-
Determinants towards Implementation of Nursing Process
Zewdu Shewangizaw,
Abera Mersha
Issue:
Volume 4, Issue 3, June 2015
Pages:
45-49
Received:
22 March 2015
Accepted:
3 April 2015
Published:
15 April 2015
Abstract: Nursing Process is a systematic method which utilizes scientific reasoning, problem solving and critical thinking to direct nurses in caring for patients effectively however, little is known about factors affecting the implementation of nursing process. The study intended to assess factors affecting implementation of nursing process among nurses in Arbaminch General Hospital, Ethiopia. Institutional based cross-sectional study with quantitative data collection through Self-administered pre-tested Semi Structured questionnaire and observational checklist used among randomly selected 105 nurses. Data analysis was done by SPSS version 15 for its objectives. Out of 105 studies 98 were participated in the study with 93.3% response rate. Forty two (42.85%) of the total respondents were working in a stressful working environmental. Thirty five (35.7%) of respondents were challenged to provide their nursing care due to patients inability to collect the required material for care provision. Factor affecting implementation of nursing process were working in a stressful environment were 0.23 times less likely to implement nursing process than those working in organized environment (OR: 0.23, [95% CI: (0.07-0.78)], highly knowledgeable nurses were 8.78 times more likely to implementation of nursing process than nurses who were not knowledgeable (OR: 8.78, [95%CI: (2.97-77.48)] and economic status of patient to collect material for nursing care were negatively associated with implementation of nursing process(OR: 0.07, [95%CI: (0.02-0.31)]. The study has identified lack of facility from organizational factors, economic status of the patient to collect material for nursing care, early discharge, lack of cooperation and complicated problems from patient related factors and level of knowledge were among those factors highly affecting nursing process implementation. Nearly, one third of respondents have consistent with the implementation of nursing process in the clinical setting. This factors cause poor quality of nursing care disorganized caring system, conflicting role, medication error and re-admission with similar problems, dissatisfaction with the care patients have received, and increased mortality. Recommendation: The essence of nursing process for client lies on the great benefits to the client, nurses and nursing profession as a whole. So, to provide quality of nursing care the management body of the hospital should flow and supervise the implementation of nursing process in the hospital, the health professional should train periodically and Information should be disseminated regarding nursing process.
Abstract: Nursing Process is a systematic method which utilizes scientific reasoning, problem solving and critical thinking to direct nurses in caring for patients effectively however, little is known about factors affecting the implementation of nursing process. The study intended to assess factors affecting implementation of nursing process among nurses in...
Show More
-
Female Students’ Attitude toward Mental Illness in Qassim University, KSA
Hanan Mohamed Mohamed Tork,
Azza El Sayed Abdel-Fattah
Issue:
Volume 4, Issue 3, June 2015
Pages:
50-56
Received:
4 April 2015
Accepted:
11 April 2015
Published:
21 April 2015
Abstract: Background: People’s beliefs and attitudes toward mental illness set the stage for how they interact with, provide opportunities for, and help support a person with mental illness. Objective: the present study aimed to assess the medical and non-medical female students' attitudes toward mental illness and psychiatric patients in Qassim University, KSA. Methods: descriptive design was adopted for the present study. Data collection took place from April to June 2014 via the Attitudes Scale for Mental Illness (ASMI) and Beliefs Scale for Mental Illness (BSMI); which tested in several studies worldwide. A total of 232 undergraduates were recruited from different colleges; 94 students from medical colleges “Nursing, Pharmacy Dentistry, Medicine and Applied Medical Science” and 138 from non-medical college “Business Administration”. Results: on the Separatism sub-scale, more medical students (93.6%) than non-medical students (85.5%) disagreed with the statement: ‘If a mental health facility is set up in my street or community, I will move out of the community’ (χ2=6.249, p<0.044) and these differences were not statistically significant. Medical and non-medical students responded similarly to statements in the Restrictiveness sub-scale. However, 86.2% of medical students compared to 87% of non-medical students agreed that the ‘After mentally ill patients are treated and rehabilitated, individuals should make friends of them’ (χ2=2.824, p<0.242).Conclusion: Medical and non-medical University students show broadly similar positive attitudes toward speople with a mental illness. There is scope for further research including examining the effects of educational interventions.
