scholarly journals Erros de dose de medicamento em unidade de urgência hospitalar

2019 ◽  
Vol 13 ◽  
Author(s):  
Bruno Henrique de Sousa Oliveira ◽  
Valdênia Maria de Sousa ◽  
Karla Jessik Silva de Sousa Fernandes ◽  
Virginia Leyla Santos Costa Urtiga ◽  
Livia Jordânia Anjos Ramos de Carvalho ◽  
...  
Keyword(s):  
Nursing Students ◽  
Participant Observation ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Hospital Units ◽  
Hospital Emergency Service ◽  
El Sistema ◽  
Chi Square Test ◽  
Dosage Errors

RESUMOObjetivo: analisar erros de dose de medicamentos endovenosos em um serviço de pronto-atendimento hospitalar. Método: trata-se de estudo quantitativo, transversal, envolvendo 139 doses de medicamentos. Coletaram-se os dados mediante observação não participante com um instrumento do tipo formulário. Realizou-se a análise e interpretação dos dados por meio da estatística descritiva e teste qui-quadrado. Resultados: evidenciou-se, quanto à classe farmacológica, que os analgésicos apresentaram a maior frequência (38,1%), seguidos por vitamínicos (33,8%) e antibióticos/antimicrobianos (17,3%). Verificou-se, ainda, que dentre 118 medicações que necessitaram de diluição, em 88 não ocorreu erro, sendo que 62 (70,5%) foram realizadas por acadêmicos de enfermagem. Sobressalta-se que nas 30 que tiveram erro, 70,0% foram efetuadas pelos acadêmicos de enfermagem e 30,0% pelos técnicos de enfermagem. Interrompeu-se em 64 (90,1%) a infusão ainda incompleta. Conclusão: observou-se alta frequência dos erros de dose, reiterando-se a necessidade de verificação constante das deficiências no sistema de medicação e no processo de trabalho da equipe de saúde. Projeta-se que estudos desse perfil poderão subsidiar políticas institucionais para segurança quanto ao uso dos medicamentos. Descritores: Erros de Medicação; Segurança do Paciente; Unidades Hospitalares; Uso de Medicamentos; Assistência Ambulatorial; Erros Médicos. ABSTRACT Objective: to analyze intravenous medication dosage errors in a hospital emergency service. Method: this is a quantitative, cross-sectional study involving 139 drug doses. Data were collected through non-participant observation with aid of a form. The data were analyzed and interpreted through descriptive statistics and the chi-square test. Results: the pharmacological class showed that analgesics presented the highest frequency (38.1%), followed by vitamins (33.8%) and antibiotics/antimicrobials (17.3%). It was also verified that out of 118 medications that required dilution, no error occurred in 88; and 62 (70.5%) were performed by nursing students. It is noteworthy that in the 30 medication administrations in which errors occurred, 70.0% were made by nursing students and 30.0% by nursing technicians. Infusions were interrupted before completion in 64 cases (90.1%). Conclusion: a high frequency of dosage errors was observed, reiterating the need for constantly checking the flaws in the medication system and in the work process of the health team. It is projected that studies of this type may subsidize institutional policies for safety regarding the use of medicines. Descriptors: Medication Errors; Patient Safety; Hospital Units; Use of Medications; Ambulatory Care; Medical Errors. RESUMEN Objetivo: analizar errores de dosis de medicamentos endovenosos en un servicio de pronta atención hospitalaria. Método: se trata de un estudio cuantitativo, transversal, involucrando 139 dosis de medicamentos. Se recolectaron los datos mediante observación no participante con un instrumento del tipo formulario. Se realizó el análisis e interpretación de los datos por medio de la estadística descriptiva y la prueba de chi-cuadrado. Resultados: se evidenció, en cuanto a la clase farmacológica, que los analgésicos presentaron la mayor frecuencia (38,1%), seguidos por vitaminas (33,8%) y antibióticos/antimicrobianos (17,3%). Se verificó, además, que entre 118 medicamentos que necesitaban de dilución, en 88 no ocurrió error, siendo que 62 (70,5%) fueron realizadas por académicos de enfermería. Se destaca que en las 30 que tuvieron error, el 70,0% fueron efectuadas por los académicos de enfermería y el 30,0% por los técnicos de enfermería. Se interrumpió en 64 (90,1%) la infusión aún incompleta. Conclusión: se observó una alta frecuencia de los errores de dosis, reiterándose la necesidad de verificación constante de las deficiencias en el sistema de medicación y en el proceso de trabajo del equipo de salud. Se proyecta que estudios de ese perfil podrán dar soporte a políticas institucionales para seguridad acerca del uso de los medicamentos. Descriptores: Errores de Medicación; Seguridad del Paciente; Unidades Hospitalarias; Utilización de Medicamentos; Atención Ambulatoria; Errores Médicos. 

