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ABSTRACT
Readiness for hospital discharge is a multidimensional concept involving needs assessment, collaborative patient-centered care, resource management, and care coordination. It begins with admission assessment and treatment planning and then predicts patient readmission and continuity of care. Different studies have revealed moderate readiness for hospital discharge in various patient groups, with a focus on somatic diseases and less on mental disorders. Low readiness for hospital discharge leads to hospital readmissions, as well as financial and psychosocial burdens on patients and their families. As a result, patients, families, healthcare professionals, and community workers must work together to ensure readiness for hospital discharge. Despite the fact that these procedures are currently performed by nurses, nurses’ heavy workloads may have an impact on patients' preparation for hospital discharge. Additionally, various social demographic factors, illness-related variables, and psychological support have an impact on readiness for hospital discharge. Younger age, urban residence, higher level of education, and better financial status are positively correlated with increased readiness for hospital discharge, but disease severity, long duration of hospital stay, and limited continuity of care are negatively correlated with readiness for hospital discharge. In conclusion, readiness for hospital discharge is crucial for safe transitions; thus, addressing its influencing factors through teamwork and patient-centered methods may enhance understanding and meeting the unique needs of patients, particularly those with chronic and mental illnesses, allowing a successful transition from the hospital to the community.
Original Research Article
ABSTRACT
Purpose: Medical errors is a major health-safety issue in many hospitals; however, many of those errors are went underreported. Willingness of nurses to report the errors accurately is a key role in overcoming the underreporting issue. Therefore, this study determined the frequency of errors, error underreporting in Omani hospitals, and nurses' perceptions of the adequacy of the processes of error reporting and the most common errors, as well as the beliefs about reasons for underreporting. Method: The study used a descriptive cross-sectional design. Data were collected from 31 units in 11 Omani hospitals from July 2016 to July 2017 using incident reports and surveys completed by 562 nurses. Nurses were asked about reasons for underreporting, common errors on their patient units, and the adequacy of error reporting processes. Data were analyzed using SPSS version 24. Results: The rate of errors determined by incident reports was compared to the rate provided by the Institute of Health Improvement using its trigger tool. In comparison to the predicted error rate of .40 identified by the trigger tool, the rate of errors across all units was .0164. There was a significant difference in reported and predicted rates (z = 4.36, p < .001). All units (31) had significantly lower than predicted error rates, indicating underreporting. Despite the belief that the error reporting processes were adequate, most nurses identified fear of punishment as a common reason for underreporting. Conclusion: Fear was identified as a common cause of underreporting; therefore, it is necessary to implement a culture of safety to address underreporting, inaccuracy in rates of medical errors, and patient safety.
Original Research Article
ABSTRACT
Introduction: The research was conducted to evaluate the health-related quality of life in individuals diagnosed with type 2 diabetes mellitus at Levy Mwanawasa University Teaching Hospital, located in Lusaka, Zambia. Diabetes mellitus has become a serious global public health concern with huge impact on human life and health expenditures (Khan et al., 2020). With many people affected, diabetes mellitus has an impact on individual’s functional capacities and quality of life, which leads to significant morbidity and mortality (Rantahal et al., 2015). Methodology: The research employed an analytical cross-sectional research design to assess the health-related quality of life in patients with type 2 diabetes at Levy Mwanawasa University Teaching Hospital (LMUTH) in Lusaka, Zambia. It involved a comprehensive review of current knowledge and the gathering of primary sources to build a theoretical model based on existing evidence. The study sample consisted of 134 respondents, and data were collected using structured interview schedules. Simple random sampling method was used to select the study respondents, and a sampling frame was employed every day and randomly sampled some respondents. To assess and identify factors associated with health related quality of life in type 2 diabetes mellitus patients, Chi-square and multivariate logistic regression analyses were employed through SPSS version 23. The Odds Ratio with a 95% confidence interval was computed to determine the level of association. The variables with p-value less than 5%, in the multivariate analysis were considered as statistically associated, association between covariates and Health Related Quality of Life. Results: The findings revealed that a significant portion, 43.3%, of type 2 diabetes mellitus patients at LMUTH reported a low quality of life. This low quality of life was found to be associated with various socio-demographic factors. Specifically, individuals who were not employed, lacked regular .....
