Total Number Of Nurses Research Articles

The Effect of an Educational Intervention Based on the Health Action Process Approach on Nurses' Communication Skills.

This study aimed to the effects of the Health Action Process Approach (HAPA) in promoting the quality of nurses' communication skills among nurses. The present quasi-experimental research was conducted on 148 nurses (76 in the intervention and 72 in the control group) in Yazd province (Iran). In this study, the total number of nurses in one hospital was selected as the intervention group, while the nurses from another hospital were chosen as the control group. The participants were recruited from public hospitals in Ardakan and Meibod cities. The data collection instrument was a questionnaire based on the Health Action Process Approach (HAPA) Constructs and a communicative skill questionnaire. The data were collected from the two groups before, one month after, and four months after the intervention. The control group did not receive any educational training during the course of the study. In the pretest, no statistically significant difference was found between the intervention and control groups regarding the behavioral stages of effective communication with patients. In the posttest, the mean task self-efficacy score was significantly increased in the intervention group compared to the control (p<0.001). The mean coping self-efficacy score was also significantly higher in the intervention group than the control in the posttest (p<0.001). Moreover, the mean coping planning score was significantly increased in the post-test intervention group(p < 0.001). The mean communicative skill score was also significantly increased in the intervention group compared to the post-test control (p=0.03). The intervention used in the present study based on the target model (HAPA) significantly affected nurses' self-efficacy and communicative skills in the experimental group.

Assessing knowledge and behavioral pattern of nurses working in wards of four major specialties in Colombo South Teaching Hospital during the COVID-19 outbreak

In the latter part of 2019, a severe respiratory disease was reported in China and was found to be an outbreak of Coronavirus. In March 2020, with the rapid increase of patients in many other countries, World Health Organization (WHO) declared COVID-19 as a pandemic. As one of the frontline workers providing care to patients with COVID-19, nurses are at risk of developing the illness, if not geared up with appropriate Personal Protective Equipment (PPE). The infected number would rise rapidly if no adequate knowledge on basic preventive measures or no appropriate behavior patterns are adopted by the nurses. A descriptive cross-sectional study was conducted from 1st to 31st December 2020, in Colombo South Teaching Hospital to assess knowledge and the impact of the pandemic on the behavioral pattern of nurses using a self-administered questionnaire. The total number of nurses who responded to the study was 155. Study indicates that nurses have sufficient knowledge of COVID-19, its contagiousness, transmission, prevention, and educating patients. The measures taken by the administration along with the relevant authorities in the institution during the initial phase of the pandemic were helpful to acquire such knowledge. Comprehensive training on donning and doffing of PPEs and other infection prevention practices is recommended as a Continuous Professional Development program.

Current Situation and Influencing Factors of Traditional Chinese Medicine Nursing Clinic in Henan Province.

