scholarly journals Faktor-Faktor yang Berhubungan dengan Pengetahuan Perawat Tentang Penyapihan Ventilasi Mekanik Di Ruang Perawatan Intensif Rumah Sakit Panti Rapih Yogyakarta

2021 ◽  
Vol 2 (2) ◽  
pp. 103-115
Author(s):  
Ganes Irawati Hardjono ◽  
Chatarina Setya Widyastuti ◽  
Fransisca Anjar Rina
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
P Value ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Collaborative Action ◽  
Ventilation Weaning ◽  
Level Of Knowledge ◽  
The Mean ◽  
Mechanical Ventilation Weaning

Background: Mechanical ventilation weaningis a collaborative action of multidisciplines. The nurse's knowledge plays an important role in assessing the readiness of the patient and observing it during the weaning process to support the success of the patient escaping from mechanical ventilation.   Objective: The purpose of this study was to determine the factors related to the knowledge of nurses about mechanical ventilation weaning in the Intensive Care Room at Panti Rapih Hospital.   Methods:This research is adescriptive analytic study with a cross sectional approach. The population of this study were all nurses who worked in the Intensive Care Room at Panti Rapih Hospital, Yogyakarta. The sample in this study was the total population, namely nurses in the Intensive Care Room, amounting to 48 respondents. The research instrument was avalid and reliable questionnaire on the level of knpwledge and influencing factors with a calculated r value of morethan 0.482 and cronbach alpha 0.75. Analysis using independent T-test and Spearman   Results: The mean level of knowledge of respondents about mechanical ventilation weaning averaged 31.52 with CI7.458. Factors related to mechanical ventilation weaning knowledgein this studywereage (p-value:0.024), education (p-value:0.000), experience (p-value: 0.003), social and cultural (p-value: 0.009).), and sources of information (p-value:0.001). Meanwhile, the factors that were not related to knowledge of mechanical ventilation in this study were environment (p-value:0.115) and economy (p-value:0.231).

Improving Adherence to a Mechanical Ventilation Weaning Protocol for Critically Ill Adults: Outcomes After an Implementation Program

2006 ◽  
Vol 15 (3) ◽  
pp. 299-309 ◽  
Author(s):  
Suzanne E. McLean ◽  
Louise A. Jensen ◽  
Dallas G. Schroeder ◽  
Noel R. T. Gibney ◽  
Neil M. Skjodt
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Multidisciplinary Team ◽  
Safety Climate ◽  
Ventilator Associated Pneumonia ◽  
Implementation Program ◽  
General Systems ◽  
Ventilation Weaning ◽  
Mechanical Ventilation Weaning

• Background Despite multiple reminders, education sessions, and multidisciplinary team involvement, adherence to an evidence-based mechanical ventilation weaning protocol had been less than 1% in a general systems intensive care unit since implementation. • Objective To assess the effectiveness of using an implementation program, the Model for Accelerating Improvement, to improve adherence and clinical outcomes after restarting a mechanical ventilation weaning protocol in an adult general systems intensive care unit. • Methods A prospective comparative design, before and after implementation of the Model for Accelerating Improvement, was used with a consecutive sample of 129 patients and 112 multidisciplinary team members. Clinical outcomes were rate of unsuccessful extubations, rate of ventilator-associated pneumonia, and duration of mechanical ventilation; practice outcomes were staff’s understanding of the mechanical ventilation weaning protocol, perceptions of the practice safety climate, and adherence to the weaning protocol. • Results After the intervention, the rate of unsuccessful extubations decreased, and staff’s understanding of and adherence to the weaning protocol increased significantly. The rate of ventilator-associated pneumonia, duration of mechanical ventilation, and staff’s perceptions of the practice safety climate did not change significantly. • Conclusion Implementing the Model for Accelerating Improvement improved understanding of and adherence to protocol-directed weaning and reduced the rate of unsuccessful extubations.

scholarly journals Towards Sustainable Development: Exploring the Knowledge of Environmental Impact Assessment among Undergraduates in a Nigerian University

2020 ◽  
pp. 1-10
Author(s):  
Queencallista N Sidney- Nnebue ◽  
Anita O. Garba ◽  
Gbenga E. Fadiora ◽  
Felicia C. Etim ◽  
Amanda N. Ezenagu ◽  
...  
Keyword(s):  
Environmental Impact ◽  
Marital Status ◽  
Impact Assessment ◽  
Environmental Impact Assessment ◽  
Statistical Significance ◽  
P Value ◽  
Sources Of Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Level Of Knowledge

