1,721,039 research outputs found
Psychological Factors Associated with Burnout among Nurses
Get PDFThe study aims to assess the psychological factors associated with burnout among nurses. The Study trying to test these hypotheses: The researcher predict higher rates in total score of burnout at significant level ( ) among the Nurses. The researcher predict higher rates of stressed nurses with significant statistical level at ( ) that positively related to the total score of burnout. The researcher predicts higher rates of social support that positively related with the total score of burnout level at significant level ( ). The researcher predict no significant statistical differences at level () in the burnout total score due to the sex of the nurse. The researcher predict no significant statistical differences at significant level () in the burnout total score due to the age of the nurse. The researcher predict no significant statistical differences at significant level () in the burnout total score due to the educational level of the nurse. The researcher predict no significant statistical differences at significant level () in the burnout total score due to the Nurses' experiences. The researcher predict no significant statistical differences at significant level () in the burnout total score due to the working place (hospitals) of the nurses. In order to test these hypotheses the descriptive analysis style followed, the sample consist of 122 nurse distributed in 5 hospitals, The selected Nursing are classified under the various types of work fields like Neonatal intensive care unit, The artificial kidney unit, The cancer unit, The female medical department, chest unit department, emergency department, burn intensive care unit, obstetric department, medical child departments, ophthalmology hospital, and others. The tools used in the study: Burnout inventory checklist, Work stress checklist, Social support checklist, Personal data sheet (sex, age, years of experience, place of work). Statistical methods which followed in the study were: Frequencies and Percentile ,Alpha- Cronbach Test for measuring reliability of the items of the questionnaires ,Person correlation coefficients for measuring validity of the items of the questionnaires ,Spearman –Brown Coefficient ,One sample t test ,Independent samples t test ,One way ANOVA. The results of the study : the total score of burnout percentage is 50%,the work stress was 72%, the social support was 70% ,the did total score of burnout percentage did not affected by the variables like sex, age, educational level, place of work, nurses experience at significant level( ). The recommendations of the study are: Improve the management systems, Redesign jobs and reorganize work system according to job description, Improve health safety systems & activate psychological counseling
The Factors Related to Successful Integration of Physically Disabled Children in Schools of Gaza Strip
Get PDFIntegration of physically disabled children constitutes a vital step towards full rehabilitation. For some reasons, not all physically disabled children are successfully integrated into mainstream education. There was no previous research that dealt with this topic in Gaza strip. Objectives: 1- To study the relationship between various variables and successful integration of physically disabled children. 2- To establish primary database for the currently integrated physically disabled children . 3- Hypothesis generation that help in further research in the topic of integration. Methods: The scientist followed an analytical and descriptive approach to answer the objectives of the study and hypotheses in order to search for the present situation, to describe the phenomenon and statement to be studied . As there is in fact an accurate description both in identifying the most important factors that have a direct impact on the success of the integration of physically disabled children in the educational process. Face to face questionnaires were used to determine the significant factors related to successful integration for physically disabled students in ordinary schools. 123 physically disabled students were included in this study (41 from Gaza ,23 from Khanyonis, 20 from Rafah, 23 from Middle Area, and 16 from North Gaza). Results: Results showed the relative importance of each of the independent variables identified in the proposed logistic regression model to predict the dependent variable of the study, where the values of the statistical significance of each independent variables in this model ((P-value <0.05) and dependent variables are (Father education, the presence of disability , And a follow up by rehabilitation organization within the main stream schools ,the extent of acceptance of the disabled pupils within the classroom, family's attitudes towards integration process, the follow up of disabled child's in his homework activities by one of family members) Conclusion: Successful integration of physically disabled children in ordinary schools can be increased by improving the factors related to successful integration physically disabled children in ordinary schools. Those factors include ,but not limited to, follow up of physically disabled students by rehabilitation institutions, acceptance of the physically disabled by his/her colleagues and follow up of a family member to physically disabled child in his school
Outpatients' Satisfaction with Physiotherapy Services at Al-Shifa Hospital and Al-Wafa Medical Rehabilitation Hospital in Gaza
