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Register a new userAssessment of Midwives' Knowledge toward Second Stage of Labor
تقييم معلومات القابلات حول العناية التمريضية خلال الدور الثاني من المخاض
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تعتبر رعاية الأمومة غير الكافية أثناء الحمل و الولادة مسؤولة بشكل كبير عن الخسائر السنوية الكبيرة لكل من الأمهات الماخضات و مواليدهن. لذا هدفت هذه الدراسة إلى تقييم معلومات القابلات حول العناية التمريضية خلال الدور الثاني من المخاض, و دراسة العلاقة بين المعلومات الشخصية و مستوى معلومات القابلات خلال الدور الثاني للمخاض. أجريت هذه الدراسة الوصفية في ثلاث مستشفيات في مدينة اللاذقية على عينة من 160 قابلة. أظهرت النتائج أن مستوى معلومات القابلات تجاه المرحلة الثانية من المخاض كان متوسط, و لدى دراسة تأثير المعلومات الشخصية على مستوى معلومات القابلات حول المرحلة الثانية من المخاض تبين وجود علاقة ذات دلالة إحصائية بين العمر و مستوى معلومات القابلات و بين المستوى التعليمي و مستوى معلوماتهم, كما أظهرت الدراسة عدم وجود علاقة ذات دلالة إحصائية بين الخبرة و مستوى معلومات القابلات. أوصت هذه الدراسة بضرورة تصميم برنامج تعليمي للقابلات لرفع مستوى معلوماتهن لتقييم و تقويم و تحسين نوعية العناية المقدمة للماخض، و التأكيد على إقامة دورات تدريبية دورية بغرض تحديث معلوماتهن مع الإشراف المستمر على أدائهن.
Considered inadequate maternity care during pregnancy and delivery largely responsible for the big annual losses for each of the parturient mothers and their newborns. So this study aimed to assess the midwives knowledge regarding the management of second stage of labor, and to find out the association between their knowledge and personal data during second stage of labor. This descriptive study was conducted in three hospitals at lattakia city, on a sample of 160 midwife. Results of the study showed that the level of midwives information to the second stage of labor was average, and the study of the impact of personal data on the level of midwives information about the second stage of labor show a statistically significant relationship between age and the level of Midwives Information, and between educational level and the level of their knowledge. The study also showed that There were no statistically significant differences between the experience and the level of information midwives relationship. The study recommends that; installing in-service educational program for Midwives to upgrade the techniques necessary to assess, evaluate and improve the quality of care rendered to laboring women, and to put an emphasis on conducting training course for the Midwives in order to change their malpractices and updating their knowledge with regular supervision on their performance.
References used
ANNA, E.D. Childbirth experience Questionnaire, Development and evaluation of multidimensional instrument. BMC Pregnancy childbirth Sweden, 2010, 1-9
DRIFE, J. And MAGOWAN, B. Clinical Obstetrics and Gynecology. London , 2004, P. 393
JANNI W, SCHIESSL B, PESCHERS U, HUBER S, STROBL B, HANTSCHMANN P. The prognostic impact of a prolonged second stage of labor on maternal and fetal outcome. Acta Obstet Gynecol Scand, Vol.81, N.3, 2002, 214-235
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The bleeding after delivery (Postpartum Hemorrhage-PPH) is the most important complications that occur after a natural or cesarean delivery, and represents about a quarter of maternal mortality around the world. Midwives play a basis role in preventi
on of bleeding after birth. So This research aims to evaluate the knowledge of midwives about using strategies to prevention and management the bleeding after delivery. Its sample included all midwives in obstetrics departments in Alasad University, Children and Obstetric, and Tishreen University Hospital all in Lattakia city. Data were collected using a questionnaire developed by researcher. The results according to strategies used in prevention and management of bleeding after delivery showed that 60% of the level of knowledge of midwives were "inappropriate". There were significant inverse relationship (P = 0.006) between ages of midwives and level of knowledge. Also showed a significant inverse relationship between number of years of experience with the midwives and level of knowledge (P = 0.01). So we suggest conducting training sessions and educational lectures for midwives with respect to the strategies used in prevention and management of bleeding after delivery, and must evaluate the midwives information about prevention and management of bleeding after delivery periodically and continuously.
Nursing staff exposed to musculoskeletal problems associated with work while
providing nursing care because of the erroneous practice of mechanical body, This study
aimed to assess the level of nursing staff information about the use of mechanical
body and
the extent of their use of mechanical body within the nursing activities ,This study was
conducted on the author of a sample of 65 nurse in surgery and internal and intensive care
at University Hospital Assad where he was interviewed every nurse on the end were
evaluated their knowledge by assessing information form was then assess how their use of
body mechanics within specific activities in nursing care using the observational checklist ,
the study concluded that the level of information and practices of nursing staff about
mechanical body ranged between poor and average, the study recommended the need to
raise the level of information and practices of nursing staff about good mechanical body
through training and educational programs and lectures.
The purpose of our study is to assess the nurse's knowledge, attitudes and practices at the hospital toward child maltreatment. The sample contains \200\ nurses who were interviewed, received questionnaires, working in emergency departments at six ho
spitals distributed in Damascus, Lattakia, Tartous.
Results show: Knowledge deficiency about problem particularly when scientific qualification level decreases; Knowledge was not affected by age, sex, experience range, salary. Nurses' attitudes were neutral. Attitudes were affected by experience range, scientific qualification level, knowledge level, violence through childhood, but were not affected by age, sex, salary. Most of them didn’t practice nursing care toward child violence. Nursing practices were not affected by their attitudes or violence through childhood. More than half did not receive violence through childhood.
We recommend teaching nurses everything that is related to the subject, finding integration work team that can deal with violent clients at the hospital, activating the hospital's special laws which deal with violent children, searching to discover other problems from which nursing suffers.
Chemotherapy drugs cannot tell the difference between of normal cells and cancer
cells. This means normal cells are damaged and this results in side effects, This damage
does not stop in the patient who receiving treatment but also extends to all e
mployees in
the health care sitting. Nurses are the main groups that are exposed to these drugs in
hospital setting Generally, the occupational activities that pose to greatest risk of exposure
are the preparation ,Transporting cytotoxic drugs, administration of antineoplastic agents,
cleaning of chemotherapy spills, and handling of waste. Nurses require specialized
knowledge and skills in order to ensure safety for both patients life and for their own safety
of the jobs. Because of available a lot of chemotherapy guidelines we Must assess
knowledge and skills nursing staff and assess the extent of their commitment to these
guidelines.
Objective: The objectives of this study were to assessment of knowledge and skill
of oncology nurses in chemotherapy administration.
This study was made at ALASSAD Hospital-TISHREEN University in-LATTAKIA
at the Department of Obestetrics and Gynecology in the period between 1/1/2013 and
1/1/2014. The number of patients the study was 190.Including140 cases have been holding
memb
rane stripping and 50 cases without membrane stripping.
According to Bishop –Scoring index we have estimated the uterine cervix in patients,
then a Membrane- Stripping was made.
Rate of response was 79.28% in cases of membrane stripping "then 54%in cases "
without membrane striping ". In most cases of response ,we need to do the membrane
stripping twice.Top of response was obtained when Bishop –Scoring index was between 4-
6 (Moderate ripening of the cervix).
Rate of Vaginal Delivery was 87.85% in cases of membrane stripping and 76%
without membrane stripping.
The complications were limited in the study group included:
1-Infection( 0.58%).
2-Bleeding 0.58%.
3-PROM 1.16%.
It means that Membrane Stripping was somehow safe.
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