scholarly journals Use of Rasch Wright map to understand the quality of Healthcare Workers’ Knowledge, Attitudes, and Practices for Uncomplicated Malaria (HKAPIUM)

2021 ◽  
Vol 18 (3) ◽  
pp. 237-244
Author(s):  
Nanloh S. Jimam ◽  
Nahlah E. Ismail ◽  
Dauda A. Dangiwa ◽  
Maxwell L.P. Dapar ◽  
Comfort N. Sariem ◽  
...  
Keyword(s):  
Uncomplicated Malaria ◽  
Item Difficulty ◽  
Quality Of Healthcare ◽  
Attitudes And Practices ◽  
Ability Levels ◽  
The Mean ◽  
Components Analysis ◽  
Plateau State ◽  
Variance Explained

The present study assessed the dimensionality and item difficulty targeting to person ability of HKAPIUM scale using Rasch Wright map approach. A HKAPIUM instrument (Cronbach’s alpha = 0.71) containing eighteen (18)-items was administered to 121 trained healthcare professionals involved in the management of uncomplicated malaria in 24 selected primary health care (PHC) facilities in Plateau state, Nigeria. The respondents filled and returned the instrument and the data was analyzed using Bond&Fox software®. The Rasch principal components analysis (Rasch-PCA) of the item residuals indicated variance explained values of 52 (knowledge), 41.1 (attitudes), and 55.4 (practices) and eigenvalues of the first contrast as 1.2, 1.8, and 1.5, respectively, which were within acceptable values thatindicated the unidimensionality of the three constructs of the HKAPIUM scale. The result showed moderate items difficulty levels for all the three constructs. The mean person ability levels of respondents with-respect-to knowledge-related items were low, while their mean person ability levels in endorsing the attitudes and practices-related items were good. The study revealed unidimensionality of the 3 constructs of HKAPIUM scale, with observed mismatch between item difficulty levels of the constructs with most of the person ability levels of the respondents.

scholarly journals Quality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia

2020 ◽  
Vol 30 (5) ◽  
Author(s):  
Balkew Asegidew Tegegn ◽  
Betregiorgis Zegeye Hailu ◽  
Birhanu Damtew Tsegaye ◽  
Gashaw Garedew Woldeamanuel ◽  
Wassie Negash
Keyword(s):  
Quality Of Service ◽  
Quality Of Care ◽  
Quality Of Healthcare ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional ◽  
The Mean ◽  
Process Dimension

BACKGROUND: Inappropriate Tuberculosis (TB) diagnosis and treatment contributes to unfavorable health outcome among TB patients. Improving quality of healthcare service helps to avert TB related morbidity. Despite these facts, the level of quality of service is not known in the hospitals. Hence, the present study was conducted to assess the quality of care delivered to TB patients among publichospitals.METHODS: A facility-based cross-sectional study was conducted from March 15 to April 30, 2019 in North Shewa Zone, Amhara region, Ethiopia. All TB patients who had follow-up in the hospitals were included. This resulted in the involvement of 82 TB patients. Data was collected by trained data collectors using facility audit, clinical observation checklists, structured questionnaire and in-depth interview. Data was analyzed using SPSS version 20. Binary logistic regression analysis was done to identify the predictors of patients’ satisfaction.RESULTS: In this study, 82 respondents with a mean age of 36.48 (±13.27) years were participated. The mean quality score for structural dimension was 59.5%, and 53.7% of participants were found to be satisfied in outcome dimension. The mean score for process dimension of quality of service were 67.9%. Having TB symptoms were significantly associated with the level of patientsatisfaction towards TB care [AOR = 0.217, p = 0.015].CONCLUSION:Quality of TB services from structural and outcome dimension were low and higher in process dimension. Thus, careful attention on the quality of services will help to reduce the burden of TB.

scholarly journals Predictors of patients' knowledge, attitudes and practices (KAP) regarding uncomplicated malaria in the primary healthcare facilities of Plateau state, Nigeria

2020 ◽  
Vol 34 (4) ◽  
pp. 329-344 ◽  
Author(s):  
Nanloh Samuel Jimam ◽  
Nahlah Elkudssiah Ismail
Keyword(s):  
Primary Healthcare ◽  
Uncomplicated Malaria ◽  
Design Methodology ◽  
Content Type ◽  
Healthcare Facilities ◽  
Attitudes And Practices ◽  
Intervention Measures ◽  
Therapeutic Outcomes ◽  
Plateau State ◽  
Knowledge Attitudes And Practices

