Perception of Caring Behavior of Nurses and Patients

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Shirley Whisenhunt ◽  
Queenella Alviola
Keyword(s):  
Statistical Difference ◽  
Statistical Significance ◽  
Interpersonal Relationship ◽  
Quality Care ◽  
The Philippines ◽  
Staff Nurses ◽  
Caring Behaviors ◽  
Quality Patient Care ◽  
Perception Of Care ◽  
Perceptions Of Care

ABSTRACT Introduction: Nurses have several tasks but one of the most crucial for them is to provide quality patient care. However, patients’ perception of care might differ with what nurses think. Patients perceive caring as a developed interpersonal relationship between themselves and their nurses. Contrarily, nurses perceive caring as providing quality care through being knowledgeable and compliant in the prescribed orders through the course of treatment. Aims: This study aims to develop a distinct comparison between the perception of care of patients and nurses. Methodology: A descriptive-comparative design was utilized. Survey data were collected from 200 nurses and 160 patients in the general nursing units of a private, tertiary-level general hospital in the Philippines. The Caring Behaviors Inventory-24 (CBI-24) was used to obtain perceptions of care between nurses and patients. Data was analyzed using t-test to compare care perceptions between nurses and patients. Statistical significance was based on p < .05. Results: The results showed no statistical difference between nurses’ and patients’ CBI-24 scores. Among CBI-24 items, only seven had significant statistical difference. Specifically, staff nurses reported higher scores for ‘spending time with the patient’ and ‘demonstrating professional knowledge and skill’ while patients reported higher scores for ‘giving instructions or teaching the patient,’ ‘supporting the patient,’ ‘being patient or tireless with the patient,’ ‘including the patient in planning his or her care,’ and ‘giving the patient’s treatments and medications on time.’ Conclusions: In general, the perceptions of care between nurses and patients is at the same level. However, there are specific caring behaviors where nurses over- or underestimate themselves. Overall, the results can be used to develop strategies to further improve the quality of care provided to patients. Keywords: Nurses, Patients, Philippines, Nursing Care Management, Caring

Consumers' Usage and Attitudes Towards Smartphone using Conjoint Analysis.

2019 ◽  
Vol 4 (3) ◽  
pp. 64-72
Author(s):  
Castaño, Mary Caroline N.
Keyword(s):  
Conjoint Analysis ◽  
Pearson Correlation ◽  
The Philippines ◽  
Holistic View ◽  
Actual Usage ◽  
Quality Patient Care ◽  
Depth Analysis ◽  
Government Hospitals ◽  
Policy Direction ◽  
The Given

ABSTRACT The entry of smartphones into our lives is due to two primary reasons – the rapid advancement in technology and R & D, making present technology redundant within weeks and the drastic drop in prices of smartphones which occur weekly or monthly. The objectives of this paper are: (1) To provide a more holistic view of smartphone users' preference (2) To have depth analysis on how consumers put a premium on various smartphone features application and tools (3) To understand how prospective customers appreciate the good features of the product. Three statistical tools were used: Frequency Distribution to get the profile of the respondent's actual usage of smartphones and attitudes of consumers, Pearson Correlation, and Conjoint analysis, which was used to analyze the preference of the respondents on smartphone attributes. This study showed a moderately fit conjoint model, Pearson R =.742, p<.05, Kendall's Tau was .333, p<.05 and .333, p< .05 for the holdouts. From the given set of attributes, price (47.11%) is the most important, followed by the SIM card slot (19.05%), and the phone plan (9.14%). This paper is the first study done in the Philippines about the usage, attitudes of consumers towards smartphones using conjoint analysis. The analysis would help companies to understand what aspects of their products are essential and irrelevant. Companies will act upon a certain aspect to ensure higher profitability. Type of Paper: Empirical Keywords: local government hospitals; Philippines; policy direction; quality patient care

scholarly journals Impact of Ethnicity and Underlying Comorbidity on COVID-19 Inhospital Mortality: An Observational Study in Abu Dhabi, UAE

