scholarly journals The Effectiveness of Teaching Nursing Ethics via Scenarios and Group Discussion in Nurses’ Adherence to Ethical Codes and Patients’ Satisfaction with Nurses’ Performance

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Fatemeh Izadi ◽  
Mostafa Bijani ◽  
Zhila Fereidouni ◽  
Shahnaz Karimi ◽  
Banafsheh Tehranineshat ◽  
...  

Background. There are shortcomings in nurses’ adherence to ethical principles in practice. The present study aims to investigate the effectiveness of teaching nursing ethics via scenario-based learning and group discussion in nurses’ adherence to codes of ethics and patients’ satisfaction with nurses’ performance. Methods. Using a quasiexperimental design, the present study employed questionnaires which measure nurses’ compliance with nursing codes of ethics and patients’ satisfaction with nursing care before, immediately after, and one month after intervention. The collected data were analyzed using the independent t-test, ANOVA, and chi-square test in SPSS v.22. The level of significance was set at p<0.05. The nurses (n = 80) and patients (n = 160) from various units of two university hospitals in the south-west of Iran participated in the present study. Results. The pretest mean scores of the intervention and control groups in patient rights and patients’ satisfaction with nursing care were not significantly different (p=0.07, p=0.21). Yet, there were statistically significant differences between the groups’ mean scores as calculated immediately after (p<0.001, p<0.001) and one month after intervention (p<0.001, p<0.001). Conclusion. Employment of new approaches to teach nursing ethical principles improves compliance with nursing ethical codes and patients’ satisfaction with nurses’ performance.

2018 ◽  
Vol 7 (3) ◽  
pp. 102
Author(s):  
Mehretie Belay

Soil damage by moving water is a somber predicament on farmlands in highland Ethiopia. Sizeable number of trial in farmland preservation has been executed to handle the crisis during the last tens of years. However, the attempts have not been vibrant to trim-down the danger to an attractive extent. This paper evaluates factors contributing to application of soil-steps (bunds) as sustainable farmland management technology (SFLMT) by smallholder farmers in one of the high-potential districts of northwest Ethiopia named Dangila Woreda (District). Mixed method triangulation designs involving concurrent acquisition and interpretation of quantitative and qualitative data were used in the study. Data were acquired from randomly chosen 201 farming households during the harvest seasons of 2011 and 2012. Ordered questionnaire, participatory field observation, key informant interview and focus group discussion were mechanisms employed during the data acquisition. Descriptive statistics (means, standard deviations and percentiles), Chi-square test, t-test and the binary logistic regression model were used to analyze the quantitative data. The qualitative information was textually narrated to augment the quantitative results. Findings of the investigation confirm that age of the household head, the number of household members, slope of the farmland, the size of the farmland held, households’ participation in indigenous labour-sharing activities and the number of farm tools owned were significantly increasing the building of soil-steps as SFLMT in the study district. Involvement in off-farm activities and pest invasions were considerably hindering farmers from building soil-steps on their farmlands. The results in general indicated that households’ access to livelihood assets are key promoters for farmers’ implementation of soil-steps on their farmlands. Local resource preservation and improvement trials should thus ponder on convalescing farmers’ material endowments to improve their capability to use soil-steps as SFLMT in their farming activities.


2013 ◽  
Vol 21 (4) ◽  
pp. 973-981 ◽  
Author(s):  
Larissa Soares Mariz ◽  
Carla Campos Muniz Medeiros ◽  
Caroline Evelin Nascimento Kluczynik Vieira ◽  
Bertha Cruz Enders ◽  
Alexsandro Silva Coura

PURPOSE: to identify changes in the food intake patterns among overweight children and teenagers, treated at a reference medical centre. METHOD: the method used is that of a cohort study, between April 2010 and April 2011. A total of 109 children and teenagers, either obese or overweight, took part in the study. The population was divided into two subgroups depending on the permanence period (more than 6 months, and less than 6 months off the treatment). The chi-square test and logistic regression were carried out. RESULTS: the group which had been longer off the treatment tended to consume more soft drinks, pasta and fried foods, and less fruit and vegetables. The group with less time showed an improvement, with a reduction of consumption of soft drinks and other goodies. There was confirmation of an increased risk for consumption of soft drinks, pasta and goodies in general, as also detachment from the treatment in adolescence. CONCLUSIONS: The group with a longer period of monitoring has had a positive change in food intake frequency. The main contribution made by this study is that of showing that multiprofissional treatment, including some nursing care, is efficient in progressively changing the food intake of children and adolescents who are overweight.