scholarly journals Comparison of stress in freshman and senior nursing students

2019 ◽  
Vol 53 ◽  
Author(s):  
Fernanda Carneiro Mussi ◽  
Cláudia Geovana da Silva Pires ◽  
Luciana Santos Carneiro ◽  
Ana Lúcia Siqueira Costa ◽  
Fernanda Michelle Santos e Silva Ribeiro ◽  
...  
Keyword(s):  
Nursing Students ◽  
Professional Education ◽  
Linear Trend ◽  
Cross Sectional Study ◽  
Stress Factors ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Stress Levels ◽  
Chi Square Test

ABSTRACT Objective: To compare stress levels in freshman and senior nursing students. Method: A cross-sectional study was carried out in a public federal university of the state of Bahia, with students who answered questionnaires about sociodemographic variables, academic life, and a scale for assessing stress in nursing students. Chi-square and Fisher’s exact tests were applied to analyze the relationship between variables. To assess proportional trends between ordinal variables and groups, a chi-square test for linear trend was applied. The significance level was 5%. Results: One hundred and fifty-four students participated in the study. There was a tendency to higher stress levels among students in the last year compared to those in the first year, in four out of six domains: Performance of Practical Activities (p=0.00), Professional Communication (p=0.00), Environment (p=0.00) and Professional Education (p=0.00). Conclusion: High levels of stress were observed in students taking the last year. There is a need for broader research that includes other years of the course, an institutional reflection on stress factors and the adoption of an institutional policy that favors a better confrontation of stress factors.

scholarly journals A study on assessment of knowledge, attitude and practice on handwashing among nursing students of Sree Venkateswara College of Nursing, Chittoor, Andhra Pradesh

2019 ◽  
Vol 6 (9) ◽  
pp. 3853
Author(s):  
Sudhakara Reddy Muthyala ◽  
Venkateswarlu V.
Keyword(s):  
Nursing Students ◽  
Nosocomial Infections ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Hand Wash ◽  
Chi Square Test ◽  
College Of Nursing ◽  
Critical Times

Background: Handwashing is the act of cleaning one's hands for the purpose of removing soil, dirt & microorganisms. Through review of literature it is understood that the most nosocomial infections are thought to be transmitted by the hands of healthcare workers, handwashing is considered the single most important intervention to prevent nosocomial infections. This study is conducted to assess the knowledge, attitude and practices (KAP) on handwashing among the nursing students and to identify the areas of gap in their KAP along with the provisions for handwash.Methods: A descriptive, cross-sectional study was conducted among 192 nursing students at S.V. College of Nursing, Chittoor during October 2018 using pre-validated self-reported questionnaire. Statistical analysis was done with SPSS 20.0 software and Chi square test was used with “P” value<0.05 taken as statistically significant.Results: Among all respondents 85% were aware about washing their hands during all common critical times, but practicing was observed in 08% only. 50% felt that alcohol based hand rub is effective than hand wash with soap and water, but facilitated 10% only. While the final year students all (100%) are well aware about all critical times of handwashing, whereas 1st and 2nd years 71% and 3rd year students 87% are aware (P=0.002).Conclusions: There is a need of orientation and arrangements for proper hand wash to be improved.

scholarly journals A study on knowledge attitude and practices related to hepatitis B infection among nursing students of government nursing college, Jagdalpur, Bastar, Chhattisgarh

