The study aimed to assess professional satisfaction among nursing graduates from BPKIHS from 1996-2004. A survey was administered to 50 graduates, with the majority being female and aged 22-25. The highest satisfaction was with status/respect (75%) while the lowest was with working conditions (54%). Most felt there was job security (54%) and opportunity to help others (52%) in nursing. However, some felt there was a lack of autonomy (30%) and lack of updating knowledge (28%). The study concluded satisfaction depended on age but not other factors, and reasons for leaving were personal not professional issues.
Gender Differences in Motivational Factors towards Medical Career Choiceiosrjce
The present study aims to study motivations of students in choosing the medical profession and
whether these motivations are different, gender wise along with their demographic features. The study was
conducted on 150 students of MIMER Medical College, Pune. Demographic result of the study indicated that
enrolment in medical faculty was more by girls (83) than by boys (67) and majority of students came from
medical family. A primary motivation factor in girls was patient care, interest in science, career opportunity
and personal skills. While in boys it was patient care, interest in science, status –security, self-employment. To
pursue the medical profession other motivating factors was number of attempts in medical entrance exam held,
there was no difference found in both gender statistically. But statistically significance was found gender wise,
in getting encouragement from family, in girls it was more encouragement. Also statistic significance was found
in girls for deciding the career choice before X classes compare to boy students, indicating girls are early
decider
Access And Quality In The Medical Profession In Nigeria Via Psychological Tes...Peter Onipe
This new process has the capacity to identify the best candidates for the profession; candidates with the appropriate levels of intelligence, aptitudes, and school achievement, as well as appropriate personality characteristics.
EVALUATION OF FACTORS CAUSING ABSENTEEISM FROM LECTURES IN A MEDICAL COLLEGERifat Humayun
ABSTRACT
OBJECTIVE: To evaluate the factors causing absenteeism among
undergraduate medical students from lectures in a medical college.
METHODS: This cross-sectional study was conducted at Aziz Fatimah Medical
& Dental College, Faisalabad, Pakistan during the month of July and August
2017. The participants were the medical students of the three batches (third
year, fourth year and final year) of the college. There were 308 students, with
more than 50% attendance in the last semester. These students were also
attending clinical classes. They were asked to fill the Likert’s Scale based
questionnaire. This study was done to find out the factors which influence the
students not to attend the lectures in medical college.
RESULTS: Out of 308 medical students in three batches, a total of 267
completed the questionnaire; the response rate was 86.6%. Mean age was
21.14±3.4 years. There were 105 (39.3%) male and 162 (60.6%) female
students. The two most common reasons for not attending the lectures were
preference of self-studying over attending lectures (n=123, 46%) and poor
teaching style by lecturers (n=128, 47.9%).
CONCLUSION: This study proved that the problem of absenteeism is
increasing nowadays in medical students. There are multiple factors of
absenteeism including bad construction of the lectures and preferring self-study
over taking lectures.
KEY WORDS: Absenteeism (MeSH); Medical Students (MesH); Lectures
(MeSH); Likert Scale (MeSH); Self-study (Non-MeSH).
Client satisfaction towards quality of health services an assessment at prima...Zubia Qureshi
This survey designed to evaluate the satisfaction level and the factors that affect the patient satisfaction regarding health care delivery services with the aim to improve the services in the primary health care settings of Gujranwala. A Cross Sectional Study done on randomly selected patients attending the basic health units of Gujranwala, with more than18 years of age. Pretested structured “Liker scale questionnaire” was used for data collection. Out of total respondents, 62 (41.3%) clients were satisfied with the services provided by the basic health units of Gujranwala. The factors identified to determine patient satisfaction were accessibility of services, behavior of staff, health education, level of cleanliness, drug availability and miscellaneous services. Not a single ranked area of satisfaction noticed. Client’s occupation and income had significant relationship with the patient satisfaction level. Gender, age, and education of clients were not contributing factors; they not affect the client satisfaction level. Less than half clients were satisfied with the services provided by the basic health units. Management of health facilities needs to improve the services.
Gender Differences in Motivational Factors towards Medical Career Choiceiosrjce
The present study aims to study motivations of students in choosing the medical profession and
whether these motivations are different, gender wise along with their demographic features. The study was
conducted on 150 students of MIMER Medical College, Pune. Demographic result of the study indicated that
enrolment in medical faculty was more by girls (83) than by boys (67) and majority of students came from
medical family. A primary motivation factor in girls was patient care, interest in science, career opportunity
and personal skills. While in boys it was patient care, interest in science, status –security, self-employment. To
pursue the medical profession other motivating factors was number of attempts in medical entrance exam held,
there was no difference found in both gender statistically. But statistically significance was found gender wise,
in getting encouragement from family, in girls it was more encouragement. Also statistic significance was found
in girls for deciding the career choice before X classes compare to boy students, indicating girls are early
decider
Access And Quality In The Medical Profession In Nigeria Via Psychological Tes...Peter Onipe
This new process has the capacity to identify the best candidates for the profession; candidates with the appropriate levels of intelligence, aptitudes, and school achievement, as well as appropriate personality characteristics.
EVALUATION OF FACTORS CAUSING ABSENTEEISM FROM LECTURES IN A MEDICAL COLLEGERifat Humayun
ABSTRACT
OBJECTIVE: To evaluate the factors causing absenteeism among
undergraduate medical students from lectures in a medical college.
