ORIGINAL_ARTICLE
Nurses’ Perception about Patients’ Safety Culture in Mosul City
Background and Aim: Perception of patients’ safety cultures is fundamental in the process of improving patient care. The presence of many disciplines in healthcare organizations has necessitated the inclusion of the viewpoints of all workers from managers to technicians. The study aimed to assess the nurses’ perception about patient's safety culture. Materials and method: cross sectional (descriptive) design was selected for this study, 125 nurses was participated in the study who work in different health departments: wards, emergency unit, intensive care units, operating room. The study was carried out from (1st November 2013 to 10th April 2014), Likert-type response scales was adopted to measure the nurses’ perception about patient safety, which consist of two parts, part one covered the demographic data for nurses (Age, Gender, educational level, years of experiences, work time and workplace). Part two; assessed the nurses’ perception, consists of four sections covered work area, supervisor relationship, communications and frequency of events reported. Results: The findings indicated that nurses were more positive about overall perceptions of safety, teamwork within units and supervisor expectations and actions promoting, while 69.6% of event reporting, and 55.6% for communication dimensions was negatively response among nurses’ perception. Nurses’ age, educational level and workplace, were not significantly associated with their perception regarding overall perceptions of patient safety dimension, only nurses’ age was significantly associated with their perception regarding frequency of event reporting. Conclusion: The majority of nurses hadpositive responses toward teamwork within units. While most of the sample has negative responses toward frequency of events reporting, about half of nurses has positive responses to patient safety culture toward; overall perception of safety, communications openness, non-punitive responses to errors and staffing dimensions. Recommendation: the study recommended to encourage the reporting action, which can prevent certain errors from happening and improve patient's safety concept in nurses.
https://mjn.mosuljournals.com/article_160052_8fd6af46ad5dff994eea5a89190f252b.pdf
2017-07-01
54
59
10.33899/mjn.2017.160052
Perception
culture
Patients’ safety culture
Nurses
Tameem
Thamir Mayouf
1
Assistant Lecturer / College of Nursing / University of Mosul .
AUTHOR
Aboul-Fotouh, A.M.; Ismail, N.A.; Ez Elarab, H.S.; and Wassif. G.O. (2012). Assessment of patient safety culture among health care providers at a teaching hospital in Cairo, Egypt. Eastern Mediterranean Health Journal. (18)4.
1
Agency for Healthcare Research and Quality [AHRQ]. (2011). Surveys on patient safety culture. In Agency for Healthcare Research and Quality.
2
Amarapathy, M.; Sridharan, S.; Perera, R.; and Handa, Y. (2013). Factors Affecting Patient Safety Culture in A Tertiary Care Hospital In Sri Lanka. International Journal of Scientific and Technology Research. 2 (3). P.p. 175-177.
3
Anderson DJ. (2006). Creating a culture of safety: Leadership, teams, and tools. Nurse Leader. 4(5): 38-41.
4
Anna, N.; Kersti, T.; Bodil, W.; and Gun, N. (2013). Health care staffs’ perception of patient safety culture in hospital settings and factors of importance for this. Open Journal of Nursing. 3 (2013) 28-40
5
Deleise, S. W. (2011). Registered Nurses’ Perceptions of Patient Safety Culture: The Influence of Nursing Unit Leadership. Doctor of Philosophy (Nursing) in the University of Michigan. P.p. 36-54
6
Deleise, W.; Richard, W. R.; Akke, N. T.; and Michelle, A. (2011). Differences in Perceptions of Patient Safety Culture between Charge and Non-charge Nurses: Implications for Effectiveness Outcomes Research. Hindawi Publishing Corporation Nursing Research and Practice. 7.
7
Hala, A.; and Kamilia, M. S. (2011). A Baseline Assessment of Patient Safety Culture among Nurses at Student University Hospital. World Journal of Medical Sciences. 6 (1). P.p. 17-26
8
Hospital survey on patient safety culture. The Patient Safety Group. Retrieved from (http://www.patientsafetygroup.org/survey/index.cfm?sample=1, accessed on 18 January 2012).
9
Hughes, R.; and Ortiz, E. (2005). Medication errors: Why they happen, and how they can be prevented. Journal of Infusion Nursing. 28(2).P.p.14-24.