Get PDFThis study is considered the first one in physiotherapy field inPalestine(to the knowledge of the researcher) that focuses on patients' opinions and reactions regarding physiotherapy services. General objective of this study is to evaluate the level of outpatients' satisfaction with physiotherapy services in outpatients physiotherapy departments atAl-ShifaHospital andAl-WafaMedicalRehabilitationHospital inGaza. The problem of the study has been specified by the following research questions: Research Questions: What is the level of patient’s satisfaction with physiotherapy services? Are there significant differences betweenAl-ShifaHospitalandAl-WafaMedicalRehabilitationHospitalregarding the level of patient’s satisfaction with physiotherapy services? Are there significant differences between the level of patient’s satisfaction with physiotherapy services regarding demographic variables like gender, age, and residency place? Are there significant differences between the level of patients' satisfaction with physiotherapy services regarding socio-economic variables like marital status, occupation and educational level? Are there significant differences between the level of patient’s satisfaction with physiotherapy services regarding organizational variables like source of payment, medical diagnosis categories, source of hospital knowledge, first experience of hospital, first experience of physiotherapy services, waiting time, physiotherapy session duration, physiotherapy sessions number? Are there correlations in the level of patients' satisfaction with physiotherapy services regarding the patients' acceptance of physiotherapist? Methods: Participants: The sample estimated 151 patient was selected conveniently from the total population, 100 patient from Al-Shifa Hospital and 51 patient from Al-Wafa Medical Rehabilitation Hospital. The population was all patients attended and registered in outpatient physiotherapy departments at Al-Shifa Hospital and Al-Wafa Medical Rehabilitation Hospital. They are aged between 18-65 years old and have at least 5 physiotherapy sessions during the implementation of this study. Baseline measures: The researcher prepared in this study a patient satisfaction instrument according to literature review which consists of seven domains of patients’ satisfaction based on likert scale of 5-points (1= strongly agree, 2= agree, 3=uncertain, 4= disagree, 5= strongly disagree) was used to assess the level of patients’ satisfaction with physiotherapy services, including (49) items, also group of open-ended questions and descriptive questions. Statistical analysis: Cross tabulation, T-test, ANOVA, Pearson correlation were used in addition to descriptive statistics. Results: 1- The level of patient satisfaction with physiotherapy services in both hospitals has been (87.4%). 2- There are significant statistical differences between patients satisfaction level of Al-Wafa Medical Rehabilitation Hospital (100%) and patient satisfaction level of Al-Shifa Hospital (81%). 3- There are no significant statistical relationships between the demographic variables (gender, and age groups) and patient satisfaction level with physiotherapy services, but there are significant relationships between residency place and patient satisfaction level. 4- There are no significant statistical differences between the socio-economic variables (marital status, and educational level) regarding the patient satisfaction while there are significant statistical differences between occupation and patient satisfaction with physiotherapy services. 5- There are significant statistical differences between the organizational variables (payment sources of medical care, medical diagnosis groups, hospital knowledge groups, the first experience of hospital, the first experience of physiotherapy services, the physiotherapy session duration and physiotherapy sessions number) and the patient satisfaction, while there are no significant statistical differences between waiting time and patient satisfaction with physiotherapy services. 6- There are correlations in the level of patients satisfaction with physiotherapy services regarding the patients' acceptance of physiotherapist except in appointments registration domain. Recommendations: 1- Encourage continuous educational training program that will positively influence the physiotherapy staff and make them professional and competent. 2- Health professionals, physiotherapy managers and policy makers need to establish evaluative and monitoring system to detect and solve any problems that face patients and their families. 3- Physiotherapy managers and physiotherapy staff should be informed about the results of this study to overcome any complaints or shortage in physiotherapy services
Psychiatric Symptoms among Physical Handicapped Persons, Who Are Victims of the Last War on Gaza
Get PDFThe study aimed to measure the psychiatric symptoms among physical handicapped persons who are victims of the last war on Gaza. In this study, the researcher used the analytical descriptive approach. The sample of the study was purposive sample consisted of (125) of handicapped persons of males and females, while the age group was between age (18-50) in all Gaza governorate. The researcher designed a measuring tool (questionnaire) to measure the psychiatric symptoms of handicapped persons; the questionnaire included SCL-90 scale and a part that measures the demographic variables. The measure was applied on a pilot sample of 50 persons of handicapped persons in all Gaza governorates on (2011-2012). The reliability and validity calculations of the measure were obtained by statistician and the data were analyzed by (SPSS) using the appropriate statistical methods ending up with the findings. The results showed that the most common dimension was the Anxiety with percentage weight equals 68.5%, and this implies how high degrees of Anxiety the sample have, then comes the dimension of Paranoid ideation with percentage weight equals 47.9%. Then the Interpersonal Sensitivity with percentage weight equals 44.7%. The least common dimension was the Phobic Anxiety with percentage weight equals 30.7%. Also the results showed that there were no significant differences at (α≤0.05) in Psychiatric symptoms due to gender, age, qualification, monthly incomes and marital status. There were statistically significant differences in degrees of interpersonal sensitivity in terms of marital status toward those handicapped that are divorced; means they have the least degrees of interpersonal sensitivity than other marital statuses. Moreover, the result showed there were significant differences between the degrees of Obsessive