Effects of Emotional intelligence on Students Academic Performance

This study is to investigate the significant relationship between Emotional Intelligence and Academic Performance. This investigate was done employing a quantitative strategy additionally an essential information was collected from understudies. In other to be in line with the quantitative approach chosen for this proposition, the medium through which information will be collected from respondent. only empathy and self-motivation has stronger influence (as in seen in the mean figures, correlation and regression analysis) on the academic performance of the students of economic department. It is found that while self-awareness, emotional management and interpersonal skill has a weak influence (as seen only in the mean and correlation figures) on the academic performance of students. Thus, this study recommends that students who want to succeed in their academic pursuit should take notes of their emotions intelligence (empathy and self-motivation skills). It is important for the University of Karachi to organize seminars either semester or yearly to enable students have a better understanding to their emotions or how it influences their education and academic performance

Knowledge, attitudes, practices and perceived barriers of emergency health care providers regarding sepsis and septic shock in a tertiary care centre: A cross-sectional study

This study aimed to assess knowledge, attitudes, practices, and perceived barriers of emergency healthcare providers regarding the management of sepsis and septic shock. This cross-sectional study was conducted in the Emergency Department of Aga Khan University Hospital, Karachi, Pakistan from August to October 2017. A total of 53 healthcare providers participated in the study. Overall, 42(79%) of the participants demonstrated correct knowledge of the sepsis bundle. The most common barrier reported in the compliance of the sepsis bundle was a shortage of staff (62%), followed by delayed presentation of patients (58%) and overcrowding (42%). Furthermore, better staffing was perceived by the participants (60%) to improve the care of septic patients, followed by sepsis awareness sessions (23%) and reduction in ED crowding (11%). Staff shortage, delayed presentation of patients, and ED overcrowding were considered the most common barriers in the management of sepsis in this setting

Initials Impact of Nursing Manager Perception of Empowerment and Years of Experience on Resistance to Change in Practice

Introduction:  Nurse Managers play a vital role to maintain an organization. They are responsible for nursing employment, ward management and other routine managerial activities. The nation is divided between knowledge and ignorance.  Human resources management plays a significant role in any organization. The main challenge in human resources management is capable and knowledgeable employee. Today it is a world of competition and day by day new policies are made and implemented in any business. Changes are inevitable in any organization. During the process of change every organization has to face resistance by the employees.Objective: The objective of study to check Impact of Nursing Manager Perception of Empowerment and Years of Experience on Resistance to Change in PracticeMaterial and methods: a descriptive correlational study was conducted to the impact of nursing manager perception of empowerment and years of experience on resistance to change in practice. The target population 150 and the study was conducted on head nurses of different hospitals. Participants were asked to fill demographic and conditions for work effectiveness questionnaire (CWEQ-II) and resistance to change scale. Conclusion: according to this study the perception of empowerment in nursing managers has significant relationship with resistance to change. As the perception of empowerment increases the degree of resistance decreases. In current health system, it is necessary to develop perception empowerment that has proven to effective to decrease resistance to change in practice among nurses. Keywords: Nursing Manager, Empowerment, and Experience and Resistance to Change DOI: 10.7176/JHMN/62-11 Publication date:May 31st 2019

Impact of Professional Stress and Career Development on Organizational Commitment Among Nurses

Introduction: Organizational commitment is a challenge for the nursing profession. Each organization has own environment for professional, and this impact on employ’s organizational commitment. In order to increase job commitment, efficiency, productivity, and effectiveness of employees, each organization must reduce the level of stress and increase career development among employees through providing of the good working atmosphere (Ruzungunde, Murugan, & Hlatywayo, 2016). Methodology: A descriptive correlational study was carried out in Jinnah hospital Lahore among staff nurses. Total 172 female staff nurses were (Staff nurses and senior staff nurses) participated in the research age group of 21-45 years. Results: Statistical Analysis showed that professional stress (M=4.0373, SD= .41216), career development (M=4.1536, SD=.84719) and organizational commitment (M = 2.2483, SD= .51568) had moderate level. Professional stress had a statistically significant negative impact on organizational commitment (r= -.058, p<0.01) and career growth had a significant positive impact on organizational commitment (r= .488**, p<0.01, 0.05).  Conclusion: This study was designed with particular predictions that every organization needs to realize the importance of organizational commitment among employees. So, it is very essential for every organization to provide that environment which reduces the level of professional stress and increase career development. Stress-free working environment in a hospital have tremendous effect for both the organization and its staff nurses. Keywords: Professional stress, career development, and organizational commitment, nurse. DOI: 10.7176/JHMN/62-09 Publication date:May 31st 201