Original Research Article
ABSTRACT
Introduction: Over the past decades, performance appraisal has been a part of the process of guiding and managing career development in the health care sectors. The feedback of performance appraisal may leave a great impact and satisfaction on employee and evaluators. However, there is little known about the effect of performance appraisal on improving the job satisfaction among nurses in Oman. Therefore, the aim of this study was to explore the relationship between performance appraisal and job satisfaction among nurses in Al Dakhliyah Governorate, Oman. Methods: the study used an explorative descriptive cross-sectional design using stratified random sampling of 309 nurses assigned in the 29 government healthcare institutions in Al Dakhliyah Governorate. A self-developed Performance Appraisal Questionnaire was used for data collection. Statistical Package for Social Sciences (SPSS) version 20 was used to analyze and interpret the data. Results: the findings showed that more than 60% of the respondents believed that the reason to conduct performance appraisal was only to evaluate performance of employees without considering other factors such as job satisfaction, promotion, and motivation. Majority of respondent agreed that performance appraisal helps achieve meaningful career goals and promotes constructive criticism in a friendly and positive environment 70% and 67% respectively). In addition, many of the participants (69%) revealed that their work performance improved after the formal process of performance appraisal and 68% of them believed that performance appraisal would improve their job satisfaction and motivate them to perform their duties sincerely. Conclusion: Performance appraisal is a crucial aspect in human resource management that can directly affect the job satisfaction of nurses. Policy-decision makers in the Ministry of Health can develop clear guidelines and policies regarding performance appraisal, as well as strategies that improve job .........
Original Research Article
ABSTRACT
This study aims to analyze the factors that influence Burnout Syndrome in health workers at the Batakte Health Center, Kupang Regency. The method used is a quantitative research method with a cross sectional design. The sampling technique uses total sampling. The results showed that the results of the chi-square analysis showed no effect of age (p = 0.771), gender (p = 0.375), education (p = 1.000) on the incidence of burnout syndrome in health workers in the Working Area of the Batakte Health Center, Kupang Regency. There is an influence of marital status (p = 0.033), length of work (p = 0.002), workload (p = 0.001), social support (p = 0.002) on the incidence of burnout syndrome in health workers in the Working Area of the Batakte Health Center, Kupang Regency. Simultaneously, the variables of length of work (OR 6.352), workload (OR 6.647) and social support (OR 4.555) have an influence on the incidence of burnout syndrome in health workers in the Working Area of the Batakte Health Center, Kupang Regency. The workload variable is the most dominant variable that has an influence on the incidence of burnout syndrome in health workers with OR (7.163), p=0.000, CI=2.466-20.808. In conclusion, the factors that influence Burnout Syndrome in health workers are workload.
Original Research Article
ABSTRACT
Background: The contraceptives usage among pupils remains a topical issue globally, regionally and locally. Zambia is underpinned by Christian principles and values and despite that, the country continues to record high levels of unplanned pregnancies among pupils and this hampers the education of a girl child. The study has established that most pupils are sexually active and this puts them at a higher risk of getting unplanned pregnancies and consequently dropping out of School. Objective: The study aimed at investigating the “Factors Affecting Contraceptive Usage Among Pupils in Selected Secondary Schools within Chingola District, Zambia”. Methods and Materials: The study used a cross- sectional study design in which 52 pupils from Chingola and Sekela Secondary Schools were included in a study. The study employed semi-questionnaires and interview guides. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 21. Chi-square test was used to determine the relationship between independent and dependent variables. Conclusion: The study has revealed that pupils are at a higher risk of unplanned pregnancies as well as sexually transmitted diseases despite them having knowledge of contraceptives usage. The study has also indicated that 63.5% of pupils were aware of the existence of contraceptives and their functions as a means of prevention of pregnancies. Therefore, there is need of deliberate move by Ministry of Health through District Health offices to promote accessibility to various methods of contraceptives by pupils especially those in Secondary Schools who are sexually active.
ABSTRACT
Background: A factor that contributes to the poor health of both the mother and the fetus is Anemia. Pregnant women must therefore receive prenatal care that includes the identification and management of Anemia properly. Case Presentation: This case report provides an analysis of the pregnancy circumstances of Mrs. R, a 22-year-old housewife from a middle-class socioeconomic background, who is anticipating her first child. From the pregnancy data obtained, Mrs. R experienced anemia, supported by supporting examinations of hemoglobin levels. The management provided included iron supplementation and the consumption of beetroot, which has been proven to be an effective food to increase hemoglobin levels. At 40 weeks of pregnancy with no signs of labor, it was recommended to engage in sexual intercourse to stimulate contractions and undergo oxytocin massage at 40 weeks and 4 days of pregnancy. The parturition process ultimately took place at 40 weeks 5 days of gestation, spontaneously. The total duration of the first stage of labor was 22 hours, the second stage was 2 hours, the third stage was 11 minutes, and the fourth stage was 2 hours. The baby was born spontaneously, cried loudly, weighed 3,600 grams, and showed a cranial deformity, specifically asymmetric head shape. There were no complications during labor and the postpartum period. Although Mrs. R is deeply committed to maintaining a healthy pregnancy, managing the Anemia that was detected in the early stages of the pregnancy presents a formidable challenge. Through her scrupulous observance of monthly prenatal examinations and regular administration of blood supplement tablets and additional multivitamins, Mrs. R effectively controlled her Anemia, thereby facilitating the successful culmination of the delivery procedure. Conclusion: Accurate evaluation of anemia during pregnancy is crucial for the proper treatment of anemia. In Indonesia, the effective treatment of severe anemia necessitates ......