2016 ◽  
Vol 18 (2) ◽  
pp. 235-241 ◽  
Author(s):  
Benoit Jenny ◽  
Nicolas Smoll ◽  
Yassine El Hassani ◽  
Shahan Momjian ◽  
Claudio Pollo ◽  
...  

OBJECTIVE Like adults, many children suffering from intractable seizures benefit from surgical therapy. Although various reports indicate that early intervention may avoid severe developmental consequences often associated with intractable epilepsy, surgery is still considered a last option for many children. In this retrospective study, the authors aimed to determine whether pediatric epilepsy surgery, in particular during the first years of life, relates to measurable benefits. METHODS Data from 78 patients (age range 5 months to 17 years) who underwent epilepsy surgery at the Geneva and Lausanne University Hospitals between 1997 and 2012 were reviewed retrospectively. Patients were dichotomized into 2 groups: infants (≤ 3 years of age, n = 19), and children/adolescents (4–17 years of age, n = 59). Compared with children/adolescents, infants more often had a diagnosis of dysplasia (37% vs 10%, respectively; p < 0.05, chi-square test). RESULTS The overall seizure-free rate was 76.9%, with 89.5% in infants and 72.9% in the children/adolescents group. Infants were 2.76 times as likely to achieve seizure-free status as children/adolescents. Postoperative antiepileptic medication was reduced in 67.9% of patients. Only 11.4% of the patients were taking more than 2 antiepileptic drugs after surgery, compared with 43% before surgery (p < 0.0001). The overall complication rate was 15.1% (6.4% transient hemiparesis), and no major complications or deaths occurred. CONCLUSIONS The data show a high seizure-free rate in children ≤ 3 years of age, despite a higher occurrence of dysplastic, potentially ill-defined lesions. Pediatric patients undergoing epilepsy surgery can expect a significant reduction in their need for medication. Given the excellent results in the infant group, prospective studies are warranted to determine whether age ≤ 3 years is a predictor for excellent surgical outcome.


2020 ◽  
Vol 9 (2) ◽  
pp. 1323-1328
Author(s):  
Wiwin Sulistyawati ◽  
Susmiati Susmiati

The implementation of 3S (SDKI, SIKI, and SLKI) is a benchmark used as a guideline for the enforcement of nursing diagnosis, nursing intervention, and a nursing outsider to provide safe, effective, and ethical nursing care. This study aims to analyze the implementation of 3S on the quality of documentation in hospital inpatient rooms. Research design correlation analysis with the cross-sectional approach. The research sample of implementing nurses in hospital inpatient rooms who have implemented 3S. Sampling techniques use sampling quotas. Based on Chi-Square test results obtained, p-value = 0.001 < α 0.005 . It means there is a relationship of application of 3S to the quality of nursing care documentation in hospital inpatient rooms. Based on the results of this study, the Head of Nursing is expected to implement 3S to improve the quality of nursing care documentation, which will have an impact on improving the quality of nursing services


2019 ◽  
Vol 2 (1) ◽  
pp. 138-146
Author(s):  
Eva Kartika Hasibuan ◽  
Masri Saragih

Effective leadership is required by the head of the room to create a good performance on nurses to achieve the purpose of the room is provide good and quality health serviceThis study aims to determine the effective leadership of head room with the performance of nurses in nursing care at RSU. Sari Mutiara Lubuk Pakam. Researchers used descriptive research method correlation with cross-sectional approach. The population in this study nurse who was on duty in the inpatient unit RSU. Sari Mutiara Lubuk Pakam totaling 55 people. The sample in this study used a total sampling technique with 55 respondents. The data collection technique using a questionnaire given to respondents. The results of this study are analyzed in univariate effective leadership of head room (81.8%) with sufficient performance of nurses (50.9%). After bivariate analysis with chi-square test showed that there is a relationship effective leadership of head room with the performance of nurses (p-value = 0.003). This study recommends that the head of the room more attention to implementation of the tasks of nursing care by nurses, as well as providing support in working order, the better the performance of nurses.   Kepemimpinan efektif diperlukan oleh kepala ruangan dalam menciptakan kinerja yang baik pada perawat pelaksana untuk mencapai tujuan ruangan yaitu memberikan pelayanan kesehatan yang baik dan berkualitas. Penelitian ini bertujuan untuk mengetahui kepemimpinan efektif kepala ruangan dengan kinerja perawat dalam melakukan asuhan keperawatan di RSU. Sari Mutiara Lubuk Pakam. Peneliti menggunakan metode penelitian deskriptif korelasi dengan pendekatan cross-sectional. Populasi dalam penelitian ini seluruh perawat pelaksana yang sedang bertugas RSU Sari Mutiara Lubuk Pakam berjumlah 55  responden. Sampel dalam penelitian ini menggunakan teknik total sampling dengan jumlah responden sebanyak 55. Teknik pengumpulan data menggunakan kuisioner yang  diberikan kepada responden. Uji statistik yang digunakan dalam penelitian ini adalah uji chi-square. Hasil penelitian ini dianalisis secara univariat yaitu kepemimpinan kepala ruangan efektif (81,8%) dengan kinerja perawat cukup (50,9%). Setelah dilakukan analisis bivariat dengan uji chi-square didapatkan hasil yaitu ada hubungan kepemimpinan efektif kepala ruangan dengan kinerja perawat (p-value=0,003). Penelitian ini merekomendasikan agar kepala ruangan lebih memperhatikan pelaksanaan tugas asuhan keperawatan oleh perawat, serta memberikan dukungan dalam bekerja agar kinerja perawat semakin baik.


