Open Access Original Research Article

Marital Satisfaction and Job Commitment of Nigerian Nurses: Implications for Family Value System

Olutope E. Akinnawo, Bede C. Akpunne, Kehinde A. Ahmed, Ibukunoluwa B. Bello

Asian Journal of Research in Nursing and Health, Page 1-9

Aim: Work and family domains are interdependent. Job commitment is very important for both employees and employers. The study aims to examine the implications of marital satisfaction and job commitment to the Nigerian family value system.

Study Design: Cross-sectional survey design.

Place and Duration of Study: Redeemer’s University Osun State, South-West Nigeria.

Methodology: A total of 259 nurses (50 males and 209 females) purposively selected from two general hospitals in Osun State Nigeria responded to Enrich Marital Satisfaction Scale (EMSS) and Organisational Commitment Scale (OCS). Descriptive and inferential statistics were used in data analysis.

Results: Age was observed to have a significant inverse relationship with job commitment and identification. Length of marriage has a significant inverse relationship with job identification. Marital satisfaction (R² =.073, p=.005), age (R² = .022, p= .015), and length of marriage (R² = .001, p =.035) were found to significantly predict job commitment. Also job status had significant influence on identification (t (256) = 2.35, p=019) and job commitment (t (257) = 2.49. p=.014).

Conclusion: Authors concluded that age is inversely related to job commitment as well as job identification, that marital satisfaction, age, and length of marriage are significant independent predictors of job commitment among nurses. For positive job commitment appreciation of family value systems and employees, marital satisfaction should be among employers’ top priority. Organisational policies that promote work-life balance should be encouraged especially in healthcare institutions.

Open Access Original Research Article

Quality Assurance in Philippine Colleges of Nursing: Difference in Quality of Nursing Education Programme According to Profile of Institutions

Stella Appiah

Asian Journal of Research in Nursing and Health, Page 1-13

Background:The quality of nursing education in the Philippines cannot be questioned, considering employment of their graduates globally. This has increased the number of both public and private owned higher educational institutions (HEI) offering nursing programme, however, the quality of existing programme might be inadequate or not up to standard, particularly, programmes offered by private owned HEI.

Aim: This study assessed the quality of nursing programme among private-owned institutions in the Philippines and also investigated whether quality of nursing education programme will differ with respect to profile of HEI.

Materials and Methods: A cross-sectional survey was employed using purposive sampling to enroll 185 faculty members from fifteen (15) HEI into the study. The research work was conducted within the duration of January, 1 – June, 30, 2015. Self-administered questionnaires based on the objectives of the study were given out to participants after their consent was sought. Descriptive statistics such as frequency and percentage were used to analyze characteristics of respondents and HEI. A one-way ANOVA was used to test for differences in quality of nursing programme according to profile of HEI.

Results: The quality in terms of curriculum and instruction, physical structure and equipment, and student services of nursing education programme differed significantly (p-value = 0.017), (p-value = 0.002) and (p-value = 0.034) with regards to years of existence of HEI. Similarly, curriculum and instruction, administration of nursing programmes, faculty development programme, physical structure and equipment, student services and quality assurance system differed significantly (p-value = 0.035), (p-value = 0.007) (p-value = 0.005), (p-value = 0.033), (p-value = 0.026) and (p-value = 0.005) with respect to Commission of Higher Education (CHED) status.

Conclusion: The years of existence of HEI and CHED status were significant contributors to quality of nursing programmes, particularly in the area of curriculum and instruction, administration of nursing education, faculty development programme, physical structure and equipment, students’ services and quality assurance system. 

Open Access Original Research Article

Analyses and Assessment of Health Care Workers (HCWs) towards Occupational Hygiene (OH) and Infection Control (IC) Practices in Selected Tertiary Healthcare Facilities within Parts of Niger Delta, Nigeria