Objective To explore the current situation and influencing factors of traditional Chinese medicine (TCM) nursing clinic in Henan Province. A self-made questionnaire was made and entered into the questionnaire star. In August 2020, through “the snowball sampling method,” the nursing branch of Henan Society of Traditional Chinese Medicine was used to calculate the sample size that would be further used for this study. Results Of the 370 medical institutions in 17 district-level cities in our province, 47 have set up TCM nursing clinics, accounting for 12.70%. From the perspective of regional distribution, there are 14 TCM nursing clinics in Zhengzhou, 8 in Luoyang, 6 in Kaifeng, 4 in Shangqiu, 3 in Jiyuan, and 3 in Zhoukou. The number of TCM nursing clinics in Jiaozuo City, Xinxiang City, Anyang City, Hebi City, Puyang City, Zhumadian City, and Nanyang City is relatively small, and there are no TCM nursing clinics in Pingdingshan City, Sanmenxia City, and Xinyang City. Among the 47 medical institutions offering TCM nursing clinics, there are 38 TCM hospitals, 5 integrated traditional Chinese and Western medicine hospitals, 3 Western medicine hospitals, and 1 ethnic medicine hospital. Among them, 31 medical institutions are tertiary care hospitals and 16 are secondary care hospitals. First-class and undetermined medical institutions do not set up TCM nursing clinics. (1) Management mode: among the 47 medical institutions, 26 medical institutions have separate nursing units, which are managed by the nursing department head nurse, and 13 medical institutions are managed by the director head nurse of the department. (2) Performance management: of the 47 medical institutions that set up TCM nursing clinics, 18 adopted independent accounting, 21 adopted secondary distribution of departmental performance, and 7 adopted average awards and other methods. (3) The process of seeing a doctor: there are three kinds of medical procedures: 124 medical institutions are treated by TCM nursing outpatients by hanging the consultation number of doctors in various departments. 210 medical institutions are treated by traditional Chinese medicine nursing outpatient nurses by hanging the consultation number of traditional Chinese medicine nursing outpatient doctors. Thirty-five medical institutions are retreated by hanging the number of nurses in the nursing clinic of TCM. (4) Allocation of human resources: in the survey of the total number of nurses in TCM nursing clinics in 74 medical institutions, the largest number of nurses was 46 in one of the TCM nursing clinics. In terms of personnel qualification requirements, 43 medical institutions put forward requirements for nurses' qualifications. Among them, 39 medical institutions have requirements for nurses' professional titles, 38 medical institutions have requirements for nurses working years, and 22 medical institutions have more specific requirements for nurses. For example, nurses are required to be the backbone of TCM nursing that includes specialist nurses, nurses who graduated from TCM colleges, and nurses who have obtained hospital assessment and certification. In terms of working years, 87.96% of medical institutions require nursing service of more than 5 years. The average number of TCM nursing technical projects offered by 47 medical institutions is about 10, a maximum of 34 and a minimum of 1. The commonly carried out TCM nursing techniques include scraping, auricular point pressing, cupping, moxibustion, and ear tip bloodletting, and among all of them, scraping technology is most important and 40 medical institutions offer this technology, followed by auricular point pressing technique, cupping, and moxibustion. Conclusion The construction of TCM nursing clinics in Henan Province has initially formed a scale, and all kinds of medical institutions at all levels should further strengthen the construction of TCM nursing clinics in all other provinces.

Nurse Readiness in Disaster Preparedness During Pandemic Covid-19

Nurses have a role to take part in disaster situations. The development of a theoretical for disaster nursing is very much needed, but there are not many articles that discuss disaster nursing. This can happen because the nature of disasters experienced by humans cannot be predicted when they will occur and Health professionals need to concentrate on these activities. There have not been many in-depth studies related to how prepared nurses are in dealing with disasters, given their important role, especially in providing physical and psychological handling and assistance to victims when a disaster occurs. The COVID-19 pandemic situation as it is now is also a challenge for health workers, especially nurses. This study was conducted to determine the relationship between knowledge and nurse readiness in disaster preparedness through the 8 dimensions contained in the Emergency Preparedness Information Questionnaire (EPIQ) for nurse readiness in disaster preparedness, and 40 questionnaires for knowledge about disasters. The sample is a nurse in a hospital, active in disaster activities, aged 21-60 years, and willing to become research respondents. The total number of nurses is 66 people. The data collection technique was carried out on all nurses who worked and were active in disaster activities at the PKU Muhammadiyah Hospital in Kebumen. Data was taken through an online recap and analyzed using SPSS 25. The results showed average knowledge is 61.4 with Std Dev 12.97 (38-88) and Nurse readiness 76.4 with Std Dev 6.62 (61-89). The results of the Pearson correlation test showed that there was a relationship between knowledge and nurse readiness in disaster preparedness (p = 0.000). Massive and continuous education process will improve nurses' preparedness in dealing with the COVID-19 disaster

Field investigation of standardized construction of intensive care unit in county-level public hospitals in Dizhou City, Guizhou Province

