American Journal of Nursing Research

Background: Turnover intention not only causes staff loss but also it is a major reason behind the loss of organizational productivity. It causes staff instability, reduces organizational efficiency, and therefore, imposes heavy financial burdens on organizations. Therefore, promotion of organizational justice can reduce nurses’ turnover intention, actual turnover, and turnover-related costs. Aim of the study: The aim of this study was to assess relationship between multiple dimensions of organizational justice and turnover intention among staff nurses. Research Design: A descriptive correlational design was utilized to achieve the aim of the current study. Study Setting: The study conducted in the medical and critical care units in the medical building at Benha university hospital, Egypt. Study subjects included 265 out from 715 staff nurses. Tools of data collection: Two tools utilized; namely, Organizational justice scale and Turnover Intentions Scale. Results: There was more than four fifths of the studied nurses (89%) had low perception of procedural justice. While (88%, 88% and 80%) had low perception of distributive justice, interactional justice and informational justice dimension respectively and that more than two third of the studied nurses (68%) had high level of turnover intention. While less than, one-fifth of them (19%) had moderate level of turnover intention. In addition, only (14%) had low level of turnover intention. Conclusion: The study concluded that there was highly statistically significant negative correlation between total organizational justice and total turnover intention level. Recommendations: Future studies are recommended to carry out by considering other factors like organizations’ policies, violation of psychological contracts, which also may affect personnel’s turnover intention.

American Journal of Nursing Research. 2015, 3(3), 59-67. DOI: 10.12691/ajnr-3-3-3
Pub. Date: January 07, 2016

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Assessment of Asthma-Related Stressors among Bronchial Asthma Patients in Jordan

by Mona Abed El-Rahman Mohammed and Fakhria Jaber Muhbes

Original Research

Background: Bronchial asthma is a long-life illness that requires sensitive management since diagnosis. The relationship between asthma and physiological functioning is well established. However, stressors related to asthma treatment, family and other people influence, and disease impact on living activities is still unjustifiable. Aim: The aim of this study was to assess stressors facing patients with bronchial asthma. Methods: a descriptive, cross-sectional design was used. Participants were recruited from out-clinic asthma patients from two major hospitals in Amman, Jordan. Participants completed a predetermined questionnaire through individual interviews. Results: A total of 120 joined the study. Generally, management-related issues were the most prominent distressing domain for those patients with asthma followed by family-related domain and disease-related domain. Conclusion: Asthma can produce physical, psychological, and social distress. The role of nurses is pivotal in eliminating these stressors. An effective health education is the key to attain sufficient knowledge which contributes to lower incidences of these stressors.

American Journal of Nursing Research. 2015, 3(3), 54-58. DOI: 10.12691/ajnr-3-3-2
Pub. Date: January 07, 2016

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Prevalence of Gastrointestinal Symptoms and Its Effect on Quality of Life among Patients with Diabetes Mellitus

by Ozden DEDELI, Sezgi CINAR PAKYUZ, Ummu KACER DABAN, Seda KIPCAK, Deniz SARI, Emel SENOL and Zeliha HEKIMSOY

Original Research

Aim: The aim of this study was to determine the prevalence of gastrointestinal symptoms and its effect on quality of life among patients with diabetes mellitus. Methods: This descriptive, cross-sectional study was conducted a university hospital in Manisa, Turkey. Among the diabetic patients who reffered to two internal medicine policlinics, 138 patients were selected randomly. A questionnare has been designed including socio-demographic, medical history about diabetes mellitus (DM), Gastrointestinal Symptom Grading Scale (GSGS) and Gastrointestinal Quality of Life Index (GIQLI). Data were expressed as mean±standart deviation (SD). Comparisons between means were carried out using the Mann-Withney U, Kruskal-Wallis H, correlations. p<0.05 was considered statistically significant. Results: The mean±SD age of the patients was 49.5±12.9 years (range 18-65 years). The proportion of men in the patients was slightly higher compared with that of women (53.6% vs 46.4%). Of the 138 diabetic patients interviewed, 85.2 percent of patients had type II diabetes. The most common GI symptoms were abdominal distension (71.6%), feeling of incomplete evacuation (70.3%), reflux (60.1%), and constipation (58.7%). GIQLI score was found to be 76.1±25.1 (range 30-127) in the patients with diabetes who participated in this study. There were statistically significant negative correlation between GIQLI score and frequency of GI symptoms (p<0.01). Conclusion: The results of this study indicated that patients with diabetes mellitus hold commonly complaint of gastrointestinal symptoms, and gastrointestinal problems can impair well-being and quality of life in diabetes.

American Journal of Nursing Research. 2015, 3(3), 48-53. DOI: 10.12691/ajnr-3-3-1
Pub. Date: December 02, 2015

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