iosr-JNHS   Volume-9 ~ Issue-2 ~ Mar - apr. 2020

Abstract: Background: This study aimed to systematically investigate studies in which non-pharmacological methods are used for pain relief in intramuscular (IM) injection applications.
Materials and Methods: The study was conducted between October 01, 2018 and November 30, 2019, by searching some of the international databases including Pubmed, Science Direct, Medline, Ebsco, and Scopus on search engines. During the search, keywords such as "intramuscular / IM injection" and "pain control" were used. A total of 26 publications that met the inclusion criteria were included in the study, and they were evaluated in terms of comparison, limitations, and results.....

Keywords: Intramuscular İnjection;Pain;Pain Management;Nursing

[1]. Black MJ, Hawks, Keene AM. Medical surgical nursing clinical management for postoperative outcome. Philadelphia. W.B Saunders. 2007; 351-7.
[2]. Soliman HM, Hassnein AA. Efficacy of Helfer Skin Tapping technique on pain intensity as perceived by the patientsreceivingIntramuscularInjection. International journal of Nursing Didactics. 2016; 6(2), 12-22.
[3]. Blinderman CD, Billings JA. Comfort care for patients dying in the hospital. New England Journal of Medicine. 2015; 373(26), 2549-2561.
[4]. Cocoman A, Murray J. Intramuscular injections: a review of best practice for mental health nurses. Journal of Psychiatric and Mental Health Nursing. 2008; 15(5), 424-434.
[5]. Murphy JI. Reducingthepain of intramuscular (IM) injections. Advancing Clinical Care.1991; 6(4), 35.

Abstract: Background: The Civil Registration and Vital Statistics (CRVS) system in Zambia is expected to be compulsory but based on what has been happening, it now appears to be voluntary in spite the law being available. Not all events that are supposed to be registered are registered in Zambia. It appears that people do not to know or appreciate the use of registering vital events. CRVS information on population characteristics and health outcomes is a very important tool in the formulation and evaluation of health policies and programmes. The study was aimed at analysing the CRVS system and develop strategies for strengthening in order to enhance public health information system in Zambia.......

Key words: Civil Registration, Births and Deaths, SAVVY, Vital Statistics, Zambia

[1] UNSD (2014). Principles and Recommendations for a Vital Statistics System; United Nations Statistics Division, Department of Economic and Social Affairs, New York.
[2] Kazonga Eustarckio (2017). The World of Statistics: Civil Registration and Vital Statistics. Daily Nation. 8th September 2017.
[3] DNRPC. Implementation of Sample Vital Registration with Verbal Autopsy (SAVVY) in Zambia. Dissemination of SAVVY Findings; 19 April 2018; Lusaka, Zambia.
[4] Central Statistical Office (CSO) [Zambia], Ministry of Health (MOH) [Zambia], and ICF International (2014).
Zambia Demographic and Health Survey 2013-14. Rockville, Maryland, USA: Central Statistical Office, Ministry of Health, and ICF International. Central Statistical Office (CSO) [Zambia], Ministry of Health (MOH) [Zambia], and ICF International. 2014.

Abstract: Background: Professional competency is a fundamental concept in nursing which has a direct relationship with quality improvement of patient care and public health. Clinical competence is the ability to base clinical decision on prior experiences with particular clinical situations. Aim: The aim of the study was to (1) Evaluate nurses' knowledge, skills, behavior and experience through using self-assessment competency scale of cardiothoracic intensive care and critical care unit, (2) Evaluate the clinical competences of cardiothoracic intensive care nurses by using standardized clinical competency checklists. (3) Developing clinical competence using multileveled competency statements for intensive care unit's nurses. Research Design:Descriptive and Quasi-experimental designs were employed.....