2019 ◽  
Vol 5 (1) ◽  
pp. 27-41
Author(s):  
Durga Mishra ◽  
Dhanedra Veer Shakya ◽  
Ram Sharan Pathak ◽  
Smriti Mishra

Background: The postpartum non-psychotic depression is one of the most common complications of childbearing affecting about 10-15 % of women and is representative prevalence to consider as a public health problem affecting women and their families. The major objectives of this study were to assess magnitude of postpartum depression and to identify possible reasons. Methods:Mixed method was adopted for the study. Individual interview questionnaire andNepali version Edinburgh Postnatal Depression Scale (EPDS) were used as quantitative tool among 260 women attending MCH clinic for vaccinating their children under the age of one from  purposively selected three Tarai hospitals in Nepal. 248 respondents were included in the analysis. For the qualitative part, Focus Group Discussion (FGD), In-depth interview (IDI) and Key Informants Interview (KII) were used. Data analysis was done usingSPSS (20). Chi-square test was done to show strength of association. Theme building was done for qualitative analysis. Findings from both studies have been triangulated. Results: Among the 248 respondents 177 (71.4%) of them showed no signs of depression however,  in the 71 (28.6%) respondents  the postpartum depressionwas found through EPDS. The prevalence of postpartum depression was seen in all kinds of socio- economic and demographic characteristics but varied  in the magnitude. Conclusions: Women from anywhere can be sufferers of the post partum depression and the findings of this study would be an important evidence for an individual, family, community and policy makers and programme designers/implementers in managing this  problem properly.


2019 ◽  
Vol 5 (2) ◽  
pp. 90-95
Author(s):  
Ahmad Hanafi ◽  
Filda Wahyuni

Hospital is an organizaon which is establish because of the complexity of public demands and they began to realize the importance of health. Therefore there is a demand to the hospital to give the maximal services to the public. Nursing care service in the hospital is one of determinant for the quality service and hospital presge in the public percepon. The nurses performances is become important to meet a demand of the public demand of the maximal quality service. This study aims to determine the relaonship training, leadership, supervision, movaon to the nurse’s performance in the inpaent ward of the Rokan Hulu General Hospital 2017 This was a quantave study with analyc obervaonal desain and cross seconal approach. The analysis used univariate and bivariate analysis with chi-square test. Populaon were nurses at inpaent ward of the Rokan Hulu General Hospital amount 120 persons. Sample were 55 person who taken by accidental sampling. The results showed that there was a significant relaonship between training (OR 4,25, p= 0,022), leadership (OR 4,44, p=0,019), supervision (OR 5,47, p=0,008), movaon (OR 5,14, p=0,010) It can be concluded that the nurse’s performance is closely related to training, leadership, supervision, and movaon. It is recommended to the majareial of Rokan Hulu Regional Hospital to more frequent send nurses to aending the appropriate training, further improving good leadership funcons to improve nurse performance, supervision from supervisors in order to perform the task well, and need to provide movaon to the nurse in order to improve the performance of nurses.


2021 ◽  
Vol 1 (2) ◽  
pp. 151-166
Author(s):  
EvaKartika Hasibuan ◽  
Masri Saragih ◽  
AdventyRiangBevy Gulo ◽  
Henny Syapitri

