Developing and Validating of a Managerial Procedures Manual for Head Nurses

The managerial skills are a set of behaviors based on knowledge that can be learned through procedure. Procedures are descriptions of how to carry out an activity. Procedures manual is essential to ensure consistency and quality in products and services. The aim of this study was to develop and validate a managerial procedure manual for head nurses at Ain-shams University Hospital. The study was conducted in Ain Shams University Hospital using operational design. It included a group of 78 head nurses for assessment and a jury group consisting of 16 faculty members of Nursing Administration and 8 nursing directors and assistants. Data were collected using a head nurses' self-administered questionnaire and opinionnaire form for the jury group. The researchers discussed the idea of the study with representatives of the hospital administration to reach to an agreement regarding the importance of the proposed manual and its content, then assessed head nurses’ view of the importance of a managerial manual. The results showed that 25.6% of the head nurses did not know about the presence of a manual for managerial nursing procedures, 96.2% expressed the need for such manual, and 70.7% reported having faced problems due to lack of such manual. Based on analysis of the data the researchers developed the manual that was validated by the jury group, and distributed to head nurses after approval of the hospital administration. The hospital administration participated in all steps of the development of the manual, and adopted its use in the setting. The effectiveness of the manual in reducing head nurses' stress related to managerial problems needs to be assessed after a few months of implementation. Key words: Head nurse, Manual, Managerial skills and Managerial procedure

Trauma ICU Prevalence Project: the diversity of surgical critical care.

Background:Surgical critical care is crucial to the care of trauma and surgical patients. This study was designed to provide a contemporary assessment of patient types, injuries, and conditions in intensive care units (ICU) caring for trauma patients. Methods:This was a multicenter prevalence study of the American Association for the Surgery of Trauma; data were collected on all patients present in participating centers' trauma ICU (TICU) on November 2, 2017 and April 10, 2018. Results:Forty-nine centers submitted data on 1416 patients. Median age was 58 years (IQR 41-70). Patient types included trauma (n=665, 46.9%), non-trauma surgical (n=536, 37.8%), medical (n=204, 14.4% overall), or unspecified (n=11). Surgical intensivists managed 73.1% of patients. Of ICU-specific diagnoses, 57% were pulmonary related. Multiple high-intensity diagnoses were represented (septic shock, 10.2%; multiple organ failure, 5.58%; adult respiratory distress syndrome, 4.38%). Hemorrhagic shock was seen in 11.6% of trauma patients and 6.55% of all patients. The most common traumatic injuries were rib fractures (41.6%), brain (38.8%), hemothorax/pneumothorax (30.8%), and facial fractures (23.7%). Forty-four percent were on mechanical ventilation, and 17.6% had a tracheostomy. One-third (33%) had an infection, and over half (54.3%) were on antibiotics. Operations were performed in 70.2%, with 23.7% having abdominal surgery. At 30 days, 5.4% were still in the ICU. Median ICU length of stay was 9 days (IQR 4-20). 30-day mortality was 11.2%. Conclusions:Patient acuity in TICUs in the USA is very high, as is the breadth of pathology and the interventions provided. Non-trauma patients constitute a significant proportion of TICU care. Further assessment of the global predictors of outcome is needed to inform the education, research, clinical practice, and staffing of surgical critical care providers. Level of evidence:IV, prospective observational study

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ANSIETAS SISWA SMP AR-RISALAH ISLAMIC BOARDING SCHOOL PADANG

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ANSIETAS SISWA SMP AR-RISALAH ISLAMIC BOARDING SCHOOL PADANG Oleh: Fakhry M Fathaniy ABSTRAK Ansietas dapat menimbulkan kecanggungan dan kesalahan persepsi, sehingga berefek pada menurunnya konsentrasi, daya ingat, dan kemampuan mengaitkan satu hal dengan hal lainnya. Sekolah asrama adalah lingkungan yang baru bagi setiap remaja. Terdapat perbedaan interaksi, tidak bersama orang tua, bahasa sehari-hari, serta tuntutan akademik yang baru, hal ini bisa menyebabkan ansietas. Setiap siswa akan berbeda dalam interaksi teman sebaya serta pandangan mereka terhadap tuntutan akademik. Penelitian ini dilakukan untuk melihat faktor-faktor yang berhubungan dengan kejadian ansietas pada siswa SMP Ar-Risalah Islamic Boarding School Padang. Penelitian ini merupakan penelitian observasional analitik menggunakan pendekatan cross sectional dengan jumlah sampel sebanyak 76 siswa, terdiri dari 38 laki-laki dan 38 perempuan. Data dikumpulkan dengan wawancara menggunakan kuesioner Zung Self-Rating Anxiety Scale (ZSAS), Interaksi Teman Sebaya, dan Tuntutan Akademik yang dianalisa dengan uji chi-square. Hasil penelitian ini menunjukan 22 siswa (28,9%) dengan ansietas ringan, dan 54 siswa (71,1%) tidak ansietas. Hasil dari uji chi-square untuk hubungan interaksi teman sebaya dengan ansietas menunjukkan p value = 0,028 (p<0,05), dan untuk hubungan tuntutan akademik dengan ansietas p= 0,031 (p<0,05), sehingga terdapat hubungan yang signifikan antara interaksi teman sebaya dan tuntutan akademik dengan kejadian ansietas pada siswa SMP Ar-Risalah Islamic Boarding School Padang. Kata kunci : ansietas, asrama, interaksi teman sebaya, tuntutan akademi

Survivorship support in head and neck cancer: American Head and Neck Society survey

BackgroundThe value of supporting cancer survivors beyond formal treatment has become increasingly recognized among clinicians who care for patients with head and neck cancer.MethodsA survey was developed by the American Head and Neck Society (AHNS) Survivorship Committee and distributed to members of the AHNS electronically.ResultsThe survey was distributed to 1403 AHNS members, with 202 responses (14.4%). Among survivorship topics, respondents were most likely to address detection of recurrence/second primary malignancies (97.5%), dysphagia (93.1%), and thyroid function (90.1%) with their patients; they were least likely to address sleep disturbance/apnea (27.7%) and body and self‐image issues (29.7%.) Less than half provide patients with a written treatment summary (43.1%) or follow‐up care plan (36.9%).ConclusionsThese results highlight the need for improved survivorship care planning and offer an opportunity for the development of educational and survivorship research in head and neck cancer care.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/154907/1/hed26066_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154907/2/hed26066.pd

Crossing Conceptual Boundaries XII, 2022

ISSN: 2041-9090 Crossing Conceptual Boundaries PhD Annual Yearbook New Series Volume XII A peer-reviewed graduate publication, School of Education & Communities, UEL, U

Peningkatan Nilai Tambah Produk Jahe Bagi Masyarakat Murtajih Pamekasan dalam Mendukung One Village One Product

Murtajih village is one of the villages in Pademawu District, Pamekasan Regency. Based on BPS data, the production of ginger in Pamekasan Regency in 2018-2020 was 2,114,765kg, 1,521,883kg, and 179,454kg. Therefore, it is necessary to carry out community empowerment activities in Murtajih Village to increase the added value of ginger products in supporting one village one product. The purpose of this activity is to provide added value for the community and produce processed ginger products as the flagship product. The approach method used in this community empowerment activity is Participatory Rural Appraisal (PRA). The results of community empowerment by utilizing ginger as a soft candy and hard candy based on the Hayami method have added values of 44.66% and 54.308%. The community well attends the workshop activities for making ginger products. It can be seen from the results of making products carried out by the community by has been given

Use of 2-{[5-(2-Amino-4-oxoquinazolin-3(4H)-yl)-1,3,4-thiadiazol-2-yl]methyl}-1H-isoindole-1,3(2H)-dione in the Synthesis of Novel Quinazolinone Derivatives

The 2-{[5-(2-Amino-4-oxoquinazolin-3(4H)-yl)-1,3,4-thiadiazol-2-yl]methyl}-1H-isoindole-1,3(2H)-dione 1 was synthesized and allowed to react with each of  p-methoxybenzaldehyde,  p-methoxyacetophenone and chloroacetyl chloride to produce the Schiff bases 2 and 3 and 2-chloro-N-(3-{5-[(1,3-dioxo-1,3-dihydro-2H-isoindol-2-yl)methyl]-1,3,4-thiadiazol-2-yl}-4-oxo-3,4-dihydroquinazolin-2-yl)acetamide 6, respectively. The products 2 and 3 were reacted with phenyl isothiocyanate to afford 4 and 5. Derivative 6 was reacted with various nucleophiles, namely: thioglycolic acid, ethyl glycinate and 2-aminoethanol giving 7-9 respectively. In turn, the derivative 8 was reacted with α-bromoglucose tetraacetate affording product 8a whereas 9 was reacted with p-acetylaminobenzenesulfonyl chloride affording derivative 9a. Moreover, the reactions of the derivative 6 with potassium thiocyanate, potassium cyanate, malonitrile, ethyl cyanoacetate and ammonium acetate gave derivatives 10-15, respectively. All the synthesized derivatives were confirmed by the IR, mass, 1H-NMR and elemental analysis. Key words: Quinazolinyl thiazolidine, thioxodiazetidinyl quinazoline, piperazinyl quinazolinone, thiomorpholine and  triazinoquinazoline