iosr-JNHS   Volume-6 ~ Issue-3 ~ May-June 2017

Abstract: Background Human speech is the wonderful gift given to human being by God for communicating their ideas, needs and feelings. But an inability to speak, no matter temporary can be catastrophic for the patients in tertiary care. Some patients in tertiary care units may be communication compromised due to various reasons. A quasi experimental study was conducted to evaluate the effectiveness of visual communication board on satisfaction regarding communication needs of communication compromised patients in selected hospitals of Delhi. Objectives............

Keywords: Visual Communication Board, Communication Compromised Patients and Communication Needs

[1] K Ruth M, Patak L, Wilson-Stronks A, Costello J, Henneman E A. Communication in the ICU [Internet]. Advance Health Care Network; 2008: 1-2
[2] KapoorBimla. Need for Communication. Communication in Nursing. New Delhi: IGNOU; 2011 Dec: 8
[3] Happ MB. Communicating with Mechanically Ventilated Patients: State of Science. Advanced Practice in Acute Critical Care. 2001May;12(2): 247-258
[4] St. George's University Hospitals. Communication [Internet]. London; 2014 [updated 2014 May; cited 2016 Jan 16]. Available from: http://www.stgeorges.nhs.uk/gps_and_clinicians/clinical_resources/tracheostomy_guidelines/ communication/
[5] Sheldon LK. Communication for Nurses: Talking with Patients. 2nd Edition. New Delhi : Jones &Barlett India Private Limited; 2011

Abstract: Background: Disclosure is a key process in the management of sickle cell clients. This process if done well results in positive holistic ways of managing clients. However, if not handled well it can affect the client and the entire family both psychologically and emotionally, thus affecting the client's management. There is still an extensive debate regarding when and how to disclose genetic data to research participants in studies with a genetic component. Consequently, researchers and research ethics committee continue to struggle with the questions on whether research protocols should adopt provisions about disclosure of genetic data and if so, how it should take shape.......

Key Words: Disclosure of results, Ethical issues, Sickle cell disease, Research Participants, Parents/Guardians

[1] S Ashida, LM Koehly, J.S Roberts, CA Chen, S. Hiraki, and RC Green, Disclosing the disclosure: factors associated with communicating the results of genetic susceptibility testing for Alzheimer's disease. Journal of Health Communication, 14(8), 2009, 768–84.
[2] AL Bredenoord, HY Kroes, E Cuppen, M Parker, and JJM van Delden, Disclosure of individual genetic data to research participants: The debate reconsider. Trends in Genetics, 27(2), 2011, 41–47.
[3] S Oliver, C Dezateux, J Kavanagh, T Lempert, and R Stewart, Disclosing to parents newborn carrier status identified by routine blood spot screening. Cochrane Database of Systematic Reviews (Online), (4), 2004. CD003859.
[4] MA Hall, SS Rich, K Abraham, J Alper, J Beckwith, and M Yesley, Laws restricting health insurers' use of genetic information: impact on genetic discrimination. American Journal of Human Genetics, 66(1), 2000, 293–307.
[5] WF Baile, R Buckman, R Lenzi, G Glober, EA Beale, and AP Kudelka, SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. The Oncologist, 5(4), 2000, 302–11..

Abstract: Incident reports refer to any unplanned events resulting in or with potential for injury, damage or other loss. The primary aim of this study was to develop a clear data base about the most frequent types of documented incident reports by nurses and to highlight the main causes for the incident reports at Jordanian accredited private hospitals after identifying their perception to incidents. A Cross sectional design has been used to include quantitative research method. The accessible sample is three hundred seventy six nurses and quality mangers, quality coordinators /facilitators, head nurses and directors of nurses who are working in Al-khalidi Medical Center, Istiklal hospital, and Esr'a hospital............

Key Words: Incident reports, incident documentation, incident types and causes.