Hospital health services cannot be separated from nursing services which have a role in improving the health status of patients. The team method is the organization of nursing services using a team consisting of groups of clients and nurses. Nurse performance is a measure of the quality of service in a hospital. Performance is influenced by individual variables, psychological variables and organizational variables. This study aims to determine the relationship between professional nursing care management (MAKP) TEAM and nurse satisfaction in the hospital. The type of research used is descriptive analytic research with a "cross sectional" approach. Population of 60 people and sample of 60 people, the sampling technique was used with total sampling. MAKP TEAM data collection with nurse satisfaction through questionnaires. The statistical test used the chi-square test. The results of the bivariate analysis of the relationship between the Professional Nursing Care Method (MAKP) TEAM and the Satisfaction of Nurses in the Inpatient Room of the Sari Mutiara Lubuk Pakam Hospital from the results of the chi square test obtained a value of p = 0.000 <0.05, where Ha is accepted, which means there is a relationship between professional nursing care methods ( MAKP) Team with Nurse satisfaction.So from the results of the research conducted there was a relationship between the TEAM Professional Nursing Care Method (MAKP) and the Satisfaction of Nurses in the Inpatient Room of the Sari Mutiara Lubuk Pakam Hospital. It is hoped that the head of the room will increase his role in aspects of the management function. It is hoped that the hospital will increase teamwork in the application of the team method in the inpatient room so as to produce nurse satisfaction and produce perceived job satisfaction among nurses. It is hoped that the next researchers will be able to conduct more in-depth research on nurses who work in the hospital.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e14261-e14261
Author(s):  
Mohamed Reda Kelany ◽  
Thomas Barth ◽  
Dina Salem ◽  
Marwa Mosaad

e14261 Background: The expression rate of PD-L1 in human malignant tumors paid a lot of attention and has been reported to vary from 19% to 92%, and the expression of PD-L1 was associated with poor prognosis of various human and may predicted the response to immune checkpoint inhibitors. The purpose of this study to investigate the expression of PD-L1 and its clinic-pathological feature in soft tissue sarcomas (STS). Methods: We collected Paraffin embedded tissue of 50 Patients with STS retrospectively from the archives of Pathology and oncology Department, Ain Shams University Hospitals from 2011-2017.then we correlated between PD-L1 expression and the clinico-pathological features. For PD-L1 expression we followed the Cologne 6-step proportional scoring system, using the rabbit monoclonal antibody (E1L3N 13684) and Tumors with > /10% membranous stained cells were considered to be positive for expression. The differences among variables were calculated by chi-square test. Results: PD-L1 expression was found in 12 (24%) of cases. Of all sarcoma subtypes , desmoid tumors had the highest prevalence of PD-L1 expression noted in 2/3 (66%) of samples followed by GIST 2/4(50%), then liposarcoma 3/11(27%). In addition, there were 2 rhabdomyosarcoma cases with tumor positivity for PD-L1 expression. We found that STS patients with PD-L1 expression have shorter survival with a median OS 11 vs 19 months (p-value = 0.1) as well as a mean PFS 6 vs 11 months (p-value = 0.1) in PD-L1 positive and negative respectively; this finding considered as clinically significant, but not reached to statistical significant . Conclusions: We report here that PD-L1 expression is as prognostic factor for poorer outcome. This finding may be clinically significant but does not reach the statistically significant levels due to small number of samples included. Its role beyond that of a prognostic biomarker remains to be established in the context of larger clinical trials. Clinical trial information: 31/2017.


2018 ◽  
Vol 11 (1) ◽  
pp. 57
Author(s):  
Metrys Ndama ◽  
Aminuddin Aminuddin

Abstract : An increasing of customer’s awareness and an emphasis of health service outcomes.  Patients increasingly demand for health care providers including nurses in order to provide professional services. Nursing documentation is a proof of professional nursing services. Professional accoutabilty and responsibilty is one of the important reasons to make accurate documentation. The nurse must make an accurate and complete medical record concerning nursing care which given to the client. The Nurse’s motivation is one of the factors that encourages someone to do somehing including carrying out nursing documentation. The research objective was to nalyze the factors associated with the nurse’s motivation in documentation of nursing care in Sickrooms of Madani Palu General Hopital. The research method utilized analytical with crossectional study disign. The population was 56 nurses who officiate in Sickrooms of Madani General Hospital. The sample was 56 nurses, and the data was collected by questionnaire. The data analysis utilized univariate and bivariate alaysis with Chi Square test. The research finding was obtained there was no significant correlation among education level (p = 1.00), Gender (p = 1.00), length on work (p = 0.34), employment status (p = 0.86), Hospital regulation (p = 0.96), work conditions (p = 0.07) with nurse’s motivation in documentation of nursing care (Ho accepted). Whereas supervision variable (p = 0.005) and rewards (p = 0.000) meant that there was significant correlation among supervision and reward variables with nurse’s motivation in documentation of nursing care (Ho was rejected). It can be concluded that variables which has a significant correlation with nurse’s motivation in recording of nursing care are supervison and reward. It is suggested to the Management of Madani General Hospital to improve documentation of complete nursing cares is required a regular supervison to the nurses and also provide an appropriate rewards for them who carry out documentation properly.


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