scholarly journals Analysis of Factors Affecting the Performance of Emergency Nurses in Bhayangkara Tebing Tinggi Public Hospital

2020 ◽  
Vol 1 (6) ◽  
pp. 52-64
Author(s):  
Vera Agustina ◽  
Ismail Efendy ◽  
Masnelly Lubis

Emergency Room (IGD) as one of the first entry points for patients to the hospital, will indirectly provide an overview of hospital services as a whole. Data on emergency visits of patients at Bhayangkara Tebing Tinggi Hospital in the January - May 2020 period were 2,685 patients and experienced a significant decrease every month. The research objective was to analyze the factors that influence the performance of emergency room nurses at the Tebing Tinggi Bhayangkara General Hospital in 2020. The research design used a descriptive analytic method with a cross-sectional approach. The population in the study were all nurses who served in the IGD at the Bhayangkara Tebing Tinggi Hospital in 2020 totaling 32 people. The sample uses the otal population. Data analysis used univariate, bivariate and multivariate analysis using logistic regression tests.The results of the study using logistic regression showed the sig. each variable, namely the variable ability (0.578), skills (0.011), motivation (0.129), reward (0.013), infrastructure (0.855) and the value of Exp (B) the largest = 26.633 in the variable reward. The conclusion of this study is that there is a significant effect of skills and rewards on the performance of nurses in the IGD at the Bhayangkara Tebing Tinggi Hospital and the variables that have no significant effect are ability, motivation and infrastructure.

Author(s):  
Sookkyoung Park ◽  
Yaki Yang

This study aimed to examine factors affecting radiation protection behaviors among emergency room nurses by assessing knowledge about radiation protection and attitude towards radiation protection, employing a cross-sectional design. Subjects were a convenience sample of 129 nurses working in the emergency rooms of three advanced general hospitals. Data were collected using self-report questionnaires and analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression. There were significant relations between knowledge about radiation protection and attitude towards radiation protection (r = 0.34, p < 0.001), knowledge about radiation protection and radiation protection behaviors (r = 0.37, p < 0.001), and attitude towards radiation protection and radiation protection behaviors (r = 0.33, p < 0.001). The factors affecting radiation protection behaviors were radiation protection knowledge (β = 0.12, p = 0.045), attitude towards radiation protection (β = 0.17, p = 0.009), the experience of radiation protection education (β = 0.27, p < 0.001), and wearing of protective equipment (β = 0.29, p < 0.001). The governments, hospital administrators, and radiation protection agencies should strengthen their radiation defense environment to protect emergency room nurses from radiation. Research and development of radiation defense equipment and the medical examination of emergency room nurses should be carried out, radiation defense behavior protocols should be developed, radiation defense education opportunities should be provided, and the use of defense equipment should be encouraged.


2020 ◽  
Vol 13 (1) ◽  
pp. 15-26
Author(s):  
Su Jin Lee ◽  
Sunjoo Boo ◽  
Jeong-Ah Ahn ◽  
Mi-Ae You

2019 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Ali Tagizadieh ◽  
Payman Moharamzadeh ◽  
Alireza Ala ◽  
Elham Salami ◽  
Kavous Shahsavari Nia

Background and Purpose: Trauma is considered to be one of the main causes of death in the world and the number of deaths caused by traumatic incidents has experienced an annual increase of 15%. Despite this fact that comprehensive information on the incidence of pulmonary complications in traumatic patients, the patients’ fate in the country and factors affecting it is not available, the present study was conducted to determine the incidence of these complications and the main factors causing them in patients with traumatic injuries visiting the emergency room of the largest medical, educational, and research center in the province, which is considered to be the most important transfer center for traumatic patients from other medical centers in the region. Methods: This is a cross-sectional prospective study conducted on the injured people who visited the emergency room of Imam Reza Hospital in Tabriz in 2015. The incidence of pulmonary complications and factors affecting them were recorded in a valid and reliable researcher-developed checklist that included demographic information and information related to the incident. The significance level was set at p < 0.05. Results: Of all the 482 traumatic patients, 63.5% were men with a mean age of 41.6±15.4, with pulmonary complications reported in 48.1% of them. Pneumonia was the most common complication among these patients which was reported in 161 (33.4%) patients, and pneumothorax and ARDS were the second and third most common complications with the frequencies 41 (8.5%) and 39 (8.1%), respectively. The main causes of the incidence of pulmonary complications were reported to be an age of above 45 (p < 0.001), reduced consciousness level based on GCS criterion (p = 0.01), single trauma to the chest (p < 0.001), synchronous trauma to the chest and other organs (p < 0.001), hospitalizations of longer than one week (p < 0.001), intubation (p < 0.001) and finally transfer of the patient to the operation room (p < 0.001). It should be noted that a pulse rate of more than 100 beats in a minute was accompanied by a decrease in the incidence of pulmonary complications (p = 0.01). In the evaluation of the patients’ fate, it was found out that only 15 (3.1%) patients were discharged from the emergency room. Finally, 34 patients (7.05%) died during the study, with the age group 15-29 years accounting for one third of the patients investigated. Pneumonia (33.4%) was the most common pulmonary complication. For 152 patients (34.8%) the duration of hospitalization was longer than seven days. Conclusion: The fact that the incidence of pulmonary complications in traumatic patients visiting the Location of research was 48.1% highlights the need for further attention to and proper management of complications in these patients. Delayed pulmonary complications are more common among traumatic patients, since the most common complication in this study was reported to be delayed pneumonia. Therefore, given the significance of such a high incidence, further studies and taking effective preventive and medical measures are strongly suggested.