METHODS: This cross-sectional study was conducted at Aziz Fatimah Medical
& Dental College, Faisalabad, Pakistan during the month of July and August
2017. The participants were the medical students of the three batches (third
year, fourth year and final year) of the college. There were 308 students, with
more than 50% attendance in the last semester. These students were also
attending clinical classes. They were asked to fill the Likert’s Scale based
questionnaire. This study was done to find out the factors which influence the
students not to attend the lectures in medical college.
RESULTS: Out of 308 medical students in three batches, a total of 267
completed the questionnaire; the response rate was 86.6%. Mean age was
21.14±3.4 years. There were 105 (39.3%) male and 162 (60.6%) female
students. The two most common reasons for not attending the lectures were
preference of self-studying over attending lectures (n=123, 46%) and poor
teaching style by lecturers (n=128, 47.9%).
CONCLUSION: This study proved that the problem of absenteeism is
increasing nowadays in medical students. There are multiple factors of
absenteeism including bad construction of the lectures and preferring self-study
over taking lectures.
KEY WORDS: Absenteeism (MeSH); Medical Students (MesH); Lectures
(MeSH); Likert Scale (MeSH); Self-study (Non-MeSH).
Client satisfaction towards quality of health services an assessment at prima...Zubia Qureshi
This survey designed to evaluate the satisfaction level and the factors that affect the patient satisfaction regarding health care delivery services with the aim to improve the services in the primary health care settings of Gujranwala. A Cross Sectional Study done on randomly selected patients attending the basic health units of Gujranwala, with more than18 years of age. Pretested structured “Liker scale questionnaire” was used for data collection. Out of total respondents, 62 (41.3%) clients were satisfied with the services provided by the basic health units of Gujranwala. The factors identified to determine patient satisfaction were accessibility of services, behavior of staff, health education, level of cleanliness, drug availability and miscellaneous services. Not a single ranked area of satisfaction noticed. Client’s occupation and income had significant relationship with the patient satisfaction level. Gender, age, and education of clients were not contributing factors; they not affect the client satisfaction level. Less than half clients were satisfied with the services provided by the basic health units. Management of health facilities needs to improve the services.
— Adolescent health and physical development problems are important issue in student life; there are many helpful services to cope with these problems. This study was conducted on 240 students (120 males and 120 females) to know their health and physical development problems and to compare the response of males & females for helpfulness of guidance and counselling services to help them to cope with their health and physical development problems. Technology, and Technical Education. This study observed that out of 120 male Thai undergraduate students, 113 (94.2%) male students said that they have troubled with their feet. Otherwise, 119 (99.2%) female students argued that they have not as strong healthy as they should be and they have had poor complexion or skin trouble (N = 120).The result of t-test analysis showed that there was a significant different between Thai male and female students on the helpfulness of individual and group counselling service (N = 120, t (118) =0.903, p = 0.015) consultation service (N = 120, t (118) = 0.983, p<0.001), guidance service (N = 120, t (118) = 0.903, p = 0.015), coordination service (N = 120, t (118) = 0.744, p = 0.017), assessment service (N = 120, t (118) = 0.969, p = 0.002), and personal growth and development service (N = 120, t (118) = 0.902, p = 0.015) provided by the guidance counsellor in helping undergraduate students to cope with their health and physical development problems at a significant level of 0.05.
Prevalence of Low Back Pain And Its Associated Risk Factor Among Office Worke...Muhamad Arif Sallehuddin
Author : Muhamad Arif Bin Sallehuddin
Supervisor : Hari Krishnan Tamil Selvan
University : University of Cyberjaya (Formerly known as CUCMS)
Complete: September 2019
Triangulation research is all about the integration of data, method, investigators, and settings. there is a description of various types of triangulation and their impact on the validity of the results. there is a slight introduction to meta-analysis and systematic review.
Work Place Issues and Challenges Faced by Women Doctors in Clinical departmentsiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Nursing Students' Opinions Regarding the Nursing Processinventionjournals
The aim of this descriptive study is to identify nursing students' opinions regarding the nursing process. Data of the study conducted in January 2014 on 240 students studying in the first, second and third classes of a nursing department of a university were collected using a questionnaire consisting of 17 questions in total. The data obtained as a result of the study were analyzed using numeric and percentage distribution in computer environment. It was found that 50% of the students in the study identified the nursing process as providing appropriate nursing care specific to the patient, 73.3% had difficulties in the nursing process, and 36.2% pointed the lecturer to be the source of difficulty. On the other hand, students stated that the nursing process was beneficial to students by increasing knowledge (45.8%) and to patients by preventing lack of care (58.2%). The result of this study suggests that students who find the nursing process useful for both the patient and themselves and who have difficulty in all phases of the nursing process should apply the nursing process on more cases.
Kailash Nagar Research Article publicationKailash Nagar
A Study to Assess the Effectiveness of Planned Teaching
Programme on Prevention of Selected Life Style Diseases
in Terms of Knowledge and Attitude among Male Adults at
Selected PHC of Kheda District
American Research Journal of Humanities & Social Science (ARJHSS) is a double blind peer reviewed, open access journal published by (ARJHSS).
The main objective of ARJHSS is to provide an intellectual platform for the international scholars. ARJHSS aims to promote interdisciplinary studies in Humanities & Social Science and become the leading journal in Humanities & Social Science in the world.