Effectiveness of high-fidelity simulation in training emergency medicine physicians in point of care ultrasonography in Pakistan: A quasi-experimental study

Background: Point-of-care ultrasound (PoCUS) is frequently utilized in emergency medicine (EM), with an extended-focused assessment with sonography in trauma (e-FAST) being the most widely used PoCUS modality. This modality is not only time- and cost-efficient, but it is highly accurate in the diagnosis and management of surgical patients in the emergency department, as well as being highly predictive of patient outcomes. Targeted training is essential to ensure a learner\u27s confidence in image acquisition, interpretation, and translation of knowledge to making clinical decisions. High-fidelity simulation offers a uniquely safe and mistake-forgiving environment to teach and train medical professionals. The present study evaluated the effectiveness of a high-fidelity simulator to train EM physicians in e-FAST at a tertiary care teaching hospital in a lower-middle-income country.Methods: This quasi-experimental study was performed at a state-of-the-art simulation center of a multidisciplinary university hospital in Karachi, Pakistan. Subjects were included if they were EM physicians who volunteered to participate and were available for the entire training and testing period. The educational intervention included lectures and hands-on practice on a high-fidelity simulator (SonoSim, Santa Monica, CA).Knowledge and image interpretation on e-FAST were evaluated using a questionnaire, administered before and after the training course. Each participant\u27s ability to acquire and interpret satisfactory images was assessed by experienced EM physicians and recorded. Participants were also administered a needs assessment survey and a course evaluation. Data were analyzed using IBM SPSS Statistics for Windows, Version 20.0 (Armonk, NY: IBM Corp.). All the tests were two-sided, and p-values ≤0.05 were considered significant. Baseline characteristics and outcome variables were recorded and compared by Wilcoxon signed-rank tests.Results: A total of 31 EM physicians, 12 (38.7%) men and 19 (61.3%) women, were enrolled in the study, with 24 (77.3%) having one to three years of EM experience. Mean and percentage group performance improved from 6 and 40% before the intervention to 14.5 and 96.6% after the intervention (Z=4.867, p≤0.05). Most improvement in image acquisition on high-fidelity simulation was observed in the upper right quadrant of the suprapubic window (29/31; 93.5%), followed by the upper left quadrant (27/31; 87%) and the subxiphoid window (21/31; 67%). All 31 participants reported improvements in comfort and confidence level with PoCUS after attending the workshop.Conclusions: EM physicians who attended a brief workshop incorporating simulation demonstrated improvements in knowledge and image acquisition skills in all domains tested. High-fidelity simulation training is an effective modality for training EM physicians in e-FAST

Impact of Organizational Politicking on Occupational Stress, Workplace Incivility and Impression Management in Higher Education sector of Quetta, Pakistan

The purpose of this study is to examine the relationship of organizational politicking with occupational stress, workplace incivility and impression management among the employees and instructors of universities of Quetta, Pakistan which included four major universities that is Sardar Bahadur khan women’s university, Alhamd Islamic university, university of Balochistan and BUITEMS. For this study, 111 completed surveys were obtained from various personnel using convenience sampling. In addition, the method employed for this research was quantitative. Correlation and regression analyses were then conducted using SPSS in order to determine the relationship between variables. As a result of the study, it was found out that organizational politics had a significant positive relationship with occupational stress, workplace incivility and impression management. Hence, increase in organizational politicking would enhance occupational stress in employees more as compared to workplace incivility. Furthermore, organizational politicking is important to some extent to develop impression management of employees and to secure their interest in the organization

Determine the Factors Influencing Absenteeism among Nursing Students

Introduction: Absenteeism is a major problem in the process of gaining knowledge, innovation, and skills in achieving the personal and professional goal. The absenteeism of nursing students from classrooms and clinical setting has a negative impact on their performance and prolongs the length of their studying. Objective: The aim of this study was to identify the factors influencing absenteeism among nursing students at the University of Lahore, Pakistan. Methodology: Descriptive cross-sectional design was used. The target population consisted of 135 student nurses. The sample of the study represented all academic levels Post RN and BSN Generic. Data were collected by using self-administered questionnaire that comprised 5 point Likert scale. The Statistical Package for Social Sciences (SPSS, version 21) was used for data Conclusion analysis. Ethical clearance was obtained prior to conducting research. Independent t test was carried out to check the difference between male and female. ANOVA test was applied to check the association of age and academic level with factors contributing to absenteeism. Results: The findings of the study investigated that factors influencing absenteeism among the participated nursing students reported that the highest mean scores were associated with teaching factors, followed by assessment factor and social factor where means scores were (18.86 ± 4.79, and 17.27 ±4.30, 14.22±3.15 respectively). Also, the lowest mean score reported were related to learning Environment (mean =12.48 ± 3.01). This study concluded that the most common contributory factors that influence the absenteeism among nursing students were related to teaching factors following the assessment factor and social factor was the contributory reason to influence the absenteeism. Recommendations: Providing a safe learning environment, keeping accurate records of attendance and calculating absenteeism rates at frequent intervals are required for identifying each individual’s pattern of attendance. The study suggested that appropriate and innovative teaching strategies and support systems be established for Student nurses. Keywords: Absenteeism, factors, Nursing students, Learning environment