Abstract: Background: People’s beliefs and attitudes toward mental illness set the stage for how they interact with, provide opportunities for, and help support a person with mental illness. Objective: the present study aimed to assess the medical and non-medical female students' attitudes toward mental illness and psychiatric patients in Qassim University, ...
Show More
-
Assessment of Quality of Antenatal Care (ANC) Service Provision Among Pregnant Women in Ambo Town Public Health Institution, Ambo, Ethiopia, 2013
Amsalu Nemera Yabo,
Mitsiwat Abebe Gebremicheal,
Eshetu Ejeta Chaka
Issue:
Volume 4, Issue 3, June 2015
Pages:
57-62
Received:
3 March 2015
Accepted:
22 March 2015
Published:
22 April 2015
Abstract: Introduction: Antenatal care refers to care given to pregnant women so that they have safe pregnancy and healthy baby. Improving the quality of ANC and other reproductive health services has been shown to increase uptake of services and reduce the number of adverse maternal health outcomes. There is a limited attempt to measure the quality of ANC services in Ethiopia. Although, the coverage of ANC services has improved in the last few years, the quality of the services has remained comparatively low. The objective of the study is to assess quality of antenatal care services provision in governmental health institution. Methods: Institutional based descriptive cross-sectional study design was employed from October 23, 2013 to December 30, 2013. A pretested and semi structured questionnaire via interview was used to collect quantitative data from 288 pregnant women and in-depth interview of focal person at facility level to collect the qualitative data. The collected data was entered &analyzed using SPSS version 16.0. Results: Overall 256 (89%) of clients reported satisfaction with services they had received. Regarding client-provider relationship, about 206(71.5%) of women reported that the provider were attentively listening to their problems but 16% of clients believe that there was a problem of privacy. About 266 (92.3%) of clients received information on the services given, from this only 28(9.03%) had obtain information on how to recognize/danger sign of pregnancy. Conclusion and recommendation: The study revealed that majority of women was satisfied with the services they had received. however; only small number of participants had information on how to recognize serious problems occurring during pregnancy. Even if, as a principle all pregnant women should properly involved in decision making process, in this study almost half (44.5%) had not properly involved in decision making process during ANC service provision. Giving greater emphasis on the delivering information on how to recognize serious problems (danger sign) occurring during pregnancy and securing privacy of clients in order to improve quality of care was recommended. Pregnant women should be encouraged to reach at decision during client provider interaction by health care provider.
Abstract: Introduction: Antenatal care refers to care given to pregnant women so that they have safe pregnancy and healthy baby. Improving the quality of ANC and other reproductive health services has been shown to increase uptake of services and reduce the number of adverse maternal health outcomes. There is a limited attempt to measure the quality of ANC s...
