Abstract:

A study to explore the effect of health education on recovery following patients after CABG Surgery. Background: Coronary Artery Disease (CAD) is one of the major public health problems in developing countries. CAD in Sudan is showing an increasing trend. Coronary artery bypass graft surgery improves the quality of life of CAD patients and helps them to return to normal life, and the early Recovery period presents a number of challenges for patients, corers, and Nurse .Objectives to explore the effects of an educational program on patient knowledge and self-care ability of the patients following coronary artery bypass surgery Method: This was A Quasi, interventional and hospital-based study, including pre-, post, and follows up tests with a control group, conducted for the period: September 2014 to June 2019. Patients were recruited consecutively to the cases and control using convenience sampling. It consists of 76 patients, 41 as cases and 35 in control. Who had undergone CABG surgery in Khartoum State. A Questionnaire and checklist were used to monitor the effect of an educational program. Result: The results showed marked improvement in knowledge and performance between pre and post-test for the study group, p = (0.001) in the health status of cases in comparison to the control group. The indices were observed to be higher for patients who received a nursing educational program throughout the study period P= (0.002). Conclusion: Our study revealed marked improvement in the health status of the cases by comparison to the control group.

References:

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Abstract:

Continuing medical education is integral to lifelong learning and constitutes a vital aspect of keeping registered nurses’ knowledge and skills up to date. This supports best practices and the effectiveness of any interventions. Therefore, the aim of this study was to explore the need for mandatory mental health continuing education for practicing registered nurses. This was a descriptive cross-sectional quantitative study with a sample size of 27 registered nurses working in Health care settings in the Cayman Islands. These participants were selected using non-probability sampling technique. Convenience sampling was the chosen method. A 25 items Questionnaire was used to collect the data. Closed-ended questions, and a Likert scale were used to collect the demographic data and to measure the nurses’ perceptions of the need for the intervention under study. Analysis of the data was accomplished with Microsoft Excel. Descriptive statistics were generated. The results revealed that only a few registered nurses were extremely confident (7.40%) or quite confident (37.0 4%) in their ability to manage the care of patients with mental illnesses. The majority (88.89%) of nurses believed that there is a need for continuous medical education in mental health topics and that it should be mandatory (92%) for registered nurses. They believe and that this will make them more confident in their delivery of care to patients with underlying mental illnesses. Hence, it can be concluded that continuing education in this aspect of nursing will be beneficial for both them and the patients they care for.

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Abstract:

This study is a part of a wider study. The purpose of this study is to look at the differences between the level of moral distress of medical-surgical nurses in Hail Saudi Arabia and their demographics. This study used a descriptive-comparative research design using the Moral Distress Questionnaire through an online survey. There are 274 respondents in this study. The statistical test used is frequency, percentage, mean, standard deviation, t-test, and one-way ANOVA. Results include regarding sex, t-test scored t (272) =-4.48; p=<0.001. Concerning civil status, t-test scored t (272) =0.35; p=0.72. Regarding age, one-way ANOVA score F (3,270) =1.78; p= 0.15. About the place of work, t-test scored t (272) =3.73; p=<0.001. Regarding years of experience one-way ANOVA scored F (2,269) =2.61; p= 0.04. Finally, on religious affiliation one-way ANOVA scored F (2,271) =2.32; p=0.10. The researchers conclude that the level of their moral distress varies with their sex, place of work, and years of experience. However, moral distress does not change with their civil status, age, and religious affiliation.

References:

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[8] Alsaqri, S., LLego, J., Pangket, P., Pasay-an, E., Panlican, A., & Alboliteeh, M., 2020, The Prevalence of Symptoms of Shift Work Disorder (SWD) Among Nurses in The Northwestern Region, Saudi Arabia. International Journal of Medical Research & Health Sciences, 9 (1), 20-26.

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[11] Sedaghati, A., Assarroudi, A., Akrami, R., Rad, M., 2020, Moral Distress and its Influential Factors in the Nurses of the Nursing Homes in Khorasan Provinces in 2019: A Descriptive Correlational Study. Iranian Journal of Nursing and Midwifery, 25 (4), 319-324.

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[16] Emamally, W., & Chiyangwa, O., 2020, Exploring moral distress among critical care nurses at a private hospital in Kwa-Zulu Natal, South Africa. Southern African Journal of Critical Care, 36 (2). http://dx.doi.org/10.7196/SAJCC.2020.v36i2.435.