To investigate the standardized construction of critical care departments in different cities and counties of Guizhou province to promote the homogenization development of critical care medicine in Guizhou Province. Using research methods such as field investigation and data collection, the public hospitals of 88 counties and urban areas in 9 prefectures and cities of Guizhou province were divided into five routes: southeast, northeast, northwest, southwest, and Guiyang. To design the survey form for the standardized construction of ICU, the e-form was sent to the director of ICU or his/her designated personnel by email or wechat 2-3 days in advance. Check the authenticity of data item by item on site, and leave the hospital after checking the receipt form. From April to July 2021, the survey and research data collection was completed for 146 public hospitals (excluding provincial hospitals) with intensive care departments in 88 counties and cities of 9 dizhou cities in Guizhou Province, including 24 Grade-III Level A hospitals. 122 Grade-II and above hospitals (including 8 Grade-III Level B hospitals, 11 Grade-III comprehensive hospitals, 97 Level-II A hospitals, 3 Level-II B hospitals, and 3 Level-II comprehensive hospitals). 146 public hospitals have a total of 80 983 beds and 104 017 open beds. The department of Critical Care has 2 035 beds. The ratio of actual beds in ICU to total beds in hospital was 2.51%. From 1999 to 2010, 18 (12.33%) established departments, and from 2011 to 2021, 128 (87.67%) established departments. The total area of the discipline is 113 355.48 m2, with an average bed area of 55.70 m2. There were 97 hospitals with 1.5-2.0 m bed spacing, accounting for 66.44%, and 49 hospitals with 2.1- > 2.5 m spacing, accounting for 33.56%. The number of negative pressure wards: 1 in each of 43 hospitals, accounting for 29.45%; 103 hospitals did not have, accounting for 70.55%. The number of single rooms: 288 in 140 hospitals, accounting for 95.89%; 6 hospitals did not have, accounting for 4.11%. Central oxygen supply: 138 hospitals have (94.52%); 8 hospitals did not have, accounting for 5.48%. Natural ventilation: in 129 hospitals with 88.36%; 17 hospitals did not have, accounting for 11.64%. Specialized ICU construction: 66 hospitals, accounting for 45.21%; none in 80 hospitals, accounting for 54.79%. There are 3 712 doctors and nurses in 146 public hospitals. The total number of doctors was 1 041, and the ratio of doctors to beds was 0.51:1. The total number of nurses was 2 675, and the ratio of nurses to beds was 1.31:1. All 88 counties and districts in 9 prefectures and cities of Guizhou province have established intensive care medicine departments. The standardization of the discipline construction has been significantly improved. Lack of talents is still an important factor restricting the rapid development of the discipline.

Prevalence and Associated Factors of Burnout syndrome among Nurses in Public Hospitals, Southwest Ethiopia.

The Burnout syndrome has been defined as a response to the chronic work-related stress typically found in professionals working in care service organizations. Therefore, this study aimed at assessing the prevalence of burnout syndrome and factors associated with burnout syndrome among nurses in public hospitals, Southwest Ethiopia, 2018. An institutional-based cross-sectional study was conducted from February 1st, 2018 to April 1st, 2018. Total number of nurses who fulfill the inclusion criterias were enrolled. Data was collected using the predesigned tool. Data were entered using EPI INFO version 7 and was exported to statistical packages for social science (SPSS) version 21.0 for analysis. Logistic regression was employed and odds ratio with a 95% confidence interval was used. Variables with a P value of less than 0.05 was considered statistically significant. A total of 282 eligible nurses were enrolled in the study with a mean age of 28.71 [SD ±7.047]. The prevalence of burnout syndrome among nurses was 96(34%). Predictor variables like; educational status, job title, work experience, fatigue, and social support were found to be strong predictor variables for burnout syndrome. This study revealed that a considerable proportion of nurses had burnout syndrome. Therefore, improved educational status and strong social support should be encouraged among nurses working in the health setting for the betterment of health care services, job satisfaction and quality of care in general.

