Background: Nutritional problems, especially on pregnant women, are still a public health problem in Indonesia. One of the diseases caused by malnutrition in pregnant women, which shows that the number of cases is still high, is chronic energy deficiency. The aim of this study was to determine the relationship between knowledge of nutrients in food and economic status with the incidence of chronic energy deficiency on pregnant women.
Materials and Methods: This type of research is quantitative with a case control approach. The population in this study is divided into two, namely the population of cases and controls. The case population was pregnant women with 309 people, while the control population was all pregnant women who did not have chronic energy efficiency is 952 people, totaling population it was 1361 people. The sample size in each group was 344 respondents. The case sample was taken by simple random sampling while the control sample was taken by systematic random sampling. Data were obtained using a questionnaire then analyzed descriptively and inferentially using the Chi Square test and Odds Ratio.
Results: The results showed that there was a relationship between knowledge and the incidence of chronic energy deficiency on pregnant women, where it was obtained that x² count = 6,768> x² table = 3,841 and OR was 2,159, meaning that pregnant women with knowledge of nutrients in food were categorized as less having a risk of 2,159 times greater. To suffer from chronic energy deficiency compared to pregnant women who have good knowledge of nutrition in their diet. The results also showed that there was a relationship between economic status and the incidence of chronic energy deficiency on pregnant women, where the x² count = 4,585> x² table = 3,841 and the OR of 1,688. This means that pregnant women with low economic status have a 1,688 times greater risk of suffering from chronic energy deficiency compared to pregnant women with sufficient economic status.
Conclusion: Knowledge and economic status are factors that are related to the incidence of chronic energy deficiency in pregnant women in South Konawe District. Therefore, it is hoped that the government through the health office can facilitate increased public knowledge about the importance of nutritional intake for pregnant women and it is also hoped that the government will provide stimulants for pregnant women with low economic status.
Clinical scholarship has been described as a cornerstone to quality nursing care. Clinical practice is a valued component in nursing as a practice profession, but there is dearth of research in nursing literature on how clinical practice contributes to nursing scholarship.
This paper explores ways by which clinical scholarship can enhance nursing’s contributions to improving healthcare delivery and the health of the nation. The premise is that better education of the nurse clinicians will influence policy decision regarding nursing service design and delivery. The ultimate goal of the presentation is that clinical scholarship will not only improve patient care, it will increase job satisfaction, improve professional growth, create interest in collaborative research and partnership. Another message to be conveyed in this paper; it gives the nurse practitioner an inspiration on the benefit of clinical scholarship and how a framework for clinical scholarship can be developed in Nigeria.
Background: Health Center accreditation aims to improve the quality of health services at the Health Center, so that it is expected that the quality of improved health services can have an impact on satisfaction for patients or the community better. The purpose of this study was to determine the relationship between accreditation and quality of service and satisfaction of Health Center patients in East Kolaka Regency.
Materials and Methods: This type of research is a quantitative study with a cross sectional study approach. The population in this study was all patients who visited the East Kolaka District Health Center from January to March 2020 as many as 1330 people. The sample size of 299 respondents was taken by proportional random sampling. Data obtained using a questionnaire then analyzed descriptively and inferentially using the Chi Square test.
Results: The results showed that there was a relationship between accreditation with quality of service and patient satisfaction at the East Kolaka District Health Center, where a p-value < α= 0.05. There is a relationship between service quality and patient satisfaction at the Health Center in East Kolaka Regency, where obtainedp-value < α= 0.05.
Conclusion: Accreditation can improve the quality of health services in health center, thus affecting patient satisfaction with health services. It is expected to improve the quality of services better. Which is not only limited to health services but overall such as timeliness and speed in serving patients at the registration counter, medical records and every polyclinic so as not to cause patients to wait too long and patients can feel more satisfied with services obtained.
Aim: The current study evaluated the relationship between three coping strategies (problem-oriented, social support and avoidance coping strategies) and burnout among nurses working in Pumwani Maternity Hospital.
Methodology: A descriptive cross-sectional design was used in the study which was conducted during the period of August 2015 to December 2016. A total of 96 nurses from the target population of 128 nurses at Pumwani Maternity Hospital were included in the study. The sample was selected through non-probability sampling methods that included clustering, purposive and convenient sampling. Self-administered data collection instruments consisting of Maslach Burnout Inventory -Human Services Survey and a coping strategy indicator were used. Data acquired was processed using SPSS version 21, particularly utilizing descriptive and inferential statistics.
Results: Finding showed that majority of the respondents (88.6 %) were experiencing burnout. There was a moderate correlation (R=0.239) between burnout and coping strategies, which also revealed that most nurses adopt problem solving strategy. Although there was no significant difference in burnout levels between the three coping strategies, avoidance coping strategy was found to be a significant predicator of burnout levels. Problem solving and social support were negatively related to burnout levels, while avoidance coping was positively related to burnout.