10
Maha, M. G.; Hanan, A. G.; Hanan, M.; and Fatma, A. (2011). Assessment of Patient Safety Culture in Primary Health Care Settings in Kuwait. DOI, 10.2424/9101.
11
Mahbubeh, Z.; Fariba, E.; Kobra, F.; and Hossien, Z. (2013). Patient Safety Culture: Nurses’ Attitude in Marvdasht Shahid Motahary Hospital, 1392. Patient Saf Qual Improv. 2(1), 53-57.
12
Moza, A. L. (2008). Nursing Perceptions of Patient Safety at Hamad Medical Corporation in the State of Qatar. Doctor of Philosophy School of Nursing, Indiana University. P.p. 46- 56.
13
Perrow, C. (2004). The normal accident; Living with high-risk technologies. Basic Books: NY.
14
Sorra, J. S.; and Nieva, V. F. (2004). Hospital Survey on Patient Safety Culture. Agency for Healthcare Research and Quality Publication. Rockville,MD.4(41). P.p.1-3.
15
Sorra, J. S.; Famolaro, T.; Dyer, N.; Nelson, D.; and Khanna, K. (2008). Hospital Survey on Patient Safety Culture comparative database report. Agency for Healthcare Research and Quality Publication Rockville, MD. 8-(39). P.p.1-12.
16
ORIGINAL_ARTICLE
Assessment of Symptomatic Anxiety and Depression among Surgical Patients in Al- Zahrawi Teaching Hospital in Mosul City
Background and aim: depression is a psychiatric illness characterized by a cluster of symptoms including prolonged depressed mood, lowered self-esteem, pessimistic thoughts, and loss of pleasure or interest in former activities for at least 2 weeks. Anxiety is an uncomfortable feeling of apprehension or dread that occurs in response to internal or external stimuli and can result in physical, emotional, cognitive, and behavioral symptoms. This study aimed to measure anxiety and depression among preoperative and post-operative patients. To signify hospitalized anxiety and depression among patients according to their gender. Materials and method: A descriptive design was carried out from 27th, October, 2012 through 29th, March, 2013 in order to achieve the objectives of the present study. The study subjects consisted of (200) patients were chosen from the wards of al- Zahrawi teaching hospital, (100) preoperative patients and (100) post-operative patients, these patients divided to (100) male and (100) female. In the present study Hospital Anxiety and Depression Scale (HADS) was used to diagnose patients with hospitalized Depression Anxiety. Results: the majority of the male patients had hospitalized preoperative depression, which constituted 26%, while 18% of them had hospitalized anxiety while the majority of female patients had hospitalized depression which constituted 48%, while 44% of them had hospitalized anxiety. The majority of the male patients had hospitalized post-operative depression, which constituted 40%, while 28% of them had hospitalized anxiety. The majority of the female patients had hospitalized post-operative anxiety which constituted 60%, while 52% of them had hospitalized depression. Conclusions: The study highlighted the female show symptoms of depression and anxiety more than men before surgery. The male show symptoms of depression more than symptoms of anxiety before surgery. The female show symptoms of anxiety more than symptoms of depression after surgery. The female show symptoms of depression more than male after surgery. Recommendations: The doctors should be providing the necessary advice to patients after surgery in terms of taking the necessary treatment and adequate care and support their psychological coping with the new situation after surgery. The study recommends good nurses transaction with patients in terms of providing crisis care to patients before the operation and give treatment and psychological support to patients to reduce the stress that occurs to have before the operation.
https://mjn.mosuljournals.com/article_160053_e5a53889157aef53719372c6648492d4.pdf
2017-07-08
60
64
10.33899/mjn.2017.160053
Anxiety
Depression
surgical patients
Zeyad Tariq
Al-Noimi
1
Assistant Lecturer / College of Nursing / Mosul University
AUTHOR
Aditya, K; Santosh, S. (2011). High Prevalence of Depression and Anxiety Symptoms among Hospitalized Geriatric Medical Inpatients: A Study from a Tertiary Level Hospital in Nepal, Institute of Medicine, Tribhuvan University Teaching Hospital.