Compulsive, Interpersonal Sensitivity and Hostility in terms the area of living toward who live in Gaza that have the highest digress of Obsessive Compulsive and Hostility, but the differences in Interpersonal Sensitivity were toward the handicapped that lived in Rafah. There were significant differences between the degrees of Somatization, Interpersonal Sensitivity, Anxiety and Paranoid Ideation, in terms of the working status toward the not working persons who have the highest degrees of Somatization, Interpersonal Sensitivity, Anxiety and Paranoid Ideation. Significant differences in Interpersonal Sensitivity, Phobic Anxiety, Paranoid Ideation, psychotics, due to the type of handicap toward those persons that have other types of handicaps; this means that they have the most degrees of Interpersonal Sensitivity, Phobic Anxiety, Paranoid Ideation, and Psychosis than these that who are finger amputated, leg amputated. Some of the recommendation that the researcher concluded is the developing rehabilitation programs for disability and amputation and keep up what is new, and providing guidance programs generally for disabled cases and especially for amputation to reduce psychological problems
The Relationship between Resiliency and Trauma, Conduct Disorder, and Neuroticism among Palestinian Children in Gaza Strip
No full textThe study aims to investigate the relationship between psychological resiliency and trauma, conduct disorder, PTSD, and neurosis. As well as knowing the level of resiliency among the high school students and to explore the effect of socioeconomic and demographic variables, the type of study, and the religiousness on the level of resiliency. It is analytical descriptive study for 500 children at 6 six different schools inGazacity and north ofGazastrip. The researcher used five questionnaires to see the relation between resiliency and other factors like trauma, PTSD, conduct disorder and neurosis. The results showed that there is a relation between resiliency and conduct disorder, and no relation between resiliency and PTSD, trauma and neurosis. The rate of psychological resiliency was 64.5% which can be considered satisfactory. The results showed also that there is relation between gender and resiliency in favor of females. There is also relation between resiliency and place of residence in favor of the citizens of camps. There is also relation between resiliency and the income rate of the high school students where as the resiliency was in favor of the students whose families' income more than 2000NIS. In the contrast there is no relationship between resiliency and the religiousness and the type of the study. The researcher finally recommends increasing the awareness raising regarding the resiliency and to establish a scientific center specialized in resiliency to be a reference to the people and meant sides that interested in this field
Psychological, Physical Dysfunctions and Risk Factors of Hemiplegic Patients in Gaza Strip
Get PDFThe background and the purpose: The purpose of this study was to examine the hemiplegic psychological and physical dysfunctions and the rehabilitation effect on these disabilities. Also to understand the different risk factors frequencies among hemiplegic patients in Gaza Strip. The methods: The study depend on cross sectional design. It included 163 rehabilitated hemiplegics, 96 of them are males, and 67 of them are females who were rehabilitated at the period from 1-1-2005 to 31-12-2010 at the national center for community rehabilitation and UNRWA physiotherapy centers in Gaza city and Khanyounes. The physical dysfunctions was measured by Short Form-36 (SF-36) instrument (physical functioning and role limitation due to physical health domains) and the psychological dysfunctions was measured by SCL – 90 - R scale. The researcher used SPSS for statistical analysis, frequency tables for all study variables, correlation between variables, sign-test to identify different mean relationship and cross tabulation using Chi-Square. The results: The study shows that males are exposed to hemiplegia more than females, age group above 40 years are more vulnerable to hemiplegia than younger ages and psychological stresses are the highest frequency risk factor for hemiplegia. The results show that 39.98% of the participants had psychological symptoms and only 6.75% of them passed the standard deviation above the mean which means high level of mental health. The results show that 75.96% had mild to moderate physical disabilities while 22.5% had role limitation due to physical health which means that most of the participants 77.5% has good satisfaction in their activities of daily living. The results show that hemiplegia physical disabilities are age dependent while functional disabilities are affected more by hypertension. The results show that the hemiplegic patients have the most benefits on the physical functioning domain when they commenced rehabilitation directly after having stroke and continued rehabilitation from 30 to 60 days, while the most benefits on the role limitation due to physical health domain when they commenced rehabilitation more than one year after having stroke and continued rehabilitation from 30 to 60 days. The results show that rehabilitation reduces the psychological symptoms effect when commenced directly after having stroke and continued rehabilitation from 30 to 6o days
The Psychological Impact of Al Aqsa Intifada Physical Injury on the Injured Palestinian Adults in Gaza Strip
