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My Research
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النشاط البحثي |
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Turnover rate among
registered nurses in Jordanian hospitals: An exploratory
study
Hayajneh YA, AbuAlRub RF,
Athamneh AZ, Almakhzoomy IK.
International Journal of
Nursing Practice 2009; 15: 303–310
The aim of this study
is to (i) determine the turnover rate among registered
nurses in Jordanian hospitals; and (ii) compare
the turnover rate between (a) male and female
registered nurses; (b) northern, middle and southern
regions; (c) public, private
and university hospitals; (d) rural and urban hospitals;
and (e) general and specialized hospitals. A
descriptive, cross-sectional
retrospective survey design was used. A structured
interview method was utilized to collect data. A
proportional random sample of 25% of the total
number of Jordanian hospitals was taken. The results
showed that the overall
turnover rate was 36.6%. There were variations according
to geographical region, health sector and place of
residence. Turnover among registered nurses in
Jordanian hospitals is considered a problem that
requires effective strategies
to deal with. Further research is required to identify
the causes, and to explain the differences in the
turnover rates according to
the different study variables.
Full
Report |
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Comparison of Clinical Associations and Laboratory Abnormalities in Children With Moderate and Severe
Dehydration
Hayajneh
WA, Jdaitawi H, Al Shurman A, Hayajneh YA.
Journal of pediatric gastroenterology and nutrition,
2009 Jul 28
OBJECTIVES:: To search for possible early clinical
associations and laboratory abnormalities in children
with severe dehydration in northern Jordan. PATIENTS AND
METHODS:: We prospectively evaluated 251 children with
acute gastroenteritis. Dehydration assessment was done
following a known clinical scheme. Probable clinical
associations and laboratory abnormalities were examined
against the preassigned dehydration status. RESULTS::
Children with severe dehydration had significantly more
hypernatremia and hyperkalemia, less isonatremia, and
higher mean levels of urea, creatinine, and glucose (P <
0.005). Receiver operating characteristic curves showed
statistically significant area under the curve values
for laboratory variables. These area under the curve
values were 0.991 (95% confidence interval [CI]
0.980-1.001) for serum urea, 0.862 (95% CI 0.746-0.978)
for sodium, 0.850 (95% CI 0.751-0.949) for creatinine,
0.69 (95% CI 0.555-0.824) for potassium, and 0.684 (95%
CI 0.574-0.795) for glucose (P < 0.05 for all). Certain
independent serum cutoff levels of urea, creatinine,
sodium, glucose, and potassium had high negative
predictive value (100%), whereas other cutoff values for
each, except potassium, had high positive predictive
value (100%) for severe dehydration. Historic clinical
characteristics of patients did not correlate to
dehydration degree. CONCLUSIONS:: Serum urea,
creatinine, sodium, potassium, and glucose were useful
independently in augmenting clinical examination to
diagnose the degree of dehydration status among children
presenting with gastroenteritis. Serum urea performed
the best among all. On the contrary, none of the
examined historical clinical patterns could be
correlated to the dehydration status. Larger and
multicenter studies are needed to validate our results
and to examine their impact on final outcomes. |
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Extent of Use,
Perceptions, and Knowledge of Hospital Information
System by Staff Physicians
Yaseen A. Hayajneh,
Wail A. Hayajneh, Ismail I. Matalka, Harun Z. Jaradat,
Z. Bashabsheh, and M. Alyahya
Jordan University of Science and
Technology and king Abdullah University Hospital
Proceedings of the International Medical Informatics and
Biomedical Engineering
Symposium (2006)
A computerized hospital
information system (HIS) used to support clinical and
administrative processes was implemented in a large
Jordanian teaching hospital in 2003. Physicians’
acceptance and perceptions of the HIS is known to be one
important factor in influencing successful
implementation of hospital information systems. The aim
of this study was to describe physicians’ use,
perceptions, and knowledge regarding the implemented
HIS. A descriptive survey design was used. The setting
is a large teaching hospital. An investigator-developed
questionnaire comprising 38 questions was distributed to
a convenient sample of 29 staff physicians who practiced
in the hospital in the periods before and after
implementation of the system. Results indicate that
staff physicians use the system and that access to
information was improved as a result of the HIS. Other
results and conclusions are discussed.
Full Report |
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Computer Use among
Undergraduate Nursing Students
in Jordan: An Exploratory Study
Hayajneh Yaseen, Al-Nsair
Nezam, and Almakhzoomy Ibtihal (2006)
Jordan University of Science and
Technology
INTRODUCTION: In this study an
attempt was made to describe computer
use, reasons for computer use, access to
computers, computer-related skills, and
attitudes toward computer use among undergraduate
nursing students. Information
gained from this study will help nursing educators
achieve better understanding
of computer use among nursing students and help them in
developing strategies to
enhance students' effective use of computers and better
prepare them for their
clinical nursing roles in future technology-intensive
health care environments.
METHODS: An exploratory descriptive cross-sectional
survey design was used. A
convenience sample of 203 undergraduate nursing students
at a Jordanian university was
studied. A questionnaire consisting of 45 questions was
developed to collect
information to answer research questions. RESULTS: More
than half of the students
(54%) reported using computers on a daily or semi-daily
basis. The majority of
students (83.6%) reported that they have easy access to
a computer and that a PC is
present in their residence (86.1%). Sixty nine percent
of the students reported that
they own their own personal computer. About two thirds
of students reported home as
the most common place to use a computer and about a
quarter (26.7%) reported university computer labs
as the most common place.