O. T. Allen, I. L. Nwaogazie, K. Douglas

Asian Journal of Research in Nursing and Health, Page 1-14

Healthcare workers are exposed to a variety of hazards which predisposes these “indispensable carers” to various life threatening infections and diseases. This study is aimed at analyzing and assessing HCWs towards Occupational hygiene and Infection control practices in Federal Medical Centre Owerri and Federal Medical Centre Yenagoa health care facility in Niger-Delta, Nigeria. Descriptive cross sectional study using a structured questionnaire and walk-through safety checklist was employed. A total of 379 healthcare workers were selected through disproportionate stratified sampling from the two facilities. The questionnaires were self-administered and analyzed using SPSS Version 22.0. Frequencies and chi-square were computed. 60.7% of respondents were male, dominant age group; 30 – 39 yrs, nurses represented a larger proportion (34.8%) of healthcare workers; 51.7% and 48.3% of respondents in FMC Yenagoa and FMC Owerri respectively had a high (good) knowledge of hazards and controls. There was a significant difference with chi-square as, 9.710 p-Value <0.008. High level of attitude was 44.7% in Owerri and 21.2% in Yenagoa, chi-square 18.295 p-Value <0.001. Overall level of industrial hygiene and infection control practices was low in both facilities. The checklist revealed that both facilities were of imminent high risk category. Health care workers at FMC Yenagoa had higher exposures to hazards than FMC Owerri. Working in FMC Owerri predisposes workers to higher health hazards than in FMC Yenagoa. There was better administrative controls including trainings and immunizations in FMC Yenagoa than in FMC Owerri.

Open Access Original Research Article

Application of Structural Equation Modeling (SEM) for Analysis of the Effect of Perception on Professionality, Knowledge and Motivation of Nurses on the Implementation of Patients Safety Programs

Syahfirin Abdullah, Kholil ., Agung Purnomo

Asian Journal of Research in Nursing and Health, Page 1-12

Patient safety is a priority for implementation of the five important safety issues in hospital, because of patient safety issues related to the quality and image of the hospital it self. Therefore patient safety is the first priority to be implemented and it is related to the issue of the quality and image of the hospital. Objective in this study was to determine the effect of Perception variables about Professionalism, Patients Safety Knowledge and motivation of nurses on the implementation of patient safety programs in the Inpatient Room of RSUD X Regional Hospital Semarang. This research method was quantitative observational analytic a cross sectional research with purposive sampling, and amount of respondent survey  are 120 from inpatient room with inclusive criteria .Obstain data was processes with SPSS Amos 24 software .The results showed that the perception variable about nursing professionalism (0.377) had the most positive and direct  effect on the implementation of patient safety programs compared to the direct influence of patient safety knowledge (0.223) and patient safety motivation (0.266) patient safety implementation programs. This means that the increase in the implementation of patient safety programs is greatly influenced by the role of perception of nursing professionalism.

Open Access Original Research Article

Cost Analysis in Patients in Emergency Critical Care Unit

Dilek Atik, Cesareddin Dikmetas, Bensu Bulut, Hilmi Kaya, Ramazan Guven, Basar Cander

Asian Journal of Research in Nursing and Health, Page 1-6

Objective: Critically ill patients are those who are dependent on advanced monitoring instruments and therapy for survival because of dysfunction or failure of 1 or more organs/ systems. The care of critically ill patients relies upon the use of skilled personnel and sophisticated equipment with the expenditure of large amounts of time and money. This study aims to investigate the effects of clinical processes, examinations and treatments on cost in inpatients in emergency intensive care units.

Methods: A total of 108 patients with complete records were included in the study. This study was carried out retrospectively with the demographic examination of the intensive care patients hospitalized. The data obtained by the study carried out within the scope of clinical research are statistically nonparametric. For this reason, Kruskal-Wallis H tests were used in the statistical evaluation according to the related categorical (nominal or ordinal) and independent numerical groups, as the case may be.

Results: The average length of stay in the intensive care unit was 5.2 day (min, max) (1.50). As the day of hospitalization increased, the cost of patients increased (p: 0.00). The clinical results and the effect on cost were found to be statistically significant (p=0.001). The effect of MV usage on cost was found to be statistically significant (p=0.002).

Discussion: ICUs are expensive because they require high technology and highly qualified staff. In our study, the average cost was 3947 TL, the average transaction cost was 3126.2 TL and the average cost of medicine was 820.2 TL. According to our study, our intensive care costs were lower compared to intensive care costs of European countries; but the cost of treatment was higher than cost of medicines and consumables according to the other studies. Invasive procedures applied to patients, length of stay in intensive care unit and final results increase the cost.

Conclusion: In intensive care units, the duration of stay and invasive procedures cause high costs. According to the results of our study, it was thought that the Glasgow Coma Scale could be helpful in referring patients to the right intensive care unit in the grade system and could benefit the country and health economics regarding the costs of patients.