scholarly journals Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253086
Author(s):  
Shegaw Zeleke ◽  
Amare Kassaw ◽  
Yeshambaw Eshetie
Keyword(s):  
Pain Management ◽  
Management Practices ◽  
Management Practice ◽  
Emotional Experience ◽  
Low Cost ◽  
Good Practice ◽  
Multivariable Analysis ◽  
Specialized Hospital ◽  
Debre Tabor ◽  
Insufficient Number

Background Pain is an unpleasant sensory and emotional experience associated with or resembling that actual or potential tissue damage. Different study findings show that about 55% to 78.6% of inpatients experience moderate-to-severe pain. Nurses are one of the health professional who may hear of pain suffered by the patients and who can manage patient suffering by themselves. Therefore, their correct skill is very important in non- pharmacology and pharmacology pain management methods. Objective To assess non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia. Methods Data were collected using structured observational check list with interviewer administered questionnaires that measure nurses’ practice on non-pharmacological pain management. Data were entered using Epi Data version 3.1 and analyzed using SPSS (Stastical Package for Social Sciences) version 23. Bivariable and multivariable analysis were conducted to examine the association between independent and outcome variables. Results A total of 169 nurses participated in the study, with a response rate of 100%. Among the study participants 94 (55.6%) were females, and the mean age of nurses were 34.9(SD = 5.7) years. Only 44(26%) of nurses had good practice on non- pharmacology pain management methods. About 130(77.55%), 125(74.0%), and 123(72.8%) of nurses reported that inadequate cooperation of physicians, multiple responsibilities of nurses and insufficient number of nurses per patient ratio as barriers for practice of non -pharmacology pain management respectively. Conclusion Majority of nurses didn’t apply non-pharmacological pain management practices for their patients in pain and the overall practice level of nurses was very poor. The major identified obstacle factors for the poor practice of non–pharmacological pain management methods were nurses’ fatigue, inadequate cooperation of physicians, heavy workload, multiple responsibilities of nurses, and insufficient number of nurses per patient ratio and unfavorable attitude of nurse on non-pharmacology pain management. Even if nurses experiences different challenges, they shall use non‐pharmacological pain management methods complementary to pharmacological treatment of pain as they are low cost and safe. And also boosting nurse’s attitude towards the effect of non–pharmacological pain management methods is crucial.

Managerial Practices in a High Cost Manufacturing Environment

2018 ◽  
pp. 1749-1768
Author(s):  
Renu Agarwal ◽  
Christopher Bajada ◽  
Paul J. Brown ◽  
Roy Green
Keyword(s):  
New Zealand ◽  
Best Practice ◽  
Management Practices ◽  
Management Practice ◽  
Low Cost ◽  
Management Strategies ◽  
Manufacturing Firms ◽  
Labour Cost ◽  
Managerial Practices ◽  
Management Capability

This chapter explores the management strategies adopted by manufacturing firms operating in high versus low cost economies and investigates the reasons for differences in the management practice choices. The study reported in this chapter identifies a subset of countries that have either high or low labour costs, with USA, Sweden, and Japan being high, and India, China, and Brazil being low labour cost economies. The high labour cost manufacturing firms are found to have better management practices. In this chapter, the authors find that Australia and New Zealand manufacturing firms face relatively high labour cost but lag behind world best practice in management performance. The chapter concludes by highlighting the need for improvement in management capability for Australian and New Zealand manufacturing firms if they are to experience a reinvigoration of productivity, competitiveness, and long-term growth.

scholarly journals An international study on innovations in the management of children’s pain

2013 ◽  
Vol 3 (2) ◽  
pp. 1-18
Author(s):  
Joan Simons ◽  
Keyword(s):  
Pain Management ◽  
Appreciative Inquiry ◽  
Best Practice ◽  
Management Practice ◽  
Good Practice ◽  
International Study ◽  
Dissemination And Implementation ◽  
Travel Scholarship ◽  
The Uk ◽  
Children's Pain

Background: Children have a right to effective pain management and up to date guidelines are available to promote this. Despite this, many reports state that children’s pain in hospital settings is not managed well, and many children are left to suffer unnecessarily. Nearly a quarter of children surveyed said they were in pain all or most of the time they were in hospital (Picker, 2005). However, this is not the whole picture; many areas deliver effective and innovative pain management for children. Aim: The aim of this travel scholarship was to undertake a study to identify innovations and learn from examples of good practice in the management of children’s pain by visiting three areas of excellence in the UK, Sweden and Australia. Methods: The study took an Appreciative Inquiry approach, focusing on learning from good practice, and follows four stages: Discovery (the best of what is): this involved visits to the three study areas and meeting practitioners, educators and researchers to explore innovations in their pain management practice Dream (what might be): this involved meeting with the host at the end of each study week to present to them identified examples of good practice for confirmation Design (what should be): this involved writing up the findings of the three visits, exploring what innovations could be introduced to improve pain management practice across the UK Destiny: this is dissemination and implementation of the best practice examples identified Conclusions: In each area visited, confident practitioners identified innovations in their pain management practice that have improved children’s pain experience in hospital. Innovations ranged from environmental adjustments to reduce anxiety related to pain, to standardising children’s observation charts to promote the regular assessment of pain. Effective leadership was apparent at each study site. Implications for practice: Appreciative Inquiry is about identifying what works so that it can be repeated Confidence and self-belief underpin the practice of effective pain management teams An effective leader with a vision is needed to drive continuous improvement in the management of children’s pain