1
Adshead, F. (2007). Day Cody D, Pitt B. BASDEC: a novel screening instrument for depression in elderly medical inpatients. Br Med J. 305. P.p. 397.
2
Annelien, D.; Saskia, M.; Jan and Ruud.(1997). Prediction of quality of life after coronary artery bypass graft surgery: A Review and Evaluation of Multiple, Recent Studies. Psychosomatic Medicine. 59. P.p.257-268.
3
Dow, H.; Ferrell, R.; Anello,C. (1997a). Quality-of-life changes in patients with thyroid cancer after withdrawal of thyroid hormone therapy. Thyroid. 7. P.p. 613–619.
4
Efharis, P.; Anthony and Alexis .(2006). Qualities of life after coronary artery bypass grafting: evaluating the influence of preoperative physical and psychosocial functioning. J. Psychosom Res. 60(6). P.p. 639-44.
5
Gorman, M.; Coplan, D.(2006). Comorbidity of depression and panicdisorder. Journal of Clinical Psychiatry. 57. P.p.34–41.
6
Teasdale, K.; Mulraney, S.; Blanchard, H.(2005). An analysis of the ability of nurses to identify the anxiety levels of patients in general medical and surgical wards. JNTResearch. 5 (5). P.p. 364-370.
7
Massie, M.; Holland,C. (2010). Depression and the cancer patient. Journal of Clinical Psychiatry. 75. P.p.12-17.
8
Magni, G.; Caldieron, C.; Rigatti-Luchini, S.; Merskey, H. (2007). Chronic musculoskeletal pain and depressive symptoms in the general population: an analysis of the first National Health and Nutrition Examination Survey data, Journal of Clinical Psychiatry. 43. P.p. 15-37. Heng-Hsin, T.; Anita,W.(2008). Coping, anxiety and quality of life after coronary artery bypass graft surgery. J. Adv. Nurs. 61(6). P.p.651-63.
9
Johnston,M; Vogele,C.(2008) Benefits of psychological preparation for surgery: a metaanalysis. Annals of Behavioural Medicine. 15. P.p. 245-256.
10
Karl, W.; Jennifer, S.; William, N.; Eugene, B.; Virginia and C.N. William. (2003). Patient characteristics can predict improvement in functional health after elective coronary artery bypass grafting. Ann. Thorac. Surg. 75. P.p. 1849-55.
11
Kawachi, D.; Sparrow, S.; Vokonas, T. (1994). Symptoms of anxiety and risk of coronary heart disease. The Normative Aging Study. Circulation 90:2225-2229.
12
Kessler, R.; Anthony, G.; Blazer, E.; Bromet,W.; Eaton, K.; Kendler, M.; Swartz, U.; Wittchen, S. (2007). The US National Comorbidity Survey:overview and future directions. Epidemiol. Psichiatr. Soc. 6. P.p.4-16.
13
Robyn, G.; Sharon, M. (2007). Stressors and Anxiety in patients undergoing coronary Artery Bypass surgery. American J. Critical Care. 16. P.p.248-25.
14
Stoudemire, A. (1996). Epidemiology and psychopharmacology of anxiety in medical patients. J. Clin. Psychiatry. 57(7). P.p. 64-75.
15
Stajduhar, KI.; Neithercut, J.; Chu, E., e.t al. (2000). Thyroid cancer: patients’ experiences of receiving iodine-131 therapy. Oncol Nurs Forum. 27. P.p.1213–1218.
16
Traci, R.; Erin, G.; Sandy, N.; Pearila, C.; Joseph and C.O. Mehmet. (2010). A pilot study to assess the effects of a guided imagery audiotape intervention on psychological outcomes in patients undergoing coronary artery bypass graft surgery. Holist Nurs Pract. 24(4). P.p. 213-22.
17
Zigmond, S.; Snaith, P. (1983) The hospital anxiety and depression scale. Acta Psychiatric a Scand. 67. P.p. 361-370.