Show More
-
Improving the Quality of Nursing Care for Patients with Leukemia in Day Care Units Through Nursing Education
Sahar Ahmad Shafik,
Eman Shokry Abd Allah
Issue:
Volume 4, Issue 3, June 2015
Pages:
63-72
Received:
22 March 2015
Accepted:
11 April 2015
Published:
24 April 2015
Abstract: Quality of nursing care is a vital element in the treatment of the patient with leukemia in day care units. The aim of study was to test the effect of nursing education for quality of nursing care for patients with leukemia in day care units. Design: A quasi-experimental design was used in this study. Setting: The study was conducted at Day Care Unit Clinic for patients with leukemia at University Hospital and the Clinic Oncology Department (Cobalt unit) .Sample: A sample of purposive of all nurses is (n=50 ) and 10% of patients is (n=50) with leukemia were recruited for the study. Tools: Data was collected through: (1) An interviewing questionnaire to assess nurse's knowledge and patient's satisfaction regarding the quality of nursing care. (2) An observational checklist to assess day care units and nursing performance. Results: the majority of nurses had poor knowledge about leukemia. Besides, they don’t follow a standard of quality of nursing care related to the disease of leukemia. Furthermore, most of the facilities were unavailable in the day care units and about three quarters of patients were not satisfied with the quality of nursing care. The implementation of the nursing education program has improved nurse's knowledge, performance and patient's satisfaction with statistically significant differences (p=<0.001) . The study has concluded that the nursing education program has improved nurses’ knowledge and performance concerning the disease of leukemia, and patients were also satisfied with the quality of nursing care. Recommendations: Continuing educational program to keep nurses updated in their knowledge and performance regarding the quality of care, a simple Arabic illustrated booklet for discharge instructions should be available in hematology units as a reference for patients. And additional research is needed to assess the long–term effects of such educational program.
Abstract: Quality of nursing care is a vital element in the treatment of the patient with leukemia in day care units. The aim of study was to test the effect of nursing education for quality of nursing care for patients with leukemia in day care units. Design: A quasi-experimental design was used in this study. Setting: The study was conducted at Day Care Un...
Show More
-
Assessment of Nurses’ Perceptions and Barriers on Evidence Based Practice in Tikur Anbessa Specialized Hospital Addis Ababa Ethiopia
G. Hadgu,
S. Almaz,
S. Tsehay
Issue:
Volume 4, Issue 3, June 2015
Pages:
73-83
Received:
1 April 2015
Accepted:
17 April 2015
Published:
27 April 2015
Abstract: Background: Historically, nurses have relied on expert’ opinions in clinical decision-making. However, these ways of practicing may not only be outdated but unsafe. Experienced-based knowledge may be associated with biased thinking that lead to errors. Objective: Assessment of nurses’ perceptions, level of use and barriers on Evidence Based Practice. Method: Two hundred ten nurses were assessed through self-administer questionnaires for quantitative and fifteen nurses were also involved in in-depth interview for qualitative. The quantitative data was analysis in SPSS version 21. The qualitative was analyzed through open code. Results: 90% and 73.8% have good perception and positive attitude respectively. Of the total 210 121(57.6%) of nurses were integrate EBP in their clinical practice. Only 19 (15.7%) use EBP in their clinical practice always. Knowledgeable (AOR 3.2 95%CI 1.5-7.0); skill, (AOR 2.4, 95%CI 1.1-5.4); free time (AOR 7.9, 95%CI 3.5-17.6); supportive nursing managers (AOR 5, 95%CI 1.7-14.5) have significant association with implementation of EBP. But, year of experience and perception have no association. Conclusion: Both individual and organizational factors are the predominant factors that hinder implementation of EBP. So, hospital managements and nursing leaders can easily overcome some of these barriers through arranging EBP training.
Abstract: Background: Historically, nurses have relied on expert’ opinions in clinical decision-making. However, these ways of practicing may not only be outdated but unsafe. Experienced-based knowledge may be associated with biased thinking that lead to errors. Objective: Assessment of nurses’ perceptions, level of use and barriers on Evidence Based Practic...