Kailash Nagar Research Article publicationKailash Nagar
A Cross Sectional Study to Assess the Knowledge, Attitude and
Practice on Personal Hygiene among School Children in Rural
Primary School of Kheda District, Gujarat
— Adolescent health and physical development problems are important issue in student life; there are many helpful services to cope with these problems. This study was conducted on 240 students (120 males and 120 females) to know their health and physical development problems and to compare the response of males & females for helpfulness of guidance and counselling services to help them to cope with their health and physical development problems. Technology, and Technical Education. This study observed that out of 120 male Thai undergraduate students, 113 (94.2%) male students said that they have troubled with their feet. Otherwise, 119 (99.2%) female students argued that they have not as strong healthy as they should be and they have had poor complexion or skin trouble (N = 120).The result of t-test analysis showed that there was a significant different between Thai male and female students on the helpfulness of individual and group counselling service (N = 120, t (118) =0.903, p = 0.015) consultation service (N = 120, t (118) = 0.983, p<0.001), guidance service (N = 120, t (118) = 0.903, p = 0.015), coordination service (N = 120, t (118) = 0.744, p = 0.017), assessment service (N = 120, t (118) = 0.969, p = 0.002), and personal growth and development service (N = 120, t (118) = 0.902, p = 0.015) provided by the guidance counsellor in helping undergraduate students to cope with their health and physical development problems at a significant level of 0.05.
Prevalence of Low Back Pain And Its Associated Risk Factor Among Office Worke...Muhamad Arif Sallehuddin
Author : Muhamad Arif Bin Sallehuddin
Supervisor : Hari Krishnan Tamil Selvan
University : University of Cyberjaya (Formerly known as CUCMS)
Complete: September 2019
Triangulation research is all about the integration of data, method, investigators, and settings. there is a description of various types of triangulation and their impact on the validity of the results. there is a slight introduction to meta-analysis and systematic review.
Work Place Issues and Challenges Faced by Women Doctors in Clinical departmentsiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Nursing Students' Opinions Regarding the Nursing Processinventionjournals
The aim of this descriptive study is to identify nursing students' opinions regarding the nursing process. Data of the study conducted in January 2014 on 240 students studying in the first, second and third classes of a nursing department of a university were collected using a questionnaire consisting of 17 questions in total. The data obtained as a result of the study were analyzed using numeric and percentage distribution in computer environment. It was found that 50% of the students in the study identified the nursing process as providing appropriate nursing care specific to the patient, 73.3% had difficulties in the nursing process, and 36.2% pointed the lecturer to be the source of difficulty. On the other hand, students stated that the nursing process was beneficial to students by increasing knowledge (45.8%) and to patients by preventing lack of care (58.2%). The result of this study suggests that students who find the nursing process useful for both the patient and themselves and who have difficulty in all phases of the nursing process should apply the nursing process on more cases.
Kailash Nagar Research Article publicationKailash Nagar
A Study to Assess the Effectiveness of Planned Teaching
Programme on Prevention of Selected Life Style Diseases
in Terms of Knowledge and Attitude among Male Adults at
Selected PHC of Kheda District
American Research Journal of Humanities & Social Science (ARJHSS) is a double blind peer reviewed, open access journal published by (ARJHSS).
The main objective of ARJHSS is to provide an intellectual platform for the international scholars. ARJHSS aims to promote interdisciplinary studies in Humanities & Social Science and become the leading journal in Humanities & Social Science in the world.
Kailash Nagar Research Article publicationKailash Nagar
A Cross Sectional Study to Assess the Knowledge, Attitude and
Practice on Personal Hygiene among School Children in Rural
Primary School of Kheda District, Gujarat
Abstract— If job satisfaction is there in employees, work done by these employees is usually of better quality in comparison where the employees are not satisfied with their jobe. So this study to assess job satisfaction and influence of demographic variables on job satisfaction, this study was carried out on 105 doctors of teaching hospitals. Questionnaire method of data collection was adopted. Job satisfaction was measured by six domains: Organizational functioning, Interpersonal relationship, Financial incentives, Non-financial incentives, Physical facilities and Working conditions. Study observed that over all, doctors were moderately satisfied with their job. Domains such as Interpersonal relationship and Working conditions, doctors were highly satisfied, whereas rest of the domains: Organizational functioning, Financial incentives, Non-financial incentives, and Physical facilities doctors were moderately satisfied. It is important to note that even though overall satisfaction is moderate, there were few components, where doctors were highly satisfied were - Communication system between patients and doctors, Involvement in decision making in the department, Rules and regulations of the institution, relationship between the department colleagues and other department colleagues, Provision for leave encashment, reward given for research work, workload of clinical aspect and workload of teaching aspect. Age and sex both shown significant association on level of satisfaction where as experience, designation and marital status of the doctors have not shown significant association.
