scholarly journals Adherence with the WHO's hand hygiene recommendations in an Algerian university hospital

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Mustapha Chelghoum ◽  
Nadjet Lariche ◽  
Ismahene Belbah
Keyword(s):  
Hand Hygiene ◽  
University Hospital ◽  
Chi Square ◽  
Factors Associated ◽  
Regional University ◽  
Care Workers ◽  
Different Types ◽  
Chi Square Test ◽  
Healthcare Associated ◽  
The Relationship

Adherence to hand hygiene recommendations by health care workers (HCWs) participate to minimize healthcare-associated infections. There are few studies, to our present state of knowledge, which interested in the rate of adherence in Algerian hospitals and no one on the associated factors with the non-adherence by HCWs. The objective was to determine the rate of adherence with WHO's hand hygiene recommendations and to identify factors associated with non-adherence, in a regional university hospital. The method used was the direct observation, based on the recording of hygienic actions in opportunities for HCWs in front of the WHO's five indications. To determine the factors associated with non-adherence, a questionnaire was administrated to HCWs. The relationship between the different factors and the achievement of a hygiene action was evaluated by Pearson's Chi-square test. 503 opportunities for hand hygiene were observed among 206 HCWs, during 19 observation sessions. Simple handwashing was noted in 19% of hand hygiene actions. The overall adherence was 21 %. There was a wide variation in the adherence rates between the different departments and the different types of HCWs. There was a statistically significant association (p

scholarly journals Exploring the Spatiotemporal Characteristics of COVID-19 Infections among Healthcare Workers: A Multi-Scale Perspective

2021 ◽  
Vol 10 (10) ◽  
pp. 691
Author(s):  
Hui Ren ◽  
Peixiao Wang ◽  
Wei Guo ◽  
Xinyan Zhu
Keyword(s):  
High Risk ◽  
Poisson Distribution ◽  
Infection Rate ◽  
Healthcare Workers ◽  
Chi Square ◽  
Multi Scale ◽  
Spatiotemporal Characteristics ◽  
Care Workers ◽  
Different Types ◽  
Chi Square Test

The outbreak of COVID-19 has constantly exposed health care workers (HCWs) around the world to a high risk of infection. To more accurately discover the infection differences among high-risk occupations and institutions, Hubei Province was taken as an example to explore the spatiotemporal characteristics of HCWs at different scales by employing the chi-square test and fitting distribution. The results indicate (1) the units around the epicenter of the epidemic present lognormal distribution, and the periphery is Poisson distribution. There is a clear dividing line between lognormal and Poisson distribution in terms of the number of HCWs infections. (2) The infection rates of different types of HCWs at multiple geospatial scales are significantly different, caused by the spatial heterogeneity of the number of HCWs. (3) With the increase of HCWs infection rate, the infection difference among various HCWs also gradually increases and the infection difference becomes more evident on a larger scale. The analysis of the multi-scale infection rate and statistical distribution characteristics of HCWs can help government departments rationally allocate the number of HCWs and personal protective equipment to achieve distribution on demand, thereby reducing the mental and physical pressure and infection rate of HCWs.

scholarly journals Computer-generated STOPP/START recommendations for hospitalised older adults: evaluation of the relationship between clinical relevance and rate of implementation in the SENATOR trial

2020 ◽  
Vol 49 (4) ◽  
pp. 615-621 ◽  
Author(s):  
Kieran Dalton ◽  
Denis Curtin ◽  
Denis O’Mahony ◽  
Stephen Byrne
Keyword(s):  
Older Adults ◽  
Clinical Relevance ◽  
Statistical Significance ◽  
University Hospital ◽  
Chi Square ◽  
Implementation Rate ◽  
Key Factor ◽  
Chi Square Test ◽  
The Relationship ◽  
Trial Intervention

