International Journal of Nursing Education and Research

Lynet Jenifer Dsouza ¹, Larissa Martha Sams ²

Affiliations
1 Laxmi Memorial College of Nursing, A.J. Towers, Balmatta, Mangalore- 575 002, IN
2 Department of Medical Surgical Nursing, Laxmi Memorial College of Nursing, A.J Towers, Balmatta, Mangalore -575002, IN

Abstract

Background: Coronary Heart Disease (CHD) is one of the cruel diseases that could either take the life away or disable person for life at any time without warning. Primarily, women were believed to have less risk in exposing to some modifiable risk factors such as alcohol, tobacco and high lipid food consumption.2 McCrae and Costa believed that preferred coping strategies depend on certain personality traits. According to Costa and McCrae while coping is not necessary a direct expression of personality, it is certainly influenced by personality traits. Other researchers have suggested that coping behaviour itself may be viewed as a trait. Despite such extremely controversial positions, it has to be recognized that both stability and change are present within the coping process. 3 Aims: The aim of the study was to assess personality pattern of coronary heart disease patients and the coping strategies during stressful situations using Cattell’s 16 Personality Factor and Coping brief scale.

Objectives of the study:

1. To determine the personality profile and coping strategies among patients who are diagnosed to have coronary artery disease by using Cattell’s 16 personality Factor and Coping brief scale.

2. To determine the personality profile and coping strategies among non-patients group Catter’s 16 personality Factor and Coping brief scale.

3. To compare the difference in the personality profile and coping strategies among coronary heart disease patients and non-patients groups.

Method:

A descriptive comparative study consisting of 25 coronary heart disease patients and 25 non patients group selected by using purposive sampling technique was conducted in a multispecialty teaching hospital.

Results:

Majority (80%) of sample in the non-patient group were in 56-65 years and patients (36%) were in the age group of 46-55 years. The least percentage in the patients (12%) were in the age group of above 66 years. Majority of patients (60%) and non-patients (56%) were males. Highest percentage of subjects in the patient (40%) and non-patient group (36%) were Muslims. Highest percentage of patients (44%) and majority of non-patients (52%) were single. The highest percentage of the subjects had high school education (44%) and non-patients had primary education (40%). Highest percentages of the subjects (36%) were govt employee and non-patients (44%) were skilled and semiskilled workers. Majority of subjects (60%) were vegetarians and non-patients (84%) were non vegetarians. Highest percentage of subjects in the patients (48%) and non-patients (56%) were smoking. The highest percentage of the subjects in the patients (44%) and non-patients (52%) were performing regular excises/walking. The highest percentages of patients (52%) were having family history of cardiovascular disease. The highest percentage (40%) had<6month duration of illness. Majority of subjects (56%) were hospitalized with in the previous 6 months. Majority of patients (64%) had undergone medical treatment. The mean score of coping strategy using coping brief scale show that non-patients (97.32±2.135) was greater than patients (78.12±4.497).The mean score of personality profile using Cattell’s 16 personality Factor show that non-patients (588.72±15.931) was greater than patients (587.6±42.571). The data also depicts the range of score in patients was higher (154) where as in non-patients it was less (66).

Interpretation and conclusion:

Findings of the study showed that there was no significant difference in the personality profile scores (t=0.123, p<0.05) between coronary heart disease patients and non-patients group and also showed that there was a significant difference in the coping strategies (t= 19.295, p<0.05) between coronary heart disease patients and non-patient group.

Keywords

Personality Profile, Coping Strategies, Coronary Heart Disease Patients, Non- Patients Groups.

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Raji Varughese ¹, Larissa Martha Sams ²

Affiliations
1 Laxmi Memorial College of Nursing, A.J. Towers, Balmatta, Mangalore- 575 002, IN
2 Department of Medical Surgical Nursing, Laxmi Memorial College of Nursing, A.J.Towers, Balmatta, Mangalore -575 002, IN

Abstract

Background:

Patient safety has become an essential part of the health care and issue of concern worldwide and a lot of work has been done in many countries on issues relating to it. Implementing a safety culture assessment involves the commitment of staff time and resources. Safety culture assessments are new tools in the patient safety improvement arsenal. These tools can be used to measure organizational conditions that lead to adverse events and patient harm, and for developing and evaluating safety improvement interventions in healthcare organizations. They provide a metric by which the implicit shared understandings about ''the way we do things around here'' can be made visible and available as input for change as well.