Impact of delay in admission on the outcome of critically ill patients presenting to the emergency department of a tertiary care hospital from low income country

Objective: To assess the impact of admission delay on the outcome of critical patients.Methods: The retrospective chart review was done at Aga Khan University Hospital, Karachi, and comprised adult patients visiting the Emergency Department during 2010. Outcome measures assessed were total hospital length of stay, total cost of the visit and in-hospital mortality. Patients admitted within 6 hours of presentation at Emergency Department were defined as non-delayed. Data was analysed using SPSS 19.Results: Of the 49,532 patients reporting at the Emergency Department during the study period, 17,968 (36.3%) were admitted. Of them 2356(13%) were admitted to special or intensive care units, 1595(67.7%) of this sub-group stayed in the Emergency Department for \u3e6 hours before being shifted to intensive care. The study focussed on 325(0.65%) of the total patients; 164(50.5%) in the non-delayed group and 161(49.5%) in the delayed group. The admitting diagnosis of myocardial infarction (p=0.00) and acute coronary syndrome (p=0.01) was significantly more common in the non-delayed group compared to other diagnoses like cerebrovascular attacks (p=0.03) which was significantly more common in the delayed group. There was no significant difference in the hospital length of stay between the two groups (p\u3e0.05). The Emergency Department cost was significantly increased in the delayed group (p0.05).CONCLUSIONS: There was no significant difference in the delayed and non-delayed groups, but long Emergency Department stays are distressing for both physicians and patients

Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial

Background: Tranexamic acid reduces surgical bleeding and reduces death due to bleeding in patients with trauma. Meta-analyses of small trials show that tranexamic acid might decrease deaths from gastrointestinal bleeding. We aimed to assess the effects of tranexamic acid in patients with gastrointestinal bleeding. Methods: We did an international, multicentre, randomised, placebo-controlled trial in 164 hospitals in 15 countries. Patients were enrolled if the responsible clinician was uncertain whether to use tranexamic acid, were aged above the minimum age considered an adult in their country (either aged 16 years and older or aged 18 years and older), and had significant (defined as at risk of bleeding to death) upper or lower gastrointestinal bleeding. Patients were randomly assigned by selection of a numbered treatment pack from a box containing eight packs that were identical apart from the pack number. Patients received either a loading dose of 1 g tranexamic acid, which was added to 100 mL infusion bag of 0·9% sodium chloride and infused by slow intravenous injection over 10 min, followed by a maintenance dose of 3 g tranexamic acid added to 1 L of any isotonic intravenous solution and infused at 125 mg/h for 24 h, or placebo (sodium chloride 0·9%). Patients, caregivers, and those assessing outcomes were masked to allocation. The primary outcome was death due to bleeding within 5 days of randomisation; analysis excluded patients who received neither dose of the allocated treatment and those for whom outcome data on death were unavailable. This trial was registered with Current Controlled Trials, ISRCTN11225767, and ClinicalTrials.gov, NCT01658124. Findings: Between July 4, 2013, and June 21, 2019, we randomly allocated 12 009 patients to receive tranexamic acid (5994, 49·9%) or matching placebo (6015, 50·1%), of whom 11 952 (99·5%) received the first dose of the allocated treatment. Death due to bleeding within 5 days of randomisation occurred in 222 (4%) of 5956 patients in the tranexamic acid group and in 226 (4%) of 5981 patients in the placebo group (risk ratio [RR] 0·99, 95% CI 0·82–1·18). Arterial thromboembolic events (myocardial infarction or stroke) were similar in the tranexamic acid group and placebo group (42 [0·7%] of 5952 vs 46 [0·8%] of 5977; 0·92; 0·60 to 1·39). Venous thromboembolic events (deep vein thrombosis or pulmonary embolism) were higher in tranexamic acid group than in the placebo group (48 [0·8%] of 5952 vs 26 [0·4%] of 5977; RR 1·85; 95% CI 1·15 to 2·98). Interpretation: We found that tranexamic acid did not reduce death from gastrointestinal bleeding. On the basis of our results, tranexamic acid should not be used for the treatment of gastrointestinal bleeding outside the context of a randomised trial

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe