Nursing perceptions of patient safety climate in the Gaza Strip, Palestine

Aims This study was undertaken to assess the perception of nurses about patient safety culture and to test whether it is significantly affected by the nurses’ position, age, experience and working hours. Background Patient safety has sparked the interest of healthcare mangers, yet there is limited knowledge about the current patient safety culture among nurses in the Gaza Strip. Methods This was a descriptive cross‐sectional study, administering the Arabic Safety Attitude Questionnaire (Short Form 2006) to 210 nurses in four public general hospitals. Results Job Satisfaction was the most highly perceived factor affecting patient safety, followed by Perception of Management. Safety culture varied across nursing position, age, work experience and working hours. Nurse Managers had more positive attitudes towards patients than frontline clinicians did. The more experience nurses had, the better their attitudes

Influence of organizational culture on provider adherence to the diabetic clinical practice guideline: using the competing values framework in Palestinian Primary Healthcare …

Background Diabetes mellitus (DM) is a serious chronic disease and an important public health issue. This study aimed to identify the predominant culture within the Palestinian Primary Healthcare Centers of the Ministry of Health (PHC-MoH) and the Primary Healthcare Centers of the United Nations Relief and Works Agency for Palestine Refugees (PHC-UNRWA) by using the competing values framework (CVF) and examining its influence on the adherence to the Clinical Practice Guideline (CPG) for DM. Methods A cross-sectional design was employed with a census sample of all the Palestinian family doctors and nurses (n= 323) who work within 71 PHC clinic. A cross-cultural adaptation framework was followed to develop the Arabic version of the CVF questionnaire. Results The overall adherence level to the diabetic guideline was disappointingly suboptimal (51.5%, p< 0.001; 47.3% in the PHC-MoH and 55.5% in

Partial Trisomy of Chromosome 13 with a Novel Translocation (8 ; 13) and Unique Clinical Presentation in a Palestinian Infant

Partial trisomy 13 is a rare syndrome that usually culminates in death within the first six months of the infant’s life. We present a rare case of partial trisomy 13q with exclusive clinical manifestations. The full-term male baby was born by normal vaginal delivery, his birth weight was 3500 grams, and head circumference was 30 cm. He had dysmorphic features in the form of microcephaly, trigonocephaly, depressed nose bridge, hypotelorism, long philtrum, high arch palate, left-sided inguinal hernia, hydrocele, and laryngomalacia. He was operated for pyloric stenosis at the age of 28 days. He also had left-sided severe pelvic-ureteral junction stenosis which was repaired by nephrostomy followed by pyeloplasty. Furthermore, he had right-sided vesicoureteral reflux grade III, right-sided hydronephrosis, small ventricular septum defect, small atrial septum defect, left lung lower lobe sequestration, and craniosynostosis of metopic suture. The baby had global developmental delay and failure to thrive. Cytogenetic study showed a 46,XY, der(8)t(8;13)(p23;q14) karyotype, emphasizing a partial trisomy 13q syndrome with a concomitant partial monosomy in 8p. The baby passed away, in the intensive care unit, at the age of 7 months due to respiratory failure resulting from recurrent chest infections. This is the first reported case of a partial trisomy 13q associated with chromosome 8 with unique clinical presentations. Cytogenetic study for both parents is recommended in order to pinpoint the origin of the translocation and to provide the proper counseling for the family

Percepciones de enfermería sobre el clima de seguridad del paciente en la Franja de Gaza, Palestina

Objetivos: Este estudio fue realizado para evaluar la percepción de las enfermeras sobre la cultura de seguridad del paciente y comprobar si está considerablemente afectada por la posición, la edad, la experiencia y las horas de trabajo de las enfermeras. Antecedentes: La seguridad de los pacientes ha despertado el interés de los gestores sanitarios, sin embargo, hay conocimientos limitados sobre la actual cultura de seguridad del paciente entre enfermeras en la Franja de Gaza. Métodos: Este fue un estudio descriptivo transversal, que administró el Cuestionario Árabe de Actitud de Seguridad (Forma Abreviada 2006) a 210 enfermeras en cuatro hospitales generales públicos. Resultados: La Satisfacción Laboral fue el factor que afecta a la seguridad del paciente más percibido, seguido de la Percepción de la Gestión. La cultura de seguridad varió según la posición en la enfermería, la edad, la experiencia laboral y las horas de trabajo. Las enfermeras gestoras tuvieron actitudes más positivas hacia los pacientes que los médicos de primera línea. Cuanto mayor experiencia tengan las enfermeras, mejores se rán sus actitudes hacia la seguridad del paciente. Las enfermeras que trabajaban el mínimo de horas semanales requeridas y que tenían 35 años o más tuvieron mejores actitudes hacia todas las dimensiones de seguridad del paciente excepto para el Reconocimiento del Estrés. Las enfermeras con una actitud positiva tuvieron una mejor colaboración con los profesionales sanitarios que aquellas sin una actitud positiva