iosr-JNHS   Volume-2 ~ Issue-3

Abstract: Mothers satisfaction is considered an important indicator of quality care from the perspective of the consumer and has been widely studied in many setting. However, few studies have examined mother's satisfaction with emergency nursing services in the particular area of triage. Aim: This study aims to assess the mother's satisfaction with triage nursing care system for their children in pediatric emergency. Design: Descriptive design was used in this study. Setting: Pediatric Emergency Department in Jordan university hospital. Sampling: A systematic random sampling method with criteria (triage level III, IV and V) were used in this study, 240 children with their mothers were randomly chosen. Tools: Consumer Emergency Care Satisfaction Scale (CECSS); this instrument was used. Findings: Most of mothers were age of 30 years and two thirds of them highly educated and working mothers. Concerning of children ages third of them were 1-3 years old, while half of them were male and two thirds of them complained from pain during their attendance at the pediatric ED. Two thirds of nurses were female for shift applying triage and half of them were 3-5 years of experience, while most of them had a bachelor degree. Half of children were classified as level IV or semi urgent. The majority of mothers had a higher degree of satisfaction with pediatric ED nursing care but the teaching items around half and two thirds of them had satisfaction in the all items. Regarding to professional qualities of nurses half of mothers saw that the nurses efficient, professional and personal quality of caring nurses. Regarding welcome nurse to the mothers and their children were less than half described it as very good. Positive relations between the mothers' satisfaction and nurses socio-demographic characteristics as education and their experience. There were statistical significant differences regarding satisfaction. Recommendations: Use of different triage scale and more qualified personnel performing triage to safety risk for the pediatric patients. Triage nurses require excellent communication and assessment skills as well as knowledge of the legal and professional principles that underpin their practice. Continuing training on triage systems for nurses will improve staff capacity building in Jordan and elsewhere in the pediatric ED. There should be continuing evaluation of the effectiveness of triage training programmes on the perceptions, practice and knowledge of triage nurses. Developing an educational program for pediatric nurses to improve their communication skills and thus improve the way of conveying information to and from pediatric patients. Keywords: Mothers satisfaction, Children, Nurses, Triage, Pediatric Emergency Department.

[1]. Meena P, and Ian M, Triage in children (2008) : 10:239-245
[2]. Fendya DG. When disaster strikes–care considerations for pediatric patients. J Trauma Nurse, 2006; 13(4):161–65.
[3]. Maningas PA, Hime DA, Parker DE. The use of the soterion rapid triage system in children presenting to the emergency department. J Emerg Med, (2006); 31(4): 353–59.
[4]. Wallis LA, Carley S. Comparison of pediatric major incident primary triage tools. Emerg Med J, (2006); 23(6): 475–78.
[5]. Gouin S, Gravel J, Amre DK, Bergeron S.Evaluation of the Pediatric Canadian Triage and acuity scale in a pediatric ED, (2005); Am J Emerg Med
[6]. Kelly Worthington. Customer Satisfaction in the Emergency Department, Emerg Med Clin N Am 22 (2004) 87–102.
[7]. Nasr A, Mikrogianakis A, McDowall D, Wales P. External validation and modification of a pediatric trauma triage tool. J Trauma, (2007); 62(3): 606–09.
[8]. Davis, B.A., Bush, H.A. and Thomas, S.W. Measuring consumer satisfaction with emergency department nursing care. Journal of Nursing Science, 1997; 2(1-2):35-47.
[9]. Fan J, Al Darrab A, Eva K, Fernandes CM. (2005): Triage scale in the emergency department: a systematic review. Ann Emerg Med 42(3):41.
[10]. Lyons M, Brown R, Wears R. (2007): Factors that affect the flow of patients through triage. Emerg Med J 24(2):78-85