Abstract Background findings from a recent qualitative study indicate that the perceived clinical relevance of computer-generated STOPP/START recommendations was a key factor affecting their implementation by physician prescribers caring for hospitalised older adults in the SENATOR trial. Aim to systematically evaluate the clinical relevance of these recommendations and to establish if clinical relevance significantly affected the implementation rate. Methods a pharmacist–physician pair retrospectively reviewed the case records for all SENATOR trial intervention patients at Cork University Hospital and assigned a degree of clinical relevance for each STOPP/START recommendation based on a previously validated six-point scale. The chi-square test was used to quantify the differences in prescriber implementation rates between recommendations of varying clinical relevance, with statistical significance set at P < 0.05. Results in 204 intervention patients, the SENATOR software produced 925 STOPP/START recommendations. Nearly three quarters of recommendations were judged to be clinically relevant (73.6%); however, nearly half of these were deemed of ‘possibly low relevance’ (320/681; 47%). Recommendations deemed of higher clinical relevance were significantly more likely to be implemented than those of lower clinical relevance (P < 0.05). Conclusions a large proportion (61%) of the computer-generated STOPP/START recommendations provided were of potential ‘adverse significance’, of ‘no clinical relevance’ or of ‘possibly low relevance’. The adjudicated clinical relevance of computer-generated medication recommendations significantly affects their implementation. Meticulous software refinement is required for future interventions of this type to increase the proportion of recommendations that are of high clinical relevance. This should facilitate their implementation, resulting in prescribing optimisation and improved clinical outcomes for multimorbid older adults.

scholarly journals Factors associated with readmissions to an adult intensive care unit at a university hospital

Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e43724
Author(s):  
Daniele Lopes ◽  
Luciana Magnani Fernandes ◽  
Débora Cristina Ignácio Alves ◽  
Nelsi Salete Tonini ◽  
João Lucas Campos de Oliveira
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Stay ◽  
Medical Records ◽  
University Hospital ◽  
Chi Square ◽  
Adult Intensive Care Unit ◽  
Factors Associated ◽  
Extubation Time ◽  
Chi Square Test

Objective: to verify the rate and factors associated with readmissions in the Intensive Care Unit. Methods: a documentary study, carried out with a sample (n=441) of medical records of adult patients admitted to the Intensive Care Unit of a university hospital. The descriptive and inferential statistical analysis was applied, using Pearson’s correlation, the chi-square test, and the t-student test, at a 5% confidence level. Results: most were men (66.2%), with 52.8±18.5 years of age and hospital stay of 10.2±10.8 days. Of these, 29 (6.5%) were readmitted. Death was similar (p=0.893) between readmitted (31.0%) and not readmitted (29.8%). There was no significant correlation between the readmission outcome and age, Nursing Activities Score and time on mechanical ventilation. By comparison, the hospital stay, and extubation were significantly longer (p<0.05) among those readmitted. Conclusion: the rate of readmission was slightly low. Only extubation time was negatively and significantly correlated with the readmission outcome.

scholarly journals Adesão à higienização das mãos pela equipe de enfermagem em unidade de terapia intensiva

2018 ◽  
Vol 17 (2) ◽  
pp. 430-476
Author(s):  
Raíssa Ottes Vasconcelos ◽  
Débora Cristina Ignácio Alves ◽  
Luciana Magnani Fernandes ◽  
João Lucas Campos de Oliveira
Keyword(s):  
Hand Hygiene ◽  
Descriptive Analysis ◽  
University Hospital ◽  
World Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Terapia Intensiva ◽  
The Moment ◽  
Health Organization

