scholarly journals Knowledge and Performance Ability of Defibrillator among General Hospital Nurses

2021 ◽  
Vol 21 (3) ◽  
pp. 110-116
Author(s):  
Jin Chae ◽  
Jeong Yun Park

Background: The purpose of this study was to investigate nurses' knowledge and performance ability of Defibrillator.Methods: The participants in this study were 121 nurses who have been working in a general hospital located in G region. The measuring tools of this study were developed on the basis of guidelines from American Heart Association and Korea Association of Cardiopulmonary Resuscitation. The knowledge of defibrillator was measured by self-report questionnaire, and the performance ability of defibrillator was measured by observation of the participants. The period of collected date was from May 15 to June 15 in 2016. The collected data were analyzed by using SPSS 19.0 program.Results: The mean score about knowledge of defibrillator was 2.79±2.42. The mean score about performing ability of defibrillation was 6.44±3.39. The knowledge of defibrillator was a significant difference with age, working area, working carrier, experience of using defibrillator. The performance ability of defibrillator was a significant difference with age, working area, working carrier, experience of using defibrillator. There was a significant positive correlation between knowledge and performance ability of defibrillator.Conclusions: The finding suggests developing the knowledge and the performance ability of defibrillator on going refresher courses and training programs, including the related nursing practice guidelines to improve the knowledge and performance ability of defibrillator.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eun Sun Yu ◽  
Kwan Hong ◽  
Byung Chul Chun

Abstract Background The study aimed to estimate the incidence of and period of progression to stage 2 hypertension from normal blood pressure. Methods We selected a total of 21,172 normotensive individuals between 2003 and 2004 from the National Health Insurance Service-Health Screening and followed them up until 2015. The criteria for blood pressure were based on the American College of Cardiology/American Heart Association 2017 guideline (normal BP: SBP < 120 and DBP < 80 mmHg, elevated BP: SBP 120–129 and DBP < 80 mmHg, stage 1 hypertension: SBP 130–139 or DBP 80–89 mmHg, stage 2 hypertension: SBP ≥140 or DBP ≥ 90 mmHg). We classified the participants into four courses (Course A: normal BP → elevated BP → stage 1 hypertension→ stage 2 hypertension, Course B: normal BP → elevated BP → stage 2 hypertension, Course C: normal BP → stage 1 hypertension → stage 2 hypertension, Course D: normal BP → stage 2 hypertension) according to their progression from normal blood pressure to stage 2 hypertension. Results During the median 12.23 years of follow-up period, 52.8% (n= 11,168) and 23.6% (n=5004) of the participants had stage 1 and stage 2 hypertension, respectively. In particular, over 60 years old had a 2.8-fold higher incidence of stage 2 hypertension than 40–49 years old. After the follow-up period, 77.5% (n=3879) of participants with stage 2 hypertension were found to be course C (n= 2378) and D (n=1501). After the follow-up period, 77.5% (n=3879) of participants with stage 2 hypertension were found to be course C (n= 2378) and D (n=1501). The mean years of progression from normal blood pressure to stage 2 hypertension were 8.7±2.6 years (course A), 6.1±2.9 years (course B), 7.5±2.8 years (course C) and 3.2±2.0 years, respectively. Conclusions This study found that the incidence of hypertension is associated with the progression at each stage. We suggest that the strategies necessary to prevent progression to stage 2 hypertension need to be set differently for each target course.


2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Ahmad Jaafar ◽  
Mohammad Abdulwahab ◽  
Eman Al-Hashemi

Background and Objectives. The quality of cardiopulmonary resuscitation (CPR) is an important factor in determining its overall outcome. This study aims to test the association between rescuers’ gender, Body Mass Index (BMI), and the accuracy of chest compressions (CC) as well as ventilation, according to American Heart Association (AHA) 2010 resuscitation guidelines. Methods. The study included 72 participants of both genders. All the participants received CPR training according to AHA 2010 resuscitation guidelines. One week later, an assessment of their CPR was carried out. Moreover, the weight and height of the participants were measured in order to calculate their BMI. Results. Our analysis showed no significant association between gender and the CC depth (P=0.53) as well as between gender and ventilation (P=0.42). Females were significantly faster than males in CC (P=0.000). Regarding BMI, participants with a BMI less than the mean BMI of the study sample tended to perform CC with the correct depth (P=0.045) and to finish CC faster than those with a BMI more than the mean (P=0.000). On the other hand, no significant association was found between BMI and ventilation (P=0.187). Conclusion. CPR can be influenced by factors such as gender and BMI, as such the individual rescuer and CPR training programs should take these into account in order to maximize victims’ outcome.


