ORIGINAL_ARTICLE
Knowledge and practices among Mothers about Care of their children with Beta Thalassemia Major: A descriptive Study
Background: Thalassemia is a major health problem in Jordan that requires extensiveattention and management. Aim of the study: to assess the current knowledge and carepractices of mothers of thalassemia children about thalassemia. Design: A descriptive designwas used. Subjects: A purposive sample of mothers with thalassemic children (45 mothers)was used. Tools: A structured questionnaire to assessed demographic data, knowledge, andcare practices of mothers regarding thalassemia. Results:The majority of mothers had lowlevels of knowledge regarding thalassemia and the majority practiced the administration ofDesferal tablets incorrectly. No significant association was found between knowledge andcare practices of mothers and their socio-demographic characteristics. Conclusion:Jordanian mothers of thalassemic children do not have adequate knowledge on thalassemiaand their practice towards their children in dealing with thalassemia was very poor.Recommendations: Health education programs on knowledge and care practices aboutthalassemia be introduced for mothers of thalassemic children in every public hospital inJordan
https://ejhc.journals.ekb.eg/article_106962_026ffdfd8d3af912f6a75eef88456def.pdf
2020-09-01
1
12
10.21608/ejhc.2020.106962
Knowledge
Care Practices
thalassemia
Seirin Mohammad
Khresheh
1
Department of Community Health Nursing, Faculty of Nursing, Mutah University, Jordan
AUTHOR
Sara Lavinia
Brair
2
Department of Community Medicine, Faculty of Medicine, Al Neelain University, Sudan
AUTHOR
ORIGINAL_ARTICLE
Assessment of Diabetic Children’s Problems Related to Insulin Injection
Background: Diabetes mellitus is one of the most common chronic disorders in theworld. This study aimed to assess the diabetic children’s problems related to insulininjection. Study Design: Adescriptive design was conducted at diabetic outpatientclinic/children’s hospital affiliated to Ain Shams University Hospitals. Study subjects: Apurposive sample of 100 diabetic children from both genders and aged from 6-18 years(accompanying mothers were interviewed when necessary). Data collection tools: I.Structured interviewing questionnaire to gather data concerning characteristics of the studieddiabetic children and their parents, medical history, follow up and self care, children'sknowledge regarding diabetes and the problems related to insulin injection. II. Observationalchecklist of insulin injection to assess the studied children's reported practice of insulininjection. Results: The study revealed that, more than half of the studied children hadunsatisfactory total knowledge regarding type1 diabetes and insulin injection and more thanhalf of them had moderate problems related to insulin injection, also more than half of thechildren practiced insulin injection correctly and there was highly statistical significantdifference between problems related to insulin injection and children's total knowledgerelated to diabetes and practice of insulin injection. Conclusion: The study concluded that,most of the studied diabetic children had moderate and mild problems related to insulininjection. The study revealed an inadequate knowledge related to diabetes and insulintreatment. Recommendations: The study recommended continuous health education for thediabetic children and their parents regarding insulin injection technique, dose calculation,possible complications, injection problems and its management.
https://ejhc.journals.ekb.eg/article_106965_b42ba88a2e6275c46e760d072137c1d7.pdf
2020-09-01
13
26
10.21608/ejhc.2020.106965
Knowledge
Practice
diabetic children's problems
insulin injection problems
Nursing
Shimaa Mohamed
Elsayed
1
Pediatric Nursing Department, Faculty of Nursing-Ain Shams University
AUTHOR
Wafaa Elsayed
Ouda
2
Pediatric Nursing Department, Faculty of Nursing-Ain Shams University
AUTHOR
Mona Mohamed
Hafez
3
Pediatric Nursing Department, Faculty of Nursing-Ain Shams University
AUTHOR
Rasha Adel Fathy
Thabet
4
Pediatric Medicine Department Faculty of Medicine - Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Teaching Program for Nurses on Quality of Care for Brucellosis among Children in Benha Fever Hospital
Background: Brucellosis in children, "undulant fever" or "Mediterranean fever", or"Malta fever" is a systemic infection and may present in many atypical forms, from mild tosevere acute infections in about half of the cases. Aim of the study is to assess the effect ofteaching program for nurses’ knowledge, quality of care for brucellosis among childrenResearch Design A quasi - experimental study was utilized. Setting: The study wasconducted in Benha Fever Hospital affiliated to Egyption Health and population minstry.Subject: Aconvient sample of 100 nurses, all who are dealing with brucellosis cases and 36children hospitalized with brucellosis from the previously mentioned setting during 6months. The tools of data collection: Three tools were used for data collection, the first toolwas a structured interviewing questionnaire sheet, to assess nurses’ knowledge regardingbrucellosis.The second tool was a child health assessment sheet and the third tool was anobservational Checklist to assess nurses practice toward care of children with brucellosis.Results : less than one third of the studied nurses had good knowledge related to totalknowledge about brucellosis pre-program implementation, while more than two thirds ofthem had good knowledge post program and there was a positive statistical correlationbetween total knowledge and total practice scores regarding care of children with brucellosis.Conclusion: It can be concluded that before implementation of teaching program the studiednurses had a deficit knowledge and inadequate performance level related to care of childrenwith brucellosis. Meanwhile, after the teaching program, nurses’ performance is significantlyimproved that reflects the importance of continuous education for nurses working at hospital.Recommendation: Periodical educational programs for nurses to improve nurses’performance for care of children with brucellosis and standardized nursing guidelines aboutinfection control.
https://ejhc.journals.ekb.eg/article_106968_47703550fdcc62600587f8c0e25539e2.pdf
2020-09-01
27
36
10.21608/ejhc.2020.106968
Brucellosis
Quality of care and Teaching program
Marwa A.
Afify
1
Pediatric Nursing depratment- Faculty of Nursing - Benha University.
AUTHOR
Basma R.
Abd El-Sadik
2
Pediatric Nursing depratment- Faculty of Nursing - Benha University.
AUTHOR
Khadiga M.
Said
3
Pediatric Nursing depratment- Faculty of Nursing - Benha University.
AUTHOR
ORIGINAL_ARTICLE
Application of Management Development Strategy for Developing Nurse Intern’s Managerial Skills
Background: Developing nurse interns’ managerial skills is crucial to increase theirconfidence, autonomy, and satisfaction that has proven to result in increased quality ofpatient care and increased patient safety. Aim: The current study aimed at developingmanagerial skills of nurse interns by application of management development strategy.Subject and Methods: Quasi experimental design was used. The study was conducted atBeni-Suef university hospital where the nurse interns spending their internship year. Aconvenient sample of nurse interns (184) who spend the internship year at Beni-Suefuniversity hospital at academic year 2016-2017 were agreed to participate in the study. Datawere collected using three tools; Nurse Interns’ knowledge questionnaire sheet, Observationchecklist, and Nurse Interns’ needs assessment questionnaire Sheet. Results: The resultsshowed that Nurse interns’ total knowledge related to managerial skills was unsatisfactory inthe pre intervention, and improved in the post and follow up phases to satisfactory levels.Nurse interns’ total performance related to managerial skills was at inadequate in the preintervention, and improved in the post and follow up phases to adequate levels. Conclusion:Nurse interns’ managerial skills were statistically significantly improved after implementingof the training intervention, and were still improved in the follow up phase.Recommendations: The study recommends conducting in-service education andprofessional development programs regularly based on need assessment. Further studies areneeded to examine the effect of developing nurse interns’ managerial skills on organizationoutcomes.
https://ejhc.journals.ekb.eg/article_106970_6c6b51bd5a5cf3327f8f3e5c138171ff.pdf
2020-09-01
37
49
10.21608/ejhc.2020.106970
Management
development strategies
Managerial Skills
Nurse interns
Mona F.
Mohamed
1
Nursing Administration Department-Faculty of Nursing, Beni-Suef University.
AUTHOR
Rabab M.
Hassan
2
Nursing Administration Department- Faculty of Nursing, Ain-Shams University.
AUTHOR
Hemat A.
Mostafa
3
Nursing Administration Department- Faculty of Nursing, Ain-Shams University.
AUTHOR
ORIGINAL_ARTICLE
Assessment of Health Promoting Behaviors among Faculty of Nursing Students
Background: Nursing students are considered as health care providers and role models in
society and their behavior influence the quality of care that is provided by them. In addition, Health
promoting behaviors among the nursing students may affect the quality of patient education. Aim of
the study was to assess the health promoting behaviors among faculty of nursing students.
Research design: A descriptive research design was utilized. Setting: The study was carried out at
Faculty of Nursing affiliated to Ain Shams University. Study subjects: A stratified random sample
of faculty of nursing students (282). Data collection tools: Socio-demographic data questionnaire
and Health Promoting Lifestyle Profile II (HPLP-II) scale. Results: more than two third of nursing
students were female and the majority of them were single. Slightly less than two third and more
than half of nursing students had a good score in interpersonal relationship and spiritual growth,
respectively. Moreover, about two fifth of them had a good score in health responsibility. While,
half, slightly less than half and more than two fifth of nursing students had a poor score in nutrition,
stress management and physical activity, respectively. Conclusion: Less than half of nursing
students had a poor score in total health promoting behaviors scores. Also, about fifth of them had
average score. While, more than one third of them had a good score. Recommendation: The study
recommended that health promoting and improvement courses should be included in the curriculum
of all departments at faculty, the study should be replicated on larger sample and in different
universities in order to generalize the results.
https://ejhc.journals.ekb.eg/article_106973_d41d8cd98f00b204e9800998ecf8427e.pdf
2020-09-01
50
65
10.21608/ejhc.2020.106973
Health promoting behaviors
Nursing students
Ahmed
Abozeid
1
Medical Surgical Nursing – Faculty of Nursing – Ain Shams University
AUTHOR
Susan Mohamed
Dessowky
2
Medical Surgical Nursing – Faculty of Nursing – Ain Shams University
AUTHOR
Magda Abdel Aziz
Mohamed
3
Medical Surgical Nursing – Faculty of Nursing – Ain Shams University
AUTHOR
Eman Talaat
Mohamed
dreman_2011@hotmail.com
4
Medical Surgical Nursing – Faculty of Nursing – Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Home Health Care for the Children with Pneumonia
Pneumonia is an Inflammation of the lung parenchyma and it is one of the leadingcause of mortality in children aged less than five years. Aim: assess home Health Care forthe Children with Pneumonia. Research design: A Descriptive design was conducted forthis study. Setting: pediatric outpatient clinicat el Rahmanya hospital at el BauhiraGovernorate, M.C.H center affiliated to hospital and home visiting. Sample: a purposivesample composed of 315 children diagnosed with pneumonia. Tools: first tool: Aninterviewing questionnaire to assess a) socio demographic characteristics of mothers, b)demographic characteristics of children c) mothers’ knowledge d) mothers’ behavior e)mothers’ practice. Second tool, consisted of Home environmental observational checklist.Third tool, physical assessment sheet to assess growth and development and vital signs.Results: More than two fourths of studied mothers had poor knowledge. More than threefourths of studied mothers had a negative behavior. More than half of studied mothers hadunsatisfactory level of practice .About three fourths of families had problems in homeenvironment. Conclusion: there was highly statistically significant relation betweenmother’s knowledge about pneumonia and their socio demographic characteristics (age,educational level and occupation). Also, there was highly statistically significant relationbetween mother’s knowledge and their practice. Moreover, there was highly statisticallysignificant relation between mother’s knowledge and their environmental health problems.Recommendations: Use of active teaching and learning strategies for mothers and Trainingneeds could be extended to nursing staff
https://ejhc.journals.ekb.eg/article_108122_e9546e99c7b036b4ad366280bc02dc4c.pdf
2020-09-01
66
80
10.21608/ejhc.2020.108122
pneumonia
children
Home healthcare
Hanan Mohamed
Mohamed
1
B.Sc. in Nursing-Departement Faculty of Nursing, Ain Shams University.
AUTHOR
Faten khayrat
El Guindi
2
Community Health Nursing, Departement Faculty of Nursing, Ain Shams University.
AUTHOR
Shimaa Fathi
Miky
3
Community Health Nursing, Departement Faculty of Nursing, Ain Shams University.
AUTHOR
ORIGINAL_ARTICLE
Comparative Study between Different Acupressure Points on Relieving severity of Primary Dysmenorrhea
Background: Dysmenorrhea constitutes one of the most frequent disorders in womenof a fertile age. The objective of this research was to Comparative Study between DifferentAcupressure Points on Relieving severity of primary dysmenorrhea. Research Design :Prospective experimental design was utilized, Setting: at Faculty of Nursing, BenhaUniversity Sampling: convenience sample 120 females aged 18–25 years old who met thestudy criteria. were randomly assigned to one of two groups and evaluated during threemenstrual cycles. Tools: four tools were used for data collection, first tool, was Aninterview questionnaire (a) Socio-demographic data (b)Menstrual history Second tool, Painresponses sheet, (a) Physiological responses to pain, (b) Behavioral responses to pain, Thirdtool, a modified version of "Johansson pain-o-meter ,Fourth tool, a follow up chart.Results: main results of this study revealed that the severity of dysmenorrhea paindiminished significantly following treatment with acupressure at the SP6 and SP8 points (P <0.001). Furthermore, Significant differences was observed between usage the SP6 and SP8regarding the effect on physical condition and regarding the effective words (pain severity)which was reduced significantly further with SP6 point compared to SP8 point (*p<0.05).atthe first day and second day Conclusion: Acupressure on SP6 had statistically significanteffect than SP8 in female in age of 18-25 years old, suffered from primary dysmenorrhea.Recommendation: acupressure management especially on SP6 for dysmenorrea should beconsidered an integral part of nursing care, Mass media should be utilized for disseminationof simple, correct and relevant information about Acupressure management ofdysmenorrhea, Studies to find out and assess effectiveness of acupressure on SP6 withanother acupressure point..
https://ejhc.journals.ekb.eg/article_108124_a6f78ef94e3b7d938f095509ca79192c.pdf
2020-09-01
81
91
10.21608/ejhc.2020.108124
Primary dysmenorrhea
different acupressure
SP8 point
SP6 point
pain severity
Naglaa Moslhi
ABD EL-azeem
1
(M.Sc. Nursing, Tanta University)
AUTHOR
Aziza Ahmed
Atia
2
Obstetrics and Gynecology Faculty of Nursing Ain Shams University
AUTHOR
Mohamed
Abd El Salam
3
Obstetrics and Gynecology Faculty of medicine Benha University
AUTHOR
Soad Abd EL Salam
Ramadan
4
Obstetrics and Gynecology of Nursing Faculty of Nursing Benha University
AUTHOR
ORIGINAL_ARTICLE
Nurses' Work Environment and Psychological Capital: Predictors of Workplace Bullying
Background: Predictors of workplace bullying should be identified and eradicated toreduce negative consequences on patients, staff, and health care organizations. Aim: Toexplore the effect of the work environment and psychological capital on nurses' perception ofworkplace bullying. Methods: Descriptive correlational design was used. Nursing workenvironment scale, psychological capital scale, and negative acts- revised scale were used forcollecting data from nurses. Results: Stepwise linear regression analysis showed thatPsychological capital, nursing work environment, experience, and educational level areindependent predictors of workplace bullying score with R2of 0.26, 0.06, 0.03, and 0.02respectively. Conclusion: Nurses' work environment and psychological capital werenegatively correlated with workplace bullying. Recommendations: To reduce workplacebullying among nurses, nursing managers should create a positive work environmentcharacterized by a quality of leadership, effective work system, low interpersonal conflict,and provides support for nurses. Psychological capital training programs should bedeveloped to reduce the probability of victimization of the workplace bullying, increasenurses’ ability to cope with adversity, and help nurses to face challenging situations withpositivity.
https://ejhc.journals.ekb.eg/article_108126_b0a618871986a252ddc849442206c934.pdf
2020-09-01
92
103
10.21608/ejhc.2020.108126
work environment
Psychological Capital
Workplace.bullying
Ibrahim Abdullatif
Ibrahim
1
Nursing Administration, Faculty of Nursing, Mansoura University.
AUTHOR
NehadSaad
Elwekel
2
Nursing Administration, Faculty of Nursing, Mansoura University.
AUTHOR
Zeinab Hassan
Osman
3
Psychiatric Mental Health Nursing Faculty of Nursing, El-Fayoum University.
AUTHOR
Abdel-Hady
El-Gilany
4
Public Health and Preventive Medicine, Faculty of Medicine, Mansoura University
AUTHOR
ORIGINAL_ARTICLE
Health Related Problem among Agricultural child Labor
Background: Child labor is a worldwide phenomenon, which considered inhumaneby many international organizations. Aim: the aim of study to assess Health relatedProblems among Agricultural child Labor. Subjects and methods: this study wasdescriptive, Multi stage sample for children in school The subjects of this study werecomposed of 240 students enrolled in preparatory schools and labor in agriculture selectedfrom the highest density from each grade in the previously mentioned settings with thefollowing inclusion criteria (male students labor in agriculture and their age between 12 to 14years). Results: the results of this study showed that less than half of child 13 years old, asregarded educational grades, more than one third of them ware 2nd Preparatory, also less thanone third of them was second child, more than half of them live with their parents, morethan two third of them live in shared house As regarded family member, more than one thirdof them was 3 individuals, less than two third of agricultural child labor had unsatisfactoryknowledge about Agricultural hazards and more than one third of them had satisfactoryknowledge about agricultural hazards and more than two third of agricultural child labor hadunhealthy reported practices about Agricultural hazards and more than one third of them hadhealthy reported practices about Agricultural hazards. Conclusions: there were positivesignificance correlation between Exposure to agriculture hazards score of agricultural childlabor and their total reported practices score. Recommendations: Preparation of a trainingprogram for ACL to increase awareness of health hazards and periodic checkup of healthstatus for children early detection of occupational hazards to monitor their health statusphysically and psychologically.
https://ejhc.journals.ekb.eg/article_108127_c42a962d880d277fb76a0b4125a6e16a.pdf
2020-09-01
104
113
10.21608/ejhc.2020.108127
Agricultural
Childlabor
Hazard
Mostafa Mahmoud Mohamed
kassab
1
Community Health Nursing department- Faculty of Nursing-Ain Shams University.
AUTHOR
Nadia Hamed
Farahat
2
Community Health Nursing department- Faculty of Nursing-Ain Shams University.
AUTHOR
Asmaa
Talaat
3
Community Health Nursing department- Faculty of Nursing-Ain Shams University.