2017 ◽  
Vol 4 (9) ◽  
pp. 3407
Author(s):  
Susheel Kumar Nalli ◽  
Teeku Sinha ◽  
Garima Arora ◽  
Qamrul H. Khan
Keyword(s):  
Nursing Students ◽  
Hepatitis B ◽  
Treatment Options ◽  
Cross Sectional Study ◽  
Hepatitis B Infection ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Chi Square Test ◽  
Nursing College

Background: Hepatitis-B virus is a potentially critical and familiar occupational hazard for health care workers including nursing students particularly those who are exposed to the populations whose HBsAg prevalence is high. The aim of the study was to assess the Hepatitis-B - knowledge, perception and vaccination status among nursing students.Methods: A cross-sectional study was conducted by Department of Community Medicine, Government Medical College, Jagdalpur, Chhattisgarh in July 2016, among nursing students of Government Nursing College, Jagdalpur, Chhattisgarh. Using purposive sampling data was collected via a pre-tested self- administered questionnaire. Overall 218 nursing students participated in the study. Statistical analysis was done using Stata version 12.1. Chi square test was used to identify any statistically significant difference among the nursing batches.Results: The study found that only 18.9% of the 1st year students are vaccinated. Knowledge regarding treatment options was found out to be significantly (p<0.05) low among all nursing batches.Conclusions: There is lack of knowledge among all students regarding its treatment. Only 18.97% of the 1st year students reported to be vaccinated which puts them at a greater risk of acquiring the infection in future. Therefore, it is recommended that they should get themselves vaccinated before entering clinical rotations. More studies should be conducted on nursing/ medical staff to assess their knowledge on Hepatitis B infection in tribal areas which have high prevalence.

IDENTIFIKASI SERTA HUBUNGAN KONSTRUKSI SUMUR GALI TERHADAP KANDUNGAN COLIFORM PADA AIR SUMUR GALI DI DUSUN JIKEN KABUPATEN LOMBOK TIMUR

2019 ◽  
Vol 7 (2) ◽  
pp. 115
Author(s):  
Dini Yuliansari
Keyword(s):  
Cross Sectional Study ◽  
Coliform Bacteria ◽  
Well Water ◽  
Chi Square ◽  
Cross Sectional ◽  
Content Variable ◽  
Chi Square Test ◽  
Dug Wells ◽  
Dug Well ◽  
The Relationship

The well is one of the source water used for bathing, washing, and drinking by the citizens in Jiken Hamlet, Rarang Village, Terara Sub-District. Poor dug well construction conditions can affect the amount of coliform bacteria contained in the dug well water. The purpose of this study is to identify the construction of dug wells and the content of coliform bacteria in dug well water and determine the relationship between dug well construction and the content of coliform bacteria. This research is analytic with a cross sectional study design. The results were obtained from 11 samples of dug wells which were observed in construction and the coliform content was known that all samples did not requirements as good dug well construction. Coliform content test results showed that as many as 5 dug well water samples did not pass the clean water quality standards. The results of data analysis with the chi-square test variable construction of dug wells with coliform content variable  showed 0,172 > 0,05, then the concluded is the dug well not suitable to use by people in that area as a source of water for daily needs.

Socio-Demographic Factors and Health-Related Behaviors Associated with Gerontology

GIS Business ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. 359-370
Author(s):  
Dr. Ravi S. Dalawai
Keyword(s):  
Cross Sectional Study ◽  
Work Culture ◽  
Chi Square ◽  
Cross Sectional ◽  
The Social ◽  
Health Related ◽  
Chi Square Test ◽  
Current Scenario ◽  
Socio Demographic Factors ◽  
Insight Into

Indian population is in growing trend from 942.2 million in 1994 to 1.36 billion in 2019.Among this six per cent of India's population was of the age 65 and above (UNFPA, 2019). Today the work culture is totally changed. Both husband and wife are forced to work in the current scenario and unable to take care of their parents. The changing structure created increased problems for old age people leads to loneliness, psychological, physical health and financial insecurity. The study paper provides insight into the social and demographic factor and health related sickness of the oldest people. This research explained the cross-sectional study included a representative sample (n=116) of adults aged ≥60 years. The sample was chosen using a four-stage stratified random-cluster survey sampling method .The Chi Square test and ANOVA test was analyzed using SPSS20.

