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- Itemمقارنة مدى التزام الاطفال الفلسطينيين اللاجئين وغير اللاجئين حتى عمر السنتين بالثطعيمات(AL-Quds University, 2006-06-28) سليمان عطا توفيق غوشة; Suliman Atta Tawfiq Ghosheh; زياد عابدين; Mohamad Shaheen; Ted Tulchinsky
- Itemتوجيهات العاملين في القطاع الصحي نحو مشروع قانون التامين تاصحي الوطني(AL-Quds University, 2011-01-08) وردة محمد ابراهيم المشاعلة; Warda Mohammad Ibrahim Mashaala; محمد شاهين; منى حميد; اسعد الرملاوي
- Itemمستوى رضا النساء المتزوجات من خدمات الصحه الانجابيه والمقدمة في منطقة رام الله. فلسطين(AL-Quds University, 2011-01-15) أيمن حسن عبد ابومحسن; Ayman Hasan Abed Abu Muhsen; محمد شاهين; Dr. Murshid Farhat; Dr. Najjah KhateebReproductive health (RH) in a community compromise the main aspect of overall community health where patient satisfaction with this aspect contributes to increase the quality of the service provided and patient participation at his/her treatment. The main aim of this study was to assess married female level of satisfaction with reproductive health care services provided at Ramallah district- Palestine. The population of the study consists of all married females who seek reproductive health service from a reproductive health centers in Ramallah district. A total of 300 married females were targeted for the study and interviewed while existing from the centers, 30 of them were piloted and excluded from the study, a total of 248 female were responded from the rest 270 yielding to respond rate of 91.8%. A pre tested Likert five scale questionnaire were used, six domains of satisfaction were studied for satisfaction (quality of service, informativeness, accessibility to the centers, waiting time, gender sensitivity and privacy). The results revealed a relatively high satisfaction (64.2% satisfied and 29% were strongly satisfied) with reproductive health service provided at Ramallah from different providers; Governmental, United Nations Relief and Work Agency, and Non Governmental Organizations. Despite this evidence of satisfaction, the study results show that there are some leading factors of dissatisfaction attributed to a range of factors as; long waiting time to enter the examination room, gender of the service provider and privacy tools as; shutters, and screens, some of them are harder to control thanother. In relation to the type of provider, it was found that governmental organizations had the highest level of participant’s satisfaction, followed by the NGOs which was ranked secondly, while the UNRWA had the lowest level of satisfaction. In addition, results revealed that centers located in villages and nearby the participants resident area had higher level of participant’s satisfaction from the centers located in cities. This relatively high satisfaction finding could be justified to the enhancements done on reproductive health services by different providers in the past few years while taking into consideration the sensitive needs of this type of services, and due to the competition andgeneral development all aspects especially in terms of coverage, fund raising, well trained human resources and quality dimensions. From the results of this research, it is highly recommend to raise the community awareness regarding the importance of their reproductive health and to incease the number of resources and logestics to ease the access to reproductive health centers,. In addition, other recommendation should take place onsite as: reducing the waiting time before interring the exam room; the heath practitioner to be from the same gender while delivering a reproductive health service, it was emphasized that all health staff have to introduce themselves before starting the reproductive health examination. Staff caring and cooperation, the availability of privacy in addition to the service quality and specialized female staff are all considered to be very important factors in directing participants to the type of provider of a reproductive health service point to get the service from..