Background: Efficient project management suffices that decision makers are adequately informed on the impacts of their actions and inactions on the environment. Objective: To explore the knowledge of environmental impact assessment (EIA) among undergraduates of the faculty of environmental sciences in a university in Nigeria.                                                Materials and Methods: This was a cross sectional survey of 350 undergraduates selected via multistage sampling technique. Data were obtained using self- administered semi-structured questionnaires, and analysed using statistical package for social sciences software version 22. Statistical significance were done using Chi-square test at p value < 0.05. Results: Two hundred and eighteen (62.3%) respondents reported awareness of EIA and cited their sources of information on EIA as 111(50.6%) schools, 109 (50%) textbooks, etc. Only (12.6%) out of 350 respondents had good level of knowledge on EIA. Fifty one (14.6%) out of 350 respondents reported ever participated in EIA process, while 34 (9.7%) were participating in EIA process currently. The level of knowledge of EIA process among respondents significantly vary with [gender, p=0.002) and marital status, p= 0.032)] respectively. Conclusions: This study found apparently poor awareness of EIA, poor knowledge of EIA and poor participation in the EIA process. The level of knowledge on EIA vary significantly with gender and marital status. We recommend comprehensive but targeted, need- based environmental education to help create awareness, impart knowledge and equip these students with EIA strategies and skills to handle environmental challenges.

scholarly journals Analysis of Factors Affecting the Weaning of Mechanical Ventilation at ICU RSUD Prof.Dr.Margono Soekarjo Purwokerto

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Etika Emaliyawati ◽  
Esti Dwi Anani ◽  
Ayu Prawesti
Keyword(s):  
Mechanical Ventilation ◽  
Hospital Costs ◽  
Sampling Technique ◽  
Influential Factor ◽  
Apache Ii ◽  
Apache Ii Score ◽  
Cross Sectional ◽  
Weaning Failure ◽  
Ventilation Weaning ◽  
Mechanical Ventilation Weaning

The weaning of mechanical ventilation is a complex process and depends on many factors. The failure to wean mechanical ventilation may lead to prolonged duration of mechanical ventilation, which may increase the risk of ventilator associated pneumonia (VAP), morbidity, mortality, increased hospital costs and lower quality of hospital services. In the year 2016, in ICU RSUD Prof.Dr.Margono Soekarjo Purwokerto, in average there is a 20% failure of mechanical ventilation, if not followed up will adversely affect the patient. Factors investigated in this study included patient, nurses, collaboration and organization. The purpose of this study is to analyze the factors that affect implementation of the weaning of mechanical ventilation in ICU Room Prof.Dr.Margono Soekarjo General Hospital Purwokerto.The method used in this research was descriptive quantitative analytic design with cross sectional approach on 47 mechanical ventilation weaning activities. The sample selection was conducted by accidental sampling technique. Measurements for nurses were carried out using validated values including knowledge, experience and collaboration. While the observation sheet included the implementation of standard operating procedures for mechanical ventilation weaning, collaboration, patients APACHE II score and weaning results.The result of bivariate test showed that there were influence of patient (0.000), nurse (0,021), collaboration (0,024) and organization (0,011) to mechanical ventilation weaning activity. The result of logistic regression test showed that the patient was the most influential factor on mechanical ventilation weaning activity with 87% probability.Nurses should pay more attention to patients especially with high APACHE II scores (≥20) because of the risk of mechanical ventilation weaning failure. Assessment of weaning readiness must be carried out daily with appropriate assessment. While hospitals need to revise policies on mechanical ventilation weaning procedure and continue education and training programme related to patients criticality and collaboration.

scholarly journals Relationship of Information Sources with Knowledge Levels of Nutrition in Pregnant Women in Ciruas Health Center

2022 ◽  
Vol 4 (2) ◽  
pp. 69-78
Author(s):  
Albahra Albahra
Keyword(s):  
Mass Media ◽  
Pregnant Women ◽  
Significant Relationship ◽  
Health Workers ◽  
Statistical Test ◽  
P Value ◽  
Test Results ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Level Of Knowledge