Conclusion: Majority of the nurses at Pumwani Maternity Hospital experience burnout. Problem solving and social support coping strategies were related to decrease in their burnout while avoidance coping increased the levels of burnout. There is need to implement effective coping strategies to reduce the incidence of burnout among nurses working in maternal health care facilities.
Aim: The purpose of this study was to identify the psychosocial problems of diabetic patients and to find out, from both nurses and patients, how nurses render psychosocial care to these patients.
Methods: A purposive sampling strategy whereby all nurses and patients who met the inclusion criteria were recruited for the study. Questionnaires were administered to both nurses and diabetic patients in the medical, surgical and diabetic units in the study hospitals. Data were analysed using SPSS version 21.
Results: 52 nurses and 90 patients participated in this study. The major psychosocial problems of diabetic patients included financial worries (86.7%), fear of developing a complication (66.7%), and diet regulatory difficulties (57.8%). Both nurses (63.5%) and patients (63.5%) agreed that nurses always educate patients about their disease condition. However, while nurses reported always assessing presence of support from family members of patients (44.2%) and empowering patients’ family to support patients through counselling sessions (57.8%), most patients (76.7%) reported that this was never the case. Moreover, although many nurses (38.5%) reported that they always assessed patients’ financial ability to pay hospital bills and other treatment needs, more than half of the patients (53.3%) said this was never done.
Conclusion: Diabetic patients in these care centres do have psychosocial problems, which needs to be addressed by nurses. Both nurses and patients’ reports generally suggests a minimal provision of psychosocial care to diabetic patients by nurses. Nurses often asses patients to identify these problems, but do not adequately address them. Thus, there is need for improvement in nurses’ provision of psychosocial care for diabetics in the study centre.
Background: Adolescent pregnancy can cause serious problems in terms of the mother, baby and social aspects. There are a limited number of studies worldwide examining the self-efficacy level of adolescent pregnant women in labour. This study was conducted for the purpose of determining and comparing the self-efficacy at birth of adolescent pregnant and adult pregnant.
Materials and Methods:The research had a descriptive cross-sectional design. The study sample consisted of a total of 292 pregnant women, 73 pregnant teenagers and 219 adult pregnant women, who enrolled in a state hospital in Turkey. The study data were collected by the researcher using the Pregnancy Presentation Form and the Turkish version of the Short Form of Childbirth of Self-Efficacy Inventory. The aim of the study was to determine and compare the self-efficacy in childbirth of adolescent women and pregnant adults. Considering the definition of self-efficacy in childbirth as "confidence in the woman's ability to deal with birth". And assuming that there are two types of expectations that influence the behavior of childbirth: the expectation on the result and the expectation on the effectiveness. In this way, a very clear analysis was carried out on the concepts treated in the text. What they understood about pregnancy in adolescence and adulthood was also defined, according to the World Health Organization; teenage pregnancy is defined as pregnancy in girls aged 10 to 19 years. The average age of adult pregnant women was 27.17 years. The entire methodology was rigorously detailed, as well as the location of the research and the subjects. This research was approved by a research ethics committee.
Results: The average scores of the Turkish Version of the Childbirth of Self-Efficacy Scale-Short Form calculated for adolescent pregnant as 237.84±34.87, and 257.53±30.29 for adult pregnant. The average scores of “Outcome Expectancies” calculated for adolescent pregnant as 132.89±16.41, and 142.59±13.58 for adult pregnant. The average scores of “Efficacy Expectancies” calculated for adolescent pregnant as 104.95±23.44, and 114.94±23.70 for adult pregnant.
Conclusion: Asignificant difference was found between the Childbirth of Self-Efficacy Inventory total and subscale scores of adolescents and adult pregnancies. Being adult, living in a large family, multiparity, and social support increased self-efficacy at birth.
Background: Now-a-days, food consumption patterns are rapidly changing. Consumers are concerned about issues related to the nutritional value of food and health. Raising awareness regarding the health implications of food is increasing for safe food consumption, which includes organic produces. Organic food is a relatively new phenomenon in developing countries like Bangladesh to get rid of chronic lifestyle diseases. The aim of this study is generally to comprehend the outlook of local consumers on their knowledge, perception, and consumption towards organic food products.
Methodology: The study was a descriptive and cross-sectional study. A simple random sampling technique was applied to select a total of 400 samples from four different areas in Dhaka city as 100 samples per area. Data were collected using a semi-structured interview schedule including information concerning some selected parameters such as socio-economic conditions, knowledge about organic foods such as organic fruits, vegetables, egg, and meats, etc., perception about organic foods, the nutritional value of organic foods, consumption frequency and patterns of organic foods.
