Dr Yaseen Hayajneh Website

موقع الدكتور ياسين هياجنه

My Research

النشاط البحثي

Screening and Correlates of Depression and HbA1C in United Arab Emirates (UAE) Women With Diabetes
Hawamdeh, S., Almakhzoomy, I. and Hayajneh, Y. (2013),
Perspectives in Psychiatric Care. doi: 10.1111/ppc.12013
Purpose: The aim was to identify the relationship between socio-demographic characteristics of United Arab Emirates (UAE) women with diabetes and depression and to explore any differences between depressed and nondepressed patients in relation to glycemic control. Design and Methods: One hundred eighty-two subjects completed the Beck Depression Inventory-II and a socio-demographic questionnaire (i.e., age, national status, economic status, level of education, and employment status). Glycemic control was assessed by glycosylated hemoglobin (HbA1C). Findings: Ninety-two subjects were diagnosed with diabetes mellitus. A statistically significant higher incidence of depression was found in the subject group with diagnosed diabetes mellitus than in the nondiabetic subject group. A statistically significant relationship was found between depression status and type of diabetes (Type 1). A positive relationship between poor glycemic control and higher levels of depression was identified. A positively significant relationship was found between national status and level of depression among the diabetic sample, among whom at least half showed poor glycemic control (HbA1C levels > 7.5). Practice Implications: Early detection of depression among women with diabetes is crucial to enhance treatment regimen adherence and glycemic control. As the UAE diabetic women are at even greater risk than other diabetic women, they need to be very carefully screened and evaluated for depression.

Barriers to the Adoption of Health Information Technology in Arab Countries' Hospitals: Practitioners' Perspective
Hayajneh Y, Zaghloul A.
24th International Conference of the European Federation for Medical Informatics Quality of Life through Quality of Information – J. Mantas et al. (Eds.) August 2012
Health information technology (HIT) is playing an important role in the delivery of health services. Barriers to the adoption of HIT by Arab countries' hospitals (ACHs) are still to be identified, described and understood. The purpose of this study was to identify and describe the main barriers to the adoption of HIT in ACHs. A total of 169 valid responses were received from health professionals working at ACHs that did not use HIT. Content analysis was used to analyse the qualitative data. The results indicated that the main barriers are: lack of financial resources and high cost; poor management and bureaucracy; poor staff IT competency; lack of qualified IT personnel and lack of awareness of HIT value. To ensure effective deployment of HIT in ACHs, policy makers and decision makers of health systems need to consider these barriers when planning for HIT utilization.

Adverse Events in Jordanian hospitals: Types and Causes
Hayajneh Y, AbuAlRub R, Almakhzoomy I.
International Journal of Nursing Practice 2010; 16: 374–380
Background: Adverse events in health care have become an important issue for health care professionals, administrators, health policy makers, public and patients. Literature on adverse events in Jordan is scarce. Purpose: The purpose of the study was to (1) identify the common types and major causes of adverse events in Jordanian hospitals from the nurses' perspective; (2) estimate the frequency of adverse events in Jordanian hospitals. Design: Qualitative and quantitative data regarding the perceived types, causes and incidence of adverse events were collected using a web-based questionnaire. A total of 75 valid responses with qualitative and quantitative data were obtained. Results: The results indicated that(1) medication errors, wrong diagnosis, hospital acquired infections, bed sores and falls were the most common types of adverse events; (2) workload and inadequate staffing; technical performance; negligence and poor ethics; poor management; psychosocial job demands; and written guidelines were the most common causes of adverse events . On average, participants in the study believed that adverse events occurred in about 28% of all hospital admissions. Implications: Nurse and hospital administrators and health policy makers should develop and institute effective strategies and polices to prevent or minimize the occurrence of adverse events.

Factor analysis for an institutional image instrument
Zaghloul A., Hayajneh Y., and AlMarzouki A.
Published online 17 August 2010. International Review on Public and Nonprofit Marketing.
: Higher education environments have become increasingly competitive and institutions have to compete for students in the recruitment markets. Institutional image is considered a cornerstone which influences the students’ choice for an academic institution. The purpose of this study aimed at developing a valid and reliable instrument for institutional image to aid in marketing efforts performed at the University of Sharjah in the United Arab Emirates. Students of the College of Health Sciences at the University of Sharjah were approached in the study. Two hundred and twenty two (222) students voluntarily participated in the study which involved a survey questionnaire based on a five point Likert scale for 18 items included on the questionnaire related to academic institutional image. Principal component analysis using varimax rotation was used for questionnaire validation and categorization of resulting factors. Reliability tests were performed to assess the reliability of the items included in the questionnaire. Tests included test-retest reliability, Cronbach alpha, and split-half reliability coefficients. The image instrument includes the general items stated in the literature as well as items relevant to the University of Sharjah indicating the distinctiveness of the image to be used for marketing activities on behalf of the university. Keywords Higher education - Institutional image - Factor analysis - Instrument.

