ORIGINAL RESEARCH ARTICLE | Oct. 7, 2022
Knowledge about Enteral Feeding Among Cardiac Nurses at CCH
Mohammed Sayel Hamad Alshammari, Rechel Mates, Latifa Khalaf Alshammari
Page no 213-222
Background: Patients need enough food to recover from any disease. Patients with serious illnesses have high nutritional requirements and can become malnourished very quickly. Research findings suggest that early nutrition is important for patient outcomes. The nutritional needs of all patients are reviewed daily and nutrition is initiated as soon as possible, usually on the first day of admission. In critical care areas, enteral feeding is used to overcome malnutrition conditions and to keep patient in the safety side. Therefore, enteral nutrition is considered an easier method and cheaper when compared to parenteral nutrition which has more complications and costlier, additionally, having enough knowledge about enteral nutrition by the nurses is considered very crucial to administer the enteral feeding to patients in the proper way at the critical care units. Method: Non-experimental, cross-sectional research design which will identify nurses’ knowledge regarding enteral feeding among cardiac nurses at CCH. The study will describe knowledge by using a quantitative method. The research will be conducted in Cardiac Center Hail, Ha’il Region, Kingdom of Saudi Arabia, and will focus on all cardiac nursing care units. Results: The data obtained from this study were analyzed using the Statistical Package for Social Science (SPSS) 25.0 program. A descriptive statistical analysis using means, frequencies, percentages, and standard deviations was used to describe the demographic variables and answer question 1. Kruskal-Wallis was used to determine if there are significant differences among the means of the groups (more two groups) and Mann-Whitney (independent-samples) for questions 2, because the data doesn’t follow normality distribution, where of the Table 2, we find that the significance level of the Kolmogorov-Smirnov test was less than 0.05. This leads us to reject the null hypothesis that the data follow the normal distribution, so we used nonparametric tests. Conclusion: The nurses’ knowledge regarding enteral nutrition at the cardiac nursing units were enough under safe practices. The in-short activities of Continuing Nursing Education had a positive effect in improving the nurses’ knowledge and practices regarding enteral nutrition in the in-patients’ departments at Cardiac Center Hail.
REVIEW ARTICLE | Oct. 7, 2022
The Hurried Child Syndrome: An Overview
Mr. Vishal Ghorpade, Mr. Satish N Salvi, Mr. Gaurav Gurudatta Awate, Mr. Samson Wilson Kamble
Page no 223-225
A syndrome described as "hurried child syndrome"—a combination of stress-related behaviors—may develop when a child's parents expect performance levels much above his or her mental, social, or emotional capacity. In essence, parents overbook their children's calendars, put pressure on them to succeed academically, and expect them to act and react like young adults. The current situation of trade is another factor. Many people that market to children today are aware that their parents no longer have complete control over what their children eat, wear, or engage in for entertainment. The consumerist economy is taking advantage of this reality, and it affects children. The following statistics serve as an example of the "hurried child syndrome": The suicide and homicide rates have increased by three times over the previous 20 years, childhood obesity has increased by half, and 15 to 25 percent of young children are "failing" kindergarten, according to recent research on the effects of rushed kid syndrome. In an effort to "manage" them better at home and at school, millions of children take drugs. According to recent data, 70% of virgin girls will not remain virgins by the time they reach maturity, and 40% of adolescent girls who engage in sexual activity will become pregnant by then. Addiction to drugs and alcohol is the main cause of death for young people today, but suicide rates are also rising. Every year, 5,000 teenagers take their own lives.