- Itemتقييم العرض و الطلب على خدمات أطباء الأسنان في محافظة جنين(AL-Quds University, 2011-06-26) محمود ناجي محمود الحمدان; Mahmoud Naji Mahmoud Alhamdan; معتصم حمدان; محمد شاهين; Ahmad Rahal
- Itemتقييم وجهات نظر فني وأخصائيي المخترات الطبية والتصوير الطبي حول الاحتياجات التطويرية لهم في الضفة الغربية(AL-Quds University, 2011-12-10) عبد السلام فايز حمدان عويضات; ABDEL SALAM FAYEZ HAMDAN OWAIDAT; اسمى الامام; محمد شاهين; د. احمد رحال
- Itemحجم ونتائج العنف الموجه ضد الاطباء والتمريض في المستشفيات الحكومية في شمال الضفة الغربية(AL-Quds University, 2012-02-23) محمد تميم يوسف كتانه; Mohammad Tameem Yousef Ketaneh; معتصم حمدان; اسمى الامام; توفيق ناصر
- Itemتقييم محددات الالتزام لللانامج التدخل في مكملات الحديد والفوليت المقدم للنساء الحوامل في العيادات الرئيسية التابعة للآنروا في الضفة الغربية خلال العام 2010(AL-Quds University, 2012-05-05) نادرة يوسف عبودة سمحة; NADERA YUSUF ABBOUDAH SAMHA; نهى الشريف; معتصم حمدان; امية خماش
- Itemجودة حياة مرضى السرطان الفلسطينيين في غياب خدمات الرعاية التلطيفية(AL-Quds University, 2013-01-13) محمد حسين حماد خليف; MOHAMMAD HUSEIN HAMMAD KHLEIF; أسمى الإمام; د. معتصم حمدان; د. أمل البندكBackground overall Quality of Life (QoL) is fundamental for both well and ill people. For the cancer patients it is a vital issue in the presence of this devastating condition that depletes all the resources on both the individual and community level. This study looked into the cancer patients QoL at the most difficult times of their lives. Cancer is the second leading cause of death in Palestine; 12.4% of all deaths (MOH, 2012). Most of the cases are diagnosed in late stage (Husseini et al, 2009), and very low levels of pain control and palliative care are available (AL-Sadeel Society website, 2012). Methods The aim of this study is to assess QoL domains scores and symptoms experience within the Palestinian culture. The study was carried out in the only three main settings available for treatment of cancer in the West Bank of Palestine. In-depth interviews with 10 cancer patients were done to reveal the uniqueness and any special concerns for Palestinian patients. And a cross sectional design studied 323 patients to reveal associated factors with QoL. The data collection tools were structured in-depthinterview questions and the QoL assessment tool of the European Organization for Research and Treatment of Cancer (EORTC QLQ C-30) to which socio demographic data were added. Findings Both qualitative and quantitative parts of this research were in harmony in representing the poor health related QoL (41.8%) of the cancer patients. The predictors of poor QoL were advanced stage of cancer (β= -0.3, p<0.001), poor economical condition (β= 0.19, p=0.001), low educational level (β= 0.12, p=0.04), and long duration of treatment (β= -0.11, p=0.04). As well, the generated qualitative themes supported these results; the main expressed needs of the cancer patients were financial aid, pain management, fully equipped healthcare facilities in their vicinity, availability of medications and qualified staff, eradication of stigmatization, communication and psychosocial support, health education, home nursing care, and palliative care.QoL functions were low and below half of the full function in most cases; physical (48.5%), role (48.8%), emotional (46%), cognitive (60.5%), and social (50%). Moreover, severe symptoms were experienced by cancer patients; fatigue (66.6%), pain (63%),insomnia (56.4%), appetite loss (45.3%), and financial difficulties (64.6%). These results were lower than other studies in the region, denoting difficult conditions of Palestinian patients with cancer. Conclusion Palestinian cancer patients are suffering from quite difficult conditions. These can be divided to two main streams; socio-economic factors of the patients, and inability of the healthcare system to early detect, diagnose, treat, and provide professional support, especially to advanced stages cancer patients. So, and for better QoL, there is desperate need for integrating palliative care services into the health care system in Palestine as quality improvement, cost-effective and economically efficient measure, and develops social welfare system. As well as, there is a need for early detection, and awareness and education for cancer patients and health care providers.