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Asma Deeb ◽  
Khulood Khawaja ◽  
Nida Sakrani ◽  
Abdulla AlAkhras ◽  
Ahmed Al Mesabi ◽  
...  
Keyword(s):  
Liver Disease ◽  
Observational Study ◽  
Older Patients ◽  
Statistical Significance ◽  
The Philippines ◽  
Abu Dhabi ◽  
Inhospital Mortality ◽  
Risk Of Death ◽  
Risk Of Mortality ◽  
The Impact

Background. The UAE reported its first cluster of COVID 2019 in a group of returned travellers from Wuhan in January 2020. Various comorbidities are associated with worse disease prognosis. Understanding the impact of ethnicity on the disease outcome is an important public health issue but data from our region is lacking. Aim. We aim to identify comorbidities among patients hospitalized for COVID-19 that are associated with inhospital death. Also, to assess if ethnicity is correlated with increased risk of death. Patients and Method. The study is a single-centre, observational study in Shaikh Shakhbout Medical City, Abu Dhabi. Patients admitted with COVID-19, between 1st of March and the end of May, were enrolled. Records were studied for demography, comorbidity, and ethnicity. Ethnicity was divided into Arabs (Gulf, North Africa, and the Levant), South Asia (India, Pakistan, Bangladesh, Nepal, and Afghanistan), Africans, the Philippines, and others. The study was approved by the Department of Health of Abu Dhabi. Results. 1075 patients (972 males) were enrolled. There were 24 nationalities under 5 ethnicity groups. Mean (average) age was 51 years (20–81). 101 (9.4%) died with deceased patients being significantly older. Death risk was not significantly influenced by sex. Duration of hospitalization among survivors was 6.2 days (0.2–40.4) with older patients and men staying longer ( P < 0.01 ). Comorbidities of diabetes, hypertension, cardiovascular disease, chronic renal disease, liver disease, and malignancy were associated with higher risk of mortality univariate, but only liver disease reached statistical significance after adjustment for age. The highest percentage of death was seen in Arab Levant (21.2) followed by the Asian Afghan (18.8); however, differences among ethnicities did not reach statistical significance ( P = 0.086 ). Conclusion. COVID-19 outcome was worse in older people and those with comorbidities. Men and older patients required longer hospitalization. Ethnicity is not seen to impact the risk of mortality.

Ministernotomy for Aortic Valve Replacement Versus Conventional Sternotomy, a Choice for a Better outcome

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed Refaat Mohamed Refaat ◽  
Gamal Samy ◽  
Faisal Morad ◽  
Nabil Abd Gawad
Keyword(s):  
Aortic Valve ◽  
Blood Loss ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Statistical Difference ◽  
Statistical Significance ◽  
P Value ◽  
Safe Procedure ◽  
Transfusion Requirements ◽  
Renal Complication

Abstract Background ​ In the era of minimal invasive cardiac surgery, Ministernotomy Aortic valve .replacement have been proposed as an alternative to conventional full sternotomy approach Aim of the Work ​: ​​To evaluate the safety and efficacy of AVR through ministernotomy in comparison to full sternotomy AVR in terms of Cardiac cause mortality, Neurological and .Renal complication​s Patients and Methods ​After gaining the institutional ethical committee approval, the study included all patients who underwent isolated, DE novo, open aortic valve replacement during the period from June 2017 till June 2019 performed by multiple surgeons at cardiothoracic .academy Ain Shams University Results ​ The study included 60 patients; 32 patients performed through full sternotomy (53.3%) and 28 patients through ministernotomy (46.6%).​ ​Post-operative arrhythmias occurred in full sternotomy in 6 cases (18.8%) where in mini-sternotomy, only 3 cases (12%) developed arrhythmias with no significant statistical difference (p value = ​0.558)​. Cerebrovascular stroke was recorded 1 patient (3%) versus 4 cases (14.3%) in the full sternotomy versus the ministernotomy groups respectively with no Statistical difference between the 2 groups (p value = 0.119).​ Postoperative acute renal impairment was recorded​ in 3 cases (9.4%) vs 2 patients (7.1%) in the full sternotomy vs the ministernotomy groups respectively (p value = 0.755). There was no​ mortality in either groups. Mean post-operative Ventilation hours were 17.21hrs with SD ± 11.026 versus 14.97hrs with SD ​± ​6.473 (p value is 0.35) for the full sternotomy versus the ministernotomy groups respectively. Mean blood loss was 305.51ml with SD ± 282.662 versus 230.36ml with SD ​± ​247.708 (p value is 0.277) for the full versus the ministernotomy groups respectively. Mean units of blood transfused was 2.31Units with SD ​± ​0.926 versus 1.14Units with SD ​±​ 0.591 in the full sternotomy versus the ministernotomy groups with high statistical significance between both groups (p value less than 0.01). Mean ICU stay was 2.66 days with SD ​±​ 0.915 and was 3.1days with SD ​±​ 2.743 (p .value is 0.424) for the full sternotomy versus the ministernotomy groups respectively Conclusion ​ Ministernotomy Aortic valve replacement was found to be a safe procedure​ compared to full sternotomy approach. Patients who had their surgery through the mini approach had less amount of blood loss, blood transfusion requirements, ventilation time which all led to less duration of ICU and hospital stay, resulting in a better outcome for the .patients

