Open Access Original Research Article

Sick Leave Availing Pattern, Reasons and Their Association of Socio-demographic Factors among Private University Staff in Kedah State, Malaysia

Abdul Nazer Ali, Aw Wei Jun, Chuah Hui Ying, Nazer Zulfikar Ahmed

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

Aim: This study intends to investigate the 1) sick leave (SL) availing pattern, 2) the reasons for availing sick leave, and to evaluate 3) the association of sick leave with socio-demographic factors among a private University staff.

Study Design: A retrospective descriptive study design was employed in this study.

Place and Duration of Study: The study was conducted in a private University clinic, Kedah state, Malaysia among the University staff between September, 2018 and May, 2019.

Methodology: The data was obtained retrospectively from the University clinic, staff medical records between September, 2017 and August, 2018 (data retrieval period of employees) using a standardized, pre-validated data collection form consisting of socio-demographic data, SL data and reasons for SL. All temporary, permanent and contract employees belonging to academic, administrative and ancillary cadre were included in the study.

Results: A total of 78% (274/350) staff records met the inclusion criteria and 22% excluded for not completing service for one academic year of the study. The average age of the study population were 36 to 45 years, 80% were of Indian ethnicity, academic and ancillary staff comprised of 52% and 39% respectively. About 31% (85/274) of the study population did not avail any SL, whereas, 69% (189/274) were involved in at-least one SL during the study period. The study observed significant association (P < .001) between SL availed (31%) and SL not availed (69%) categories. The maximum sick leave availed during the study period was 74% (63/85) among 36 to 45 years. There was no significant association among SL availing pattern and socio-demographic factors. However, there were significant association between profession and country of origin under sick leave categories and socio-demographic factors (P <.05). Among the sick leave availed population, 36% (68/189) availed sick leave due to cough, fever, flu, sore throat or oral ulcer, 26% (49/189) due to abnormal uterine bleeding, pelvic pain or dysmenorrhea and 18% (34/189) due to diarrhoea and vomiting respectively.

Conclusion: Further investigation on sick leave utilization should be continued at the structural, organizational and individual levels. The increases of sick leave among young employees were considerably high and should be studied further. The increase in sick leave utilization among women is still unexplained as no research or data identified to explain it. Motivated, satisfied and fulfilled employees are far less likely to be sick and tired of work.

Open Access Original Research Article

The Effect of Nursing Documentation and Communication Practices on Patient Safety Practices in the Pemalang Ashari Hospital

Herisiyanto ., Kohar Sulistyadi, Soehatman Ramli, Syahfirin Abdullah

Asian Journal of Research in Nursing and Health, Page 10-19

This study aims to analyze the practice of communication and documentation practices in nursing and the relationship of its influence with patient safety at Ashari Pemalang Hospital. The scope of the research is on the practice of communication and documentation practices carried out in the nursing practice as well as the links and their effects on patient safety. This study uses a quantitative analytic approach with the instrument used i.e. questionnaire. Research data obtained by observation; library research and interviews. The population in this study were all nurses in the treatment room at Pemalang Ashari Hospital as many as 200 nurses. The sample for the purpose of this study was taken using the Slovin Formula which was obtained as many as 133 nurses. Based on the results of this study note that nursing communication and documentation in the nursing process at this hospital has a positive and significant effect on patient safety practices. Simultaneously the two variables have a positive and significant effect on the safety practices of patients undertaking treatment. Generally nurses practice communication with patients, and carry out documentation of the nursing process undertaken by patients. Patients who obtain health services at this hospital obtain a good guarantee of safety. This study shows that the documentation variable in the nursing process has a positive and greatest influence on patient safety practices with an estimated standard based on the results of the analysis with the SEM Model at 0.455. While the effect of nursing communication is only at 0.249. Results of this study, patient safety practices more influenced by the role of documentation in the nursing process.

Open Access Original Research Article

Evaluation of Relationship of Sources of Health Information System (HIS) and HIS Feedback in Selected Public Health Facilities in Nairobi City County, Kenya

G. G. Mairanga, D. Muthee, G. Otieno

Asian Journal of Research in Nursing and Health, Page 20-32

Aim: This study sought to assess the extent to which sources of Health Information System (HIS) is associated with HIS feedback in the public health facilities in Nairobi City County.