Show More
-
Premenstrual Syndrome, Associated Symptoms and Evidence – Based Nursing Management: A Comparative Study Between Rural Menoufia Governorate (Egypt) and Hodidha Governorate (Yemen)
Amal Mohamed Gamal,
Marwa Ahmed Shahin
Issue:
Volume 4, Issue 3, June 2015
Pages:
84-93
Received:
6 April 2015
Accepted:
18 April 2015
Published:
4 May 2015
Abstract: Background: Premenstrual syndrome (PMS) is a com¬mon cause of substantial psychological and physical distress for women during their reproductive years. Forty percent of women have symptoms that are severe enough to disrupt some aspect of their daily lives, 5% are inca¬pacitated by their symptoms. Despite the magnitude of this problem, a lot of confusion exists in medical and lay communities alike about what is and is not effective for treatment of PMS. The study aimed assessing premenstrual symptoms, self care practices among women at reproductive age attending Maternal and Child Health (MCH) centers in Menoufia governorate, Egypt and Hodidha governorate, Yemen and evaluate the effect of evidence-based nursing management on severity of premenstrual syndrome among them. Subjects and methods: A quasi experimental study was used. Subjects consisted of 2000 clients (1000 Hodidha clients and 1000 Menoufia clients). Structured Interviewing questionnaire, tool about assessment of premenstrual symptoms severity and pre – post knowledge test were used. Results: there was statistically significant differences in the severity of premenstrual symptoms before and after administration of evidence based nursing management for 3 months (3menstrual cycles). Conclusion: clients experience decrease severity of premenstrual syndrome after administration of evidence based nursing management for 3 months (3 menstrual cycle). Recommendation: Effective evidence based program about premenstrual syndrome, care of gynecological problems should be included into educational program of maternal and child health (MCH) centers in rural Menoufia governorate, Egypt and Hodidha governorate, Yemen. More research is needed to expand the evidence base on effective interventions for premenstrual syndrome and to translate knowledge into practices. Future studies are needed to be performed about prevalence, consequences, and management methods of premenstrual syndrome in different settings in Egypt and Yemen and other Arabic countries.
Abstract: Background: Premenstrual syndrome (PMS) is a com¬mon cause of substantial psychological and physical distress for women during their reproductive years. Forty percent of women have symptoms that are severe enough to disrupt some aspect of their daily lives, 5% are inca¬pacitated by their symptoms. Despite the magnitude of this problem, a lot of con...
Show More
-
The Effect of Healthy Nutritional Program on Cognitive and Physical Function Among Fast Food Addict Students
Maaly El-Malky,
Nahid El-Gahsh,
Samira Abo-Alizm
Issue:
Volume 4, Issue 3, June 2015
Pages:
94-100
Received:
4 April 2015
Accepted:
20 April 2015
Published:
6 May 2015
Abstract: Fast foods are easy available and their delicious taste help students especially the teenagers, get hooked on to it. Fast foods are addictive, and are the silent killer. Aim of the study: Evaluating the effectiveness of healthy nutritional program on cognitive and physical function among fast food addict students. Setting: - Faculty of Nursing Menoufia University. Design: - quiz experimental design (one group pre post test) was utilized. Sample: a purposeful sample of 183 first year female nursing students. Data were collected using structured interviewing questionnaire schedule, it consisted of two parts: Part one: socio demographic data as age, sex, marital status, and education. Part two: assessment of student's knowledge about balanced diet and their state of cognitive and physical function. The collected data were organized, tabulated and statistically analyzed using soft ware statistical computer package version 13. Descriptive statistic for quantitative data using mean and stander deviation while for qualitative data using frequency and percentage for comparison before and after the program using chi-square for qualitative data. Significance adopted at P<0.05 for interpretation of the results of tests of significance. Result: - there were statistical significant improvements of students' knowledge, level of performance, cognitive and physical function also student's perception about dangerous of fast food 3 months post program than pre program. Conclusion:-It is concluded that: the program about healthy nutrition had a positive effect on student's knowledge, cognitive and physical function. Recommendation: - based on this study it was recommended that: special attention should be given regarding teaching students family members about the importance of balanced diet and healthy food to minimize fast food addiction and improve students' cognitive and physical function.
Abstract: Fast foods are easy available and their delicious taste help students especially the teenagers, get hooked on to it. Fast foods are addictive, and are the silent killer. Aim of the study: Evaluating the effectiveness of healthy nutritional program on cognitive and physical function among fast food addict students. Setting: - Faculty of Nursing Meno...
