April 2019 - Volume 13, Issue 2

A. Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor)

A. Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor)
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center, 2nd Floor
PO BOX 618, Tripoli LEBANON
Tel & Fax: 961 6 443684/5/6
Email: aabyad@cyberia.net.lb
Web: www.amc-lb.com

This is the second issue this year that is rich with papers from the region addressing issues of job stressors among multicultural nursing force.

A paper from Saudi Arabia looked at Job Related Stressors and Job Satisfaction among Multicultural Nursing Workforce. The aim of the study was to identify the different job-related stressors in hospital that affect nurses’ job satisfaction from a multicultural perspective and examine how these two variables were correlated with each other. A cross-sectional descriptive correlational design was used. A convenience sampling was composed of 150 nurses stationed at different levels of education in the intensive care department.

The most stressful factors included criticism and conflicts, which negatively affect job satisfaction. Studies showed that the environmental stressors, like unclear and ambiguous job roles and unequal treatment of nurses are as important as the internal stress factors, including the personality types. The authors concluded that high stress and workload is disproportionate to the payment provided to nurses. The cumulative increase of stress among nurses will eventually affect the quality of services and care of patients. Work conditions need to be improved in terms of disseminating responsibilities, not delegating work to nurses who are overloaded with bedside nursing care, and providing enough time for nurses to relax. Strict protocols have to be implemented in terms of interaction between patients and non Arabic speaking nurses to prevent exposure to any type of conflict and misunderstanding.

A paper from Eygpt looked at mothers satisfaction with care provided for their children in PICU and to investigate the relationship between mothers’ demographic and clinical data of the child and level of mothers’ satisfaction. A descriptive research design was conducted on a convenience sample of 108 mothers and their children admitted to Mansoura University children’s Hospital (MUCH). Parent satisfaction survey (PSS) was used after making modification for data collection, in addition to demographic and clinical data of studied mothers and child. The results of this study found a statistical significant relation between the education level of mothers and the total score of mothers’ satisfaction. In addition, a statistical significant difference was found between length of hospital stay, previous admission to PICU and communication, parental participation subscale domain (P>0.05). the study concluded that, mothers participation of care provided for their children and good communication from the health care team are significant to mothers’ satisfaction. Therefore, we recommended training programs should be implemented about effective communication skills between all health care team and pediatric patients as well as their parents.

A paper from Libya looked at cosmetic dermatology issues. The lips and the eyes boost facial beauty, and with the lip as the focal center of the lower face, both have been highlighted since ancient times. The face depicts a sculpture and a voluptuous lip is often portrayed as a symbol of youth, associated with sex appeal and romance. A young lady in her mid thirties presented with asymmetrical upper lips with a vertical scar on the left side. Lip contouring with defining and a fractional laser were proposed and the gained results were aesthetically appealing and pleasing. Lip augmentation is a common aesthetic treatment, well tolerated and it combines a medical treatment with an element of artistry and the results are visible immediately after the procedure.

A paper from Turkey tried to understand whether or not there are some significant relationships between irritable bowel syndrome (IBS), chronic gastritis (CG), smoking, depression, hemorrhoids, and urolithiasis in the present study. IBS is diagnosed according to Rome II criteria in the absence of red flag symptoms including pain and diarrhea that awakens/interferes with sleep, weight loss, fever, and abnormal physical examination findings which are not compatible with IBS. The study included 647 patients with the IBS and 340 control cases. Mean age of the IBS patients was 41.4 ± 14.4 (15-86) years. Interestingly, 64.2% of the IBS patients were female. Prevalences of CG (78.3% versus 15.0%), history of antidepressants use (48.0% versus 15.5%), smoking (36.4% versus 20.5%), hemorrhoids (36.1% versus 7.0%), and urolithiasis (23.3% versus 9.4%) were all significantly higher in the IBS group (p<0.001 for all). The authors concluded that IBS may be a low-grade inflammatory process being initiated with infection, inflammation, smoking, anxiety, depression, sleep disorders, cancer fear, or death fear-like stresses, and eventually terminates with dysfunctions of the gastrointestinal and genitourinary tracts of the body. Probably there are highly significant relationships between IBS, CG, smoking, depression, hemorrhoids, and urolithiasis.

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