scholarly journals FACTORS RELATED TO FALLING RISK PREVENTION OF PATIENTS AT RSUD ENCIK MARIYAM DAIK LINGGA IN 2020

2020 ◽  
Vol 3 (2) ◽  
pp. 122-133
Author(s):  
Zurva Ramayana
Keyword(s):  
Fall Prevention ◽  
Fall Risk ◽  
Risk Prevention ◽  
Work Team ◽  
Chi Square ◽  
State Hospitals ◽  
Organization And Management ◽  
Chi Square Test ◽  
Environmental Work ◽  
Increased Susceptibility

Patients’risk  of  falling  in  is  an  increased  susceptibility  to  falls  which  can  cause physical harm. Fall prevention done by assess, the use of the yellow bracelets for the high risk; and a constant monitoring andevaluating. External factorthat affect the implementation of fall risk prevention is organization and management factor, work   environmental, work   team, the   attendant,   assignment, patients,   and communication. Observation on the ward the nurse had been giving education the fall risk prevention, somebedrailwere not elevated and the patients’ with highfall risk  who  do  not  wear  the yellow bracelet. As  suchit  can  be concludethat  the nurse had been carrying out assessment of thefall risk but the implementation of the fall prevention stillnot  optimal.The  purpose  of the research  is  to  determine the factors that relate to theact of fall risk prevention by nurses in Encik Mariyam State  Hospital  of  Daik  Lingga  Year  2019.  Research  is  using  the  methods  of descriptive  analytic and  across  sectionalas  the  time  approach, the  sampling method used is total sampling, totaling 32 respondents as sample. The results of the  study is  analyzed  using  the  Chi-square  test  and  showed  thecorrelation between the relating factors such as knowledge, attitudes and motivation of nurses with patients’ risk fallprevention by nurses in Encik Mariyam State Hospitals of DaikLingga Year 2019. Based on the study result to improve the implementation of the risk fall prevention hospital management and the nurse practitioner should improve the knowledge of the fall risk prevention,and improve the motivation in doing the correct fall risk prevention implementation.

scholarly journals Orthostatic Hypotension and Falls in Hospitalized Older Adults

2021 ◽  
pp. 105477382098668
Author(s):  
Kathleen Schell ◽  
Denise Lyons ◽  
Barry Bodt
Keyword(s):  
Older Adults ◽  
Orthostatic Hypotension ◽  
Electronic Medical Records ◽  
Fall Prevention ◽  
Medical Records ◽  
The Elderly ◽  
Chi Square ◽  
Convenience Sample ◽  
Chi Square Test ◽  
Hospitalized Older Adults

The aim of this retrospective study was to determine the prevalence of orthostatic hypotension (OH) among a convenience sample of older adults on two Acute Care of the Elderly (ACE) units of the ChristianaCare™ in Delaware. Another aim was to determine if subjects with documented OH experienced falls. Retrospective de-identified data was obtained from electronic medical records for the years 2015 to 2018. Among all patients who had valid first orthostatic vital sign (OVS) readings ( n = 7,745), 39.2% had orthostatic hypotension on the first reading. Among the patients, 42.8% were found to be hypotensive during OVS. Thirty-one (0.9%) of those with OH fell at some point during their stay. The odds ratio for falls in the presence of OH was 1.34 with a 95% confidence interval (0.82, 2.21), but a chi-square test failed to find significance ( p = .2494). The results could not determine if OVS should be mandatory in fall prevention protocols.

scholarly journals Nursing care related to fall prevention among hospitalized elderly people: an integrative review

2021 ◽  
Vol 74 (suppl 2) ◽  
Author(s):  
Adnairdes Cabral de Sena ◽  
Angela Maria Alvarez ◽  
Simony Fabíola Lopes Nunes ◽  
Nadia Pinheiro da Costa
Keyword(s):  
Risk Factors ◽  
Elderly People ◽  
Nursing Care ◽  
Fall Prevention ◽  
Fall Risk ◽  
Risk Prevention ◽  
Hospitalized Elderly ◽  
Clinical Nursing ◽  
Fall Risk Factors ◽  
Care Behavior

ABSTRACT Objective: to identify scientific productions on nursing care related to fall risk prevention among hospitalized elderly people. Methods: an integrative literature review from 2015 to 2019 in the PubMed/MEDLINE, Scopus, Web of Science, LILACS, BDENF, SciELO and CINAHL databases, in Portuguese, English and Spanish. The keywords were elderly, hospitalization, accidents due to falls, nursing care. Results: thirty-three publications were analyzed. The synthesis of the studies resulted in the categories: Clinical nursing assessments to prevent falls among hospitalized elderly people; Fall risk factors for elderly people; Fall risk prevention strategies for elderly people. Final considerations: it was found that the scientific knowledge produced on nursing care related to fall risk prevention for hospitalized elderly people evidences the clinical assessment, risk factors and strategies such as nursing care, contributing to foster self-care behavior and promotion security for elderly people.

