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Knowledge, Attitude, and Health Seeking Action Related to Obstetric Danger Signs among Postpartum Women in the Gaza Strip
(Al-Quds University, 2024-12-09) Abdelrahman Ihab Jamal Hammouda; عبدالرحمن إيهاب جمال حمودة
The maternal mortality rate (MMR) remains at an unacceptably high level, with many deaths potentially preventable. The study aimed to assess the knowledge, attitudes, and health-seeking actions related to obstetric danger signs (ODS) and associated factors among postpartum women attending postnatal care in the Gaza Strip. Materials and Methods: An analytical cross-sectional study was conducted over 20 months, from March 2023 to October 2024. The study included 383 women who had recently given birth and attended governmental primary health care (PHC) centres for BCG vaccination or postpartum (within 42 days after delivery) care, regardless of the place or outcome of delivery. A convenient sampling technique was used, and governmental PHC centres were conveniently selected, with one from each Gaza Strip governorate. Data was collected using an expert-evaluated, structured interview questionnaire, and its reliability was confirmed using Cronbach’s alpha coefficients (0.952 for Knowledge and 0.724 for attitude). The data were analyzed using the SPSS program. Results: The mean age of participants was 26.3 years, and 56% demonstrated adequate Knowledge of ODS. Additionally, 67.1% exhibited positive attitudes, and 65.4% of women who experienced ODS took appropriate health-seeking actions by visiting a healthcare facility. A significant relationship was found between health-seeking action and women's Knowledge, though there was no significant association with their attitudes. Employed women were 4.5 times more likely to have adequate ODS knowledge than unemployed women (OR = 4.49, CI = 1.494–13.514). Husband’s education level also impacted women’s Knowledge; women whose husbands had secondary education were 3.5 times more likely to have adequate knowledge than those with less-educated husbands (OR = 3.5, P = 0.003, CI = 1.549–7.951), with a stronger association for those whose husbands had higher education (OR = 4.52, P = 0.001, CI = 1.82–11.18). Attending only governmental clinics during antenatal care (ANC) was associated with a 67.2% decrease in the likelihood of being knowledgeable about ODS compared to attending governmental and private clinics (OR = 0.328, CI = 0.152–0.708). The study also identified two factors significantly associated with attitude levels: receiving counselling during ANC visits about the benefits of delivering in a healthcare facility (χ² = 4.733, p = 0.03) and the place of delivery, with women delivering in governmental hospitals more likely to exhibit positive attitudes than those delivering in private hospitals (χ² = 4.951, p = 0.026). Conclusion: This study highlights the critical role of women's knowledge about ODS in seeking appropriate actions during pregnancy, labour, and postpartum. While most women demonstrated adequate knowledge and positive attitudes, significant gaps remain, particularly influenced by factors such as employment status, husband's education, family size, and the location of healthcare facilities accessed during ANC visits. These findings suggest that improving access to comprehensive maternal health education for women and their families, as well as enhancing counselling services, may be key strategies for improving maternal health outcomes and reducing maternal mortality in the Gaza Strip.
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عبء الإثبات في الدعوى العمومية (دراسة مقارنة)
(Al-Quds University, 2017-01-04) Mai Abdel Rahman Ramzi
study examined the subject of proof in public proceedings, which is one of the important results of the principle of presumption of innocence that assumes every citizen of arms since the start of the public proceedings until its completion in a sense placing the burden on the authority of that case and the indictment of entrusted power to move and in accordance with procedures to ensure respect for the rights of the accused who are supposed to provide evidence of their innocence, the evidence of claims other than the contrary, rests with the authority to indict the burden of proving all the elements of the crime and its elements as well as validate Assigned to the accused and then study the role of prosecutors in proving lack of expiry of public proceedings and it's still vibrant so you can proceed with their investigation. The study was presented as an exception to the supposed origin and kinds of evidence and the extent of the impact in shifting the burden of proof of authority to indict the accused and the accused into power sometimes charge under review the practice of prosecutorial practices on burden of proof. The study aimed to develop a clear vision of the role of public prosecution in divesting the burden of proof in criminal procedure law, compared with what took him all of the Jordanian Code of criminal procedure on the one hand, and the Egyptian Code of criminal procedure. The study adopted the descriptive analytical approach and integrated comparison curriculum and it found a set of results the most important was the deficiency of the role of public prosecution to bear the burden of proving the case in Palestine. The study found that the provisions of the Act not apply accusation authority fully this demonstrates a lack of understanding of the prosecutors of the concept of the presumption of innocence, and lack of logistics to them to promote their role to the fullest of his books, and the number of members, in addition to the lack of possibilities for judicial officers, not to implement many of the memos that cause delay for wasting the community right and punish the culprits. At the end, the study recommended the enactment of a whole chapter on criminal evidence and procedure, the preliminary inquiry stage, entrusting the charge complete divesting in criminal evidence.
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The Quality of Nursing Documentation at Paediatric` Departments in Governmental Hospitals in Gaza Governorates, Palestine
(Al-Quds University, 2024-12-16) Nehal Tayseer Hassan Shabat; نهال تيسير حسن شبات
Nursing documentation is an important part of ensuring good quality patient care, particularly in departments of pediatric. Timely documentation reflects the nursing care provided by healthcare professionals and decreases risks such as medical errors and malpractice entitlements. Inadequacies in nursing documentation can affect patient safety and quality of care quality. The purpose of the study was to assess the quality of nursing documentation at pediatric departments of governmental hospitals in GS, Palestine. A quantitative descriptive research, cross-sectional design was applied. The study sample was 90 nurses and 200 pediatric medical records. A structured questionnaire was designed for data collection. The statistical analysis was analyzed by using SPSS version 25. The results showed that overall perception about the level of quality of nursing documentation in pediatric departments in governmental hospitals in GS was good (72.33%) also the moderate overall score about quality of nursing documentation was high (84.67%). The highest hospital quality of nursing documentation was El-Najar Hospital 92.07% followed by Al-Aqsa Martyrs Hospital (84.67%), Al-Durra Children's Hospital (83.58%) while the lowest one Al- Rantisy-Hospital (77.94%). Most of the participants were female (80%), while only 20% were male. The study concluded that the quality of nursing documentation in pediatric departments in government hospitals in Gaza ranged from moderate to high. Implement regular, structured training programs for nurses in pediatric hospitals to improve their documentation process, especially focusing on weakness areas that are illustrated in the results like pain assessment forms and discharge planning.