The purpose of this study was to determine the relationship between sources of information and the level of knowledge about nutrition in pregnant women at the Ciruas Health Center in 2019, including family information, mass media information, and information on health workers. This type of research is analytic, with a cross sectional design (cross-sectional). Data analysis with univariate analysis (frequency distribution) and bivariate analysis (Kai Squared Test). Based on the results of the study, it was found that most of the mothers obtained good sources of information from their families (62.7%). Statistical test results obtained p value = 0.031 and OR = 4.821, indicating that there is a significant relationship between family sources of information and the level of knowledge about nutrition in pregnant women, most of the mothers received good sources of information from health workers (58.8%). Statistical test results obtained p value = 0.041 and OR = 4.185, so that there is a significant relationship between sources of information from health workers and the level of knowledge about nutrition in pregnant women and most mothers get good sources of information from the mass media (84.3%). The results of statistical tests obtained p value = 0.117 and OR = 6.682, so there is no significant relationship between sources of mass media information and the level of knowledge about nutrition in pregnant women

Evaluation of Knowledge and Attitude of Kindergarten Teachers about Primary Tooth Trauma in Khorramabad City

2021 ◽  
Author(s):  
Zahra Golestannejad ◽  
Rahman Nazeri ◽  
Marzieh Ghaiour ◽  
Mahdieh Mehrfar
Keyword(s):  
Significant Relationship ◽  
Work Experience ◽  
Pearson Correlation ◽  
Dental Trauma ◽  
Knowledge Score ◽  
Primary Tooth ◽  
P Value ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
The Mean

Introduction: Injury to both the primary and permanent dentitions is one of the most common dental problems. The prognosis of dental trauma depends on the basic measures taken immediately after trauma. This study was designed to assess the level of knowledge, the attitude of kindergarten coaches about primary teeth trauma in Khorramabad city. Materials & Methods: In this Cross-sectional study, 100 kindergarten coaches in Khorramabad participated in this study in 2019-2020. A valid and reliable confirmed questionnaire was used for data collection. Data were analyzed with Pearson correlation coefficients and independent t-test (p value < 0.05). Results: In this study, the mean score of coaches’ attitude was 68.5 and the mean score of knowledge was 34.9. In the present study, the factors of gender, age, level of education had no significant relationship with their knowledge score (p value > 0.05) and attitude, but between work experience with knowledge scores (p value = 0.02) and attitude (p value = 0.004) and so between the level of knowledge (p value = 0.004) and attitude (p value = 0.008) and passing the dental emergency training course, a direct relationship was observed. In this study, there was a significant relationship 64% of the coaches experienced dental trauma and their mean score of knowledge (p value = 0.04) and attitude (p value = 0.001) was significantly higher than other coaches. Conclusion: The assessed level of dental knowledge of the coaches participating in this study was poor, whereas their attitude about primary tooth trauma was good. The great suggestion is to hold educational programs in this regard to increase the level of knowledge of kindergarten coaches in the field of dental trauma.

Taxa de Sucesso do Desmame Ventilatório de Pacientes Mecanicamente Ventilados: Estudo de Demanda para Indicador de Qualidade de uma UTI de Hospital Público de Campo Grande, MS

2019 ◽  
Vol 22 (2) ◽  
pp. 97
Author(s):  
Clara Helen Oliveira Bezerra ◽  
Daniel Martins Pereirab
Keyword(s):  
Mechanical Ventilation ◽  
Success Rate ◽  
Quality Indicators ◽  
Quality Indicator ◽  
Extubation Failure ◽  
Failure Group ◽  
Ventilation Weaning ◽  
Success Group ◽  
The Mean ◽  
Mechanical Ventilation Weaning