ORIGINAL RESEARCH ARTICLE | Oct. 11, 2022
To Determine the Affecting Factors of Performing Episiotomy among Women Delivering Vaginally in King Salman Armed Forces Western Region Hospital (KSAFWRH)
Tahani Suliman Alatawi, Dr. Manal Alwafa, Mona Ali Qarshae, Nouf Mohammed Abu Salem, Fatimah Hakami, Fatimah Musalem Alhweiti, Abdullah Saeed Alzahrani, Maryam Mohammed Alatawi
Page no 226-232
Background: Episiotomy is the most common surgical incision in midwifery. It's important to study the frequency of episiotomy and its associated factors in women with spontaneous vaginal delivery SVD. Therefore, this study conducted to determine the prevalence of episiotomy and the affecting factors of performing episiotomy among delivering women in King Salman Armed Forces Hospital in Tabuk City, Saudi Arabia. Methods: This study is a descriptive “prospective” cross sectional design. Done among all women who are delivered with spontaneous vaginal delivery (SVD) in KSAFWRH labour and delivery ward. Results: Overall responders are 215 of total 300 research tools were analysed using SPSS 22 software. 132 the indication was prime parity, 66 were because of rigid perineum, while 63 were due to baby distress .The prime who had episiotomy due to prime parity were 132(91.06%), while the multi paras had episiotomy due to rigid perineum with 39(59.09%). There is a significant relation in the fetal distress and history of C/S and child birth attendance with most of the variables. Conclusion: The primary objectives of this study were to determine the prevalence of episiotomy and the affecting factors of performing episiotomy among delivering women. 300 research tool was distributed to midwifes to fill for each active vaginal delivery case, excluded 93 paper due to incomplete data. Within 207 complete research tools findings are showing 132 the indication was prime parity, 66 were because of rigid perineum, while 63 were due to baby distress .The prime who had episiotomy due to prime parity were 132(91.06%), while the multi paras had episiotomy due to rigid perineum with 39(59.09%). Chi- Square test was applied to calculate the p-value, there is a significant relation in the fetal distress and history of C/S and child birth attendance with most of the variables.
ORIGINAL RESEARCH ARTICLE | Oct. 12, 2022
Nurses’ Knowledge and Attitudes towards Paediatric Pain Management in Jouf City, Saudi Arabia
Reem F Alshammari, Deema J Alrwili, Wesam M Alrwili, Renad M, Alrwili, Dana S Alrwili, Nimah M Alrwili, Shamaa H, Alshammari, Shahenda A Salih, Wafa Abdein Humza Bashir
Page no 233-239
Background: Pain is a significant and possibly debilitating symptom for children and it can affect the quality of life. Poorly relieved pain has been associated with negative outcomes including delayed recovery and increased likelihood of early death. The study aimed to assess nurses’ knowledge and attitudes towards managing Paediatric pain in Jouf region. Methods: This study adopted the quantitative research approach through conducting across-sectional survey. Results: The results showed that nurses’ had a moderate level of knowledge about pain management of Paediatric patients (15.15±4.3), and had neutral attitudes towards pain management among Paediatric patients (2.67±0.62) Conclusion: Educational and training programs should be conducted for nurses in the field of Paediatric Pain Management in Jouf region hospitals.
ORIGINAL RESEARCH ARTICLE | Oct. 14, 2022
Factors Influencing the Choice of Geriatric Nursing as an Area of Specialization among Nursing Students in Ekiti, Nigeria
Dr. Aina Felix Olukayode, Agbesanwa TA, Dele-Ojo BF, Fadare JO, Awoleke A, Inubile AJ
Page no 240-244
The ageing global population has necessitated adequate preparation for the healthcare needs of older adults. Nurses are front line staff in the health sector and are expected to a play major role in the care of the older adults. The study was descriptive and cross-sectional. Questionnaire was administered to 84 respondents who were final year students in two schools of nursing in Ekiti State, Nigeria. The study shows that 69.0% of the students perceived their experience while caring for older adults as interesting and this significantly influenced the decision of 31.0% of them who were willing to take up career in geriatric nursing. Adequate training and care facilities should be provided to give student nurses’ interesting experience during training in order to make geriatric nursing a more preferred area of specialization.
