scholarly journals The development of neonatal nursing standards of practice for Cambodia: a Delphi study

2018 ◽  
Vol 32 (1) ◽  
pp. 12-23 ◽  
Author(s):  
Manila Prak ◽  
Suvinee Wivatvanit
Keyword(s):  
Nursing Care ◽  
Delphi Study ◽  
Content Type ◽  
Children Under Five ◽  
Under Five ◽  
Neonatal Nursing ◽  
Standards Of Practice ◽  
Delphi Approach ◽  
Nursing Standards ◽  
E Mail

Purpose Cambodia has one of the highest death rates for children under five years of age in Southeast Asia. The high mortality rate of children under five years of age, especially the neonate is 35 per 1,000 for the period zero to four years. There are no neonatal nursing standards of practice to guide nurses providing neonatal nursing care. Some general guidelines are currently being implemented for both doctors and nurses. The Minister for Health officially launched the Cambodian Council of Nurses’ Guideline for the Standard of Nursing Care in December 2015. In the absence of specific neonatal nursing standards of practice, the purpose of this paper is to develop the Neonatal Nursing Standard of Practice for Cambodia. Design/methodology/approach The Delphi technique was selected as being appropriate for this study. The snowball with purposive sampling was used. The identified experts were located across Cambodia so the e-Delphi approach was considered appropriate and applicable according to the study context. Four experts preferred to be interviewed face-to-face, while 16 experts were confident to use e-mail to respond to the questionnaire in Round 1. In total, 19 experts provided responses via e-mail to the Rounds 2 and 3 questionnaires. Findings A Standard for Neonatal Nursing Practice for Cambodia which consists of ten standards was found as a result of this study: assessment, nursing diagnosis, planning, implementation, evaluation, ethics, evidence-based practice and research, health teaching and health promotion, continuing education, and communication. Originality/value All items and sub-items achieved consensus as either being at the most significant level and therefore, could be key indicators for neonatal nursing standards of practice. The results of this study can be incorporated into a focused discussion led by the Nursing and Midwifery Bureau of the Ministry of Health to develop national standards of practice for neonatal nurses in Cambodia.

scholarly journals Determinants of compliance with child immunization among mothers of children under five years of age in Ekiti State, Nigeria

2018 ◽  
Vol 32 (3) ◽  
pp. 229-236 ◽  
Author(s):  
Patience Esohe Konwea ◽  
Funmilayo Alice David ◽  
Seyi Elizabeth Ogunsile
Keyword(s):  
Tertiary Education ◽  
Educational Status ◽  
Well Being ◽  
Childhood Mortality ◽  
Childhood Immunization ◽  
Child Immunization ◽  
Content Type ◽  
Children Under Five ◽  
Under Five ◽  
Validated Questionnaire

Purpose Vaccine preventable diseases are major threats to the health and well-being of children under five years of age. They contribute a great deal to childhood illnesses and disabilities, and are accountable for a high percentage of childhood mortality worldwide. In Nigeria, the government has made a lot of effort to provide immunizations against these childhood diseases. It is however sad to note that many children still do not complete their routine immunization. The purpose of this paper is to determine factors which influence mothers’ compliance with childhood immunization. Design/methodology/approach This was a descriptive study carried out among 600 mothers of under-five children randomly selected from nine postnatal clinics in Ekiti State between January and August 2016. A self-structured validated questionnaire containing items to explore demographic characteristics of respondents, compliance with child immunization (Cronbach’s α=0.92) and determinants of compliance (Cronbach’s α=0.83) was the instrument for data collection. Multiple regression analysis was used to identify determinants of mothers’ compliance with childhood immunization. Findings The level of compliance of mothers with childhood immunization was high (80 percent). The two factors which contributed significantly to mothers’ compliance were the mothers’ knowledge of childhood immunization (β weight= 0.243) and mothers’ educational status (β weight=0.169). Mothers with tertiary education had the highest level of compliance (76.8 percent). Originality/value Having good knowledge of childhood immunization and a high educational status positively influence a mothers’ compliance with child immunization.