PurposeThis study determined factors that influenced patients' knowledge, attitudes and practices (KAP) regarding uncomplicated malaria in primary healthcare (PHC) facilities of Plateau state, Nigeria.Design/methodology/approachThe data of 956 patients treated for uncomplicated malaria in PHC facilities of Plateau state were used for the study. Inferential statistical analyses were conducted to identify factors that influenced patients' KAP on the disease and its management.FindingsThe study revealed age (p < 0.001), level of education (p = 0.012), attitudes (p = 0.007) and practices (p < 0.001) as significant predictors of knowledge outcomes on uncomplicated malaria, while their attitudes towards the disease and its management was predicted by their gender (p = 0.011), occupation (p = 0.049), monthly income (p = 0.018), knowledge (p < 0.001) and practices (p < 0.001). Furthermore, their practices were significantly predicted by monthly incomes (p = 0.043), knowledge (p < 0.001), attitudes (p < 0.001) and number of anti-malarial and adjunct drugs administered to them (p = 0.041).Originality/valueThe study revealed a mixed influence of patients' characteristics on their KAP outcomes. This calls for appropriate intervention measures towards achieving the desired patients' therapeutic outcomes.

scholarly journals Correlation of happiness and professional autonomy in Iranian nurses

2019 ◽  
Vol 24 (8) ◽  
pp. 622-632
Author(s):  
Seyyedeh Roya Mousavi ◽  
Kourosh Amini ◽  
Farhad Ramezani-badr ◽  
Mahin Roohani
Keyword(s):  
Nursing Care ◽  
Random Sampling ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Professional Autonomy ◽  
Practice Behaviors ◽  
The Mean ◽  
Oxford Happiness Inventory ◽  
Positive Significant Correlation

Background Happiness and professional autonomy in nurses increase job satisfaction, reduce turnover and improve the quality of healthcare services. Aims The present study aimed to examine the correlation between happiness and professional autonomy in Iranian nurses. Methods This descriptive-correlational study was conducted on 371 nurses in 2017. The participants were selected via two-step random sampling. Data were collected using the Oxford Happiness Inventory and Dempster Practice Behaviors Scale within the score ranges of 0–87 and 30–150, respectively. Data analysis was performed in SPSS version 16. Results Mean score of happiness among nurses was 43.1 ± 13.3 and the mean score of professional autonomy was 96.4 ± 13.5. According to Pearson's correlation coefficient, professional autonomy had a positive, significant correlation with happiness ( r = 0.481; p < 0.001). In addition, the results of regression analysis indicated that professional autonomy could predict 23% of the happiness variance in the nurses ( p < 0.001). Conclusions According to the results, the level of happiness in Iranian nurses was favourable, whereas the level of professional autonomy was moderate. Considering the significant correlation between happiness and professional autonomy, attention should be paid to the simultaneous enhancement of these variables to improve the efficiency of nursing care.

scholarly journals COMPOSITION AND QUALITY OF FRESH COW MILK OFFERED FOR SALE IN PARTS OF PLATEAU STATE OF NIGERIA.

2021 ◽  
Vol 22 (1) ◽  
pp. 81-84
Author(s):  
J. A. IBEAWUCHI ◽  
D. M. DALYOP
Keyword(s):  
Methylene Blue ◽  
Agar Plate ◽  
Cow Milk ◽  
Plate Count ◽  
Methylene Blue Reduction ◽  
Methylene Blue Test ◽  
Microscopic Count ◽  
The Mean ◽  
Plateau State

The gross composition and quality of fresh cow milk purchased from Fulani milk vendors in three locations of Plateau State were investigated. Milk quality was assessed by the methylene blue reduction test while bacterial contamination was by the agar plate count and the direct microscopic count. The mean contents of total solids, butterfat, protein and ash of a total of 100 samples from Barkin Ladi, Jos and Bukuru markets were 12.45, 4.77, 3.90, 0.92; 12.85, 4.50, 3.68, 0.93; and 12.41, 5.26, 3.72, 0.91% respectively. The proximate constituents did not differ significantly between locations. The methylene blue test indicated that only 23.5% of the sample were of good quality while 41.2 and 35.3% were rated fair and poor respectively. No sample merited excellent rating. The agar plate count showed a range of 1.97 x 106 for Bukuru to 2.54 x 106 cells/ml for Jos market. The direct microscopic count showed the highest mean bacteria value for Barkin Ladi samples. The high bacterial counts as observed were probably indicative of poor milking hygiene and handling. It is suggested that such milk should be properly pasteurized before consumption and delivered/marketed early at source to reduce the time for microbial multiplication.