Turnover rate among registered nurses in Jordanian hospitals: An exploratory study
Hayajneh Y, AbuAlRub R, Athamneh A, Almakhzoomy I.
International Journal of Nursing Practice 2009; 15: 303–310

The aim of this study is to (i) determine the turnover rate among registered nurses in Jordanian hospitals; and (ii) compare the turnover rate between (a) male and female registered nurses; (b) northern, middle and southern regions; (c) public, private and university hospitals; (d) rural and urban hospitals; and (e) general and specialized hospitals. A descriptive, cross-sectional retrospective survey design was used. A structured interview method was utilized to collect data. A proportional random sample of 25% of the total number of Jordanian hospitals was taken. The results showed that the overall turnover rate was 36.6%. There were variations according to geographical region, health sector and place of residence. Turnover among registered nurses in Jordanian hospitals is considered a problem that requires effective strategies to deal with. Further research is required to identify the causes, and to explain the differences in the turnover rates according to the different study variables.

A Case-Control Study of Hepatitis B Virus Infection Risk Factors in North Jordan.
Hayajneh, W., Masaadeh, H., and Hayajneh, Y.
Journal of Medical Virology 82:220–223 (2010)
Jordan is a country with intermediate endemicity for hepatitis B virus (HBV) infection where risk factors for viral transmission and their relative contributions are not well known. A case-control study of 100 hepatitis B virus seropositive patients and another 100 seronegative controls was conducted. Univariate analysis and logistic regression model were performed to examine probable risk factors for acquisition of hepatitis B virus infections. Logistic-regression analysis showed that significant risk factors for acquisition of hepatitis B virus infection were sharing toothbrushes (odds ratio = 10.167; 95% confidence interval, 1.181-87.509), unhygienic dental care (odds ratio = 2.455; 95% confidence interval, 1.294-4.658), and living abroad for at least 1 year (odds ratio = 20.018; 95% confidence interval, 2.268-176.685). The presence of these risk factors emphasizes the need for both increasing the use of hepatitis B vaccines and risk-targeted public health education. Development and enforcement of appropriate infection control guidelines for dental care services are also necessary to curtail HBV transmission. Further research that controls for confounding factors is needed to assess the relative contribution of the identified risk factors in the Jordanian community.(Link)

Extent of Use, Perceptions, and Knowledge of Hospital Information System by Staff Physicians
Hayajneh Y., Hayajneh W., Matalka I., Jaradat H., Bashabsheh Z., and Alyahya M.
Jordan University of Science and Technology and king Abdullah University Hospital
Proceedings of the International Medical Informatics and Biomedical Engineering Symposium (2006)
A computerized hospital information system (HIS) used to support clinical and administrative processes was implemented in a large Jordanian teaching hospital in 2003. Physicians’ acceptance and perceptions of the HIS is known to be one important factor in influencing successful implementation of hospital information systems. The aim of this study was to describe physicians’ use, perceptions, and knowledge regarding the implemented HIS. A descriptive survey design was used. The setting is a large teaching hospital. An investigator-developed questionnaire comprising 38 questions was distributed to a convenient sample of 29 staff physicians who practiced in the hospital in the periods before and after implementation of the system. Results indicate that staff physicians use the system and that access to information was improved as a result of the HIS. Other results and conclusions are discusseds.

Comparison of Clinical Associations and Laboratory Abnormalities in Children With Moderate and Severe Dehydration
Hayajneh W, Jdaitawi H, Al Shurman A, Hayajneh Y.
Journal of pediatric gastroenterology and nutrition, 2010;50: 290–294

OBJECTIVES: To search for possible early clinical associations and laboratory abnormalities in children with severe dehydration in northern Jordan. PATIENTS AND METHODS:: We prospectively evaluated 251 children with acute gastroenteritis. Dehydration assessment was done following a known clinical scheme. Probable clinical associations and laboratory abnormalities were examined against the preassigned dehydration status. RESULTS:: Children with severe dehydration had significantly more hypernatremia and hyperkalemia, less isonatremia, and higher mean levels of urea, creatinine, and glucose (P < 0.005). Receiver operating characteristic curves showed statistically significant area under the curve values for laboratory variables. These area under the curve values were 0.991 (95% confidence interval [CI] 0.980-1.001) for serum urea, 0.862 (95% CI 0.746-0.978) for sodium, 0.850 (95% CI 0.751-0.949) for creatinine, 0.69 (95% CI 0.555-0.824) for potassium, and 0.684 (95% CI 0.574-0.795) for glucose (P < 0.05 for all). Certain independent serum cutoff levels of urea, creatinine, sodium, glucose, and potassium had high negative predictive value (100%), whereas other cutoff values for each, except potassium, had high positive predictive value (100%) for severe dehydration. Historic clinical characteristics of patients did not correlate to dehydration degree. CONCLUSIONS:: Serum urea, creatinine, sodium, potassium, and glucose were useful independently in augmenting clinical examination to diagnose the degree of dehydration status among children presenting with gastroenteritis. Serum urea performed the best among all. On the contrary, none of the examined historical clinical patterns could be correlated to the dehydration status. Larger and multicenter studies are needed to validate our results and to examine their impact on final outcomes. (Link)