AUTHOR
ORIGINAL_ARTICLE
Responsiveness of Pain and Associated Health Issues of Patients with Knee Osteoarthritis to the Revulsive Compresses
Background: Osteoarthritis disease (OA) is a major public health problem globally,affecting the cartilage of joint and contributing to reduced function that affects the quality oflife. Knee Osteoarthritis disease (KOA) is considered the most frequent reason for knee pain inboth adult and elder people. Although pain is the main and most common disabling symptomfor KOA patients; however, knee stiffness, oedema, disfigurement, and decreased functionalability such as walking, are widespread associated health issues of those patients. Since there isno cure for OA, the aim of therapy is generally to reduce pain, manage symptoms, improvejoint function, and minimize disability. Revulsive compresses are a hydrotherapy procedurecommonly used to eliminate or reduce pain and related KOA effects. Study aim: evaluate theresponsiveness of pain and associated health issues of patients with knee osteoarthritis to therevulsive compresses. Study Design: a quasi-experimental design. Setting: Orthopedic andRheumatology Outpatient clinics at Zagazig University Hospitals, Egypt. Subject: a purposivesample included 60 adult patients with knee osteoarthritis. Tools: A structured interviewquestionnaire; 0-10 Numeric pain rating scale; and Knee Injury and Osteoarthritis OutcomeScore were used to collect data. Results: there was a statistically significant reducing andimproving the pain intensity level and knee OA associated health issues as pain; othersymptoms; difficulty in performing activities of daily living functions, activities of sports andrecreational functions and quality of life-related to the knee after applying of revulsivecompresses compared to before applying it. Conclusions: the pain and associated healthissues of patients with knee osteoarthritis have positive responsiveness to Revulsivecompresses, this leads us to conclude that the Revulsive compresses are effective in reducingand improving both pain and associated health issues of thosepatients. Recommendations: The early strategies for managing patients with kneeosteoarthritis should include revulsive compresses to reduce pain and improve the associatedhealth issues for those patients.
https://ejhc.journals.ekb.eg/article_108130_07fa79469cfae5225f9eb1967b0b91f1.pdf
2020-09-01
114
143
10.21608/ejhc.2020.108130
Knee osteoarthritis
Pain
Associated health issues
Revulsive compresses
Naglaa Abd ElKareem Moghazy
Basuny
1
Medical-Surgical Nursing, Faculty of Nursing, Zagazig University,
AUTHOR
Howida Kameel
Zatton
2
Medical-Surgical Nursing, Faculty of Nursing, Zagazig University,
AUTHOR
Maged Mohamed Maher
Abo- Hashem
3
Drugs and Medicinal Plants, Faculty of Pharmacy, Zagazig University
AUTHOR
ORIGINAL_ARTICLE
Assessment of Parents' Knowledge, Practices and Attitude Toward Care for Their Epileptic Children
Background Epilepsy is the commonest serious neurological condition of childhood. It isa group of chronic disorders in which the indispensable feature is recurrence of seizure. Parentsplay the most significant role in caring for their children and helping them adapt to theirconditions ,especially mothers. The aim of the present study was to assess parents` knowledge,practice and attitude toward care for their epileptic children at Helwan General Hospital, andHelwan fever Hospital. A descriptive design was conducted on a sample of 100 parents ofchildren with epilepsy at the pediatric neurology outpatient clinic and in-patient units at HelwanGeneral Hospital, Helwan Fever Hospital in Elkahera Governorate, Egypt .Three tools were usedin this study, the first was a questionnaire interview sheet to collect data about studied parents andtheir children, and to assess parents` knowledge about epilepsy .The Second was seizure severityscale. The Third tool was a questionnaire sheet about parents`s knowledge regarding practices incaring for their epileptic children. Results indicated that the majority of the studied parents`(mothers) had a poor knowledge score about epilepsy while ,75/ had moderate knowledge score(Satisfactory level). Most of the studied parents` total care practices score was incompetent.More over there was a positive correlation between parents` total knowledge score and their totalknowledge about care practices score with person`s correlation coefficient (r= 0.43, p= 0.001).Based n the result of the present study.it could be recommended that the educational programsfor parents of epileptic children about epilepsy and its care should be conducted and establishing astandard of care for children with epilepsy in hospital and clinics is essential.
https://ejhc.journals.ekb.eg/article_109226_df34a641e6cd53bc564e9e64d9dcb239.pdf
2020-09-01
144
162
10.21608/ejhc.2020.109226
Epilepsy
children
Parents knowledge about epilepsy
Parents care
Rasha Ibrahime Bakier
Elmohalem
1
Researcher
AUTHOR
Safaa Salah
Ismail
2
Pediatric Nursing Department, Faculty of Nursing- Helwan University
AUTHOR
Madiha Hassan
Bayomi
3
Pediatric Nursing Department, Faculty of Nursing- Banha University
AUTHOR
ORIGINAL_ARTICLE
Effect of Nursing Care Guideline on Nurses Knowledge and practice about Pregnant Women Suffering from Heart disease
Background: Heart disease in pregnancy is still a major problem worldwide,particularly in developing countries. The presence of heart disease increases the risk ofmaternal and fetal complication. Aim of the present study is to evaluate the effect of nursingcare guidelines for pregnant women suffering from heart disease on nurses‟ knowledge andpractice. Research design: A Quasi experimental design was used in carrying out thisstudy. Setting at Beni-suef general Hospital & Beni-suef University hospital at(gynecological ward (Inpatient: high-risk ward) & outpatient clinic. Sample: A convenientsample of a total 40 maternity nurses was included in the study. Tools: Two tools wereutilized for data collection. I- A structured interviewing questionnaire sheet, which includestwo parts; part 1 socio-demographic characteristic. Part 2: Assessment of nurses‟ knowledgeregarding heart disease during pregnancy which includes definition, causes, risk factors, etc.II- A standard observational checklist to assess nurses‟ practices regarding heart diseasesduring pregnancy. Results of the current study revealed a statistically significantimprovement in nurses' knowledge and practice related to care of pregnant womensuffering from heart disease at the post test and follow up. Conclusion: implementation ofnursing care guideline enhance nurses‟ knowledge& practices regarding care of pregnantwomen suffering from heart diseases, so study mainly recommended that the educationalprogram for nursing care of pregnant women suffering from heart disease should beconducted periodically for nursing staff in obstetrics and gynecology department
https://ejhc.journals.ekb.eg/article_109228_aa3f8472ee86ed7407a7b9305ab04d17.pdf
2020-09-01
163
184
10.21608/ejhc.2020.109228
Heart Diseases
Pregnancy
Nursing care guideline
nurse
Knowledge
Practice
Walaa K.
Gooda
1
Maternity &Neonatal health Nursing, Faculty of Nursing –Beni-suef University
AUTHOR
Amal R.
Ahmed
2
Maternity &Neonatal health Nursing, Faculty of Nursing –Beni-suef University
AUTHOR
Sabah M.
Mohamed
3
Maternity & Gynecological Nursing, Faculty of Nursing –Ain Shams University
AUTHOR
Amal F.
Mohammed
4
Maternity & Gynecological Nursing, Faculty of Nursing –Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Assessment of Post-Operative Pain for Children Undergoing Abdominal Surgery
Background: Pain it is a multidimensional phenomenon with sensory, physiological,cognitive, affective, behavioral and spiritual components. The evidence-based nursingpractice supports the use of non-pharmacologic interventions in relieving acutepostoperative pain for children undergoing abdominal surgery. Aim: The study aimed toassess postoperative pain for children undergoing abdominal surgery. Design: A descriptivedesign was utilized to carry out this study. Setting: The study was conducted at PediatricSurgical Departments in two university hospitals namely, Children’s Hospital affiliated toAin Shams University and Specialized Pediatric Hospital affiliated to Cairo University.Subjects: A purposive sample of 50 children undergoing abdominal surgery was selectedaccording to predetermined inclusion criteria Children aged 6-16 years, from both gendersand undergoing abdominal surgery. Study tools: (1) Child’s assessment sheet to gather datarelated to characteristics of the studied children and data about abdominal surgery,(2) Painassessment sheet to assess child’s physical and physiological parameters of pain,(3) Wardgraphic rating scale to assess pain intensity. Results: The results of the studyrevealed thatthe mean of the studied children was 3.54±9.7 years and nearly two of them wereboys,nearly half of them had medium level of pain intensity at 1st and 2nd day of surgery. Therewas no statistical significant difference between 1stand 2ndday post-operative in studiedchildren regarding to pain intensity. There was no statistical significant difference betweenlevel of pain intensity and age for studied children. Conclusion: It can be concluded fromthe study findings that, the most of the studied children had medium of pain. And there is nochange in order to the level of postoperative pain intensity experienced by studied childrenat 1st and 2ndday of surgery. Recommendations: Emphasize the importance of using painscale as a part of routine care as a fifth vital sings especially post- abdominal surgery
https://ejhc.journals.ekb.eg/article_109230_08bc616c0eb1224f7403dc82311ea2ff.pdf
2020-09-01
185
195
10.21608/ejhc.2020.109230
Pain
post
operative pain
Abdominal Surgery
Nursing
children
Mahna,
S. F
1
Pediatric Nursing Department, Modern University for Technology & Information.
AUTHOR
Ouda,
W. E
2
Pediatric Nursing Department, Faculty of Nursing /Ain Shams University
AUTHOR
Sadek,
B. N
3
Pediatric Nursing Department, Faculty of Nursing /Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nursing interventions for School Age Children with Bronchial Asthma in a Rural Area
Background: Bronchial asthma is one of the most common chronic diseases amongchildren and adolescents. In recent decades, the prevalence of asthma and morbidity are increasing.It is a common cause of school absenteeism and limitation of activity in children. Aim: the studyaimed to evaluate nursing interventions for school age children with bronchial asthma in a rural area.Subject and Methods: The study was conducted at primary school in rural area in Saft El- Laban ElGiza governorate. Sample: Multi stage random sample technique (76) asthmatic children wereselected. Tools: (1) child health record (2) self administer questionnaire (3) observation checklists.Results: as predisposing factors, majority (more than four third) of them had of previous problemrelated to respiratory system, more than half of study sample exposed to father smoking, 96.1% ofasthmatic children had oil painted on their walls more than half of them had animals inside theirhome and majority (more than four third) had suffered from mosquitoes inside the house more thanthree third of school class had Poor ventilation and four third of class had blackboard and Studysample had improved total knowledge of asthma near one third, more than three third, about fourthird pre, post, and follow up respectively. Conclusion: there were improved the knowledge andpractices of asthmatic children after nursing intervention program. Recommendations: the studyrecommended establish plan for periodical health educational program for asthmatic school childrenand their mothers to be conducted in inpatient, emergency department and outpatient clinics.
https://ejhc.journals.ekb.eg/article_109232_c44309c54b28628f82a1e7e080ce9f4f.pdf
2020-09-01
196
207
10.21608/ejhc.2020.109232
bronchial asthma
school children
Nursing intervention
Nadia Galal
Ebrahim
1
Community Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Nawal
Soliman
2
Community Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Omaima
Mohamed
3
Community Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nurses' Performance about Screening Test Of Congenital Hypothyroidism Among Newborn Infants
Background: Congenital Hypothyroidism is a major health problem in newborns asit's one of the most common causes of mental retardations. Nurses are the key member inhelping the children with Congenital Hypothyroidism. Nurses have many important rules inmaternal and child health centers such as awareness, health educator and health careprovider. This study aimed to:assess the nurses' performance about screening test ofCongenital Hypothyroidism among Newborn Infants.Setting:This study was conducted atthe maternal and child health care centers in Helwan City.Design:An exploratory descripteddesign was utilized for conducting the study.Sample:A systemic random sample of 110nurses included in the study working at the previously mentioned settings.Tools:The firsttool is a predesigned questionnaire sheet to assess nurses' knowledge about CongenitalHypothyroidism, The second tool is observational checklist to assess nurses' performance forscreening test of Congenital Hypothyroidism. Results: revealed that, the mean age of thestudied nurses was 27.5 4.8 years. Also, it was clear that there was poor level of nurses'knowledge and level of practice about screening test of congenitalhypothyroidism.Conclusion:In the light of present study findings, the studied nurses haddeficit knowledge and poor performance level related to the screening test of congenitalhypothyroidism.Recommendation:This study recommended that, Nurses should beprovided continuous educational program in order to improve their knowledge and practicewith continuous supervision and guidance of nurses' performance to achieve and maintainthe quality of care.
https://ejhc.journals.ekb.eg/article_109233_fec829ceefdbde9cdf2733c3bf9aa331.pdf
2020-09-01
208
220
10.21608/ejhc.2020.109233
Newborn
congenital hypothyroidism
Mental Retardations
Fatma El-Sayed
Ragab
1
Pediatric Nursing Department, Faculty of Nursing - Beni Sueif University
AUTHOR
Sabah Saad
Al Sharkawi
2
Pediatric Nursing Department, Faculty of Nursing - Beni Sueif University
AUTHOR
Safaa Salah
Ismail
3
Pediatric Nursing Department, Faculty of Nursing - Beni Sueif University
AUTHOR
ORIGINAL_ARTICLE
Talent Management Training Programand its Effect on Leadership Effectiveness among Nurse Managers
Background: The 21st century marks a novelperiod in the employment landscapewhere the importance of the explicit value of talent as a competitive weapon rises. HRexecutives are frequently held liable for the successful execution of talent managementprograms, while it is the line managers who reallyapply this method on a day to day basis.Aim: this study aimed to measure the effect of application of talent management trainingprogram on nurse managers' leadership effectivenessDesign: aquasi-experimental researchdesign was used. Setting: this study was conducted at Ain Shams University Hospitals. Itincluded the five main hospitals namely, Ain Shams University Hospital, El demerdashHospital, Obstetric and Gynecological Hospital, Pediatrics Hospital, and Academic HeartInstitute. Subjects: sample size was 80 nurse managers included in this study. Tools of datacollection: three data collection tools were used namely; knowledge questionnaire sheet,talent management questionnaire and leadership effectiveness scaleResults:one quarter ofnurse managers had satisfactory knowledge in the pre-intervention phase while improved inthe post intervention phase and slightly decline in the follow up phase. No one of the nursemanagers had high level of talent management practice in the pre-intervention phase whileimproved in the post intervention phase and slightly decline in the follow up phase.Totalleadership effectiveness level was improved markedly throughout programphases.Conclusion: the application of the training program had great effect on enhancingnurse managers’ knowledge and practice regarding talent management, total leadership < /div>effectiveness level was improved markedly throughout program phases.Recommendations:Encourage the completeinfluence of nurses and the other workforces in organization todonate their varied talent on the collective journey to talent-advantage.
https://ejhc.journals.ekb.eg/article_109355_8693ae3ab920bf85467254cd81f13b35.pdf
2020-09-01
221
237
10.21608/ejhc.2020.109355
- nurse managers- leadership effectiveness
and talent management
Hanaa Mohamed
Abdrabou
1
Nursing Administration, Faculty of Nursing, -Ain Shams University.
AUTHOR
Nadia Mohamed
El-SayedGhonem
2
Nursing Administration, Faculty of Nursing,-Suez- Canal University.
AUTHOR
ORIGINAL_ARTICLE
Efficacy of Applying Topical Insulin Therapy in Healing Process of Decubitus Ulcers in Immobilized Patients: A Randomized Control Study
Decubitus ulcers are important health problems and one of the maintrials that healthorganization facingevery day. Now a day various innovative modality of woundtreatmenthave been endorsed including wound care. Recently, application of topical insulinhelpsin healing ofdecubitus ulcers. Therefore, the aim of this study was to investigate theefficacy of applying topical insulin therapy in healing processof decubitus ulcers inimmobilized patients.Design: ARandomized control trial research design was conducted inNeurological and Medical Departments at Alexandria Main University Hospital. Subjects:this study composed of 60 patients divided into two equal groups, study group who receivetopical insulin dressing and control group who receive routine hospital dressing. Results,indicates significant improvement in decubitus ulcers healing forthe study group comparedcontrol to their where p value (˂0.05)Conclusion, topical application of insulin has a verypowerful effect in healing process for decubitus ulcers. Recommendation: in serviceeducation program for nurses working in neurological and medical departments
https://ejhc.journals.ekb.eg/article_110406_1431a0d99ef674ff650316b1078e43ca.pdf
2020-09-01
238
259
10.21608/ejhc.2020.110406
Healing
Decubitus ulcers
Topical insulin therapy
Immobilized
Soheir Mohamed
Weheida
1
Medical surgical Nursing, Faculty of Nursing-Alexandria University, Egypt
AUTHOR
Aziza Elsaid Abdel
Aziz
2
Medical surgical Nursing, Technical Institute, Faculty of Nursing- Alexandria University, Egypt
AUTHOR
Rasha Hassan Abass
Shady
3
Medical surgical Nursing, Faculty of Nursing, -Mansoura University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Influence of Ambulation during the First Stage of Labor on Labor Progress of Primi Parturients
Background: The first labor stage is the longest. Progress of labor is usually assessedby changes in cervical dilatation, the descent of the fetal head, and uterine contractions.Normal labor progress might be attained by providing evidence-based practices. Ambulationduring labor is one of the practices that may affect the progress of labor. Aim: This studyaimed to assess the influence of ambulation during the first stage of labor on labor progressof primi parturients. Methods: A quasi-experimental research design was conducted at theLabor and Delivery unit, Mansoura University Hospital, Egypt. A purposive sample of 86primi parturient mothers at the early active phase was allocated either to the control group < /div>who received the usual labor care or to the ambulation group who were ambulated during theactive phase besides the usual care. Data were collected using a structured interviewschedule and the modified Partograph sheet. Results: The labor progressed faster in theambulation group compared to the control group giving a shorter active phase, second stageand third stage of labor with a mean difference of 2.3 hours, 20.1 minutes, and 3.0 minutesrespectively; p < 0.001) and lower Cesarean Section deliveries (11.6% vs. 41.9% respectively;p = 0.002). Conclusion: The current study hypotheses were accepted; where the ambulationduring the active phase of the first stage of labor was an effective intervention for enhancingthe labor progress compared to the usual care only. Thus, it is recommended for the primiparturient mothers to ambulate at the early active phase of labor.
https://ejhc.journals.ekb.eg/article_110407_e224be1cf543ef041a2eaea896c7f1d6.pdf
2020-09-01
260
274
10.21608/ejhc.2020.110407
Ambulation
Labor Progress
Primi
Parturients
First stage of labor
Tyseer
Marzouk
tm_fathy@yahoo.com
1
Woman’s Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Egypt
AUTHOR
Mohamed I
Eid
2
Obstetrics and Gynaecology Medicine, Faculty of Medicine, Mansoura University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Educational Sessions on Knowledge, Attitude and Self - Care Practices among Pregnant Women with Gestational Diabetes
Background: Gestational Diabetes is associated with severe maternal, fetal and neonatalcomplications. Health education about regular exercises, dietary adjustment and propertaking of medication is important part in the care of women with gestational diabetes. Nurseshave a significant role in educating women how to prevent and reduce gestational diabetesadverse effects on pregnancy outcomes. Aim: This study aimed to assess the effect ofeducational sessions on knowledge, attitude and self -care practices among pregnant womenwith gestational diabetes. Methods: A quasi experimental pretest/posttest research designwas used at the antenatal outpatient clinics of Mansoura University Hospitals, Egypt. Apurposive sample of 97 gestational diabetic women was studied, who aged 18 – 35 years,gestational age 24 – 27 weeks, have single live fetus. Data was collected for pregnant womenknowledge about gestational diabetes using gestational diabetes knowledge questionnaire,pregnant women attitudes regarding gestational diabetes using diabetic attitude scale andpregnant women self-care practices using diabetic self-care practices questionnaire. Results:Post intervention, pregnant women had good knowledge score (77.3%), improved totalpositive attitudes score (91.8%) and improved total good self-care practices score (90.7%)regarding gestational diabetes. There were statistically significant differences (p < 0.001).Conclusion: The current study hypotheses were accepted where pregnant women’sknowledge, attitude and self-care practices regarding gestational diabetes were improvedafter implementation of the educational sessions. There were statistically significantdifferences between those variables before and after the intervention. Recommendations:The current study recommended that, simple clarified educational programs should becontinuously implemented to increase women’s knowledge and improve their attitude aboutgestational diabetes as well as promote their self-care practices and lifestyle. Also, trainingcourses and workshops about gestational diabetes care and management for health careproviders at antenatal units should be conducted on regular intervals.
https://ejhc.journals.ekb.eg/article_110408_a82bb6ba443dbc13af0f4262b75c769d.pdf
2020-09-01
275
291
10.21608/ejhc.2020.110408
Knowledge
Attitude
Self -care practices
Gestational diabetes
Pregnant women
El-Shaimaa
El-Ansary
1
Woman‘s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University.