2020 ◽  
Vol 1 (8) ◽  
pp. 494-499
Author(s):  
Monil Karia ◽  
Vatsal Gupta ◽  
Wajiha Zahra ◽  
Joeseph Dixon ◽  
Edward Tayton

Aims The aim of this study is to determine the effects of the UK lockdown during the COVID-19 pandemic on the orthopaedic admissions, operations, training opportunities, and theatre efficiency in a large district general hospital. Methods The number of patients referred to the orthopaedic team between 1 April 2020 and 30 April 2020 were collected. Other data collected included patient demographics, number of admissions, number and type of operations performed, and seniority of primary surgeon. Theatre time was collected consisting of anaesthetic time, surgical time, time to leave theatre, and turnaround time. Data were compared to the same period in 2019. Results There was a significant increase in median age of admitted patients during lockdown (70.5 (interquartile range (IQR) 46.25 to 84) vs 57 (IQR 27 to 79.75); p = 0.017) with a 26% decrease in referrals from 303 to 224 patients and 37% decrease in admissions from 177 to 112 patients, with a significantly higher proportion of hip fracture admissions (33% (n = 37) vs 19% (n = 34); p = 0.011). Paediatric admissions decreased by 72% from 32 to nine patients making up 8% of admissions during lockdown compared to 18.1% the preceding year (p = 0.002) with 66.7% reduction in paediatric operations, from 18 to 6. There was a significant increase in median turnaround time (13 minutes (IQR 12 to 33) vs 60 minutes (IQR 41 to 71); p < 0.001) although there was no significant difference in the anaesthetic time or surgical time. There was a 38% (61 vs 38) decrease in trainee-led operations. Discussion The lockdown resulted in large decreases in referrals and admissions. Despite this, hip fracture admissions were unaffected and should remain a priority for trauma service planning in future lockdowns. As plans to resume normal elective and trauma services begin, hospitals should focus on minimising theatre turnaround time to maximize theatre efficiency while prioritizing training opportunities. Clinical relevance Lockdown has resulted in decreases in the trauma burden although hip fractures remain unaffected requiring priority Theatre turnaround times and training opportunities are affected and should be optimised prior to the resumption of normal services. Cite this article: Bone Joint Open 2020;1-8:494–499.


2019 ◽  
Vol 34 (2) ◽  
pp. 79-84
Author(s):  
Sarah C Needham-Beck ◽  
Matthew A Wyon ◽  
Emma Redding

AIMS: While a foundation of basic cardiorespiratory fitness is beneficial for coping with the physiological demands of dance training and performance, the extent to which cardiorespiratory fitness levels are related to performance ability is not all-together clear. This study aimed to directly compare aerobic capacity (VO2peak) and anaerobic threshold (AT) to an aesthetic competence measure (ACM) in student contemporary dancers. METHODS: Participants were 18 contemporary dance students and all undertook a one-off treadmill test to volitional exhaustion in the week leading up to a performance to determine VO2peak and AT. In the same week, a final rehearsal for the performance was filmed to allow retrospective analysis of specific performance competence. RESULTS: Mean VO2peak values of 47.67 ± 5.84 ml/kg/min and AT values of 43.18 ± 7.72 ml/kg/min (90.68 ± 11.87 %VO2peak) were recorded, and the mean total ACM score was 52.67 ± 8.74. No significant correlations were found between cardiorespiratory fitness variables and ACM scores. Regression analyses revealed experience level to be the only significant predictor of total ACM score (p<0.05, R2=0.12, SEE=11.91). CONCLUSIONS: The range of choreography used for assessment may limit the present study; nevertheless, as level of experience did significantly predict ACM total score, it is suggested that vocational dance training may be developing the performance and technical skills of students but not sufficiently developing their physical conditioning.


2020 ◽  
Vol 15 (2) ◽  
pp. 365-379
Author(s):  
Ashiva Martunis ◽  
Ritha Dalimunthe ◽  
Khaira Amalia ◽  
Juanita Juanita ◽  
Hendra Syahputra ◽  
...  