scholarly journals Observance of patients’ rights by physicians and nurses from the COVID-19 patients’ perspective

2021 ◽  
Author(s):  
Mohsen Kamali ◽  
Seyed Kazem Mousavi
Keyword(s):  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Patients Rights ◽  
The Social ◽  
The Mean ◽  
Patients Perspective

Observance of patients' rights is a significant indicator in evaluating the quality of healthcare services. The COVID-19 pandemic has become a global crisis and affected the interactions between healthcare providers and patients. This study examined the COVID-19 patients’ viewpoint about the observance of their rights by physicians and nurses. This study is a descriptive cross-sectional work of research conducted on the COVID-19 patients in Zanjan Province, Iran, in September 2020. The subjects were selected through convenience sampling, and data was collected using a two-section questionnaire consisting of a demographic characteristics survey and a Likert-type scale for evaluating patients' rights observance. The validity and reliability of the questionnaire were found to be acceptable, and the collected data was analyzed in SPSS v.26 using descriptive statistics, independent t-test, and ANOVA test. The mean score of observance of patients' rights was 69.60±7.36, representing a moderate level. The highest and lowest scores for the observance of patients' rights were related to the dimensions of courteous communication and responsibility, respectively. A significant relationship was found between the observance of patients’ rights and their marital status, health insurance, and education level (P<0.05). This study showed that the observance of the COVID-19 patients' rights has not been affected by the social agitation caused by this disease.

scholarly journals Knowledge of Healthcare Professionals Regarding the Primary Management of Anaphylaxis in Madinah, Saudi Arabia

2021 ◽  
pp. 228-235
Author(s):  
Nasser S. AlHaddad ◽  
Abdul Rahman A. Alshaeri ◽  
Athar A. Faidh ◽  
Yaser M. Alahmadi ◽  
Hossein M. Elbadawy ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Healthcare Professionals ◽  
Knowledge Score ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Population Based ◽  
P Value ◽  
The Mean ◽  
Primary Management

Aim: To assess the knowledge, attitude and practice of healthcare professionals regarding the anaphylaxis in Medina, Saudi Arabia. Settings and Design: This was a population-based epidemiological study using a survey composed of 20 questions about the causes, symptoms, and treatment of anaphylaxis. Methods: This survey was distributed to healthcare professionals who represented different job categories including consultants, specialists, interns, residents, nurses, and medical students.  Statistical Analysis Used: One-way ANOVA is used to compare the knowledge score across different job categories. SPSS V26 software was used for the analysis and a p value of <0.05 was considered significant. Results: The mean of the correct answers for all participants was 60% and no difference in the mean scores was found in all participant from different job categories. The minimum achieved score was 30% and the maximum score was 100%. The score for the correct answers to each question was varied from 21% to 81%. Conclusions: The shortage of knowledge among the healthcare professionals regarding anaphylaxis predicts the occurrence of undesirable outcomes for patients. Educating healthcare professionals regarding the management of anaphylaxis can improve the quality of healthcare services.

Chất lượng dịch vụ Bệnh viện Phụ sản MêKông qua cảm nhận của khách hàng ngoại trú năm 2019

2020 ◽  
Vol 04 (04) ◽  
pp. 9-17
Author(s):  
Ha Diem Tran ◽  
Thi Tu Quyen Bui
Keyword(s):  
Service Quality ◽  
Healthcare Service ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Mean ◽  
High Level ◽  
Improve Service Quality

Objective: The aim of study is assessing the healthcare service quality through outpatient’s perception and analyzing several effects on the quality of healthcare services. Methods: The descriptive cross-sectional study, using quantity and qualitative method was conducted at MeKong Obstetric and Gynecology hospital. 285 selected outpatients filled the original SERVPERF questionaire which consists 22 questions about 5 dimensions of service quality: Reliability, Responsiveness, Assurance, Empathy and Tangible. Main findings: The results showed that the mean score of all the domains is 4.34 (± 0.41). The majority (96.1%) of respondents evaluated the quality of healthcare services in high level. The positive influencies on healthcare service included: qualifications of medication, reasonable cost, and short waiting. The negative remarkable factor is the unequal in a mount of clients in working-times. Conclusions: The hospital’s service quality has been evaluated very well, however the hospital needs to know how to meet clientsdemands through its policies concerning customers to improve service quality better. Keywords: healthcare service quality, SERVPERF, outpatient.