Managerial Practices in a High Cost Manufacturing Environment

2014 ◽  
pp. 268-289
Author(s):  
Renu Agarwal ◽  
Christopher Bajada ◽  
Paul J. Brown ◽  
Roy Green
Keyword(s):  
New Zealand ◽  
Best Practice ◽  
Management Practices ◽  
Management Practice ◽  
Low Cost ◽  
Management Strategies ◽  
Manufacturing Firms ◽  
Labour Cost ◽  
Managerial Practices ◽  
Management Capability

This chapter explores the management strategies adopted by manufacturing firms operating in high versus low cost economies and investigates the reasons for differences in the management practice choices. The study reported in this chapter identifies a subset of countries that have either high or low labour costs, with USA, Sweden, and Japan being high, and India, China, and Brazil being low labour cost economies. The high labour cost manufacturing firms are found to have better management practices. In this chapter, the authors find that Australia and New Zealand manufacturing firms face relatively high labour cost but lag behind world best practice in management performance. The chapter concludes by highlighting the need for improvement in management capability for Australian and New Zealand manufacturing firms if they are to experience a reinvigoration of productivity, competitiveness, and long-term growth.

scholarly journals Self-management practice, associated factors and its relationship with Health Literacy and Patient Activation among multi-morbid COPD patients from rural Nepal

2019 ◽  
Author(s):  
Uday Narayan Yadav ◽  
Jane Lloyd ◽  
Hassan Hosseinzadeh ◽  
Kedar Prasad Baral ◽  
Narendra Bhatta ◽  
...  
Keyword(s):  
Health Literacy ◽  
Management Practices ◽  
Management Practice ◽  
Multivariable Analysis ◽  
Patient Activation ◽  
Self Management ◽  
Copd Patients ◽  
Rural Nepal ◽  
The Relationship

Abstract Background Chronic Obstructive Pulmonary Disease (COPD) is a progressive and debilitating condition that affects individuals' quality of life . COPD self-management and supports provided by carers is key to the quality of life people living with COPD. Health literacy (HL) and Patient Activation (PA) are main drivers of self-management practices (SMPs). However, their contribution remains to be fully explored. This study aimed to examine the level of self-management practices, and the relationship with socio-demographic factors, HL and PA among multi-morbid COPD patients from rural Nepal. Methods This is a cross-sectional study conducted between July 2018 and January 2019. Patients completed a survey, including Self-management Practices questionnaire (SMPQ), five domains of the Health Literacy Questionnaire (HLQ), and Patient Activation Measure (PAM). The relationship between HL, PAM, and self-management practice was examined using univariate statistics. Multivariable analysis was conducted to identify the factors associated with self-management practice. Results A total of 238 patients responded to the study. The mean score of SMPQ was 45.31(SD=9.00). The HLQ and PAM scores were positively correlated with the total score of SMPQ. Low level of SMPs were found to be positively associated with being uneducated (β=-0.43, p=.001), having a low family income (β=-5.22, p=.002), and, negatively associated with the presence of more than one co-morbidity (β=3.58, p=0.007) after controlling for other socio-demographic variables in the multivariable analysis. Conclusions The overall SMPs among this sample of Nepalese with COPD were low. Our findings highlight the need of implementation of self-management intervention program involving health literacy-focused activities for COPD, creating a support system for patients from low-income family and having low activation level.

scholarly journals Low Cost Management Practices to Detect and Control Sub-Clinical Mastitis in Dairy Cattle

2019 ◽  
Author(s):  
Champak Bhakat
Keyword(s):  
Treatment Group ◽  
Dairy Cattle ◽  
Milk Yield ◽  
Management Practices ◽  
Sodium Citrate ◽  
Management Practice ◽  
Low Cost ◽  
Experimental Period ◽  
Clinical Mastitis ◽  
And Control

Sub clinical mastitis is a hidden form of mastitis, causes a huge economical loss to thefarmers. So, present study was done with the aim to find out such management practice todetect and control sub-clinical mastitis in the dairy cattle under field condition that caneasily be adopted by the farmers. Eighty cattle having sub clinical mastitis were selectedby Surf Field Mastitis Test (SFMT) and divided into two groups i.e., control (N=40) andtreatment (N=40). Tri sodium citrate @ 30 mg/kg body wt. was supplemented to the cowsorally till 10 days in the treatment group. Milk sample was collected at 0 and after 10 dayof the experimental period and analysed for somatic cell count (SCC), milk pH, electricalconductivity (EC), milk yield (kg), fat, SNF, protein and lactose %. It was found thatrecovered rate from SCM, milk yield, fat, SNF, protein and lactose were high and SFMTscore, milk SCC, pH and EC were low in the treatment group of the cows. Hence,detection of SCM through SFMT and control by use of tri-sodium citrate is an effective,easy and cost-effective management practices which will support the farmers in raisingtheir income through increase in milk quality and quantity.