Purpose This paper aims to determine the performance of the departments at Dr Zainoel Abidin Regional General Hospital, Banda Aceh, Indonesia, in 2016, based on the targets and realization of their work programs using balanced scorecard. Design/methodology/approach This study adopted qualitative and quantitative approaches. Findings The overall results of the performance appraisal using the balanced scorecard approach seen from the financial, internal business, customer and training and learning perspectives are good. Dr Zainoel Abidin Regional General Hospital has provided good services, and performance of its departments have generated the expected outcome, realized by the Hospital. Originality/value The novelty of the present study lies in its research model, where human resources (transformational leadership, organizational commitment and resource uniqueness) and financial management (business plans, budget and performance).


1999 ◽  
Vol 69 (2) ◽  
pp. 327-333 ◽  
Author(s):  
R.H. Bradshaw ◽  
D.M. Broom

AbstractA comparison was made of sow lying behaviour, piglet aggregation behaviour and performance in crates (no. = 10) and oval pens (no. = 8). Twenty-four hour time-lapse video tapes were made and a farrowing day defined for each sow by noting the 24-h period during which the sow gave birth (09:00 to 09:00 h). Each sow and litter, balanced for parity and time of year, was analysed from 12:00 to 20:00 h during the 24 h immediately following this day. The following analyses were conducted: (1) the number and type of lying behaviour; (2) each litter was scanned every 10 min and at each lying event the number of piglets within 0·3 m of the sow noted; two indices were then calculated, based on the mean of the 10-min scans and the mean for the lying events, for each sow expressed as a proportion of the total litter size. Any dead piglets were removed and cause of mortality established by post-mortem examination. Production data showed that there was no significant difference between litter size at birth and at weaning but overall level of mortality was higher in the pen compared with the crate due to crushing. The majority of crushing events occurred in the first 3 days after farrowing (crate 75%; oval pen 64%). The total number of lying events and related posture changes did not differ between systems; only ‘roll-over’ events (movement from lateral on one side to the other within 10 s) were higher in the oval pen. There was no difference in the proportion of aggregating piglets at the 10-min scans or the lying events. Increased crushing mortality in the pen does not appear to be due to the aggregation behaviour of piglets but to the increased number of sow roll-over behaviours.


2020 ◽  
Author(s):  
Abdullah S. Alqahtani ◽  
Rachel Evley

AbstractPurposeTo achieve a positive safety culture, staff perception of safety must be frequently measured. There are several active and reactive methods to use to measure safety cultures such as near-miss occurrence, accidental data collection, measuring behavior, self-report method, and safety questionnaires. The safety attitudes questionnaire (SAQ) tool was used to measure safety culture. This tool is widely used in literature and among researchers and has been used and validated in middle eastern cultures. In addition, it has a validated Arabic version.MethodsA cross-sectional study was conducted using anonymous and random sampling. I surveyed all ICU staff working in all the adult ICUs in two of the major hospitals in the eastern province of Saudi Arabia. The short version of the Safety Attitudes Questionnaire was used to assess participants’ attitudes towards safety culture. The study involved all healthcare providers working in Adult ICU.ResultsThe study occurred over a three-week period in March 2019. A total of 82 completed questionnaires were returned which represented a response rate of 82%. On average, the domain that scored the highest number of positive responses was Job satisfaction with 68.5%, followed by teamwork climate 67.8%, then working conditions 60.1%, 57.1% safety climate, then preparation of management with 53.4%, and finally 46% in Stress recognition. A statistically significant difference was found between the mean SAQ score and the educational level of the participants. Participants with bachelor’s degrees scored a mean of 50.17 compared to participants hold diploma degrees who scored a mean of 68.81 (P=0.02). Moreover, a significant difference was found between the mean SAQ score and participants’ specialties. Attending/Staff Physician mean score was 36.40, Nurse Manager/Charge Nurse scored 39.78, and Respiratory therapist mean score was 47.88, compared to mean score of 62.27 for Registered Nurse, and Respiratory supervisor 67.0 (P=0.04). In addition, 79.2% of the respondents did not report any incidents in the last 12 months.ConclusionsThe result of the study shows an unsatisfying level of safety culture among healthcare staff in ICUs. The importance of this study is to establish a baseline for safety climate in these hospitals and specifically ICUs. In addition, by exposing the system weaknesses it helps the administration to strengthen and improve patient care. By decreasing workload and job stress, studies show they have a positive association with increasing job performance.