Nurses' knowledge and practice in assessment and management of neonatal pain at Governmental Hospitals in Gaza Strip: A cross sectional study

Objective: The study aimed to investigate neonatal nurses' knowledge and practices related to pain assessment and management that may contribute to improve the quality of pain management by nurses at Neonatal Intensive Care Units (NICUs) of governmental hospitals in Gaza Strip. Design: The study design was quantitative, descriptive cross sectional, conducted at the NICUs affiliated to the governmental hospitals "Al Shifa Hospital - Al Nasser Pediatric Hospital - European Gaza Hospital". Materials and Methods: The sample consisted of all nurses working in NICUs. The total number of nurses was 102. The data were collected from study participants by using a self-administered questionnaire. The response rate was 100%. The data collected were analyzed by using descriptive and inferential statistical tests with level of statistical significance at p &lt; 0.5. Results: The results showed that nurses had very low of knowledge level with mean percentages (59.42%) and very low of practice level with mean percentages (58.33%). Conclusion: Therefore, the study recommended to developing course or educational program related to assessment and management of neonatal pain to promote their integrated pain management care for neonates.

Awareness of Nurses’ Working in Health Centers and Health Offices Regarding Communication Skills

Background: The lack of effective communication can lead to misunderstanding, poor performance,interpersonal conflict, ineffective program development, medical mistakes, and many otherundesirable outcomes. This study aimed to assess awareness of nurses’ working in health centersand health offices regarding communication skills. Research design: A descriptive research designwas utilized to conduct this study. Setting: The study was conducted in all health centers and healthoffices in Benha City. Sampling: Convenient sample was used in study which included all thenurses’ work at health centers and health offices in Benha City, the total number of nurses were 124nurses. Tools: Three tools were used in this study: I- A structured interviewing questionnaire toassess nurses’ socio- demographic characteristics, nurses’ knowledge regarding communication skillsand factors affecting nurses’ skills regarding communication. II-The second tool: Likert scale toassess nurses’ attitude regarding communication skills III-The third tool: Observational checklist toassess skills of nurses regarding communication. Results: More than two fifths of studied nursingaged 45 years or more with the mean age 41.97±9.88 years, more than two thirds of nurses had goodknowledge about communication skills, the most factors highly affected communication skills werephysiological factors of internal confusion, factors enhancing in communication and the principles toovercome communication barrier, more than three quarters of studied nurses had positive attitudetoward personal communication and had satisfactory skills about communication. Conclusion: Therewas a statistically significant relation between nurses’ total knowledge with their socio- demographiccharacteristics regarding their marital status and work setting, there was a statistically significantrelation between nurses’ total skills score and their socio- demographic characteristics regarding theirmarital status. There were highly positive correlation between total knowledge with total factors ofstudied nurses and there was no a statistically relation with total skills and total attitude.Recommendation: Develop and implement health educational program for nurses at health centersand health offices to improve nurses’ knowledge and practice regarding communication skills andbooklets should be available and distributed in all health care centers to all nurses about thecommunication and ways to over comes the barriers faced

Kamu Hastanelerinde İş Yüküne Dayalı Hemşire İşgücü Gereksiniminin Belirlenmesi

INTRODUCTION: The aim of this study is to examine the requirement and distribution of nurse workforce based on workload in public hospitals. METHODS: The number of nurses required in intensive care unit, all inpatient services, emergency room, operating room and dialysis units of the hospitals affiliated to the Ministry of Health in Kocaeli was calculated based on the workload by applying the Workload Indicators of Staffing Need (WISN) method. RESULTS: When the nurses were compared based on the inter-hospital workload ratio in the province, it was found that the number of nurses in the hospitals A, B, C, D, G, H and I was inadequate, the average workload was 0.73 and the number of nurses should be increased by 27% throughout the province. It was determined that the nurses having the highest workload ratio were inpatient service nurses in hospital with A rate of 0.49 and hospital in C with 0.53 rate. In addition, although the total number of nurses in E and F hospitals is sufficient, the units within the hospital are unevenly distributed according to the workload of the nurse workforce. DISCUSSION AND CONCLUSION: It was determined that the number of nurses in the hospitals was insufficient and the workload distribution between the hospitals and within the hospital was unbalanced. The unbalanced distribution of nurse workforce throughout the province causes labour inefficiency, decreases the quality of patient care and causes health inequalities. The study results could set an example of practice that would provide support for health and nursing managers in planning and managing healthcare human resources more effectively.

