a lack of knowledge for immediate response to tooth avulsion. Every kindergarten teacher should be well informed what should be done if some type of dental injury happens. The official communication between dental professionals and kindergarten teachers should be improved at local and regional level.

scholarly journals Prevalence of Dry Mouth and Associated Demographic, Behavioral and Clinical Factors: A Hospital-based Study among the Elderly in Dar Es Salaam

2020 ◽  
Vol 2 (6) ◽  
Author(s):  
Anna Joseph Lyimo ◽  
Makoye Mang'oma Ndalahwa ◽  
Irene Kida Minja
Keyword(s):  
Elderly Patients ◽  
Systemic Disease ◽  
The Elderly ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Referral Hospital ◽  
Dry Mouth ◽  
Chi Square ◽  
Cross Sectional

Aim: This study aimed at determining the prevalence of self-reported and clinically determined dry mouth among elderly patients attending a referral hospital in Dar es Salaam; and to assess factors associated with the condition. Methodology: This cross-sectional study included elderly patients aged 60 years and above who were attending Mwananyamala referral hospital in Dar es Salaam between January and February 2017. Data was collected using structured interview questionnaire, followed by clinical oral examination. Chi-square test was used to check for bivariate associations between variables; and multiple logistic regressions to determine relative contribution of demographic, behavioral and clinical variables on dry mouth. Results: Information was obtained from a total number of 334 elderly patients aged 60-90 years, response rate 86%. The prevalence of self-reported dry mouth (xerostomia) was 65.3% and clinically determined dry mouth 64.1%. Multiple logistic regression analyses revealed that elderly participants who were 70+ years old (OR=2.0, CI=1.1-3.6 and OR=2.5, CI=1.5-4.4); those who used tobacco (OR=2.1; C.I=1.2-3.5 and OR=2.9; CI=1.5-5.6,); those having at least one tooth with cervical caries (OR=1.7, CI=1.0-2.9 and OR=2.9; C.I=1.7-5.1) and poor oral hygiene (OR=2.7; C.I=1.6-4.5 and OR=4.3; C.I=2.5-7.3) were significantly at higher odds for xerostomia and clinically determined dry mouth, respectively. Level of education, systemic disease, and use of systemic medication showed no statistically significantly association with dry mouth i.e xerostomia and clinically determined dry mouth. Conclusions: The results of this study revealed that, the prevalence of complaints of xerostomia and clinically determined dry mouth were high among elderly patients attending Mwananyamala referral hospital. The condition was significantly associated with socio demographic, clinical and behavioral factors showing the need for multi-disciplinary oral health care for this group of population.

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