Development of a structured approach to assessing technology management practice

2000 ◽  
Vol 214 (4) ◽  
pp. 313-321 ◽  
Author(s):  
D R Probert ◽  
R Phaal ◽  
C J P Farrukh
Keyword(s):  
Technology Management ◽  
Process Model ◽  
Management Practices ◽  
Business Processes ◽  
Management Practice ◽  
Full Range ◽  
Good Practice ◽  
Assessment Procedure ◽  
Manufacturing Companies ◽  
Operational Activities

The effective application of technology is a key source of competitive advantage for modern industry. However, the integration of technology management systems into established business processes represents a continuing challenge to many firms. This paper describes the development of a practical technique for the assessment of technology management practices. Based on a process model of technology management, it provides a means whereby manufacturing companies can assess the effectiveness of the technology management activities critical to their business, and identify areas for improvement or transfer of good practice. The development of the assessment methodology is discussed in the context of the wider research project of which it is part. Its basis in theory and literature is reviewed, together with the results of its application in a range of manufacturing companies. The main output from the project is a practical management guide [technology management assessment procedure (TMAP)]. The procedure comprises three levels, which span the full range of technology management activities in the firm, linking broad strategic concerns to detailed operational activities in the format of a series of facilitated workshops.

scholarly journals Postoperative Pain Management among Registered Nurses in a Vietnamese Hospital

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Phuong Hoang Vu ◽  
Duc Viet Tran ◽  
Yen Thi Le ◽  
Ha Thi Thu Do ◽  
Sao Thi Vu ◽  
...  
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Registered Nurses ◽  
Management Practices ◽  
Rating Scale ◽  
Management Practice ◽  
Postoperative Pain Management ◽  
Numeric Rating Scale ◽  
Assessment Tools ◽  
Urban Hospital

This study examined the postoperative pain management practices among registered nurses in an urban hospital in Vietnam. Data of 90 nurses about postoperative pain management practices and pain management at the department were collected. Results indicated that 83.3% of nurses reported that they regularly assessed the degree of pain for postoperative patients. Only 32.2% used assessment tools such as the numeric rating scale to measure pain. Experience in pain management and having guidelines in the department were associated with a higher score in pain management practice. Findings suggested that facilitating the use of pain instruments and developing pain management guidelines should be prioritized.

scholarly journals Labour pain management practices among obstetric care providers in Hawassa city, Ethiopia

2020 ◽  
Vol 14 (2) ◽  
pp. 1-12
Author(s):  
Negash Wakgari ◽  
Mekdes Mekonnen ◽  
Berhanu Lema ◽  
Adisu Negasu ◽  
Bethlehem Lulu ◽  
...  
Keyword(s):  
Pain Management ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Management Practices ◽  
Management Practice ◽  
Obstetric Care ◽  
Labour Pain ◽  
Sociodemographic Characteristics ◽  
Care Providers ◽  
Obstetric Care Providers

Background/aims In Ethiopia, a country with low rates of delivery in institutions, managing labour pain can help as an incentive to enhance institutional delivery. This study aimed to assess labour pain management practice, attitudes towards these practices and associated sociodemographic characteristics among obstetric care providers. Methods An institution-based cross-sectional study was conducted among obstetric care providers from 15–30 May, 2018. A pre-tested and structured questionnaire was used to collect data on the labour pain management practices of participants and attitudes towards these practices. Logistic regression analyses were used to test the association between sociodemographic characteristics and labour pain management practices and attitudes. Results Only 13.8% of providers routinely practiced labour pain management. Participants who were a physician (adjusted odds ratio=0.18, P=0.001) or had 5 years or more experience (adjusted odds ratio=0.41, P=0.001) were less likely to practice labour pain management. Participants with a BSc or higher degree (adjusted odds ratio=3.58, P=0.003) or a favourable attitude (adjusted odds ratio=2.97, P=0.001) were more likely to practice labour pain management. Conclusions: The overall practicing of labour pain management among obstetric care providers in Hawassa city was low. A national protocol on labour pain management practice for obstetric care providers should be developed to address this.

Talented Employees in Russian and Foreign Companies

2013 ◽  
pp. 147-156 ◽  
Author(s):  
M. Latukha ◽  
T. Tsukanova
Keyword(s):  
Management Practices ◽  
Management Practice ◽  
Talent Management ◽  
Foreign Companies ◽  
Study Results ◽  
Practice Development

The study investigates talent management practices in Russian and foreign companies. The inquiry of Russian and foreign companies (working in Russia) showed that perceived and dedicated talent management practices contribute to better companies performance. The study results can be used in talent management practice development.

scholarly journals Caregiver-Reported Pain Management Practices for Individuals With Cerebral Palsy

2021 ◽  
pp. 100105
Author(s):  
Abagail M. Raiter ◽  
Chantel C. Burkitt ◽  
Alyssa Merbler ◽  
Lisa Lykken ◽  
Frank J. Symons
Keyword(s):  
Cerebral Palsy ◽  
Pain Management ◽  
Management Practices
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