scholarly journals Association of hospital nursing and postsurgical sepsis

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258787
Author(s):  
Andrew M. Dierkes ◽  
Linda H. Aiken ◽  
Douglas M. Sloane ◽  
Matthew D. McHugh

Despite concerted research and clinical efforts, sepsis remains a common, costly, and often fatal occurrence. Little evidence exists for the relationship between institutional nursing resources and the incidence and outcomes of sepsis after surgery. The objective of this study was to examine whether hospital nursing resource quality is associated with postsurgical sepsis incidence and survival. This cross-sectional, secondary data analysis used registered nurses’ reports on hospital nursing resources—staffing, education, and work environment—and multivariate logistic regressions to model their association with risk-adjusted postsurgical sepsis and mortality in 568 hospitals across four states. Better work environment quality was associated with lower odds of sepsis. While the likelihood of death among septic patients was nearly seven times that of non-septic patients, better nursing resources were associated with reduced mortality for all patients. Whereas the preponderance of sepsis research has focused on clinical interventions to prevent and treat sepsis, this study describes organizational characteristics hospital administrators may modify through organizational change targeting nurse staffing, education, and work environments to improve patient outcomes.

2021 ◽  
Vol 10 (1) ◽  
pp. 72
Author(s):  
Melvanda Gisela Putri ◽  
Roedi Irawan ◽  
Indri Safitri Mukono

ABSTRAKLatar Belakang: Stunting merupakan suatu istilah yang menggambarkan kondisi pertumbuhan tinggi badan kurang berdasarkan umur disesuaikan dengan Z-Score (<-2SD). Stunting pada balita dapat diakibatkan oleh kurangnya asupan zat gizi yang diperlukan bagi pertumbuhan anak. Penelitian dilakukan untuk mengetahui hubungan suplementasi vitamin A, pemberian imunisasi dan riwayat penyakit infeksi yakni diare dan ISPA terhadap kejadian stunting.Tujuan: Mengetahui hubungan suplementasi vitamin A, pemberian imunisasi, dan penyakit infeksi terhadap stunting pada anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya.Metode: Penelitian ini merupakan penelitian analitik observasional dengan metode cross sectional. Besar sampel adalah 107 anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya. terdiri dari 25 anak kelompok stunting dan 82 anak kelompok non- stunting. Cara pengambilan data melalui data sekunder posyandu dan wawancara langsung orang tua anak dengan pengisian kuisioner. Data dianalisis menggunakan uji Chi-Square, Fisher Exact, dan Mann Whitney.Hasil: Penelitian ini menunjukkan hasil terdapat hubungan suplementasi vitamin A dengan stunting (p=0,000), tidak ada hubungan antara pemberian imunisasi terhadap stunting (p=0,332). Dalam riwayat penyakit infeksi, frekuensi diare dan ISPA ditemukan tidak ada hubungan dengan  stunting (p=0,053 dan p=0,082), begitu pula pada lama diare dan lama ISPA tidak berhubungan dengan stunting (p= 0,614 dan p=0,918).Kesimpulan: Suplementasi vitamin A berhubungan signifikan dengan stunting yang diamati pada anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya. Kata kunci: kejadian stunting, vitamin A, imunisasi, penyakit infeksi, anak usia 24-59 bulanABSTRACTBackground: Stunting is a term that describes condition of lower height-for-age Z-Score (<-2SD). Stunting among children can be caused by a lack of nutrients needed for children's growth. This study was conducted to determine the relationship between vitamin A supplementation, immunization and a history of infectious diseases, namely diarrhea and ARI to the incidence of stunting.Objectives: To determine the relationship between vitamin A supplementation, immunization, and history of infectious disease with the incidence of stunting in children aged 24-59 months at Puskesmas Mulyorejo, Surabaya.Methods: This study was an observational analytic study with cross sectional method. The sample size was 107 children aged 24-59 months at Puskesmas Mulyorejo, Surabaya. This study consisted of 25 children in the stunting group and 82 children in the non-stunting group. The method of data collection was through secondary data from posyandu and direct interviews with parents by filling out questionnaires. Data were analyzed using the chi-square test, fisher exact, and Mann Whitney.Results: The results of this study indicated that there was a relationship between vitamin A supplementation and with stunting (p = 0.000). There was no relationship between immunization and stunting (p = 0.332). In the history of infectious diseases, the frequency of diarrhea and ARI was found to have no relationship with stunting (p = 0.053 and p = 0.082), as well as the duration of diarrhea and duration of ARI there was no association with the stunting (p = 0.614 and p = 0.918).Conclusion: Vitamin A supplementation has significant relationship with stunting in children aged 24-59 months at Puskesmas Mulyorejo, Surabaya.