Attitudes toward interprofessional education and collaborative practices in M...SubmissionResearchpa
From the perspective of activity theory, it can be argued that the major challenge in relation to implementing interprofessional education (IPE) could be embraced as contradictions that may lead to change. Patients have complex health needs and typically require insight from more than one discipline to address issues regarding their health status (Lumague et al. 2006). The World Health Organization (WHO) recommends that institutions engaged in health professional education and training consider implementing IPE in both undergraduate and postgraduate programs (WHO, 2010). The purpose of this study was to identify the needs of IPECP for health care professionals, faculty members, and students. Methods: The survey instrument contained four scales to evaluate faculty attitudes toward IPE and teamwork, adapted from the methods of Curran et al. (2007). Each scale asked respondents to rate their attitudes toward statements on a 5-point Likert scale (1=strongly disagree; 2=disagree; 3=neutral; 4=agree; 5=strongly agree). The initial factor extractions were performed by means of principal components analysis. To define the model structure more clearly, an exploratory factor analysis using varimax rotation was conducted. The level of significance was p<.0001 for all tests. Results: As shown in Table 2, the Kaiser–Meyer-Olkin index was 0.902, indicating sampling adequacy, and the Bartlett Sphericity Chi-Square index was 2246.5 (p <0.0001). Cronbach’s alpha for the 14 items was 0.731, revealing a high rate of internal consistency. The modified Attitude toward health care team scores (ATHCTS) questionnaire was categorized into four factors: “Quality of care,” “Team efficiency,” “Patient-centered care,” and “Negative factors.” Conclusion: Findings suggest that the positive attitude of health care professionals, faculty members and students towards IPE indicates the need for IPE training by Azjargal Baatar, Sumberzul Nyamjav and Oyuntsetseg Sandag 2020. Attitudes toward interprofessional education and collaborative practices in Mongolia. International Journal on Integrated Education. 3, 8 (Aug. 2020), 48-52. DOI:https://doi.org/10.31149/ijie.v3i8.536 https://journals.researchparks.org/index.php/IJIE/article/view/536/512 https://journals.researchparks.org/index.php/IJIE/article/view/536
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General Research Perspective And Type
3. Research Design and Methodology
General Research Perspective and Type
Using a mixed quantitative and qualitative survey research design, this paper examines the trends in a written open ended survey allowing the respondents to convey their unique perspective. This will allow for a high quality of information from OT practitioners serving in different regions with varied experience. The following subquestions were asked: What are the biggest obstacles facing Occupational Therapy in the school system? Which skills are underutilized in the school system by OT practitioners? Do you feel the role of OT is understood by your co workers? Are you satisfied with your job? The answers to these sub questions are analyzed and examined in this paper.
Research Context and Participants
The mixed quantitative and qualitative surveys were completed online at random through two closed social media groups: School based Occupational Physical Therapists and Pediatric Occupational Therapists. The following criteria had to be met, 1. Participant needed to be an OT or OTA, 2. Participant needed to be practicing in a school based setting. All of the participants questions were self recorded on the online survey. Participants were free to add any additional comments to the survey.
Instruments for Data Collection
Data was collected during the online survey and added to a spreadsheet. The order of questions were given in the order provided below in a open question model with room for comments
Get more content on HelpWriting.net
Consumers satisfaction with health care services in Basra 2003.pdfAlim A-H Yacoub Lovers
Mahasin Ali Al-Taha, Omran S. Habib, Kareem Al- Imara and Alim AH Yacoub. Consumers' satisfaction with healthcare services in Basrah. The Medical Journal of Basrah University 2003;21:94-98
1. Discuss the nursing implications of the findings of the researcMartineMccracken314
1. Discuss the nursing implications of the findings of the research. Consider the following questions:
· Were the results statistically significant, if reported?
· What is the clinical significance of the findings?
· What are the risks vs. benefits to practice of the findings?
· Are the findings feasible to implement?
Work 57 (2017) 259–268
DOI:10.3233/WOR-172551
IOS Press
259
“I’ve never been able to stay in a job”:
A qualitative study of Veterans’
experiences of maintaining employment
Molly Harroda,∗, Erin M. Millerb, Jennifer Henrya and Kara Zivina,b,c,d
a VA Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, MI, USA
bDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA
cDepartment of Health Management and Policy, University of Michigan School of Public Health,
Ann Arbor, MI, USA
dInstitute for Social Research, University of Michigan, Ann Arbor, MI, USA
Received 5 February 2016
Accepted 4 December 2016
Abstract.
BACKGROUND: Ensuring Veteran employment needs are met is a top priority for the Department of Veteran Affairs
and the United States government. However, Veterans, especially those with mental health disorders, continue to encounter
difficulties when employed. While many employment related programs offer numerous services aimed at helping Veterans
gain employment, their ability to maintain long-term employment remains unknown.
OBJECTIVE: The objective of this study was to understand factors that affect the ability of Veterans with mental health
disorders to maintain long-term employment.
METHODS: An exploratory, qualitative study design consisting of semi-structured interviews with 10 Veterans was per-
formed. Inductive thematic analysis was performed to identify salient themes.
RESULTS: We found that participants’ symptoms manifested themselves within the workplace affecting their ability to
maintain employment, participants felt as if they had been demoted from what they did in the military, and they felt unable
to relate to civilian co-workers. Strategies that helped some transition into the civilian workforce were also identified.
CONCLUSIONS: A better understanding of the difficulties some Veterans face when trying to maintain employment is
needed. Our findings suggest that increasing awareness of existing programs and ensuring that services provide resources
and skills that help Veterans maintain long-term employment is critical.
Keywords: Long-term employment, mental health, reintegration
1. Introduction
Within the United States there are approximately
5.5 million Veterans who served during the Gulf War
era (from August 1990 until present) [1]. These Vet-
erans are younger, more likely to be of working age
(18–55), and looking to secure civilian employment.
∗Address for correspondence: Molly Harrod, HSR&D (152)
P.O. Box 130170 Ann Arbor, MI 48113-0170, USA. Tel.: +1 734
845 3600; Fax: +1 734 222 7503; E-mail: [email protected]
Ensuring that V ...