Aims:

The aim of this study was to assess the current patient safety culture among health-care providers at hospitals using a Hospital Survey for Patient Safety Culture, in which experts delineated a number of safety culture dimensions that a hospital can measure using a culture assessment tool developed for the Agency for Healthcare Research and Quality.

Objectives of the Study:

1. To measure the patient safety culture among medical staff using Hospital Survey on Patient Safety Culture Questionnaire (HSOPSC)

2. To measure the patient safety culture among nursing staff using Hospital Survey on Patient Safety Culture Questionnaire (HSOPSC)

3. To measure the patient safety culture among paramedical staff using Hospital Survey on Patient Safety Culture Questionnaire (HSOPSC)

4. To compare the differences on patient safety culture among various hospital staff

Method:

A descriptive study consisting of 90 hospital staff including doctors, nurses and paramedical staff selected by using purposive sampling technique was conducted in a multispecialty teaching hospital. Hospital Survey on Patient Safety's PSC dimensions was used to assess the patient safety culture.

Results:

The study showed that majority (55.6%) of hospital staff was in the age group of 20-29 years. Most of them (71.2%) were males. The most represented work area were medical unit (16.6%) followed by laboratory (15.5%), surgical unit (14.4%), mixed medical surgical unit (13.3%),Intensive Care Units(10%), dialysis(8.88%), radiology (8.88%),emergency department (8%),operation theatre(3.33%) and anesthesiology (1.11%).Majority of subjects (30%) reported that they had 1 to 5 years of work experience in the relevant unit. Highest positive response on measurement of patient safety culture by medical staff was in the dimension of Staffing (85.2%), which indicated that there was no shortage of medical staff in the hospital and least reported was handoffs and transition (54%), which showed high chances of ineffective handoffs that can contribute to failures in patient safety including medication errors, wrong-site surgery and patient deaths. Highest positive response on measurement of patient safety culture by nursing staff was in the dimension of Team work within the units (87.15%), which signified the importance of team work contributing to patient safety and least reported response was Staffing (60.3%), which indicated that there is a severe shortage of nursing staff in the hospital. Highest positive response of on measurement of patient safety culture by paramedical staff was in the dimension of Organizational learning - Continuous improvement (86.6%), which might be due to learning from the adverse events that takes place in the hospital by analyzing and taking measures to prevent repetition of same adverse events and least reported response was Handoffs and transition (57.3%), which showed high chances of ineffective handoffs that can contribute to failures in patient safety.

Interpretation and Conclusion:

Findings of the study showed that there was a significant difference between perceptions of safety culture among doctors, nurses and paramedical in three dimensions like Supervisor/manager expectation and actions promoting patient safety, Feedback and communication about error and Communication openness.

Keywords

Patient Safety, Safety Culture, Hospital Staff, Hospital Survey on Patient Safety Culture.

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Tincymol George ¹, Larissa Martha Sams ²

Affiliations
1 Med. Surg. Department, Laxmi Memorial College of Nursing, Balmatta, Mangalore, Karnataka, IN
2 Laxmi Memorial College of Nursing, Balmatta, Mangalore, Karnataka, IN

Abstract

Sleep is necessary and an essential part of the 24-hour cycle, and the quality and quantity of sleep are reflected by the individual's daytime function. It is a natural state of bodily rest observed in humans. It is distinguished from quiet wakefulness by a decreased ability to react to stimuli, and it is more easily reversible than hibernation or coma. When there is reduced sleep, we become irritable, tired, and aggressive, more likely to have confused reaction. Sleep disturbance is common problem among hospitalized patients especially in critical care units. This becomes worse during the recovery period of surgical cases especially following open heart surgery cases due to several factors.

Keywords

Sleep, Open Heart Surgery.

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