About 66% of students reported using computers for
entertainment purposes on a
daily (16.8%), semi-daily (24.0%) and weekly (25.5%)
basis and a smaller percentage
(57.4%) of students reported using computers for study
purposes on a daily (8.2%),
semi-daily (20.0%) and weekly (29.2%) basis. CONCLUSION:
Nursing students have the
computer skills necessary for managing and using
computers in an effective way.
However, nursing students are using computers for
entertainment purposes more often than they use
them for study purposes. These
findings suggest that nurse educators need to educate
students of the opportunity
that computer use may offer to enhance the effectiveness
of their education. |
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The Effect
of Type of
Hospital and Health Insurance
on Hospital Length
of Stay in
Irbid, North Jordan
Salah Mawajdeh, Yaseen Hayajneh and R
Al-Qutob (1997)
Jordan University of Science and Technology
Health Policy and Planning, Vol 12, 166-172
The study aimed at examining the
effects of type of hospital and health insurance status
on hospital length of stay for three identified medical
and surgical conditions. Medical records of 520 patients
for the year 1991 were reviewed in one public and one
private hospital. Comparison of hospital length of stay
for the private (n=185) versus public sector (n=335) was
carried out. The effect of presence of health insurance
(n=189) and the lack of it (n=325) was also studied. It
was found that the average length of stay in the public
hospital was significantly longer than the private one
(3.3 versus 2.7 days). In addition, insured patients had
significantly longer hospital length of stay (3.3 versus
3.0 days). The results of the multivariate analysis
showed that after socioeconomic factors and clinical
conditions of patients were adjusted for, the influence
of hospital type and health insurance on hospital length
of stay was about one day. The paper also discusses the
need to base hospital cost-containment strategies on
studies of hospital behaviour and performance.
Full Report |
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A Case-Control Study of
Hepatitis B Virus Infection Risk Factors in North
Jordan.
Hayajneh, W., Masaadeh,
H., and Hayajneh, Y.
Submitted
for publication
Jordan is a country with intermediate endemicity for
hepatitis B virus (HBV) infection where risk factors for
viral transmission and their relative contributions are
not well known. We conducted a case–control study of one
hundred hepatitis B virus seropositive patients and
another 100 seronegative controls. Univariate analysis
and logistic regression model were performed to examine
probable risk factors for acquisition of hepatitis b
virus infections. Logistic-regression analysis showed
that significant risk factors for acquisition of
hepatitis b virus infection were sharing toothbrushes
(odds ratio = 10.167; 95 percent confidence interval,
1.181-87.509), unhygienic dental care (odds ratio =
2.455; 95 percent confidence interval, 1.294-4.658), and
living abroad for at least one year (odds ratio =
20.018; 95 percent confidence interval, 2.268-176.685).
The presence of these risk factors emphasizes the need
for both expanding use of hepatitis B vaccines and
risk-targeted public health education. Development and
enforcement of appropriate infection control guidelines
for dental care services are also necessary to curtail
HBV transmission. Further research that controls for
confounding is needed to assess the relative
contribution of the identified risk factors in our
community. |
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An Analysis of
Body
Weight and
Hemodialysis Adequacy
Based on the
Urea
Reduction Ratio
Culp, K., Flanigan, M., and
Hayajneh, Yaseen (1999)
University of Iowa College of Nursing, Iowa City, USA
ANNA Journal, 26(4), 391-400.
The purpose of this study was to
evaluate inadequate hemodialysis risk in patients with
body weights in the upper quartile of a sample
distribution using the urea reduction ratio (URR). Using
a case-control design and a simple random sample (n =
315) of hemodialysis (HD) patients, postdialysis weights
were divided into quartiles based with a cut-off value
at the upper quartile, which was equal to > 81 kilograms
(kg). The dichotomous outcome, URR > 65% and URR < 65%
constituted the classification for inadequate dialysis
risk. The odds ratio (OR) was used to evaluate
inadequate dialysis risk based on this outcome. A
multivariate logistic regression model was used to
adjust for confounding variables and validated for
goodness of fit. Those in the > 81 kg group were given
more dialysis session time in minutes and used higher
efficiency dialyzers as indicated by the coefficient of
ultrafiltration (KUf), yet were more likely to have URRs
< 65% compared to other patients in the sample (p <
0.001). This finding persisted in the logistic
regression model when simultaneously fitting both gender
and dialysis session time. Patients weighing > 81 kg
experienced an increased risk of inadequate dialysis
when compared to all others (OR 4.02, 95% CI [confidence
interval] 2.217-7.29). A postdialysis weight > 81 kg
increased the risk of inadequate dialysis for patients
in this sample. This effect was confounded by a dialysis
time x weight interaction term. Also, women were found
to have a lower inadequate dialysis risk compared to men
after adjusting for weight classification. We,
therefore, conclude that patients who weigh > 81 kg may
experience inadequate dialysis despite longer, more
efficient dialysis sessions. Longer dialysis sessions
may benefit some patients, but the effect in larger
patients may not be a uniform response. |
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Advising Masters' Theses
Patient Satisfaction with Nursing Care at Governmental
Hospitals in Lattakia: An Exploratory Study
Student : Nour Abboud - 2008
Turnover Rate Among Registered Nurses In Jordanian
Hospitals
Student
:
Ayman Athamneh - 2007
Prevalence of Childhood Overweight and
Obesity Among Arab Pre-adolescents in a
Developing Country
Student : Lena Aldairy - 2006
Prevalence and Predictors of Smoking among Male High
School Students in Irbid Governorate, Jordan
Student : Saleh Masaadeh
- 2006
Co Advisor
Evaluating the Quality of Diabetic Care by the Use of
Case Management Guidelines at
Selected Primary Health Care Centers."
Student : Rateb Abu-Zeid. 2003 |
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