2017 ◽  
Vol 4 (2) ◽  
pp. 176
Author(s):  
Aminatul Fitria

Cataract is the leading cause of 51% blindness case in the world. Cataract can only be cured trough surgery, but most people with cataract in Indonesia is not in undergoing surgery due to several factors. The increasing number of cataract victim whose not undergoing any treatment to cure them will resulting in increasing number of blindness case, so blindness cause by cataracts can be a public health problem. This research was conducted to determine the relationship of age, attitudes, knowledge and the cost of the action to perform cataract surgery. This research was an observational analytic study with cross sectional design. The samples were cataract patients in Undaan Eye Hospital Surabaya who were randomly selected using a simple random sampling based on medical records of 60 people. Data collection was done by taking secondary data and interviews to patients. Those variables was analyzed with chi square or Fisher’s exact with significancy level at 95%. The result showed that there were correlation between knowledge (p = 0.017), operating costs (p = 0.001) and attitude (0.000) while age was not related (p = 1.000), the actions to perform cataract surgery. The conclusion from this research was the attitude, knowledge and operating costs related to the actions to perform cataract surgery, while age was not related to the actions to perform cataract surgery. It is recommended to give through leaflets or other media in the lobby for improving patient education, counseling to the patient family, the doctor’s advice to convince patient for surgery.Keywords: practice, surgery, cataract, attitudes, costs


2021 ◽  
Author(s):  
Luissa Vahedi ◽  
Heather Stuart ◽  
Stéphanie Etienne ◽  
Sabine Lee ◽  
Susan A Bartels

Abstract During the United Nations Stabilization Mission in Haiti (MINUSTAH), reports of sexual abuse and exploitation and children fathered by peacekeepers were brought forward to the UN. In 2017, a cross-sectional mixed-methods survey was administered by Haitian research assistants using SenseMaker®, a rapid data collection tool that allows participants to share a narrative on a topic of interest. In total, 2541 self-interpreted narratives in relation to the experiences of Haitian women and girls vis-à-vis peacekeepers were collected from a convenience sample of Haitian males and females across Haiti. This exploratory secondary data analysis analyzes whether narratives about sexual misconduct perpetrated by MINUSTAH peacekeepers were associated with rural, semi-urban, or urban locations and investigates the relationship between sharing narratives about sexual misconduct and the desire to engage with the UN/MINUSTAH. After adjustment, narratives addressing sexual misconduct were more likely to be shared in rural locations, compared to urban locations (RRrural: 1.19; 95% CI: 1.03, 1.38). Personal experiences of sexual misconduct were more likely (RRsex: 4.52; 95% CI: 3.34, 6.12) to be associated with rejection of the UN/MINUSTAH, compared to personal narratives of positive/neutral experiences. This research is an empirical steppingstone to understanding the distribution and consequences of peacekeeper-perpetrated sexual abuse and exploitation in Haiti.


2019 ◽  
Vol 40 (4) ◽  
pp. 558-573
Author(s):  
Hong T.M. Bui ◽  
Jonathan Pinto ◽  
Abhishek Srivastava

Purpose The purpose of this paper is to explore the relationship between sexualization of the work environment and emotional exhaustion, and develop some key antecedents of sexualization of the work environment. It was conducted in an emerging society, India, which has a high rate of crime against women, particularly related to sexual harassment and sexual assault. Design/methodology/approach To test the hypotheses, structural equation modeling was performed. The hypotheses were tested with data from 1,098 white collar workers in India in three ways. Findings Contact with other gender and flexible work arrangements were positively associated with sexualization of the work environment; and sexualization of the work environment was positively associated with emotional exhaustion. In addition, sexualization of the work environment mediated the relationship between the two antecedent variables and emotional exhaustion. Research limitations/implications There is a possible bias arising from the use of cross-sectional data. However, a number of methods were implemented to minimize it, including survey design and data analysis. Practical implications The study offers some important suggestions for workplaces with a greater proportion of young male employees, particularly in a societal context like India. Originality/value The paper provides evidence of the negative impact of sexualization of the work environment, and thereby contributes to current understanding of the “dark side” of behavior at work that might have significant impact on society.


2015 ◽  
Vol 52 (9) ◽  
pp. 1463-1474 ◽  
Author(s):  
Franziska Zúñiga ◽  
Dietmar Ausserhofer ◽  
Jan P.H. Hamers ◽  
Sandra Engberg ◽  
Michael Simon ◽  
...  

