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Volume 6, Problème 3 (2017)

article de recherche

The Safe and Effective Plateletpheresis

Bibekov Z*, Burkitbaev Z, Skorikova S, Kenzhin A and Magzumova R

At the Research and Production Center of Transfusion platelet production have mainly supported (about 99%) by apheresis. However, apheresis donations have limitations caused by donor fitness due to both their preferences and their platelet pre-count validity. So, it is important to maintain of single donor high-dose plateletpheresis by improving its efficacy and safety. The aim of study was to develop of safe-effective approaches of plateletpheresis. Donors had been attracted to the study if they had filed of informed consent for post-collection blood sampling in advance. They were selected with following criteria: male, age 18-60 years, weight ≥ 55 kg, Hb ≥ 125.0 g/L, PLTs ≥ 160.0 × 109/L. Target number of platelets need to be obtained was chosen under calculation of estimated donor post-collection platelets. Platelets were harvested by «Hemonetics MCS plus» separators with LDP protocol, blood samples were counted by «Sysmex» hematology analyzer. Thus, 16 apheresis procedures with volunteer-donors were studied. The following results are demonstrated in the present study: donor pre-collection platelets 286.0 × 109/L ± 27.2; donor blood volume calculated by separator 5481.6 mL ± 408.5; platelet yield 473.1 × 109/unit ± 47.7; donor blood processed 3190.8 mL ± 189.7; donor platelets processed 763.0 × 109 ± 55.6; actual donor post-collection platelets measured by lab 193.3 × 109/L ± 18.6; platelet collection efficacy 61.9% ± 3.0. The values of estimated postcollection platelets 199.0 × 109/L ± 21.3 were not significantly different from those with actual post-collection platelets 193.3 × 109/L ± 18.6 (χ2=0.401). Thus, plateletpheresis efficacy has to be controlled using calculation of estimated donor post-collection platelets by making sure that safe threshold of post-apheresis platelet number is provided. The further studies have to be proceeding due to small number of observations.

article de recherche

Neonatal Danger Signs: Attitude and Practice of Post-Natal Mothers

Reena Thakur, Rajesh Kumar Sharma*, Laxmi Kumar and Sanchita Pugazhendi

Background: A mother is the nearest person to a neonate to identify, present and manage the neonates' problem, which ensure that neonate can lead a healthy life. Every year four million babies die in the first month of life and a quarter of these take place in India. About 98% of new-born deaths occur in developing countries, where most new-borns deaths occur at home. The main obstacles in improving new-born survival are that many babies are born at home without skilled attendance. Hence the present study was aimed to assess the attitude and practice of mothers to recognize neonatal danger signs and various household practices followed by mother to identify and to treat danger signs. Materials and method: A descriptive cross-sectional study with quantitative approach was undertaken on 100 post natal mothers by convenient sampling technique with the objective to assess the attitude and practice of post natal mothers regarding neonatal danger signs. Attitude scale and self-reporting practice check-list were used as a data collection tools. Results: Result of the study shows that 61% of mothers had moderate attitude, 39% of mothers had favorable attitude. Whereas, practice level was high among majority (90.56%) of the post natal mothers regarding neonatal danger signs. There was a statistically significant correlation (r=0.401 at 0.01 level of significance) between attitude score and practice score. Conclusion: The study concluded that there is need to improve the attitude and practices of post natal mothers regarding neonatal danger signs either during antenatal visit, post natal period or at community level. Community based educational program should be launched to enhance knowledge, attitude and practice of post natal mothers regarding neonatal danger signs.

article de recherche

Job Satisfaction Factors and Nurses Intention to Quit in Type C Hospitals

Conny Oktizulvia*, Dachriyanus Dachriyanus and Vionalisa Vionalisa

Aim: This study investigated the relationship among nurses’ job satisfaction factors and intention to quit in hospitals type C. Background: High nursing turnover is still becoming a problem facing many countries including Indonesia. The previous study in Indonesia showed that nurses more inclined to quit them and moving work to other hospitals or else. Methods: A cross sectional, correlational design was used. Data were collected by self-reported questionnaire and proportional random sampling of 183 nurses in three hospitals was conducted. The Job Satisfaction Survey (JSS) and a single question of intention to quit were used. Spearman rank correlation and multiple linear regression analyses were used to examine the data. Results: Half of nurses (51.9%) reporting that they “likely” and “very likely” intended to quit their workplace within the next year. The average of job satisfaction was found at 48.6% of nurses satisfied with their job. The job satisfaction factors were found to be significantly negatively correlated with nurses’ intention to quit. The communication is the most significant negatively factor associated toward nurse’s intention to quit. Conclusion: The results can be used as a basis for evaluation, early detection, and future planning for nursing managers and management. Results also highlight the need to emphasize positive factors to upgrade good communication between nurse’s and administrative management.

article de recherche

Job Satisfaction and Associated Factors among Nurses in East Gojjam Zone Public Hospitals Northwest Ethiopia, 2016

Dessalegn Haile*, Tenaw Gualu, Haymanot Zeleke and Berhanu Dessalegn

Background: Job satisfaction represents one of the most complex areas facing today’s managers when it comes to managing their employees. The low job satisfaction among nurses results negative outcome that affect both quality and cost of patient care. Dissatisfaction not only gives poor quality, but also less efficient care.

Objective: To assess the level of job satisfaction and associated factors among nurses in East Gojjam Zone Public hospitals northwest Ethiopia 2016.

Method: Institutional based Cross-sectional study design was used. Sampling method was simple random sampling and data was collected from March 8 to 23, 2016. Source population of the study were all nurses who work at public hospitals in East Gojjam zone public hospitals and sample size was 181 nurses from the four hospitals. After nurses were proportionally allocated to size from the four hospitals. Data were collected through pretested selfadministered structured questionnaire. Both descriptive and inferential statistics were used to present the data.

Results: A total of 178 nurses were voluntarily agreed to participate in the study with a response rate of 98.3%. Overall average prevalence rate of job satisfaction of this study was 54.2%. The most highly satisfied subscale for study participants was nature of work and the most dissatisfied sub scale was promotion. There was a significance mean difference of job satisfaction between age groups, between sex of respondents and between nurses who had children and nurses who had no children.

Conclusion: The average job satisfaction of nurses was at moderate level.

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