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[19] Borhani, F., Abbaszadeh, A., Nakhaee, N, & Roshanzadeh, M, 2014, The relationship between moral distress, professional stress, and intent to stay in the nursing profession. Journal of Medical Ethics and History of Medicine, 7 (3).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263391/.

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Abstract:

This research is the second part of a more comprehensive study. The purpose of this part of the study is to examines the relationship between the level of moral distress, work motivation, and job satisfaction of medical-surgical nurses in Hail Saudi Arabia. This study used a descriptive-correlation research design using the combination of three questionnaires (Moral Distress Questionnaire, Multidimensional Work Motivation Scale, and Nurses Job Satisfaction Questionnaire) through an online survey. There are 274 respondents in this study. The statistical tests used are mean, standard deviation, and Pearson-r. Results include about the relationship between moral distress and work motivation Pearson-r scored r=0.07; p=0.27; regarding the relationship between moral distress and job satisfaction Pearson-r scored r=-0.35; p=<0.001; concerning the relationship between work motivation and job satisfaction, Pearson-r scored r=0.05; p=0.42. The researchers conclude that moral distress is minimally inversely influenced by job satisfaction and vice versa, while moral distress does not affect work motivation and vice versa. Also, work motivation is not influenced by job satisfaction and vice versa.

References:

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[7] Donkers, M., Glissen, V., Candel, M, van Dijk, N, et al., 2021, Moral distress and ethical climate in intensive care medicine during COVID-19: a nationwide study. BMC Medical Ethics, 22(73). https://doi.org/10.1186/s12910-021-00641-3.

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[10] Alboliteeh, M., 2019, Factors influencing job satisfaction amongst nurses in Hail Region, Kingdom of Saudi Arabia: A cross-sectional study. International Journal of Advanced and Applied Sciences, 7 (2), 63-68.

[11] Polit, D., & Beck, C., 2017, Essentials of Nursing Research: Appraising Evidence for Nursing Practice 9th Edition (USA: Lippincott Williams & Wilkins).

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[15] Sedaghati, A., Assarroudi, A., Akrami, R., Rad, M., 2020, Moral Distress and its Influential Factors in the Nurses of the Nursing Homes in Khorasan Provinces in 2019: A Descriptive Correlational Study. Iranian Journal of Nursing and Midwifery, 25 (4), 319-324.

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Abstract:

According to World Health Organization, Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus. The virus COVID-19 is transmitted through droplets generated when an infected person coughs, sneezes, or exhales. The droplets are too heavy to hang in the air and quickly fall on floors or surfaces. A person gets infected by touching a contaminated surface and then his eyes, nose, or mouth (WHO,2020). COVID-19 affects different people in different ways. Most infected people develop mild to moderate illness and recover without hospitalization. The most common symptoms are fever, dry cough, tiredness. The fewer common symptoms are aches and pains, sore throat, diarrhea, conjunctivitis, headache and loss of taste or smell, a rash on the skin, or discoloration of fingers or toes. Most people who fall sick with COVID-19 will experience mild to moderate symptoms and recover without special treatment. 80% will recover from the disease without needing special treatment (WHO,2020). Around one in every five people who are infected with COVID-19 develop difficulty in breathing and require hospital care. People aged over 60 years and people who have underlying medical conditions such as diabetes, heart disease, respiratory disease, or hypertension are among those who are at greater risk. (WHO,2020).

References:

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Abstract:

The continuous update of knowledge and skills among nurses and midwives is a global, regional, and national requirement to meet the change in the disease burden, technology, and treatment modalities. Work-Based Learning (WBL) provides real-life work experiences by enhancing skills, ability to learn throughout one’s career and providing quality care. This article describes baccalaureate nurses’ ease to engage in and practice WBL, perceived usefulness, and the relationships between perceived ease and usefulness to practice. A descriptive cross-sectional survey was carried out at 11 hospitals in central Uganda. An Open Data Kit (ODK) designed, and the pre-tested structured tool was used to collect data from 251 purposively selected baccalaureate nurses. Measurement of ease, usefulness, and practice was guided by four competencies: self-regulation, effective communication, teamwork, and evidence-based practice. Descriptive and logistic analysis using SPSS 20 was performed. More than half of the respondents perceived it as easy to engage in WBL (Mean 1.65; SD 0.48). The Majority perceived WBL as useful to the individual, institution, patient or family, and care delivery (Mean 3.37; SD 0.45). The Majority practiced WBL (Mean 1.99; SD 0.11). Perceived usefulness of WBL to the institution was the statistically significant predictor for practice (B=3.97; p<0.05; 95% CI. 4.40). Baccalaureate nurses’ ease to engage in and practice WBL was at the borderline, but they perceive it useful. Perceived usefulness to institutions may require strong policies and guidelines for WBL to support nurses’ engagement and promote up-to-date knowledge and skills for better service delivery. There is a need to test the model and explore other factors that influence WBL among baccalaureate nurses.