2020 ◽  
Vol 5 (2) ◽  
pp. 542-546
Author(s):  
Mokh. Firman Ismana ◽  
Tita Roosdiana

Berdasarkan data hasil pencapaian Badan Pengelolaan Lingkungan Hidup (BPLH) Kabupaten Majalengka pada bulan Desember tahun 2013, pencapaian di beberapa program masih di bawah target, program pelayanan administrasi perkantoran baru tercapai 89,35% dari target 100%, program pengendalian pencemaran dan kerusakan lingkungan baru tercapai 91,37%  dari target 100%, serta dan program pengembangan kinerja pengolahan persampahan baru tercapai 82,28%  dari target 100%, hal ini merupakan salah satu indikasi belum optimalnya kinerja pegawai. Kinerja pegawai berhubungan dengan berbagai hal, diantaranya faktor kepemimpinan, motivasi dan lingkungan kerja. Tujuan penelitian ini adalah untuk mengetahui hubungan kepemimpinan, motivasi dan lingkungan kerja dengan kinerja pegawai BPLH Kabupaten Majalengka Tahun 2014.Jenis penelitian yang digunakan adalah penelitian analisis deskriptif analitik. Rancangan dalam penelitian ini adalah Cross sectional . Populasi penelitian ini adalah seluruh Pegawai Negeri Sipil BPLH Kabupaten Majalengka dengan sampel sebanyak 93 orang. Pengumpulan data dilakukan dengan tehnik angket menggunakan alat kuesioner, data yang terkumpul diolah dengan menggunakan program  SPSS, data dianalisis dengan analisis univariat dan analisis bivariat yaitu untuk melihat hubungan antara dua variabel yaitu variabel dependen dan variabel independen. Analisis univariat didapatkan hasil bahwa kepemimpinan dinyatakan baik (51,6%), motivasi dinyatakan baik (57,0), dan lingkungan kerja dinyatakan baik (55,9%). Analisis bivariat dilakukan dengan uji statistik Chi-square dengan batas kemaknaan (α) = 0,05. Hasil uji statistik didapatkan bahwa variabel motivasi (p = 0,007) dan lingkungan kerja (p = 0,005) mempunyai hubungan yang signifikan dengan kinerja pegawai sedangkan variabel kepemimpinan (p = 0,116) tidak memiliki hubungan yang signifikan dengan kinerja.Kata kunci           : Kepemimpinan, Motivasi, Lingkungan Kerja dan Kinerja ABSTRACTBased on the achievement data from Badan Pengelolaan Lingkungan Hidup ( BPLH ) Kabupaten Majalengka in December of 2013 , the achievement in some programs still below the target, program office administrative services only reached 89.35 % of the target of 100 % , pollution control and environmental damage programs reached 91.37 % of the target of 100 % , as well as program development and performance of waste processing reached 82.28 % of the target of 100 % , this is one indication of the employee's performance is not optimal. Employee performance related to a variety of things, including the factors of leadership , motivation and work environment. The purpose of this study was to determine the relationship of leadership, motivation and work environment with Employee performance in BPLH Kabupaten Majalengka Tahun 2014. This type of research is descriptive quantitative research analysis.The design  of  this  study  was  cross-sectional .  The  study  population  was  all Civil Servants in BPLH Kabupaten Majalengka with a sample of 93 people . The data was collected using a questionnaire technique, the collected data were processed using SPSS version 17 and analyzed with univariate and bivariate analysis to look at the relationship between two variables: the dependent variable and the independent variables . Univariate analysis showed that leadership is expressed well (51.6 %), the motivation expressed either (57.0 %) , and otherwise good working environment (55.9 %). Bivariate analysis performed by Chi-square statistical test with a significance limit ( α ) = 0.05. Statistical test results showed that motivational variables (p = 0.007) and work environment (p = 0.005) had a significant relationship with employee performance while the leadership variable (p = 0.116) had no significant relationship with employee performance. Keywords              : Leadership. Motivation, work Environment and Performance


2020 ◽  
Vol 8 (12) ◽  
pp. 622-634
Author(s):  
Warren Tibesigwa ◽  
◽  
Will Kaberuka ◽  
Joanina Ayebare ◽  
Ally Ndeshiuta Morris ◽  
...  