Objetivo: Identificar la adhesión a la Higienización de las manos de los profesionales de enfermería de una Unidad de Cuidados Intensivos para adultos de un hospital universitario público.Metodología: Estudio descriptivo, transversal, observacional, con abordaje cuantitativo, realizado con 68 profesionales en un hospital universitario del estado de Paraná, Brasil. La recolección de datos ocurrió de mayo a octubre de 2016, por 100 horas de observación directa. Se elaboró un formulario para caracterizar a los participantes y utilizado el Instrumento Adaptado del Manual para Observadores - Estrategia Multimodal de la Organización Mundial de Salud para la Mejora de la Higienización de las manos. Los datos fueron sometidos al análisis descriptivo, en medidas de proporción, y al test Chi-cuadrado de Pearson, en el Software SPSS versión 18.0, para verificar la asociación entre la adhesión y la no adhesión a la HM en cada uno de los cinco momentos recomendados y entre los profesionales (enfermero o técnico de enfermería), considerando nivel de significancia del 5%.Resultados: Eran enfermeros 12 (17,6%) profesionales y 56 (82,4%) técnicos de enfermería. La tasa de adhesión general a la Higienización de las manos por el equipo de enfermería fue de 311 (47,8%). No hubo adhesión al momento "antes de la realización de procedimientos asépticos". Los momentos "después" presentaron mayores índices de adhesión.Conclusión: La tasa de adhesión a la HM fue muy baja, y la práctica de higiene antes del contacto con el paciente crítico necesita ser mejorada con mayor urgencia. Objective: To identify adherence to Hand Hygiene (HH) of the nursing professionals of an Intensive Care Unit for adults of a public university hospital.Methodology: Descriptive, cross-sectional, observational study with a quantitative approach, carried out with 68 professionals in a university hospital in the state of Paraná, Brazil. Data collection occurred from May to October of 2016 for 100 hours of direct observation. A form was developed for characterization of the participants and the Adapted Instrument of the Handbook for Observers - Multimodal Strategy of the World Health Organization for the Improvement of Hand Hygiene was developed. Data were submitted to descriptive analysis, in proportion measurements and Pearson's Chi-Square test, in SPSS Software version 18.0, to verify the association between adhesion and non-adhesion to HH in each of the five recommended moments and among professionals (nurse or technician of nursing), considering a level of significance of 5%.Results: 12 (17.6%) were professional nurses and 56 (82.4%) were nursing technicians. The nursing staff received a general adhesion rate of 311 (47.8%). There was no adhesion to the moment "before performing aseptic procedures". The "after" moments presented higher accession rates.Conclusion: The rate of adhesion to HH was very low, and hygiene practice before contact with the critical patient needs to be improved with greater urgency. Objetivo: Identificar a adesão à Higienização das Mãos dos profissionais de enfermagem de uma Unidade de Terapia Intensiva para adultos de um hospital universitário público.Metodologia: Estudo descritivo, transversal, observacional, com abordagem quantitativa, realizado com 68 profissionais em um hospital universitário do estado do Paraná, Brasil. A coleta de dados ocorreu de maio a outubro de 2016, por 100 horas de observação direta. Foi elaborado um formulário para caracterização dos participantes e utilizado o Instrumento Adaptado do Manual para Observadores - Estratégia Multimodal da Organização Mundial de Saúde para Melhoria da Higienização das Mãos. Os dados foram submetidos à análise descritiva, em medidas de proporção, e ao teste Qui-Quadrado de Pearson, no Software SPSS versão 18.0, para verificar a associação entre a adesão e a não adesão à HM em cada um dos cinco momentos recomendados e entre os profissionais (enfermeiro ou técnico de enfermagem), considerando nível de significância de 5%.Resultados: Eram enfermeiros 12 (17,6%) profissionais e 56 (82,4%) técnicos de enfermagem. A taxa de adesão geral à Higienização das Mãos pela equipe de enfermagem foi de 311 (47,8%). Não houve adesão ao momento “antes da realização de procedimentos assépticos”. Os momentos "após" apresentaram maiores índices de adesão.Conclusão: A taxa de adesão à HM foi muito baixa, e, a prática de higiene antes do contato com o paciente crítico precisa ser melhorada com maior urgência.

scholarly journals Prevalence of non-carious cervical lesions and cervical dentinary hypersensitivity in undergraduate students

2021 ◽  
Vol 50 ◽  
Author(s):  
João Victor Dias CRISÓSTOMO ◽  
Bruna Oliveira BEZERRA ◽  
Mariana Garcia da Ponte MELO ◽  
Polyanna Maria ROCHA-NOVAIS ◽  
Maria Denise Rodrigues de MORAES
Keyword(s):  
Undergraduate Students ◽  
Gingival Recession ◽  
Oral Disease ◽  
Dentin Hypersensitivity ◽  
Cervical Lesions ◽  
Chi Square ◽  
Google Docs ◽  
Factors Associated ◽  
Chi Square Test ◽  
The Relationship

Abstract Introduction The non-carious cervical lesion (NCCL) is currently a common oral disease. Objective This observational and descriptive study aimed to assess risk factors associated with non-carious cervical lesions, cervical dentin hypersensitivity (CDH), gingival recession (GR) and the relationship between these conditions in students in the last years of undergraduate dentistry. Material and method One hundred eighty-five dentistry students from a private college in Ceará with an average of 22.7 ± 2.3 years participated by filling out a google docs form. Two calibrated examiners performed the exams to verify the presence of NCCL, CDH and RG. Result The presence of NCCL was 22.7%, GR was 48.1% and cervical dentin hypersensitivity 8.6%. The chi-square test with p < 0.05% verified a correlation between the presence of NCCL and the presence of GR and CDH. 25% of students had NCCL and 14% considered themselves stressed. There was no association between the variables bruxism and stress (p=0.529), bruxism and year of graduation course (p=0.716), as well as no association between stress and year of course (p = 0.397) was observed. There were no correlations between NCCL and bruxism, muscle symptoms, parafunctional habits and temporomandibular dysfunction. 10.8% of students who reported using legal and illegal drugs had NCCL. Conclusion The NCCL, GR and CDH were correlated in the group of students in the last two years of an undergraduate dentistry course in Ceará.