Show More
-
Effect of Self Care Management Program regarding Fatigue among Adolescents' Cancer Patients
Eman N. Ramadan,
Shimmaa M. Moustafa,
Ebtisam M. Abd El aal
Issue:
Volume 4, Issue 3, June 2015
Pages:
101-106
Received:
10 April 2015
Accepted:
28 April 2015
Published:
11 May 2015
Abstract: Fatigue is a common and complex, subjective symptom with physical, emotional and cognitive dimensions. The aim of the study is to evaluate the effect of self-care management program regarding fatigue among adolescents' cancer patients. Research design Quasi-experimental design was used to complete this study. Setting: The study was conducted at the Outpatient Unit at Specialized Children Hospital in Kalyobia Governorate, and Cancer Institute in Cairo City. Sample: Simple random sample of forty six adolescents' patients with cancer who were newly or old diagnosed with cancer. Tools: Two tools were used to collect the study data: I): An interviewing Questionnaire which includes five parts: a): A study subjects' characteristics. b): Burden of the disease on patients. c): Present medical history of the study subject. d): Adolescents' patients' knowledge regarding fatigue. e): Self-care practices as reported regarding fatigue. II): Multidimensional assessment of fatigue (MAF) scale which includes 12 questions -after modifying- ranged from no fatigue to sever felling with fatigue. Results: 65.2% aged less than14 years as the same percentage were female while 63.0% engaged in secondary education and 54.3 living in urban areas. 43.5% of study subjects had dependent on other persons for daily living activities, 69.6% having no any sports. Overall the results have statistically significant differences before and after implementing the program regarding (MAF) scale. Conclusion: the study concluded that the adolescent patient with cancer had inadequate knowledge regarding fatigue, and the health educational program was succeed to increasing their knowledge, and improving health practices to deal with fatigue, their overall activities were improved after implementation the program regarding MAF scale. Recommendations: The study recommended that the importance of health educational program for patients and families regarding self care management of fatigue related cancer should be provided.
Abstract: Fatigue is a common and complex, subjective symptom with physical, emotional and cognitive dimensions. The aim of the study is to evaluate the effect of self-care management program regarding fatigue among adolescents' cancer patients. Research design Quasi-experimental design was used to complete this study. Setting: The study was conducted at the...
Show More
-
Assessment of Factors Affecting Turnover Intention Among Nurses Working at Governmental Health Care Institutions in East Gojjam, Amhara Region, Ethiopia, 2013
Girma Alem Getie,
Erdaw Tachbele Betre,
Habtamu Abera Hareri
Issue:
Volume 4, Issue 3, June 2015
Pages:
107-112
Received:
28 January 2015
Accepted:
4 March 2015
Published:
12 May 2015
Abstract: Background: The growth and success of any organization usually depends on its employees. Turnover in health care institutions has significant challenge on customer service levels, company profits, and cause training and expatriation losses cost. In light of current concerns over nursing shortages, nurse’s turnover intent is a topic of great importance. The healthcare community needs to be concerned about nursing turnover intention and the effect on the projected nursing shortage. The evaluation of nursing turnover intention and the association between turnover intention and various predictors needs to be determined. To comprehend the factors of nurses’ turnover intention can help the top management in designing effective strategies to overcome this issue. Method: Cross-sectional study design was used. Data was collected from March 2013 to April 2013 by using a structured questionnaire. A total of 372 respondents were filed the questionnaire with the response rate of 87.84%.Odds ratio and regression analysis were performed at a P value of 0.05. Result: Findings suggested that 59.4% of respondents indicating a turnover intention from their current health care institution. Family arrangement is significantly associated with nurses’ turnover intention (P-0.009, 95% C.I. 1.20-3.50).In this study procedural justice was significantly associated with nurses’ turnover intention (P 0.013, 95% C.I. 1.14-3.02). Lack or low procedural justice in the health institutions increases the turnover intention of nurses. Organizational commitment was found to significantly association with nurses’ turnover intention (P-0.026, 95% C.I. 1.07-2.84). The study shows that level of salary was significantly associated with nurses’ turnover intention (p. 0.007, 95%C.I., 1.22-3.52). The result shows that training opportunity affect turnover intention. Low training opportunity significantly associated with nurses’ turnover intention (P.0.000, 95%C.I., 1.54- 4.35). Nurses with lower salary demonstrated higher intent of turnover than higher salary employees. Lack of transport was also significantly associated with nurses’ turnover intention (P. 0.018, 95%C.I., 1.13-3.71) in these study findings. The result indicated that job satisfaction is significantly associated with nurses’ turnover intention (P. 0.029, 95%C.I. 1.06-2.97). Conclusion: Nurses are useful to the health care institution to provide quality care. If the health care institution want to reduce nurses’ turnover, then it is important to understand factors which increase nurses’ turnover intentions. The results of this study suggest that interventions should be carried out to reduce the nurses’ turnover intention in East Gojjam governmental health care institutions.