scholarly journals Evaluating Instrument Quality: Rasch Model – Analyses of Post Test of Curriculum 2013 Training

2018 ◽  
Vol 9 (1) ◽  
pp. 67-86
Author(s):  
Komalasari
Keyword(s):  
Rasch Model ◽  
Rasch Analysis ◽  
Item Difficulty ◽  
Measurement Model ◽  
Test Items ◽  
Item Fit ◽  
Ability Levels ◽  
Post Test ◽  
Instrument Quality

The main purpose of this study was to evaluate the quality of post test utilized by LPMP Central Kalimantan Indonesia in curriculum 2013 training for X grade teachers. It uses Rasch analysis to explore the item fit, the reliability ( item and person), item difficulty, and the Wrigh map of post test. This study also applies Classical Test Teory (CTT) to determine item discrimination and distracters. Following a series of iterative Rasch analyses that adopted the “data should fit the model” approach, 30 items post test of curriculum 2013 training was analyzed using Acer Conquest 4 software, software based on Rasch measurement model. All items of post test of curriculum 2013 training are sufficient fit to the Rasch model. The difficulty levels (i.e. item measures) for the 30 items range from –1.746 logits to +1.861 logits. The item separation reliability is acceptable at 0.990 and person separation reliability is low at 0.485. The wright map indicates that the test is difficult for the teachers or the teachers have low ability in knowledge of curriculum 2013. The post test items cannot cover all the ranges of the teachers’ ability levels. Items discrimination of post test of curriculum 2013 training grouped into fair discrimination (item 2, 4, 5, 8, 11, 18) and poor discrimination (1, 3, 6, 7, 9, 10,12, 13, 14, 15, 16, 17, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30). Some distracters from item 1, 2, 6, 7, 8, 9, 11, 13, 16, 17, 18, 19, 20, 22, 24, 25, 27, 28, 29 and 30 are problematic. These distracters require further investigation or revision.   Key words: Rasch analysis, training, curriculum 2013, post test

scholarly journals PATIENTS’ KNOWLEDGE, ATTITUDES, AND PRACTICES ON UNCOMPLICATED MALARIA MANAGEMENT IN PLATEAU STATE, NORTH-CENTRAL NIGERIA

2019 ◽  
pp. 299-303 ◽  
Author(s):  
NANLOH S JIMAM ◽  
NAHLAH E ISMAIL
Keyword(s):  
Uncomplicated Malaria ◽  
Microsoft Excel ◽  
North Central ◽  
Attitudes And Practices ◽  
Positive Attitudes ◽  
The Social ◽  
Study Population ◽  
Plateau State ◽  
Age Range ◽  
Knowledge Attitudes And Practices

Objectives: This study aimed to assess patients’ knowledge, attitudes, and practices (KAP) on uncomplicated malaria management in primary health-care (PHC) facilities of Plateau state, Nigeria. Methods: A validated self-reported scale known as patients’ KAP instrument for uncomplicated malaria with Cronbach’s alpha reliability of 0.74 was administered to 956 patients that consented to participate in the study across 24 PHC facilities in the state between May and July 2017. The collated data were analyzed using Microsoft Excel and IBM Statistical Package for the Social Sciences (SPSS®) version 23 software. Results: There were more female participants (53.5%) compared to the males (46.5%), and majority (33.4%) within the age range of 28 and 37 years with 26.5% falling within the age range of 18–27 years and children of <18 years of age constituted 13.8% of the study population. About 42.1% of the respondents were married, and many either had secondary (37.3%) or primary (30.0%) education as their highest qualifications. With overall mean (±standard deviation [SD]) attitudes’ score of 34.55 (±7.20), majority (50.8%) were categorized as having average positive attitudes toward disease and its management, and many of them (55.2%) also had good knowledge (mean [±SD] score=4.59 [±1.44]) and practices (67.1%) (mean [±SD] score=14.98 [±3.44]) on the disease and its management. Conclusion: The study indicated respondents’ knowledge and practices on uncomplicated malaria as good, while their attitudes toward the disease and its management were average.

PENINGKATAN KUALITAS HIDUP MELALUI LOGOTERAPI PADA KLIEN YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Test Group ◽  
Sampling Technique ◽  
T Test ◽  
P Value ◽  
Number Of Patients ◽  
Post Test ◽  
The Mean

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  

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