1. Discuss the nursing implications of the findings of the researcAbbyWhyte974
1. Discuss the nursing implications of the findings of the research. Consider the following questions:
· Were the results statistically significant, if reported?
· What is the clinical significance of the findings?
· What are the risks vs. benefits to practice of the findings?
· Are the findings feasible to implement?
Work 57 (2017) 259–268
DOI:10.3233/WOR-172551
IOS Press
259
“I’ve never been able to stay in a job”:
A qualitative study of Veterans’
experiences of maintaining employment
Molly Harroda,∗, Erin M. Millerb, Jennifer Henrya and Kara Zivina,b,c,d
a VA Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, MI, USA
bDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA
cDepartment of Health Management and Policy, University of Michigan School of Public Health,
Ann Arbor, MI, USA
dInstitute for Social Research, University of Michigan, Ann Arbor, MI, USA
Received 5 February 2016
Accepted 4 December 2016
Abstract.
BACKGROUND: Ensuring Veteran employment needs are met is a top priority for the Department of Veteran Affairs
and the United States government. However, Veterans, especially those with mental health disorders, continue to encounter
difficulties when employed. While many employment related programs offer numerous services aimed at helping Veterans
gain employment, their ability to maintain long-term employment remains unknown.
OBJECTIVE: The objective of this study was to understand factors that affect the ability of Veterans with mental health
disorders to maintain long-term employment.
METHODS: An exploratory, qualitative study design consisting of semi-structured interviews with 10 Veterans was per-
formed. Inductive thematic analysis was performed to identify salient themes.
RESULTS: We found that participants’ symptoms manifested themselves within the workplace affecting their ability to
maintain employment, participants felt as if they had been demoted from what they did in the military, and they felt unable
to relate to civilian co-workers. Strategies that helped some transition into the civilian workforce were also identified.
CONCLUSIONS: A better understanding of the difficulties some Veterans face when trying to maintain employment is
needed. Our findings suggest that increasing awareness of existing programs and ensuring that services provide resources
and skills that help Veterans maintain long-term employment is critical.
Keywords: Long-term employment, mental health, reintegration
1. Introduction
Within the United States there are approximately
5.5 million Veterans who served during the Gulf War
era (from August 1990 until present) [1]. These Vet-
erans are younger, more likely to be of working age
(18–55), and looking to secure civilian employment.
∗Address for correspondence: Molly Harrod, HSR&D (152)
P.O. Box 130170 Ann Arbor, MI 48113-0170, USA. Tel.: +1 734
845 3600; Fax: +1 734 222 7503; E-mail: [email protected]
Ensuring that V ...
Attitude of medical students towards the reasons of absenteeism in a medical ...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
MEDSURG Nursing—November/December 2010—Vol. 19/No. 6 335
Carol Isaac MacKusick, PhD(c), MSN,
RN, CNN, is an Assistant Professor of
Nursing, Clayton State University,
Morrow, GA.
Ptlene Minick, PhD, RN, is Doctoral
Faculty and Associate Professor of
Nursing, Georgia State University,
Atlanta, GA.
Carol Isaac MacKusick
Ptlene Minick
Why Are Nurses Leaving? Findings
From an Initial Qualitative Study on
Nursing Attrition
In the United States, nursing workforce projections indicate the registerednurse (RN) shortage may exceed 500,000 RNs by 2025 (American
Association of Colleges of Nursing [AACN], 2010; Cipriano, 2006; U.S.
Department of Health and Human Services, 2002). In 2008, the national RN
vacancy rate in the United States was greater than 8% (AACN, 2010).
Evidence suggests experiences as a newly licensed RN directly impact indi-
vidual perceptions related to the profession (Cowin & Hengstberger-Sims,
2006). An estimated 30%-50% of all new RNs elect either to change positions
or leave nursing completely within the first 3 years of clinical practice
(AACN, 2003; Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Cipriano, 2006;
Cowin & Hengstberger-Sims, 2006). While an abundance of data exist regard-
ing the RN who stays at the bedside, few studies have explored the percep-
tions of the RN who decides to leave clinical nursing. Understanding factors
associated with RNs’ practice decisions is the first step necessary in devel-
oping effective nursing-retention strategies.
Purpose
The purpose of this study was to identify the factors influencing the
decision of RNs to leave clinical nursing practice. Nurses who had elected
to leave clinical nursing were interviewed at the setting of their choice.
Previous clinical nursing experience included a variety of clinical practice
settings. For this study, the term clinical nursing is defined as providing
direct patient care in the hospital setting.
Background
Limited data exist about individuals no longer employed in nursing; no
literature was found about the perceptions or decision-making processes of
RNs no longer in clinical practice. A review of the literature was conducted
searching nursing, medical, labor, and psychological/sociological databas-
es. Years of search ended with 2007, the year of the interviews. A broad
search began with GoogleScholar® and was narrowed to include CINAHL,
MEDline, PsycINFO, and LexisNexis. Several issues concerning practice
decisions are associated with the current nursing shortage, including job
dissatisfaction (Aiken et al., 2002; Buerhaus, Donelan, Ulrich, Norman, &
Dittus, 2005), an aging workforce coupled with increased demands
(Auerbach, Buerhaus, & Staiger, 2007), and problematic relationships
among members of the health care team (Aiken et al., 2002). While these fac-
tors may lead to increased nursing attrition, they have not been explored
from the perspective of the former RN. A thorough examination of RNs’ per-
ceptions regarding the decision to ...