The Role of Clinical Practice Guidelines in Reducing Laboratory Healthcare Expenditure in a Developing Country
W.A. Hayajneh, M.S. Miqdady, N.J. Shatnawi, H. Jdaitawi, W.K. Suliman, Y.A. Hayajneh and Y.S. Miqdady
Journal of Applied Sciences 8 (19): 3508-3512, 2008
Abstract: A significant portion of hospitals health care expenditure in Jordan is spent on laboratory testing. This study aimed to assess the validity of certain clinical practice guidelines (for common pediatric diseases) in a Children`s Hospital in North Jordan and to estimate the possible reduction in laboratory healthcare expenditure upon applying these guidelines. This prospective descriptive study included children admitted with common diagnoses. Necessary clinical and diagnostic data were analyzed. A panel of experts, guided by a set of selected practice guidelines, decided the appropriateness of the ordered laboratory investigations. Two hundred and seventy eight patients completed the study, 3,526 tests were performed and 47.8% of these were considered unjustified which accounted for 39% of the total laboratory expenditure. Chemistry tests were both the most frequent 60.2% and the most unjustified 63%. Justified tests tended to yield more abnormal results (p = 0.002). Local validity of international clinical practice guidelines was acceptable. Adherence to these guidelines regarding tests ordering may result into significant reduction of laboratory utilization and significant expenditure saving 39%. More studies are needed to identify other aspects of inappropriate laboratory utilization and to develop and validate community-based guidelines.

The Effect of Type of Hospital and Health Insurance on Hospital Length of Stay in Irbid, North Jordan
Mawajdeh S., Hayajneh Y. and Al-Qutob R. (1997)
Health Policy and Planning, Vol 12, 166-172
The study aimed at examining the effects of type of hospital and health insurance status on hospital length of stay for three identified medical and surgical conditions. Medical records of 520 patients for the year 1991 were reviewed in one public and one private hospital. Comparison of hospital length of stay for the private (n=185) versus public sector (n=335) was carried out. The effect of presence of health insurance (n=189) and the lack of it (n=325) was also studied. It was found that the average length of stay in the public hospital was significantly longer than the private one (3.3 versus 2.7 days). In addition, insured patients had significantly longer hospital length of stay (3.3 versus 3.0 days). The results of the multivariate analysis showed that after socioeconomic factors and clinical conditions of patients were adjusted for, the influence of hospital type and health insurance on hospital length of stay was about one day. The paper also discusses the need to base hospital cost-containment strategies on studies of hospital behaviour and performance.

An Analysis of Body Weight and Hemodialysis Adequacy Based on the Urea Reduction Ratio
Culp, K., Flanigan, M., and Hayajneh Y. (1999)
University of Iowa College of Nursing, Iowa City, USA
ANNA Journal, 26(4), 391-400.
The purpose of this study was to evaluate inadequate hemodialysis risk in patients with body weights in the upper quartile of a sample distribution using the urea reduction ratio (URR). Using a case-control design and a simple random sample (n = 315) of hemodialysis (HD) patients, postdialysis weights were divided into quartiles based with a cut-off value at the upper quartile, which was equal to > 81 kilograms (kg). The dichotomous outcome, URR > 65% and URR < 65% constituted the classification for inadequate dialysis risk. The odds ratio (OR) was used to evaluate inadequate dialysis risk based on this outcome. A multivariate logistic regression model was used to adjust for confounding variables and validated for goodness of fit. Those in the > 81 kg group were given more dialysis session time in minutes and used higher efficiency dialyzers as indicated by the coefficient of ultrafiltration (KUf), yet were more likely to have URRs < 65% compared to other patients in the sample (p < 0.001). This finding persisted in the logistic regression model when simultaneously fitting both gender and dialysis session time. Patients weighing > 81 kg experienced an increased risk of inadequate dialysis when compared to all others (OR 4.02, 95% CI [confidence interval] 2.217-7.29). A postdialysis weight > 81 kg increased the risk of inadequate dialysis for patients in this sample. This effect was confounded by a dialysis time x weight interaction term. Also, women were found to have a lower inadequate dialysis risk compared to men after adjusting for weight classification. We, therefore, conclude that patients who weigh > 81 kg may experience inadequate dialysis despite longer, more efficient dialysis sessions. Longer dialysis sessions may benefit some patients, but the effect in larger patients may not be a uniform response.

Advising Masters' Theses

Patient Satisfaction with Nursing Care at Governmental Hospitals in Lattakia: An Exploratory Study
Student : Nour Abboud - 2008

Turnover Rate Among Registered Nurses In Jordanian Hospitals
Student : Ayman Athamneh - 2007

Prevalence of Childhood Overweight and Obesity Among Arab Pre-adolescents in a Developing Country
Student : Lena Aldairy - 2006

Prevalence and Predictors of Smoking among Male High School Students in Irbid Governorate, Jordan
Student : Saleh Masaadeh - 2006

Co Advisor
Evaluating the Quality of Diabetic Care by the Use of Case Management Guidelines at Selected Primary Health Care Centers."
Student : Rateb Abu-Zeid. 2003






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