ISSN 2756-3332
Research Article
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (7), pp. 524-530, September, 2015. © International Scholars Journals
Full Length Research Papers
A study of health workers' ability to perform tasks and to determine whether training was received for these tasks either in school or on the job
*Lindsay Lin Davis, Robert E. Beane and Billy Avery
Faculty of Health Science, University of California, San Diego, San Diego, California.
*Corresponding author. E-mail: [email protected]
Accepted 24 August, 2015
Abstract
Liberia suffers from high maternal, infant and child mortality. In response, the Ministry of Health and Social Welfare prioritized a basic package of health services in 2007. Ensuring health workers are competent to deliver these services is crucial for safe and effective health care. A task analysis survey of health workers was conducted to determine how often recently graduated health workers perform tasks from the basic package of health services, and whether training was received for these tasks either in school or on the job. The findings informed updates to the curricula, core competencies and job descriptions of these cadres to help ensure a competency-based education linked to readiness for an entry-level position. Sample findings in key tasks, such as antenatal care and integrated management of childhood illnesses, highlight the need for examining where these competencies are included in the educational preparation of nurses and midwives. This paper will focus on nurse and midwife cadres and describe the: 1) Implementation of the study in Liberia, 2) Key findings and analysis of select clinical tasks, and 3) Recommendations for improving and integrating educational programs.
Key words: Competency-based education, core competencies, curricula, task analysis, nursing education, midwifery education.
Robert E. Beane and Billy Avery, *Lindsay Lin Davis
https://doi.org/10.46882/AJNM/1086Research Article
An evaluation of the prevalence of non-staff visitor presence in acute inpatient care settings
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (7), pp. 501-507, September, 2015. © International Scholars Journals
Full Length Research Paper
An evaluation of the prevalence of non-staff visitor presence in acute inpatient care settings
*Shen T. Youlan, Zhang Minhong and Kong Z. Xilia
Department of Nursing, Faculty of Health Professions and Studies, China Medical University, Shenyang, China.
*Corresponding author. E-mail: [email protected]
Accepted 10 August, 2015
Abstract
A descriptive study was conducted to understand the prevalence of non-staff visitor presence in acute inpatient care settings. This paper also summarizes recent studies on the issues related to promoting efficient and effective care transitions and the recent movement of embracing family and non-family visitor involvement in patient care. This descriptive study was conducted in three inpatient care units of a Michigan hospital in April, 2007. A trained research assistant counted the number of visitors for each patient on two weekdays and two weekend days at three predetermined time points for each day. Descriptive analyses were used to answer the question of: What is the prevalence of visitor presence in a specific hospital in the Midwest United States? About 36% of the patients had at least one visitor present during their hospital stays. Among adult medical patients, about 22% of them had at least one visitor present. Among pediatric patients, about 59% of them had at least one visitor present during the hospital stays. A culture of non-staff visitor involvement in bedside care exists in the US hospital environment when a child is hospitalized, but this is not necessarily the case when an adult is hospitalized.
Key words: Hospitals, safety, patients, family, professional-family relations, nursing care.
*Shen T. Youlan, Zhang Minhong and Kong Z. Xilia
https://doi.org/10.46882/AJNM/1079Research Article
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (7), pp. 553-555, September, 2015. © International Scholars Journals
Full Length Research Papers
A case-control study on the role of thrombophilia in fetal growth and intrauterine growth restriction
*Abdolali Atabaki, Alierza N. Vali and Mohsen Zeighami
Department of Nursing Science, Faculty of Health Sciences, Alzahra University, Tehran, Iran.
*Corresponding author. E-mail: [email protected]
Accepted 17 August, 2015
Abstract
Approximately 0.7 to 2% of the general population have thrombophilia, but it is estimated that intrauterine growth restriction (IUGR) is due to thrombophilia in 35% of cases. Although the role of thrombophilia in IUGR is not completely known but its destructive effect on placental vasculature is the pathophysiologic cause of defect in transfer of oxygen for fetal growth. The aim of the present study was to determine the role of thrombophilia in fetal growth. This was a case-control study with prospective enrollment. In this study, sera from 43 pregnant women with IUGR and 20 pregnant women with appropriate fetal growth as control were tested for thrombophilia polymorphism (protein S, protein C, factor V leiden, antithrombin III, homocystein, lupus anticoagulant Ab, Anti caradiolipin Ab). Data collection forms and SPSS software were used for analyses. Of 43 women with IUGR, 13(30.2%) and 1(5%) in the control group had positive results for thrombophilia (P=0. 027, OR=8.23). By using logistic regression test, there was significant relation between thrombophilia polymorphism and growth of femur length. We found correlation between the presence of thrombophilia factor and femur length, but in previous studies thrombophilia was correlated with fetal growth restriction and specific fetal biometry does not mention whether fetal index is under the influence of thrombophilia.