Is the Type of Vdt Work Important in Asthenopia?

1993 ◽  
Vol 3 (1) ◽  
pp. 37-41 ◽  
Author(s):  
L. Scullica ◽  
C. Rechichi
Keyword(s):  
Word Processing ◽  
Data Entry ◽  
Visual Fatigue ◽  
Chi Square ◽  
Different Types ◽  
Chi Square Test ◽  
Vdt Operators ◽  
The Relationship ◽  
Data Checking ◽  
Main Factor

The Authors studied the relationship between visual fatigue (or asthenopia) and different types of work with display units on about 30,000 videoterminal (VDT) operators of the Italian telecommunication company. Visual fatigue was reported with data entry, data checking, word processing, dialogue enquiry, and various services. The Chi-square test showed that asthenopia was not related to any particular type of VDT work, comparing subjects working at the VDT for similar times each week. These findings provide further confirmation that the main factor determining visual fatigue in VDT operators is the amount of time spent at the display units.

scholarly journals Assessment Of Schoolchildren’s Temporomandibular Joint Sounds Associated With Bruxism

2019 ◽  
Vol 7 (1) ◽  
pp. 1-6
Author(s):  
Ahmed Fathy Arafa ◽  
Nawras Maher Mostafa ◽  
Shady Ahmed Moussa
Keyword(s):  
Temporomandibular Joint ◽  
University Hospital ◽  
Control Group ◽  
Study Group ◽  
Chi Square ◽  
Dental Clinics ◽  
Chi Square Test ◽  
Manual Palpation ◽  
Level Of Significance ◽  
The Relationship

Many studies have explained temporomandibular joint (TMJ) sounds in children are frequent with TMJ disorder. In addition to multiple divergent findings are designed to evaluate the relationship between bruxism and TMJ disorder in children. Aim: study was designed and conducted to assess the possible relationship between bruxism and joint sounds in schoolchildren. Subjects and Methods: The sample comprised 60 schoolchildren participants between 6 to 10 years of age, of whom 30 children with bruxism as study group G1 and another 30 without bruxism as a control group G2 who were scheduled and randomly selected for treatment at (Outpatient Dental Clinics, Zagazig University Hospital). Examiner performed assessment who was blinded allocation of the groups. Assessment involved of (manual palpation, lateral and dorsal extra-auricular auscultation of TMJ by stethoscope for detecting of joint sounds, differentiating between joint sounds as a click/pop or crepitation) Three readings were performed on each participant. Collected data were checked, entered and statistically analyzed to test different variables by chi-square test with the level of significance (p< 0.05). Results: There were statistically significant association between joint sounds with regarding to bruxism and age, which showed the higher prevalence rates of joint sounds were found in children aged eight to ten years in comparison to those aged sex and seven years. However, there were statistically insignificant association between joints sounds and type in relation to gender. Conclusion: The bruxism in children may be associated with the symptoms of joint sounds with significant association regarding to age. Keywords: Bruxism; Temporomandibular Joint; Child; bruxism; TMJ sound

scholarly journals HUBUNGAN FAKTOR-FAKTOR PENYEBAB KECEMASAN DENGAN TINGKAT KECEMASAN SUAMI MENGHADAPI ISTRI YANG BERSALIN SPONTAN DI POLINDES GERUNG UTARA

2019 ◽  
Vol 8 (2) ◽  
pp. 159
Author(s):  
Nurul Hikmah Annisa
Keyword(s):  
Birth Defects ◽  
Chi Square ◽  
Cross Sectional ◽  
Financial Responsibility ◽  
Factors Associated ◽  
Chi Square Test ◽  
Fetal Safety ◽  
Anxiety Levels ◽  
Relationship Of ◽  
The Relationship

The husband feels anxious when accompanying a maternity wife who is influenced by several factors associated with anxiety levels. The purpose of this study was to determine the relationship of anxiety factors with anxiety levels. This research uses analytic research design with cross sectional approach. Sampling using accidental sampling. This research was conducted at Polindes Gerung Utara. Data analysis used chi square test. The results of the majority of respondents aged 31-35 years as many as 25 people (48.1%), the majority of high school education 32 people (61.5%), the majority of respondents earn Rp. 1000,000.00-Rp. 2000,000.00 as many as 29 people (55.8%). the majority of wife and fetal safety factors influence 40 people (76.1%), the majority sex expectation influences 27 people (51.9%), the financial responsibility factor has no influence of 28 people (53.8%) and on the factor of child birth defects there is the influence of 31 people (59.6%). Conclusion there is a relationship between the safety factor of the wife and the fetus with the level of anxiety (p = 0.04), there is a relationship between the sex expectation factor and the level of anxiety (p = 0.025), there is no relationship between the financial responsibility factor and the level of anxiety (p = 0.254), there is a relationship between birth defects and anxiety levels (p = 0.004). The results there are 3 factors that are associated with the level of anxiety of the husband.