Good medical practice covers a very wide range of issues, including matters of clinical competence and standards relating to more personal and interpersonal skills and attributes, like probity, communication and doctor-patient relationships. Today the patient sees himself as a buyer of health services. Once this concept is accepted, then there is a need to recognize that every patient has certain rights, which puts a special emphasis on to the delivery of quality health care. It is therefore essential that it is informed by a clear understanding of what expectations society actually has of doctors. These expectations are unlikely to be fixed and may be influenced by broader social, moral and cultural shifts.
In May and August 2014, academic researchers surveyed 270 Environmental Service (ES) and Food Service (FS) workers at two U.S. hospitals in Sodexo’s Healthcare Division. The goal of this study was to gather information about workers’ perceived job quality for use in designing a future study aimed at reducing turnover, absenteeism, and work-related injuries at both sites.
For Sodexo, this study provides an opportunity to improve the Quality of Life of these workers, as well as the Quality of Life of the patients they serve. In turn, hospitals can benefit from greater efficiency, reduced costs, improved safety and increased performance.
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
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STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
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Qualifications:
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FCPS Physiology
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MBA (Virtual University of Pakistan)
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Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
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Olfactory Genes:
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400 genes for odorant receptors.
Olfactory Membrane:
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Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
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Olfactory Mucosa:
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Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
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Membrane Potential and Action Potential:
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Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
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3. professional satisfaction b sc nsg stu
1. Professional Satisfaction among Pass-out B.Sc. Nursing
Graduates of B. P. Koirala Institute of Health Sciences Nepal
*1Mehta RS, *2Yadav R.
Email : ramsharanmehta@gmail.com
Abstract:
Professional Satisfaction is a measure of valuation or an inner estimation or judgment of
whether the expectations are met from the profession or not. This study was conducted to find
out the professional satisfaction among pass-out B.Sc. Nursing graduates from BPKIHS from
batches 1996 to 2004. Descriptive, cross-sectional study design was adopted to carry out the
study. Using convenient and snowball sampling technique, out of 104 graduates, 50 were
included in the study. A pre-tested semi-structured questionnaire was used by self
administration method to collect the information.
Regarding satisfaction in different areas highest satisfaction was with status / security /
respect (75%) and lowest with working condition (54%). The areas with decreasing value of
satisfaction were growth and development, and interpersonal relationship (72%),
achievement, recognition and accomplishment, salary, and supervision (70%), autonomy /
challenging work / increased responsibility (69%). The majority of the respondents (54%)
stated that there is job security in the profession and the opportunity to help others (52%) was
the reason for their satisfaction, but 28% said that there is no updating of knowledge and
there is no autonomy (30%) in nursing profession.
Based on this study we conclude that there is no difference in professional satisfaction of the
respondents living in Nepal and abroad. Satisfaction is dependent upon age but not upon
other independent variables. It is seen that though there are many problems and many areas of
dissatisfaction in nursing profession the respondents are satisfied to some extent with it and
the reason for brain drain among B.Sc. Nursing graduates were their personal interest.
*1Ram Sharan Mehta, Associate Professor, Medical-Surgical Nursing Department
Email: ramsharanmehta@hotmail.com, B. P. Koirala Institute of Health Sciences
*2Ruby Yadav, B. Sc. Nursing, College of Nursing, B. P. Koirala Institute of Health
Sciences
2. Introduction:
The goal of nursing is to restore, maintain and advance the health of the patient. It is both a
science and an art. The science is the application of nursing knowledge and the technical
aspects of the practice. The art is the establishment of a caring relationship through which the
nurse applies nursing knowledge and uses judgment in a compassionate manner. Both focus
on the whole person, not just a particular health problem.
According to the study conducted by Tzeng1, the level of job satisfaction among care workers
is positively correlated with client satisfaction. Similarly Watanabe2 stated that job
satisfaction and intention to turnover among care workers have been suggested as important
factors determining the quality of services.
Study conducted by Gleason3 stated that job satisfaction is a strong and significant predictor
of worker’s intention to leave the job. Similarly another study conducted by Gaur4 stated that
those who are not satisfied with their job are more likely to think about quitting their jobs.
Even if they do not actually take the action, just having such thoughts may have a negative
impact on the quality of care service.
With reference to the behaviors of nurses that lead to mistakes in public practice, a study
conducted by Zhong5 in California, USA demonstrated that the majority of nurses were not
disciplined for system errors i.e. 70% of the cases reported in the study (N=207) were
unrelated to system errors. Instead, they resulted from misjudgment, misconduct, or
incompetence. These violations threaten the public safety.
According to Burton6, nurses perceive self-fulfillment and a sense of accomplishment or
achievement as factors which contribute to job satisfaction. In addition, educational
opportunities, intellectual motivation and the occasion to develop new skills, rank high on the
list of job satisfiers.
The study by Storey7 reported that flexibility or its absence in working arrangements appear
to be a key factor influencing nurse’s decision to leave. Lack of autonomy, support and
feeling valued are also important while making the decision.
According to Weisman8, job dissatisfaction is the main reason why nurses leave their
positions, while the predominant issues associated with job dissatisfaction include nursing
control and career opportunities. Similarly a study conducted by Yamashita18 in studying
Japanese nurses, found that little opportunity for promotion negatively affected job
satisfaction.