Prevalence of Childhood Obesity In Northeastern Ontario: A Cross-sectional Study

2006 ◽  
Vol 67 (3) ◽  
pp. 143-147 ◽  
Author(s):  
Foyez Haque ◽  
Alberto G. de la Rocha ◽  
Betty Ann Horbul ◽  
Patricia Desroches ◽  
Craig Orrell
Keyword(s):  
Childhood Obesity ◽  
Program Planning ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Obesity Prevalence ◽  
Chi Square ◽  
Cross Sectional ◽  
Northern Ontario ◽  
Control And Prevention ◽  
Chi Square Test

Purpose: In Canada, the incidence of childhood obesity has tripled within the past 20 years. The prevalence of obesity in the Timmins, Ontario, student population was studied to gain knowledge for program planning and resource allocation, and to compare Centers for Disease Control and Prevention (CDC) criteria with Cole’s international criteria for childhood obesity. Methods: Anthropometric measurements of 801 students were taken. Students were chosen from randomly selected schools for each grade. Data were analyzed according to age, gender, and ethnicity. Data were also compared with other studies. Intragroup comparisons were performed using hypothesis testing for significance with the z table and chi-square test. Results: Overweight and obesity prevalence was 28% according to CDC criteria. No statistical difference was found between genders or among ethnic groups, or between this study and other Canadian studies. In comparison with the CDC criteria, Cole’s international criteria indicated less obesity and increased overweight prevalence. These differences were not statistically significant. Conclusions: The findings suggest that in the northern Ontario community of Timmins, the prevalence of childhood obesity is of epidemic proportions. When the findings are shared with different agencies, this study will help the health unit to take necessary public health measures to curb the epidemic.

Perceptions of Final Year Medical Students about Family Medicine as A Career Choice in Pakistan

2020 ◽  
Author(s):  
Dur-e- Nishat
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Medical Profession ◽  
Healthcare Services ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Chi Square Test

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.

Breastfeeding practices among mothers of infants in Peringara Panchayat in Pathanamthitta District

2018 ◽  
Vol 3 (01) ◽  
Author(s):  
Aswathy S. ◽  
Lakshmi M. K.
Keyword(s):  
Exclusive Breastfeeding ◽  
Cross Sectional Study ◽  
Community Based ◽  
Chi Square ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Chi Square Test ◽  
Type Of Delivery ◽  
Initiation Of Breastfeeding

The study was aimed to assess the breastfeeding practices among mothers of infants in Peringara Gramapanchayat in Kerala. Study was a community based cross-sectional study among mothers of infants in Peringara gramapanchayat using a pretested questionnaire. 142 breastfeeding mothers of infants in Peringara gramapanchayat were studied and mothers who were not present at home during the study were excluded from the study. Study period consisted of 18 days between December 2015 and January 2016. Study variables includes type of delivery, initiation of breastfeeding, breastfeeding practices and role of ASHAs in promoting good breastfeeding practices. Statistical analysis was done using Pearson’s Chi-square test and T test. The study found that exclusive breastfeeding has been done by 68.3% of mothers. There is no practice of giving pre-lacteal feed, 95.8% of mothers have given colostrum to the new born. Statistically significant association was found between the type of delivery and time of initiation of breastfeeding (p less than 0.05). Time of initiation of breastfeeding was prolonged in case of Caesarean section. 49.3% of mothers have breastfed the baby within one hour. 55.6% of mothers were informed about importance of breastfeeding by ASHAs and only 20.4% of mothers were informed about period of exclusive breastfeeding and period of complimentary feeding by ASHAs.

Faktor Yang Berhubungan Dengan Kinerja Tenaga Kesehatan Di Rawat INAP RSUD Batusangkar

2018 ◽  
Vol 3 (3) ◽  
pp. 440
Author(s):  
Sri Handayani ◽  
Puteri Fannya ◽  
Putri Nazofah
Keyword(s):  
Health Personnel ◽  
Poor Performance ◽  
Cross Sectional Study ◽  
The Philippines ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Master Level