[1] Arabi, Y., Alamry, A., Al Owais, S.M., Al-Dorzi, H., Noushad, S., Taher, S.(2012). Incident Reporting at a Tertiary Care Hospital in Saudi Arabia. Journal of Patient Safety. 8 (2), 81-7.
[2] Aiken, C., Kanoya, Y., & Sato, C. (2007). Factors contributing to medical errors and incidents among hospital nurses: nurses' health, quality of life, and workplace predict medical errors and incidents. Industrial Health, 49, 381-388.
[3] Bae, G.R., Norton, P.G., Flintoft, V., Blais, R., Brown, A., Cox, J.,... Tamblyn, R.(2010).
[4] The Canadian Adverse Events Study: The incidence of adverse events among hospital 5.patients in Canada. Canadian Medical Association Journal, 170 (11), 1678-1686.
[5] Barach, P. and Small, S. (2000) "Reporting and preventing medical mishaps: lessons from non-medical near miss reporting", British Medical Journal, vol.320, pp.579-63..

Abstract: Objectives: The study aims to identify the terror- related traumatic experience among students; to assessing the mental health of students; to find out the impact of terrorist trauma on mental health; and to examine the relationship between specific characteristics of students with mental health implication.
Methodology: A descriptive analytical study conducted through the period of the 8th of January, 2017 to 5 th of March, 2017. The study conducted on the students of the secondary schools in Rusafa and Karkh sectors of Baghdad city. The purposive sample of 246 male and female students was selected from the six scholastic stages (intermediate and preparatory stage) . The Students Perceived questionnaire consisted of Part one:.........

Key Words: Psychological Well-being, Terrorism

[1] AbdelMuttalib, M., Definition of international terrorism between political considerations and objective considerations, New University House, Alexandria, Egypt, 2007
[2] Ghaith, M., Dictionary of Social Sciences, Social Knowledge House, Alexandria, Egypt 1989.
[3] Silke, A. P., Cheshire-cat logic: The recurring theme of terrorist abnormality in psychological research. Psychology, Crime and Law (1998). 4:51-69. [4] United Nations Iraq (UN Iraq), 2017.
[5] Giller, E., About trauma, what is psychological trauma? The sidran institute. (http://www.sidran.org) 2003

Abstract: Nurses offer care and comfort, but they often end up with a pain in the back for their efforts. Nursing is one profession which is susceptible to getting low back pain under their daily activity Aims: To study the prevalence of low back ache in nurses. Objectives: To study the prevalence of low back pain in nurses and the distress caused due to it using the DALLAS Pain Questionnaire. Need: To assess the functional disability due low back pain. To give ergonomic advice to the nurses in order to reduce back pain. Methodology: Female nurses within the age group of 20 to 70 years were taken consent from and were given the DALLAS Pain Questionnaire, on the basis of which the results were inferred:.........

Key Words: .......

[1] Melzack R. The McGill Pain Questionnaire: Major properties and scoring methods. Pain. 1975; 1: 277-299.
[2] Stein C Mendl G. The German counterpart to McGill Pain Questionnaire. Pain. 1988; 32: 251-255.
[3] Oswestry back disability scale Fairbanks et al, 1980.
[4] Roland MO, Morris RW. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain. Spine 1983; 8: 141-144
[5] Kopec JA, Esdaile JM, Abrahamowicz M, Abenhaim L, Wood-Dauphinee S, Lamping DL, et al. The Quebec Back Pain Disability Scale. Measurement properties. Spine. 1995 Feb 1;20(3):341-52.

Abstract: Diabetes mellitus is rapidly increasing in Kenya. The prevalence varies among tribes and risk factors are not well understood. This study investigated the prevalence of diabetes mellitus in association with demography, socio-economy and nutritional status for women in Amagoro, Western Kenya. This was a descriptive cross-sectional study involving 260 women aged 15-90 years. Households were chosen by cluster and stratified sampling. Data on demography, socio-economy and diabetes status were collected by interviews using pre-tested questionnaires. Random blood sugar was measured using a glucometer and levels ≥7.8 mmol/L underwent confirmatory testing using fasting blood sugar:.........