18
ORIGINAL_ARTICLE
Assessment nurses’ knowledge level about procedure of blood transfusion
Background: Nurses' role is warned to view blood transfusion responsibilities, and able to identify the nursing required to care for patients receiving a blood transfusion so that they can develop their skills. The aimed of the study to assess nurses’ knowledge level procedure of blood transfusion. Materials and method: A descriptive study approach was carried out at Al-Salam teaching hospital in Mosul city. A random sample consists of (130) nurses, the questionnaire was used for data collection, it include two parts. Part one was demographic data, and Part two including (16) questions for nurses’ knowledge of blood transfusion. Content validity was determined by presenting the items to a panel of (10) experts, and used the Coefficient Correlation for questionnaire items showed that the reliability of the questionnaire which was (r = 0.90). Results: The study finding that there average of true answers (64%), while (36%) false answers of nurses’ knowledge of blood transfusion procedure for the patient. Also the present study indicates (65%) of nurses have good knowledge and (35%) of nurses has poor knowledge about procedure of blood transfusion. Conclusions: The present study showed that a third of nurses’ have poor knowledge of blood transfusion, and finding a significant relationship between the nurses knowledge and level of education, also a significant relationship between the nurses’ knowledge and course trainings
https://mjn.mosuljournals.com/article_160054_65d3fdc4dbbb627d4f3d7c1b8287648a.pdf
2017-08-01
65
69
10.33899/mjn.2017.160054
assessment
nurses knowledge
Blood transfusion
Hana’a
Hussein Mukhlif
1
Assistant Lecturer / College of Nursing / University of Mosul .
AUTHOR
Noor
Saad Khalil
2
Academic Nurse / Al-Salam Teaching Hospital / Mosul City
AUTHOR
A Joint Venture of London Health Sciences Centre and St. Joseph's Health Care London. (2012). Blood Transfusion Resource Manual. P.p. 5-6.
1
Aslani, Y.; Etemadyfar, Sh.; and Noryan, K. (2010). Nurses’ knowledge of blood transfusion in medical training centers of Shahrekord University of Medical Science in 2004. IJNMR. 15 (3). P.p. 142
2
Bayraktar, N.; Erdil, F. (2000). Blood transfusion knowledge and practice among nurses in Turkey. J Intraven Nurs. 23 (5). P.p.310-7.
3
Clark, P.; Rennie, I.; Rawlinson, S. (2001). Quality improvement report: Effect of a formal education program on safety of transfusions. BMJ. 323 (7321). P.p. 1118.
4
Ghareh-baghian, A.; Yeymori, H.; Khadir, M.; Kheyri, M.; Tabrizi, M. (2006). clinical indication of blood and its components.
5
Goodnough, LT; Monk, TG. (2000). Blood conservation in patients undergoing non-cardiac surgery. Curr Opin Anaesthesiol. 13(3).P.p. 365-70.
6
Hijji, B.; Oweis , A.; and Dabbour, R. (2012). Measuring Knowledge of Blood Transfusion: A Survey of Jordanian Nurses. American International Journal of Contemporary Research. 2 (10) P.p.81.
7
Hijji, B.; Parahoo, K.; Hossain, M.; Barr, O.; and, Murray, Sh. (2005). Knowledge and Practice of Blood Transfusion: A Survey of Nurses in Abu Dhabi.United Arab Emirates. Journal of Clinical Nursing. P.p.4
8
Mole, J.; Hogg, G.; Benvie, S. (2007). Evolution of teaching pack designed for nursing students to acquire the essential knowledge for competent practice in blood transfusion administration. Nurse education in practice. 7 (4) . P.p.228-37
9
Saillour-Glenisson, F.; Tricaud, S.; Mathoulin-Pelissier, S.; Bouchon, B.; Galperine, I.; Fialon, P. (2002). Factors associated with nurses' poor knowledge and practice of transfusion safety procedures in Aquitaine. France. Int J Qual Health Care. 14 (1).P.p. 25-32.
10
Smith, F.; Donaldson, J.; Pirie, L.; and Smith, F.C. (2010). Pre-registration adult nurses’ knowledge of safe transfusion practice: Results of a 12 month follow-up study. Nurse Education in Practice. journal homepage. P.p.101 http//: www.elsevier.com/nepr.