scholarly journals Leader Empowering Behaviors and Psychological Empowerment as Perceived by Young Hospital Staff Nurses: A Pilot Study

Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 47
Author(s):  
Ryan Michael Flores Oducado
Keyword(s):  
Work Experience ◽  
Psychological Empowerment ◽  
Survey Design ◽  
Rank Correlation ◽  
Hospital Staff ◽  
Positive Influence ◽  
The Philippines ◽  
Staff Nurses ◽  
Cross Sectional Survey ◽  
Cross Sectional

Introduction: Empowerment has become an important concept in nursing that has gained acknowledgment in theories and practice of leadership and management. A positive organization espouses empowerment to attract and retain employees. While it is not new to nursing, there is little published research on empowerment among nurses in the Philippines. This study aimed to measure young staff nurses’ perception of leader empowering behaviors and psychological empowerment.Methods: This study used a cross-sectional survey design participated by 44 conveniently chosen staff nurses in a private teaching and training hospital in Iloilo City, Philippines. The participants were asked to answer 5-point Likert scale questions utilizing adopted instruments. Descriptive and non-parametric statistical stools were used with Mann-Whitney U test to determine differences and Spearman’s rank correlation to establish relationship between variables.Results: Overall, young staff nurses perceived their leaders’ behaviors to be highly empowering (M=3.89). Staff nurses also had a high level of psychological empowerment (M=4.07). Leader empowering behaviors was significantly related to staff nurses’ perception of psychological empowerment (p=.001). Staff nurses’ level of psychological empowerment were significantly different in terms of employment status (p=.020) and years of work experience (p=.014).Conclusion: This study highlights the positive influence of the empowering behaviors of leaders in enhancing staff nurses’ level of psychological empowerment. It is vital for nurse managers to continually demonstrate leadership behaviors that empower staff nurses at the unit level.

scholarly journals Spinal biopsies: a clinicopathologic review of 53 cases diagnosed between 2011 and 2018 at a tertiary hospital in Kampala, Uganda

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
James J. Yahaya
Keyword(s):  
Spinal Cord ◽  
Statistical Analysis ◽  
Early Diagnosis ◽  
Statistical Difference ◽  
Statistical Significance ◽  
Tertiary Hospital ◽  
Categorical Variables ◽  
Ethical Approval ◽  
The Mean ◽  
Malignant Neoplasia

Abstract Background Early diagnosis of spinal cord neoplasia serves patients from developing a number of complications and even death. Methods After obtaining ethical approval, retrospectively, a total of 53 tissue blocks of patients attended at the spinal ward were reviewed. Statistical analysis was done using SPSS version 20.0, and p value of less than 0.05 was applied to establish the existence of statistical significance between the compared categorical variables. Results The mean age of the patients was 30.7 ± 15.96 years. Most of the patients 32.1% (n = 17) were aged ≤ 19 years, and majority of the neoplasia 77.3% (n = 41) were extramedullary. Also, majority of the neoplasia 60.4% (n = 32) were benign and the malignant ones were 35.8% (n = 19). The mean duration of onset of symptoms for benign and malignant neoplasia in this study was 13.1 ± 16.4 and 3.4 ± 2.8 years, respectively, with statistical difference (95% CI 2.09–17.35, p = 0.014). Conclusion The patients with spinal cord neoplasia in the present study were of young age, and majority of them had benign neoplasia that were extramedullary located. The mean duration of onset of symptoms for patients with malignant neoplasia was significantly shorter than that of benign neoplasia.

scholarly journals Does Scapular Motion Regress with Aging and is It Restricted in Patients with Idiopathic Frozen Shoulder?