Key Words: diabetes mellitus, demography, socio-economy, nutritional status, women from Western Kenya

[1] ADA (American Diabetes Association). Diagnosis and classification of diabetes mellitus. Diabetes Care 33(1), 2010, S62-69.
[2] WHO/IDF, Definition, diagnosis of diabetes mellitus and intermediate glycemic. Geneva: World Health Organization; WHO Report on diabetes and other chronic non communicable diseases, 2008, www.who.int/diabetes/.../Definition%20and%20diagnosis%20of%20diabetes_new.pdf.
[3] S. Dalal, J.J. Beunza, J. Volmink, C. Adebamowo, F. Bajunirwe, M. Njelekela, D. Mozaffarian, W. Fawzi, W. Willet, H. Adami and M.D. Holmes, M.D, Non-communicable diseases in sub-Saharan Africa: what we know now, International Journal of Epidemiology, 40, 2011, 885-901.
[4] C. Herder and M. Roden, "Genetics of type 2 diabetes: pathophysiologic and clinical relevance", European Journal of Clinical Investigation, 41, 2011, 679–692.
[5] D.J. Corsi and S.V. Subramanian, Association between socioeconomic status and self-reported diabetes in India: a cross-sectional multilevel analysis. BMJ Open, 2012, doi:10.1136/bmjopen-2012-000895

Abstract: This study assessed knowledge and attitude of tertiary institution students towards HIV/AIDS counselling and testing in Ekiti State, Nigeria. The descriptive survey design was utilised in carrying out the study. A total of (one thousand two hundred) 1200 students were randomly selected for the study. A self-structured and validated questionnaire was the only tool used in the collection of data. Data collected were analysed using frequency counts, percentages, standard deviation and t-test. Findings from the study revealed that students had moderate knowledge on HIV/AIDS, they had positive attitude towards counselling and testing and the highest source of information was on radio. It was recommended that effective health education and health promotion programmes targeted towards the improvement of the level of awareness of tertiary institution students in Ekiti state through regular seminars, campaigns and lectures on HIV/AIDS should be put in place.

Key Words: HIV/AIDS, counselling, testing, attitude and health promotion.

[1] Adelakun, A.A. (2008). The Level of Awareness of Risks of HIV/AIDS among Adolescents in two selected Secondary Schools in Abeokuta South LGA of Ogun state. Federal Training Centre for Teachers of Health Sciences.University Teaching Hospital. Ibadan.
[2] Adele, A.O. (2003). Maternal and child health nursing. New York: USA. Williams and Wilkins limited.
[3] Adeyemi, B.A. (2008). Adolescence and Sexuality Education. Akure: Network Publishers.
[4] Ignatus, O. N., & Lois, N. O. (2005). Knowledge and sources of information of HIV/AIDS among secondary students in Imo state, Nigeria. Journal of Research
[5] Izugbara, C.O (2008). Deterrents to voluntary HIV testing among University students in Uto, Southeast Nigeria.

Abstract: Young adulthood is a vulnerable period for weight gain and the health consequences of becoming obese. University years are a time of emerging identity and habit formation for young adults. During university years, individuals practice unhealthy eating patterns such as meal skipping, snacking, and fast food consumption. Eating pattern could be modified by providing valid nutritional information. The young adults used to obtain information from different internet websites. Aim: The purpose of this study was to develop a web- based nutritional health education module. Study design: A cross-sectional design was used to carry out this study at different faculties of Mansoura University. Total sample size of 650 university students involved in the study,........