AUTHOR
Shaimaa
Fouad
2
Woman‘s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University.
AUTHOR
ORIGINAL_ARTICLE
Impact of Nursing Intervention Protocol about Polytrauma Care during the Golden Hour on Nurses’ Performance
Background: The golden hour following a traumatic event is characterized by theneed for rapid assessment and immediate resuscitation treatment, which represent thefundamental principles of Advanced Trauma Life Support. Aim: This study aimed to assessthe impact of nursing intervention protocol about polytrauma care during the golden hour onnurses‟ performance. Research hypothesis: This study was hypothesized that the nurses‟knowledge and practice will be significantly improved after implementing nursingintervention protocol. Research Design: A quasi-experimental design study with one group < /div>pre-test post-test approach was used to achieve the aim of the present study. Setting: it wasconducted at Emergency departments affiliated to Ain Shams university hospitals. Subjects:A Convenient sample of all available nurses (thirty) working in Emergency departments.Tools: I- Self-administered nurses‟ polytrauma care knowledge questionnaire, it was used toassess nurses‟ knowledge regarding management of patient with polytrauma during thegolden hour and II- Nurses‟ polytrauma care practice observational checklist: to assessnurses‟ practice regarding management of patients with polytrauma during the golden hours.Results: it was found that two thirds of the nurses were between twenty five to forty years,and less than half of them were graduated from nursing institute. There were highlystatistically significant differences in knowledge and practice regarding care of patients withpolytrauma during the golden hour with marked improvement post implementation amongstudied nurses. There was a significant relation between studied nurses' knowledge &practice and gender & education. Conclusion: there was an improvement in knowledge andpractice post nursing intervention protocol implementation among studied nurses withstatistically significant differences between pre- and post- knowledge, and practice.Recommendations: Replication of the study on a large probability sample for resultsgeneralization and Improve and update nurses‟ knowledge and skills about management ofpatients with polytrauma during the golden hour.
https://ejhc.journals.ekb.eg/article_119015_c5b776754db07ebbeaff66f66bcc3e08.pdf
2020-09-01
292
309
10.21608/ejhc.2020.119015
polytrauma
Nursing intervention
performance
Golden hour
Yosreah Mohamed
Mohamed
1
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Arzak Mohamed
Khalifa
2
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Fatma Abdou
Eltaib
3
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Self-Management Program on Self-efficacy regarding Osteoporosis Risk among Diabetic Patients
Background: Prevalence of osteoporosis is high among diabetes patients.Assessment of self-efficacy regarding osteoporosis risk as well as patient education shouldbe included as part of the self-management of diabetes. Aim:To evaluate the effect of a selfmanagement program on self-efficacy regarding osteoporosis risk among diabetic patients.Methods:A quasi-experimental (pre-posttest) research design was conducted on 90 diabeticpatients who admitted in the internal medicine department at Assiut university hospital. Datawere collected via pre-postintervention and at 3-month follow-up.Patient assessment sheet,Demographic and medical data, the new One-Minute osteoporosis risk test, and DiabetesManagement Self-Efficacy Scale (DMSES) were used. Results:The majority of participantshad moderate osteoporosis risk. There was a significant improvement in self-efficacy afterself-care management program application.There was a statistically significant differencebetween diabetes management self-efficacy scores and the new one-minute osteoporosis risktest levels. Conclusion:A positive effects of self-care management regarding osteoporosisamong studied patients with diabetes on self-efficacy scores.Recommendations:Relevantforms and visual information to facilitate educating diabetic patients regarding osteoporosisought to be accessible and given to each diabetic patient.
https://ejhc.journals.ekb.eg/article_119016_6eb7d4bf90c6d53991fa7bbcea743b5e.pdf
2020-09-01
320
329
10.21608/ejhc.2020.119016
Self-Management program
Self-Efficacy
Osteoporosis and Diabetes mellitus
Shaymaa Sayed
Khalil
1
Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
AUTHOR
Ghada Thabet
Mohammed
2
Medical-Surgical Nursing, Assiut University Hospitals, Assiut University, Egypt
AUTHOR
Islam Mokhtar
Mokhtar
3
Medical surgical nursing, Faculty of nursing, Benisuef University Egypt.
AUTHOR
Mohammed
Abu-Elmatty
4
Internal Medicine of clinical hematology, Internal medicine Department, Assiut University Hospitals, Assiut University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Relation between Antenatal Maternal Depression and Anxiety during Pregnancy and Neonatal Outcomes
Background: The presence of psychological problems, including maternal depression andanxiety may harm fetal and neonatal growth. Depression and anxiety in pregnancy increase theliability for adverse fetal and newborn outcomes, including preterm birth. It was accompanied byabnormal infant development that extended to cognitive problems and psychopathology. Thisstudy aimed to analyze relation between antenatal maternal depression and anxiety duringpregnancy and neonatal outcomes by assessing depression levels among pregnant women,identifying anxiety levels among pregnant women, and investigating the relation betweenantenatal maternal depression and anxiety during pregnancy and neonatal outcomes. Methods: Across-sectional descriptive study included 216 pregnant women and their newborns from theObstetrics and Gynecology ward at Sohag University Hospital and the Maternal and Child HealthCenter (Dar El–Salam Abed- Allah Health Center) at Sohag City. Tools: 1- A structured selfadministered questionnaire, anthropometric measurement tool, the Edinburgh PostnatalDepressive Scale (EPDS), the Beck Anxiety Inventory (BAI), and Apgar score sheet, wereutilized for collecting the data. Results: Considering depression approximately one quarter ofpregnant women had moderate depression symptoms during pregnancy, while three fifth had nodepression symptoms and 16.0 of them had severe depression symptoms during pregnancy. Asregard less than one fifth of pregnant women had mild level of anxiety, while three quarter ofthem had a moderate level of anxiety and less than one fifth of them had severe anxiety levelduring pregnancy. Statistically significant relationships were found between severe depressionsymptoms scores, anxiety and birth weight, weight-for-GA and length, prematurity less than onefifth, need for resuscitation one quarter, and need for admission to neonatal intensive care nearone fifth. Conclusion: Pregnant women who are suffering from severe depression and anxietysymptoms during pregnancy, their babies were more liable to increase the need for neonatalresuscitation, increase the chance of preterm birth, have a low birth weight, and are small forgestational age. Recommendation: Providing pregnant women health educational programsabout the effects of depression and anxiety on them and on their neonates, non pharmacologicalinterventions are important treatments for depression or anxiety that focus on promoting a healthylifestyle with adequate nutrition, exercise and sleep < /div>
https://ejhc.journals.ekb.eg/article_119018_bff443708b9ccd67ba3e24430c673776.pdf
2020-09-01
330
349
10.21608/ejhc.2020.119018
Pregnancy
maternal depression
maternal anxiety
Neonatal outcomes
Manal Mohamed
Ahmed Ayed
1
Pediatric Nursing Department, Faculty of Nursing, Sohag University, Egypt
AUTHOR
Fatma El Zahra
Kamal
2
Pediatric Nursing Department, Faculty of Nursing, Sohag University, Egypt
AUTHOR
Omaima
Mahmoud
3
Psychiatric Mental Health Nursing Department, Beni-Suef University, Egypt
AUTHOR
Safaa Mustafa
Mohamed
4
Psychiatric Nursing Department, Faculty of Nursing, Sohag University, Egypt
AUTHOR
Thorea Mohamed
Mahmoud
5
Community Health Nursing Department, Faculty of Nursing, Sohag University,
AUTHOR
Safaa Ibrahim
Ahmed
6
Obstetric and Gynecology Nursing Department, Faculty of Nursing, Sohag University, Sohag, Egypt
AUTHOR
ORIGINAL_ARTICLE
Educational Intervention for Improving Medication Adherence, Knowledge, and Practice Regarding Intrafamilial Transmission among Helicobacter Pylori Patients
Background: The helicobacter pylori (H. pylori) infects more than half of the world's population and is associated with the development of 78% of all gastric cancers primarily in developing countries. Patients' education is vital in preventing intrafamilial transmission as well as in improving medication adherence for H. Pylori eradication therapy. Aim: To investigate the effectiveness of an educational intervention on improving medication adherence, knowledge, and practice regarding intrafamilial transmission among helicobacter pylori patients. Methodology: Quasi experimental research design (Pre/post-test) was utilized. Sample: A purposive sample of two hundred patients met the following inclusion criteria; patients aged ≥ 18 yrs. of both sexes, diagnosed with H. pylori infection by positive stool antigen test, and under the same strategy of H. pylori eradication therapy. Setting: The current study was carried out at the medical clinic of Minia university hospital, Minia governorate, Egypt. Tools of data collection: Two tools were utilized to collect data; 1st one: Is a Structured interviewing questionnaire sheet covered three parts (demographic data, knowledge assessment questionnaire regarding to the H. pylori infection, and self reported practices regarding its intrafamilial transmission), and the 2nd one: Medication adherence scale. Results: It was founded that near to three-quarters of the intervention group adhered to H. pylori eradication therapy after the educational intervention compared with only about one-third of the control group. Moreover, there was a significant improvement in the total score of knowledge and practices among the study group regarding H. pylori infection and its intrafamilial transmission after receiving the educational intervention than before. Conclusion: The application of educational intervention was effective in improving medication adherence, as well as improving the knowledge and practices regarding H. pylori infection, and its intrafamilial transmission among infected patients of the study group versus the control group. Recommendations: General population education must be implemented in Egypt, especially among at-risk populations around H. pylori infection and its intrafamilial transmission, as well as the importance of adherence to H. Pylori eradication therapy especially among older adults.
https://ejhc.journals.ekb.eg/article_146141_d41d8cd98f00b204e9800998ecf8427e.pdf
2020-09-01
350
368
10.21608/ejhc.2020.146141
Educational intervention
Intrafamilial transmission
Helicobacter pyloriKnowledge
Practices
Medication Adherence
Manar
D. Mohammed
1
Community Health Nursing, Faculty of Nursing, Minia University, Egypt.
AUTHOR
Rokaia
Fathi Mohammed
doctor.rokaia83@gmail.com
2
Gerontological Nursing, Faculty of Nursing, Minia University, Egypt.
LEAD_AUTHOR
Heba
Mohamed Fahmy
3
Gerontological Nursing, Faculty of Nursing, Assiut University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Evidence-Based Using Mobiles Health- Education to Improve Quality of Life among schizophrenic’ Patients
Background: There is increasing interest in using mobile technologies such as smart phones for improving the care of patients with schizophrenia. However, less is known about the current clinical evidence for the feasibility and effectiveness of smart phone apps with schizophrenic’ Patients. Aim: The current study was to evaluate evidence-based on using mobile health- education to improve quality of life among schizophrenic’ patients. Design: A quasi-experimental design. Subject: A purposive sample which included 120 schizophrenic patients was selected. Setting: This study was conducted at Abbassia governmental hospital for mental health and addiction treatment at Cairo city. Tools: Two tools were used for data collection (pre/post); Tool 1): Structural interview questionnaire to assess characteristics of schizophrenic patients and their medical history. Tool 2): The World Health Organization Quality of Life is used to assess the patient’s quality of life. Results: The present study revealed that the mean age patients are 39.94± 9.45.There is a statistically significance relation levels of quality of life, regarding their socio-demographic data of schizophrenic patients p < 0.05. Conclusion: Majority of schizophrenic patients pre intervention; have low level of quality of life and improved after implementation of a mobile health- education program also, there was statistically significant relation between total quality of life with psychological diseases associated with schizophrenia and number of relapse among schizophrenic patients. Recommendations: enhancement the QOL for schizophrenic patients and providing educational program about how to use of mobile in health education for both the patients and their families. In addition Improving of educational programs for psychiatric nurses and other health care providers in psychiatric hospitals by increasing levels of their knowledge and practice that would help schizophrenic patient to improve quality of life,
https://ejhc.journals.ekb.eg/article_119021_d41d8cd98f00b204e9800998ecf8427e.pdf
2020-09-01
369
390
10.21608/ejhc.2020.119021
Schizophrenia
Evidence-based
Mobile Health- Education
quality of life
Wafaa Osman
Abd El Fatah
1
Psychiatric/Mental Health Nursing Helwan University
AUTHOR
Omaima
Mahmoud
2
Psychiatric/Mental Health Nursing,Beni-Suef University
AUTHOR
Hanan Nasef
Zaki
3
Psychiatric/Mental Health Nursing,Benha University
AUTHOR
ORIGINAL_ARTICLE
Effect of Nursing Training on Identification, Prevention and Management of Pressure Ulcer among Stroke Patients and Its Outcomes
Background: Pressure ulcer represent a significant burden to the patient, family andhealthcare organization. Aim: To assess the effect of nursing training on identification,prevention and management of pressure ulcer among stroke patients and its outcomes.Methods: a quasi-experimental stud pre posttest assessment. A convenience sample of 40nurses were voluntarily participate in the study. Setting: The study carried out atneurological units (A and B) at Mansoura University Hospital. Tools: InterviewQuestionnaire Sheet, The Pieper Zulkowski-Pressure Ulcer Knowledge Test (PZPUKT),Facility Assessment Checklist, Moore & Price attitude scale, Socio-demographic andmedical clinical base line data for patients and Braden Scale. Result: The result revealed apositive association between pressure ulcer educational protocol prevention and nurses’knowledge, attitude and practice to ward pressure ulcer prevention. The pretest resultindicated that nurses' knowledge and practice were low, nurse's attitude was negative.However, the mean percentage of all posttest showed a significant increase in nurses’knowledge, attitude and practice. In addition to decreases pressure ulcer risk level among thepatients with stroke. Conclusion: The result of current study indicates the important ofongoing nurses’ education regarding pressure ulcer prevention and decrease the pressureulcer risk level among patients Recommendation: developing a continuous training programto improve nurses’ knowledge, attitude and practice toward pressure ulcer prevention
https://ejhc.journals.ekb.eg/article_119022_12cb60e378a28daea6a6a52cf7e7c576.pdf
2020-09-01
391
416
10.21608/ejhc.2020.119022
Nursing Training
identification
prevention
Management
pressure ulcer
Stroke and Outcomes
Mona Mohamed
Ibrahim
1
Medical Surgical Nursing, Faculty of Nursing Beni -Seuif University
AUTHOR
Islam Mokhtar
Mokhtar
2
Medical Surgical Nursing, Faculty of Nursing Beni -Seuif University
AUTHOR
ORIGINAL_ARTICLE
Impact of an Education Program on Self-Care Agency and Self-Rated Abilities among Patients with Systemic Lupus Erythromatosis
Background: Systemic lupus erythematosus (SLE) is an autoimmune disease withpotential variety and severity of manifestations and unpredictable course present challengesand repercussions in all arenas of life. The aim of the current study was to evaluate theimpact of education program on self-care agency and self-Rated abilities among patientswith systemic lupus erythromatosis at Mansoura university hospital. A quasi experimentalresearch design was utilized. Setting, the study was conducted at Rheumatology andImmunology outpatient clinic at Mansoura University Hospital, Egypt. A purposeful sampleconsisting of all patients with Systemic Lupus Erythematosus (SLE) without any organdamage who registered at the rheumatology and immunology unit during the period of thebeginning of August 2019 to end of December 2019. Three tools were used in datacollection; a structured interviewing questionnaire, Self -Rated Abilities for Health PracticesScale (SRAHP), and Exercise Self Care Agency scale. Results, revealed that one third ofstudied subjects fall in age group from 30-40 years old, most of them were female and morethan half of them were married in addition to more than two fourth of patients had disease formore than 4 years. Related to educational program there were positive impact on self-ratedabilities for health practices and self-care agency after implementation of the educationprogram. Conclusion Application of the education program through Self-care interventionshas positive impact on improving self-care agency (SCA) and self-rated abilities for healthpractices that permitting patients to integrate mutually social support and self-care activities.Recommendation; Continuous education programs for patient with systemic lupuserythematosus in order to improve their health status, independence and self-care activities,and replication and expanded studies are also needed.
https://ejhc.journals.ekb.eg/article_119023_a22006d8d79c249d219278ca2de601de.pdf
2020-09-01
417
430
10.21608/ejhc.2020.119023
Education program
self-care agency
self-rated abilities for health practices
Systemic lupus
Shimaa Mahamed
Abdou Rizk
1
Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt
AUTHOR
Sahar
EL-Bastawesy
2
Family and Community Nursing, Faculty of Nursing, Port Said University, Egypt
AUTHOR
Eman
Hegy
3
Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Lean Management Strategies on the Quality of Perioperative Nursing Roles
Background: The huge multiplicity of scrub and circulator nurses'activities affects thequality performance of perioperative nursing roles. Therefore, the pursuit of perfect practiceof perioperative nursing roles should focus on assessing the performance gaps in these rolesand use of lean management strategies for effective patient care delivery. Aim: The studyaimed to assess the effect of lean management strategies on the quality of perioperative nursingroles. Design and Setting: A quasi experimental design was used to implement the study inthe operating room at new Dar Al Fouad Hospital, Cairo, Egypt. Tool of Data Collection:Observational checklist tool aimed to assess the perioperative nursing roles of scrub andcirculator nurses, the tool consisted of two main parts; first part is the performance observationof scrub nurse role, and the second part is the performance observation of circulator nurse role.Results: The results of the present study illustrated that the perioperative nursing roles forscrub nurses of met standards performance were improved from above half normal to abovethree quarter, and the met standards performance of the circulator nurses roles were alsoimproved from less than one fifth to near three fifth with statistical significance difference atp < 0.005for both roles post implementation of the lean management strategies. Conclusion:The perioperative nursing roles of scrub and circulator nurses were improved postimplementation of lean management strategies which induced positive effect in the eliminationof un-value added activities and volume based activities through designing new supportiveroles included anesthesia nurse, post anesthesia care unit nurse, surgical technologist,instrumentation technician, nurse aids, store keeper in addition to other relevant roles such aslean team. Recommendation: Focused training program is recommended for all OR personnelwith periodic evaluations of the perioperative nursing roles and the new supportiveperioperative roles. Further research is recommended to disseminate the developed leanmanagement strategies and investigate its effect on the perioperative nursing in differentsettings.
https://ejhc.journals.ekb.eg/article_119025_680d86635e5dbcda5d8894a83dcb578d.pdf
2020-09-01
431
454
10.21608/ejhc.2020.119025
Lean Management Strategies
Quality of Perioperative Nursing
Perioperative Nurses Roles
Kawther Abdel Ghafar
Ali
1
Nursing Administration – Faculty of Nursing – Misr University for Science and Technology, Egypt.