OPINIONS OF MIDWIFERY STUDENTS, PUERPERANT AND COMPANIONS ABOUT THE MALE MIDWIFE

2021 ◽  
Vol 6 (12) ◽  
pp. 10-18
Author(s):  
Sibel İÇKE ◽  
Melek BALÇIK ÇOLAK
Keyword(s):  
Gender Gap ◽  
Healthcare Services ◽  
Professional Lives ◽  
State University ◽  
Chi Square ◽  
Cross Sectional ◽  
State Hospitals ◽  
Chi Square Test ◽  
The Universe ◽  
One Way Anova

Introduction and aim: The midwifery profession is generally known as a profession that women choose and perform. In our study, it was aimed to evaluate the opinions of the students studying in the midwifery department, and the puerperant and companions in the obstetrics. Method: It’s a cross-sectional analytical study. The data were collected through forms prepared by the researchers. The universe of the study consisted of Midwifery Department students studying at the Faculty of Health Sciences of a state university, and all women who gave birth in two separate state hospitals and their attendants. The sample of the study consisted of 221 students, 72 puerperant and 72 companions who agreed to participate in the study with the improbable sampling method between December, 2019 and February, 2020 and met the inclusion criteria. In the analysis of the research data, number and percentage distributions were taken, chi-square test and one-way ANOVA analysis were performed. Results: 85.1% of the students stated that the lack of male recruitment had no effect on their choice of midwifery, 48.4% stated that they wanted to work with the male midwife in their professional lives, 46.6% stated that men could contribute to the strengthening of the profession. 47.2% of the puerperant states that midwifery is a woman's profession, 44.4% of them do not approve of men being a midwife profession, 59.4% of those who do not agree do not want male midwives because of their embarrassment. 58.3% of the companions stated that they approve of male midwives to be in the profession and 52.8% stated that they would not be disturbed in terms of the care given by the male midwife to their puerperants by the male midwife. Conclusions and recommendations: It’s determined that the inclusion of males in the midwifery profession is better welcomed by students and companions; puerperants have reservations. Efforts should be made to eliminate the gender gap in providing healthcare services.

scholarly journals The Risk Factors and Preventive Measures Regarding Fall-Related Injuries at Home Among Older Adults: A Literature Review

2020 ◽  
pp. 3-16
Author(s):  
Alexarae Deer ◽  
Carlyn Ellison ◽  
Linda Struckmeyer
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Literature Review ◽  
Fall Prevention ◽  
Fall Risk ◽  
Preventive Measures ◽  
Risk Prevention ◽  
Exclusion Criteria ◽  
Home Modifications

The purpose of this study was to identify the risk factors, among older adults, that play a role in causing fall-related injuries in the home as well as to investigate the various preventive measures via a literature review. 14 articles were identified to have met the inclusion/exclusion criteria for this review. The results showed that there were potentially modifiable risk factors (for example, musculoskeletal factors like balance and gait impairment), several available preventive measures (for example, home modifications and medication review), and effective multifactorial programs in preventing falls among older adults. This study also sought to locate gaps in the current literature regarding fall risk prevention in the older adult demographic. Additionally, selected articles were found to neglect the role of occupational therapy in fall prevention.

scholarly journals The microbiological quality of food in hospitals kitchen in Khartoum State, Sudan

2021 ◽  
pp. 049-057
Author(s):  
Hilwa Hamid Bajin Salam ◽  
Ekram Adam Eldoom ◽  
Fatima Fadul Ali ◽  
Abeer Magthop Mohammed
Keyword(s):  
Raw Materials ◽  
Microbiological Quality ◽  
Microbial Quality ◽  
Chi Square ◽  
State Hospitals ◽  
Paired Samples ◽  
Before And After ◽  
Chi Square Test ◽  
The Impact

