Current Issue : October - December Volume : 2016 Issue Number : 4 Articles : 7 Articles
Background: Neonatal mortality remains an important health issue worldwide. In Southern Vietnam, Pediatric\nHospital Number 1 offers the highest level of neonatal care, wherefore interhospital transportation of newborns\nhereto is frequent. The conditions during this transportation are likely to influence the prognosis of the neonates. The\naim of this study was to map the neonatal transfers, and hereby identify areas in which improvement could be made\nto further enhance neonatal survival in the south of Vietnam.\nMethods: A prospective cohort study was conducted at Pediatric Hospital No.1 in Ho Chi Minh City, Vietnam.\nDuring a one-month period, data was collected using standardized questionnaires on neonates transferred from the\nsouthern half of Vietnam.\nResults: A total of 103 neonates representing 96 transfers were included. All neonates were transferred by\nambulance and escorted by health personnel. The transfers of intermediate quality (51.5%) had the highest mortality\nand a significantly longer hospitalization (p=0.007). Only 15.5% of the ambulances were adequately equipped to\nhandle emergencies and few had monitoring equipment for neonates.\nConclusion: The neonates with a high risk of needing resuscitation were transferred with a more sufficient\nequipped and accompanied transport, implying a pre-assessment was made. Though for more than half of the\nneonates, pre-assessment was insufficient leading to an inadequate transport and a worse outcome. Several areas\ncan be improved to enhance the quality of transportation. Focus on training in neonatal transportation along with a\nclear definition of the functions and actions required of the accompaniment during transfer could be of great benefit....
Background: There are limited data on parental perception of infant participation in minimal risk and minor\nincrease above minimal risk research focusing on the NICU population. The study objective was to assess parental\nand NICU staff perceptions concerning minimal risk and minor increase above minimal risk in the NICU setting.\nMethods: Parents of infants and NICU staff were presented with a combination of 4 infant scenarios and 5\nhypothetical research procedures. These assessed participants� willingness to allow their infant to participate in\nresearch and their attitude towards obligation to assist future children. Linear and hierarchal linear models analyzed\nthe association and interaction effects on the likelihood to consent to research procedures.\nResults: Sixty parents and 30 NICU staff members were surveyed. Parents� acceptability for each of the five research\nprocedures ranged from 31 % to 83 %. Parent gender, age, race/ethnicity, insurance, education and history of\nprevious child in the NICU were not associated with the likelihood to consent to the research procedures.\nAcceptability for each of the five research procedures among NICU staff ranged from 19 % to 98 %. There were no\nsignificant differences between NICU staff�s and parents� responses for 4 of 5 research procedures. A minority of\nparents and nurses (38.3 % and 40 % respectively), compared to a majority of physicians (66.7 %), agreed or\nstrongly agreed that parents have a responsibility to involve their children in low risk medical research in order to\nhelp future children, even if this would not help their own child. Lower agreement with obligation to help future\nchildren (p < 0.01) and higher education (p = 0.01) were associated with a decreased likelihood to consent to\nresearch procedures.\nConclusion: In our study population, common NICU-related research procedures were considered appropriate and\nacceptable to a diverse group of NICU parents representing a wide range of race/ethnic and socioeconomic strata.\nCurrent regulations guiding informed consent for minimal and minor increase over minimal risk research in the\nNICU environment appear ethically consistent with a diverse group of parents and providers....
Tuberculosis is a preventable and curable disease. In spite of this, it is the main cause of human suffering and death through infection. A\nbetter understanding of TB patients� knowledge, beliefs and practices regarding tuberculosis is important for the improvement of public\nhealth education on tuberculosis. Therefore, a study was conducted to explore and describe the knowledge, beliefs and practices of patients\ndiagnosed with TB, in order to provide helpful data for the improvement of public health education regarding tuberculosis.\nAn explorative, descriptive, contextual, and qualitative study design was conducted, using individual in-depth interviews to gather data\nfrom 60 tuberculosis patients in Katutura of the Khomas region. A quota sampling technique by age was used to select the participants.\nData analysis was done using Tesch�s method for content analysis. The results showed a significantly poor depth of knowledge among\npatients diagnosed with tuberculosis about the disease itself. Patients possess erroneous beliefs about modes of transmission, and they\npractice unhealthy lifestyles while on treatment. Ineffective health education had contributed to the poor knowledge of patients.\nRecommendations based on this study�s findings include: the revision of the current national guidelines for the management of tuberculosis,\nto include some important facts overlooked by the guidelines developers; the design of culturally-appropriate messages to be integrated\nwith the existing beliefs and misconceptions and provided to the community in the form of leaflets....