11
Taylor, C.; Cohen, H.; Mold, D.; Jones, H. (2010). On behalf of the Serious Hazards of Transfusion (SHOT) Steering Group. The 2009 Annual SHOT Report. P.p.16
12
Teimouri, H.; Imani, F.; Maqsoudlu, M.; and Kiadaliri, K. (2006). Method of blood transfusion in patients treating with blood and blood components. Quarterly Research of Blood . 3(3). P.p. 253-8.
13
World Health Organisation (2007). Blood Safety and donation: a Global View. In Geneva: World Health Organisation. P.p. 53
14
World Health Organization. (2005). Manual on the management, maintenance and use of blood cold chain equipment. P.p. 5.
15
ORIGINAL_ARTICLE
The Effect of Using Human Patient Simulation on Undergraduate Nursing Student Skill Performance and Anxiety Level
Background and Aim Human patient simulators provide a very realistic situation for nursing students, centers on the opportunity for the learner to practice and learn in an environment as close to reality as possible, allows students to construct knowledge, explore assumptions, and develop psychomotor skills in a safe environment. The study aims to assess the effect of using human patient simulation on undergraduate nursing students’ skill performance and anxiety levels at the college of Nursing in Mosul University. Method and Materials: A case control study design has been used for the 1st February 2014 till 30th of May 2014. A non-probability convenience sampling of (90) under graduate nursing students (60) females and (30) males were chosen, the study sample was divided into two groups, an experimental group of (45) nursing students with human patient simulation laboratory setting experience and control group of (45) nursing students with clinical practice setting experience. The validity of this study instruments was established through a panel of (12) experts of different specialties related to the field of the present research, Reliability of the study tools was determined through the use of split half -approach of the computation of Cronbach alpha correlation coefficients for the checklist and The Cronbach’s alpha for the questionnaire. Data collection tools include the checklist which is consisted of (25) question items that related to the physical examination for thorax and lungs and the questionnaire consisted of (15) question items respondents were asked to rate the individual items on a (5)-point scale according to their response to each item, Data were prepared and entered into a computer files; Statistical Package for the Social Science (SPSS, version 21) is used for data analysis. Conclusions: The study result show that there is a significant effect of simulation in Students’ skills performance level while there is no effect in control group, and there is a significant relationship between students' skill performance and gender for case group, while there were no significant relationship between students' skill performance and gender for control group. The male students is more improvement than female in their skill level after simulation course. Anxiety level were higher in student who apply physical examination on a patient comparing with those students who apply physical examination on a HPS. Recommendation: The study recommended to introduce the modern technology (HPS) in students' training process because it decrease students' anxiety level so the skill performance of students will be more confident and reduce errors when skilled nursing application and thus reflected repercussions on public health and a better way than the old classical training.
https://mjn.mosuljournals.com/article_160055_c2cc49d70db25f21a3bb2bf5f4a77a7e.pdf
2017-08-15
70
79
10.33899/mjn.2017.160055
effect
Simulation
skill
Anxiety
Nursing Student
Ali Mohammed
Husien
1
MSc Candidate/ Nineveh Health Directorate
AUTHOR
Radhwan
Husien Ibrahim
2
Professor/ College of Nursing/ University of Mosul
AUTHOR
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hal. USA.
1
Bandura, A. (1997). Self-efficacy: The exercise of control. Freeman and Company. New York. USA.
2
Brannan, JD.; White, A.; and Bezanson, JL. (2008). Simulator effects on cognitive skills and confidence levels. Journal of Continue Nursing Education. 47. P.p.495-500.
3
Brown, D.; and Chronister, C. (2009). The effect of simulation learning on critical thinking and self-confidence when incorporated into an electrocardiogram nursing course. Clinical Simulation in Nursing. 5. P.p.e45-e52.
4
Coates, J. (2007). Generational learning styles. River Falls: Lern Books.
5
Garrett, B.; Macphee, M.; Jackon, C. (2010). High-Fidelity patient simulation: consecration for effective learning. Nursing Education perspectives. 31. P.p. 309-313.
6
Harris, MA. (2011). Simulation-enhanced pediatric clinical orientation. Journal of Continue Nursing Education. 50. P.p.461-465.
7
Johnson, S.; and Romanello, M. (2005). Generational diversity: Teaching and learning approaches. Nurse Educator; 30. P.p.212-216.
