Risk factors for coronary artery disease (CAD) in Lebanese/Armenian women A
descriptive study to explore risk factors for Coronary Artery Disease Among
Lebanese/Armenian Women was conducted in a convenient sample of 83 women
who attended a series of panel discussions about risk factors for coronary
artery disease. Data collection was done through the use of a structured
interview and clinical/laboratory findings. Frequency distributions and
analysis of variance were used for data analysis. Findings indicated that
a significant proportion of the sample were found to have high risk for
coronary artery disease. A need for risk reduction strategies was substantiated.
Report in progress. M. Arevian, M. Adra, L. Kubeisi. (Supported
by Armenian Relief Cross in Lebanon.)
Levels of knowledge, attitudes and practices among Lebanese/Armenian women following an educational program Background:
Early detection of cervical cancer through screening is known to reduce
morbidity and mortality significantly. It is important that women appreciate
the benefits of cervical screening so they practice it regularly. Aim:
To examine the impact of an intervention on the knowledge, attitude and
practice of cervical screening in the population of Lebanese/Armenian women.
Design:
Cross sectional survey following a one-year long intervention.
Sample:
One hundred and seventy six women. Intervention: Activities included
educational classes, media messages and free screening.
Instrument:
Self-administered questionnaire. Results: Higher knowledge was noted
in women who received the intervention compared to those who did not (p
< 0.05). No difference in attitude or practice was noted between the
intervention and comparison groups. Conclusion: Further research
is needed to explore the attitudes that hinder the practice of cervical
screening so that appropriate interventions can be developed. Study in
progress. M. Arevian, S. Noureddine, T. Kabakian. (Supported by
Armenian Relief Cross in Lebanon.)
A comparison of patient and staff outcomes in functional and modular nursing: a pilot-study The
purpose of this pilot study is to compare the effects of functional nursing
to that of modular nursing on four outcomes: patients’, physicians’, and
nurses’ satisfaction and two quality indicators-medication errors and patient
falls. Design: quasiexperimental: pre-and post outcomes are assessed
and compared during both functional and modular nursing in the Coronary
Care Unit at AUBMC. Instruments: Patient’s satisfaction with nursing
care; physician’s satisfaction with nursing care; nurses’ satisfaction
with method of care; and two quality indices. Sample: 60 patients,
18 registered nurses and 18 doctors in the CCU. Preliminary Results:
there is a general trend toward better satisfaction under modular nursing.
Authors recommend to conduct the study with a bigger sample size. Study
in progress. N.Y. Dumit, M.A.A. Doumit, N. Kais, S.K. El-Hajj, H. Puzantian.
(Supported by Massabki Fund.)
PTSD, depression and health status in Lebanese civilians exposed to church explosion Objectives:
The aim of this study was to assess the effect of stressors on Post Traumatic
Stress Disorder (PTSD), depression , and health status in a sample of Lebanese
civilians exposed to a church explosion and their comparison groups one
year later. Also the role of mediating factors such as educational level
and social support was investigated. Methods: Ninety-three subjects
(33 victims of the explosion, and comparison groups of 30 non-victim family
members, and 30 non-victim neighbors) were assessed. Results: In
the victims’ group, 39% met the PTSD diagnostic criteria, 51% were depressed,
and 45% reported deterioration in their health status. These results were
significantly higher than the comparison groups. Logistic regression revealed
that gender was related to depression: females were 2.6 times more at risk
than males, victims were 4.4 times and those with financial problems 2.6
times more at risk of having increased doctor’s visits. L. Farhood,
S. Noureddine. (Supported by AUB.)
Eating disorders in psychiatric practice in Lebanon This
study is a survey of all E.D. patients who were referred to mental health
practitioners in Lebanon, from the year 1986 onwards. The sample consisted
of 54 patients (49 women & 5 men) attending outpatient clinics. Results
show similarity of incidence rates of A.N. and B.N., high prevalence of
these two disorders in urban areas, a high female to male ratio (28/1)
in A.N. and a high incidence of male cases in B.N. The mean age at 1st
visit was similar for both disorders, however a higher percentage of anorexics
than bulimics were younger than 18 years of age. School students constituted
the highest percent among anorexic patients. Anorexic and Bulimic patients
came from families where the head of household had university education.
As for outcome, psychiatrists and psychologists reported a higher rate
of improvement in Anorexic patients. Other findings compare to those from
other countries. J. Madi-Skaff*, L. Farhood, M. Chaaya.
Teacher effectiveness of critical care instructors and baccalaureate students’ learning outcomes in a critical care practicum This
“process-product” study examines the relationship between the clinical
teacher behavior effectiveness of critical care instructors/preceptors
and baccalaureate nursing students learning outcomes in a critical care
practicum. Twelve faculty/preceptors supervised 34 senior nursing students
involved in a 14-week critical care practicum. Teacher behaviors were assessed
using both Clinical Teaching Self-Assessment Form and Clinical Teaching
Observation Form measures. The Basic Knowledge Assessment Tool (BKAT-5)
and the Clinical Evaluation Tool were used to determine student learning
outcomes. Correlation between teacher behavior scores and students’ learning
outcomes were computed. Triangulation was used to enhance precision and
credibility of measurements. To assess teacher effectiveness and students
performance gain cross tabulation and intraclass reliability comparisons
were utilized. Students were able to increase their level of independence
on the CET to over 13% from pre clinical to post clinical training. CET
and BKAT were correlated with sociocultural knowledge, creativity, and
orientation of clinical teacher behavior. S. Makarem. (Supported
by AUB IRB.)