AUTHOR
Hoda Attia Abd El Naby
Raslan
2
Medical Surgical Nursing, Faculty of Nursing – Beni-Souf University, Egypt.
AUTHOR
Reda Abd El Salam
Ibrahim
3
Medical Surgical Nursing, Faculty of Nursing – Tanta University, Egypt
AUTHOR
Mahmoud Abdel Salam
Mohamed
4
BSN, MSN, Director of Nursing at Dar Al Fouad Hospital, Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Implementing Evidence-Based Nursing Practice Program on Critical Thinking Disposition among Internship Students
Background: As the principles of evidence-based beliefs in nursing take anincreasingly greater hold on nursing education, it is important to consider the rangeof other critical thinking dispositions which is subordinated by this approach.Dispositions of critical thinking based on beliefs of evidence-based data leads tooptimal nursing care for patients, based on patient-centered nursing actions. Theaim of the study was to evaluate the effect of implementing evidence-basednursing practice program on critical thinking disposition among nursing internship < /div>students. Research design: A quasi-experimental intervention design was used inthe present study. Subjects and Setting: the sample consisted of 125 internship < /div>nursing students were invited to participate in the study. The study was conductedat Fayoum University Hospitals (Medical& Surgical hospitals). Tools of datacollection: Data were collected by two tools: Evidence based practice beliefs scaleand critical thinking dispositions inventory questionnaire. Results: of the studyindicated that, post implementation total mean scores were significantly higher thanpre implementation total mean scores of variable measuring evidence basedpractice beliefs and critical thinking dispositions. In addition, the correlationbetween both evidence based practice beliefs and critical thinking dispositions,there were statistically significant positive correlation between evidence basedpractice beliefs and critical thinking dispositions among the studied nursinginternship students after implementation of the program. Conclusion: Theevidence based practice education training was effective in improving the criticalthinking dispositions of the studied nursing internship. Recommendation: basedon study findings, the researchers suggested that the evidence based practiceeducation program as a general education course for undergraduate nursingstudents to support necessary critical thinking dispositions.
https://ejhc.journals.ekb.eg/article_137627_ff034a29aeedcf849ad3befd490f0102.pdf
2020-09-01
455
473
10.21608/ejhc.2020.137627
Evidence-based nursing
Critical Thinking Disposition
and Nursing internship students
Khadra
Mohammed Atiea Mohammed
1
Lecturer of Nursing Administration Department, Faculty of Nursing, Fayoum University
AUTHOR
Hosnia
Abd-Elmoniem Amer Hussein
2
Lecturer of Nursing Administration Department, Faculty of Nursing Zagazig University
AUTHOR
ORIGINAL_ARTICLE
Effect of early Mobility and Activity interventions to reduce patients' respiratory complications associated with Congestive Heart Failure at Coronary Care Unit
Background: Congestive heart failure patients suffer from dyspnea and fatigueresulting in diminished exercise tolerance, contributing to decreased physicalfunctioning and quality of life. The aim of this study is to evaluate effect of earlymobility and activity interventions to reduce patients respiratory complicationsassociated with Congestive Heart Failure. Design: Quasi-experimental researchdesign. Setting: Coronary Care Unit (CCU) of El-Orman Cardiology Hospital, atAssuit University Hospitals. Sample: Seventy critically ill adult males and females'patients' divided into two equal and matched groups (35 study & 35 control). Tools: -Three tools; Tool 1: Patient assessment sheet, Tool 2: Early mobility and activitylevels interventions and Tool 3: Monitoring respiratory complications sheet. Results:the patients in study group had lesser dyspnea attacks, absence of abnormal lung soundand less respiratory complications as compared with the control group patients.Conclusion: Applying early mobility and activity interventions significantly improvedyspnea; improve oxygen saturation and lesser respiratory complications associatedwith congestive heart failure. Recommendations: Emphasize on application of themobility and activity for patients with cardiovascular diseases to preventcomplications.
https://ejhc.journals.ekb.eg/article_139337_3d9448a439d8bd4a903cf8f5b5a74330.pdf
2020-09-01
474
493
10.21608/ejhc.2020.139337
Congestive Heart Failure
mobility and activity
and respiratory complications
Mervat
Anwar AbdEl-Aziz
1
Assist Professor of Critical Care & Emergency Nursing, Faculty of Nursing - Assuit University, Egypt
AUTHOR
Shymaa
Helmy Ahmed Abd-Alaleam
2
Lecturer of adult, Faculty of Nursing, South Valley University, Qena, Egypt.
AUTHOR
Ragaa
Dahi Mohamed Ahmed
3
Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, South Valley University, Qena, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Effectiveness of Teaching Sessions on Anxiety Level among Mothers of Children with Congenital Heart Disease
Congenital heart disease is a stressful and anxiety overwhelming experience forparents and their children, therefore nurses are pivotal in providing acomprehensive and evidence based strategies to reduce anxiety among parents andenhance their children' wellbeing. Aim: To evaluate the effectiveness of teachingsessions on anxiety level among mothers of children with congenital heart disease.Study design: A quasi-experimental design was used. Setting: The study wasconducted in paediatric cardiology department at Mansoura University ChildrenHospital affiliated to Mansoura University. Sample: A purposive sample of fortymothers having children from 3 months to 6 years with congenital heart diseasewere participated in this study. Tools of data collection: Three tools were used;first: by Interview Questionnaire to gather data about characteristic of the studysubjects, mothers' knowledge regarding congenital heart disease. Second: Mothers'reported practice sheet was designed by the researchers to assess mothers' reportedpractice regarding congenital heart disease. Third: Taylor’s Manifest Anxiety Scalewas used to assess the anxiety level of the studied mothers. Results: There was ahighly statistical significant difference between the studied mothers' total meanscore of knowledge and reported practice with positive correlation regardingcongenital heart disease at pre and post teaching sessions. Also, there was highlysignificant negative correlation among mothers' knowledge, practice and anxietylevel. Conclusion: the implementation of teaching sessions for the mothers ofchildren with congenital heart disease had reduced their anxiety level. Furthermore,teaching sessions had improved mothers' total mean score of knowledge andreported practices about caring of children with congenital heart disease.Recommendations: The study recommended establishing programs, as mothers'support groups, to assist them overcome the adverse psychological effects ofcongenital heart disease among their children.
https://ejhc.journals.ekb.eg/article_140544_dd0940270d3d999d3350fa0cf47070be.pdf
2020-09-01
494
509
10.21608/ejhc.2020.140544
anxiety
Congenital heart disease
children
Mothers
Teaching Sessions
Omayma
Mustafa Abu Samra
1
Lecturer of Pediatric Nursing - Faculty of Nursing Mansoura University
AUTHOR
Josephin
A. Lawend
2
Assistant Professor of Pediatric Nursing, Faculty of Nursing Mansoura University.
AUTHOR
Fatma
Mohamed Amin
3
Assistant Professor of Pediatric Nursing, Faculty of Nursing Mansoura University.
AUTHOR
ORIGINAL_ARTICLE
Effect of Swallowing Training Rehabilitation Program on Severity of Dysphagia and Swallowing Trial among Patients with Cerebrovascular Stroke
Background: Cerebrovascular Stroke (CVS) is a rapidly developing clinical focaldisorder of cerebral function lasting for 24 hours or longer and leading to death, with noobvious reason other than the vascular source. Aim of the study: was to determine the effectof swallowing training rehabilitation program on severity of dysphagia and swallowing trialamong patients with cerebrovascular stroke Research design: A quasi experimental researchdesign with a pretest-posttest control group was utilized. Settings: The study was conductedat neurological inpatient units at Alexandria University Hospital. This hospital was selectedbecause flow rate of patients with cerebrovascular stroke was satisfactory for the study.Subjects: Purposive samples of 60 hospitalized adult patients with CVS were selectedaccording to eligibility criteria. They were divided into two equal groups 30 in each studygroup and control group. Tools of data collection: three tools were used for data collectionnamely: Patients' demographic characteristics and clinical data sheet, dysphagia severityscale and observation checklist to assess swallowing ability during swallow trial: Results:the study results revealed that there was a statistically significant difference between thestudy and control groups in favor of the former in relation to severity of dysphagia andswallowing trial after two weeks and one month of intervention in which the severity ofdysphagia decreases among study group to 20% and 13.3% respectively in level (1) after twoweeks and one month while the severity of dysphagia increases among control group to 40%and 66.7% respectively in level (1) after two weeks and one month with P = 0 .000.Conclusion: The study concluded that swallowing training rehabilitation program hassignificant positive effect on severity of dysphagia and swallowing trial among patients withcerebrovascular stroke. Recommendation: The developed booklet with its simpleinstructions and illustrations should be utilized in hospitals as a teaching aid for patient withdysphagia. Periodic health education programs for nurses to create awareness on swallowingexercises in improving swallowing ability.
https://ejhc.journals.ekb.eg/article_142683_48df340b141b3f85d2ee1ebcdb330bfb.pdf
2020-09-01
510
529
10.21608/ejhc.2020.142683
cerebrovascular stroke
Dysphagia
Swallowing training program
Shimaa
Gomah Yousef
1
Medical-Surgical Nursing, Faculty of Nursing, Damanhur University, Egypt
AUTHOR
Hoda
Abdou Abd El-Monem El-Deeb
2
Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt
AUTHOR
Saada
Elsayed Rady
3
Medical-Surgical Nursing, Faculty of Nursing, Damanhur University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Massage on Increasing Growth Parameters and Inducing Sleep among Premature Neonates
Massage therapy can be used in neonatal intensive care units for premature infants<37 weeks of gestation, which increase growth parameters with no harmful effectsand help inducing sleep. Aim: This study aimed to determine the effect of massageon increasing growth parameters and inducing sleep among premature neonates.Subjects and method: A quasi-experimental research design was used on apurposive sample of 50 LBW premature neonates and their mothers who wereadmitted to NICU at Sohag University Hospital, Egypt, from August 2019, untilJanuary 2020. Premature neonates were randomly assigned into two groups withand without massage. Tools: Tool (I): A structured questionnaire was developedand consisted of two parts: part (1): Demographic characteristics of mothers ofpremature neonates, part (2): Demographic characteristics of premature neonates,Tool (II): Assessment of growth parameters, and Tool (III): Assessment of sleep < /div>behaviors before the intervention, after seven days and after one month ofdischarge. Results: There were no statistically significant differences between themean of weight, length, and head circumference in the two groups before massageintervention. The majority of premature neonates in the intervention group hadincreased their growth parameters after seven days from the application of massageand after one month of discharge compared to those in the control group.Conclusion: massage was an effective and safe non-medical intervention used inimproving growth parameters and sleeps behaviors and help premature neonatesfall asleep faster after the massage than without massage. Recommendations:Massage should be involved in routine care in a neonatal intensive care unit(NICU), as standard care for premature neonates, health educational programsabout massage and its effect should be taught to health care professional, especiallypediatric nurses.
https://ejhc.journals.ekb.eg/article_146733_2dba2356912a999911ad27d517a2135c.pdf
2020-09-01
530
540
10.21608/ejhc.2020.146733
Massage
growth parameters
Sleep
premature neonates
Doaa
Bahig Anwr
1
Lecturer of Pediatric Nursing, Faculty of Nursing, Aswan University, Egypt
AUTHOR
Omima
Mostafa Abd Elzaher Mohamed
2
Lecturer of Community Health Nursing, Faculty of Nursing, South Valley University, Egypt
AUTHOR
Manal
Mohamed Ahmed Ayed
3
Assistant professor of Pediatric Nursing, Faculty of Nursing, Sohag University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Creativity, Resilience and Sense of Humor among Nursing Graduates, Alexandria University, Egypt
Background: The current and future global health and education challenges thatface the nursing graduates, critically positioned them to be more creative andresilient. Creativity and resilience are essential for advancing the graduate-levelnursing from a level of proficiency, which is expected at the undergraduate level toexpert competency at the graduate-level. Indeed, using the sense of humor as ameans of dealing with everyday problems and difficulties is much recognizedrecently as well as needed to be adopted by those graduates. Aim: investigate therelationship between resilience, creativity, and sense of humor among the nursinggraduates. Methodology: A descriptive cross-sectional correlational design wasused. The study was conducted at the Faculty of Nursing, Alexandria University,Egypt. A randomized sample of 165 graduate nurses was included. Online webbased electronic questionnaires were used comprising; A socio-demographic andAcademic Data, SSCS, CD-RISC-10 and MSHS. Results: The results showed that93.9%, 81.2% and 64.2% of the studied graduates had moderate to high levels ofcreativity, resilience, and sense of humor respectively. A positive statisticallysignificant relationship at level of P≤ 0.01 between creativity, resilience and senseof humor was found. Humor production and creativity domain is the best predictorof both creativity and resilience among those graduates. Conclusion: It can beconcluded that creativity, resilience, and sense of humour are related to each other,be a humor productive graduate nurse and using of humour as adaptive copingstrategy in daily life situations contributes to be more creative and resilient. Finally,increase age of the graduates indicates to be more resilient. Recommendations:Providing the graduated nurses with the space to generate new ideas andinnovations through filliped classroom, competence-based learning, problem-basedlearning, and interactive learning are recommended.
https://ejhc.journals.ekb.eg/article_148843_9c40a2f69d094b8f08bca0767ee21c82.pdf
2020-09-01
541
558
10.21608/ejhc.2020.148843
Creativity
Nursing Graduates
Sense of Humor and Resilience
Mona
Metwally Elsayed
1
Assistant Professor of Psychiatric Nursing, and Mental Health, Alexandria University, Egypt.
AUTHOR
Eslam
Abd-Elfatah Abd-Elhamid
2
Lecturer of Psychiatric Nursing, and Mental Health, Alexandria University, Egypt.
AUTHOR
Heba
Ahmed Mohsen
3
Lecturer of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egypt
AUTHOR
Marwa
Abd El-Gawad Mousa
4
Assistant Professor of Psychiatric Nursing, and Mental Health, Alexandria University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Impact of educational program for psychiatric nurses on the use of successful practice strategies toward patient with psychotic disorders
Background: In particular, psychiatric nurses need continuous training and should be seen as a priority as they tend to have the most contact with patients, especially when they are at their worst. Aim of this study: Examine the impact of educational program for psychiatric nurses on the use of successful practice strategies toward patient with psychotic disorders. Research design: quasi-experimental research design with pre-post assessment. Setting: This study was conducted at the Benha Governmental Hospital for Mental Health in Benha City, Qalubia Governorate. Subjects: 60 nurses from the hospital's inpatient department. Tools of data collection: Nurses characteristics data form and nurses self-reported practice questionnaire regarding management of patients with psychotic disorders. Results: There was significant differences between pre and post-program phases in total nurses' performance mean score , it showed statistically significant decreases in the mean score of communicating own perception from 14.2±3.5 to 5.0±1.7 (p < 0.001), and increases in the mean score of changing patient view from 7.7±2.3 to 16.5±4.1 (p < 0.001) and no significant changes in the mean scores of confirming patient view (p=0.97), or using resources (p=0.91). At post-program, confirming patient view mean score were significantly lower among younger age nurses, with bachelor qualifications, and less experience years in nursing and psychiatric nursing (p < 0.001), while at the pre-program, the changing of patient view and using resources mean score were significantly higher among younger age nurses with bachelor qualifications, and less experience years in nursing and psychiatric nursing at post program. Additionally, there was no significant relation between nurses' demographic characteristics and their mean score of communicating own view while, post-program, the mean score was higher in diploma nurses compared to bachelor degree ones. Conclusion: The educational program led to significant improvement of the studied psychiatric nurses' total practice mean scores which showed significant decrease in mean score of communicating own perception and increase in mean score of changing patient view. Their total practice mean score regarding confirming and changing patient view were influenced by nurses age, qualifications, experience years in nursing and psychiatric nursing. Recommendations: The heads of psychiatric departments must subject nurses to educational programs, while nurses need to continually upgrade and update their skills by reading and attending seminars and workshops specializing in this field.
https://ejhc.journals.ekb.eg/article_152568_72aef0055e1f4da851cb0927270c3620.pdf
2020-09-01
559
575
10.21608/ejhc.2020.152568
Educational Program
Psychiatric Nurses
practice strategies
psychotic disorders
Yosr
Mohamed El-Masri
1
Assistant professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Mansoura University
AUTHOR
Hanan
Nasef Zaki
2
Assistant professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Benha University
AUTHOR
Mawaheb
Mahmoud Zaki
3
Assistant professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Benha University
AUTHOR
ORIGINAL_ARTICLE
Male Nursing Students Training at Clinical Maternity Nursing Course: Challenges and Proposed Improvement Actions
Background: Increasing numbers of men enter the nursing field. When males enternursing programs, during their training, they can face challenges, especially in maternityareas. Aim: To determine the challenges facing male nursing students during their trainingin the maternity department and propose improvement plan of actions to overcome thesechallenges. Design: A descriptive exploratory research design was utilized, Sample: Aconvenient sample of (300 participants) composed of (100) male nursing students and(100) female students who just completed their training in the maternity course in theFaculty of Nursing, Fayoum University during the two semesters of the academic year2017-2018. Also 100 of women were recruited in this study. Setting: This study wasimplemented in the maternity department in the Faculty of Nursing, Fayoum University atObstetrics and Gynecological department in El- Nabawy El-Mohandes Fayoum GeneralHospital affiliated to Ministry of Health, Egypt. Tool of data collection: Four tools usedto collect current data: (I) structured self-administered questionnaire, (II) male students'attitudes towards maternity nursing clinical training (III) female nursing students’ attitudetowards their male colleague companionship during clinical training in the maternitydepartment, and lastly (V) Women’s attitude towards involvement of male student inproviding maternity care during training in the maternity department. Results: themajority of studied male students (84%) facing a variety of problems and embarrassingsituations during their training in clinical maternity course, there were moderate statisticalsignificant relation between total attitude of studied male, female students, participantwomen and their residence P-value 0.010, 0.019. and 0.012 Conclusion: A strongpositive correlation reported between male student attitude and their total self-evaluation,women’s and female students’ attitude was statistically significance P-value ≤ 0.05.Recommendations: Further research should be conducted to compare the experiences ofmale nurses in different maternity training settings, residence and culture.