- Itemتقييم جودة الخدمات المقدمة في كلية طب الأسنان-جامعة القدس(AL-Quds University, 2013-06-04) طارق هيثم راتب رابي; Tarek Haytham Rateb Rabi; اسمى الامام; Musa Bajali; Emad Hussein
- Itemتأثير العينات الطبية المجانية على سلوك الأطباء في جنوب الضفة الغربية(AL-Quds University, 2013-07-13) بسام محمد يونس ابو جحيشه; Bassam Mohammed Younes Abu Jheishah; أسمى الإمام; د. حسين الحلاق; د. سعيد السراحنةBackground: Pharmaceutical companies introduced the idea of free samples with a view to promotion and marketing of their products. The promotion is an effective tool which is used for introducing products to the clients. The drug companies are spending huge amounts of money on promotion. Promotion strategy has effects directly on the consumers despite the fact that in pharmaceutical advertising the efforts are directed toward the service providers and not to the medicine consumers. Therefore this research looked at the effect of free samples on the behavior of doctors in dispensing of medicines. Methodology: This study aimed to identify the effect of free medical samples on the behavior of physicians in the southern West Bank, according to the following variables: gender, age, years of experience, the country where he studied, specialty, level of education, and the workplace. The study sample consisted of 269 randomly selected physicians from all doctors practicing medicine in Hebron and Bethlehem. The response rate was 81.8%. A descriptive analytical design was used to achieve the goal of the study. A questionnaire based on the literature review was developed and tested for validity by panel of experts and internal consistency by calculating Cronbach alpha which was 0.74 Results: The study findings that the respondents have average estimated degrees (69.75%) about the activities undertaken by pharmaceutical companies for introducing its brands. And the overall score for physicians’ behaviors regarding drug prescriptions was average (64.25%). And, there were seven statements with high percentages, eight items average and one paragraph low. And the overall score for the free medical samples effect on thebehavior of doctors was average (65%). And it ranged between 29.25%-72.50%. And findings that there were no statistically significant differences at α≤0.05 in the effect of free samples on the doctors behavior in the South of West-Bank related to the following variables: sex, age, years of experience, qualifications, country of study, specialization,work place, the number of monthly visits by Representatives, and the amount of promotion activities practiced by pharmaceutical companies. And there were significant differences at α ≤0.05 in the impact of free samples on doctors behaviors related to type of company that provides pharmaceutical propaganda, and to type of promotion activities. Recommendations: The study recommends that must educate physicians to the importance of adherence to biomedical ethics. And the physicians should participate in medical conferences (update) information in the pharmaceutical industry to enable them to apply it in the treatment of patients Also recommends to create mechanisms that shall enable and motivate physicians to follow-up their patients, especially those receiving new medications. And to motivate physicians to access and review research studies on pharmaceutical products and their effectiveness. And to create and adopt policies to regulate the relationship between doctors and pharmaceutical companies by the Ministry of Health.
- Itemتقييم معايير الجودة والاداء لدى ممرضي وممرضات اقسام غرف العمليات في المستشفيات الحكومية في الضفة الغربية(AL-Quds University, 2014-05-13) أسماء محمد أحمد عبد الحق; asma mohammad ahmad abdelhaq; اسمى الإمام; معتصم حمدان; د. شاهيناز نجارBackground: Improving the quality of health care becomes the primary concern of all health care institutions. Operating Room (OR) nurses are part of the healthcare providers and they should be knowledgeable about the quality of health services in order to perform their roles in improving patient‘s safety. Aim: The purpose of this study was to assess the application of quality care and nurses performance standards in operating rooms in the Palestinian governmental hospitals in the West Bank. Method: A quantitative cross sectional descriptive design was used. The population of the study consisted of all operating room nurses working at 10 Governmental Hospitals in the West Bank/Palestine. A self-administered questionnaire was distributed to 129 nurses, out of which (77.5%) responded, Data was analyzed by using the statistical package of social science (SPSS) version 17. Findings: The results of this study showed that the overall level of quality care standards application was moderate in the following standards; nursing assessment (63.2%), cleaning and sterilizing surgical instruments (81.3%), positioning patients according to the type of surgery (75.45%), using of homeostasis devices (71.25%), wound management(82.8%)andinfecationcontrol(77.78%). And it was high in the following standards; counts in surgery and sample preparation (91.5%), and preparation for surgery (89.36%). On the other hand low in reporting errors (58.68%). OR nurses, who were older, applied the quality care standards of cleaning and sterilizing surgical instruments more than younger (P< 0.035). Female nurses applied preparation for surgery standards more than male nurses (P<0.028). On the other hand there was no significant difference in the application of quality care standards in the operating rooms this is due to the academic level, training period, training site, years of experience. Also, results showed that OR nurses who worked in hospitals that have less numbers of operating rooms, applied quality standards (cleaning and sterilizing surgical instruments (P<0.008%)preparation for surgery P<0.017, positioning patients according to the type of surgery (P<0.001), wound management (P<0.014%), reporting errors (P<0.002) more than those who work in hospitals that have more numbers of operating rooms. OR nurses who work in hospitals that have low numbers of nurses applied quality standards of Using homeostasis devices (P<0.002) and Infection control (P< 0.011) more than those work in hospitals that have more numbers of nurses in OR wards. The overall application of performing standards was moderate in standard of Ethics (71.8%)، but it was low in the following standards; resources utilization (58.25%), professional practice evaluation 58.95%,leadership 57.1%, education 44.58%, quality of practice 44.3% and collaboration 28.08%). Nurses who had less experience years, applied performance standard of Education more than more experienced (P< 0.019). On the other hand there was no significant difference for academic level, training periods، scientific qualification, training site, age, gender, and standards of performance application. Also results showed that OR nurses who work in hospitals which have high numbers of OR nurses ( more than 13) applied the following performance standards: ethics (P< 0.017), collaboration (P<0.003), resources utilization (P<0.028), leadership (P<0.001) more than who work in hospitals that have low numbers of OR nurses. And OR nurses who work in hospitals which have less numbers of operating rooms (1-3) applied the following performance standards: professional practice evaluation (P<0.001), resources utilization (P<0.000), quality practice (P<0.009), Education (P<0.009), Ethics (P<0.020), more than those work in hospitals that have more numbers of operating rooms.Conclusions and recommendations: The study employed an assessment of the quality standards and nursing performance of perioperative nursing care in operating rooms at Governmental Hospitals in the West Bank. The compliance of OR nurses with quality standards was moderate whereas the compliance with performance standards was low which was reflected on nurses's performance and patient safety. So, there is a need for improving quality culture in Governmental Hospitals by introducing a policy and strategies for applying quality standards and performance appraisal of OR nurses. Additional studies needed to clarify the causes that prevent the application of quality and performance standards.
- Itemوعي النساء الحوامل لنقص فيتامين ' د ' في الجسم في 8 عيادات خاصة في منطقة ا رم الله(AL-Quds University, 2014-05-14) خالد طارق امين حرزالله; Khaled Tareq Amin Herzallah; أسمى الإمام; حازم الأغا; Basma Damiri
- Itemالعوامل التي تؤثر على الامتثال للعلاج بالعقاقير وتغيير نمط الحياة في عيادات الرعاية الصحية الأولية في محافظة بيت لحم(AL-Quds University, 2014-05-18) امل محمود يونس العزه; AMAL MAHMOUD YOUNIS ALAZZEH; محمد شاهين; د. معتصم حمدان; د. أميه خماسAntihypertensive treatment is an important challenge and public health issue, compliance to treatment of hypertension is one of the important factors that affect blood pressure control, no enough studies had been done about this issue in Palestine. In this study compliance to drug and lifestyle modification treatment were investigated. The aim of this study was to assess the factors affecting compliance to antihypertensive drug treatment and recommended lifestyle modifications among hypertensive Palestinian patients attending primary health care clinics in Bethlehem district. A descriptive cross sectional design was applied on systematic random sampling, sample of 300 hypertension participant at UNRWA, Government, and Non-Governmental clinic, using an interviewer administrated close ended questionnaire which depended on Health Belief Model. The questionnaires were filled face to face, the response rate was 100% in all clinics, Data analysis was done using (SPSS) version 19 to measure compliance on a 4- point Likert scale. The most important findings were (65.6%) of the participants were female, and (34.3%) were male, participants had a range age of (28-80). Among the total respondents (32.6%) didn’t had any complications, (67.1%) had one problems or more related to hypertension,the majority of the respondents took one to three medication (96%), ( 0.7%) didn't had any medications. (99.1%) took one to three doses of medication per day, (69.3%) of the total respondents didn't skip any dose and (30.7%) skipped one or more dose. And there was a strong significant association between doses skipped per day (p-value = 0.000) perception of severity (p-value = 0.003), perception of barriers (p-value = 0.000 and internal factors (p-value = 0.001) of total respondents and treatment compliance. ForUNRWA respondents there was significant relationship between gender (p-value =0.035), doses skipped in the last three days (p-value =0.035), perception of barriers (p-value =0.001), internal factors (p-value = 0.011) and treatment compliance. For the government respondents there was significant association between doses skipped in the last three days (p-value = 0.000) and body mass index (p-value = 0.013), perception of severity (p-value = 0.039), perception of barriers (p-value = 0.008), cues to action (p-value = 0.019) and treatment compliance. For the NGO there was association between educational status(pvalue = 0.037)and occupational status (p-value = 0.03), perception of barriers (p-value =0.024), internal factors(p-value = 0.008) and treatment compliance. The best predictor variables for treatment compliance were perception of barriers, perception of internal factors and perception of severity of total respondents. For UNRWA respondents the best predictor variables were perception of barriers and perception of internal factors. For Government respondents the best predictive variables were perception of barriers and cues to action. For NGOs the best predictive variables were internal factors and perception of barriers. This study concluded that the most important factors affected treatment compliance of therespondents were doses skipped, gender, body mass index, educational status, occupational status, perception of severity, perception of barriers, cues to action and internal factors. This study concluded that the total respondents were compliance to their drug treatment and lifestyle modification, NGOs respondent were more compliant than UNRWA and Government respondents in drug treatment while Government and UNRWA were more compliant than NGOs in lifestyle modification Key words: Compliance; hypertension; lifestyle modification; drug treatment.
