The term "evidence-based medicine" was coined in the 1980s to describe a method of determining the optimal treatment based on scientific evidence. In the early 1990s, the evidence-based practise movement began in England. Evidence-based medicine (EBM) or evidence-based practise (EBP) is the careful application of the best available evidence in making decisions regarding a patient's care. Evidence-based practise is both a philosophy and a methodology. The concept is based on the ethical principle that clients are entitled to the most effective interventions available. The approach of EBP is the way we go about finding and then implementing those interventions.
Original Research Article
May 9, 2022
Postpartum Depression Detection: Concept Analysis
Hessa Almutairi, Kholoud Alharbi
Page Numbers : 99-104
DOI : 10.36348/sjnhc.2022.v05i05.002
Postpartum depression is one of the health problems that may occur without being recognized which may lead to a serious adverse effect for mother and her child. Postpartum depression remain underestimated and unrecognized as many women are discharged without being detected as having PPD or even uneducated in order to seek for help when needed. Postpartum depression has a negative impact on both mother and the child wellbeing. Early detection is essential for mothers’ and infants’ safety. Postpartum depression is defined as “a disorder that is often unrecognized and undertreated”. The aim of this paper is to go through an analysis for postpartum depression detection and get a clear picture about the definition, attributes, antecedents, consequences and its empirical References. Method: a review of the literature was conducted. Articles from 2013 to 2020 were included. Walker and Avant framework was used for concept analysis. Results: the search have found four attributes: time, risk factors, symptoms, and outcome. Also, the search have found the following antecedents: knowledge, screening and care. The consequences are access to mental health care and drawing the treatment line process. Conclusion: this analysis will help in discovering the suitable methods for detecting the postpartum depression to achieve high quality care for mothers and infants.
Original Research Article
May 5, 2022
The Relationship between Knowledge and Anxiety Level of Frontline Nurses during COVID-19 Pandemic in Prince Sultan Military Medical City, Riyadh
Eman Abduladeem Bomozah, Zainab Al Sinan, Ibrahim Alraziza, Amsha Alshammari, Turki Almutiri, Jehad Saleh, Bander Al Onazi, Meshael Alhawasawi
Page Numbers : 84-98
DOI : 10.36348/sjnhc.2022.v05i05.001
This study determined the relationship between knowledge and anxiety levels of frontline nurses during the Covid-19 pandemic in Prince Sultan Military Medical City, Riyadh with the use of descriptive correlation cross-sectional research design, and the data were collected using a survey questionnaire and adopted the GAD-7 Anxiety tool. Respondents of the study were the 290 employees chosen purposively. The present study reveals that most of the respondents belonged within the age range of 31-36 (52.41%), female (90%) with O+ blood type (41.03%), bachelor's degree in nursing (82.41%), staff nurse 2 (49.31%), had 6 – 10 years work experience (40.69%), classified as a technician (50.69%) and currently working at the emergency unit (22.07%). Similarly, the mean knowledge about Covid-19 was 21.82 verbally described as "very good knowledge." Meanwhile, (59.66%) of the respondents had very good knowledge about Covid-19. The computed mean anxiety level of the respondents was 5.89 verbally described as "moderate anxiety," about (48.97%) had mild anxiety. Furthermore, the socio-demographic profile of the respondents does not significantly correlate to the knowledge about Covid-19 and anxiety level, which leads to the acceptance of the null hypothesis. Finally, there are no significant variations existed in the knowledge about Covid-19 and anxiety level when grouped according to socio-demographic variables which lead to the acceptance of the null hypothesis.
Original Research Article
April 19, 2022
Factors behind Expatriates Nurses Job Dissatisfaction in Hail’s Public Hospitals, Saudi Arabia
Abdulaziz Khalaf Alanazi, Caroline Yates
Page Numbers : 76-83
DOI : 10.36348/sjnhc.2022.v05i04.002
Job satisfaction is considered one of the most important parameters in measuring the performance of the employees. In this study, the researcher has discussed different factors that lead to dissatisfaction among expat nurses working in the Saudi healthcare sector, and has used positivism philosophy. Different survey instruments were used to collect primary data for this study: and the JSS (quantitative component). Firstly, nurses were provided with a self-administrated JSS. The JSS was developed to analyse nine job satisfaction scales, each containing four subscales. The reliability coefficient for descriptive statistics was computed at 0.84, above the threshold mark of 0.70. T-tests were used in this research. During the study, it was observed that out of the 100 married participants, 43 were at the position of Charge nurse and only one of them was working as a director in the organisation. The researcher conducted t-tests to identify the factors that lead to job dissatisfaction among the expats at Hali’s public hospitals in Saudi Arabia. Herein it was observed that very few chances of getting a promotion were of the main causes of job dissatisfaction among the expat nurses. Here the p-value was 0.00, lower than the threshold requirement of 0.05. In conclusion, the chances of getting a promotion were very less due to the fact that they were not native to the country. Also, nurses were not happy with the benefits that they receive in the organisation. That is, expats do not get too many benefits in the host nations.