https://ejhc.journals.ekb.eg/article_153388_8608c9c9f2770c9d16733c14c61680c1.pdf
2020-09-01
576
590
10.21608/ejhc.2020.153388
Clinical
Maternity training
challenges
Amal
Sarhan Eldesokey Genedy
1
Lecturer at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Fayoum University, Egypt
AUTHOR
Asma
Kamal Ahmed
2
Assistant Professor at Administration Nursing Department, Faculty of Nursing, Fayoum University, Egypt
AUTHOR
Manal
Mansour Mostafa
3
Assistant Professor at Community Health Nursing Department, Faculty of Nursing, Fayoum University, Egypt
AUTHOR
Ayat
Masoud Omar
4
Assistant Professor at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Fayoum University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Effect of Health Promotion Model and Self-Determination Theory Based Intervention on Preeclampsia Prevention among Pregnant Women at Beni-Suef Governorate
Pre-eclampsia is the greatest common hypertensive disorder of pregnancy, It is a major cause ofmaternal mortality and morbidity, preterm birth, intrauterine growth restriction, and perinatal deathworldwide. It has been predictable that preeclampsia complicates 2-8% of pregnancies globally, andis considered to be the third cause of maternal death. Aim of this study was to determine the effectof the health promotion model and self-determination theory-based intervention on preeclampsiaprevention among pregnant women. Subjects and method: A quasi-experimental design wasconducted at the antenatal clinic at Beni-Suef University Hospital, Egypt. A purposive sample of60 pregnant women was included in the study, they were divided into study and control groups fromJune 2019, until December 2019. Tools: Data were collected through three main tools: A Structuredinterviewing questionnaire, The questions about pre-eclampsia prevention knowledge, and thehealth promotion model. Results: The results of this study revealed there was a significantdifference (p < 0.05) in all variables after the implementation of an intervention and the average scoreof the various variables in the intervention group was greater than that of the control group < /div>(p < 0.05). Conclusion: The application of the health promotion model and self-determinationtheory-based intervention on preeclampsia prevention in pregnant women had an effectiveimprovement of pregnant women's knowledge change behavior, and dietary practices were alsoimproved in the study group compared to the control group. Recommendations: The interventionof management of PE with the pregnancy based on HPM and self-determination theory should beintegrated into the ANC program at the study setting and similar ones
https://ejhc.journals.ekb.eg/article_156267_08b0184af1bc1c9a99f75e35f5819546.pdf
2020-09-01
591
602
10.21608/ejhc.2020.156267
Pre-eclampsia prevention
Health Promotion Model
Self-determination theory
Knowledge
Pregnant women
Hanaa
Kamal Helmy
1
Assistant Professor at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Beni- Suef University, Egypt
AUTHOR
Rasha
El -Sayed Ibrahim
2
Lecturer at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Beni- Suef University, Egypt
AUTHOR
ORIGINAL_ARTICLE
The Relationship among Workload, Teamwork, and Missed Nursing Care at Intensive Care Units
Background: Nurses are vital to the delivery of safe and effective care at critical units, butimproper team work and high patient workloads may cause missed nursing care. Research Aims:To examine the relationship among workload, teamwork, and missed nursing care at intensive careunits Methodology: Correlational research design was conducted at Intensive Care Units (ICU) atFayoum university hospitals. Intensive care units at Kom Hamada central hospital, Damanhourfever hospital and Damanhour chest hospital. The subjects were 207 nurses. A self-administeredquestionnaire containing four parts; (Part I: Demographic characteristics of the subjects such as age,gender, marital status, nurse role, qualifications, experience, shift worked, nurse to patient ratio,length of shift time, Part II: Miss care Survey was developed to measure the frequency with whichnursing care activities are omitted or delayed, and to identify the factors that contribute to thesemissed activities as perceived by nursing staff in the acute care setting,Part III: Workload Subscalewas used to measure the nursing staff’s perception of workload. This subscale was designed tomeasure “the extent to which feelings of pressure and urgency dominate the work environment”,Part IV: Nursing Teamwork Survey, This 33-item instrument was designed to measure teamworkamong nurses in the acute care setting, but the items generically address teamwork activities acrossnursing care settings.) Results: The present study showed that less than half of studied nurses hadmoderate missed care and moderate team work. According to workload perception, about half ofstudied nurses had moderate workload Conclusions: There was highly significant positivecorrelation between workload and missed care at p value <0.01. While, there was highly significantnegative correlation between teamwork with workload and missed care at p value <0.01. The studyrecommends that: Nurse managers must monitor missed care and workload daily to ensure propersizing of staff and safety of care, Educational workshop for nurses about teamwork skills andcoping mechanism related workload, Further researches about predictive factors affecting nursingmissed care.
https://ejhc.journals.ekb.eg/article_163259_9187165b1c2d366c134a4c7f007f66f0.pdf
2020-09-01
603
611
10.21608/ejhc.2020.163259
Work load
Team Work
Missed nursing care
Sanaa
Mohammed Soliman
1
Lecturer of nursing administration, Faculty of Nursing, Fayoum University, Egypt
AUTHOR
Nashwa
Mahmoud Eldeep
2
Lecturer of nursing administration, Faculty of Nursing, Damanhour University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Impact of Educational Program Regarding Safety Measures Guidelines on Nurses' Knowledge, Attitude and Practice toward COVID-19 Patients.
Nowadays, nurses should prepare themselves for pandemic events as far in advance as potentiallyworsening outbreak conditions. Coronavirus disease (COVID-19) is a widespread pandemicdisease, especially in a health-care setting. But there are not enough researches done to control &prevent it from transmission among health-care providers. The pandemic has highlighted howprotecting the healthy team is key to keeping patients safe and ensuring a functioning health system.Therefore, nurses should have sufficient knowledge and practice about pandemic events throughusing safety measures in dealing with COVID-19 patients to protect themselves from physical andbiological hazards. Aim: Investigate the impact of educational programs regarding safety measuresguidelines on nurses' knowledge, attitude, and practice toward COVID-19 patients. Design: Quasiexperimental design. Setting: Medical, surgical, and oncology departments at the Alexandria Mainuniversity hospital, Egypt. Sample: A convenience sample of 150 nurses. Results: There was apositive, statistically significant difference between pre & post-educational programs regardingsafety measures on studied nurses' knowledge, attitude, and practice. A positive, statisticallysignificant correlation between studied nurses' knowledge of the safety measures educationalprogram and their attitude and practice. Conclusion: the educational programs regarding safetymeasures guidelines improved nurses' knowledge, attitude, and practice toward COVID-19 patients.Recommendations: Efforts should be made to enhance nurses' knowledge, attitude, and practicesthrough periodical follow-up.
https://ejhc.journals.ekb.eg/article_164761_22f135c988b4f08fefbebeb0059a81da.pdf
2020-09-01
612
627
10.21608/ejhc.2020.164761
Corna virus- knowledge-attitude. Practice
safety measures guidelines
Hend
A. E. Elshenawie
1
Lecturer, Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt.
AUTHOR
Heba
El Sayed
2
Lecturer, Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt.
AUTHOR
Eman
A. A. R. Dabou
3
Lecturer, Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Factors associated with women's satisfaction during labor
Labor is a critical time for women and newborns. Every day in 2017, approximately 810 womendied from preventable causes related to pregnancy and childbirth. Many studies revealed that laborcare satisfaction is a critical point of intervention to eliminate the high maternal mortality rate. Thus,the Aim of this research was to assess factors associated with women's satisfaction during labor. Adescriptive research design was utilized. A convenience sample of 384 women in labor was chosenfrom El-Shatby Maternity Hospital affiliated to Alexandria University. Tools: A socio-demographicand reproductive history interview schedule and the Birth Satisfaction Scale (BSS) were used.Results: the study revealed that 57% of the studied women had low satisfaction level. Significantcorrelations (0.01) were observed among satisfaction level and age, education, occupation, incomeand residence. Significant correlations (0.01) were observed among satisfaction level and number ofgravidity, parity, abortion and type of delivery. Conclusion: more than half (57 %) of the studysubjects had low satisfaction level. Many factors were associated with women's satisfaction duringlabor especially elect the place of birth, birth environment, sufficient support, staff communication,coping during labor, feeling in control, preparation for childbirth, relationship with baby and stressexperienced during labor. Those factors are important indicators to improve women satisfactionduring labor experience. Recommendation: midwifery care staff need to fully understand woman'sexpectations for their care, and provide care that is consistent with those expectations.
https://ejhc.journals.ekb.eg/article_164794_5dfa65ae2a54c509043478fffd752452.pdf
2020-09-01
628
640
10.21608/ejhc.2020.164794
Factors associated with
women satisfaction
Labor
Reda
Mahmoud Mohamed Hables
1
Lecturer of Obstetrics & Gynecological Nursing, Faculty of Nursing, Alexandria University
AUTHOR
Naglaa
Zaki Hassan Roma
2
Lecturer of Obstetrics & Gynecological Nursing, Faculty of Nursing, Alexandria University
AUTHOR
ORIGINAL_ARTICLE
Workplace Ostracism and Counterproductive Work Behaviors among Nurses
Background: The workplace ostracism phenomenon is taking more attention in the eyes of socialresearchers and also different studies verified that it has a adverse effect on organizational outcomeand also individual behavior and performance. Research Aim: To evaluate workplace ostracismand counterproductive work behaviors among nurses Methodology: A cross sectional design wasconducted at Damanhour university hospitals (medical/surgical units and Intensive Care Units(ICU) at Itai El baroud central hospital, Kom Hamada central hospital, Damanhour fever hospitaland Damanhour chest hospital), Beni suef university hospital & fever, chest and Ophthalmologyhospitals. The subjects were 349 nurses. A self-administered questionnaire containing three parts(Demographic characteristics, Workplace Ostracism Instrument, counterproductive work behaviors)Results: The present study revealed that more than half of studied nurses had moderate level ofcounterproductive work behaviors. While, one quarter of nurses had low counterproductive workbehaviors. About two thirds of studied nurses had moderate level of workplace ostracism. While,one fifth of nurses had low workplace ostracism. Conclusions: There was high positive correlationbetween counterproductive work behaviors and workplace ostracism at p value <0.01.Recommendation: Provide training courses for nurses about ostracism behavior and team work.Further researcher about assessing perception of head nurses related ostracism andcounterproductive behavior.
https://ejhc.journals.ekb.eg/article_166531_c6bde24dc6da2fab783928ab8fd1f3ae.pdf
2020-09-01
641
649
10.21608/ejhc.2020.166531
Ostracism
Counterproductive
Behaviors
Nurses
Salwa
Ahmed Mohamed Ebrahim
1
Assistant professor of nursing administration, Faculty of nursing, Beni Suef University, Egypt.
AUTHOR
Nashwa
Mahmoud eldeep
2
Lecturer of Nursing administration, Damanhour University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Effect of Nursing led Intervention Regarding Prevention of Venous Thromboembolism among Women with Gynaecological Tumour Undergoing Major Abdomino-Pelvic Surgery
Background: Venous thromboembolism, which involves deep vein thrombosis andpulmonary embolism, is a serious complication that doubles the risk of morbidity andmortality after major abdominal and pelvic surgery. Aim: To evaluate the effect of Nursingled intervention regarding prevention of Venous Thromboembolism among women withgynaecological tumour undergoing major abdomino-pelvic surgery. Design: This studyutilized a quasi-experimental design. Setting: This study conducted at the gynecologicaldepartment and outpatient clinic at Fayoum University Hospital and General HospitalFayoum, Egypt. Sample: A purposive sample of 100 women divided randomly into twogroups, 50 women for each groups. Tools of data collection: Three tools were utilized inthis study including an interview scheduled questionnaire, Deep vein thrombosis risk factorsassessment sheet, and deep vein thrombosis assessment sheet. Results: the percentage ofgood knowledge regarding VTE were significantly increased in post- test than pre -testamong study group (2.0% pretest vs. 100.0% posttest) compared to control group (0.0%pretest vs. 4.0% posttest) p= 0.000., also after the implementation of the program thepercentage of good compliance level with VTE preventive measures were significantlyimproved by all of the study group (100.0% ) who attained a good level of compliancecompared to control group (40.0%) (p=0.000). In addition; there were one new case of PEamong the control group and 2 cases with DVT compared to no cases reported in studygroup with a highly statistical significant difference P= 0.000. Conclusion: Women withgynaecological tumor who undergoing major abdomino-pelvic surgery who exposed tonurse led intervention program were not exposed to deep vein thrombosis than those whoexposed to routine hospital only. Recommendations: Nursing led intervention should beadded as an essential part of routine perioperative care for all major gynaecologicaloperation.
https://ejhc.journals.ekb.eg/article_167100_6f6ce7cea80c87e6d8858c1956718691.pdf
2020-09-01
650
669
10.21608/ejhc.2020.167100
Nursing led Intervention
Venous Thromboembolism
Gynaecological Tumour
and Abdomino-pelvic Surgery
Ayat
M. Omar Masoud
1
Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, Egypt
AUTHOR
Monira
Samir Abdelhady
2
Medical-Surgical Nursing, Faculty of Nursing, Fayoum University, Egypt
AUTHOR
Shaimaa
Gomah Yousef
3
Medical-Surgical Nursing, Faculty of Nursing, Damanhour University, Egypt
AUTHOR
Amal
Abdelaziz Ahmed
4
Maternal and Neonatal Health Nursing, Faculty of Nursing, Assiut University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Interactive Learning environment on Nursing Students’ Engagement and Academic Self-Concept
Background: To provoke engagement and higher levels of learning and improving academic selfconcept, nurse educators are exploring newer interactive methods of teaching. Nursing educatorscan create this opportunity by providing diverse settings and activities for interactive learning that ispreferred by today’s students. Aim: The study aimed to determine the effect of interactive learningenvironment on nursing students' engagement and academic self-concept. Hypothesis: The studentswho are instructed through interactive learning environment exhibit more engagement and higheracademic self-concept than those who are not. Design: Aquasi-experimental design was used in thecurrent study. Setting: This study was conducted at Faculty of Nursing Alexandria University.Sample: A convenience sampling of 120 nursing students comprised the study subjects. Results: astatistically significant difference, regarding the engagement and the academic self-concept, wasfound in the favor of the study group. Moreover, a correlation was found between classroomengagement and academic self-concept. Conclusion: The results of the present study supporttheoretical model which emphasizes the effect of interactive learning environment on students’classroom engagement as well as their academic self-concept. Recommendation: It is necessary towork further as a teacher in developing interactive learning strategies, to improve students' abilitiesto be more active learners in their educational context and to improve their classroom engagementand academic self-concept.
https://ejhc.journals.ekb.eg/article_169588_e76623fb50135e769b536f9766ce9dea.pdf
2020-09-01
670
681
10.21608/ejhc.2020.169588
interactive learning
Classroom Engagement
Academic Self-Concept
Ghada
Elsayed Abdelhalim
1
Nursing Education, Faculty of Nursing, Alexandria University
AUTHOR
Neama
Mohamed Fouad Kamel
2
Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University.
AUTHOR
Ayah
Shaban Abd-El Fattah Abd-ElRasoul
3
Nursing Education, Faculty of Nursing, Alexandria University
AUTHOR
ORIGINAL_ARTICLE
Range of Motion Exercises Effect during and after Hydrotherapy on Patients Burned Hand Function and Pain Intensity: A Comparative Study
Hand burn injuries can result in devastating functional impairments and hamper quality of life. Oneof the rehabilitation program components is hydrotherapy, which help in cleaning the burn surface,debriding wounds, facilitating the separation of eschar, facilitating physiotherapy, and improvingpatients’ comfort. This study aimed to evaluate range of motion exercises effect during and afterhydrotherapy on patients burned hand function and pain intensity. A quasi-experimentalcomparative research design was conducted on three equal group of 15 adult patients having seconddegree burn of the hand (superficial and deep partial-thickness burns). Three tools were used forcollecting the data: Tool I: Burn patient Assessment interview schedule. Tool II: Burned Handfunctional assessment. Tool III: Pain Visual Analogue scale (VAS). Significant improvement wasnoticed among the three groups subjects in relation wrist and finger joint measurements, manualmuscle testing, functional ability of the hand, and pain intensity. Hydrotherapy is an effective,alternative intervention that can be used by care providers as a non-pharmacological method in mostburn centers.
https://ejhc.journals.ekb.eg/article_169807_655bc8e8583eb409243d6233333a08ba.pdf
2020-09-01
670
687
10.21608/ejhc.2020.169807
Range of motion exercises
Hydrotherapy
hand function
and pain intensity
Rasha
Aly Yakout
1
Assistant Prof. of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt
AUTHOR
Hassan
Khlosy
2
Assistant Prof. of Plastic surgery, Faculty of Medicine, Alexandria University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Health Guidelines for slaughter house workers about brucellosis in Port Said city
Background: Brucellosis is an occupational hazard for slaughter house workers. Community healthnurses have an important role in training them in safe practices for prevention. Aim of the study: toevaluate the effect of health guidelines for slaughter house workers about brucellosis in Port Said.Subjects and methods: The study was conducted on all 70 workers employed at Port Said slaughterhouse. It is located in El Gabbouti Al-Gadeed at AL-Ganoob district by using a one-group quasiexperimental research design with pre-post assessment. Data were collected using a structuredinterview questionnaire form for worker’s knowledge of brucellosis, observation checklists for safepractices and hand washing, and a laboratory sheet for the results of brucellosis blood tests. Basedon the information obtained from the initial assessment, the researchers designed the healthguidelines and implemented it. Results: All workers were males with median age 42 years. Overall,83.1% of the tested samples (n=65) demonstrated sero-positivity. Only 2 (2.9%) workers hadsatisfactory knowledge before the intervention, which increased to 70.0% after the intervention(p < 0.001). Moreover, 32.9% had adequate practice before the intervention, which rose to 92.9%after the intervention (p < 0.001), with significant improvement in hand washing practice (p < 0.001).In multivariate analysis, the study intervention was the main significant independent positivepredictor of the scores of knowledge, hand washing practice, and total practice; the knowledge scorewas a significant positive predictor of the score of hand washing practice. Conclusion andrecommendations: The implementation of health guidelines can be effective in remedying thedeficiencies in slaughterhouse workers’ knowledge and practices. Therefore, the guidelines shouldbe implemented in the setting and similar ones
https://ejhc.journals.ekb.eg/article_170637_e0daf713cfc03485310c645a604f0853.pdf
2020-09-01
688
702
10.21608/ejhc.2020.170637
Brucellosis
Slaughterhouse
Sero-positivity
Knowledge
Practice
Maha
Moussa Mohamed Moussa
1
Assistant Professor, Community Health Nursing, Faculty of Nursing, Port- Said University, Egypt
AUTHOR
Naglaa
Ibrahim Mohamed Gida
2
Assistant Professor, Community Health Nursing, Faculty of Nursing, Port- Said University, Egypt
AUTHOR
Eman
Ebrahim Abdou Awad Kandel
3
Assistant Professor, Community Health Nursing, Faculty of Nursing, Port- Said University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Effects of Educational Nursing Interventions on Pain, and Quality of Life among Nurses with Low Back Pain.