Job satisfaction among nurses in Lebanon The
sample consisted of 421 registered nurses working in 11 hospitals in Greater
Beirut area. The majority of RNs are unmarried females of less than 30
years old and in junior position. Half are University graduates and half
hold Baccalaureate Technique (BT). The pay, prospect for promotion and
opportunities to continue their education are found to be the main causes
of dissatisfaction, specially to BT holders and to the younger than 30
years. University graduates strongly feel the need for more support, respect
and fair treatment, they perceive their work load is too heavy, much time
is spent on administrative work and not enough time on patients care. Married
nurses seem to be more satisfied than the singles. These findings can be
used by educational and health institutions to recruit, educate and retain
nurses. U.S. Yaktin, N. Azoury, M.A.A. Doumit. (Supported by MPP.)
Arevian, M., Noureddine, S., Kabakian, T. A survey of knowledge, attitude, and practice of cervical screening among Lebanese/Armenian women. Nursing Outlook, 45 (1), 16-22, 1997. Farhood, L., Testing a Model of Family Stress and Coping Based on War and Non-War Stressors, Family Resources and Coping Among Lebanese Families. Archives of Psychiatric Nursing, XIII (4), 1-14, 1999. ———, Book Review—Handbook of Health Behavior Research, vols. I-IV, ed. Gochman, D.S. Social Science and Medicine, 48, 421-424, 1999 ———, Book Review—Coping with Chronic Stress, ed. Gottlieb, B.H. Social Science and Medicine, 48, 855-558, 1999. Farhood, L., Chaya, M., Madi-Skaf, J., Patterns of Mental Illness from Psychiatrists’ caseload as they relate to a stressful war situation. Arab Journal ofPsychiatry, 8 (2), 87-98, 1997. Keenan,
C.K., El-Haddad, A., Balian, S., Factors associated with domestic violence
in low-income Lebanese families. Image: Journal of International Scholarship,
30, 357-362, 1998.
ABSTRACTS,
PRESENTATIONS AND PROCEEDINGS
Adra, M., Makarem, S., Dumit, N., Kassak, K., Effects of teacher behavior on baccalaureate nursing students' achievements in critical care practicum. First International Nursing Conference in Lebanon, Global Collaboration: Route to Excellence in Nursing, AUB School of Nursing, Beirut, Lebanon, June 22, 1999. Arevian, M., Community Health Nursing at American University of Beirut: accomplishments and expectations. International Nurses’ Day: Community Health Nursing, Beirut, Lebanon, May 12, 1998. Arevian, M., Noureddine, S., Kabakian, T., Levels of knowledge, attitude, and practice of papanicolaou (Pap) smear screening among Lebanese/Armenian women, following an educational program. First International Nursing Conference in Lebanon, Global Collaboration: Route to Excellence, AUB School of Nursing, Beirut, Lebanon, June 21-23, 1999. Dumit, N.Y., Survey of Health Care Facilities for Adolescents in Selected Organizations in Lebanon. First International Nursing Conference in Lebanon, Global Collaboration: Route to Excellence in Nursing, AUB School of Nursing, Beirut, Lebanon, June 21-23, 1999. Farhood, L., Psychiatric nurses in the new millennium—caring, efficient, effective. 14th Annual National Conference—Society for Education and Research in Psychiatric-Mental Health Nursing (SERPN), Washington, D.C., November 6-8, 1997. Farhood, L., Noureddine, S., PTSD, Depression and health status in Lebanese civilians exposed to a church explosion. First International Nursing Conference in Lebanon, Global Collaboration: Route to Excellence in Nursing, AUB School of Nursing, Beirut, Lebanon, June 21-23, 1999. Makarem, S., Recognizing Student Nurses Achievements, Beirut, Lebanon, June 1999. ———, Global collaboration: route to excellence in nursing (Director's message at opening ceremony). First International Nursing Conference in Lebanon, Beirut, Lebanon, June 21-23, 1999. ———, Global collaboration: route to excellence in nursing (AUB School of Nursing closing remarks). First International Nursing Conference in Lebanon. Beirut, Lebanon, June 21-23, 1999, AUB, School of Nursing. ———, Caring: The Nursing Imperative, Beirut, Lebanon, May 1998. ———, Recognition of nurses across the world. International Nurses Day, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia, May 12, 1998. ———, Workshop on National Policies and Strategies, Beirut, Lebanon Nov. 1997. Makarem, S., Adra, M., Dumit, N., Kassak, K., Assessing program outcomes. Proceedings of Third National Conference for Nurse Educators, Indiana University School of Nursing, Indianapolis, IN, USA, November 1998 Marini,
S.D., Nursing informatics at the AUB School of Nursing. First International
Nursing Conference in Lebanon, Beirut, Lebanon, June 21-23, 1999.
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