There are many studies on the relationship between household income and saving though very little is known about the influence of financial planning on the relationship between household income and saving.This paper examined the moderating effect of financial planning on the relationship between household income and saving in Tanzania.Based on cross-sectional secondary data (Finscope data,2017) that was collected using multistage sampling from 9457 respondents, descriptive, correlation, regression and moderation effect were performed to analyze the data.The findings indicate that household income and interaction effects have a positive relationship with level of saving. Finally, regression results show that household income and financial planning have a positive significant effect on household saving levels and that financial planning has a positive moderating effect on the relationship between household income and level of saving. From these study results,it is recommended that the government of Tanzania through the ministry of community development, gender and children in should introduce financial awareness programs to the communities in order for the people to realize the need of financial planning and hence improve their saving.Further more the government throughthe ministry of education and vocational training should introduce financial awareness in the school curriculum so that citizens learn how to plan for financial matters at early stages.


2014 ◽  
Vol 1 (2) ◽  
Author(s):  
Restiayuh Patandianan

Abstract : Dengue hemorrhagic fever (DHF) is an infectious disease caused by the dengue virus and transmitted by Aedes mosquitoes. DHF affects children tend to further increase the morbidity and mortality that needed more attention, both clinical symptoms and laboratory results. In laboratory hemoglobin levels and platelet counts normal weight changes corresponding degree of illness. This research was an analytic retrospective with a cross-sectional. Data sources were secondary data from medical records at BLU RSUP Prof. Dr. R. D. Kandou Manado. Samples were obtained 56 patients who met the inclusion criteria DHF of the total population sample of 137 patients. The results of the data obtained is then processed into statistical data using parametric test (Pearson test) for found the relationship between hemoglobin levels with platelet counts with α = 0,05. . It was found that there was no relationship between hemoglobin levels with platelet counts (p=0,097). Conclusion In this study there was no significant correlation between hemoglobin levels with platelet counts in DHF.Keywords: dengue hemorrhagic fever, hemoglobin levels, platelet counts.Abstrak: Demam berdarah dengue merupakan penyakit infeksi yang disebabkan oleh virus dengue dan ditularkan oleh nyamuk Aedes. DBD yang menyerang anak-anak cenderung lebih meningkatkan morbiditas dan mortalitas sehingga diperlukan perhatian lebih, baik pada gejala klinis maupun hasil laboratorium. Pada pemeriksaan laboratorium kadar hemoglobin dan jumlah trombosit biasa mengalami perubahan. Penelitian ini bersifat analitik retrospektif dengan pendekatan cross sectional. Sumber data merupakan data sekunder dari rekam medik Depertemen Ilmu Kesehatan Anak di BLU RSUP Prof. Dr. R. D Kandou Manado. Sampel penilitian diperoleh 56 pasien DBD yang memenuhi kriteria inklusi dari total populasi sampel 137 pasien. Hasil penelitian diuji menggunakan uji parametrik (Uji Pearson), untuk mengetahui hubungan kadar hemoglobin dengan jumlah trombosit dengan α = 0,05. Uji Pearson menunjukkan tidak ada hubungan antara kadar hemoglobin dengan jumlah trombosit (p=0,097). Disimpulkan bahwa tidak ada hubungan antara kadar hemoglobin dengan jumlah trombosit.Kata Kunci: demam berdarah dengue, hemoglobin, trombosit


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Gian P.S. Sumayku ◽  
Djemi Tomuka ◽  
Erwin Kristanto

Abstract: Child abuse is all forms of painful treatment physical or emotional, sexual abuse, trafficking, neglect, commercial exploitation including sexual exploitation of children resulting in injury/loss of actual or potential harm to the child's health, child survival, child development or dignity children, conducted in the context of a relationship of responsibility, trust, or power. Early marriage can be defined as an inner and outer bond between a man and a woman as husband and wife at a young age/adolescent. This study was aimed to determine the relationship between marriage age and child abuse in Manado. This was a retrospective study with a cross-sectional design using secondary data from several sources in Manado from October 2014 to October 2016. The results showed that many cases of child abuse occured with parents at susceptible age of 21-25 years in 8 cases (47.1%), followed by age 31-35 years in 4 cases (23.5%), susceptible age of 26-30 years and >35 years, each in 2 cases (11.8%), and the least at the marriage age of 15-20 years in 1 case (5.88%). Conclusion: Parents/step parents that married at the age of 21-25 years had the higher percentage of child abuse compared to those that maried at the ages of 15-20 years and over 25 years.Keywords: marriage age, child abuse Abstrak: Kekerasan terhadap anak adalah semua bentuk/tindakan perlakuan menyakitkan secara fisik ataupun emosional, penyalahgunaan seksual, trafiking, penelantaran, eksploitasi komersial termasuk eksploitasi seksual komersial anak yang mengakibatkan cidera/kerugian nyata ataupun potensial terhadap kesehatan anak, kelangsungan hidup anak, tumbuh kembang anak atau martabat anak, yang dilakukan dalam konteks hubungan tanggung jawab, kepercayaan atau kekuasaan. Perkawinan usia muda dapat didefenisikan sebagai ikatan lahir batin antara seorang pria dengan wanita sebagai suami istri pada usia yang masih muda/remaja. Penelitian ini bertujuan untuk mengetahui hubungan usia waktu menikah dengan kekerasan pada anak di Kota Manado. Jenis penelitian ialah retrospektif dengan desain potong lintang dengan menggunakan data sekunder yang diperoleh dari RS Bhayangkara, Polresta Manado, dan BKKBN Manado. Hasil penelitian ini menunjukan kasus kekerasan pada anak banyak terjadi pada usia 21-25 tahun yang berjumlah 8 kasus (47,1%), diikuti usia 31-35 tahun yang berjumlah 4 kasus (23,5%), usia 26-30 tahun dan >35 tahun masing-masing berjumlah 2 kasus (11,8%), dan yang paling sedikit pada usia waktu menikah 15-20 tahun berjumlah 1 kasus se (5,88%). Simpulan: Orang tua kandung/tiri dengan usia waktu menikah 21-25 tahun yang paling banyak melakukan kekerasan pada anak dibandingkan usia waktu menikah dini 15-20 tahun atau usia di atas 25 tahun. Kata kunci: usia menikah, kekerasan pada anak


