ORGANIZATIONAL CITIZENSHIP BEHAVIOR AND PERFORMANCE OF NURSES IN THE PUBLIC HEALTH SECTOR IN NIGERIA: A STUDY OF TERTIARY HEALTHCARE FACILITIES IN BENUE STATE

This study is an investigation into the effect of organizational citizenship behaviour (OCB) on performance of nurses in the public health sector in Benue State, Nigeria with particular focus on nurse in the tertiary healthcare facilities in Benue State. The specific objectives of this study were to examine, evaluate, ascertain, determine and establish the effect of altruism, civic virtue, conscientiousness, courtesy and sportsmanship on task and contextual performance of nurses in tertiary healthcare facilities in Benue State, Nigeria. A descriptive research design using survey method is adopted and used in this study. The population of study the comprised 587 nurses from Benue State University Teaching Hospital Makurdi (BSUTH) and Federal Medical Centre Makurdi (FMC). The study made use of taro Yamene’s formula to arrive at a sample size of 238 nurses 238 questionnaires were issued out to nurses out of which 221 usable ones were returned for analysis. Data were statistically analyzed after being collected from the field using Multiple Regression Analysis as the main statistical tool with the aid of SPSS to explain the relationship between variables under study. The findings from this study indicated that there was actually an established effect of all the dimensions of organizational citizenship behaviour on task and contextual performance of nurses working in tertiary healthcare facilities in Benue State, Nigeria. The study revealed that all the OCB constructs examined have significant positive effect on task and contextual performance of nurses working in tertiary healthcare facilities in Benue State, Nigeria. Part of the recommendations made is that management of tertiary healthcare facilities in Benue State should do everything possible to create a working environment that will motivate nurses to engage in citizenship behaviours since it has been scholarly proven that citizenship behaviors positively affect task and contextual performance of nurses working in tertiary healthcare facilities

The incidence and risk factors of associated acute myocardial infarction (AMI) in acute cerebral ischemic (ACI) events in the United States.

OBJECTIVES: To determine the association between myocardial infarction (AMI) and clinical outcome in patients with primary admissions diagnosis of acute cerebral ischemia (ACI) in the US. METHODS: Data from Nationwide Inpatient Sample (NIS) was queried from 2002-2011 for inpatient admissions of patients with a primary diagnosis of ACI with and without AMI using International Classification of Diseases, Ninth Revision, Clinical Modification coding (ICD-9). A multivariate stepwise regression analysis was performed to assess the correlation between identifiable risk factors and clinical outcomes. RESULTS: During 10 years the NIS recorded 886,094 ACI admissions with 17,526 diagnoses of AMI (1.98%). The overall cumulative mortality of cohort was 5.65%. In-hospital mortality was associated with AMI (aOR 3.68; 95% CI 3.49-3.88, p≤0.0001), rTPA administration (aOR 2.39 CI, 2.11-2.71, p<0.0001), older age (aOR 1.03, 95% CI, 1.03-1.03, P<0.0001) and women (aOR 1.06, 95% CI 1.03-1.08, P<0.0001). Overall, mortality risk declined over the course of study; from 20.46% in 2002 to 11.8% in 2011 (OR 0.96, 95% CI 0.95-0.96, P<0.0001). Survival analysis demonstrated divergence between the AMI and non-AMI sub-groups over the course of study (log-rank p<0.0001). CONCLUSION: Our study demonstrates that although the prevalence of AMI in patients hospitalized with primary diagnosis of ACI is low, it negatively impacts survival. Considering the high clinical burden of AMI on mortality of ACI patients, a high quality monitoring in the event of cardiac events should be maintained in this patient cohort. Whether prompt diagnosis and treatment of associated cardiovascular diseases may improve outcome, deserves further study

Annual mortality: Inpatients admitted with ACI.

<p>Annual mortality: Inpatients admitted with ACI.</p

Multivariate analysis predicting the odds of mortality.

<p>Multivariate analysis predicting the odds of mortality.</p

Kaplan-Meier survival analysis with and without AMI.

<p>Kaplan-Meier survival analysis with and without AMI.</p

Major comorbidities associated with AMI.

<p>Major comorbidities associated with AMI.</p

Effect of 6% hydroxyethyl starch 130/0.4 in 0.9% sodium chloride (Voluven®) on complications after subarachnoid hemorrhage: a retrospective analysis

10.1186/2193-1801-2-314SpringerPlus211-

Multivariate regression analysis predicting odds of having associated AMI.

<p>Multivariate regression analysis predicting odds of having associated AMI.</p

ICD codes.

<p>ICD codes.</p

Description of ACI patients associated with AMI.

<p>Description of ACI patients associated with AMI.</p