Key words: Thrombophilia, pregnancy, intrauterine growth restriction
*Abdolali Atabaki, Alierza N. Vali and Mohsen Zeighami
https://doi.org/10.46882/AJNM/1085Short Communication
Advocacy of immediate postpartum period IUCD insertion– a new procedure for getting it right
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (6), pp. 305-306, August, 2015. © International Scholars Journals
Short communication
Advocacy of immediate postpartum period IUCD insertion– a new procedure for getting it right
Srinivasa E. Rangarajan
Department of Obstetrics and Gynaecology, University of Madras, Chennai, India. E-mail: [email protected]
Accepted 29 July, 2015
Abstract
Immediate postpartum IUCD is always a challenge even for an expert obstetrician. The timing of insertion and technique of placement is very important in order to prevent complications. Uterine perforation is one of the complications which may occur if IUCD is not properly placed. We hereby advocate certain safety methods which can prevent chances of uterine perforation. If it happens, it can be detected at the earliest. We also suggest to revise the lost string protocol.
Keywords: Immediate Postpartum IUCD, uterine perforation, Lost string.
Srinivasa E. Rangarajan
https://doi.org/10.46882/AJNM/1059Research Article
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (7), pp. 483-487, September, 2015. © International Scholars Journals
Full Length Research Papers
An evaluation of the roles and responsibilities of expert midwives involved in teaching staff from midwifery students to senior consultants/physicians
*Karl S. Myhre, Kjartan O. Hoie and Olav E. Begge
Department of Gynecology and Obstetrics Nursing, Faculty of Health Science, University of Bergen, Bergen, Norway.
*Corresponding author. E-mail: [email protected]
Accepted 25 August, 2015
Abstract
This descriptive study explored the roles and responsibilities of expert midwives involved in teaching staff from midwifery students to senior consultants/physicians. We have earlier conducted an intervention project, aimed at decreasing the number of anal sphincter tears. During this intervention a local core team of expert midwives was established. These experts continued the training of colleagues after the midwife instructor had fulfilled the active training period. Eighteen expert midwives from the four Norwegian hospitals which took part in this training program were recruited. To explore the views and experiences of these expert midwives, a questionnaire was completed, and the results were analyzed qualitatively. Before starting the program 24% of the midwives, working at the delivery ward were negative towards the supervision and project, while 46% were positive. One year after the program’s start 92% were positive. Negative feedback at the beginning of the intervention came mostly from the media and professional midwifery organizations. The expert midwives felt that doctors were the most challenging to teach. The response from pregnant women was ultimately positive. Eighteen well motivated midwives became highly appreciated experts after an intensive training program and deemed themselves better and more successful professionals than before.
Key words: Delivery, anal sphincter rupture, prevention, qualitative research, interdisciplinary education.
*Karl S. Myhre, Kjartan O. Hoie and Olav E. Begge
https://doi.org/10.46882/AJNM/1065Research Article
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (6), pp. 194-202, June, 2015. © International Scholars Journals
Full Length Research Paper
Evaluation of the effect of fresh ginger usage as a home remedy on pain relive for dysmenorrhea among females
*Ahmed Webb, Omar Tantawy and Muhammad El-Tayeb
Department of Community Health Nursing, Faculty of Nursing, Al-Azhar University, Cairo, Egypt. E-mail: [email protected]
Accepted 23 May, 2015
Abstract
Dysmenorrhea is common among females which affect daily activities leading to limitations of their social, academic and recreational activities. Herbal remedy is well known since long times and the Ancient Egyptians have used peppermint, garlic, castor oil and other herbs in the treatment of illness. Moreover, a number of studies demonstrated ginger root’s is effective as a painkiller / anti inflammatory action. Aim: To evaluate the effect of fresh ginger usage as a home remedy on pain relive for dysmenorrhea among females. Method: A quasi excremental design was used. A convenient sample was 120 female students. Four tools were developed for data collection namely socio-demographic characteristics sheet to collect socio-demographics characteristics of female students, menstrual assessment sheet to assess characteristics of menstruation among the female students, verbal multidimensional scoring system(VMS) sheet to identify the degree of severity for the menstrual pain, the fourth tool was visual analog scale/ score (VAS) sheet to measure score for the menstrual pain. The last two tools were administered three times once before intake of herbal ginger, then during the 1st & 2nd months after the menstrual cycle. Results: Regarding to severity of dysmenorrheal sixty percent of the sample (60%) had moderate dysmenorrhea before intervention changed into thirty one point seven of the studied sample (31.7%) had moderate dysmenorrheal post2 intervention. There were statistically significant positive improvement of pain scoring among intervention groups with mean pain score at the 2nd day of menses. Conclusion: In light of this study, importance of use of fresh ginger as a home remedy to relive primary dysmenorrhea (PD). Uses fresh ginger 3 days before and first 2 days during the menstruation was effective and succeed in relieving menstrual pain among the females with primary dysmenorrhea.
Keywords: Ginger Herbs, Home Remedy, Primary Dysmenorrhea (PD), Visual Analog Scale (VAS), Verbal Multidimensional Scoring (VMS).
*Ahmed Webb, Omar Tantawy and Muhammad El-Tayeb
https://doi.org/10.46882/AJNM/1036