scholarly journals Qualitative Delphi approach of advanced algae biofuels

2015 ◽  
Vol 26 (6) ◽  
pp. 852-871 ◽  
Author(s):  
Lauro Andre Ribeiro ◽  
Patricia Pereira da Silva
Keyword(s):  
Delphi Method ◽  
Delphi Study ◽  
Design Methodology ◽  
Theoretical Work ◽  
Content Type ◽  
Technical Data ◽  
Algae Biofuels ◽  
Expert Opinions ◽  
Delphi Approach ◽  
Source Of Information

Purpose – Currently, experimental and theoretical work is being performed to ensure that biofuels from microalgae become a reality. However, there is a considerable number of discussions concerning in which processes should be focussed efforts of research and development. The purpose of this paper is to provide decision support not only to help build guidelines of research to be undertaken, but also to contribute to the design of more adequate policy and funding instruments. The key objective of this study is to determine the prospects of employing microalgae into the production of biofuels within a time scale extending to 2030. Design/methodology/approach – The Delphi method is a qualitative research aiming to support strategic future-oriented action, such as policy making in the areas of science and technology. It is especially appropriate in judgment and long-range forecasting (20-30 years) situations, when expert opinions are often the only source of information available, due to a lack of appropriate historical, economic or technical data. Findings – The Delphi method proved to be a successful research method when expert opinions are the main source of information available, due to a lack of appropriate historical, economic or technical data and the outcomes provided a clear outline of the main issues of microalgae biofuels’ market at present and in the future. Research limitations/implications – The outcomes might not represent the majority of the microalgae experts’ opinion due to the sample size. Originality/value – The work presented in this paper is especially original. According to the authors’ knowledge, this is the first qualitative Delphi study related to algae biofuels.

scholarly journals Bersihan Jalan Nafas Tidak Efektif Dengan Menggunakan Larutan Jeruk Nipis Dan Madu Di Kelurahan Sukabumi Bandar LampungBersihan Jalan Nafas Tidak Efektif Dengan Menggunakan Larutan Jeruk Nipis Dan Madu Di Kelurahan Sukabumi Bandar Lampung

2021 ◽  
Vol 4 (5) ◽  
pp. 1202-1208
Author(s):  
Nocivera Indriany ◽  
Eka Trismiyana
Keyword(s):  
Immune System ◽  
Nursing Care ◽  
Orange Juice ◽  
Integrated Management ◽  
Acute Disease ◽  
Children Under Five ◽  
Under Five ◽  
The Family ◽  
Honey Solution ◽  
At Home

ABSTRAK  Infeksi pernafasan merupakan penyakit akut yang paling banyak terjadi pada anak-anak, Penyakit  ISPA sering  terjadi  pada  anak  Balita,  karena  sistem pertahanan tubuh anak masih rendah. Kejadian batuk pilek pada balita di Indonesia diperkirakan 3 sampai 6 kali pertahun, yang berarti seorang balita. Tujuan deskripsi hasil asuhan keperawatan komprehensif pada keluarga Tn.S dan Tn.I dengan masalah keperawatan bersihan jalan  nafas tidak efektif dengan menggunakan larutan jeruk nipis dan madu di kelurahan Sukabumi Bandar Lampung. Dianjurkan memberi obat batuk yang aman yaitu ramuan tradisional yaitu jeruk nipis ½ sendok teh dicampur dengan Madu atau Madu ½ sendok teh, diberikan tiga kali sehari. Air perasan jeruk nipis dicampur dengan Madu manis juga menjadi pilihan masyarakat dalam meredakan batuk dan melegakan tenggorokan. Pilihan ini juga telah tercantum di dalam MTBS (Manajemen Terpadu Balita Sakit) dalam mengajari ibu cara mengobati infeksi lokal di rumah. Caranya adalah dengan memotong satu buah jeruk nipis, peras airnya, taruh dalam gelas/cangkir. Tambahkan Madu manis, aduk. Takaran minum untuk anak, 3 kali sendok teh per hari. Cara lain, Madu manis bisa digantikan dengan Madu murni. Keluarga  dengan masalah ISPA teratasi dengan Jaruk nipis dan madu dengan hasil efektif pada kedua pasien hanya saja kadar penurunan penumpukan secret, penurunan batuk dan waktu tidur lebih baik. Kata kunci : ISPA , Kecap, madu    ABSTRACTRespiratory infection is an acute disease that most commonly occurs in children, ARI often occurs in children under five, because the child's immune system is still low. The average cold cough in toddlers in Indonesia is estimated to be 3 to 6 times per year, which means a toddler. Purpose description of the results of comprehensive nursing care in the family of Mr.S and Mr.I with nursing problems cleansing the airway not effective by using lime and honey solution in Sukabumi Village, Bandar Lampung in 2020. It is recommended to provide cough medicines that are safe to use traditional ½ teaspoon mixed with Honey or Honey ½ teaspoon, given three times a day. Orange juice mixed with sweet honey is also a choice of people in relieving coughs and soothing the throat. This option has also been verified in MTBS (Integrated Management of Sick Toddler) in teaching mothers how to treat local infections at home. The trick is to cut one lime, squeeze the water, put it in a glass/cup. Add sweet honey, stir. Drinking dose for children, 3 times a teaspoon per day. Alternatively, sweet honey can be replaced with pure honey. Families with ARI problems resolved with lime and honey with effective results in both patients except secret buildup levels, decreased coughing and better sleep time.Keywords: ISPA, sauce, honey