Methodology: This study adopted the descriptive survey research design. Independent variable was sources of data and information in HIS while dependent variable was the HIS feedback. Public health facilities in Nairobi City County were chosen as the area of study. The research targeted public health record personnel in the public health facilities and the officials of the National HIS Coordinating Committee. To obtain suitable sample, the study used stratified, random and purposive sampling techniques. The sample size of 130 respondents was chosen in the public health facilities. The research instruments used included questionnaires and interview schedule guides. Collected data were coded and then entered into a secure database for analysis by use of Statistical Packages for Social Sciences (SPSS) version 23. Both descriptive as well as inferential statistics were used for analysis. Qualitative data were analyzed with an aim of establishing the themes. Significance was assessed at p = 0.05.

Results: The sources of data had a negative association with HIS feedback with a correlation coefficient of -0.753. The relationship between sources of data and HIS feedback was significant (p = 0.0476).

Conclusion: Based on the findings, it was concluded that many sources of data negatively influences HIS feedback. Thus, with more sources of data, there is less HIS feedback. 

Open Access Original Research Article

Effect of Health Education on Knowledge Regarding Post-operative Care among Patients with Mechanical Valve Replacement: A Quasi-Experimental Study

Roheeda Amanullah Khan, Bakhtiar Ali Shah, Nusrat Noreen, Riaz Anwar Khan, Nasreen Ghani

Asian Journal of Research in Nursing and Health, Page 33-41

Introduction: Mechanical valve replacement is a necessary procedure for patients with valvular heart disease. The potential for morbidity and mortality from a valvular prosthesis remains as long as the valve is in place globally. Post-Operatively the patients are more prone to develop severe complications i.e. wound infection, oral anticoagulation related disorders like Thromboembolic events, bleeding, infective endocarditis, periprosthetic leak, and anemia and valve failure.

Materials and Methods: One group pretest-posttest (Quasi-Experimental) study was conducted in Lady Reading Hospital, a tertiary care government hospital in Peshawar. Data were collected from 35 patients through an adopted questionnaire. Data analysis for descriptive statistics and inferential statistics were done through SPSS version 22.

Results: The knowledge of the study patients regarding rest, exercise, personal hygiene and medications after mechanical heart valve replacement was insufficient (< 40%). After the education session regarding the exercise, personal hygiene and medications, the knowledge improve due to 93%. The knowledge enhanced from 60% to 100% after intervention (P-value < 0.001). Similarly, knowledge of patients regarding overdose of anticoagulants increased (P-value < 0.001). Likewise, before the intervention, the knowledge of the patients was 42% and after the intervention, it increased to 64% as evidenced by 54.3% of the patients replied correct answers.

Conclusion: Nursing education plays an important role in the improvement of patient’s knowledge regarding complications of mechanical valve replacement. Knowledge of patients regarding post-operative care was satisfactory after the intervention. Efforts may be needed to further improve awareness among patients to enhance post-operative care to prevent complication.

Open Access Original Research Article

Assessment of Knowledge and Attitude of Nurses in a Specialist Hospital towards Ionizing Radiation at Maiduguri, Borno State, Nigeria

Samson Dauda Yusuf, Ibrahim Umar, Usman Faruk Tarfa, Abdullahi Abubakar Mundi

Asian Journal of Research in Nursing and Health, Page 42-51

The effect of ionizing radiation on occupational workers is increasing at an alarming rate due to inadequate knowledge and attitude of workers. Despite this, little research has been done on the knowledge and attitude of Nigerian nurses towards radiation protection and practice. In this study, the knowledge and attitude of Nurses towards Ionizing radiation was carried out at Maiduguri, Borno State, Nigeria, using a self-structured questionnaire. The systematic sampling technique was used to collect 30 usable responses, corresponding to 75 percent response rate that was used for the analysis. The result shows that, even though the nurses are not well educated and have just an average knowledge of radiation and its effects, they are found to show a positive (right) attitude towards ionizing radiation during theatre and ward radiography. Educational level and years of experience were found to have a significant impact on their attitude towards radiation. However, their low level of education could prove fatal if proper measures are not in place. Hospital management should embark on educational intervention programs, seminars and symposium for the nurses to improve their professional skills and knowledge for good radiation protection practices.