Low back pain negatively impacts nurses’ quality of life. Educational interventions have minimalside effects compared to other interventions that can decrease nurses’ pain intensity and improvetheir quality of life. Aim of the study: To identify the effects of educational nursing interventionson pain and quality of life among nurses with low back pain. Setting: This study was conducted atmedical and surgical units of Alexandria Main University Hospital, Egypt. Subjects: The studysubjects comprised a convenience sample of 50 nurses with low back pain. Tools: Three tools wereused: Tool (1) Nurses’ Knowledge Structured Interview schedule: to assess nurses' educationalneeds related to Low Back Pain. Tool (II) Nurses’ Pain Numeric Rating Scale: to assess nurses’levels of low back pain. Tool (III): The World Health Organization Quality of Life-brief(WHOQOL-BREF) questionnaire. to assess QOL of the participants. Results: The mean age ofthe studied nurses was 40.94 ± 9.50 years. The majority of them were either overweight or obesewith a mean body mass index (28.25 ± 3.54). High statistically significant difference was detectedin nurses’ LBP levels between pre and post application of the educational nursing interventions,with mean percent reduction in LBP levels post interventions (46.0 ± 21.31). High statisticallysignificant differences were detected between nurses’ overall QOL at pre, and post application ofthe educational nursing interventions, with mean percent improvement score in overall QOL (19.49± 13.76). Conclusion: Significant positive effects on pain reduction, and QOL improvement amongthe studied nurses post interventions were detected. Statistically significant associations betweenbody mass index and both of mean percent reduction of pain levels, and mean percent improvementof QOL post interventions. Recommendations: Other studies to examine other effects of theeducational nursing interventions in a longer duration to find out long-term effects, on nurses withLBP, are recommended.
https://ejhc.journals.ekb.eg/article_171351_e88998851f847846a5de812569ea0f8f.pdf
2020-09-01
703
721
10.21608/ejhc.2020.171351
Nursing interventions
Low back pain
Nurses
quality of life
Amany
Youssef Sharaf
1
Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University. Egypt.
AUTHOR
Narges
Mohammed Syam
2
Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University. Egypt.
AUTHOR
Rasha
Fathy Ahmed
rasha.fathy@alexu.edu.eg
3
Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University. Egypt.
LEAD_AUTHOR
ORIGINAL_ARTICLE
Effect of Organizational Justices on Creative Self-Efficacy and Innovation of Nurses
Background: Today, healthcare organizations are challenged to retain nurses' generation and tomaintain justice that is a predictor of nurses' behaviors in their work environment . Nurses are themost significant and largest human resource of healthcare organization. Research Aims: to assessthe effect of organizational justices on creative self-efficacy and innovation of nurses. Methodology:Research design A cross sectional research design was utilized at August 2019 - January 2020.Setting: Beni suef university hospital, fever and chest hospitals at Beni suef government andzagazig university hospitals & fever and chest hospitals at Zagazig city. Sample: Conveniencesample include the 332 nurses. Tools of data collection: Researcher used tool contains four parts(Demographic characteristics of nurses, organizational justice, self-efficacy and innovation) Results:revealed that mean age of studied nurses was 34.11±5.96 years. Also, 52.1%, 56.9% and 55.7% ofstudied nurses had moderate level regarding distributive justice, procedural justice and in formationaljustice, respectively. Also, stated that educational level, innovation and justice had high frequencypositive effect on self-efficacy scale. While, age and female gender had slight positive effect oninnovation. Conclusions: the current study concluded that more than half of studied nurses hadmoderate organizational justice and about one quarter of them had low organizational justice. Also,more than half of studied nurses had moderate self-efficacy, about quarter of them had low self-efficacy. In addition more than half of studied nurses had moderate innovation; more than one quarterof them had low innovation. There was high positive correlation between organizational justice, self-efficacy and innovation with p value <0.01**. Recommendation: Continuous educational programsfor nurses about self-efficacy and innovation behavior. Training program for head nurses andmanagers about achieving organizational justice among nurses. React positively to the innovativeefforts of production nurses by p rovide nurses the time and resources to carry out innovative efforts
https://ejhc.journals.ekb.eg/article_207739_f714d9662c1ad3ccebd6f4a1ea2eaa2b.pdf
2020-09-01
722
731
10.21608/ejhc.2020.207739
Organizational justice
Self-Efficacy
Innovation
Salwa
Ahmed Mohamed Ebrahim
1
Assistant professor of nursing administration, Faculty of nursing, Beni Suef University, Egypt.
LEAD_AUTHOR
Maha
Abdeen Abdeen Kheder
2
Assistant professor of nursing administration, Faculty of nursing, Zagazig University, Egypt
AUTHOR
Noha
Hussein Yassein Hussein
3
Lecturer of nursing administration, faculty of nursing, Helwan University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Effect of an Educational Program on Improving the Extent of Mental Health literacy about Depression, Suicide and Internet Addiction among Colleges Students at Assiut University
Background: A high degree of mental health literacy, which involves sufficient knowledge andsupportive attitudes toward psychological illnesses in school-aged children, will increase thelikelihood of early detection and effective intervention in these conditions, as well as a betteroutcome of illnesses. The aim: Measure levels of literacy about depression, suicide and internetaddiction among university students, Assess both positive and negative outcomes of awarenesseducational program for university students. Research Design: This study was conducted using aquasi-experimental research design. Subjects: the study comprised of 100 student , 50 student fromthe faculty of science and 50 student from the faculty of commerce who accept to participate in thestudy and give an informed oral and written consent. The studied sample consisted of 64 Males and36 Females from the two faculties. During 3 month period from 1st November 2020 to 30th January2021. Tools: students were assessed through Depression Literacy Questionnaire (D-Lit), Literacy ofsuicide scale (LOSS) and Internet Addiction Literacy Scale (IALS) in addition to Socio Economicassessment scale. Results: The highest percentage of subjects were males, resided in urban areas,first academic year, with middle socio economic state, and there was highly statistical significantdifference of the level of mental health literacy about depression, suicide and internet addiction afterapplication of the educational program for the students from the theoretical and clinical facultyConclusion and Recommendation: There is widespread misunderstanding of the nature ofdepression, suicide and internet addiction and its causes, risk factors and attitudes towards treatmentare negative. The need for psycho-educational programs is necessary which include awareness ofmental health and illnesses, particularly depression and the risk of suicide associated withdepression, internet addiction, and the development of positive attitudes toward mental illnesses forthe benefit of the community.
https://ejhc.journals.ekb.eg/article_171369_06342989cf963f0b5e5cc44f83496f29.pdf
2020-09-01
732
750
10.21608/ejhc.2020.171369
Educational Program
Mental health literacy
suicide
depression
Internet Addiction
Alzahraa
Abdel Aziz Omar Abdel Rahman
1
Lecturer of Psychiatric- Nursing, Faculty of Nursing, Minia University
AUTHOR
Heba
Kadees Marzouk
2
Lecturer of Psychiatric-Mental Health Nursing, Faculty of Nursing, Assiut University
AUTHOR
ORIGINAL_ARTICLE
Effect of Educational Program on Pregnant Knowledge and Practice Regarding How to Continue Breast Feeding after Returning to Work
Background: An important factor influencing duration of breastfeeding is mother’s employment status. Aim: To investigate the effect of educational program on pregnant knowledge and practice regarding how to continue breast feeding after returning to work. Design: A quasi-experimental design was utilized. Setting: The study was conducted at Outpatient Clinic and High risk Units of special Hospital at Beni- Suef University. Sample: A convenience sample of all available pregnant working women (300 women) from the previously mentioned setting. The following study tools were used (pre/posttests): 1) Structured interview questionnaire to assess pregnant working women` s knowledge regarding how to continue breast milk feeding after returning to work. 2) Working women`s practice observation checklists to assess pregnant working women`s practicesuch as hand washing, breast care and nipple cleaning, breast massage, Daily shower, Finding the perfect pump, Staying pumped and Maintaining supply Boosting milk supply and Storing and reusing milk.Results: The mothers' age ranged between 30< 34 years with mean age 31.03 ± 4.50and 45%of them had Secondary/higher educations. There was a highly statistically significant difference (P<.0001), regarding their knowledge and practices before, immediately after, and at follow up guideline implementation about how to continue breast milk feeding after returning to work.Conclusion: The present study concluded that, the educational guideline had a positive effect on mothers' knowledge and practice about how to continue breast milk feeding after returning to work. Recommendations: Provide continuous education and training for working women regarding how to continue breast milk feeding after returning to work. Supporting legislation to provide private, hygienic lactation rooms to ensure the safe storage of expressed milk.
https://ejhc.journals.ekb.eg/article_176793_a221928fb331f50817c16a84d20f3b86.pdf
2020-09-01
751
763
10.21608/ejhc.2020.176793
Educational Program
Pregnant Knowledge and Practice and Breast Feeding
Safaa
Soliman Ahmed Mohamed
1
Assistant Professor of Maternal and Newborn Health Nursing Beni-sueif University, Egypt
AUTHOR
Hanan
Elsayed Awad Negm
2
Lecturer of Community Health Nursing, Faculty of Nursing, Port-Said University, Egypt
AUTHOR
Mervat
A. Ahmed
3
Lecturer of Community Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt
AUTHOR
Hanan
Fawzy Elsayed Ali
4
Assistant professor Maternal and Newborn Health Nursing Helwan University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Correlation between Clinical Competence, Clinical Decision Making, and Perceived Autonomy Support among Nursing Internship Students
Clinical competence is a crucial distinction for affirming professional, ethical, high quality and safenursing care as well foster internship skills as decision making. The aim of the study was to assesscorrelation between clinical competence, clinical decision making, and perceived autonomy supportamong nursing internship students. Research design: cross sectional correlational design. Setting:'Minia University Hospital' and 'Gynecology, Obstetric and Pediatric Minia University Hospital'.Subjects: stratified random sample from internship nursing students at general and critical units oftwo hospitals (size=133). Results: nursing internship student had a fair level regarding their clinicalcompetence, clinical decision making, and perceived autonomy support. Also, the internship ofcritical area had level score better than the internship of general area. Conclusion: there werepositive correlations between clinical competence, clinical decision making, and perceivedautonomy support among nursing internship students. Recommendation: internship students needmore training program to enhance their level of clinical competence, clinical decision making, andperception of autonomy.
https://ejhc.journals.ekb.eg/article_177144_5f9037b914d7589fcb96944579e1798e.pdf
2020-09-01
764
783
10.21608/ejhc.2020.177144
Clinical competence
Clinical decision making
internship students
Perceived autonomy support
Mona
Thabet
1
Nursing Administration (Nursing Education), Faculty of Nursing, Minia University
AUTHOR
Heba
Dakrory Ali El-Said
2
Nursing Administration, Faculty of Nursing, Minia University
AUTHOR
Eman
Aly Abd-Elhamid
3
Nursing Administration, Faculty of Nursing, Minia University
AUTHOR
ORIGINAL_ARTICLE
The Effect of Early Six-Minute Walking Test Post-Coronary Artery Bypass Graft on Walking Tolerance and Physiological Parameters
Background: The 6-minute walking test is a commonly easy test that does not need advancedtraining. It is used for evaluating the functional status and exercise tolerance of patients with heartdiseases. It provides consistent information about the patient’s daily activity, the effect oftreatment, and the prognosis. Aim: To evaluate the effect of an early six-minute walking test(6MWT) post coronary artery bypass graft on walking tolerance and physiological parameters.Setting: This study was conducted at the cardiothoracic intensive care unit (ICU) at MansouraUniversity Hospital in Egypt. Method: A quasi-experimental design was utilized in this research. Aconvenience sample of 60 adult patients who were scheduled for and underwent coronary arterybypass graft was enrolled in this study. Data were collected using ‘physiological parameters andsix minutes walking test assessment tool’. It involved three parts: Part I: Participants'demographic and health profile data, Part II: Physiological parameters, and six minutes walkingtest observation checklist and Part III: Borg rating of perceived exertion (RPE) scale. Results: Nosignificant differences were noted (p=≤ 0.05) between the intervention and control groups regardinggender, age, smoking status, and body mass index. However, there were significant differencesbetween the two groups concerning the length of stay on mechanical ventilation, the time of sixminute walking test after extubation, complaining from dyspnea and fatigue, and the number of restperiods. Conclusion and Recommendations: The implementation of an early 6MWT postcoronary artery bypass grafting improved patients' physiological parameters and walking tolerance.Therefore, nurses should attend a training program on the implementation of early 6MWT for postoperative patients in the cardiothoracic intensive care units. Additionally, the 6MWT guidelinesand standards should be available in all hospitals to facilitate and enhance the success of cardiacrehabilitation programs.
https://ejhc.journals.ekb.eg/article_177493_ad75ca78d4ef5f0f1d92bca2332fff18.pdf
2020-09-01
784
794
10.21608/ejhc.2020.177493
Coronary Artery Bypass Graft
Distance
Functional capacity
Six-minute walking test
Walking tolerance
Wafaa
Wahdan Abd El-Aziz
1
lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt
AUTHOR
Nahed
Attia Kandee
2
Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt
AUTHOR
Hend
Elsayed Mansour
3
lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Surgical-associated anxiety and postoperative anesthesia recovery among elderly patients subjected to laparoscopic abdominal surgeries: The impact of educationalbased intervention
Background: Considerable number of elderly patients still experience preoperative anxiety and poorpostoperative anesthesia recovery, despite magnitude advances in laparoscopic management andimproved anesthetic techniques, resulted from many improper connotations such as the complexity ofanesthesia and surgery, fear of experiencing pain, physiologic response, patient unique characteristics, orbeing improperly informed. To date, anxiety and recovery in an elderly population undergoinglaparoscopic abdominal surgeries have received very little attention and interventional studies with astructured preoperative teaching program addressing such variables are so limited. Teaching elderlypatients the appropriate modification of activities and effective use of anxiety-reduction techniques allimpact favorably upon their recovery outcome. Thus, the focus of this study is to evaluate the impact oflaparoscopic surgery and anesthesia-related educational program on preoperative-associated anxiety andpostoperative quality of anesthesia recovery for elderly patients subjected to laparoscopic abdominalsurgeries. Methodology: A randomized pretest-posttest and follow-up control group research design wasutilized, in two specialized laparoscopic abdominal surgical departments affiliated to Alexandria MainUniversity Hospital, between the first of January to the end of August 2020. We interviewed 86 elderlypatients scheduled for elective laparoscopic abdominal surgeries divided randomly into control andintervention groups, for investigating the following study variables: (1) preoperative anxiety (using StateTrait Anxiety Inventory on primary admission and the 2nd day of admission just before surgery), and (2)postoperative quality of anesthesia recovery (using Quality of Recovery Score-15 in the initial 24-hourspost-surgery, before discharge, and on the 7th day follow-up schedule). The proposed Arabic-versioninstructional program was introduced to the intervention group, then a comparison of the means betweenthe predetermined groups was performed. Results: Degree of anxiety for the intervention group < /div>following the instruction scheme proved to be significantly lowered than those in routine hospital caregroup. The program conduction confirmed to have a statistically significant effect on the interventiongroup’s recovery outcome than those in the parallel group including an amelioration in pain, physicaldiscomfort, physical independence, as well as emotional dimensions, as evidenced by the marked percentimprovement through the whole application periods. Conclusion: Preoperative engagement in theinterventional informative sessions offers benefits to diminish the level of anxiety through gainedknowledge and application of anxiety-relief manipulations in the subjected group. Through practicedskills of discharge self-management, quality of anesthesia recovery proved to be better than those in thecontrol group with a statistically significant discrepancy between them. Recommendations: The pursuitof anxiety and recovery evaluation and management to be established as a routine screening andinterventional measures for all elderly patients scheduled electively for laparoscopic surgery to ensurebest geriatric patients’ outcomes. On top of that, developing of interventional informative sessions withreference to laparoscopic surgery, anesthesia, preparation for surgery, emotional support, andpostoperative discharge management should be launched and stepped by all gerontological nurses in theperioperative stage.
https://ejhc.journals.ekb.eg/article_183284_db75153d120182dab0e095e20b8f1196.pdf
2021-07-11
795
810
10.21608/ejhc.2021.183284
elderly patients
preoperative anxiety
Postoperative quality of anesthesia recovery
laparoscopic surgery
Intervention program
Marwa
Ibrahim Mahfouz Khalil
1
Assist. Prof. of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egypt
AUTHOR
Dina
Metwally Sorour
2
Lecturer of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egypt
AUTHOR
Reem
Said Shaala
3
Lecturer of Internal Medicine, Geriatric Unit, Faculty of Medicine, Alexandria University, Egypt
AUTHOR
Enas
Fouad Sayed Mousa
4
Lecturer of Geriatric Medicine, Faculty of Medicine, Helwan University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Mouth Mask versus Pursed Lip Breathing for Dyspnea and pulmonary Function among Chronic Obstructive Pulmonary Disease Patients
Background: Chronic obstructive pulmonary disease (COPD) is considered a progressiverespiratory disease that has a significant effect on the patient’s ability to work and the quality of life.Dyspnea is considered one of the most common health problems among chronic obstructivepulmonary disease patients. Aim: To compare the effect of mouth mask versus pursed lip breathingfor dyspnea and pulmonary function among chronic obstructive pulmonary disease patients.Design: A quasi-experimental design was utilized to achieve this study. Sample: Includedpurposive sample of 50 adult patients were recruited and divided into two groups as a group (1)refers to mouth mask group (n=25) and group (2) which refers to pursed-lip breathing (n=25).Setting: The study was applied in the form of outpatient chest clinic Fayoum University Hospital.Tools of data collection included (1) Socio-demographic questionnaire, (2) Measurement ofpulmonary function tests sheet, (3) Measurement of the sensation of breathlessness (dyspnea) by:Dyspnea index, (4) The 3-min step test, (5) Assessment of health status in chronic obstructivepulmonary disease patient questionnaire, and (6) Mouth mask. Results: It revealed that there was asignificant improvement and increase in forced vital capacity FVC, forced expiratory volume in onesecond FEV 1, and FEV1 /FVC post-intervention compared with pre-intervention. There was adecrease in dyspnea index post- mouth mask intervention group more than pursed-lip breathinggroup; there is improvement in the CAT score questionnaire pre and post-intervention. There was asignificant decrease in dyspnea index pre and post 3min step test post-intervention. Conclusion:The results concluded that a mouth mask was effective for COPD patients to improve dyspnea,while pursed-lip breathing has a minimal effect on improving dyspnea. There was an improvementin the COPD Assessment Test Questionnaire (CAT) score questionnaire and Dyspnea index inCOPD patients. Recommendation: Applying mouth mask intervention is recommended to controldyspnea and improve ventilatory functions among COPD patients.
https://ejhc.journals.ekb.eg/article_185709_8386639015209b438de8337a07c2eb0c.pdf
2020-09-01
811
820
10.21608/ejhc.2020.185709
Mouth mask
Pursed-lip breathing
Dyspnea
Ventilatory functions
chronic obstructive pulmonary disease
Reham
El Ashery Ashery Asker
1
Medical-Surgical Nursing Department, Faculty of Nursing, Fayoum University
AUTHOR
Mona
Mohammed Abo El-elle Mohammed
2
Medical-Surgical Nursing, Faculty of Nursing, South Valley University Qena Egypt
AUTHOR
Hanaa
Farahat Ibrahim Ahmed
3
Medical-Surgical Nursing, Nursing College, Badr University in Cairo
AUTHOR
ORIGINAL_ARTICLE
Effect of Relaxation Breathing Exercise on Fatigue for Women with Gynecological Cancer Receiving Chemotherapy
Background: Preserving woman’s health and energy level after chemotherapy is an important role for oncology nurses. Non-pharmacological Management of fatigue and other associated symptoms of chemotherapy is very necessary to decrease burden of medication used. Aim: Current study aimed to evaluate the effect of relaxation breathing exercises on fatigue for women with gynecological cancer receiving chemotherapy. Design: A randomized control trial was used. Setting: Current study was carried out at the gynecological ward at nuclear medicine in Mansoura university hospitals, Mansoura city, Egypt. Subjects: One hundred and eighty-three women with gynecological cancer were included. Sample type: Simple random sample was applied.Data collection included three tools which were structured interview questionnaire, piper fatigue scale and women’s dairy notes. Results: There was a highly significant difference in fatigue scores between intervention and control. Also, there was a highly statistically significant reduction in fatigue scores between two times RBE and four time’s group. As well as, there was a highly significance difference concerning four fatigue domains between intervention and control groups. Moreover, there was a significant difference of mean fatigue score concerning daily activities on the seventh day of the study among intervention (two times group), while, highly significance difference among four times groups and control group. Conclusion: Relaxation breathing exercise is cost effective; non-invasive, easy and safe practice to alleviate cancer related- fatigue especially when conducted four times daily. Moreover, relaxation breathing exercise has a positive effect in improving performance of daily activities and associated symptoms of chemotherapy. Recommendations: Relaxation breathing exercises should be used as the preferred standard procedures after chemotherapy administration.
https://ejhc.journals.ekb.eg/article_186801_accf8102380876bf882413c9c3bfb690.pdf
2020-09-01
821
832
10.21608/ejhc.2020.186801
Chemotherapy
Fatigue
Gynecological cancer patients
Relaxation breathing exercises
Nagwa
Ibrahim El-Feshawy
1
Lecturer of Woman’s Health &Midwifery Nursing Department, Faculty of Nursing, Mansoura University. Mansoura city, Egypt
LEAD_AUTHOR
Hanan
Abo Bakr Mohamed
2
Assisstant Professor of Medical and Surgical Nursing Department, Faculty of Nursing, Mansoura University. Mansoura city, Egypt
AUTHOR
Hanan
El-Sayed Mohamed El-Sayed
3
Assisstant Professor of Woman’s Health &Midwifery Nursing Department, Faculty of Nursing, Mansoura University. Mansoura city, Egypt.