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Abstract:

The global call to improve the quality of healthcare, and the restructuring of job descriptions require nurses to return to school to attain the necessary qualifications. Some nursing degree completing programs available in Uganda provide blended learning which combines the traditional classroom and online learning. However, learning online requires students to be equipped with readiness competences which include computer/internet and online communication self-efficacy, self-directed learning, time management, study habits, and institutional support from peers and instructors. This quantitative arm of the study explored the self-efficacy of the readiness competences of the 226 nursing students in the degree completion programs and the predictors of readiness to learn online. Descriptive and inferential statistics were used to analyze the data. Slightly over half of the students (58%) were ready to learn online. The finding indicates a moderate level of readiness where to attain readiness category required at least 76% of the students to be ready to learn online. The students reported a high level of readiness in self-directed learning, time management, study habits, and institutional support but lower readiness levels in online communication and computer/internet self-efficacy. All competences were significantly correlated and predicted readiness, suggesting their interdependence in contributing to readiness to learn online. Computer and online communication self-efficacy were the strongest predictors of readiness to learn online, whereas self-directed learning and institutional support were the weakest. The Readiness to Learn Online Model (RLOM) predicted 88% of the readiness and therefore presumed to be very good in assessing online learning readiness. The findings necessitate the institutions to assess students before they enter the online programs and to provide resources, training and continuously persuade them to improve their self-efficacy.

References:

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Abstract:

This study investigated the type of coping strategies nurses and midwives in the Catholic Health Service of the Western Region of Ghana adopted to mitigate the effects of occupational stress. The study also looked at the association between occupational stress and coping strategies among nurses and midwives. A quantitative research approach was adopted for the study. Specifically, the study adopted a descriptive cross-sectional survey. A sample size of 300 was used for the study. A questionnaire based on the Coping Strategies Inventory developed by Tobin, Holroyd, Reynolds, and Wigal was adopted. The short form of the inventory was used. For statistical purposes, One-Sample Kolmogorov-Smirnov test, mean and standard deviation, and Pearson Moment Correlation Coefficients were employed to analyze the data gathered. The results of the study revealed that nurses and midwives in the Catholic Health Service of the Western Region adopted both emotion-focused and problem-focused coping strategies but predominantly problem-focused coping strategies to mitigate the effects of occupational stress. The study’s results also revealed that occupational stress has a weak positive significant relationship with coping strategies between nurses and midwives in the Catholic Health Service of the Western Region of Ghana. The study recommended that nurses and midwives be trained on the appropriate types of coping strategies to deal with occupational stress. It was also recommended that nurses and midwives be trained on stress management strategies.

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Abstract:

Obesity and overweight have become a global public health and social issues, with concerns for demographic determinants and health sequelae. The situation among nurses in Nigeria lacks empirical evidence. This study determined the prevalence, socio-demographic, and health correlates of overweight and obesity among nurses in a tertiary health institution in North-west Nigeria using a descriptive cross-sectional survey. A convenient sample of 225 nurses, selected from different units, was recruited for the study. A questionnaire and anthropometric measurements were used to obtain data. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 24.0. Body mass index (BMI) was used to categorise weight: <18.5 kg/m², 18.5 – 24.9 kg/m², 25 – 29.9kg/m² and 30kg/m² and above to define underweight, normal, overweight, and obese respectively. Results showed over a third (38.0%) of nurses in this setting are obese; 28.0% are overweight, 32% have normal weight, while a few (2.0%) are underweight. Married females are more obese or overweight; obesity and overweight seem to increase with age and ranks. Obesity and overweight are associated with hypertension, diabetes mellitus, and arthritis in about 25% of nurses. A high prevalence rate of obesity and overweight is thus found, with about two-thirds (66%) of nurses in the study area being either overweight or obese. This is associated with nurses’ age, gender, marital status, and ranks, and some non-communicable diseases. It is recommended that regular health checks, stress management, and other health promotion activities should form the institutional policy for health schemes and self-care for nurses.

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