2016 ◽  
Vol 12 (3) ◽  
Author(s):  
Sova Evie ◽  
Titin Andri Wihastuti ◽  
Tony Suharsono

Triage was important to allow quick and precise identification with every patient arriving at the emergency room, in order to avoid exacerbating the patient's condition on emergency care. So that patients with critical conditions will be given priority compared to patients with stable condition. Triage nurse is the first to receive patients in the emergency room, this interaction affects all patients in the ER and be very important on the condition number of patient visits that much. The purpose of this research is to analyze the factors associated with the implementation of triage by nurses in ER Hospital Type C Malang.This study uses comparative analytic design with cross sectional approach. Using total sampling against the 35 sample period  May 2, 2016 -  May 26, 2016. The results of the bivariate analysis of unknown factors related to the implementation of the triage nurse is the factor of emergency training (p value = 0.021). Improve skills of emergency nurses  through education and training and training in emergency triage standardized. Keywords: Training, implementation triage


Crisis ◽  
2014 ◽  
Vol 35 (5) ◽  
pp. 357-361 ◽  
Author(s):  
Yasuhiro Kishi ◽  
Kotaro Otsuka ◽  
Keiko Akiyama ◽  
Tomoki Yamada ◽  
Yumiko Sakamoto ◽  
...  

Background: Suicide attempts are frequently encountered by emergency department nurses. Such encounters can potentially provide a foundation for secondary suicide prevention. Aims: The aim of the present investigation was to evaluate the effect of a 7-hr training program for emergency room nursing personnel in Japan. Method: In all, 52 nurses completed the questionnaires before the workshop and 1 month after the workshop. The nurses’ understanding of and willingness to care for suicidal patients positively changed. Results: It is feasible to provide a 7-hr, relatively short, workshop on suicidal prevention aimed at emergency medical staff and to improve attitudes during a follow-up of 1 month. Conclusion: It is uncertain whether the positive attitudes of emergency nurses toward suicide and/or educational interventions could impact the outcomes of these interventions. Further studies are needed to address these important questions in this field.


2020 ◽  
Author(s):  
Endrias Zewdu Gebremedhin ◽  
Edilu Jorga Sarba ◽  
Abraham Mekebib Getaneh ◽  
Getachew Kebebew Tola ◽  
Solomon Shiferaw Endale ◽  
...  

Abstract BackgroundThe dog and cat population data is generally scarce in developing countries due to absence of surveys. The demography of owned dogs and cats, and the associated ownership characteristics, are essential for the control of pet population and zoonosis. This study was conducted in three towns of West Shoa Zone of Ethiopia with the objectives of assessing demographic characteristics of owned dogs and cats and determinants of ownership. MethodsA cross-sectional questionnaire-based survey was designed and administered to households to collect data on the demography and determinants of dog/cat ownership. Six hundred and ten households, consisting of 305 in Ambo, 182 in Bako, and 123 in Gojo towns were interviewed. Logistic regression analysis was used to identify predictors of dog/cat ownership. ResultsAbout 65.1% (95% CI: 62.1 – 69.8%) of the householders own dogs, 39.2% (95% CI: 35.8 – 43.8%) own cats, and 30.6% (95% CI: 27.4 – 35.0%) own both. The majority of the dog-owning households own a single dog (74.8%) and cat (74.9%). There were significantly higher proportion of dog and cat-owning households in Bako than Ambo and Gojo towns. The human to owned-dog ratio was 6:1, and that of cat ratio was 10:1. There were more male dogs (72.1%) and more female cats (59.7%). The male to female sex ratio was estimated at 3:1 for the dog while nearly 1:1 for cats. About 37.5% of the owned dogs were indoor, and 62.5% have free access to outside. Dogs and cats were acquired as a gift from families, neighbors, and friends. The identified reason for not owning dogs/cats were fear of zoonosis, dislike, no time to devote, benefit not realized, and shortage of finance. Logistic regression analysis identified study town, community type, gender of head of household, ownership of other animals as determinants for dog/cat ownership. Besides, possessing dogs was significantly associated with cat ownership. ConclusionData on dog/cat ownership status is important for the provision of veterinary services, pet population control, and for quantifying risks associated with dog/cat to the community and control of dog/cat borne zoonosis.


2021 ◽  
Vol 9 ◽  
pp. 251513552110325
Author(s):  
George Uchenna Eleje ◽  
Godwin Otuodichinma Akaba ◽  
Ikechukwu Innocent Mbachu ◽  
Ayyuba Rabiu ◽  
Olabisi Morebise Loto ◽  
...  