2016 ◽  
Vol 10 (1) ◽  
pp. 80-88 ◽  
Author(s):  
Kazuhiro Endo ◽  
Junichiro Hamada ◽  
Kazuaki Suzuki ◽  
Yoshihiro Hagiwara ◽  
Takayuki Muraki ◽  
...  
Keyword(s):  
Statistical Difference ◽  
External Rotation ◽  
Statistical Significance ◽  
Frozen Shoulder ◽  
Severe Restriction ◽  
Age Related ◽  
Posterior Tilt ◽  
Asymptomatic Subjects ◽  
Anterior Posterior ◽  
Scapular Motion

Purposes:It has been reported that the amount of posterior tilt and upward rotation in scapular motions decreases with aging. The purposes of the current study were to investigate age related scapular motion regression and scapular restriction in patients with idiopathic frozen shoulder (IFS).Methods:The groups were recruited as follows: two groups of 50 asymptomatic subjects aged in their twenties and fifties, and 56 patients with IFS. We passively moved the scapula toward 8 directions: elevation/depression; upward/downward rotation; external/internal rotation; and anterior/posterior tilt. The grading of scapular motion was ranged from 0 to 3 (3, normal; and 0, severe restriction) and the score for each direction and the total aggregated score for all directions were calculated.Results:Scapular restriction was present in 3 subjects (6%) in the normal 20s group, 10 (14%) in the 50s group, and 51 (91%) in the IFS group. The total score between the normal 20s and 50s groups did not show statistical difference; however, greater significance was present between the normal 50s group and the IFS group (p < 0.01). There was statistical significance in depression (p < 0.01), downward rotation (p < 0.01), and posterior tilt (p < 0.01) among the 3 groups.Conclusion:Depression, downward rotation, and posterior tilt substantially regress with aging. Scapular motions towards depression, downward rotation, external rotation, and posterior tilt are severely restricted in the IFS group.

scholarly journals The Utility of a Three Part Differential Hematology Analyzer with CRP for Assessing Malaria

2020 ◽  
Author(s):  
Jun Ivan Nishimura ◽  
Parag Dharap ◽  
Sebastien Raimbault
Keyword(s):  
Malaria Infection ◽  
Statistical Difference ◽  
Monsoon Season ◽  
Statistical Significance ◽  
Malaria Diagnosis ◽  
Hematology Analyzer ◽  
Hematology Parameters ◽  
Microscopic Findings ◽  
Different Levels ◽  
Differential Part

Abstract BackgroundHematology analyzers display abnormal hematology parameters during malaria infection providing insightful information for suspecting and assessing malaria infection. The goal of this study is to demonstrate the potential of a three part differential hematology analyzer to assess malaria, provide information about the parasitemia, and discuss the importance of combining CRP with hematology parameters to obtain further information about the malaria infection.MethodsThe present study shows the results of a retrospective study involving comparison of raw instrument data from a three part differential hematology analyzer with CRP measurement and corresponding microscopic findings of samples obtained during the monsoon season of years 2018 and 2019 in Mumbai, India. Mann-Whitney U and Krustal-Wallis tests were applied for obtaining statistical significance of hematology parameters and CRP among P. vivax, P. falciparum, dengue and negative samples. ResultsThe study considers 1008 non-malaria febrile cases, 209 P. vivax, 31 P. falciparum positive malaria samples, five cases of mixed species malaria infection, and three co-infection of malaria and dengue. Median values of WBCs, PLTs, PCT and %LYM were lower in malaria and dengue samples compared to negative ones with statistical difference (p < 0.05). Contrary, medians of MCHC, MPV, PDW, and %MON were higher than negative samples. The greatest difference in the analyzer results of malaria and dengue cases was observed in between their medians of CRP levels, which is evidenced by the values of the first quartiles of P. vivax and P. falciparum cases, and the third quartile of dengue cases being 8.6 and 10.4 mg/L, respectively.The parameters with a statistical difference for different levels of parasitemia were WBC, PLT, %MON and CRP. An interfering abnormal peak was observed in the white blood cell histogram, below 37 fl, in malaria infected samples, especially in P. vivax cases, where the height of that peak showed a strong correlation with red blood cells infected predominantly with larger parasitic forms.ConclusionsA three differential part hematology analyzer has the potential to not only trigger malaria diagnosis confirmation but also assess the severity of the infection when CRP is considered.