ORIGINAL RESEARCH ARTICLE | Oct. 20, 2022
Discharge Against Medical Advice (DAMA) Among Inpatients with Cardiac Problems in CCH
Mohammed Sayel Hammad Alshammari, Rechel Mates, Tahani Madyn Hakem Alshammari, Najah Sayal Hammad Alshammari
Page no 245-249
Background: The instance of a patient already in hospital wishing to leave against clinician’s advice is referred to as self-discharge or discharge against medical advice. DAMA is a relatively common problem in health care systems. Because lengths of stay (LOS) are commonly several days, these patients often remain acutely ill at the time of self-discharge, and they may remain exposed to the risk of inappropriately treated medical problem, resulting in the need for readmission. It is not surprising that DAMA poses a major problem for many clinicians who treat inpatients, particularly those with cardiac problems because incomplete therapy in conditions such as ischemic heart disease may exert a negative impact on health outcome. Additionally, consequent care will be probably associated with more challenges and higher overall costs over time. Avoiding DAMA is, thus, likely to be beneficial for both patients and health systems. Methods: Study Design -Non-experimental, cross-sectional research design which will identify the reasons influencing DAMA among inpatients with cardiac problems is CCH. The study will describe the reasons by using a quantitative method. Setting of the study - The research will be conducted in Cardiac Center Hail, Ha’il Region, Kingdom of Saudi Arabia, and will focus on inpatient departments. Sample - In order to get accurate result of study, all discharged patients will be asked to participate in this study optionally. Data collection procedures - After getting approval from ethical committee in CCH and Hail Health Cluster, the questionnaires will be kept in nursing station, and explanation of a purpose of study will be demonstrated to all participants. Then, a collection box of questionnaires will be provided in the nursing office. Thereafter, data will be stored within one week from distribution to be ready for analysis. Data analysis - The ‘Patient Satisfaction Survey - DAMA form’ was designed on the basis of the reasons cited by patients in the past for self-discharge and the potential reasons are provided in this form. Demographic information was comprised of such biological characteristics as age, gender, and nationality. Finally, the prospectively collected data were analysed. The data are presented as n = % for the quantitative variables and are summarized by absolute frequencies and percentages for the categorical variables. Results: For approximately 45-day period, there were 102 discharges, of which 19 (18.63%) were cases of DAMA. Analysis was conducted in 17 patients after the exclusion of 2 patients due to missing data. Modes of admission were the emergency department, hospital transfer, and routine or elective admissions. The most prevalent reason cited by the study was feeling well (88.24%), followed by the desire to be transferred to other hospital (5.88%) and financial problems (5.88%). The baseline characteristics of the DAMA cases, for male and female separately, are depicted in Table 1. The range age of study population is above 18 to over 60 years with a male to female ratio of 16:1. Nearly one third of the study patients were in the age group of 51-60 years. The most common age group was 51-60 years in the men and over 60 years in the women. Conclusion: The most frequent self-reported reasons for DAMA in inpatient cardiac patients included feeling well, desire to be transferred to another hospital and financial problems respectively. We believe that explaining the importance of proper medical treatment and benefits versus risks of medication compliance may lessen impulsive decision of DAMA. Providing strategies for decreasing the rate of DAMA by analysing the current circumstances and developing effective interventions may benefit both patients (improving their health) and health care systems (decreasing unnecessary readmissions). There will be a continuous monitoring of the patient satisfaction survey both in regular and monthly basis by the Nursing Service Department. Proper coordination with social health workers, medical and nursing staff will be done. Multidisciplinary collaboration through regular committee meetings shall be implemented.
ORIGINAL RESEARCH ARTICLE | Oct. 20, 2022
Effectiveness of an Educational Program on Intensive Care Unit Nurses' Knowledge Regarding Systemic Inflammatory Response Syndrome
Hanan Alaswad Almutiri, Ahood Dowel Alrowily, Qurosha Yahia Matari, Feda Alaswad Almutiri, Areef Salam Alanizi
Page no 250-260
Background: During triage in the emergency room, observations of vital signs and identification of organ failure are increasingly frequently employed to diagnose systemic inflammatory response syndrome (SIRS) and sepsis. However, there is less emphasis on early detection technologies of systemic inflammatory response syndrome (SIRS) in the critical care unit. Method: This is A prospective research design study, A convenience sample technique utilized consists of (45) nurses working in the intensive care unit at King Khalid general hospital, KSA. Participants completed the electronic questionnaire sheet to assist knowledge of nursing staff about Systemic Inflammatory Response Syndrome by pre, immediate, and post educational program consisting of twenty questions. Results: The findings show a highly statistically significant increase in the mean score in a knowledge level of knowledge before and immediately after the educational program, then it slightly decreases one month after the educational program. There was no statistically significant relationship between the total knowledge of studied nurses and their Sociodemographic Characteristics. Conclusion: Criteria for systemic inflammatory response syndrome (SIRS) are very important to know and, unfortunately, they are not well used in ICU. It is recommended that educational programs be provided for intensive care nurses to help them with the detection of sepsis in the early stages.