Abstract: Background: The growth and success of any organization usually depends on its employees. Turnover in health care institutions has significant challenge on customer service levels, company profits, and cause training and expatriation losses cost. In light of current concerns over nursing shortages, nurse’s turnover intent is a topic of great importa...
Show More
-
Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury
Mahima Agrawal,
Mrinal Joshi
Issue:
Volume 4, Issue 3, June 2015
Pages:
113-118
Received:
29 September 2014
Accepted:
5 May 2015
Published:
13 May 2015
Abstract: Objectives: To examine the impact of multi faceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with moderate and severe TBI. Design: Cohort, non-randomized, interventional study, pre-test, post-test design. Setting: Community integrated post acute rehabilitation centre. Main outcome measures: Galvenston Orientation and Amnesia Test (GOAT), Mini Mental Status Examination (MMSE), Functional Independence Measure (FIM), Glasgow outcome scale extended (GOSE). Results: Mean change in MMSE scores from admission to twelve months was 23.48 in moderate injury group and 21.26 in severe injury group. This change was significant in both the severity groups. Mean change in GOAT scores from admission to twelve months was 74.85 in moderate injury group and 70.71 in the severe injury group which also was significant. Predictors such as Length of stay (LOS) in acute care (B=-0.913), GCS at the time of acute admission (B=0.402), FIM at the time of discharge (B=.241), injury severity (B=0.221) and LOS in rehabilitation (B=0.168) explained 85.7% of the variation in the value of FIM at 12 months after injury. Conclusion: Impairment of cognitive function and its socio-economic impact is vast such that it affects the socio economic status of a community and country as a whole. Cognitive rehabilitation remains central to the management of persons with TBI.
Abstract: Objectives: To examine the impact of multi faceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with moderate and severe TBI. Design: Cohort, non-randomized, interventional study, pre-test, post-test design. Setting: Community integrated post acute rehabilitation centre. Main outcome measures: Ga...
Show More
-
Nursing Intervention Program for Tuberculosis Patients by Using Epidemiological Model
Ebtisam Mohamed Abd El-Aal,
Manal Mansour Mostafa
Issue:
Volume 4, Issue 3, June 2015
Pages:
119-126
Received:
23 April 2015
Accepted:
11 May 2015
Published:
27 May 2015
Abstract: Tuberculosis is more prevalent in developing countries, in which up to 95% of cases occur. It remains a major challenge to global public health in the 21st century. Aim: The study aimed to evaluate the effect of nursing intervention program for tuberculosis patients by using epidemiological model. Setting: The study was conducted at outpatient clinics in Benha Chest Hospital and El-Fayoum University Hospital. Sample: A simple random sample of 95 tuberculosis patients who attended to the previous mentioned settings; 45 patients from El-Fayoum University Hospital and 50 patients from Benha Chest Hospital, were selected randomly and representing 15% of 1425 attended patients over six months in the year 2013. Tool: An interviewing questionnaire included four parts 1): Socio-demographic characteristics. 2): Patient past and present medical history. 3): Patient knowledge regarding tuberculosis. And 4): Patient knowledge about practices through asking questions related to tuberculosis, which included: a) Patient health practices regarding tuberculosis. b): Patient knowledge regarding epidemiological model as person (host), agent, and environment. Results: 84.2% of the study sample were males while 48.4% their age ranged from 20 to 40 years, and 83.2% of them were smokers. 34.7% of study sample had especial equipment compared to 85.3% of them post intervention program. Furthermore 65.3% of the study sample avoided overcrowding places pre intervention program compared to 74.7% of them post intervention program. Statistically significant differences were detected between pre and post program regarding epidemiological model. Conclusion: The present study concluded that the patients' knowledge were increased after implementing the program and their practices were improved regarding health practices and epidemiological model. Recommendations: Health education program should be provided for tuberculosis patients regarding epidemiological model during treatment phases and follow-up visits.