Background: Clinical placements should provide nursing students with a positive environment for\nlearning in which they develop a framework for future practice. The literature articulates that this\nis not always the case. The objective of this research was to develop, implement and evaluate a\nnew education seminar for nursing staffââ?¬â?The Art of Clinical Supervision (ACS), designed for\nnurses to provide a toolbox of strategies to better support students whilst on clinical placement.\nThe ACS was presented in Western Australia, in both metropolitan and regional health services, in\nboth the public and private health sector. This sample consisted of 199 registered nurses working\nin areas that actively placed nursing students. A mixed method approach incorporated surveys,\nonline reflections and interviews. This article will outline the qualitative phase of this mixed method\nresearch. Analysis of the qualitative data determined that participants perceived the seminar\nas a helpful strategy for improving nursing practice in relation to student supervision. In particular,\nthe concept of belongingness was viewed as an important component to improving attitudes\nand placement learning, the focus of this article. The implications of belongingness and how this\ncan be promoted is an important concept that nursing leaders, education providers and clinical\nsupervisors need to consider....
Objective: Anemia is an important complication which affects quality of life and self-care agency in\nhemodialysis patients. The aim of this study was to determine the effects of anemia on quality of\nlife and self-care agency in adult patients who receive chronic hemodialysis treatment. Methods:\nIn this cross-sectional study, the Quality of Life Scale, the Self Care Agency Scale, and a data form\nwere administered to 136 hemodialysis patients who were receiving treatment three hospitalbased\ndialysis units in Istanbul. Results: The health perception of cases whose hemoglobin level\nwas 12 mg/dl and above was significantly better than those whose hemoglobin level was lower\nthan 12 mg/dl. Hemoglobin levels were significantly and positively correlated to physical role\nfunction, general health, and health from the previous year (p < 0.05). As the hemoglobin levels of\nthe cases increased, quality of life pertaining to the mentioned domains increased. Conclusion: It\nwas concluded that the quality of life in chronic dialysis patients was affected by anemia....
The objective was to identify the most frequent nursing diagnoses labels in patients with liver\ncirrhosis in use of feeding tube. A descriptive research was carried out in a Brazilian Hospital with\n20 adult patients. Systematic data collection utilized the Conceptual Model of Wanda Horta, the\nfirst nurse to introduce the concept of Nursing Process in Brazil. The six phases of the nursing diagnostic\nreasoning proposed by Risner were used; nursing diagnoses were described according to\nNANDA-I taxonomy II. Patients were mainly male; half of them were middle age adults; they had an\naverage of 12.8 nursing diagnoses labels; and the most frequent were: risk for aspiration and risk\nfor infection. Nurses needed to develop effective skills to properly diagnose in order to provide\nsafe care and improve patient outcomes....
Background: An essential condition to improve patient safety is considered to ensure a supportive\npatient safety culture. Measuring the culture of patient safety in all health care institutions may be\na first step to target improvements. Creating a culture of safety requires eliminating the culture of\nblame. In order to formulate actions for improvement, it is important for hospitals to assess their\nbaseline scores for the existing safety culture and to determine the areas of priority. Aim: The aim\nof this study was first to measure the use, translation in Albanian and adaptation of the Hospital\nSurvey on Patient Safety Culture (HSOPSC) assessment as a tool for improving patient safety in\nKosovo Hospitals. The second aim was to measure the level of patient safety culture in Kosovo, in\nseven hospitals and one University Clinical Center (hospitals with over 50 beds, including psychiatric\nhospitals). Method: The questionnaire (HSOPSC) was translated into Albanian for use in\nthe Kosovo. It was used forward-backward translation: the questions were translated into Albanian\nby one translator and then translated back into English by an independent translator who\nwas blinded to the original questionnaire. Results: In the eight-factor model, the internal consistency\nof the factors and the construct validity of the HSOPSC questionnaire were mostly satisfactory.\nThe construct validity was sufficient for all subscales, except for the 4 other subscale regarding\nintention to report incidents which correlated poorly with other subscales. In total, HSOPSC\nhas 12 dimensions. Cronbach�s showed that in Kosovarian society, we could use only 8 dimensions\nmodel. Conclusion: The hypothesis that HSOPSC would be a suitable instrument to provide\nimportant indicators for the improvement of patient safety culture was tested and it was confirmed,\nthat HSOPSC could be used as 8 dimension model. HSOPSC is suitable to improve patient\nsafety culture and provide each hospital with a basic profile on patient safety culture and recommendations\nfor an oriented intervention plan....
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