The development and critique of validated assessment tools for pre-hospital resuscitation skills

2019 ◽  
Vol 8 (1) ◽  
pp. 50-63
Author(s):  
Amy Seymour-Walsh
Keyword(s):  
Clinical Education ◽  
Delphi Study ◽  
Life Support ◽  
Advanced Life Support ◽  
Needle Insertion ◽  
Assessment Tools ◽  
Emergency Setting ◽  
Content Type ◽  
Delphi Approach ◽  
Essential Components

Purpose The purpose of this paper is to describe the development of clinically credible skill practice and assessment guides for intraosseous (IO) needle insertion and laryngeal mask airway (LMA) insertion as two essential components of advanced life support (ALS) training. Design/methodology/approach A modified Delphi approach was used to determine expert consensus in the application of IO and LMA devices for the pre-hospital and emergency setting. Nine pre-hospital clinical specialists were recruited to participate in this Delphi study to determine consensus of clinical expert practice. Findings Two rounds were required to obtain a performance and assessment checklist for each skill. Both lists were then further modified to maximise their useability. However, the development of a “validated” checklist using a pre-determined process such as a Delphi approach is challenged. Rather, the implementation of these tools in a stated context, and analysis of the data they generate, is an essential aspect of validation which the Delphi approach does not address. Research limitations/implications Participant feedback regarding the rationale for their scores was limited in this study in order to minimise participant input and maximise completion of all rounds of the study. Further, devices used in the study may no longer be first-line choices with the advent of more modern devices including semi-automatic IO devices and LMAs which do not have inflatable cuffs. The refined checklists are able to be adapted to these newer devices. Practical implications Pre-hospital education contexts which may not have access to expert assessors who are skilled in providing global judgements now have access to clinically relevant skill-specific assessment tools for IO and LMA insertion. Originality/value Worldwide, ALS accreditation and competence is demanded of countless health professionals, and to date, validated practice and assessment guides specifically developed for the emergency setting for which they are used, are not available in the published literature. This paper proposes to fill that gap, in addition to guiding clinical education researchers in strategies to develop valid assessment tools through rigorous critique.

scholarly journals MENINGKATKAN STATUS GIZI BALITA MELALUI ASUHAN KEPERAWATAN KELUARGA DI WILAYAH KELURAHAN RAWA BUNGA KECAMATAN JATINEGARA JAKARTA TIMUR

2014 ◽  
Vol 5 (2) ◽  
pp. 50-59
Author(s):  
Widyatuti Widyatuti
Keyword(s):  
Statistical Analysis ◽  
Nursing Care ◽  
Family Care ◽  
Nutrition Status ◽  
Children Under Five ◽  
Under Five ◽  
Family Empowerment ◽  
Family Nursing ◽  
Generation Family ◽  
Poor Nutrition