Key words: Critical Care Patients, CardiothoracicIntensive Care Nursing, NursesCompetence, Clinical Competency, Basic CompetenceScale

[1]. American Academy of Ambulatory Care Nursing (AAACN). (2013): Core curriculum for ambulatory care nursing (3rd ed.). C.B. Laughlin (Ed.). Pitman, NJ: Author.
[2]. Amina I., (2014): Impact of a Structured Teaching Program for Prevention of Ventilator Associated Pneumonia on Knowledge and Practices of Intensive Care Nurses at Central Quwesna Hospital, Egypt, Med. Journal of Cairo University 82(1), p 811.
[3]. Andersson P, Ahlner-Elmqvist M, Johansson U-B, Larsson M, Ziegert K. (2011): Nursing students‟ experiences of assessment by the Swedish National Clinical Final Examination. Nurse Education Today; 33: 536–540.
[4]. Azam Faraji, Mahtab Karimi, Seyyed Mohsen Azizi, Maryam Janatolmakan, Alireza Khatony (2019): Evaluation of clinical competence and its related demographic factors among critical care nurses in Kermanshah, Iran, International Journal of Nursing Sciences (6) 421e425. http://www.elsevier.com/journals/international-journal-ofnursing-sciences/2352-0132.
[5]. Bahreini M, Shahamat S, Hayatdavoudi P, Mirzaei M. (2011): Comparison of the clinical competence of nurses working in two university hospitals in Iran. Nurs Health Sci; 13(3):282e8. https://doi.org/10.1111/j.1442- 2018.2011.00611.x.

Abstract: Background:Birth preparedness and complication readiness (BPCR) is the way toward getting ready for ordinary birth and anticipating the actions needed in case of an emergency occurrence Aim: The present study aimed to assess birth preparedness and complication readiness among pregnant women attending antenatal clinic at Menyet El-Nasr Central Hospital. Study design: A descriptive research design was followed. Setting: The study was conducted at antenatal clinic at Menyet El-Nasr Central Hospital from the period of February 2019 to Augast 2019. Sample type: A purposive sample was used. Study sample: 197 pregnant women who were attended to predetermine setting according to inclusion and exclusion criteria. Data collection tools:Three tools were used for data collection, first tool,A structured interview questionnaire to identify socio-demographic and obstetric data of women, second.....

Keywords: Attitude, Birth preparedness, Complication readiness, Danger signs, Knowledge, Practice

[1]. August, F., Pembe, A. B., Mpembeni, R., Axemo, P., & Darj, E. (2016). Effectiveness of the Home Based Life Saving Skills training by community health workers on knowledge of danger signs, birth preparedness, complication readiness and facility delivery, among women in Rural Tanzania. BMC pregnancy and childbirth, 16(1), 129.
[2]. Azeze, G. A., Mokonnon, T. M., & Kercho, M. W. (2019). Birth preparedness and complication readiness practice and influencing factors among women in Sodo town, Wolaita zone, Southern Ethiopia, 2018; community based cross-sectional study. Reproductive health, 16(1), 39.
[3]. Begashaw, B., Tesfaye, Y., Zelalem, E., Ubong, U., & Kumalo, A. (2017). Assessment of birth preparedness and complication readiness among pregnant mothers attending ante Natal Care Service in Mizan-Tepi University Teaching Hospital, South West Ethiopia. Clinics Mother Child Health, 14(257), 2.
[4]. Belda, S. S., & Gebremariam, M. B. (2016). Birth preparedness, complication readiness and other determinants of place of delivery among mothers in Goba District, Bale Zone, South East Ethiopia. BMC pregnancy and childbirth, 16(1), 73.
[5]. Bogale, B., Astatkie, A., & Wakgari, N. (2019). Effect of Pregnant Mothers' Forum Participation on Birth Preparedness and Complication Readiness among Pregnant Women in Dale District, Southern Ethiopia: A Comparative Cross-Sectional Study. Journal of pregnancy, 1-12.

Abstract: Introduction: when the trocar port is greater than or equal to 10 mm, the methods of parietal closure are problematic because the occurrence of incisional hernia is possible. Aim: to demonstrate the effectiveness of the parietal closure of the trocar orifice using a technical device in order to prevent the occurrence of the incisional hernia. Materials and methods: our study is prospective and randomized, carried out over a period of 3 years, concerning 50 cholecystectomy. Twenty-five patients, aged 39 on average, had a wall closure without prevention (P2 group) and 25 others, an average age.....