- Itemسلامة المرضى خلال المرحلة ما قبل و ما بعد التحليل المخبري في مستشفى بيت جالا الحكومي(AL-Quds University, 2014-10-01) ميشيل وليم ابراهيم لاما; Michael William ibrahim Lama; اسمى الامام; motasem hamdan; basma al- damiri
- Itemتجارب المرضى للأحداث غير المرغوب فيها اثناء اقامتهم في المستشفى : دراسة في المجمع الطبي الفلسطيني ، رام الله(AL-Quds University, 2015-07-04) مي طارق محمود بشر; May Tareq Mahmoud Bisher; معتصم حمدان; أسمى الإمام; Musa HindiyehBackground: Some patients are subjected to undesirable safety events during hospitalization and their health may be negatively affected by the health care received. The consequences can be permanent injury, an increased length of stay (LOS) in hospital, and in some cases even death. As health systems become more complex and interrelated, the focus on patient safety has intensified. Wide-ranging efforts have been devoted to evaluating the harm incurred by patients and to learning from errors, but data about health care problems reported solely from the perspective of professionals engaged in this field is insufficient. Therefore, this study addresses patient-centered data that take into account the patient’s experience of undesirable safety events within three main categories: medical complications, health care process problems and communication problems. Aim: To investigate patient experience of undesirable safety events and to evaluate the extent and nature of harm occurring during hospitalization. Methods: The survey design was a quantitative, descriptive cross-sectional survey. Existing updates to the Picker survey tool were reviewed, translated and adapted to the Palestinian context, and validated by an expert committee in the area of patient safety. Chronbach’s alpha test was conducted to test the reliability of the survey categories and items and showed an overall acceptable internal consistency (0.778). The study was carried out in the Palestinian MedicalComplex in Ramallah. The study sample consisted of adult medical and surgical patients who had already spent at least four days in hospital. Findings: The survey was conducted on a total of 98 patients, of whom fifty percent were females and fifty percent were males, with a mean age of 57 years. Of those surveyed, 46.9%were over 60 years of age; 58.2% were medical patients; and 41.8% were surgical patients. The mean length of stay was seven days. Patients reported a total of 851 undesirable events (an average of 8.68 events per person). Patients reported 168 medical complications (20%), 187 health care process problems (22%), and 496 communication problems (the highest event rate with 58%). About 43% of the patients rated the undesirable safety events they had faced as high risk, and 20.4% of patients indicated that they had had serious concerns about experiencing a medical error in their care prior to being admitted to hospital. The results showed that patients with poor and very poor health were more exposed to experience undesirable safety events (P =0.015). Also, surgical patients reported more problems in the care process than medical patients (P=0.047). Participants who had experienced health care process problems rated their experience of undesirable events as posing a high degree of risk (P<0.001). Finally, communication problems between patients and health professionals have a very detrimental effect on patient health (P<0.001).