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The role of administrative strengthening in achieving organizational ingenuity in the Palestinian Ministry of Health
(Al-Quds University, 2023-06-12) Belal Ali Ahmed alkomi; بلال علي أحمد الكومي
The study aimed to identify the role of administrative strengthening in achieving organizational ingenuity in the Palestinian Ministry of Health. The study used the analytical descriptive approach to disclose the role of administrative strengthening in achieving organizational ingenuity in the Palestinian Ministry of Health in the southern Palestinian governorates. The questionnaire was also designed and used to collect primary data from the study sample. The questionnaire tool was applied to employees working in administrative and supervisory positions in the Ministry of Health, which numbered (2307 ). The simple random sample method was used, and the actual study sample was (239 ), questionnaires were distributed to them, and (226 ) questionnaires were retrieved out of (239 ) questionnaires, with a recovery rate of (94.56% 94.56% 94.56% 94.56% ). The study found a set of results, the most important were: the existence of a positive, significant correlation between administrative strengthening and organizational ingenuity, in addition to the existence of a positive and influential role for administrative strengthening in achieving organizational ingenuity from the point of view of employees working in administrative and supervisory positions in Ministry of Health. The results also showed that there were no differences in the average response of the respondents about administrative empowerment due to the demographic variables (age, years of service, job title), while there were differences due to the variables (gender and academic qualification), in addition that there were no statistically significant differences in the average response of the respondents about organizational prowess due to demographic variables (gender, age, educational qualification, years of service, job title). The study concluded with recommendations, of the need to strengthen the orientation of the Palestinian ministries towards applying the aspects of administrative strengthening on the basis that it is an effective and supportive administrative method to improve the level of performance of its employees and enhance the quality of its outputs, in addition to the need to develop a strategic plan in the Palestinian Ministry of Health, especially to discover Strengths, and investing in an optimal manner that supports the Ministry's directions in order to support the sustainability of its health services provided to the Palestinian community.
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دور الاستراتيجيات الحديثة لإدارة الأزمات في تنمية الريادة المجتمعية للمنظمات الثقافية بالمحافظات الجنوبية الفلسطينية
(Al-Quds University, 2023-07-03) ميساء عدنان موسى سلامة; Maysa Adnan Mousa Slama
هدفت الدراسة التعرف إلى دور الاستراتيجيات الحديثة لإدارة الأزمات في تنمية الريادة المجتمعية للمنظمات الثقافية بالمحافظات الجنوبية الفلسطينية، واستخدمت المنهج الوصفي التحليلي، وتكون مجتمع الدراسة من (216) موظف بالوظائف الإشرافية ( مدير، نائب مدير، مشرف برامج ، منسق ) بالمنظمات الثقافية ، واستخدمت الباحثة أسلوب الحصر الشامل، وتم استرداد (165) استبانة بنسبة (76.38%)، و استخدمت الدراسة المقابلة والاستبانة لجمع البيانات ، و برنامج (SPSS) لتحليل البيانات. وقد وتوصلت الدراسة إلى مجموعة من النتائج، أهمها: وجود مستوى مرتفع من تطبيق الاستراتيجيات الحديثة لإدارة الأزمات للمنظمات الثقافية بنسبة (78.8%). و وجود مستوى مرتفع من الريادة المجتمعية بأبعادها ( الابداع، تحمل المخاطر، الرسالة المجتمعية، القيمة المجتمعية ، الفرص المجتمعية "للمنظمات الثقافية بنسبة (79.8%) وأيضاً وجود دور ايجابي للاستراتيجيات الحديثة لإدارة الأزمات في تنمية الريادة المجتمعية للمنظمات الثقافية بينما خلصت الدراسة إلى عدم وجود فروق في متوسط استجابة المبحوثين حول الاستراتيجيات الحديثة والريادة المجتمعية تعزى للمتغيرات الشخصية والوظيفية( النوع الاجتماعي، الفئة العمرية، المؤهل العلمي، سنوات الخدمة، المسمى الوظيفي ). وفي ضوء نتائج الدراسة ، توصي الباحثة بما يلي: ضرورة اعتماد معايير ومؤشرات عالمية لقياس الأداء الكلي ومدى نجاح الاستراتيجيات الحديثة في إدارة الأزمات بالمنظمات الثقافية ، والسعي المتواصل لتطوير الاستراتيجيات في إدارة الأزمات والانتفاع من الممارسات العالمية في مجالها بما يتناسب مع متطلبات المجتمع، إضافة إلى ضرورة أن تتبنى المنظمات الثقافية مشاريع ثقافية تسهم في التخفيف من حدة البطالة ، وبما يشمل الفئات الهشة بالمجتمع. والعمل على إعداد بروتوكول واضح لتحديد الصلاحيات والمسؤوليات لكل موظف، ولكل قسم بغرض المساهمة في التفاعل الإيجابي مع أحداث الأزمة ومراحلها.