Among the many contributions of Professor Rasidi Akinade Salawu to nursing profession in Nigeria, is his introduction into nursing of a model about the prevailing administrative and managerial environment in nursing. Although not formally documented all these years, many nurse managers, his colleagues as well as students (like us) who have encountered him have informally experienced and applied the tenets of this model in their day-to-day running of their wards and units. Drawing from Management and Nursing Science philosophies, Rasidi Akinade Salawu developed the Vice Syndrome Theory which has led to a better understanding of the intrigues and patterns in the working relationships between heads of units/departments/organisations and their deputies within the nursing circles. This presentation aims at sensitising the nursing (and general) scientific world to increase the awareness of this model, and increase its acceptance as an explanation for administrative processes and its application in a variety of research settings. This model has a great potential to make nursing administration more robust with sound scientific explanation. It will be an alternative paradigm for describing, explaining and predicting and therefore control issues of leader-deputy (“boss-vice”) engagements.
Dec. 7, 2021
Introducing the Vice Syndrome Theory (VST): A Model of Nursing Administration
Emmanuel Ejembi Anyebe, Toliah Abiodun Arogundade, Popoola, R. A, Bolajoko Dorcas Bello
Page Numbers : 461-465
DOI : 10.36348/sjnhc.2021.v04i12.005
Introduction: Hand hygiene is most important measure to minimize the ratio of transmission of health care associated infections (HCAIs) as this is one of the major problem especially in developing countries and most of the time caused behind it is poor hand hygiene of health care providers especially nurses as they have maximum interaction to the patients .This study was conducted to assess the knowledge and practices regarding hand hygiene among the nurses of DHQ hospital Okara. Methodology: A self-structured questionnaire with the help of WHO guidelines base cross sectional study was done on the sample of 100 nurses among the nurses of DHQ hospital Okara. Likert scale was used to assess their knowledge and they knowledge were scored as good (13-15), average (9-12) and poor (0-8) according to their responses. Practices were also assessed by questionnaire. Results: Most of the participants showed having good (51%) and average (39%) knowledge and there are only some nurses (4%) who showed poor results. But despite of having sufficient knowledge there was no implementation of hand hygiene because of lacking of facilities, over burden of patients, shortage of time. Conclusion: To improve the practices of hand hygiene continues training sessions, sufficient nurses, and provision of all facilities needed for the hand hygiene are most important things.
Original Research Article
Dec. 4, 2021
A Descriptive Study to Evaluate Registered Nurse’s Knowledge, Attitude and Practice of Physical Restraints in King Salman Armed Forces Hospital in Tabuk, Kingdom of Saudi Arabia in 2019
Rosro Babu Thomas, Dr. Attiya Mohammad Al Zahrani, Amal Samih Ismail Saleh, Ashwaq Oudah S Al Balawi, Fatmah Ali Khubrani
Page Numbers : 437-445
DOI : 10.36348/sjnhc.2021.v04i12.002
The study was conducted Kingdom of Saudi Arabia in 2019. This study aimed to assess knowledge, attitude and practice towards use of physical restraints among nurses those working acute In-patient care settings. Participants were Registered nurses who are working in tertiary care centre. Descriptive design was adopted; sample was selected through convenient sampling technique. The inclusion criteria for this study were Registered nurses working in inpatient non-critical areas total of 138 nurses were eligible. The final sample consisted of 125 nurses with 86% response, majorities were females (88.8%). 70% of the participants were between age of 31-40 years. Higher numbers had completed Bachelors in Nursing Bachelors in Nursing. 79% participant’s position as registered nurse III and 54.4% were shift in charge of their units. The mean score on knowledge scale was above average of 26.31 ± 2.60 that indicates good knowledge about use of restraints. Mean score on attitude was 30.57 ± 4.56 and suggest favourable attitudes among the participants towards use of physical restraints. The mean score of practices related to use of restraints was 35.36 ± 2.17. These findings indicate good practice related to use of physical restraints among nurses, with the median Knowledge Score Total being highest in Males. However, there was no significant difference between gender with attitude and practice of the nurses with related use of physical restraints. In relation to designation There was a significant association found between the 3 nurses’ groups in terms of Knowledge Score Total (χ2 = 6.990, p = 0.030), with the median Knowledge Score Total being highest in the Designation: Registered Nurse II group.