ORIGINAL RESEARCH ARTICLE | Oct. 20, 2022
Difficulties Experienced by Psychiatric Nursing in Mental Health Hospitals and Clinics and Their Relationship to Performance Improvement
Eisa Turqi Ghanem Aldhafeeri, Saadoun Tarqi Ghanem Aldhafeeri, Hani Tarqi Ghanem Aldhafeeri, Mutar Awaid Asaim Aldhafeeri, Ghanim Turki Ghanem Aldhafeeri, Shalan Radi Shalan Aldhafeery
Page no 261-272
Nurses in the kingdom of Saudi Arabia work in a significantly challenging work environment. This research explored difficulties experienced by psychiatric nursing in mental health hospitals and clinics and their relationship to performance improvement. The study followed the correlation, the descriptive design, the study sample was randomly selected (201) participants from the psychiatric hospitals in Saudi Arabia – Hafar Al –Batan. The researcher used two questionnaires to answer the study questions and achieve their objectives. The first one is the Nurses Work Functioning Questionnaire (NWFQ) it consists of fifty items self-reported survey it contains seven subscale to measure the obstacle arises in work due to common mental illness. The other questionnaire is to measure difficulties and problems it consists of nine items and the scoring system is a five-scale point. Data were analyzed using SPSS 26 version. Results showed that 56% were males while 44% were females. The large percentage according to age was 47.8% to the range age group from 20-29. Then the age group from 30–39 with total number 42 and percentage 20.2%. regarding study sample years of experience, the high percentage was from 5 years- 7 years with 57%. Also , showed that nurses faced a lot of difficulties such as depression, stress and anxiety during their work shift. These symptoms can adversely affect work performance and care quality. But in the current research in general, the results indicate that there is no statistically significant relationship between the overall degree of the mental health scale and the professional performance scale.
ORIGINAL RESEARCH ARTICLE | Oct. 23, 2022
Assessment of Health Literacy Level among Clients Attending King Salman Armed Forces Hospital, Tabuk
Wejdan Saad Alqahtani, Hayfa Oudah Albalawi, Abdullah Saeed Alzahrani, Dr. Tareq Shaqran
Page no 273-283
A cross sectional study will be done among a convenience sample of clients attending surgical, medical out-patient clinics of King Salman Armed Forces hospital (KSAFH) in Tabuk city. A pretested structured questionnaire will be utilized in data collection included demographic characteristics and HLS-Q12 Arabic version after its validation.
ORIGINAL RESEARCH ARTICLE | Oct. 23, 2022
Factors affecting place of Delivery at a Rural Community of Lahore, Pakistan
Nabiha Ameer, Maria Ashraf, Sania Jamil, Saira Abdul Rehman, Aniqa Hayat, Uzma Firdous, Ms. Kashifa Khatoon, Ms. Misbah Zafar
Page no 284-289
Background: This study was conducted at a rural Community of Lahore Pakistan in 2021, to assess the different factors that affect place of delivery and delivery practices. The different factors that affect delivery choices were financial problems, gender role issues and traditional practices, cultural and ethnic values, access to health centers due to distance. Study design and method: A descriptive cross sectional quantitative study design was used. Data was collected from married females through convenient non probability sampling technique and interviews. 70 married females participated in this study. Results: Fear of hospital due to no exposure in health centers , lack of maternal education and cultural values major influence their delivery choice, According to the results approximately 70% of the population had cost issues and 58% preferred to deliver at home because of psychological satisfaction and convenience. Conclusion: The findings of the Research emphasize the need of building maternal health centers to overcome the cost and distance issues. Educating females regarding maternal health. Maternal health centers may effectively reduce the risk of precipitate delivery and traditional delivery practices.
ORIGINAL RESEARCH ARTICLE | Oct. 26, 2022
Stress Management Strategies Used by Nurses to Regain Energy at Work Place
Asifa Shahzadi, Shaina Adina, Rabia Bashir, Hajira Umar, Mehvish Perviaz, Fizza Islam, Mariam Rafique, Humaira Channa, Naseem Saif
Page no 290-295
Background: Nursing is known to be stressful. Stress detrimentally can influence job satisfaction, psychological well-being, and physical health. There is a need for increased understanding of the stress that nurses experience and how best to manage it. The best coping predictors of mental health were escape–avoidance, distancing, and self-control. Other significant predictors of mental health were support in the workplace, the number of years worked in the unit, and workload. Method: Quantitative cross-sectional study design was used to determine the stress level and coping strategies at tertiary care hospital. 120 nurses working at gastro, medical and surgical wards were selected as sample. Data was collected through the standardized well adopted 31 item questionnaires. Results: results revealed that only (62) 57% nurses are suffering from stress and the used different strategies to manage the stress such as Prayers 55%, Sleeping 9%, exercise 2%, Spending times with friends 5%, Silence during problem 2%, Plan for tour 8%, Music therapy 10%, Walking 1%, Painting 3%, Set prioritises to avoid stress7%. Conclusions: Thus, the process of identifying nurses’ coping with job stress which is linked with the deep and authentic experiences of nurses in relation to job stress, the hidden and visible factors, strategies and methods of nurses’ coping, and also the factors and conditions affecting the coping process of nurses, provide backgrounds and necessary knowledge in order to adopt strategies that reduce or control occupational stress and stressors.