The Murrells10 in his study in UK reported that the impact of time on job satisfaction in early
career is highly dependent on specialization. Different contexts, settings and organizational
settings lead to varying experiences. Future research should focus on understanding the
relationships between job characteristics and the components of job satisfaction rather than
job satisfaction as a unitary construct. Research that further investigates the benefits of a
formal one year preceptorship or probationary period is needed. We conclude that the impact
of time on job satisfaction in early career is highly dependent upon specific jobs, even within
the same profession.
2
3. Objectives
1. To identify the professional satisfaction among pass-out B.Sc. Nursing graduates of
BPKIHS from 1996 to 2004 batch.
2. To compare the professional satisfaction of pass-out B.Sc. Nursing graduates working in
Nepal and abroad.
3. To find out the association between professional satisfaction and selected demographic
variables (age, gender, current residence, marital status, duration of employment, living
with and designation).
Research Design and Methodology:
A descriptive cross sectional research design was used to conduct the study. The research was
conducted among pass-out B.Sc. Nursing graduates from BPKIHS from 1996 to 2004 batch
living in Nepal and abroad and related to nursing profession. A convenient and snowball
sampling technique was used to collect the data. Fifty subjects were included in the study. A
self prepared semi structured pre-tested questionnaire was used for data collection.
Likert scale was used for rating the satisfaction in different areas. It consists of positive and
negative items. Positive items were rated as strongly disagree to strongly agree and the
scoring was given accordingly (1, 2, 3, 4 and 5). Reverse scoring was given for negative
items i.e. strongly disagree to strongly agree and scoring varied as 5, 4, 3, 2 and 1. Negative
items included number 6, 21, 27, 28 and 29 and rest all was positive. Maximum obtainable
score was 190. Different items were included to assess the professional satisfaction in each
area. Obtained scoring (overall and in specific areas) were converted into percentages and
interpreted by using median percentage and inter-quartile range.
A list of pass-out B.Sc. Nursing graduates was obtained from Academic Section and
corresponding address collected from college of nursing, available friends and relatives. For
the pass-out students who were in BPKIHS questionnaire was given directly. Postal, visiting,
e-mailing was applied for those in eastern region of Nepal and Kathmandu and e-mailing was
done for those working abroad for data collection. Convenient and snowball sampling
technique was used for data collection. Data collection period was of from 10th January to
10th June 2009.
Results:
Half of the respondents were of age group 22-25 yrs, 88% were females, 98% were Hindus
and 50% were Brahmin / Chettri, 30% Newar, 56% were married, 58% living in Nepal and
rest abroad (USA, Bangladesh, South Korea, Ireland, China, India and UK). With regards to
work experience, 32% had 1-2 yrs of experience and 30% had > 3 yrs experience. With
regards to qualification 70% had not done any further study after B. Sc., 14% had done M.
Sc. Nursing and 12% had done Masters in other nursing related fields.
Majority of the respondents (44%) were working at the post of Nursing Instructor / Officer /
Tutor / Sister and 18% are at Assistant Lecturer / Researcher. Among the ones living in Nepal
most (75.9%) were at officer level post and the rest were at the post higher than officer level.
Among the ones living abroad majority (57.1%) were nursing students and 33.4% were
working as RN / Staff Nurse.
Majority of the respondents (56%) said that nursing is a noble profession because of its
caring nature and dedication to make a difference in others life (10%). Thirty percent of the
3
4. respondents did not answer to this question and 2(4%) of the respondents said that there is
nothing to quote noble for nursing. In their view it is as respected as other professions.
The majority of the respondents (36%) said that there is lack of autonomy and self sustaining
practices in this profession and 36% mentioned that there is no updating of knowledge and
skills. Most of them (20%) quoted that there is a social stigma that nurses are assistant to the
doctors and ego problems of seniors which is also a problem of this profession. The majority
of the respondents (54%) said job security and 52% said opportunity to help as the major
reason for their satisfaction with nursing profession.
Few respondents (20%) said that there is less reward and it is overshadowed by medical
profession and 18% also said that there is social stigma attached with this profession which is
the reason for their dissatisfaction with nursing profession. The majority of the respondents
(24%) said that one should respect and accept the profession and 16% said that the pass-out
graduates should aspire for higher studies as early as possible in order to improve
professional satisfaction among pass-out B.Sc. Nursing graduates from BPKIHS.
The majority of the respondents (44%) said that there should be adequate supervision and
guidance especially in clinical posting and 18% said that updated information should be
given by nursing faculties in their related departments in order to improve nursing training in
BPKIHS.
Discussion:
No significant difference was found between professional satisfaction and selected
independent variables (p-value = 0.076 for gender, 0.074 for marital status, 0.342 for duration
of employment, 0.341 for living with spouse and 0.764 for designation) and significant
difference was found between professional satisfaction and age (p-value = 0.039) which
showed that with increasing age professional satisfaction was more (Spearman’s correlation
coefficient = +0.392. Hence, at 5% level of significance the researcher concludes that the null
hypothesis I is partially accepted.