Results: Our study findings indicate that although 70% of participants knew about organic foods, only 2% consumed those on a regular basis. About 48% of respondent's perception was organic food is mainly natural product, 29% respondent said they are higher in nutrient content, and 17% were said organic food is safer and more nutritious. Therefore, most of the consumers of organic food consume organic food due to health benefits and disease prevention; such as about 35% of respondents said organic foods protect from various diseases like cancer, diabetes, etc. 28% of the respondent said that organic foods could prevent skin diseases. We have also found significant correlations between organic food consumption and income level as well as educational status.
Conclusion: Although the knowledge regarding organic food is satisfactory, the consumption and availability of organic food are not. Therefore, the cultivation of organic food should be encouraged, and the price, as well as the quality of organic food, should be monitored by the authorities.
Introduction: Domestic accident is accident which takes place in the home or in its adjacent surroundings which is a worldwide public health problem. It is inevitable due to curiosity, locomotor and manipulative skills of under-five children so safe practices and precautionary measures to be followed by the mothers to protect and prevent from domestic accident. Hence the study was conducted with the aimed to assess the level of knowledge and practice on prevention of domestic accident among mothers of under-five attended OPD at selected rural health centre.
Materials and Methods: Descriptive study was carried out with 60 samples that met the inclusion criteria were selected using convenience sampling technique. Demographic variables were collected followed by variables associated with knowledge and practice on prevention of domestic accident was assessed by using multiple choice questionnaire and observational checklist. Interview method was adopted to collect the data on one to one basis. The data were tabulated and analyzed by descriptive and inferential statistics.
Results: The finding of the study reveals that Out of 60 participants, 32 (53%) had adequate knowledge and 29 (48.4%) had best practice of prevention of domestic accident and there is a statistically significant positive correlation between the level of knowledge and level of practice on prevention of domestic accident.
Conclusion: The results of the finding is alarming therefore there is need to establish rapid and active measures to prevent domestic accident through different means of education program such as mass media thereby could make the parents to be aware of supervision of environmental conditions, elimination of hazardous conditions from where the child live and play which may help to prevent accident among children.
Introduction: Gender Based Violence (GBV) has become a topical issue in the development field being a reality in life which is happening in all societies regardless of race, class, culture and income status. Safe shelters are set up as free services given to desperate GBV survivors and their use need to be explored from the stand point of beneficiaries.
Methods: A qualitative research design was adopted using semi-structured interviews and focus group discussions (FDGs) and carried out on Gender Forum Members, GBV survivors, GBV key informants and stakeholders on their perceptions on the protective measures associated with GBV victims safe shelters. A total of 42 participants were recruited. Fourteen females and twelve males were involved FDGs (n = 26), six females GBV (n = 6) survivors and ten Gender Forum Members (n = 10) participated in in depth interviews.
Results: All participants were willing to give their perceptions on the subject under study. Perceptions were that women in GBV were empowered at the safe shelters where protection, counselling and sociopsychological support was given. Women were reintegrated with their families when ready to do so. Stakeholders were appreciative of the services offered to those who fell victim to GBV as shown by FDGs, in-depth interviews and document reviews. This acceptability was taken despite cultural and religious factors that are still hindering the uptake of safe shelter services being rendered.
Conclusion: It is prudent that an integrated and holistic approach is taken to issues of GBV is key to the management of survivors of GBV. The shelters provided much needed respite from GBV. The church, traditional structures, Gender Forum membership and the Ministry of Women Affairs Gender and Community Development (MWAGCD) should collaborate. A dedicated transport mechanism in responding to cases of GBV is needed. However, the use of the safe shelters seems not to be able to carter for male adult GBV victims.
Introduction: Cardiac arrest (CA), which occurs outside hospital conditions, is one of the leading causes of death in developed countries and remains responsible for high mortality and morbidity even after successful resuscitation. Hypothermia Therapy (TH) is one of the available therapeutic options aimed at minimizing one of the mechanisms responsible for Post Cardio Respiration Syndrome (PCRS), brain injury arrest after a cardiopulmonary arrest.
Objective: The aim of this study is to clarify the significance of TH after cardiac arrest, in critically ill patients.
Material and Methods: A bibliographic review of the literature, mobilizing the descriptors "Therapeutic hypothermia", "Post cardiopulmonary arrest" and "Critically ill patients". Ten conceivable databases were selected, between 2014-2020, and seven studies were included for analysis.
Results and Discussion: It was found that there are some controversial results. Studies comparing the effects of TH with normothermia have shown similar results regarding neurological recovery, although TH may reduce oxidative damage in some studies. Three of the studies show some beneficial effects, but one shows that these effects will only be beneficial in younger years, in the shortest possible time to ROSC and at the rhythm of CA in ventricular fibrillation. One of the studies showed no beneficial effects on the use of TH.
Conclusion: It can be concluded that although part of the clinical practice has existed for more than a decade and recommendations for use in all patients after ROSC exist, there is considerable controversy and questions about various aspects of implementation. There are still some questions to answer. However, some studies also show good effects of TH (32º-34º) and normothermia (36º).