Kasus kurang gizi pada balita di Indonesia merupakan masalah kesehatan yang belum teratasi secara tuntas sampai saat ini. Terjadinya krisis moneter sejak 1997 semakin memicu peningkatan kasus tersebut. Salah satu media televisi pada bulan Februari 2000 menyebutkan bahwa lebih dari 2000 balita mengalami gizi buruk bahkan sampai menimbulkan kematian. Keadaan ini merupakan masalah bagi masyarakat Indonesia karena dapat kehilangan satu generasi. Selama ini pemberdayaan keluarga belum dioptimalkan, maka direncanakan penerapan asuhan keperawatan keluaga untuk mengatasi masalah kurang gizi di masyarakat. Penelitian ini sebagai salah satu contoh untuk mengatasi masalah tersebut, bertujuan untuk melihat apakah ada penigkatan status gizi balita di RW 05 Kelurahan Rawa Bunga Kecamatan Jatinegara melalui asuhan keperawatan keluaraga. Hasil penelitian dengan intervensi selama 4 bulan terhadap balita kurang gizi terjadi peningkatan sebesar 13,98% yang menurut analisa statistic uji Wilcoxon bermakna. Malnutrition for children under five years in Indonesia is one of health problems that has not solved yet. Monetary crisis since 1997 in Indonesia became the trigger of malnutrition case. One of TV in February 2000 informed that more than 2000 children has poor nutrition status sometimes become cause of death. This situation will become danger for Indonesia society cause we may loose one generation. Family empowerment has not prepared optimally in giving family care. Because of that it was planned an implementation of family nursing care to solve malnutrition cases in the community. This study is an example for solving malnutrition problem, which purpose to see whether there is an increasing level of children under five years nutrition status through family nursing care at RW 05 Sub District Rawa Bunga District Jatinegara. The study increasing nutritional status of under five years children t0 13,98 after 4 months intervention regarding to Wilcoxon statistical analysis.

Why is the Coverage of Pneumonia Case Detection on Children under Five Years-Old Still Considered as Low in Sleman?

2017 ◽  
Vol 1 (1) ◽  
pp. 26
Author(s):  
Ade Kartikasari Sebba ◽  
Baning Rahayujati ◽  
Isa Dharmawidjaja
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Sampling Technique ◽  
Health Centers ◽  
Case Detection ◽  
Upper Respiratory Infection ◽  
Children Under Five ◽  
Under Five ◽  
Pneumonia Case ◽  
Case Investigation

Pneumonia is one of the deadliest diseases for children under five years-old throughout the world. In Indonesia, pneumonia is the second deadliest disease after diarrhea. In 2015-2016, the Coverage of pneumonia case detection on children under five years-old increased from 22.33% to 36.06% but it had not achieved the detection target (-85%). A program evaluation needs to conduct, consequently. The evaluation aims to observe the implementation of pneumonia investigation program on children under five years-old in Sleman in 2016. The evaluation used a descriptive design performed in June-July 2017. The research subject was the program of Upper Respiratory Infection (ISPA, Infeksi Saluran Pernapasan Akut) implemented in community health centers (puskesmas, pusat kesehatan masyarakat). Twenty respondents as the sample were chosen by using the purposive sampling technique. The surveillance evaluation employed the input, activities, and output. The instruments were structural questionnaires and checklist sheets. The analysis result was presented in forms of tabulation and narration. From the input facet, 100% respondents have not had any special trainings related to pneumonia. 55% respondents have interlocking jobs with the longest service time of three years or more (75%). 70% respondents are able to show ARI Soundtimer. There are only 10% respondents holding the media of communication, information, and education (KIE, Komunikasi, Informasi, dan Edukasi) in forms of flipchart and leaflet; while 100% respondents admit that they have no stamp seal of URI. The proses facet displays that 100% respondents do not arrange any plan. The case investigation is only passive (100%). 80% respondents do socialization of case management and only 15% respondents perform a home visit. 100% respondents have not held trainings for responsible people, alert villages, and private midwives. From the output facet, the scope of case investigation is still low (36.06%).The implementation of pneumonia case investigation program on children under five years-old has been well executed but there are still weaknesses. Hence, public health offices (dinas kesehatan) should improve their human resources by arran ging a training program, equalize the use of breath counting tool and make MoU with all health services to report pneumonia cases. Community health centers are recommended to arrange plans, actively attempt to discover pneumonia cases, and train the responsible people, centers for pre-and postnatal health care (posyandu, pos pelayanan terpadu), or midwives related to the subject of pneumonia.

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