- Itemتقييم وجهة نظر التمريض تجاه الاخطاء الدوانية - المستشفيات في فلسطين(AL-Quds University, 2015-07-04) رضا رضوان صبري سلمي; Reda Radwan Sabri Silmi; معتصم حمدان; Hussein Hallaq; Hussein JabareenBackground: Medication errors are one of the most common causes of accidental errors affecting patients’ safety and can cause serious consequences for patients. Medication errors are underreported worldwide, particularly in developing countries. Which lead to the lack of information regarding the problems of medication errors. Aim: To assess the input from nurses’ regarding several issues in medication error, exploring their perception towards medication error causes, types, rate, and reporting. which might help in pinpointing some areas in medication safety issues where there is potential for making improvement to be reflected in the nurses practices regarding medication managements at hospitals. Methods: A cross-sectional design was used. Data was collected using a self-administered questionnaire. The study was conducted in three hospitals; public, private, and NGO. A total of 267 nurses participated in the study Findings: The overall response rate was (57.17%). Female were 59.8%, and males 40.2%. The most perceived causes of MEs were lack of pharmacological knowledge and skills (82%), and heavy workload and shortage of staff (77.7%). As for the most common types of MEs, wrong medication dose (57.5%) and wrong time (53.2%) were the most prevalent. The mean number ofcommitted MEs in the past 12 months was 1.94, and the mean number of reporting medication errors in the past 12 months was 1.6. With regard to the most common type of medications involved in MEs, antibiotics was given the highest frequency in MEs. Regarding the level of harm resulted from medication error that occurs in the past 12 months, the higher frequency was for MEs causing temporary harm to patients (28.2%). Moreover, participants from the NGO and public hospitals scored higher than private hospital participants inregard to shortage of nursing staff and heavy work overload cause (P<0.001). Also 57.9% of participants with bachelor’s degree indicated the effect of lacking pharmacological knowledge and skills more than diploma and graduate studies participants (P<0.001). Finally a statistically significant relationship was found in the frequency of committing MEs (P=0.001) and frequency of reporting MEs (P<0.001) in relation to the hospital ownership. Conclusions: the results of the study indicate that there are areas of potential improvements in Palestinian hospitals. Medication safety interventions should be formulated to address strategies to reduce and eliminate medication errors.
- Itemالعوامل الغذائية ومخاطرها على الإصابة بمرض الورم الليمفاوي غير الهودجكن بين الفلسطينيين(AL-Quds University, 2015-09-12) مرام محمد شاكر دحدول; maram mohammed shaker dahdol; رانيا أبو سير; حازم آغا; صبري الصغيّرBackground: The incidence of Non-Hodgkin Lymphoma (NHL) increased worldwide during the second half of the last century and then stabilized during the nineties but subsequently increased. Environmental factors and dietary habits have been reported to play an important role in the etiology of NHL by influencing the immune system. However, no such data are available from Palestine. Objectives: To participate in establishing a platform to study B-NHL in Palestine and further to examine the association between dietary factors and the risk of B-NHL among Palestinian B-NHL patients versus controls. Design: Case-control study. Methods: A case-control study was conducted between 2009-2013 including 306- histological confirmed B-NHL cases and 392 cancer-free controls among adult Palestinians recruited from three major Palestinian hospitals in the West Bank and Jerusalem which have an oncology department in addition to Hadassah Hospital in West Jerusalem. In the primary study analysis, an imbalance was encountered in the regional distribution of cases and controls in the central area. In order to correct for this imbalance, I recruited 71 controls from the primary health care centers in Jericho, Ramallah and Al-Azaria on the basis of frequency matched case-control study in terms of age and gender and region. The study participants were administered a questionnaire which is based on the international Epi-Lymph questionnaire, which focuses on demographic characteristics, types of environmental exposure and on diet and nutritional intake, specifically meat, milk, dairy,vegetables and fruits. Blood samples were also collected from participants for the purpose of DNA purification and viral serology testing. The overall data-base was used to study the association between nutritional factors and the risk of NHL. The data was analyzed by Statistical Package for the SocialSciences(SPSS)and associations were examined by multivariate logistic regression. For food intake analysis, the median value for each food group was calculated from overall distribution of the study population in order to use the value below the median as a reference value to detect associations by logistic regression. Results: High consumption of meat (OR=1.8; 95% CI: 0.8-4.3) and milk (OR=1.3; 95% CI: 0.7-2.6) was found to be positively associated with the risk of B-NHL. Vegetable intake was also positively associated with the risk of B-NHL (OR=1.3; 95% CI: 0.4-4). Similarly, dairy products were significantly associated with an increased risk of B-NHL (OR=2.3; 95% CI: 1.2-4.4). In contrast, a significantly inverse association was encountered between fish consumption and B-NHL risk (OR=0.4; 95% CI: 0.2-0.8), and an inverse association was found between the consumption of fruits and B-NHL risk (OR=0.7; 95% CI: 0.2-2.1). Conclusion:The results of this study showed that dietary intake may affect the risk of NHL as positive associations were found with meat, milk, dairy products and vegetables consumption, while an inverse association with fish and fruits consumption was encountered. Keywords: dietary factors, non-Hodgkin lymphoma, case–control study, Palestine.
- Itemتقييم وتطوير نظام استيراد الغذاء في فلسطين /الضفة الغربية(AL-Quds University, 2015-09-19) معن خليل صالح السروجي; MAAN KHALIL SALEH ALSROUJI; ابراهيم عفانة; صالح صوالحة; محمد السيدThis study has aimed at studying the Palestinians system for importing stuffs and identifying all parties related to this system whether they are governmental or non-governmental and also recognizing the stages that the trader pass through from the beginning of importing until the goods reach the stores of the trader before displaying them in the market. It has also aimed at assessing and developing this system through answering the following questions: What are the governmental institution that are related to importing food.1 in Palestine? What are the non-governmental and local institutions that are relevant.2 to importing stuffs in Palestine? ؟ What are the crossing points among these governmental institutions.3 ؟ What is the effectiveness of the governmental institutions in controlling.4 food importing stuffs which aren’t complied the imported Palestinian system? Is it possible to build a system for importing food stuffs in Palestine.5 through a unified outlet? For answering these questions, the researcher has used a studying tool, that iscomparing the Jordanian importing food system and the Israeli importing food system with Palestinian one, then using the Jordanian system as a reference for this comparison.This study has farmed a challenge for the researcher as it unique and this thing has made it. More difficult task as there isn’t any possibility for making use of other previous studies that are related to this subject, so he depended a Jordanian and Israeli system as previous studies and as a tool for comparing and deducing recommendations for developing the Palestinian system for import food stuffs. This study has been conducted on the ministries and the private sector institutions in the west bank that are related to system and they are: . The Ministry of National Commerce.1 . The Institution of Measurement and.2 . The Ministry of Health.3 . The Ministry of Agriculture.4 . Palestinian Shipping Council.5 In addition to visited the Hashemite Kingdom of Jordan and also visiting: . Food and Drug Association.1 . The Ministry of Agriculture.2 . The Ministry of Industry and Trade. 3
- Itemنظرة التمريض الى تأثير شهادة الإعتماد الدولي للجودة على جودة الخدمات الصحية و سلامة المريض في مستشفى المُطّلع(AL-Quds University, 2015-12-30) جهاد خليل الياس خير; Jehad Khalil Elias Khair; أسمى الإمام; معتصم حمدان; Musa Hindiyeh, PHDThis study was held at Augusta Victoria Hospital (AVH) between July and August 2015. AVH is a specialized cancer and dialysis care center in East Jerusalem. It is considered the only radiotherapy center and pediatric dialysis center present in Palestine. In May, 2013, AVH became the first Palestinian institution with multiple specialties to hold the accreditation from the Joint Commission. The Joint Commission International (JCI) accreditation is an international evaluation process used to assess and to improve the quality, the efficiency and the effectiveness of health care organizations and guarantees efficient and effective quality of patient care and patient safety. The complexity of the nursing practice has increased at AVH and the nursing roles have expanded in order to respond to the new strategic, highly specialized services at the hospital and to maintain the high quality of care based on the JCI standards and evidence based practices. On the other hands, the perception of nurses towards the JCI accreditation process and its impact on the patients' safety and the quality of care are still unclear and not studied. The aims of this study are: 1) to assess the nurses’ perceptions towards the impact of JCI accreditation on the quality of care and patients' safety at AVH. 2) to assess the relationship between the nurses’ perceptions towards the impact of accreditation on the patients’ safety and quality of care and selected demographic and organizationalfactors. A quantitative descriptive cross-sectional design was used. The researcher adopted a validated self-administered questionnaire from previous studies, and the questionnaire distributed to the total of 125 nurses working at the inpatient and outpatient departments in AVH. The nurses were asked to put the filled questionnaires in sealed envelope in a special box labeled research questionnaires at the reception area in AVH without putting their names or the department they work in. Descriptive and inferential statistics were applied using SPSS 18.The response rate of participants in this study was 72.8%. The majority of participants were males (60.4%), young below 40 years of age and has Bachelor’s degrees in nursing. The majority of nurses (86.6%) were trained in quality and mainly about policies and procedures within the JCI standards. The overall percentage mean scores (PMS) for the nurses’ perceptions towards the accreditation impact on quality of care was (71%) and on patients' safety was (77.5%), reflecting the fact that they have positive perception to accreditation impact and that the accreditation benefits the patient, the staff and the hospital with a percentage of (74.25%). There was a significant positive relationship among the nurses' perceptions