Keywords: Hernia , Trocar port, Closure technique

[1]. LEIBEL BJ, SCHMEDTCG, SCHWARZ J, KRAFT K, BITTNER R. Laparoscopic surgery complications associated with trocar type design : review of literature and own results. J. Laparoendosc. Adv. Surg. Tech. A 1999 ; 9 : 135-40.
[2]. MONTZ FJ, HOLSHNEIDER CH, NUMRO MG. Incisional hernias following laparoscopy a survey of the American Association of Gynecologic Laparoscopists. Obstet. Gynecol. 1994 ; 84 : 881-4.
[3]. CHANG FH, LEE CL, SOONGYK. Extra-umbilical incisional hernia after operative laparoscopy : prevention and management. Int. J. Gynaecol. Obstet. 1994 ; 45 : 161-2.
[4]. KADAR N, REICH N, LIU CY, MANKO GF, GIMPELSON R. Incisionnal hernias after major laparoscopic gynecologic procedures. Am. J. ObstetGynecol. 1993 ; 168 : 1493-5.
[5]. KIILHOMA P, MAKINEN J. Incarcerated Richter's hernia after laparoscopy. Eur. J. Obstet. Gynecol. Reprod. Biol. 1998 ; 28 : 75-7.

Abstract: Background: The results of the MICS study in the Republic of Moldova show that 7% of 15-19 year-old women have already started their sexual life, of which 5% have already given birth and 2% are currently pregnant with their first child.Since the number of women using modern methods of contraception is suboptimal, unintended pregnancies remain a persistent problem in Moldova. However, the number of abortions in the Republic of Moldova decreased from 14511 in 2013 to 10830 in 20189. There are no data in Moldova that state how many pregnancies that finish with delivery are planned and how many of them were unintended. Methods: We have conducted a hospital based study in the largest maternity in Moldova. Women who were admitted to hospital and gave birth......

Keywords: family planning, contraception methods, unmet need for contraception.

[1]. The Third Report on Millennium Development Goals. Republic of Moldova. Chisinau,2013 https://www.undp.org/content/dam/unct/moldova/docs/pub/mdg/3rdMDGReport_Eng.pdf
[2]. USAID Family planning and reproductive health https://www.usaid.gov/global-health/health-areas/family-planning
[3]. Bradley, Croft, Fishel, and Westoff, 2012. Revising Unmet Need for Family Planning
[4]. Singh S, Darroch JE and Ashford LS, Adding It Up: The Costs and Benefits of Investing in Sexual and Reproductive Health 2014, New York: Guttmacher Institute, 2014. [5]. Rossier C, Bradley SE, Ross J, Winfrey W. Reassessing Unmet Need for Family Planning in the Postpartum Period. Stud FamPlann. 2015;46(4):355.

Abstract: Background:ISO certification in health institutions enhances quality of care delivered to patients and efficiency.For ISO 9001:2008 quality management system (QMS) standard implementation to be successful the perception of the organization has to be taken into consideration. To identify nurses perception towards ISO 9001:2008 Quality Management System.The study adopted a descriptive cross-sectional design. The study was carried out in orthopedicwards atKenyatta National Hospital, Kenya (KNH). To realize the goal a sample consisting of 75 nurses representing Nurse Managers and nurses wasselected in orthopedic wards at KNH.Stratified sampling and....

Key words: ISO9001:2008, Quality Management Systems, , Motives, Nurses perception, efficiency

[1]. WHO.(2006). Basic concept of quality. In WHO, Quality of care: a process for making strategic choices in health systems(pp.9-10). France: World Health Organization
[2]. Barnes. (2010).Private Health Sector Assessment in Kenya. Washington DC-USA: World Bank British Columbia Medical Association (2011).Enhancing Surgical Care in British Columbia: Improving Perioperative Quality.
[3]. Douglas, A. Coeman, A and Oddy, R. (2003)" The case for ISO 9000". The TQM Magazine, 15(5), pp,316-324.
[4]. Cochran, C. (2002). Document control made easy: ISO 9001:2000's mandates can be a blessing rather than a curse. Quality Digest,June 2002.
[5]. Sampaio, P., P. Saraiva, and A. Rodrigues. (2011). "The Economic Impact of Quality Management Systems in Portuguese Certified Companies. EmpiricalEvidence."International Journal of Quality & Reliability Management 28(9): 929-950