Abstract: Tuberculosis is more prevalent in developing countries, in which up to 95% of cases occur. It remains a major challenge to global public health in the 21st century. Aim: The study aimed to evaluate the effect of nursing intervention program for tuberculosis patients by using epidemiological model. Setting: The study was conducted at outpatient clin...
Show More
-
Determinants of Quality of Life Among Gynaecological Cancer Patients on Follow Up at a Referral Hospital in Kenya
Isaac Machuki Ogoncho,
Blasio Osogo Omuga,
Sabina Wakasiaka,
Margaret Muiva
Issue:
Volume 4, Issue 3, June 2015
Pages:
127-130
Received:
9 May 2015
Accepted:
23 May 2015
Published:
9 June 2015
Abstract: Various factors influence the quality of life (QOL) in cancer patients. This study sought to determine the predictors and factors associated with quality of life among gynaecological cancer patients on follow up at Kenyatta National Hospital, Kenya. A cross-sectional descriptive study was carried out between April and June 2014, involving both outpatient and inpatient gynaecological cancer patients receiving care at the palliative care unit. A structured questionnaire adopting the Missoula Vitas Quality of Life Index was used to collect information on socio-demographics, clinical characteristics and their perceptions about quality of life. The association between socio-demographic and clinical factors with QOL was analyzed using one way ANOVA and linear regression analysis to identify the predictors of QOL. A total of 108 study patients were interviewed. Their mean age was 48 years with a range of 18 to 72 years. Age, level of education, marital status, occupation and monthly income were the socio-demographic factors significantly associated with QOL scores, (p<0.05). The patients’ type of cancer, type of cancer treatment, duration of illness and palliative care services were the clinical characteristics significantly associated with QOL scores, (p<0.05). Age, level of education, occupation, average monthly income, type of cancer treatment, duration of illness and type of cancer were the independent predictors of QOL. Vulnerable patients were those who were less educated, peasant farmers or casual workers, had a long duration of illness and underwent combined therapy. Age, education, occupation, income, type of cancer, type of cancer treatment and duration of illness were the determinants of quality of life among gynaecological cancer patients in the study. Sufficient attention should be given to the more vulnerable gynaecological cancer patients in identifying and addressing their specific needs by the palliative care team.
Abstract: Various factors influence the quality of life (QOL) in cancer patients. This study sought to determine the predictors and factors associated with quality of life among gynaecological cancer patients on follow up at Kenyatta National Hospital, Kenya. A cross-sectional descriptive study was carried out between April and June 2014, involving both outp...