Original Research Article
Dec. 4, 2021
Infertility: Age, And Gender Differences among Infertile Couples Attending Fertility Clinic in Federal Medical Centre, Owerri
Ibebuike Julia E, Ekechukwu Edith Ugochi
Page Numbers : 452-460
DOI : 10.36348/sjnhc.2021.v04i12.004
This research study was conducted in Federal Medical Centre, Owerri Imo State, precisely at the fertility clinic of the hospital. The copies of the validated questionnaire were administered by the researcher to the respondents at the area of the study. 67 questionnaires were distributed, completed and all collected back. This resulted to a 100% return rate. The process took 4 days. The collected data was analyzed using a descriptive statistics of frequencies, percentages and mean scores as well as cumulative or cluster mean scores. The frequencies and percentages were used on cluster 1and 3 while mean scores and cluster mean scores were used on cluster 2. The data revealed that 58 respondents representing 86.6% responses majorly agreed that infertility is the inability of a couple to conceive after one year of regular sexual intercourse whereas the rest 9 respondents, representing 13.4% showed different understandings. Also in item No.2, 38 respondents representing 56.7% responses accepted that hormonal imbalance is the most common cause of infertility in females while the remaining 29 respondents or 43.3% response expressed other views. At the same instant 26 respondents or 38.8% responses expressed undescended testis as the most common cause of infertility in men whereas 61.2% responses collectively maintained that either low sperm count, ejaculatory dysfunction or prostate cancers may be the causes of infertility in men. In item No. 4 a total of 36 respondents or 53.7% responses showed that they have never gotten a child of their won while the rest expressed they have one, two or three children of their own respectively. Furthermore, expressing the number of years of infertility experience, 25 respondents representing 37.3% response said they have had 6 to 7years infertility experience whereas the rest said they have had between 0-2years, 3-5 years, and 8years above, infertility experience. In item 6, a total of 49(or 73.1%) response reveals that they have had miscarriages before but 18(or 9%) said No. From statistics, age and gender have significant relationship as far as infertility is concerned. While infertility is seen to occur more in people of the age cohort 30-35 years, it is observed that women are more vulnerable than men.
Original Research Article
Dec. 4, 2021
Is Effective Post-Operative Pain Relief Possible Without Appropriate Pain Assessment and Its Documentation?
Ali Sarfraz Siddiqui, Azhar Rehman, Rozina Kerai, Gauhar Afshan
Page Numbers : 446-451
DOI : 10.36348/sjnhc.2021.v04i12.003
Pain assessment is a significant issue in post-operative patients. Surgical ward nurses are responsible to assess and document patient’s pain postoperatively and provide pain medications as per the guidance of physicians. Ward nurses usually underestimate patient’s pain which may delay pain relief and post-operative recovery of surgical patients. Main purpose of this study was to observe the practice of pain assessment and its documentation by nurses in surgical ward of tertiary care hospital. In this study, all adult patients after general surgery, gynecology and orthopedic surgery were included. Patient’s medical records were reviewed to see documentation of static and dynamic pain scores, any rescue analgesia provided and associated complications for first 24 hours postoperatively and recorded in specific data collection form. Total 260 patients were included in this study in which 35.8% were male and 64.2% were female. For post-operative pain relief, PCA (Patient controlled analgesia) was used in 63% of patients and epidural analgesia in 37 % of the patients. As per documentation, 15 patients (5.8%) had moderate pain at rest (static pain) on arrival in surgical ward and 77 patients (29.6%) had moderate pain on movement (dynamic pain) however only seven patients received rescue analgesia on arrival in surgical ward. Post-operative pain assessment and documentation was found appropriate in this study, but significant gaps were observed in postoperative pain relief by surgical ward nurses during first 24 hours.