8
Kaddoura, MA. (2010). New graduate nurses' perceptions of the effects of clinical simulation on their critical thinking, learning, and confidence. Journal of Continue Nursing Education. 41. P.p.506-516.
9
Knowles, M. (1990). The adult learner: A neglected species. (4th ed.) Gulf Publishing Company. Houston. USA.
10
Linder, LA.; and Pulsipher, N. (2008). Implementation of Simulated learning experiences for baccalaureate pediatric nursing students. Clinical Simulation in Nursing. 4. P.p.e41-e47.
11
McGlynn, A. (2005). Teaching millennials, our newest cultural cohort. The Hispanic Outlook in Higher Education. 16: 19-20.
12
National Council of State Broads of Nursing. (2009). The effect of high-fidelity simulation on nursing students' knowledge and performance: A pilot study. NCSBN Research Brief. 40. P.p. 1-27.
13
Pajares, F. (2002). Overview of social cognitive theory and of self-efficacy. Online Journal of Nursing Education Today 2007. [Online]. http://www. NeDJT.edu/SCTandSIM/mfp/eff.html.
14
Partin, JL.; Payne, TA.; Slemmons, MF. (2006). Students' perception of their learning experiences using high-fidelity simulation to teach concepts relative to obstetrics. Nursing Education Perspectives. 32. P.p. 186-188. Rothgeb, M. (2008). Creating a nursing simulation laboratory: A literature review. Thorofare. 47. P.p.489-494.
15
Soucy, EC. (2011). The effects of high-fidelity simulators on nursing students' critical thinking and self-confidence [dissertation]. Prescott Valley, AZ: North central University.
16
Tarrant M.; Knierim, A.; Hayes, S.; and Ware, J. (2006). The frequency of item writing flaws in multiple choice questions used in high stakes nursing assessments. Nurse Education Today. 26. P.p. 662–671.
17
Thomas, C. Mackey, E. (2012). Influence of a clinical simulation elective on baccalaureate nursing student clinical confidence. Journal of Continue Nursing Education. 51. P.p.236-239.
18
Tiffen, J.; Graf, N.; and Corbridge, S. (2009). Effectiveness of a low-fidelity simulation experience in building confidence among advanced practice nursing graduate students. Clinical Simulation in Nursing. 5. P.p.e113-e117.
19
Toth, J.; Dobratz, M.; Boni, M. (1998). Attitude toward nursing of students earning a second degree and traditional baccalaureate students. Nursing Outlook. 46. P.p. 273-278.
20
Yuan, HB. Williams, BA.; Fang, JB. (2011). Contribution of high – fidelity simulation to nursing students’ confidence and competence: a systematic review. International Nursing Review. 3. P.p. 26-33.
21
ORIGINAL_ARTICLE
Receiver Operating Characteristic Curve of Total Serum IgE in Allergic Patients
Background and objective: Validity of continuous variable test like total serum IgE is performed by constructing Receiver Operating Characteristic (ROC) curve. ROC curve is a technique for visualizing, organizing and selecting classifiers based on their performance. The study aims to determine the performance and validity of total serum IgE in various allergic diseases, age groups and gender. To select the optimal cut off value that has the best discriminative capability. To assess the sensitivity, specificity, predictive value and likelihood ratio of the selected cut-off points. Materials and method: A diagnostic Receiver Operator Characteristic ROC curvestudy was conducted at Allergy Clinic, Al-Jamhouri Teaching Hospital in Mosul, Iraq on 751 individuals (561 patients with various allergic disorders and 190 healthy non-allergic subjects) ranged in age from 10 to 59 years. Classification of study samples into allergic or healthy groups was done by a committee panel of two qualified and expert allergiologist. A blood sample was taken for estimating total serum IgE by ELISA. Results: The constructed ROC curve of overall sample showed that total serum IgE has moderate accuracy in allergic diseases and the AUC ± SE was 0.730±0.022 with 95% confidence interval (0.686-0.773). Urticaria ROC curve had the maximum AUC (0.742±0.030) and asthma had the minimum AUC (0.720± 0.027). The maximum AUC was detected in the age group 10-19 years and the least one was in age 50-59 years. No difference was found in the estimated AUC in both gender. The optimal cut-off point of total serum IgE was 96 IU/ml in the overall allergic patients and varies between 95 IU/ml (in urticaria) and 115 IU/ml (in rhinitis). Assessment of selected overall cutoff point of total serum IgE reveals the following: sensitivity (79.3%), specificity (61.0%), validity (74.7%), PPV (50.0%), NPV (85.7%), LH+ (2.03), LH-(0.34). Conclusion: Total serum IgE has moderate accuracy in diagnosis of various allergic diseases. Its accuracy is much better in younger patients in comparison to elderly. A cut offpoint of total serum IgE(100±5 IU/ml) was the best classifier. Total IgE is a useful screening rather than a confirmatory test.