scholarly journals PERAN EDUCATOR PERAWAT DENGAN PELAKSANAAN DISCHARGE PLANNING PADA PASIEN DI RUANG TULIP 1C RSUD ULIN BANJARMASIN

2017 ◽  
Vol 4 (2) ◽  
pp. 82 ◽  
Author(s):  
Endang Pertiwiwati ◽  
Ichsan Rizany
Keyword(s):  
Health Care Workers ◽  
Discharge Planning ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Workers ◽  
Chi Square Test ◽  
Relationship Of ◽  
The Relationship

ABSTRAKDischarge planning merupakan interaksi dan kolaborasi antara petugas kesehatan, pasien, dan keluarga untuk memberikan dan mengatur kontinuitas perawatan yang diperlukan pasien.  Selama pelaksanaan discharge planning, perawat berperan melakukan pendidikan kepada pasien dan keluarga untuk mempersiapkan pemulangan dan kebutuhan untuk perawatan tindak lanjut di rumah. Penelitian ini bertujuan untuk mengetahui hubungan peran educator perawat dengan pelaksanaan discharge planning pada pasien  di Ruang Tulip 1C RSUD Ulin Banjarmasin. Rancangan penelitian ini adalah observasional analitik dengan cross sectional menggunakan sampling jenuh, dan subjek penelitian sebanyak 29 responden. Peran educator yang baik sebanyak 17 orang (59%) dan pelaksanaan discharge planning baik sebanyak 18 orang (62%). Analisis data menggunakan uji Chi Square dengan hasil didapatkan nilai p=0,002 yang berarti p<0,05, sehingga dapat disimpulkan bahwa ada hubungan bermakna antara peran educator perawat dengan pelaksanaan discharge planning pada pasien di Ruang Tulip 1C  RSUD Ulin Banjarmasin.Kata-kata kunci: perawat, discharge planning, peran educator.ABSTRACTDischarge planning is the interaction and collaboration among of health care workers, patients, and families together to provide and arrange the necessary continuity of patient care. During the implementation of discharge planning, nurses play a role in education to the patient and family for prepare the return and the possible need for follow-up care at home. This study aimed to determined the relationship of the educator nurse’s role with the implementation of discharge planning for patients in  Tulip 1C RSUD Ulin Banjarmasin. The study design was observational analytic cross sectional using saturated sampling and the subjects were 29 respondents. The role of a good educator were 17 people (59%) and the implementation of good discharge planning were 18 people (62%). Data analysis using Chi Square test with the results obtained p = 0.002, which means p <0.05, so it can be concluded that there was a significant relationship between the nurse educator role with the implementation of discharge planning for patients in Tulip 1C RSUD Ulin Banjarmasin.Keywords: nurse, discharge planning, educator role.

scholarly journals Factors associated with anxiety in multiprofessional health care residents during the COVID-19 pandemic

2021 ◽  
Vol 74 (suppl 1) ◽  
Author(s):  
Eder Samuel Oliveira Dantas ◽  
João de Deus de Araújo Filho ◽  
Glauber Weder dos Santos Silva ◽  
Maria Yohana Matias Silveira ◽  
Marianny Nayara Paiva Dantas ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Robust Variance ◽  
Chi Square Test ◽  
Severe Anxiety ◽  
Multiple Analysis

ABSTRACT Objective: To estimate the prevalence and factors associated with anxiety among multiprofessional health residents during the COVID-19 pandemic. Methods: Cross-sectional study, conducted in July 2020 with multiprofessional health residents (n = 67) from a university hospital. We used the Beck Anxiety Inventory to assess anxiety. Analyzing data through the chi-square test, likelihood ratio, and multiple analysis using Poisson regression with robust variance. Results: The proportion of moderate/severe anxiety was 31.3%, which showed significant association with working in sectors involving COVID-19 and directly with suspected/confirmed cases of COVID-19. During the multiple analysis, we found prevalence of anxiety in participants who needed psychological support after entering their residence and those who used psychotropic meds. Conclusion: The results seem to indicate that residents had their mental health impaired during the pandemic, but the maintenance of the variables in the model also suggests that they sought help to control anxiety.

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