2013 ◽  
Vol 2 (2) ◽  
pp. 90
Author(s):  
Pratiwi Dian Pramana ◽  
Mayetti Mayetti ◽  
Husnil Kadri

AbstrakSindrom nefrotik terdiri dari proteinuria massif, hipoalbuminemia, edema, serta dapat disertai hiperkolesterolemia. Proteinuria merupakan gejala utama pada sindrom nefrotik, sedangkan gejala klinis lainnya dianggap sebagai manifestasi sekunder. Kehilangan protein melalui urin menyebabkan terjadinya hipoalbuminemia. Penelitian ini bertujuan mengidentifikasi hubungan antara proteinuria dan hipoalbuminemia pada anak dengan sindrom nefrotik. Metode yang digunakan adalah studi retrospektif dengan desain Cross Sectional. Data sekunder diambil dari rekam medik pasien yang didiagnosis sebagai Sindrom Nefrotik Anak di Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil Padang Periode Januari 2009 - April 2012. Penelitian berlangsung dari Oktober 2011- Desember 2012. Hasil penelitian menunjukan insiden tertinggi sindrom nefrotik pada kelompok umur >6 tahun terutama pada anak laki-laki dengan rasio 1,43:1. Sebagian besar pasien memiliki kadar protein urin semikuantitatif +3 dengan rata-rata kadar protein urin kuantitatif 3,121 ± 2,157 gr/24 jam. Hampir seluruh pasien mengalami hipoalbuminemia (98,2%). Analisis statistik menunjukkan tidak terdapat hubungan yang bermakna antara proteinuria dan hipoalbuminemia (p > 0.05). Hal ini mungkin disebabkan oleh jumlah subjek yang kurang, sehingga penelitian selanjutnya diharapkan berlangsung lebih lama agar didapatkan jumlah subjek yang lebih besar.Kata kunci: Anak dengan sindrom nefrotik, Proteinuria, HipoalbuminemiaAbstractNephrotic syndrome consist of massive proteinuria, hypoalbuminemia, edema, and may be accompanied by hypercholesterolemia. Proteinuria is a major symptom of nephrotic syndrome, while the other clinical symptoms considered secondary manifestations. Loss of protein in the urine leads to hypoalbuminemia. This study aims to identify the relationship between proteinuria and hypoalbuminemia in children with Nephrotic Syndrome. Method of this research performed a retrospective study with cross sectional design. Secondary data were taken from medical record of patients that were diagnosed as Nephrotic Syndrome Children in General Hospital Dr. M. Djamil Padang period January 2009 - April 2012. The study was held on October 2011 - December 2012. The result of this study showed that the highest incidence of Nephrotic Syndrome in the age group >6 years old especially in male with the ratio 1,43:1. Most of patients have levels of semiquantitative urinary protein +3 with average levels of quantitative urinary protein 3.121 ± 2.157 gr/24 hours. Almost all of the patients had hypoalbuminemia (98.2%). Statistical analysis showed that there was no significant relationship between proteinuria and hypoalbuminemia (p> 0.05). This may be due to the less number of subjects, so further research is expected to last much longer in order to have a larger number of subjects.Keywords:Nephrotic syndrome children, Proteinuria, Hypoalbuminemia


Sign in / Sign up

Export Citation Format

Share Document