Abstract: Coronary artery bypass grafting (CABG) is a procedure used to help improve and save the lives of thousands of coronary artery disease patients every year. About 90% of patients experience significant improvement after CABG surgery. Keeping all this in view a study to assess and compare quality of life and lifestyle of patients before and after CABG was carried at selected hospital of Punjab. Exploratory Comparative Survey Design was used and using purposive sampling technique sixty patients who came for follow up 3 months after CABG were selected. The data was collected using standardized WHO-BREF questionnaire to measure quality of life and structured lifestyle questionnaire for measuring lifestyle. The findings of the study indicated that mean of quality of life before CABG (103.87) is higher than mean of quality of life after CABG. Whereas no significant difference was found in lifestyle before and after CABG .Positive significant correlation was there between quality of life and lifestyle before and after CABG. Quality of life was found to be significant associated with educational status, monthly income, and marital status and also the lifestyle was found to be significantly associated with gender, monthly income, and educational status. Patients had better QOL before surgery; QOL and lifestyle affect each other as better lifestyle results in better QOL.

Keywords: Coronary Artery Bypass Grafting, Quality of life, Lifestyle.

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[6]. Baldassarre, Fulvia G., Arthur, Heather M., DiCenso, Alba, and Guyatt, Gordon. (2002). Effect of coronary artery bypass graft surgery on health-related quality of life. Heart and Lung. 31(6). Mosby, Inc.
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[10]. Seyed Khalil Foruzan-Nia, Mohammad Hassan Abdollahi ,SeyedHosseinHekmatimoghaddam , SeyedehMahdiyehNamayandeh , Mohammad HadiMor

Abstract: The effective health services depend upon number of factors including the capabilities in terms of updated knowledge and skill of human resource pertaining to current needs of the system. Focusing on primary health care, Auxiliary Nurse and Midwives Training School/Centre (ANMTC) facilitates the Auxiliary Nurse and Midwives (ANM) production which ensures public health services. ANM is the technical frontline force of public health system of India, thus updated knowledge and technical skills is in demand to make the public health more efficient and effective. Since health demands is high and with limited availability of nurses especially in the rural area, it hampers her from rendering comprehensive and qualitative care that includes effective health promotion activities, maternal and child care; and thus diluted the very important midwifery component. ANMTC's conducts basic course for ANMs and follow a curriculum set by the Indian Nursing Council. Present situation of the ANMTC's are not satisfying the need of the primary health care. The quality in terms of delivery of education and implementation is degraded. The study expressed a comparison between the role of ANM set by Indian Public health Standard (IPHS) and the course contents of the ANMTC's. It has identified the gaps in the contents of the course conducted in the ANMTC with actual role played by ANM and expressed the suggestions required in the curriculum as per the need of present scenario of public health care.

Keywords: Auxiliary Nurse Midwives, Auxiliary Nurse and Midwives Training School/Centre, Course, India, Roles.

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Abstract: This study aimed to explore incidence of Upper respiratory tract infection (URTI) and identify the factors that can keep the on high risk to develop URTI. Material and Method: The study is a descriptive comprises 37 nurses working in the Medical, Surgical, and Pulmonary, ENT, Paediatric, ICU and Emergency units of teaching hospitals. The study was designed as a cross-sectional descriptive study. Data collection tools were: 1) Survey questionnaire to identify the incidence rate of upper respiratory tract infection among nurses and their selected personal variables, 2) Observation check-list for maintenance of hygiene in ward, and 3) Observation Check-list for use of precautions to prevent upper respiratory tract infection by Nurse. The data was calculated by using statistical software Epi- info. Categorical data represented in the form of Frequency and percentage. Quantitative data was expressed in the terms of mean and standard deviation. The data were collected by Survey and observational method from the 8 Units (Medical, Surgical, Pulmonary, ENT, Paediatric, ICUs and Emergency wards).

Keywords: Upper respiratory tract infection (URTI), High risk, Nurses.

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Abstract: Background: This study was designed to help researchers understand the nutrition knowledge, attitude and practices of college's students of the Hail University. An individual's diet and physical activity habits are influenced by their knowledge of and attitudes towards these behaviors. Investigation of these variables in a population provides an insight into the factors that may be mediators of motivation to change behavior.