<p><em>Based on data from the Indonesia Ministry of Health in 2015, In Indonesia, new professional nurses were just 2% of the total nurses. This figure was much lower than the Philippines which has reached 40% with bachelor and master level as their education. The purpose of this study was to determine the relationship between age, and leadership with the performance of health personnel</em><em>. </em><em>The design of this research was analytical research with Cross Sectional Study. The population in this study was all nurses and doctors who served in the internal room, children, surgery and midwifery</em><em>. </em><em>Sampling using total sampling</em><em> </em><em>by questionnaires. The data was processed by univariate and bivariate analysis using Chi-square test</em><em>. </em><em>The result showed that 57,8% nurses had poor performance, 56,3% doctors had poor performance, 64,4% nurses had average age 26-35 years, 56,2% doctors had average age  36-45 years, 64.4% nurses have poor leadership, </em><em>and </em><em>50.0% of doctors have less good leadership</em><em>.</em><em> There is a relationship between age</em><em> and </em><em>leadership with the performance of health personnel.</em><em></em></p><p><strong><em> </em></strong></p><p>Berdasarkan data kemenkes RI tahun 2015 jumlah tenaga kesehatan terbanyak yaitu perawat sebanyak 147.264 orang (45,65%). Di Indonesia, perawat profesional baru mencapai 2% dari total perawat yang ada. Angka ini jauh lebih rendah dibandingkan dengan Filipina yang sudah mencapai 40% dengan pendidikan strata satu dan dua. Tujuan penelitian ini untuk mengetahui hubungan antara umur, kepemimpinan dengan kinerja tenaga kesehatan. Jenis penelitian yang digunakan adalah desain penelitian analitik dengan Cross Sectional Study. Populasi pada penelitian ini adalah semua perawat dan dokter. Pengambilan sampel dengan menggunakan Total Sampling. Pengambilan data menggunakan kuesioner. Data diolah dengan analisis univariat menggunakan statistik deskriptif dan analisis bivariat menggunakan uji Chi-square. Hasil penelitian didapatkan 57,8% perawat memiliki kinerja kurang baik, 56,3% dokter memiliki kinerja kurang baik, 64,4% perawat memiliki umur rata-rata 26-35 tahun 64,4%, 56,2% dokter memiliki umur rata-rata 36-45 tahun, 64,4% perawat memiliki kepemimpinan kurang baik, 50,0% dokter memiliki kepemimpinan kurang baik. Terdapat hubungan antara umur dan kepemimpinan dengan kinerja tenaga kesehatan.</p>

scholarly journals Prevalence of Insomnia and Factors Associated with it Among the Elderly People of Sarangdanda VDC in Panchthar District

1970 ◽  
Vol 4 ◽  
pp. 129-142 ◽  
Author(s):  
Raj Kumar Subedi
Keyword(s):  
Elderly People ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Interview Schedule ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Keywords Alcohol ◽  
Chi Square Test ◽  
Restorative Sleep

Insomnia is one of the major and unsolved problems in older people. Most of the sleep studies report that the different forms of insomnia like Difficulty Initiating Sleep (DIS), Difficulty Maintaining Sleep (DMS) and Non-Restorative Sleep (NRS) are common among the elderly that are associated to many factors. The objective of the study was to measure the prevalence of insomnia and the factors associated to it among the elderly people. A cross-sectional study was conducted among 142 elderly people of and above 60 years of age in Sarangdanda VDC of Panchthar District of Eastern Nepal. The presence or absence of insomnia and the associated factors were assessed on them by the help of interview schedule. The results were analyzed using chi-square test in SPSS (version 11.5). DMS was the most common reported form of insomnia among the elderly followed by DIS and NRS. Association between insomnia and each of factors like use of tobacco before sleeping hours, eating too close to bedtime, use of tea/coffee before sleeping hours and use of alcohol before sleeping hours were statistically significant at 95% level of confidence. Insomnia affects a large proportion of elderly and is triggered by many factors like use of tobacco before sleeping hours, use of tea/coffee before sleeping hours, eating too close to bedtime and use of alcohol before sleeping hours. Keywords: Alcohol; tea/coffee; difficulty initiating sleep (DIS); difficulty maintaining sleep (DMS); non-restorative sleep (NRS); tobacco DOI: 10.3126/dsaj.v4i0.4517 Dhaulagiri Journal of Sociology and Anthropology Vol.4 2010 pp.129-142

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