Show More
-
Effect of Diet Therapy Program on Dietary Knowledge and Practice of Elderly Patients on Regular Hemodialysis
Eman Shokry Abd Allah,
Eman El-Shahat El-Sayed Oraby,
Rasha Gad Ibrahim
Issue:
Volume 4, Issue 3, June 2015
Pages:
131-137
Received:
30 April 2015
Accepted:
20 May 2015
Published:
13 June 2015
Abstract: The identification and proper management of risk factors for chronic renal diseases is a public health priority. Diet Nutrition program on elderly patients with uraemia on dialysis plays an important role in the process of treatment, decreasing complications and improving quality life of patients. The aim of this study was to assess the effectiveness of diet therapy program on dietary knowledge and practice of elderly patients on regular hemodialysis. Design: An interventional study was used. Setting: The study was conducted at the hemodialysis units of the Urology and Nephrology Centers at Zagazig University Hospitals. Sample: The study sample consisted of 90 elderly patients on regular hemodialysis who received the diet therapy program. Tools: Data was collected through: (1) An interviewing questionnaire to assess sociodemographic characteristics of patients, their dietary knowledge and practice before and after diet therapy program; (2) physical assessment checklist to assess abnormal physical findings of patients before and after intervention. Results: the elderly patients under hemodialysis have deficient dietary knowledges and practices. The implementation of the diet therapy program was effective in improving dietary knowledge and practices of elderly patients. The total knowledge and practice of the patients showed statistically significant improvements after the intervention ( 61.1% and 67.8% )respectively after the intervention compared with 18.9% and 23.3% respectively before intervention( p<0.001). Recommendations: Diet therapy programs need to be a priority on management of elderly patients under regular hemodialysis.
Abstract: The identification and proper management of risk factors for chronic renal diseases is a public health priority. Diet Nutrition program on elderly patients with uraemia on dialysis plays an important role in the process of treatment, decreasing complications and improving quality life of patients. The aim of this study was to assess the effectivene...
Show More
-
The Relationship Between Learning Style, Self-Directed in Learning and Undergraduate Nursing Students’ Academic Achievement in Tehran University of Medical Science (TUMS)
Addis Adera Gebru,
Shahrazad Ghiyasvandian,
Nooroodin Mohammadi
Issue:
Volume 4, Issue 3, June 2015
Pages:
138-150
Received:
20 May 2015
Accepted:
29 May 2015
Published:
13 June 2015
Abstract: Background: Self-Directed in Learning has been emphasized nursing education settings based on many factors such as changing in learning teaching methods, nursing professions development, etc. Awareness and identification of the students learning and their academic achievement are important factors in nursing Course. Objective: The purpose of this study was to determine the relationship between self-directed in learning and undergraduate nursing students’ academic achievement in Tehran University of Medical Sciences (TUMS), Tehran, Iran. Method: The cross sectional study with 232 sample size was conducted. The subjects of this study were 232 undergraduate nursing students from school grades of years attending to school of nursing and midwifery of Tehran University of Medical Sciences. Data was collected from students through an anonymous self-administrated questionnaire. The questionnaire was divided into three sections including (a) demographic profile(b)Fisher’s Self-Directed in Learning Readiness questionnaire, (d) academic achievement. Data analysis was carried out by using the latest version of the statistical software package SPSS (Version-21). Descriptive and analytical statistical test were used to analyze the data. Results: A total of 232 participated in study of relationship between learning styles, Self-directed in learning and undergraduate nursing students’ academic achievement. One hundred –Forty three participants were female (61.6%), and 89 respondents were male (38.4%); 60.8% were between 20 and 25 years, 33.6% were <20 years, and 5.6% were >25 years old. The most frequency learning style of students was AC (37.5%).The majority of subjects (90.52%) SDLR were in the level of Self-Control (Score >150).The majority of subjects (52.8%) their academic achievements were at level of Good (the Median score were between (13-16). There was no significant relationship between Learning styles and Academic Achievement (P> 0.05).Conclusion: Not all students are self-directed, and this study suggests that mature students are more self-directed than that entering nurse education direct from high school. Nurses’ educators need to assess the Learning style and preferences of their students in order to determine the appropriateness of Self-Directed in learning. It is important to acknowledge that Self-Directed in Learning is only one teaching method that can be used to meet the learning needs of all students.
Abstract: Background: Self-Directed in Learning has been emphasized nursing education settings based on many factors such as changing in learning teaching methods, nursing professions development, etc. Awareness and identification of the students learning and their academic achievement are important factors in nursing Course. Objective: The purpose of this s...
Show More