Key Words: Nutritional health education, Dietary pattern, University students, Web- based module, Evidence-based practice

[1] Nelson MC, Story M, Larson NI, Neumark-Sztainer D, Lytle LA: Emerging adulthood and college-aged youth: An overlooked age for weight-related behavior change. Obes 2008,16(10):2205–2211.
[2] Lee, S. (2010). Eating Behaviors and Characteristics of Healthy Foods as Perceived by College Students. Retrieved from http://repositories.tdl.org/ttu-ir/bitstream/handle/2346/ETD-TTU-2010-12-1204/LEE-THESIS.pdf?sequence=2
[3] Best College Review, (2012). COLLEGE GUIDES Health and Nutrition For College Students. [online] Available at: http://www.bestcollegereviews.org [Accessed 15 May 2017].
[4] World Health Organization. (2016). 5 keys to a healthy diet. [online] Available at: http://www.who.int/nutrition/topics/5keys_healthydiet/en/ [Accessed 15 May 2017].
[5] The National Heart, Lung, and Blood Institute. (2014). Overweight and Obesity. [online] Available at: https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0063069/ [Accessed 15 May 2017].

Abstract: Errors are an integral part of human life. Many errors originate from the natural process of cognitive and behavioral adaptations which develop the correct behavioral skills. Giving medicine is probably one of the most critical duties of nurses since the resulting errors may have unintended, serious consequences for the patient, medication errors are a major problem in nursing since most cases of medication errors are not reported by nurses it is also the main component of nursing performance and has a prominent role in patient safety . Medication errors can significantly affect patient safety and treatment costs and result in hazards for patients and their families. Medication errors are among the most common health threatening mistakes that affect patient care. Such mistakes are considered as a global problem which increases mortality rates:.........

Key Words: Medication administration error, Medication administration safety, Nursing innovation

[1] Raban MZ, Lehnbom EC, and Westbrook JI. Evidence briefings on interventions to improve medication safety. Centre for Health Systems and Safety Research (Australian Commission on Safety and Quality in Health Care) 4(1) (2013)
i . [2] Jaleel Anne Arnado. Minimizing Avoidable Interruptions During Medication Administration. The University of San Francisco USF Scholarship: a digital repository @ Gleeson Library | Geschke Center; (2014) .,
[2] About medication errors: what is a medication error? National Coordinating Council for Medication Error Reporting and Prevention.. Retrieved from http://www.nccmerp.org/aboutMedErrors.html
[3] Marian Smeulers, Lotte Verweij, Jolanda M. Maaskant, Monica de Boer, Paul Krediet, Els J. M. Nieveen van Dijkum, Hester and Vermeulen, ''Quality Indicators for Safe Medication Preparation and Administration'': A Systematic Review. Journal. Pone 10(4) (2015) : e0122695. Doi: 10.1371.0122695
[4] David C Radley, Melanie R Wasserman, Lauren EW Olsho, Sarah J Shoemaker, Mark D Spranca and Bethany Bradshaw. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Inform Assoc 2013; 20:470–476. Doi: 10.1136/amiajnl-2012-001241
[5] The five rights: A destination without a map. Institute for Safe Medication Practices. 2007 [cited 2014 July 30]. Available: http://www.ismp.org/newsletters/acutecare/articles/20070125.asp.

Abstract: Background: Nursing students are exposed to violence in health care setting during their clinical training. Aim: The study aims to investigate to vertical violence encountered by the nursing students throughout their clinical learning in health care settings. Design: descriptive study was utilized Setting: This study was conducted at nursing college and allied health sciences, Jazan University, KSA. Subjects: The sample of convenience consisted of 95 students from 3rd and 4th grade. Tools: The following instruments were utilized: 1) Characteristics of student nurses and their violence sheet;2) Negative Acts Questionnaire; and The Bullying Student Nurse Questionnaire:.........

Key Words:Vertical Violence, Nursing Student .Clinical Learning.