O desmame ventilatório é o processo de descontinuação da ventilação mecânica invasiva - VMI e retirada da prótese endotraqueal, quando opaciente está apto a retornar para a ventilação espontânea. A mensuração da taxa do sucesso do desmame ventilatório oferece dados quantificáveis referentes ao desfecho da interrupção da VMI, podendo este ser utilizado para a criação de um indicador de qualidade. Indicadores de qualidade são medidas utilizadas para descrever uma situação existente e são ferramentas importantes para avaliar o desempenho e realizar planejamentos. Objetiva-se mensurar a taxa de sucesso e insucesso da extubação, identificando o processo do desmame ventilatório e coletando informações para a elaboração de um indicador de qualidade do serviço de fisioterapia. Tratou-se de um estudo clínico prospectivo observacional, com coleta de dados de pacientes internados na UTI, sob VMI aptos à realização do teste de respiração espontânea - TRE. Após a extubação, o participante foi incluído no grupo sucesso ou no grupo falha da extubação. Foram incluídos 50 participantes sob VMI aptos a realização do teste de respiração espontânea, seguido da extubação. Destes, 29(58%) eram do sexo masculino e 21(42%) do sexo feminino. A média de idade foi de 59,0±17,9 anos. A taxa de sucesso da extubação foi de 86%(43). Conclui-se que para a amostra estudada, considerando suas características, a taxa de sucesso da extubação se aproxima das descritas na literatura. Porém, esta taxa não se mostrou adequada para compor um indicador de qualidade do serviço de fisioterapia.Palavras-chave: Indicadores de Qualidade. Desmame do Respirador Mecânico. Extubação.Abstractventilatory weaning is the weaning process of mechanical ventilation and removal of the endotracheal prosthesis when the patient is ableto return to spontaneous ventilation. The measurement of the success rate of ventilatory weaning provides quantifiable data regarding theoutcome of the IMV interruption, which can be used to create a quality indicator. Quality indicators are measures used to describe an existingsituation and are important tools for evaluating performance and planning. to measure the success rate and failure of extubation, identifying the ventilatory weaning process and collecting information for the elaboration of a quality indicator of the physiotherapy service. it wasa prospective observational clinical study with data collection of patients in an intensive care unit in IMV able to undergo to spontaneousbreathing trial (SBT). After extubation, the participant was included in the success group or in the extubation failure group. Fifty participantsin IMV were eligible to perform the spontaneous breathing test and extubation. Of these 29 (58%) were male and 21 (42%) were female. The mean age was 59.0 ± 17.9 years. The success rate of extubation was 86% (43). it is concluded that for the studied sample, considering its characteristics, the success rate of extubation is close to those described in the literature. However, this rate was not adequate to compose a quality indicator of the physiotherapy service.Keywords: Quality Indicators. Mechanical Ventilation Weaning. Extubation.

Knowledge regarding COVID-19 among Registered Nurses of Pokhara, Nepal

2020 ◽  
Vol 2 (2) ◽  
pp. 53-59
Author(s):  
Akriti Kafle ◽  
Sirjana Pandit Pahari ◽  
Sudip Khanal ◽  
Kushalata Baral ◽  
Kabita Pathak ◽  
...  
Keyword(s):  
Registered Nurses ◽  
Cross Sectional Study ◽  
P Value ◽  
R Software ◽  
Cross Sectional ◽  
Profound Knowledge ◽  
Level Of Knowledge ◽  
The Mean ◽  
Pokhara Valley ◽  
Respiratory Droplets

Background: Coronavirus disease is an emerging pandemic disease. The whole world is suffering from this disease these days. It is an acute respiratory disease in which transmission occurs essentially through respiratory droplets and this virus said to have 2-14 days of incubation.Objective: To assess their knowledge regarding COVID19 among registered nurses of Pokhara valley.Methods: A descriptive cross-sectional study was performed with the help of the pretested and self-administered questionnaires to 750 registered nurses of Pokhara valley. Thus collected data was entered into SPSS version 20 and then further analyzed using R software. Frequency, percentages, the mean and standard deviation were calculated for the analysis. p-value was calculated where ever applicable to find the significance of data.Results: The study disclosed that mass of the respondents had moderate proportion (44.8%) concerning understanding, followed by the respondents had a low level of knowledge (29.2%) and the rest of them (26.0%) had good knowledge about COVID 19.Conclusion: Overall knowledge among nurses was found to be satisfactory as the disease is entirely new. Further research and updates on the diseases will help to profound knowledge among nurses.

scholarly journals Self-Illusion and Medical Expertise in the Era of COVID-19

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Arthur Claessens ◽  
Olivia Keita-Perse ◽  
Frédéric Berthier ◽  
Jocelyn Raude ◽  
Gilles Chironi ◽  
...  
Keyword(s):  
Social Networks ◽  
Cross Sectional Study ◽  
Regulatory Agencies ◽  
Sources Of Information ◽  
Sectional Study ◽  
Self Assessment ◽  
Cross Sectional ◽  
Medical Expertise ◽  
Level Of Knowledge ◽  
The Mean

Abstract The Dunning-Kruger premise assumes that unqualified people are unaware of their limited skills. We tested this hypothesis in the context of the coronavirus disease 2019 (COVID-19) pandemic. In this cross-sectional study, 2487 participants had to self-estimate their knowledge about COVID-19 in a questionnaire on the topic. Poor performers were more likely to use mass media and social networks as sources of information and had lower levels of education. The mean self-assessment (SD) was 6.88 (2.06) and was not linked to actual level of knowledge. This observation should prompt regulatory agencies and media to apply rules that limit dissemination of “infodemics” during global health crises.

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