Objective: To determine the hepatitis B vaccination coverage, full-dose (⩾3) coverage and the associated factors affecting uptake among pregnant women. Methods: This was a cross-sectional study among pregnant women attending antenatal care in six tertiary hospitals across all the geopolitical zones of Nigeria. Pregnant women who consented to the study completed screening questions about their hepatitis B vaccination status and coverage. The main outcome measures were hepatitis B vaccination coverage rate, dose, and factors affecting uptake. Bivariate analysis was performed by the chi-square test and conditional logistic regression analysis was used to determine variables associated with uptake of the vaccination. Odds ratios (ORs) and adjusted odds ratios (aORs) were calculated and statistical significance was accepted when p-value was < 0.05. Results: Of 159 pregnant women who completed the interview questions, 21 [13.2%, 95% confidence interval (CI) 7.9–18.5%] were vaccinated for hepatitis B for one to three doses. The numbers of doses received were: three doses (8/159, 5.0%), two doses (5/159, 3.1%), and one dose (8/159, 5.0%). The reasons for non-uptake of vaccination included: lack of awareness of the vaccine 83/138 (60.1%), inadequate access to vaccine 11/138 (8.0%), and positivity to hepatitis B virus 10/138 (7.2%). The uptake of hepatitis B vaccination was significantly affected by the level of education (OR 0.284, 95% CI 0.08–1.01, p = 0.041), but in multivariable logistic regression, adjusted for confounders, the association between hepatitis B vaccination and participants’ level of education (aOR 3.09; 95% CI 0.95–10.16; p = 0.061) did not remain significant. Conclusions: In Nigeria, the national hepatitis B vaccination coverage among pregnant women appears poor, with the full-dose coverage even poorer. The level of education was not positively associated with uptake of hepatitis B vaccination, while lack of awareness of the vaccine was the commonest reason for non-uptake. Funding: TETFund National Research Fund 2019 (grant number TETFund/DR&D/CE/NRF/STI/33).


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Khalid Alhussain ◽  
Abdulkarim M. Meraya ◽  
Usha Sambamoorthi

Objectives. (1) To examine the association between serious psychological distress (SPD) and emergency room (ER) use in the past 12 months among adults with multimorbidity in the United States (US) and (2) to investigate the association between SPD and the reasons for ER use. Methods. The current study used a cross-sectional design with retrospective data from the 2015 National Health Interview Survey. Logistic regression models were used to assess the association between SPD and ER use among adults with multimorbidity. Among ER users, adjusted logistic regression models were conducted to examine the association between SPD and the reasons for the ER use. Results. After controlling for other variables, adults with multimorbidity and SPD were more likely to use ER than those with multimorbidity and no SPD (AOR = 1.61, 95% CI = 1.26, 2.04). Among ER users, there were no significant associations between SPD and the reasons for ER use after controlling for other variables. Conclusion. Adults with multimorbidity and SPD were more likely to use ER as compared to those with multimorbidity and no SPD. Among adults with multimorbidity, routine screening for SPD may be needed to reduce the ER use.


Author(s):  
Esmaeil Farzaneh ◽  
Firouz Amani ◽  
Fariba Sadeghi-Movahhed ◽  
Kaveh Mataei

Background: Along with the complexity of social communications, the rate of suicide is increasing, and according to studies, women commit suicide more than men. Various factors affect the occurrence of this phenomenon. The purpose of this study was to determine the factors affecting unsuccessful suicide among women referring to the emergency room of the hospital of Ardabil City, Iran. Methods: This study was a descriptive cross-sectional study conducted on 236 women who had unsuccessful suicide. Questions were asked from patients with a checklist. This checklist has four parts. The first part relates to the patient’s personal information, and the second part relates to the patient’s previous history of mental, physical, and addiction problems. The third part asked about the causes of suicide and the fourth part related to the prior announcement. The collected data were analyzed by statistical methods in SPSS v. 18. Results: The Mean±SD age of the women was 27.66±9.95 years, and the majority was between 15 and 20 years old. About 64% of women were housewives, and 37.7% had undergraduate education. Also, 36% had a positive history of psychological diseases, and 30.9% had a history of suicide. The most common causes of suicide among women were emotional problems (91.9%), family and marriage conflict (81.8%), spouse’s disregard (50.4%), and economic issues (44.5%). Conclusion: The results showed that emotional problems and family and marital conflicts were common causes of suicide among women, and all women had at least one crucial reason for their suicide attempt.


2019 ◽  
Vol 1 (2) ◽  
pp. 294-303
Author(s):  
Ni Luh Dita Andrayoni ◽  
Made Martini ◽  
Nur Widya Putra ◽  
Kadek Yudi Aryawan

The purpose of this study was to study the relationship between the role and attitudes of emergency room nurses and the implementation of triage based on priorities. The research method used is descriptive correlational with cross sectional design. The results of the study showed the role of nurses with the implementation of triage of 25 people (65.8%), approved a positive attitude with the implementation of triage of 23 people (60.5%) and successfully carried out triage according to the SOP of 30 people (78.9%). The results of the study with the chi-square test p-value <0.05. In conclusion, there is a relationship between the role and attitudes of emergency nurses with the implementation of triage based on priorities. Keywords: Role, Attitude, Triage


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