Extent of Use, Perceptions, and Knowledge of a 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

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.

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

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.

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