AUTHOR
Marwa
Ibrahim Hamdy Aboraiah
4
Lecturer of Woman’s Health &Midwifery Nursing Department, Faculty of Nursing, Mansoura University. Mansoura city, Egypt
AUTHOR
ORIGINAL_ARTICLE
The Impact of Nursing Intervention on Blood Pressure and Stress among perimenopausal Women
The years proximate to menopause are accompanied by an increase in blood pressure and the prevalence of hypertension that may lead to complaints that attributed to menopause. High blood pressure is a potentially life-threatening condition that affects some menopausal women and is linked to heart attacks and strokes.This study aimed to assess the impact of nursing intervention on blood pressure and stress among perimenopausal women. Quasi-experimental research design was conducted to meet the aim of the study. The research was carried out at outpatient clinic of the University Hospital and Shebin El-kom Teaching Hospital in the Shebin El-kom District. Menoufia Governorate, Egypt. A purposive sample for a group of 100 perimenopausal women with stage I hypertension was chosen at random. Study group received a structured instruction and planned clinical supervision about relaxation techniques which include progressive muscle relaxation & guided imagery and walking exercise program as well nursing and medical routine care provided in the outpatient clinic, while the control group follow nursing and medical routine care provided in the outpatient clinic. The data gathering instruments were Instrument I: structured interview questionnaire. Instrument II: physiological measurements. Instrument III: Perceived stress scale. The main findings of the study were there is no statistically significant difference between a study and a control group for systolic and diastolic blood pressure mean at pretest while at posttest there is statistically significant decrease in a mean value of systolic and diastolic blood pressure for a study group than a control group. There is a highly statistically significant reduction for both stress level and the mean value for a study group than a control group at posttest and follow up following the nursing intervention. The study concluded that nursing intervention which includes progressive muscle relaxation & guided imagery and walking exercise program can improve their knowledge, decrease stress and blood pressure among premenopausal women.
https://ejhc.journals.ekb.eg/article_191877_c38413a094d690461e9ce78bba4ef7b4.pdf
2020-09-01
833
845
10.21608/ejhc.2020.191877
Nursing intervention
blood pressure
Stress
Perimenopausal Women
Seham
Mohamed Abd Elalem
1
Medical Surgical Nursing Department, Faculty of Nursing, Menoufia, University, Egypt.
AUTHOR
Samira
E. Aboalizm
2
Medical Surgical Nursing Department, Faculty of Nursing, Menoufia, University, Egypt.
AUTHOR
Samah
Mohamed Elhomosy
3
Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Effect of Guided psychosexual Instructions on Sexual Activity among Hypoactive Women’s Sexual Dysfunctions
Female sexual dysfunction (FSD) is a serious health problem because of its high prevalence anddeleterious effects on women's quality of life. Practitioners of women's health must care able todetect FSD in its early stage so that timely treatment could be offered. Also, the clinicians have lackunderstanding about the approach for identification and evaluation of the sexual problem. The studyaimed to investigate the effect of guided psychosexual health instructions on changes in sexualactivity among women with reduced sexual dysfunctions (hypoactive). Methods: A quasi-experimental design was used (pre and posttest one group) Setting: The study was conducted atKebly and Bahary Maternal& Child Health Care Centers at Shibin Elkom Sample 100 participantsof women were selected according to their responses in two-scale of sexual dysfunctions andelicited as hypoactive sexual dysfunctions from MCH Tools of the study: 1- Structured interviewquestionnaire classified into two parts, the first part deal with a biosocial data as age, level ofeducation, and the employment status as well as complaining from physical or gynecologicalproblems hindering them for conducting healthy marital relationship with their partner. The secondpart was: The Female Sexual Function Index (FSFI), A Multidimensional Self-ReportInstrument for the Assessment of Female Sexual Function in a 19-item questionnaire, It wasdeveloped by Rosen, et al. (2010) as a brief instrument for assessing the key dimensions of sexualfunction in women. 2-Sexual Dysfunction Questionnaire It was developed by Infrasca et, al(2011) to assess women's readiness and preparation for sexual functions disorders Introducedas a brief self-report inventory. Results showed that there was a highly statistically significantdifference P well as vaginal lubrication, orgasm, and degree of satisfaction during sexual activity. It wasconcluded that the use of guided psychosexual intervention was effective in managing sexualdysfunctions problems and enhancing satisfaction to reach orgasm. Recommendations. All healthcare providers should include screening questions regarding sexual well-being as a standard ofpractice. Treating medical, psychosexual, relationship problems, and addressing sociocultural issues,which can be effective in helping women and their partners dealing with hypoactive sexual desiredisorder. Healthcare providers should involve the woman’s partner in the assessment and treatmentof sexual healthconcerns when it is appropriate and safe to do so. Also, health guidelines protocolof care for (SD) should be providers to involve the woman’s partner in addressing sexual issues,
https://ejhc.journals.ekb.eg/article_195259_6fb7fdc6da87ad9cea78f5930b63b63d.pdf
2020-09-01
846
863
10.21608/ejhc.2020.195259
Guided
psychosexual
Instructions
Hypoactive
sexual
Dysfunctions
Safaa
Diab Abd El-Wahab
1
Ass.Pro. of Psychiatric-Mental Health Nursing Department, Faculty of Nursing, Menoufia University
AUTHOR
Aida
Abd El-Razek
2
Pro. Of Maternal & Newborn Infant Health Nursing
AUTHOR
Hanan
Elsayed Abd El-Rahman Nada
3
Lecture of Maternal & Newborn Infant Health NursingFaculty of Nursing, Menoufia University
AUTHOR
ORIGINAL_ARTICLE
Paper-based Portfolio as an Educational Tool: Nursing Students' Perspective
Paper-based portfolio is considered one of the interventions thathave gained popularity. It can beused as a learning and assessment tool. It is Very important tool not only for the students, but alsofor the teachers as it provides the teachers with clear view of theirstudents' development and growthin multiple dimensions not commonly seen in the traditional methods of evaluation. It helps them todetermine to what extent their students are benefiting from the learning instructions in order tomodify their teaching strategies. Despite these benefits, there are many challenges that may face thestudent if portfolio is not implemented effectively. So, the guidance provided by the clinicalinstructor in all phases of portfolio development application is very important. Purpose: this studyaimed to determine the nursing students' perspective toward the use of paper-based portfolio as aneducational tool. Design: A descriptive research design was followed in the present study. Setting:The study was carried out at the Faculty of Nursing, Alexandria University in seven academicdepartments that use portfolio in their clinical areas. Subject: The study subjects consisted of 320nursing students. Tools: one tool was used in the present study to collect the necessary data;Nursing students' personal and academic data questionnaire, Tool 2: Nursing students' perspectivetoward using portfolio as an educational tool questionnaire. Results: this study revealed that nearlymore than three quarters of the students have a negative perspective toward the use of paper- basedportfolio. Conclusion: Based on the present study results, it can be concluded that, the nursingstudents reported lower support and endorsement to the benefits of paper-based portfolio. While thestudents perceive greater challenges of using portfolio, they also perceive minimum instructions andguidance received from the clinical instructors during all phases of portfolio developmentapplication. Recommendation: Training workshops should be conducted by nursing educationdepartment staff for all nursing educators to enhance their abilities and competencies in the use ofPortfolio. Additionally, the connection between the different departments through the studentportfolio from the first year until graduation should be assured and standardized criteria and rubricmust be provided to and followed by all clinical instructors and students about the evaluation ofpaper-based portfolio.
https://ejhc.journals.ekb.eg/article_196857_9d05e67c926319dd6fdc025aa762ccf4.pdf
2020-09-01
864
877
10.21608/ejhc.2021.196857
Paper-based portfolio
nursing students ‘perspectives
challenges of portfolio
Aml
Abd Allah Heaba
1
Nursing Education, Faculty of Nursing, Alexandria University
AUTHOR
Samia
El Husseini Abd El Mageed Elkholy
2
Gerontological Nursing, Faculty of Nursing, Alexandria University
AUTHOR
Ghada
ElSayed Abdelhalim
3
Nursing Education, Faculty of Nursing, Alexandria University
AUTHOR
ORIGINAL_ARTICLE
Effect of Educational Package on Complications Associated with Plasmapheresis among Patients with Autoimmune Disorders
Autoimmune disorders represent an extreme range of clinical conditions affecting different organs, with the production of autoantibodies as a main pathogenic mechanism that strongly needs treatment with plasmapheresis. Aim: Evaluate the effect of educational Package on complications associated with plasmapheresis among patients with autoimmune disorders. Method: Quasi- experimental design was implemented on a purposeful sample selected by simple randomization on (100) one-hundred patients undergoing plasmapheresis; from the 1st of July, 2019 to the end of January, 2020. Tools: Two tools were used to conduct this study including interview questionnaire to assess demographic and clinical characteristics of the patients, and body system plasmapheresis related complications scale to assess complications associated with plasmapheresis. Results: The most obvious diagnosis was Myasthenia Gravis in (48.0% and 52.0%) followed with Guillain-Barre syndrome in (40.0%, 36.0%) of the study and control group correspondingly. The most commonly reported complications in both groups were vomiting, citrate induced hypocalcaemia, angioedema, hematoma, and arrhythmias with the same priority order after educational package implementation with (P<0.05). Conclusion: A statistical significant decline occurred in the report of plasmapheresis-associated complications after the application of an educational package (P<0.05). Recommendations: Further researches are needed to study the effect of different management strategies on controlling the most common plasmapheresis-associated complications.
https://ejhc.journals.ekb.eg/article_200852_31e90acf4a6aad44b4612a5d3eb1be00.pdf
2020-09-01
878
891
10.21608/ejhc.2020.200852
Autoimmune Disorders
Educational Package
Plasmapheresis
Associated Complications
Shereen
Abd El-Moneam Ahmed
1
Assistant. Prof of Medical-Surgical Nursing, Faculty of Nursing, Suez-Canal University, Egypt
AUTHOR
Sabah
Nazeh Mohamed Elderiny
2
Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Helwan University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Relation between Weight-Related Bullying and Emotional Reactions among Adolescents and Their Coping Strategies
Background: Weight-related bullying is a devastating experience for adolescents and is associated with negative emotional consequences that can be modulated by applying different coping strategies. Aim: to assess the relation between weight-related bullying and emotional reactions among adolescents and their coping strategies. Design: A descriptive cross-sectional study design was used to accomplish this study. Setting: The study was conducted at the nutrition clinic allied to the only branch of health insurance clinics for school students in Damanhour city (Abo El Reesh) affiliated to the Public Authority for Health Insurance, Northwestern Delta Branch-Egypt. Sample: A purposive sample of 400 adolescents comprised the study sample. Tools of data collection: Three tools were used. Tool I: Adolescents Socio-Demographic Characteristics structured Interview schedule. Tool II: Weight Related Abuse Questionnaire. Tool III: Coping with bullying scale for children (CBSC). Results: Obese and slightly underweight adolescents represented 57.2% and 5%, of the total sample, respectively. The mean score of frequency of verbal bullying was 16.17±12.32, while that of physical bullying was 3.94±6.62; and the mean scores of negative emotional reactions resulting from verbal and physical bullying were 22.06±21.58 and 11.40±19.73, respectively. Regarding coping strategies, Physical distancing was the most common used coping strategy with average score of 1.24±0.99, while the least used coping strategy was cognitive approach with average score of 0.79±0.80. A statistically significant difference was found between verbal or physical weight-related bullying and different coping strategies as well as emotional reactions (p < 0.001). Conclusion: Increased body mass index was associated with verbal and physical bullying, which in turn led to experiencing negative emotional reactions among adolescents. Recommendations: Increase awareness about weight-related bullying and its negative consequences on health in order to reduce its prevalence, and to teach adolescents different effective coping strategies to enable them to cope with bullying in a healthy way.
https://ejhc.journals.ekb.eg/article_203203_78085e36fc6c3560a28b97532121a89d.pdf
2020-09-01
892
913
10.21608/ejhc.2020.203203
body weight
bullying
Coping strategies
Adolescents
Rodaina
Ahmed Mokbel
1
Lecturer-Pediatric Nursing-Faculty of Nursing- Damanhour University, Egypt
AUTHOR
Amel
Attia Abd Elghaffar Moustafa
2
Lecturer-Community Health Nursing-Faculty of Nursing-Damanhour University, Egypt
AUTHOR
Ebtsam
Salah Yonis Mahrous
3
Lecturer-Pediatric Nursing-Faculty of Nursing- Damanhour University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Efficacy of Predefined Discharge Instructions for Mothers on the Quality of Life and Post-Operative Recovery of their Children after Abdominal Surgery
Background: Pediatric health care has shifted toward family-centered care that is based on close involvement of the child's family members in pediatric care. Increased mothers’ education and awareness about caring child undergoing surgery can prevent or minimize postoperative complications and improve a child’s adoption. Hence we have conducted this study to evaluate the efficacy of predefined discharge instructions for mothers on the quality of life and post-operative recovery of their children after abdominal surgery. Materials and methods: Experimental design was used to conducted this study at the pediatric surgical unit at Benha Specialized Pediatric Hospital affiliated to Egyptian Ministry of Health and Population. Random sample of 80 mothers with their children were selected and divided equally into study and control group. Five tools were used for data collection; I: Interviewing questionnaire, II: Knowledge assessment sheet, III: Pediatric quality of life scale, IV: Abdominal surgery impact scale, and V: Post-operative complications assessment sheet. Results: There was a highly statistical significant difference between study and control groups regarding total level of mothers' knowledge after instructions intervention where P˂0.001.The total mean scores of pediatric quality of life scale and abdominal surgery impact scale showed no significance differences between the two groups pre-discharge instructions where p-value = 0.062 & 0.079 respectively, while, a significant difference was observed between the two groups after one month and three months post- discharge instructions intervention p value ˂0.000 & p < 0.05 respectively. As well as, postoperative complications were significant lower score among children in the study group after one month and three months compared with the control group where p < 0.05. Conclusion: The predefined discharge instructions have an important role in the increasing mothers' knowledge regarding caring children post abdominal surgery, which enhancing recovery via decreasing post-operative complications and improving children's quality of life. Recommendation: Providing children and their parents who schedule for abdominal surgery with adequate care instructions before hospital discharge is necessary.
https://ejhc.journals.ekb.eg/article_206101_5a779414e67031058a4cc9b53cdf1589.pdf
2020-09-01
914
927
10.21608/ejhc.2020.206101
Abdominal Surgery
discharge instructions
quality of life
post-operative recovery
Seham
Mohamed El Mwafie
1
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Beni-Suef University, Egypt
AUTHOR
Reda
Mohamed Abduallah
2
Lecturer of Pediatric Nursing, Faculty of Nursing, Benha University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Critical Care Nursing Students Acceptance of Unplanned Switch to E- Learning during COVID-19 Pandemic
Background: The sudden convert from the classroom to online learning is challenge that faced all countries and people also, the researcher had a great role to present how such a shift would impact the worldwide education and its effect of Unplanned Switch to E-Learning during COVID-19 Pandemic. Aim of the study: The study aimed to explore critical care nursing students’ acceptance of unplanned switch to e-learning during COVID-19 pandemic from the Saudi and Egyptian perspective. Materials and method: This study was conducted by using descriptive research design, Settings: This study was conducted at faculty of nursing Alexandria University/ Egypt and Al Riyadh College for health science in Jeddah / Saudi Arabia. Subjects: A convenience sampling of all critical care nursing students from Alriyada College and all critical care nursing students from Alexandria University students that are facing the sudden switch from face to face to e-Learning during spring 2020 academic year. Tool of data collection: One tool will be used for the purpose of data collection: Extended Technology Acceptance Model to E-learning systems that consist of two main factors, “Perceived Usefulness” and “Perceived Ease of Use” that influence a person’s intention to make use of a technology. Results: the result showed more than half of the Egyptian and Saudi students have high level of e-learning self-efficacy. Also, nearly half of the studied samples demonstrated a high level of subjective norms. Also the results revealed that near half of the Egyptian and more than half of the Saudi students demonstrate a high total level of acceptance of e-learning sudden shift Conclusion: The current study findings concluded that considerable number of the Egyptian and Saudi students demonstrate a highly total level of acceptance of E Learning sudden shift. Hence, the current study has proven that e-learning was an effective method of instruction during the pandemics and the crisis and the emergency time of closure. Recommendation: Based on the existing study results, it can be recommended that the educational institutions, if they want to proceeds with online learning, they should focus on increasing students’ acceptance and social presence feeling.
