Paper for Issue - African Journal of Health, Nursing and Midwifery (AJHNM)

Volume: 1 Issue: 1 , 2018

No Pass Zone: Go Towards the Light

Abstract

A call light represents a patient need, the simplest requirement to reach a facial tissue to as complex as the necessity to be relieved with pain. Health care workers are critical in responding to these needs and thus patients are not to be considered interruptions in one’s work. The No Pass Zone is a quality initiative that emphasizes patient is the reason why nurses are existent in the hospital. In this descriptive correlational study, the No Pass Zone is premised on provision of direct assistance to patient thus the need for help has to be satisfied. The study has the following research questions: What is the degree of satisfaction and agreement of nurses and health care workers on the No Pass Zone Program? What is the Patient Satisfaction rating on the following parameters: Call Bell Response and Courtesy of Nurses? Is there a relationship between Patients and Nurses Satisfaction Rating? Is there a relationship between Nurses Satisfaction and Agreement in the No Pass Zone Program? The researcher devised Satisfaction Survey Tool have assessed the level of agreement and satisfaction of Nurses in No Pass Zone Initiative as to agreement and satisfaction using a four point-likert scale where 4 is Strongly Agree and Very Satisfactory, 3 Agree and Satisfactory, 2 Fairly Agree and Fairly Satisfactory, 1 Do not agree and not satisfactory. The satisfaction rating was evaluated as very satisfied. The highest ratings were in the elements related to increasing awareness to safety and its integration in the daily routine of nurses, development of team work and improvement in the satisfaction of both patients and nurses and all were rated as very satisfactory. The agreement of nurses as to the No Pass Zone revealed a strong agreement. The highest ratings were likewise in the elements related to increasing awareness to safety and its integration in the daily routine of nurses and improvement in the satisfaction of both patients and nurses and were rated as very satisfactory. The rating on promptness of needs being attended reflects a very satisfactory rating with mean of 3.59 in a four point-likert scale. The findings revealed that patients evaluated the attention to needs as very satisfactory. Likewise, a rating of 3.78 on courtesy was noted. The correlation statistics show a moderate correlation between nurses and patients satisfaction rating. (r=0.06) Correlation of nurses’ satisfaction and agreement on the No Pass Zone initiative revealed a very high correlation. (r=0.98) The following conclusions are derived: The No Pass Zone initiative has been proven useful in addressing the needs of patients. The No Pass Zone increases cognizance of nurses in patient safety and prompt need provision. The following recommendations are proposed: Roll out of the No Pass Zone initiative to all nursing units of the hospital. The need to have consistency in monitoring of the No Pass Zone standard script utilization is critical. Random Audits of the No Pass Zone implementation in piloted units. Future investigation on other nursing outcomes and its relationship with the program may be explored.

Role of Colour Doppler Imaging in Utero-Ovarian Blood Flow in Fertile and Infertile Females

Abstract

Background: the recent incorporation of color Doppler processing in transvaginal transducer/probes extends the scope of sonographic imaging from an anatomic to a physiological basis. With such versatility, it is tempting to employ the technique for ever more demanding applications and to try to measure increasingly subtle changes in the maternal and fetal circulations. The ability to assess utero-ovarian blood flow has several applications in the assessment of women with fertility problems. Materials and Methods: the present study was conducted in Department of Radiodiagnosis & Imaging, Acharya Shri Chander College of Medical Sciences, Jammu (J&K) from October 2012 to September 2013. In the present observational prospective study, 40 infertile females after exclusion of all the possible causes of infertility and 40 fertile females were recruited. The age of these women ranged from 16-40 years. Doppler blood flow indices studied during days 2-5 of the menstrual cycle included Resistivity index (RI), Peak systolic velocity (PSV, V1) and Minimal diastolic velocity (MDV, V2). Comparative study was performed in the taken parameters between the fertile and infertile females and various conclusions drawn in ovarian vessels, uterine myometrium and endometrium. Results: the Peak systolic velocities (PSV,V1); Minimal Diastolic Velocity (MDV, V2) and resistivity index (RI) in infertile and fertile females expressed as mean +/- standard deviation was taken in the left as well as right ovary and compared. In the left ovary, the (PSV, V1), (MDV, V2) of infertile females was 18.80+/-10.01, 5.99+/-4.28 and 0.68+/-0.13 while that for the fertile group was 10.98+/-3.01, 3.28+/-2.38 and 0.62+/- 0.12 whereas in the right ovary the PSV,V1; MDV, V2 and RI in infertile females was 17.20+/-10.22, 5.95+/-5.20 and 0.65+/-0.10 while that in fertile females was 12.10+/-3.90, 3.28+/-1.08 and 0.64+/-0.10. Conclusions: The infertile and fertile females re-established the fact that there is a variation in the blood flow in the ovarian vessels with the Peak Systolic Velocity and the Minimal Diastolic Velocity being higher in the infertile females on days 2-5 of the menstrual cycle. However, the Resistivity index showed no significant variation in infertile and fertile females. Also, it is also observed that no significant difference in the blood flow parameters was found in the endometrial and myometrial vessels on the days 2-5 of the menstrual cycle in contrast to definite variation observed in the follicular phase of the cycle.

Sr No.	Article Information
1	No Pass Zone: Go Towards the Light Author(s): Roberto C. Sombillo RN, PhD , Ofelia E. Hernando, RN, DEM, Sheila B. Callao RN, MAN, Lira M. Fontelera RN, Rosalyn F. Bravo RN, Mark Angello C. Ganon. View Abstract Page No : 1-9 Download pdf
2	Role of Colour Doppler Imaging in Utero-Ovarian Blood Flow in Fertile and Infertile Females Author(s): Dr. Sonali Sharma, Vishal sharma, Saima Sadiq, Manjit Arora. View Abstract Page No : 10-19 Download pdf

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