Get PDFBackground : Researchers long been a concern in the study of physical injury and the extent of their impact on the functional aspect. Recently more attention is given to the psychological side of physical injury , but it is still low. In our region Israeli violence against Palestinians is considered the main cause of physical injury among Palestinian people especially among young adults ( Palestinian Health Information Centre ,2006), and it affect psychological state of Palestinian people at is shown in many studies . Objective of this study : The main purpose of this study is to asses the psychological impact of different physical injuries resulting from El-Aqsa Intifada events on injured Palestinian adults, and to determine the variables that may increase the risk of developing psychological problems after the physical injury including (age, sex, marital status ,educational level, occupation ,time since injury ,site of the injury and type of the injury . Study design : The researcher used in this study descriptive analytical approach, because this approach suits the nature of the study . Participants : The study sample consisted of 300 injured Palestinians from both sexes ,aged 18 or older who were injured through out Al- Aqsa intifada events between the period 2005 and 2008 and they live in Gaza Strip conservatisms, and who were registered in the Support of the Families of Martyrs and Injured Institution (SFMII). We exclude brain injuries. Instruments of the Study: SCL-90 scale was used to measure the nine psychological symptoms including depression ,anxiety, somatization, obsessive compulsive ,interpersonal sensitivity ,hostility ,phobic anxiety ,paranoid ideation and psychoticism , and simple questionnaire that describes the injury characteristics including ( site of the injury, nature of the injury, the type of weapons used , pain due to injury and healing from the injury ). Statistical Analysis : in this study we used Descriptive Statistics, Correlation Coefficient "Pearson" ,t-Test and One Way ANNOVA . Results : (1) The results related to descriptive analysis about the characteristics of the injury suffered by the individuals in the sample showed that The most commonly injured body regions were the limbs (74.0 %) and multiple body parts regions injury (60.0%). The face injury was (33 ,3 %), abdomen injury was (31.3 % ),chest injury was (29,7 % ), back injury was ( 28, 3%), pelvic injury was (16.7%),and finally( 14.3%) of cases was neck injury. Fragments and explosives (63,3 %) were the most common cause of injury. (34.3%) of the respondents were injured as a result of explosion of missile fragments resulting from aerial bombardment, while (29%) were injured as a result of the explosion fragments of artillery shells. Bullets accounted (36.7%), and( 7 %) for other weapons. (2)The results showed that more psychological symptoms which injured individuals suffer from it were somatization with relative weight of (39%), followed by obsessive-compulsive ( 33.2%) , interpersonal sensitivity (32.5%) , (32%) had depression, and (30.9%) for anxiety , and (30.3%) for hostility, (29.5%) for paranoid ideation , (26.2%, )for phobic anxiety and finally (25.1%) for psychotics .These psychological symptoms related to the following factors (older age, female gender ,low educational level, occupation, time since injury, site of the injury and type of the injury, but not related to marital status variable. Conclusions : The physical injury resulting from second Palestinian intifada uprising has a significant impact on the psychological wellbeing of the injured Palestinian adults in Gaza Strip. Recommendations : psychological aspect of physical injury should be given more attention and considered in all stages of trauma care intervention including rehabilitation to decrease the psychological suffering of the injured people and to prevent developing of the psychological disorde
Effectiveness of Wellness Recovery Action Plan (WRAP) on Schizophrenic patients in Gaza strip
Get PDFThis study was aimed to know the effectiveness of ( WRAP) wellness recovery action plan on schizophrenic patient in Gaza governorate . Total sample of (33) female patients was picked through random selection then divided into two groups, experimental and control. Age, level of education, marital status, work, residential area and income were matched to maintain neutrality. Quantitative and qualitative method through (pre post design) through international scale (Recovery assessment scale ) that modified to be suitable Arabic culture, and focusing group then follow up was done after 4 months to know whether the effectiveness persistence of the program . Experimental group was conducted (WRAP) session (8-12weeks) but control group conducting usual care. Pretest conducted for both group shown there are no statistically significant differences at the level (0.05) between the mean scores of schizophrenic patients at the intervention group and schizophrenic patients at the control group regarding the dimensions of scale wellness recovery action . While for applied posttest for both group is shown that there are significant differences in patients with schizophrenic in the intervention and control groups ( P-value = 0.001), and the differences were in favor of the Intervention group, for the follow up test four month later shown, the presence of statistically significant differences in the dimension scores of hope in patients with schizophrenia in degrees post- test and sequential in the Intervention group (p-value = 0.036), and the differences were for the favor of post-test, this indicates that for degree of hope may decline with members of the intervention group after the passage of time. But other domain of (WRAP) there was no statistically significant differences in the degrees of dimensions scale of wellness recovery action plan regarding (goal, Self-responsibility, Support, Knowledge and self-advocacy) between the degrees in posttest and sequential in the intervention group. (p-value < 0.05). This mean that dimensions degrees of scale of wellness recovery action plan did not show differences or a significances for members of the Intervention group after passage of time. Also Experimental had reported significant increases in their hopefulness for their own recovery , awareness of their own early warning signs of decompensating, use of wellness tools in their daily routine , awareness of their own symptom triggers, having a crisis plan in place, having a plan for dealing with symptoms, and having a social support system, and , ability to take responsibility for their own wellness
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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