Author(s):  
James Edomwonyi Edokpolor ◽  
Adesuwa Imafidon

The aim of this research was to determine the effectiveness of Public-Private Partnership (PPP) in the management of TVET programme in the 21st century. The preferred method of inquiry was the survey research design. A total population of 44 lecturers from the Department of Vocational and Technical Education, University of Benin and Ambrose Alli University was used for the research. The instrument for data collection was a structured questionnaire, validated by two experts. The Cronbach alpha formula was used to determine the instrument reliability; which yielded the coefficient value of 0.87. 20 questionnaire items was administered to the respondents by the researchers. The mean, standard deviation and t-test statistical tools were used for the data analysis. The results of the research showed that PPP to a high extent can influence the optimization of financial resources, provision of qualified manpower, development of curricula and procurement of modern facilities. There was also no significant difference between the mean ratings of TVET lecturers in UNIBEN and AAU regarding the influence of PPP on the effective management of TVET programme in the 21st century. This indicates that TVET lecturers in both institutions have the same perception regarding the influence of PPP on the management of TVET programme. Based on these findings, 4 recommendations were made in the research. Keywords: inadequate resources, management, Public Private Partnership, TVET programme.


2021 ◽  
Author(s):  
öznur işcan ◽  
Banu Torun Acar ◽  
Burcu Nurozler Tarakcı

Abstract Purpose: To compare the safety and performance of two ophthalmic viscosurgical devices (OVDs) Bio-Hyalur SV (Sodium Hyaluronate 3.0%) (Biotech Healthcare Group, Luzern, Switzerland) and Protectalon (sodium hyaluronate 2.0%) (VSY Biotechnology, Turkey) in cataract surgery. Methods: One hundred twenty eyes of one hundred twenty patients who underwent phacoemulsification surgery were included in the study. Postoperatively sixty eyes using Bio-Hyalur-SV were classified as Group 1, and sixty eyes using Protectalon as Group 2. Patients aged 45 and over, Grade I, II or III unilateral / double stained cataract, healthy eyes creating cataract inclueded in this study . Endothelial cell morphological parameters including endothelial cell density (ECD), cell number, cell area, coefficient of variation (CV) in cell size, cell hexagonality and central corneal thickness (CCT) were measured preoperatively and at postoperative first week, first and third month visits.Intraocular pressure (IOP) was measured with an applanation tonometer at every visit. Results: . There was a statistically significant decrease in the mean ECD all follow-up times when compared with the preoperative visit (p=0.000). In terms of mean ECD levels there was no significant difference between the two groups within three months postoperatively (p=0.616) In the first week after surgery, there was an significant increase in CCT in Group 1 and Group 2 respectively (p=0.000). The IOP was <23 mmHg in all of the patients on the first day after surgery. There was no significant difference in the incidence of IOP peaks between the two groups in every vizits. In both groups, a significant increase was observed in the mean IOP at first day, first week, and first month after surgery compared to preoperative values (p=0.000). But no significant difference in IOP increase in Group 1 (P=0.092), Group 2 (P=0.013) compared to preoperative values ​​at third month postoperatively (p <0.001 significant with Bonferrotti correction). Conclusion: The two OVD’s used in this study during cataract surgery were safe and effective. Both OVD’s resulted in similar rates of transient IOP increases and corneal endothelial damage also provided good anterior chamber depth and were fairly easy to remove.


2018 ◽  
Vol 1 (1) ◽  
pp. 67-80
Author(s):  
Johnny Roberto ◽  
Dennis Madrigal

The paper aimed to assess the respondents’ level of teaching standardscompetence using the Philippine Professional Standards for Teachers(PPST) and their performance using the school’s Teacher PerformanceEvaluation, respectively. Likewise, it purported to determine thesignificant difference in the level of teaching standards competenceand performance of teachers when teachers were grouped according tosex, marital status, educational attainment, and status of employment.The respondents were the whole population of the basic educationdepartment of a diocesan school in Antique composed of 33 teachers.Using a descriptive-comparative and correlational research design, thestandardized questionnaires on teaching standards competence usingPPST and teaching performance using teacher performance evaluationof the diocesan school were utilized to gather the data. Descriptive andinferential analyses using the mean, Mann Whitney U and IndependentSamples t-test, and the Pearson Product Moment of Correlation wereutilized to analyze the data. The findings revealed that the level of teachingstandards competence and performance of basic education teachersas assessed by the principals and teachers themselves were proficientand satisfactory, respectively. Moreover, the findings further showedno significant difference in both the teaching standards competenceand performance when the teachers were grouped according to sex,educational attainment, marital status, and status of employment.However, the overall findings revealed that there is a significantrelationship between the level of teaching standards competence andperformance.


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