There was no significant difference between professional satisfaction of B. Sc. Nursing
graduates living in Nepal and abroad (p-value = 0.992 for overall satisfaction, 0.721 for
achievement, 0.532 for recognition and accomplishment, 0.309 for autonomy, challenging
work and increased responsibility, 0.906 for growth and development, 0.441 for salary, 0.813
for interpersonal relationship, 0.259 for status, security and respect and 0.876 for
supervision). Hence, at 5% level of significance the researcher concludes that the null
hypothesis II is not rejected meaning that professional satisfaction in not affected by the
country of residence.
Suggestion to improve professional satisfaction among B. Sc. Nursing graduates and nursing
education at BPKIHS: They suggested for higher studies as soon as possible (16%) and think
positive (14%).
They also suggested to improve nursing training in BPKIHS, majority of the respondents
(44%) said that there should be adequate supervision and guidance especially in clinical
posting and 14% said that there should be continue training by nursing faculties in their
related departments.
4
5. Conclusion:
This study concludes that there is no difference in professional satisfaction of the respondents
living in Nepal and abroad. Also satisfaction is dependent upon age but not upon other
independent variables like gender, current residence, marital status, living with and
designation. It can be said that in spite of many problems and areas of dissatisfaction in
nursing profession the respondents are satisfied to some extent with it.
References:
1. Treng HM, Ketefian S, Redman RW. Relationship of nurse’s assessment of
organizational culture, job satisfaction, and patient satisfaction with nursing care. Int J
Nurs stud 2001;22:3-14.
2. Watanabe RN. Effect of age on job satisfaction and intention to turnover among
female nursing home care workers. Journal of Policy Studies. 2005 Mar; 19: 75-89.
3. Gleason WP, Mindel CH. A proposed model for predicting job satisfaction among
nursing home social workers. J Geronto Soc Work 1999;32:65-79.
4. Gaur L, Chandler B, Burton B, Kolditz D. Institutional loyalty and job satisfaction
among nurse aides in nursing homes. Journal of Aging and Health 1991; 3:47-65.
5. Mason D. Letters: Who’s watching nurses? Am J Nurs [Serial online] 2009 March
[cited 2009 July 17] 14: Available from: URL: http://hinari_gw.who.int
6. Burton EC and Burton DT. Job expectations of senior nursing students. J Nurs Adm
1982;12(3):11-17.
7. Storey C, Cheater F, Ford J and Leese B. Retention of nurses in the primary and
community care workforce after the age of 50 years: database analysis and literature
review. J Adv Nurs 2009 Mar;65(8):1596-1605.
8. Weisman CS. Recruit from within: hospital nurse retention in the 1980’s. J Nurs Adm
1982;12(5):24-31.
9. Yamashita M. Job satisfaction in Japanese Nurses. J Adv Nurs 1995;22(1):158-164.
10. Murrells T, Robinson S, Griffiths P. Job satisfaction trends during nurses' early career,
BioMed Central 2008;(7)7.
11. Ruth HC, James DM. Job satisfaction of staff registered nurses in primary and team
nursing delivery systems [serial online] 1981 Jan [cited 2009 July 17] Available from:
URL:http://www3.interscience.wiley.com/journal/114081992/abstract
12. Fitzenberger B and Wunderlich, G. The changing life cycle patterns in female
employment: A comparision of Germany and the UK. 2002; Discussion paper No. 02-
70. Mennheim: The Center for European Economic Research (ZEW).
13. Morinaga, Y. Work values and Career Patterns of Women College Graduates in
Japan. Kobe College Studies 1999;46:133-148.
5
6. Table 1
Association between Percentage Satisfaction in Various Components of Profession and Residence
Median percentage of Professional
Remarks
Satisfaction
p-value
S.N. Item/ Particulars (IQR)
Nepal Abroad
n=29 n=21
1 Achievement 72 (60-82) 68 (60-76) 0.721 NS
2 Recognition and accomplishment 70 (60-80) 70 (62.5-80) 0.532 NS
3 Autonomy/Challenging work/ 71 (63-77) 63 (55.5-77) 0.309 NS
Increased responsibility
4 Growth and development 72 (60-88) 72 (60-90) 0.906 NS
5 Salary 70 (60-70) 60 (60-75) 0.441 NS
6 Interpersonal relationship 72 (64-80) 76 (60-80) 0.813 NS
7 Working condition 52 (40-64) 64 (48-78) 0.068 NS
8 Status/Security/Respect 75 (65-85) 70 (57.5-77.5) 0.259 NS
9 Supervision 60 (50-80) 80 (40-80) 0.876 NS
Mann Whitney U Test Key: S = Significant, NS = Not Significant
Table2
Association between Professional Satisfaction and Selected Independent Variables
n=50
Median percentage of
S.N. Characteristics Categories p-value Remarks
satisfaction (IQR)
1 Age <25 years 65 (58-71) 0.039 S
>25 years 72 (66-77.5)
2 Gender Male 74.5 (71-77) 0.076 NS
Female 67.5 (58.25-74.75)
3 Current residence Nepal 68 (60-75) 0.992 NS
Abroad 68 (61-76)
4 Marital status Single 66.5 (58-72) 0.074 NS
married 73 (65-77)
5 Duration of <1 yr 65.5 (57.75-77.25) 0.342 NS
employment >1 yr 69 (64.25-75)
6 Living Alone 67.5 (58.25-71) 0.341 NS
With spouse / family 68.5 (62-75.5)
or others
7 Post / designation >officer level 74 (65.5-76.5) 0.764 NS
<officer level 69 (64.25-77)
Mann Whitney U Test Key: S = Significant, NS = Not Significant
6