Implementation of a new model of management to increase the effectiveness of nursing specialists

Abstract Issue/problem Nurses play a key role in the system of public health. The total number of nurses in Kazakhstan is 105,441 people (January 1, 2019), which is over 40% of all health workers in the health system of Kazakhstan. The continuing problem of insufficiently effective nursing service (NS) in the country prompted us to develop policy options to increase the NS effectiveness. Description of the problem Key problems of the NS in Kazakhstan include the ineffective management of NS in health organizations, which is associated with an underestimation of the role of nurses in the therapeutic and diagnostic process. There is also a discrepancy in the functioning of the system of nursing education, research and practice with European directives. There are inadequate regulatory acts governing the activities of nurses (including the lack of national guidelines, nursing standards, etc.). Results As a result of analyzing the current situation in the country and summarizing the data from systematic reviews, we were developed the Policy Brief on the issues of implementation of a new model of the NS management. As the key policy options, we proposed: 1. Improving the NS management in health organizations based on a revision of the role of nursing staff in the treatment and diagnostic process; 2. Improving the sectoral qualifications system of nursing specialists in accordance with European directives; 3. Ensuring the development of evidence-based nursing practices with the implementation of generally accepted international standards and models, the development of national guidelines and standards for NS. Lessons The proposed measures found support from the Ministry of Health and were included in the action plans. Each of these policy options contributes to increasing the effectiveness of NS in the health system of Kazakhstan, but these options provide more substantial achievement of the goal of enhancing the role and status of a nurse with their combined implementation. Key messages Implementation of a new model of the NS management in which nurses and physicions work on an equal footing and independently can significantly improve the efficiency of NS. Implementation of evidence-based approaches to the formation of a policy in the field of the NS development gives possibility to increase the effectiveness of the reforms in this field.

Machine learning application to the reduction of ambulatory care sensitive admissions (ACSA)

Abstract Background Reducing Ambulatory Care Sensitive Admissions (ACSA) not only enhances patients’ quality of life but could also save substantial costs. ACSA are avoidable admissions for chronic conditions that are associated with socio-economic status, health status, utilization and readiness of primary care service as well as environmental factors. Undoubtedly, health authorities are highly interested in enhancing the health care services in order to reduce the number of ACSA. The objective is to identify the geographic areas where the primary care workforce should be increased in order to maximize the decrease in ACSA. Methods Using ambulatory care and inpatient claims data as well as contextual variables, we apply support vector machine regression (SVR) to select the geographic areas (fr. Bassins de vie - BVs) and the number of to-be-added primary care nurses that maximize the ACSA reduction. We also take into account the constraints related to budget and the equality of health care access. Particularly, there are three possible constraints: (1) the total number of nurses can be added in the whole region; (2) the maximum number of the nurses can be added at each area; (3) the maximum density of nurses (numbers of the nurses per 10,000 habitants) can be reached at each area. The results are visualized using spatial maps. Preliminary results In 2014, 27,000 ACSA occurred in the Occitanie, France region. For a specific set of constraints values, the model identified 16 BVs (out of 201) where the addition of 30 nurses could lead to the maximum ACSA reduction in number which is 17. Conclusions In the French Occitanie region, our SVR model was able to target a small number of geographic areas to maximize the impact of increased primary care workforce on ACSA. Our approach is applied to a single region, and it can be applied to other regions or extended at the national level as well as to other countries. Key messages A decision support tool to help health authorities in locating primary health care resources for the maximum reduction of ambulatory care sensitive admissions. An application of machine learning in primary care services.

Application of Plato analysis combined with plan-do-check-act cycle in scientific research management of nurses with primary position title