Original Research Article
Dec. 3, 2021
Partners in Care: Nurses experience During COVID-19
Ester Mary Pappiya, Ibrahim Mubarak Al Baalharith, Sahbanathul Missiriya Jalal, Ahlam Mushabab Alqahtani, Abdullaah Baraik S, Alawad, Hamad Salem Al Grad, Ibrahim Hamad Ahmed Halosh, Mohsen Ali Al Mohid, Faisal Zaher Balhreth
Page Numbers : 429-436
DOI : 10.36348/sjnhc.2021.v04i12.001
Aim: The COVID-19 pandemic has had a profound influence on global society, and the disease's rapid spread has put a strain on the whole health-care system. In the prevention of both primary and secondary infectious illnesses, nursing plays a critical role. The study's goal was to learn about the experiences of nurses in Najran who were caring for Covid-19-affected patients. The research was conducted in the form of a descriptive phenomenology. Methods: The study's participants were purposefully recruited from the target population from the three focus groups that offered direct care to COVID -19 patients, thirty samples were chosen. Data was collected through direct interviews, which included generic questions followed by open-ended questions. The data was analyzed using Collazo's approach for analyzing transcripts. Results: The investigation's conclusions revealed three major themes. Important aspects include the psychological setting, the care cure core context, and the nursing challenges context. The first context emphasized nurses' fear, anxiety, stress, and pressure; the second context emphasized double responsibilities, dealing with infected and non-infected patients, changing the nurse's role, and the patient's psychological reliance; and the third context emphasized a lack of prior knowledge, working in unfamiliar environments, and a shortage of manpower; and the fourth context emphasized a lack of prior knowledge, working in unfamiliar environments, and a shortage of manpower; and the fourth context emphasized. Conclusion: According to the findings of this study, nurses working in Covid -19 units, emergency departments, and intensive care units were assigned to provide treatment for a variety of conditions. Nurses continue to provide outstanding patient care despite these limitations. Nurses working in the Covid -19 units, emergency departments, and intensive care units were assigned to offer treatment with a variety of problems, according to the findings of this study. Despite these challenges, nurses continue to offer excellent patient care.
Original Research Article
Nov. 30, 2021
Patients' Perceptions on Nursing Care Quality in Selected Wards at a MOH Hospital in Najran
Ibrahim Mubarak Al Baalharith, Dr. Malarvizhi Jayakumar, Dr. Ester Mary Pappiya, Hamad Salem Al Grad, Abdullaah Baraik S Alawad, Ibrahim Hamad Ahmed Halosh, Mohsen Ali Al Mohid, Faisal zaher balhareth
Page Numbers : 422-428
DOI : 10.36348/sjnhc.2021.v04i11.006
Patient satisfaction, which is linked to nursing care, is the cornerstone of good hospital services. As a result, this survey was designed to record inpatients' perceptions of nursing staff and use it as a foundation for future improvement. The current cross-sectional study was carried out in Najran General Hospital, Najran. Data was collected from 135 patients by using the Karen patient perception scale and analysis through statistically. The overall satisfaction level for nursing staff was being good among 56 (41%) and 68 (5%) felt satisfactory level of nursing care and 11 (8%) perceived as low level of nursing care quality. At the p 0.001 level, there was a significant relationship between patients' perceptions of nursing care quality and their age, sex, related illness, and number of hospitalizations. Although overall satisfaction was excellent, six patients expressed dissatisfaction with the atmosphere and one patient expressed dissatisfaction with the hospital's system. The authorities were alerted of the situation in order to take any necessary corrective measures. This was quite beneficial in terms of enhancing patient care.