[1] Talas,M,Kocaoz,S. and Akguc,S. (2011): A survey of violence against staff working in the emergency department in Ankara , Turkey,Asian .Nursing research 5(2011)197-203.
[2] Tomas,S, Junior Nursing Students experiences of vertical violence during clinical rotation (2009): University of Tennessee-Knoxville,Sthomas @utk.edu.Nursing publication.
[3] Canty,S. Vertical violence and student nurse is this toxic for professtional identity development? (2012): Universty of Southern Mississippi , The Aquila Digital Community.
[4] Thomas ,SP.Transforming Nurses Stress and Anger(2004) : Steps toward healing .New York, Ng . Springer.
[5] Shoghi,M,. Sanjari,M,. Shiraz,F,. Heldari,S,. Salemi,S., and Mirazabeigi,G.(2008) : Workplace violence and abuse against nurses in hospitals in Iran.Asian Nursing Research (2) 184-193.

Abstract: Background: A quasi-experimental study was carried out at the College of Basic Education, University of Sumer in Thi-Qar governorate starting from September 27th 2016 to May 1st 2017. Objective: The study aims to evaluate the effectiveness of the instructional program on student knowledge toward the risk of blood hyperviscosity among adulthood and to find out the relationship between student demographic characteristics and effectiveness of instructional program. Methodology: A purposive (Non-probability) sample of (60) students was divided into two groups, case group consisted of 30 students who exposed to instructional program and control group consisted of 30 students were not exposed to the program on students who studies in the College of Basic Education, University of Sumer in Thi-Qar governorate.:.........

Key Words: Instructional Program, Blood hyper viscosity, Knowledge.

[1] Stone MJ, Bogen SA; Evidence-based focused review of management of hyperviscosity syndrome. Blood. 2012 Mar 8;119(10):2205-8. doi: 10.1182/blood-2011-04-347690. Epub 2011 Dec 6.

[2] Mehta J, Singhal S. Hyperviscosity syndrome in plasma cell dyscrasias. Semin Thromb Hemost 2003;29(5):467-71.

[3] Rampling MW; Hyperviscosity as a complication in a variety of disorders. Semin Thromb Hemost. 2003 Oct;29(5):459-65

[4] Kwaan HC. Hyperviscosity in plasma cell dyscrasias. Clin Hemorheol Microcirc. 2013. 55 (1):75-83.[Medline].

[5] Chen LY, Wong PC, Noda S, Collins DR, Sreenivasan GM, Coupland RC. Polyclonal hyperviscosity syndrome in IgG4-related disease and associated conditions. Clin Case Rep. 2015 Apr. 3 (4):217-26.[Medline].

Abstract: Objective: The study aims to evaluate the effectiveness of an instructional program on nurses' knowledge concerning preparation of patients for gastro-colonoscopy. Methodology: A quazi-experimental study was carried out at endoscopy units in Al-Hussein Teaching Hospital at Al- Nasiriyah City starting from (27 September 2016) to (15 May 2017). A purposive (non-probability) sample of 50 nurses was divided into two groups, case group consisted of 25 nurses who exposed to instructional program and control group consisted of 25 nurses were not exposed to the program on nurses who working in Al-Hussein Teaching Hospital. The questionnaire consists of two parts:.........

Key Words: Instructional Program, Preparation of Patients, Knowledge, Gastro-colonoscopy

[1] Yeung, Ka-man, Carmen.; The use of written information to relieve anxiety in patients undergoing endoscopy (2011) http://hdl.handle.net/10722/143205
[2] Prasad J. Athreya, Gareth N. Owen, Shing W. Wong, et al. Achieving quality in colonoscopy: bowel preparation timing and colon cleanliness. ANZ J Surg.2011; 81:261–5.
[3] Salfiti N, and Nelson DB (2008): Infection Control Measures in Gastrointestinal Endoscopy U S Surgery GASTROINTESTINAL ENDOSCOPY Volume 67, No. 6: 2008 www.giejournal.org
[4] Barlow DE. The video colonoscope. In: Rex DK, Way JD, Williams CB, editors. Colonoscopy. London: Blackwell Sciences; 2003.
[5] Lagares –Garcia JA, Kurek S, Collier B, Diaz F , Schilli R, Richey J and Moore RA(2001):Colonoscopy in octogenarians and older patients. Surg Endosc 15:261-5.