Objective: To explore the effects of application of Plato analysis combined with plan-do-check-action (PDCA) cycle in scientific research management of nurses with primary position title. Methods: Twenty-six nurses with primary position title were recruited in this self pre- and post-control study. From January 2012 to December 2013, they were guided by normal scientific research management. In January 2014, the factors which hinder these nurses from writing papers were investigated by the questionnaire titled " the impediments that hinder nurses with primary position title from writing papers" . Based on " twenty-eighty percent laws" of Plato analysis method, the main influencing factors which hinder nurses with primary position title from writing papers were " had no idea" and " did not know how to write although with ideas" . From January 2014 to December 2015, based on the results of the survey and combined with PDCA cycle method, interventions were planned, carried out, analyzed by stage, and then improved continuously. Impediments which hinder writing papers of 26 nurses in January 2014 and December 2015, specific scientific research achievement, total scientific research achievement, and average scientific research achievement of these 26 nurses before intervention (from January 2012 to December 2013) and after intervention (from January 2014 to December 2015) were analyzed. Data were processed with McNemar exact probability test, Wilcoxon signed rank sum test. Results: (1) The cumulative percentages of main impediments " had no idea" and " did not know how to write although with ideas" were decreased from 76.93% in January 2014 to 23.07% in December 2015. The number of nurses who " had no idea" was significantly reduced from 14 in January 2014 to 4 in December 2015 (P<0.01). The total number of nurses who had impediments which hinder writing papers was significantly reduced from 26 in January 2014 to 10 in December 2015 (P<0.01). (2) The total scientific research achievement and average scientific research achievement of the 26 nurses were significantly increased from 5 before intervention to 32 after intervention and 0.19 before intervention to 1.23 after intervention, respectively (Z=-4.838, -3.703, P<0.01). Among which, numbers of specific scientific research achievement of papers published in Journals of Statistic Source, papers published in other journals, science and technology awards, fund projects, national utility model patents, and patents for invention after intervention were all increased than those before intervention (P<0.05 or P<0.01). Conclusions: Plato analysis can accurately analyze the main impediments that hinder nurses with primary position title from writing papers. Plato analysis combined with PDCA cycle can improve the overall ability of scientific research of nurses with primary position title and affect the achievements in nursing scientific research, which is worthy of promotion.

The Accreditation of Human Resources and Physical Space of the Iranian Heart Centre: Comparison to the national and international standards

Objective: Standardization of hospital resources and physical space can be an important strategy to increase productivity and effectiveness of services. The study was conducted with the aim of comparative accreditation of human resources and physical space in Mazandaran heart centre compared with the standards.&#x0D; Method: This comparative descriptive study was carried out in Sari city (centre of Mazandaran province) during 2016-2017. The data collection tool consists of two checklists for investigating the physical space and human resources of the hospital. To evaluate the quality of the content, a checklist was distributed to 5 experts from Mazandaran University of Medical Sciences. After corrections the checklist was applied. Data were analyzed by SPSS software version 16 and descriptive statistics.&#x0D; Findings: The total number of nurses in this hospital was 288 and the total number of beds was 171. The human resources in the nursing, nutrition, operating room, anaesthesia departments were not standard. The ratio of total human resource to the number of beds was also estimated as 4.04. Results showed that the physical conditions in the hospital were moderately standard. The physical conditions of the hospital in most dimensions based on checklist, except the physical location of hospital and the features of its doors, were in accordance with the standard requirements.&#x0D; Conclusion: Considering the inappropriate distribution of human resource in the hospital and the non-standard design of physical space for providing services with better quality and increasing patients' satisfaction, it is recommended that experts control more carefully standard requirements.

A study of the epidemiology and risk factors for attempted suicide and suicide among non-psychiatric inpatients in 48 general hospitals in Hubei province, China, 2015–2017

ObjectiveThis was a large-scale epidemiological survey of non-psychiatric inpatient attempted suicides/suicides in general hospitals in China, allowing a detailed quantitative analysis of the characteristics of inpatient attempted suicides/suicides. MethodsThe incidence, inpatient demographic and behavioral characteristics, and risk factors for attempted suicide/suicide were explored through a survey of non-psychiatric inpatients admitted to 48 general hospitals, between 2015 and 2017. A Vector Error Correction model was established to explore hospital variables as predictors of inpatient attempted suicide/suicide using the annual numbers of inpatient attempted suicides/suicides, undergraduate or above nurses per total number of nurses, and number of beds per nurse in a tertiary general hospital, between 1998 and 2017. ResultsThe incidence of attempted suicide/suicide among inpatients in general hospitals was 3.26/100,000 admissions. 180 inpatient attempted suicides/suicides were reported, which were associated with particular inpatient demographic and behavioral characteristics and a specific temporal and spatial distribution. Incidence of attempted suicide/suicide was higher in inpatients aged ≥60 years, with junior high school or lower level of education, in secondary general hospitals, suffering from malignant tumors or chronic diseases. Number of beds/nurse had a significant impact on the incidence of inpatient attempted suicide/suicide. ConclusionWe recommend that general hospital administrators establish a targeted approach to inpatient suicide prevention efforts in their hospitals.