https://mjn.mosuljournals.com/article_160056_fa5aded4d94dc788c069835427facb27.pdf
2017-09-10
77
82
10.33899/mjn.2017.160056
Total IgE
Allergy
ROC curve
Haitham
Bader Fathi
1
Dept. of Medicine, Ninevah College of Medicine/ University of Mosul
AUTHOR
Baldacci, S.; Omenaas, E.; Oryszczyn, MP. (2001). Allergy markers in respiratory epidemiology. EuResp J. 17. P.p.773-90
1
Clark, RD.; Webester-Clark, DJ. (2008). Managing bias in ROC curves. J ComputMol Des. 22. P.p.141-46
2
Fluss, R.; Farggi, D.; Reisser, B. (2005). Estimation of Yoden index and its associated cut of point. Biom J. 47.P.p.458-72 Greiner, M.; Pfeiffer, D.; Smith, RD. (2000). Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests. Prev Vet Med. 45. P.p.23-41
3
Hanley, JA.; and McNeil, BJ. (1992). The Meaning and Use of the Area Under a Receiver Operating Characteristic (ROC) Curve. Radiology. 143. P.p. 29-36.
4
Isolauri, E.; Huurre, A.; Salminen, S.; Impivaara, O. (2004). The allergy epidemic extends beyond the past few decades. ClinExper Allergy. 34. P.p.1007–10
5
Jarvis, D.; Burney, P. (1998). The epidemiology of allergic diseases. BMJ. 316. P.p.607
6
Kovac, K.; Doding, S.; Tiesic-Drunkovic, D.; Roos, M. (2007). Correlation y and serum IgE in asthmatic children sensitized to DermatophagoidsPeteronyssinus. Arch Med Res. 38. P.p.99-105
7
Kumar R, Indrayan. (2011). A Receiver Operating Characteristic (ROC) Curve for Medical Researchers. Indian Ped. 48. P.p.277-67
8
Obuchowski, NA.; Lieber, ML.; Wians, FH. (2004). ROC Curves in Clinical Chemistry: Uses, Misuses, and Possible Solutions. ClinChem. 50. P.p.1118–25
9
Owen, CE. (2007). Immunoglobulin E: role in asthma and allergic disease: lessons from the clinic. PharmacolTher. 113. P.p.121-33.
10
Sing, T.; Sander, O.; Beerenwinkl, N. (2005). ROC: visualizing, classifier, performance. Bioinformatics. 21. P.p.3940-41
11
Whiting P, Ruljes AW, Reitsma JB, Glas AS, Bossuyt PM, Kleijnen J (2004). Sources of variation and bias in studies of diagnostic accuracy – a systematic review. Ann Intern Med.140. P.p.189-202.