An interventional research was conducted in the kitchens of Khartoum state hospitals 2021 on the impact of microbial quality in (12) hospital. Samples taken from meals, hands, environment, surfaces, equipment, and utensils before and after interventions and measuring results. Questionnaires were filled out with interview with nutrition supervisor about kitchens. The data was statistically analyzed by using the Statistic Package for Social Sciences (SPSS) program version 25; the Paired Samples T Test and Chi-Square Test was used and there is an improvement at the level of indication 0.000 at the level (0.05). The results showed that the lack of quality of kitchens in buildings, equipment, utensils, hand facilities and no periodic inspection for raw materials. The study concluded that taken samples has an effective impact on microbial quality. The study recommended that the ministry of health and hospitals to commitment to take samples periodically.

The effect of training of food handlers in hospitals kitchen in Khartoum State, Sudan

2021 ◽  
Vol 3 (1) ◽  
pp. 001-012
Author(s):  
Hilwa Hamid Bajin Salam
Keyword(s):  
Raw Materials ◽  
Food Handlers ◽  
Food Services ◽  
Chi Square ◽  
State Hospitals ◽  
Periodic Inspection ◽  
Paired Samples ◽  
Chi Square Test ◽  
The Impact

An interventional research was conducted in the kitchens of Khartoum state hospitals 2021 on the impact of training of food handlers in (12) hospitals with (56) food handlers to identify food hygiene requirement. Training was done before and interventions training after. Questionnaires were filled out with food handlers and interview with nutrition supervisor about kitchens. The data was statistically analyzed by using the Statistic Package for Social Sciences (SPSS) program version 25; the Paired Samples T Test and Chi-Square Test was used and there is an improvement at the level of indication 0.000 at the level (0.05). The results showed that the majority of food handlers were females (75%), the lack of quality of kitchens in buildings, equipment, utensils, hand facilities, no periodic inspection for raw materials and no any training about food safety and hygiene for all food services staff. The study concluded that training has an effective impact on kitchen quality. The study recommended that the ministry of health and hospitals to design kitchens with standardization and provide training to all workers periodically.

scholarly journals 136 Barriers to Discussing Fall Prevention with Healthcare Professionals amongst Community-Dwelling Singaporean Older Adults

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv28-iv33
Author(s):  
Nivedha Balachandar ◽  
Silvia Sim ◽  
Pey June Tan ◽  
Jagadish Mallya ◽  
Noor Hafizah Ismail ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Fall Risk ◽  
Healthcare Professionals ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Modifiable Factors

Abstract Introduction A multitude of modifiable factors can contribute to one’s fall risk. Healthcare professionals (HCP) are equipped to identify such factors, and make appropriate recommendations to help older adults prevent falls. However, there is limited evidence on the awareness and practice of this in Asian communities. Thus, this paper aims to understand the participation and barriers for community-dwelling Singaporeans to discuss falls with their HCPs. Methods A cross-sectional survey was conducted on a nationally-representative sample of Singaporeans aged ≥60 living in the community. Participants were asked if they have fallen in the past 12 months, if they discussed what they can do to avoid falls with their HCPs (doctor/nurse) and for their perceived barriers via a semi-structured questionnaire with multiple responses. Unstructured data was coded using content analysis by two researchers and pooled with structured data. Sub-group differences between fallers and non-fallers were anaylsed using chi square tests. Results Of 549 participants (70.6±6.9 years and 61% female), most (n=447, 81%) have never talked to their HCPs. More fallers discussed falls prevention with HCPs than non-fallers (p=0.037). The top barriers cited for discussing falls with HCPs – low perception of fall risk (55%) and misconceptions regarding falls and/or HCPs (29%) – were more prevalent amongst non-fallers (p=0.008) and fallers (p<0.001) respectively. Other barriers identified include competing priorities (8%) and actively taking alternate management to mitigate falls risk (4%). Discussion Fallers and non-fallers have different reasons behind not discussing falls with HCPs. Findings indicate that despite having higher fall risk, fallers may still not talk to HCPs as they are either unaware that fall risk can be mitigated, or of HCP’s role in fall prevention. Future studies should address fallers’ knowledge and attitudes to improve their participation in interventions in the community, and investigate health practitioners’ readiness to address concerns about falls.

scholarly journals Penurunan Resiko Jatuh Pasien Melalui Supervisi Kepala Ruang Perawatan