A Study on the Occupational Stress, Job Satisfaction and Job Performance among Hospital Nurses in Ilam, Iran

Introduction: Occupational stress and job satisfaction in nursing are issues that affect job performance and the quality of care provided by nurses. Aim: The aim of this study was to assess occupational stress, job satisfaction and job performance and how they are influenced by personal and work characteristics among hospital nurses in Ilam, Iran in 2013. Materials and Methods: In this descriptive cross-sectional study the sample included all nurses working in teaching hospitals in Ilam. All of the participants were chosen by census sampling method. The total number of nurses according to the inclusion criteria were 208, out of which 198 nurses completed the questionnaire. Study tools included Harris's Nurse Stress Index (NSI), Spector's Job Satisfaction Survey (JSS), Schwirian Six Dimension Scale of Nursing Performance (6-DSNP) and also a demographic questionnaire. Data were analysed using descriptive and inferential statistics such as ANOVA and Pearson correlation coefficient at the level of significance < 0.05. Results: The mean of occupational stress and job satisfaction of nurses was moderate and the mean job performance was at a high level. In this study, there was a significant relationship between occupational stress and job satisfaction (p=0.001) and also occupational stress and job performance (p=0.04). There was no significant relationship between job satisfaction and job performance. Conclusion: The results of this study show the importance of nurses' occupational stress on their job satisfaction and performance. In addition, the demographic variables were influential on the main variables in this study.

Calidad en la administración de medicamentos por sondas enterales de una unidad de cuidados intensivos de México

El objetivo principal de este trabajo es evaluar la calidad en la administración de medicamentos por sondas enterales por el personal de enfermería de una unidad de cuidados intensivos. Metodología: Estudio observacional, transversal y descriptivo. Se consideró el total de profesionales en enfermería (N=30) de un hospital de alta especialidad. Se estudió las variables conocimiento y cumplimiento. Para evaluar el conocimiento en la administración de fármacos por sondas enterales, se utilizó el instrumento de Amuriza “encuesta de administración de fármacos por sonda”. Para evaluar el cumplimiento, se empleó la cédula oficial de administración de medicamentos vía oral del Sistema Nacional de Indicadores de Calidad en Salud. Para obtener del nivel de calidad, se creó un índice ponderado general (IPG) a partir de la suma de los valores estimados obtenidos del porcentaje y la puntuación media del nivel de conocimiento y nivel de cumplimiento. Se analizó los datos a través del programa estadístico SSPS V.21.0. Resultados: El nivel de conocimiento promedio fue deficiente en los participantes, el nivel de cumplimiento fue intermedio en el 77%, el nivel de calidad ponderado fue de 5 puntos estimado como deficiente. Conclusiones: El resultado es contrario a lo establecido en los lineamientos de administración de fármacos por sondas, se sugiere adiestramiento y evaluación constante para la mejora continua. Es indispensable el bien saber y el bien hacer en las intervenciones de enfermería

Assessment of job satisfaction among the senior staff nurses working at Sadar Hospital, Naogaon, Bangladesh