Keywords: Knowledge, Attitudes and Practices; Balanced diet, Physical activity, Nutrition,

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Abstract: Diabetes Mellitus (DM) is a common disorder affecting individuals of all ages. Similar to general population, diabetes mellitus (DM) can also be seen in HIV infected subjects. In this study, 150 confirmed HIV positive subjects, 50 of whom were on the first line drug of Lamividine, Nevirapine, Combivir, Combipack and efavirenze were recruited. The second group of 50 subjects was on second line drugs which consisted of Truvada and Aluvida. Truvada is from first line drug and comprises tenofovir and emtricitabine while aluvida is protease inhibitor and comprises lopinavir and ritonavir. The third group of 50 subjects was not on antiretroviral therapy and was used as control. All the patients were screened for diabetes mellitus (DM) before the commencement of antiretroviral therapy and found to be negative. Assay was performed three months after the commencement of therapy. There is a prevalence of 6% diabetes mellitus in those on second line drugs which comprised mostly protease inhibitors compared to 0% of those on the first line drug and control samples using a cut-point of 11.0 mmol/L of random blood sugar as recommended by World Health Organization (WHO). It is possible that the rise in blood glucose level may be a result of Aluvida, a protease inhibitor rather than Truvada a first line drug. There is also a prevalence of 10% impaired glucose intolerance based on WHO cut-point of 8.0mmol/l. Most of the patients recruited for this work had CD4 less than 350 cells/l, which is the WHO cut point before drug can be administered to a patient. Therefore primary care for HIV – infected individuals with reference to DM and its complication is important.

Keywords: Diabetes mellitus, HIV, Anti-retroviral therapy (ART).

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Abstract: The study investigated the incidence of venereal diseases among students of secondary schools in Ilorin South local Government Area of Kwara State. The sample used for this study was one hundred and three male and female students ( n-103) and twenty-two male and female teachers ( n-22) who were randomly selected in five ( n- 5) secondary schools. The five secondary schools were selected through stratification from the urban ( n- 1), semi-urban ( n- 2), and rural ( n- 2) settlement in Ilorin South Local Government. The descriptive survey design was adopted using Incidence of Venereal Disease Among Students Questionnaire (IVDSQ) to elicit opinions from respondents. The test-retest reliability value obtained for the instrument using Pearson Product Moment Correlation Co-efficient was 0.86. Data was analysed using descriptive statistics of frequency counts and percentage for demographic data while inferential statistics of Chi-square was employed in determining the level of significance between the hypothesized and observed values at .05 alpha level. The result of the findings revealed students display sexual behaviours and developmental characteristics that placed them at risk for venereal diseases. Also that family upbringing has effect on the reported cases of venereal diseases among students of secondary schools.

Key Words: Venereal Diseases, Family Upbringing, Students' Behaviour, Adolescent

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Abstract: Introduction: Infertility is defined as the inability to achieve pregnancy after one year of unprotected intercourse. An estimated 15% of couples around the world meet this criterion and are considered infertile. Objective: An exploratory study to assess the quality of life of infertile couples at selected infertility clinics in Haryana.

Keywords: quality of life, infertile couple, infertility clinics, selected variables, informational booklet.

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Abstract: Background: Interleukin 18 (IL-18) is a newly defined cytokine that has an important role in the Th1 type immune response and it shares similar functional properties with IL-12. Elevation of IL-18 levels in autoimmune diseases such as Systemic Lupus Erythematosus (SLE) has been reported in previous studies. Aims & Objectives: To study the IL-18 levels in the plasma of Jordanian patients suffering from SLE and to correlate the disease activity and IL-18 level. Materials and method: The study includes forty-one RA patients in experimental group, and forty-one as a control group, sex and age matched apparently healthy subjects. Plasma IL-18 levels were determined using Enzyme-Linked Immuno Sorbent Assay (ELISA).Results: IL-18 levels were significantly elevated in the SLE patients compared to the controls (p< 0.0001) and the level of IL-18 was significantly correlated with the disease activity in SLE patients (r= 0.602, p= 0.000). Conclusion: Elevated IL-18 levels were noticed in patients with SLE and IL-18 levels are significantly correlated with disease activity in SLE patients so this finding may be of used for monitoring the disease activity in SLE patients. Keywords: Disease Activity, Plasma Interleukin-18 Level, Systemic Lupus Erythematosus

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