scholarly journals How Does ISO 15189 Laboratory Accreditation Support the Delivery of Healthcare in Ethiopia? A Systematic Review

1970 ◽  
Vol 29 (2) ◽  
Author(s):  
Kasaw Adane ◽  
Mekonnen Girma ◽  
Teshiwal Deress
Keyword(s):  
Quality Improvement ◽  
Quality Management System ◽  
Quality Care ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Improve Quality ◽  
Iso 15189 ◽  
Quality Healthcare ◽  
Quality Patient Care ◽  
Quality Improvement Interventions

BACKGROUND: Assessing quality by considering input, process and output level quality variables is important to ensure improved quality services. Designing and execution of an effective quality management system are aimed for the purpose of quality improvement, error reduction and associated risks. Therefore, this review is designed to assess the value of accreditation on the performance of healthcare institutions in ensuring quality improvement interventions. Moreover, this review presents important concepts of accreditation and the aspects of quality.METHODS: Published articles were downloaded using EndNote® application software program from PubMed (NML) database, Web of Sciences (TS) and Google Scholar. From a total of 883 downloaded full-text published materials, only 28 journals and 1 report issued from 2010 to 2017 were used for the development of this review.RESULT: The overall quality of healthcare services in developing countries was error-prone and suffered from limitations. These could be associated with wrong interventions and increased risks. Accreditation schemes have been implemented to provide quality care and ensure safety.CONCLUSION: Evaluation feedback induces interventions aimed at quality improvement and ensures better management systems, good process design, wise resource utilization, meeting patients’ need and increased satisfaction. Hence, stakeholders must be engaged in the provision of improve quality patient care and reduce associated risks. Hence, giving special quality improvement attention helps to improve quality healthcare services.

scholarly journals Early Identification and Prevention of Postnatal Complications among the Postnatal Mothers by Using the ‘Postnatal Care Bundle’

2021 ◽  
pp. 175-181
Author(s):  
Vaishali Taksande ◽  
Deepti S. Shrivastava ◽  
Sr. Tessy Sebastian
Keyword(s):  
Early Identification ◽  
Postnatal Care ◽  
Quality Care ◽  
Postnatal Period ◽  
Staff Nurses ◽  
Care Bundle ◽  
Normal Delivery ◽  
Postnatal Mothers ◽  
Improve Patient ◽  
Experimental Group

Background: Postnatal period initiates immediately after the birth of a baby. The terms puerperium period is commonly used to refer to the first 6 weeks after delivery of baby. A postnatal care bundle used during this period and it will help to significantly improve patient outcomes. Objective: To develop, test and pilot of Postnatal Care Bundle (PNCB) and to assess conventional postnatal care among the postnatal mothers and to evaluate the effectivity of Postnatal Care Bundle (PNCB) for early identification and prevention of postpartum complications among the postnatal mothers and to assess the satisfaction level of staff nurses after implementation of Postnatal Care Bundle and conventional postnatal care for early identification and prevention of postnatal complications among the postnatal mothers. Methodology: The interventional analytical and true experimental research design approach will be used and the sample use for the postnatal mothers including the full term normal delivery, caesarean section will be and the random sampling use and sample size is 185 in each group i.e. control and experimental group. One group will be received conventional postnatal care and other group will be on postnatal care bundle. The outcome includes that postnatal care bundle help to early identification and prevention of postnatal complications among the postnatal mothers. Conclusion: PNCB will be effective in quality care of postnatal period.

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