Original Research Article
April 15, 2022
Relationship between Attitude and Adherence Hand Hygiene Practices among Nurses in Patient District Hospital of Semarang
Sobur Setiaman, Amin Samiasih, Eni Hidayati
Page Numbers : 71-75
DOI : 10.36348/sjnhc.2022.v05i04.001
Introduction: Nurses has responsibility in prevention and control of infection in hospitals. Hand hygiene practices, a way to prevent of infection in hospital, but so many factors can influence adherence of hand hygiene practices. Attitude may influence of adherence of hand hygiene practices. Aim: Aim of study was to measure of attitude and hand hygiene behavior among of the nurses. Methods: This study used an observational analytic with study of cross-sectional method. Aim research were to study of relationship between attitude and adherence hand hygiene practice among nurses In-patient Unit District Hospital Semarang. Number of samples were 107 nurses on duty at In-patient Unit of the District Hospital Semarang. The data collected by filling a questionnaire of attitude and observation of hand hygiene practices. The data of demography, level of attitude and level of adherence hand hygiene described by distribution of frequencies analysis, and Spearman Rank Test used to analyze a relationship between attitude and adherence of hand hygiene practice. Results: Attitude of nurses to hand hygiene showed 75,7% positive, and compliance level to hand hygiene practice were showed 63,6%. Relationship analysis between attitude and adherence of hand hygiene practice among nurses done by correlate analyzed with Spearman Rank Test. The results of bivariate analysis r2 0.269 indicated correlated between attitude and adherence hand hygiene, probability result p=0.005 (<0,05) indicated significant relationship between attitudes and adherence of hand hygiene practice among nurses acquired by Spearman Rank Test. Discussion: Attitude may influence adherence of the hand hygiene practice among nurses. Confirmed analysis that good attitude, may increase of adherence of hand hygiene practices. To improving adherence hand hygiene, not only influence by attitude, also influence by rule and procedure and must be same perception about importantly of hand hygiene practice can be prevented of cross infection in hospital.
Original Research Article
March 22, 2022
Exploring the Barriers and Challenges Saudi Arabian Nursing Students Encounter during their Internship Program: A Qualitative Study
Ayman Ateq Alamri, Dr. Sami Alhamidi
Page Numbers : 64-70
DOI : 10.36348/sjnhc.2022.v05i03.004
Negative experiences on an internship can adversely affect the attitude and confidence of nursing students. This highlights the need to explore the experiences of nursing students as they progress through their training. The present study examines the challenges and problems faced by nursing students during their internship program at a hospital in Medina, Saudi Arabia. The study employed a qualitative exploratory study design by recruiting eight nursing students. Face-to-face semi-structured interviews were conducted to gather data. Moreover, the data were thematically analyzed. The major challenges and problems experienced by the nursing students were lack of support, distrust, improper behavior, and absence of a preceptorship program. There is a negative impact of these issues on nursing practice in clinical settings. The study concludes that positive outcomes are likely to be achieved by improving the internship program.
Original Research Article
March 20, 2022
Job Satisfaction and Patient Safety Attitudes among Nurses of Faisalabad, Pakistan
Nazish Fakhar, Sana Sehar, Dimple Mustufa
Page Numbers : 58-63
DOI : 10.36348/sjnhc.2022.v05i03.003
Background: The purpose of the study was to assess the association between job satisfaction and patient safety attitudes among nurses of Faisalabad, Pakistan. Materials and Methods: This is a cross-sectional study conducted in February to May 2021, on the nurses working in two Public hospitals in Faisalabad. A total of 300 nurses participated in the study. The main questionnaire based on the socio-demographic questionnaire comprises of the age, gender, qualification and work experience. Other than this, two questionaire were opted to collect data. One was on job satisfaction questionnaire was developed by Nicholas in 2007 the scale has the 6 dimensions including Coworkers, work demands, work content, work load, work skills and rewards. The other was patient safety attitude questionnaire comprised on six subscales, and additional items on demographic information (Kristensen, Sabroe, Bartels, Mainz & Christensen, 2015). Results: Majority of the nurses were having fatigue impairs while performing emergency situations. Very less participants shares that they were satisfies with the supervision offered to them during provision of the care. The mean score was towards poor conditions. The mean score of the components was less then 3.8 which is towards the dissatisfaction. There was a relationship between educational status and years of experience. Among the lower educational levels the nurses were more satisfied with the job and display more patient safety attitude. Additionally, nurses with more years of experience has less patient safety attitude than other groups of the participants. There was a strong positive relationship between the job satisfaction and patient safety attitudes among the nurses. Conclusions: There was a strong positive relationship between the job satisfaction and patient safety attitudes among the nurses. Hence, senior clinical nursing personals can significantly improve the patient safety implementation of nurses hence, it is suggested that they should take active part in the implementation of the patient safety protocols. Poor team work was the biggest issue in the low levels of job satisfaction. It is necessary to take steps in reducing the absenteeism and uplifting the image of nurses in the team work.