This study aimed to examine nurses? job satisfaction at Sadar Hospital, Naogaon, Bangladesh. It also examines the relationships between nurses? assessment, satisfaction, attitude, and practice with respect to job satisfaction. The descriptive cross sectional study design was used to explore the job satisfaction among the staff nurses. Total number of nurses working in this hospital was 121. A total number of fifty nurses were recruited into this study in order to overcome non-response subjects. The age group 30-39 years were 40%, 40-49 years were 46% and 50+ above were 14% nurses. Male nurses were only 6% and the female were 94%. Marital status single 12%, married 80%, widow 8%. Muslim nurses were 58%, Hindu 38% and Christian 4%. Academic qualification of them was SSC 66% and H.S.C 34%. Professional qualification was Diploma in Nursing /Diploma in Midwifery 92%, B.Sc. in public Health Nursing 6% and MPH 2%. Length of service 1 to 10 years 22%, 11 to 20 years 50%, 21 to 25 years 24%, 31+ years 4%. Regarding maintaining therapeutic relationship; facing problem in duty; keeping records; receiving complicated patient; attend in duty time; maintaining aseptic techniques; maintaining work; carryout admission and discharge the results for all above questions were 100% yes. But regarding satisfy to give care 30% respondent were not satisfied; whole for job salary 68% nurses were not feel enough and remaining 32% were satisfied. Again in case of promotion to the next post most of the respondent 16% were satisfied and 84% were not satisfied.Asian J. Med. Biol. Res. December 2016, 2(4): 611-615

Challenges for nurses who work in community mental health centres in the West Bank, Palestine

BackgroundNurses in Palestine (occupied Palestinian territory) work in a significantly challenging environment. The mental health care system is underdeveloped and under-resourced. For example, the total number of nurses who work in community mental health centres in the West Bank is seventeen, clearly insufficient in a total population of approximately three million. This research explored daily challenges that Palestinian community mental health nurses (CMHNs) face within and outside their demanding workplaces.MethodsAn interpretive qualitative design was chosen. Face-to-face interviews were completed with fifteen participants. Thirty-two hours of observations of the day-to-day working environment and workplace routines were conducted in two communities’ mental health centres. Written documents relating to practical job-related policies were also collected from various workplaces. Thematic analysis was used across all data sources resulting in four main themes, which describe the challenges faced by CMHNs.Results and conclusionThese themes consist of the context of unrest, stigma, lack of resources, and organisational or mental health system challenges. The study concludes with a better understanding of challenges in nursing which draws on wider cultural contexts and resilience. The outcomes from this study can be used to decrease the challenges for health professionals and enhance the mental health care system in Palestine.

Staffing and the incidence of pressure ulcers in German hospitals: A multicenter cross-sectional study.

In this study, we investigated the association between nurse and physician staffing and the incidence of hospital-acquired pressure ulcers in acute care hospitals in Germany. The study population, derived from the Quality Reports of German Hospitals and the Hospital Directory, consisted of 710 hospitals covering 716,281 cases in the first quarter of 2010, and 672 hospitals covering 757,665 cases in the first quarter of 2012. The relationship between staffing variables and the standardized incidence ratios of pressure ulcers was examined using bivariate and multivariable linear regression models. Estimates were controlled for several patient and hospital characteristics. The total number of nurses and physicians per 100 beds did not show significant associations with outcome variables. However, the proportion of nurses with at least 3 years of training to total nursing staff was inversely associated with the incidence of pressure ulcers at hospital level, indicating a higher efficacy of pressure ulcer-prevention measures.

Relationship between organizational justice and trust among nurses in Assiut University Hospital

In the recent years, increasing attention has been paid to the issue of organizational justice and its impacts on organizational outcomes. The concept of justice is central to understanding a wide range of human behavior in the organizational setting. Organizational justice refers to employee's perceptions of fairness in the workplace. It has shown to be associated with several outcomes such as job satisfaction, work motivation This study was amid to assessing the organizational justice and trust in three university hospitals at Assuit. Relationship between organizational justice and trust Research design: was a cross-sectional descriptive correlation research design. Setting: The study was carried out at Assiut University Hospitals (main, pediatric and woman reproductive health hospital) Subject: included a representative sample (727) from the total number of nurses who working in the three hospitals. Tools: Three tools were used for data collection; Organizational Justice Questionnaire, and Organizational Trust Scale. Results revealed that there was a significant positive relationship between organizational justice and trust conclusions: The nurses' perception of organizational justice was significantly correlated with organizational trust. Recommendation: Organizational management should apply and create what is called climate of fairness and trust through working within a team contribution.