2019 ◽  
Vol 2 (2) ◽  
pp. 45
Author(s):  
Dedes Sahpitra ◽  
Sri Yulia ◽  
Renny Triwijayanti
Keyword(s):  
Fall Risk ◽  
Patient Room ◽  
Risk Of Falling ◽  
Head Nurse ◽  
Chi Square ◽  
Cross Sectional ◽  
Standard Guideline ◽  
Chi Square Test ◽  
Periodic Evaluation ◽  
The Relationship

Errors that may be made by nurses associated with the action of reducing the fall risk can be minimized, one way is by supervision. The fall risk in patients if occured can cause various impacts such as injuries, disability, and even death. The objective of this research is finding out the relationship between supervision by head nurse with reduction of fall risk in in-patient room. This research was a descriptive correlational study with cross sectional approach. The number of samples was 49 nurses. This study used chi-square test. Data were gathered by means of questionnaires, supervision by head nurse, and reduction of fall risk. The result showed that there was relationship between supervision by head nurse with reduction of the fall risk with ρ value = 0,015  (ρ value α < 0,05). There was a relationship between supervision by head nurse with reduction of risk of falling. It is necessary to do a periodic evaluation in reducing the fall risk through supervision and making a standard guideline for supervision about fall risk.

scholarly journals Service Performance of State Hospitals

2019 ◽  
Author(s):  
Seniha Avcil
Keyword(s):  
Quality Of Service ◽  
Service Quality ◽  
Health Sector ◽  
Chi Square ◽  
Randomized Sampling ◽  
State Hospitals ◽  
Chi Square Test ◽  
The Relationship ◽  
One Way Anova

Developments in health sector increased the expectations of patients. In order to meet these expectations, hospitals attach importance to their service quality. Although hospitals increase the quality of service, the perceptions of service users become more important. It was aimed to determine the quality of service and expectation of patients and their relatives who applied to four state hospitals in Istanbul by Servqual Scale. In accordance with this purpose, the relationship between the dimensions of "physical properties", "reliability", "willingness - enthusiasm", "assurance" and "cross-empathy" quality of service and socio - demographic characteristics of participants were statistically analyzed. During sampling process, 358 participants who applied to physical therapy rehabilitation, surgery and internal medicine departments were reached via randomized sampling method. One-way ANOVA and independent sample t-test and chi-square test were applied to analyze the differences in satisfaction level. As a result of the evaluations, it was determined that four state hospitals did not meet the expectations in terms of both the total service quality and service quality sub-dimensions of the patients and their relatives.

Hubungan Antara Menyusui Dengan Involusi Uterus Pada Ibu Nifas Fisiologis Di RSIA Aura Syifa Kabupaten Kediri

1970 ◽  
Vol 5 (2) ◽  
pp. 64
Author(s):  
Eny Sendra ◽  
Dewi Indriani
Keyword(s):  
Breast Feeding ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Fisher Test ◽  
Key Word ◽  
Chi Square Test ◽  
The Moment

Breast feeding is giving milk to be drunk to the baby from the breast. Uterus involution is a process how the uterus return to the condition back, before pregnanting after bearing. At the moment of suckling, happens a stimulus and brings the hormones out, such as oksitosin uses not only to stimulate some muscles constraction but also to stimulate the uterus, so that the process of uterus involution happens foster. According to the explanations above, the research aimed to know about the correlation between breast feeding and uterus involution. This research’s design was, cross sectional by the population of all childbirth mothers approximately 50 persons / month. By using accidental sampling technique we got 21 sample respondents. The place of research in RSIA Aura Syifa in Kediri Regency on 16th until 22nd of June 2009. From this research’s result, we got 14 persons (66,67%) with normal uterus involution, suckled in a good way, one person (4,67%) with normal uterus involution, suckled in a wrong way, 2 persons (9,52%) with abnormal uterus involution, suckled in a good way and 4 persons (19,05%) with abnormal uterus involution, suckled in a wrong way. Statistic test which used chi-square test, counted the probability frequency in advance, from that we got 3 columns with the score, less than 5, so that chi-square can not be continued and by doing exact fisher test, the score was 0,001. Because P with the grade mistake 0,05 smaller, so the conclusion was “Ho” is rejected, it meant “there was correlation between suckling and uterus involution”. Key Word : Breast feeding, uterus involution

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