on the bases of the organizational factors (α ≤ 0.05) which include leadership commitment and support, strategic quality planning, human resources utilization, quality management, use of data and staff involvement, with the highest correlation in leadership, commitment and support (r = 0.583 , α = 0.001) and the lowest correlation in human resources utilizations (r = 0.227 , α = 0.009). JCI accreditation is a good tool for improving quality of care and patients' safety. Health care organizations need strategies to reinforce the quality improvement planning,human resources utilizations, quality management, use of data and staff involvement in order to improve the quality of health care. However, there is a need to ensure effective quality and safety improvements based on measuring other patient outcome indicators. activities including leadership commitment and support, strategic quality
- Itemتقييم احتياجات الصيادلة للتدريب والتعليم المستمر في الضفة الغربية(AL-Quds University, 2016-04-20) عبير علي محمد غنايم; abeer ali mohammed Ghanayem; معتصم حمدان; Dr. Hussein Hallak; Dr. Zaher NazzalBackground: Pharmacy is the health profession that is committed to ensure the safe and effective use of medication (Abu Arah, 2012). Pharmacy organizations and academic training programs have promoted pharmaceutical care in pharmacy profession to ensure that a patient achieves positive outcomes from drug therapy (Azhar et al, 2009). Continuing education is essential to update knowledge for graduated pharmacists. Unfortunately, continuing education, training programs are not available in Palestine (Sweileh, 2013). Health Human Resources should imply on policy makers to meet population health needs, and so, people would receive the optimal health care that pharmacists can provide (Manmohan, 2013). Training needs assessment and competency assessment are cornerstone steps to improve pharmacy practice in Palestine. Continuous education program is fundamental to activate pharmacist's role in the community and improve health outcomes. Aim: to assess the training needs, knowledge and skills among Palestinian pharmacists who work and live in West Bank. Methods: A quantitative cross sectional study design was used. Data collection was through self-administered questionnaire. The study covered all nine governorates in West Bank. Study sample was proportional stratified random sample among Palestinian pharmacists working in governmental health facilities (hospitals and PHC's) or community pharmacies. Findings: The overall response rate was 80%. Female participants were 59.4%, The majority of respondents held bachelor degrees (83.3%) while 9.3% held master degrees. Pharmacists working in governmental hospitals and healthcare facilities formed 28.1% of the participants. Internet sources were the most chosen source of pharmaceutical information by 83.6% of participants while 74.8% chose drug information as required area for training. Pharmacists rated high level of skills; (mean = 3.98 ± 0.44). A multiple regression was run to predict skills from participants' characteristics. Both practice field and workplace location (governorate) statistically significantly predicted skills, (F(2,374)= 51.140, P<0.001, R2 =0.215). The two variables were added statistically significantly to the prediction, (P <0.001). On average, pharmacists working in community pharmacies reported better skills than those working in governmental health facilities (P < 0.001). Pharmacists working in Ramallah reported the best skills while pharmacists working in Jerusalem reported the weakest skills at (P =0.005). No significant differences were observed in relation to participants' age, gender, educational degree, years of experience,pharmacy education language or country of pharmacy education (P > 0.05). In general, knowledge scores of participants were good (mean = 73.7% ± 20.0). The majority (87%) of the participants achieved more than 50% of correct scores. Multiple regression was run to predict knowledge scores from participants' characteristics. Gender, educational qualifications, practice field and workplace location statistically significantly predicted knowledge, (F (4,370) = 31.947, P < 0.001, R2 = 0.257). All four variables added statistically significantly to the prediction, (P < 0.001). On average, females respondents rated better knowledge scores than males at (P < 0.05). Pharmacistscarrying master degree rated better knowledge scores than pharmacists carrying B.Sc. in pharmacy or Pharm D degrees at (P < 0.001). Pharmacists working in governmental health facilities rated better knowledge scores than those working in private pharmacies at (P < 0.001). Pharmacists working in Jericho rated the best knowledge scores, while pharmacists working in Nablus rated the least knowledge scores at (P < 0.001). Respondents' age, pharmacy education language, years of experience and country of education were not associated with neither knowledge scores nor skills scores (P > 0.05). Conclusions: The results of the study indicated that Palestinian pharmacists' competencies should be improved. Detection of areas of training, establishment of continuous education program and setting standards for entry to practice are some suggestions for development of pharmacy practice in West Bank.