ORIGINAL RESEARCH ARTICLE | Sept. 4, 2024
Enhanced Recovery after Surgery (ERAS): Assessing the Crucial Role of Nurses in Improving Patient Outcomes and Healthcare Efficiency" at Aster Sanad Hospital Riyadh (Cesarean section)
Ihab Ibrahim Alawor, Essam Saad Alghamdi, Anwar Zeb Shezada, Thrupthi M. Srinivasa, Ronald Arcibal, Ali Hassan Alhaiti, Ebtesam Jibreel, Zulkiflu Musa Argungu
Page no 165-178 |
DOI: https://doi.org/10.36348/sjnhc.2024.v07i09.001
Background: Surgical advancements have led to the development of Enhanced Recovery After Surgery (ERAS) guidelines. This study aims to assess the nurse’s role in improving patient outcomes and healthcare efficiency using ERAS. Methodology: This cross-sectional study was conducted in Aster Sanad Hospital Riyadh, Saudi Arabia. Data were collected using a self-administered questionnaire and from electronic medical records. The study sample was given a self-administered questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS), version 21 (IBM SPSS Statistics, Armonk, NY) to analyze the data. Result: The result shows that there is a significant level of confidence among a notable portion of respondents regarding their understanding of ERAS protocols, there are also areas of uncertainty and variability, indicating the need for targeted interventions to enhance comprehension and implementation. Moreover, there is widespread acknowledgement of the pivotal role of nurses in ERAS implementation, yet significant proportions express reservations about nurses' training, workload constraints, and support from healthcare institutions. Conclusion: Overall, these findings emphasize the multifaceted nature of ERAS implementation, requiring a comprehensive approach that addresses training, communication, workload, and resource allocation to optimize patient outcomes and healthcare efficiency in Cesarean surgery units at Aster Sanad Hospital.
Background: A deficiency is a public health issue for many children and adults. In wartime hardship, patients eat little meat, dark vegetables, and fruits, which can cause vitamin A deficiency and corneal dryness, erosion, ulceration, and perforation. The purpose of this study was to identify the characteristics and demographics of vitamin A insufficiency in Sudan during the 2023-2024 war. Methodology: This prospective descriptive study was carried out between June 15, 2024, and August 15, 2024, at Dr. Khalil's Ophthalmology Center in North Kordofan, Sudan. The study looked at 100 individuals who presented at the clinic complaining of deficient night vision (including full coverage during the notification period). Results: In this study, only six patients had corneal opacity, with 67% being males and 33% females. In terms of Bitto's spots, 12% are present, with males and females having 58% and 42%, respectively, and 46% having dry eyes. 52% were males and 48% were females in terms of retinal pigmentation. Only one female patient exhibited peripheral retinal pigmentation, which was due to retinitis pigmentosa; all patients had inadequate food intake; and no diarrhea was reported. Conclusion: In Sudan, the rise in vitamin deficiency can be attributed to the inadequate development of all health system programs. Additionally, the devastating war, which primarily affects young people, has forced most people to leave their homes and become either displaced or refugees. Consequently, 69% of the patients were 17 years old or younger.
ORIGINAL RESEARCH ARTICLE | Sept. 19, 2024
Perception of Efficiency in Care: A Study of Time Management and Discharge Planning from Nurses and Patients in Hospital Medical Units
Sania Emara, Hassan Hazeim, Shahna Shahulhameed, Gassan Abudari
Page no 184-193 |
DOI: https://doi.org/10.36348/sjnhc.2024.v07i09.003
Background: Effective time management and efficient discharge planning are crucial for high-quality hospital patient care. This study aimed to understand the perceptions of nurses and patients regarding these aspects to identify areas for improvement. Method: A survey was conducted with 45 nurses and 60 patients in a hospital setting. The nurses’ surveys focused on their experiences with call bell responsiveness, medication administration, and discharge planning. Patient surveys evaluated their perception of nurses’ responsiveness and involvement in the discharge process. Statistical analysis, including ANOVA and correlation tests, was used to assess the data. Results: Nurses reported mixed experiences with call bell response times and varied capabilities for timely medication administration. Challenges included disruptions from call bells, delays in medication delivery, and constraints in discharge discussions and planning. In contrast, patients generally viewed nurses as prompt and attentive, with satisfactory timeliness of care. However, patients expressed dissatisfaction with discharge education. No significant correlations were found between the demographics and perceptions of either group. Conclusion: This study highlights the disparity between nurses' experiences and patients' perceptions of hospital time management and discharge planning. It underscores the need for improved processes and communication strategies to align nurses’ capabilities with patients’ expectations, thereby enhancing overall patient care and satisfaction.
Human rights are universal fundamental protections worth of all individuals, including those with mental health conditions. However, these rights are often observed violated in mental health care settings, where individuals may face forced treatment, isolation, and degrading conditions. Despite global advocacy efforts, to ensuring that these rights are respected, continues to be a challenge for healthcare professionals and the general public. This review examines the current awareness of human rights among mental health professionals and the public, identifies the knowledge gaps, and highlights the recent developments in policy and practice aimed at improving human rights in mental health care. A comprehensive search of academic databases identified relevant studies published between 2019 and 2024. Findings suggest a promising level of public knowledge about human rights, yet negative attitudes and stigma persist. While improvements in mental health services have been observed among healthcare professionals; resource limitations and a lack of social support remain challenging. A gap between knowledge and practice is evident, necessitating further education and training to ensure a deeper understanding of human rights complexities in mental healthcare. Overall, this review underscores the importance of continued efforts to raise awareness and advocate for the human rights of individuals with mental health conditions. By implementing educational and sensitization programs, a supportive environment can be created that empowers them to seek help without fear of discrimination.
ORIGINAL RESEARCH ARTICLE | Sept. 28, 2024
Puerperium Software for Adolescent Care
Juliana Fernandes da Nóbrega, Adaucto Wanderley da Nobrega Junior, Jaime Miranda Junior, Maria de Lourdes de Souza
Page no 199-203 |
DOI: https://doi.org/10.36348/sjnhc.2024.v07i09.005
This study describes the creation and development of the PUERPERIUM software, which utilizes the General Comfort Questionnaire translated into Brazilian Portuguese and adapted for postpartum adolescents. The software development process followed five steps: (1) requirements elicitation, involving the extraction of functionalities and identification of quality attributes such as usability, reliability, security, and availability; (2) definition of the software project and architecture, including the selection of technologies such as programming languages and services; (3) software implementation; (4) validation, verification, and testing; and (5) deployment. The software development began with identifying the necessary requirements, followed by designing the architecture consisting of the server layer and visualization layer. During implementation, the integration of the General Comfort Questionnaire and the selected technology was achieved. Key features such as authentication screens, a patient grid, instrument completion forms, and reporting tools were developed. The software's logo and overall layout were also designed. Subsequent phases involved validating the software’s appearance, usability, and functionality. The complete implementation will include making server layer elements available online and providing a beta version of the visualization layer on a public platform. The software aids nurses in efficiently and systematically assessing the comfort levels of postpartum adolescents, thereby facilitating care aimed at promoting comfort.