12
Zhou, XH.; Obuchowski, NA.; McClish, DK. (2002). Statistical methods in diagnostic medicine. (1st ed.). New York: John Wiley & Sons. P.p. 15–164
13
Zweig, MH.; Campbell, G. (1993). Receiver Operating Characteristic (ROC) Plots: A Fundamental Evaluation Tool in Clinical Medicine. ClinChem. 39. P.p.561-77
14
ORIGINAL_ARTICLE
Knowledge and Coping Strategies among Diabetic Patients in AL-Wafa’a Centre in Mosul City
Background and aim: Diabetes mellitus is currently considered as one of the most invaders diseases. Diabetes self-care requires the patient to make many dietary and lifestyle changes. These changes called coping strategies. One of the biggest challenges for health care providers today is how to address the continued needs and demands of individuals with chronic illnesses like diabetes. The main aim of this study is to assess the knowledge and possible coping strategies that diabetic patients may have. Materials and Method: A descriptive study was based in the present study. The data was collected from the patients who visit AL-Wafa’a Centre for Diabetes Mellitus Patients in Mosul Medical Centre from 1st Febrauary 2013 to 1st May 2013 using a structured questionnaire designed for this purpose. The sample utilized a systematic random sample to eliminate the ethical issues. A target number for the sample was 100 of patients with DM those visit AL-Wafa’a Centre for Diabetic Patients. A standard statistical package for social sciences (SPSS version 14) was used to analyze the collected data. Results: The results show that there is a heavier distribution of respondents presented in the (46-65) age groups, representing (29 % and 36 %) of the total survey. The most of the participants were female presenting (66 %). Most of the participants have a good knowledge with DM. Conclusions: The study concludes that diabetic patients have good knowledge about their disease, but they have less coping strategies in their awareness about daily checking their blood sugar and checking their eyesight periodically. In addition, the participants presented that there is an obvious psychological distress and low self-care which mean they have difficulty to cope with their disease. Recommendations: Generally, this study suggests four coping skills can be taught and reinforced; these skills include social problem solving, communication skills training, including assertiveness training, cognitive behaviour modification, and conflict resolution. In addition, further studies are needed to deeply investigate the possible factors that may affect the coping strategies of patients with Diabetes Mellitus such as age and gender.
https://mjn.mosuljournals.com/article_160057_955a758da7275cb61e7965e96131ef22.pdf
2017-08-25
83
86
10.33899/mjn.2017.160057
Coping strategies
diabetes mellitus (DM)
Diabetic patients
Eman
Salem AL-Khafaf
1
Assistant Lecturer / College of Nursing / Mosul University
AUTHOR
Alan J.; Alan J. Girling; Antony J. (2000). Cognitive dysfunction in older subjects with diabetes mellitus: impact on diabetes self-management and use of care services. Diabetes Research and Clinical Practice. Elsiveir. P.p. 203–212.
1
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ORIGINAL_ARTICLE
Assessment of Nurses' Knowledge Concerning Protein Energy Malnutrition for Children under Age Five Years at Medical Wards in Baghdad City
Background and objective: The protein energy malnutrition represents as a major health problem in the Iraq. It occurs particularly in weaklings and children in the first year. This study aims to identify the nurses' knowledge regarding protein energy malnutrition for children under age five years at medical pediatric wards in Baghdad city Materials and method: A descriptive study was carried out in the pediatric ward of teaching hospitals in Baghdad City to assessment of nurses' knowledge concerning protein energy malnutrition for children under age five years from 2ed of May till 20ed of December 2016. A non- probability (purposive) sample. This sample consisted of (33) nurses. The questionnaire was constructed and provided for nurses which consists of four parts. The validity of the questionnaire tool was established through a panel of experts. The reliability of evaluating statistically, a pilot study was carried out for (6) nurses selected randomly (excluded from study results). Results: The socio-demographic characteristic of the study presents that 84.8 % of them females, 54.5% of them Single, 39.4 % at age (26-35) years old, 75.8 % of them have (1-7) years of general experience, 39.4% graduated from Junior Nursing. Conclusions: Majority of nurses have poor knowledge about Kwashiorkor, miasmas, and nursing management. There is significant differences between demographic characteristics such as age, level of education, and years of general employments with nurses Knowledge. Recommendations: A extensive programs, training and workshops about protein energy malnutrition for children under age five years should be designed and implement.
https://mjn.mosuljournals.com/article_160058_52729c33b38993aa4fd55e14d220cd35.pdf
2017-10-29
87
91
10.33899/mjn.2017.160058
assessment
Nurse's knowledge
protein energy malnutrition
Asmahan
Qasim Mohammed
1
Assistant Lecturer/ College of Nursing / University of Baghdad
AUTHOR
Mohammed
Ahmed Sultan
2
Assistant Lecturer/ College of Nursing / University of Mosul
AUTHOR
Suzan Ali
Abdulhassan
3
Academic Nurse / College of Nursing / University of Baghdad
AUTHOR
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