https://ejhc.journals.ekb.eg/article_207773_0bd836dd29e1512790568bbc5f56890c.pdf
2020-09-01
928
937
10.21608/ejhc.2020.207773
Critical care
Unplanned Switch
COVID-19
pandemic
Hamida
Ahmed Mustafa Darweesh
1
Nursing Education, Faculty of Nursing, Alexandria University and Alriyada College for Health Science Jeddah/ Saudi Arabia
AUTHOR
Farida
Khalil Ibrahim Mohamed
2
Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University and Alriyada College for Health Science Jeddah/ Saudi Arabia
AUTHOR
ORIGINAL_ARTICLE
Investigate Women's Knowledge, Attitude and Their Immediate Intervention Regarding Habitual Abortion
Aim: to investigate women’s knowledge, attitude and immediate intervention regarding their habitual abortion. Setting: The study was conducted at Ain Shams Habitual Abortion Outpatient Clinic. Design: A descriptive study design. Sampling: Sample size: 234 women. Sample type: A purposive sample Tools: 1) Structured interviewing questionnaire. 2) Likert scale. Results: The present study revealed that more than half among studied sample had incorrect knowledge concerning risk factors, complications, investigations, management as well as habitual abortion and future pregnancy. Nearly two-third among studied sample had positive attitude toward their habitual abortion. A significant relation between studied sample attitude and their age and No. of living births was observed. Three-quarter among studied sample had sought immediately maternity health services while few preferred to stay in bed for comfort and others consulted their relatives. Conclusion: the present study was concluded that more than half among studied sample had total incorrect knowledge regarding habitual abortion. Nearly two-third had positive attitude toward their habitual abortion. Age, area of residence, duration of marriage, No. of living births, and timing of abortion had significant impacts on positive attitude.The majority sought immediately maternity health services. Recommendation: Implementing post abortion counseling sessions using brochures and posters to increase women’s knowledge regarding habitual abortion issues.
https://ejhc.journals.ekb.eg/article_207949_418b87803944d72150cfef661534ae19.pdf
2020-09-01
938
951
10.21608/ejhc.2020.207949
Knowledge
attitude and habitual abortion
Shimaa
Ibrahim salama
1
Demonstrator of maternity and gynecological Nursing, Faculty of Nursing, Ain shams University
AUTHOR
Kamilia
Ragab Abou-Shabana
2
Professor of maternity and gynecological Nursing, Faculty of Nursing, Ain shams University
AUTHOR
Nadia
Abdel Hamid Attiat Allah
3
Professor of maternity and gynecological Nursing, Faculty of Nursing, Ain shams University
AUTHOR
Walaa
Fathy Mohammed
4
Lecturer of maternity and gynecological Nursing, Faculty of Nursing, Ain shams University
AUTHOR
ORIGINAL_ARTICLE
Prevalence and Predictors of Internet Gaming Disorder among Adolescents
Internet Gaming Disorder (IGD) refers to recurring and persistent use of internet to engage in online or offline video games often with other players leading to significant impairment or distress. The aim of the present study was to assess prevalence and predictors of internet gaming disorder among adolescents. Design: A cross-sectional descriptive design was utilized. Methods: A sample of 555 adolescents randomly selected by using a multi-stage cluster sampling from preparatory and secondary schools in Zagazig, Minia El Kamh, and Abo Hammad cities, Sharkia Governorate, Egypt. Data were collected by using two tools, first tool a questionnaire sheet to assess; socio- demographic data and gaming behaviors, second tool; Internet Gaming Disorder Scale Short-Form (IGDS-SF). Results revealed that the prevalence of internet gaming disorder among the studied adolescents was 7.9%. Also, the results demonstrated that overcrowding, bad relation with fathers, parents limit on gaming time and suffering from chronic disease are statistically significant positive predictors of IGD among adolescents. Conclusion: The prevalence of IGD in this sample was relatively moderate as compared to previous studies and identifies the predictors of those with IGD. Recommendations: Designing and implementing tailored innovative interventions for adolescents with internet gaming disorder.
https://ejhc.journals.ekb.eg/article_212772_4e11e94011deb11ff23860854ae2084b.pdf
2020-09-01
952
964
10.21608/ejhc.2020.212772
Adolescents
prevalence
predictors
Internet Gaming Disorder
and Gaming behaviors
Nashwa
Saber Atia
1
Lecturer of Community Health Nursing, Faculty of Nursing, Zagazig University, Egypt
AUTHOR
Eman
Mahmoud Abo Elela
2
Lecturer of Pediatric Nursing- Faculty of Nursing- Zagazig University, Egypt,
AUTHOR
Etab
Hussein Mohamed
3
Lecturer of Community Health Nursing, Faculty of Nursing, Zagazig University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Knowledge, Practices, and Attitudes for Nurses toward Covid 19 in Saudi Arabian and Egypt
Corona virus disease 2019 (COVID-19) is an infectious disease triggered by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first case was recognized in Wuhan, China, in December 2019.Aim of the study to know the level of awareness about covid pandemic in Saudi Arabian and Egypt.Design: the study followed a descriptive design .Setting: the study was carried out in Egypt and Saudi arabia .Subjects: convenience sample of two hundred nurses who agreed to participate in the study.Tool:four tools were used to collect data ,Tool 1 : sociodemographic data,Tool 2 knowledge online questionnaire consists of 30 questions,Tool 3: assessed participants attitudes toward covid 19 consists of 20 questions, Tool 4 assessed participant practices .Method:a total of 200 nurses were participated in the study.Results that the majority of the study nurses of both studied groups were females, majority of studied nurses in both studied group were free from diseases.Conclusion: COVID-19 knowledge and practice were enormous among the HCWs, particularly, in Egypt
https://ejhc.journals.ekb.eg/article_213615_b565469bcc363162ce33fe81de9eab4b.pdf
2020-09-01
965
977
10.21608/ejhc.2020.213615
COVID 19
Hcw (corona virus disease
health care workers )
Heba
Mahmoud
1
Lecturer Medical Surgical Nursing Department,Alexandria University
AUTHOR
Nazirah
Nouh
2
Lecturer Nursing Administration,Riyadh Elm University
AUTHOR
ORIGINAL_ARTICLE
Effects of Sleep Restriction Therapy versus Progressive Muscles Relaxation Technique on Sleep Quality among Older Adults
In comparison to younger adults, older adults show age‐related sleep changes and greater sleep problems with substantial adverse short- and long-term health consequences. Although behavioral training is recommended for sleep problems, the value of sleep restriction therapy (SRT) in comparison to progressive muscles relaxation technique (PMR) on sleep quality among older adults remains unknown and not well established. Objective: Determine the effect of sleep restriction therapy versus progressive muscles relaxation technique on sleep quality among older adults. Setting: Four assisted living facilities affiliated to Alexandria Governorate, Egypt were included. Subjects: 50 older adults who aged 60 years and more were randomly assigned to two equal study groups; group 1, older adults who received sleep restriction therapy (SRT) and group 2: older adults who received progressive muscles relaxation technique (PMR). Tools: Four tools were used for data collection: 1) Mini-Mental State Examination (MMS) Scale. 2) Geriatric Depression Scale- Short Form (GDS-SF). 3) Sleep quality of older adults structured interview questionnaire. 4) Sociodemographic and health profile of older adults structured interview questionnaire. Results: sleep quality significantly increased after implementation of proposed interventions with mean percent score of 63.0± 5.05 for SRT and with mean percent score of 44.50± 5.50 for PMR with statistically highly significant differences, P < 0.001. A higher significant reduction in sleep latency among the studied subjects who received SRT than those who received PMR was observed, P < 0.001. Conclusion: Sleep restriction therapy showed highly statistically significant greater improvement on sleep quality among the studied older adults than progressive muscles relaxation technique. Recommendations: implementation of suitable cost effective cognitive behavioral therapies such as SRT and PMR by the geronological nurses to enhance sleep quality among older adults at the assisted living facilities. Also, gerontological nurses should Develop and conduct educational programs to all care providers and older adults themselves about; age related changes in sleeping patterns, and how to enhance sleep quality in old age.
https://ejhc.journals.ekb.eg/article_215099_762b96add5ccac1ac9fef4add687388e.pdf
2020-09-01
978
992
10.21608/ejhc.2020.215099
Older adults
Sleep quality
Sleep restriction therapy
progressive muscles relaxation technique
Reham
Magdy Mohammed Abd Elsalam
1
Assistant Professor Gerontological Nursing, Faculty of Nursing, Alexandria University
AUTHOR
Samia
El Husseini Abd El Mageed El Kholy
2
Assistant Professor Gerontological Nursing, Faculty of Nursing, Alexandria University
AUTHOR
ORIGINAL_ARTICLE
Counseling Intervention for Parents of Children with Down Syndrome on their Needs, Stress and Coping Strategies
Background: Having child with disability is a major difficult that negatively affects parents . Down syndrome is one of the most common disabilities that have a negative impact on parents’ health and well-being and may force them to evaluate their plans, goals, and relationships in light of restrictions and limitations associated with their children's disability. Parents may experience a need for a counselling intervention for utilize available support resources, or look for alternative ones, as an attempt to adopt strategies to regain their equilibrium between resources and disability needs to cope effectively with stresses associated with their children’s down syndrome to alleviate their stress, developing appropriate and effective coping strategies .The aim of this study was to investigate the effect of counseling intervention for parents of children with down syndrome on their needs, stress and coping strategies. Design: A quasi-experimental design was used to conduct the study. Setting: This study was conducted at the Genes Clinics of Down syndrome in the specialized clinics of the university pediatric hospital affiliated to Ain Shams University Hospitals. Subjects: A purposive sample was obtained from fifty parents who accompanying their children with down syndrome in the previously mentioned settings. Tools of data collection : Data were collected using the following tools; An interviewing questionnaire to assess parents' socio demographic data and health assessment of children with down syndrome , Family Need Questionnaire to examine the needs of parents of children with down syndrome., Parent Stress Index Scale to measure stress associated with parenting of children with down syndrome , and the Ways of Coping (Revised) Questionnaire to describes a number of thoughts and acts (coping strategies) which used by parents to cope with a threatening situation. Results: The study results revealed that there was a highly statistically significant difference between pre and post counseling intervention regarding total level of needs, stress level and coping of parents having children with down syndrome, also there was a positive correlations between studied parents' needs, stress and their coping in pre and post counseling intervention. Conclusion: It was concluded that the application of counseling intervention had a positive effect on the improvement of the level of parents' needs, alleviating stress and promote coping strategies among parents of children with down syndrome. Recommendations: Conducting psycho-educational training program focused on reducing parental stress and training parent how to deal effectively with their disabled children under stress.
https://ejhc.journals.ekb.eg/article_218569_82afbd8c09dd30e0b7bcf9f0e1404905.pdf
2020-09-01
993
1011
10.21608/ejhc.2020.218569
Down syndrome
Parenting needs
Parenting stress
Coping
Rania
A. Zaki
1
Psychiatric Nursing. Faculty of Nursing. Ain shams University
AUTHOR
Gehan
El-Nabawy Ahmed Moawad
2
Pediatric Nursing. Faculty of Nursing. Mansoura University
AUTHOR
Entisar
Mohammed Mahmoud abu-Salem
3
Psychiatric Nursing. Faculty of Nursing. Beni -Suaf University
AUTHOR
ORIGINAL_ARTICLE
Effect of Educational Intervention for Nurses about Pre and Post-Operative Care on Clinical Outcomes of Patients Undergoing Ureteral Stent Surgery
Ureteral stents represent effective drainage method to preserve renal function, treat pain caused by ureteral obstruction. Aim: this study aimed to determine the effect of educational interventions for nurses about pre and post-operative care on clinical outcomes of patients undergoing ureteral stent surgery: Subject and Method, Design & Setting: quasi- experimental was conducted in this study in the Urology Department and Outpatient's clinics, At Main Tanta University Hospital. Sample, The sample of this study consisted of: All available nurses working in the previously mentioned settings, and purposive sample of 30adult patients undergoing ureter stent surgery. Tools: four tools were used for data collection as following Tool (I) Structured Interview Questionnaire that was comprised of two parts; Part (1) was Nurses' Socio-Demographic Characteristic. Part (2); Nurse's Knowledge Assessment Sheet. Tool (II): Observation Checklist for Nurse's Performance; Tool (III): Patient Bio Socio-Demographic Data; It was comprised of two parts; Part (1) Socio-Demographic Characteristics of the Patient; Part (2) Clinical Assessment Data of the Patient. Tool (IV): Ureter Stent Symptoms Questionnaire (USSQ) aimed to evaluate patient complications. Results: the present study revealed that, the majority of the studied nurses were poor level of knowledge and un satisfactory practice related to ureter stent surgery pre implementation of educational intervention which has been improved immediately post implementation of educational intervention. Furthermore the frequency of studied patients complications were decreased post- implementation of educational intervention. Conclusion there were a significant enhancement in nurse's knowledge and clinical practice regarding ureter stent surgery after implementing educational intervention related to ureter stent surgery. Recommendation Encouraging continuous in service educational interventions in providing nursing care of patient with ureter stent surgery.
https://ejhc.journals.ekb.eg/article_225126_452fd18d23e358a16f506c4ba5b6d585.pdf
2020-09-01
1012
1031
10.21608/ejhc.2020.225126
ureter stent
Educational intervention
Patient's Outcomes
Sally
Mohamed Morsy Mansour
1
Medical Surgical Nursing Department, Faculty of Nursing, Tanta University
AUTHOR
Om Ibrahim
Ali El- Meligy
2
Medical Surgical Nursing Department, Faculty of Nursing,Tanta University
AUTHOR
Ayman
Ahmed Hassan
3
Urology Department, Faculty of Medicine, Tanta University
AUTHOR
Fatma
A. Salem
4
Medical Surgical Nursing Department, Faculty of Nursing,Tanta University
AUTHOR
ORIGINAL_ARTICLE
Geriatric Nursing Course: It's Effect on Nursing Students’ knowledge and Attitude regarding Caring Elderly
Prepared nurses adequately with sufficient knowledge, skills, and positive attitudes towards elderly improve patient outcomes such as reduced hospital length of stay, reduced readmission rates, and therefor patient and family satisfaction. Aim: This study aimed to examine the effect of geriatric nursing course on nursing students' knowledge, attitude regarding caring elderly. Design: A quasiexperimental design (pre-posttest) was utilized. Setting: This study was conducted at faculty of nursing in Shebin Elkom City, Menoufia University. Sample: convenient sample consists of 371 students enrolled in the fourth year, Faculty of Nursing, Menoufia University. Tools of data collection: Tool (1): Structured interviewing questionnaire: It was developed by the researchers. Tool (2): The Attitudes toward Old People Scale (Kogan, 1961). Tool (3): Perceived Job Satisfaction (Everly and Falcion, 1976). Results: there was improvement in student' knowledge and attitude toward elderly after implementation of geriatric nursing course. Conclusion: The present study has indicated that providing a geriatric nursing course had a positive effect on the attitude toward the elderly and was particularly effective in decreasing the negative attitude of students. In addition it increase student' knowledge level and can make students consider working as a nurse caring for elderly. Recommendations: There is a need to revise the nursing curriculum and develop innovative schemes that will increase the students’ willingness to work with the elderly. Effective use of mass and social media in order to raise awareness and to change negative attitudes toward elderly. Give a chance for nursing students to be more contact with care of elders through clinical practice.
https://ejhc.journals.ekb.eg/article_233428_44c016a0ead331738dc68745100c7f92.pdf
2020-09-01
1032
1041
10.21608/ejhc.2020.233428
Nursing students
Attitude
Elderly
Geriatric nursing course
Esmat
Elsayed Ibrahim
1
Lecturer of Geriatric Nursing Faculty of Nursing, Menoufia University
AUTHOR
Entsar
A. Abd Elsalam
2
Assist. Prof of Geriatric Nursing Faculty of Nursing, Menoufia University
AUTHOR
ORIGINAL_ARTICLE
Quick Response (QR) Codes Utilization on Improving Nursing Students' Engagement, Satisfaction and Perceived Learning in Damanhour University
Uses of quick response in Nursing education is increasing as it has great potential to improve teaching and learning through enabling students across multiple contexts, social and content interactions. Today technology is evolving more rapidly than ever. The younger generations, including nursing students, live their daily lives equipped with extremely advanced smart phone technology, thus, it is challenging nursing educators to integrate smart phone technology in education to increase the level of involvement. One of the most significant determinants of students' progress is their participation in academic-related learning activities. This happens through increasing students' engagement, satisfaction, and perceived learning. Aim of the study was to investigate the effect of quick response codes utilization on improving nursing students' engagement, satisfaction, and perceived learning. Method: A quasi -experimental method was utilized. The study was conducted at Faculty of Nursing Damanhour University, Egypt. Purposeful sample, 274 fourth academic year nursing students, the students randomly selected by a systematic random sample and divided into two identical groups study and control group / 137 each. The study was done during the academic year (2019-2020). One tool was used: The Effects of Student Engagement, Student Satisfaction, and Perceived Learning in Online Learning Environments to determine if a student experience satisfied or unsatisfied regarding their engagement and satisfaction toward using quick response in nursing education. Results: The study reveals that statistically significant positive intermediate correlations were found between different studied dimensions (Course Structure/Organization, Learner Interaction, Student Engagement, Instructor Presence, Student Satisfaction student, Perceived Learning,). However, negative correlation was found in learning interaction. statistically significant difference was found regarding students' engagement, satisfaction, and instructors’ presence. Conclusion: Based on the results of the current study, the study was concluded that, using of quick response codes as a learning tool can improve students’ engagement, satisfaction, and perceived learning. Recommendations: Applying training program for increasing awareness of all faculty members toward digital technologies and the diversity of context. Provision of quick response using courses in nursing education is recommended.
https://ejhc.journals.ekb.eg/article_236269_cd7135181760c800f67eee8057b01167.pdf
2020-09-01
1042
1053
10.21608/ejhc.2020.236269
quick response technology
nursing students' engagement
Satisfaction
and perception
Lucy
Ahmed AbuElEla
1
Nursing Education Department, Faculty of Nursing, University of Damanhour, Egypt
AUTHOR
Sally
Abd El hamid Fayed
2
Nursing Education Department, Faculty of Nursing, University of Damanhour, Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Health Education intervention on Aroused Shame and Stress Level among Parents of Cerebral Palsied Adolescents
Health education is an effective approach for health-care management and developing healthy behaviors. It is principally important with family, caregivers, and mainly, with parents who have teenagers with profound disabilities such as cerebral palsy (CP). Parents’ health teaching about their cerebral palsied adolescents may alleviate their psychological suffering. Nurses in adult care, psychiatric and mental health and nursing education fields have a significant role in developing the heath educational process with those parents. Aim of the study: to determine the effect of health education intervention about cerebral palsied adolescents care management on parents' shame and stress level. Design: a quasi-experimental study. Setting: The study was conducted at the Vocational and Rehabilitation Association of Children with Special Needs and Disabilities in Elrasafa, Moharam Bek, Alexandria, Egypt, which is affiliated to the Ministry of Insurance and Social affair. Subjects: a purposive sample of one hundred parents with cerebral-palsied adolescents. Parents were randomly distributed into study and control groups, fifty in each. Tools: Through interview schedule procedure, triple section questionnaire was used in data collection, which included: Parental Aroused Shame Scale (PAS), Parenting Stress Index Short Form (PSI-SF) – distress subscale, A Socio-Demographic assessment sheet. Results: Results revealed that there was a significant decrease in parents' aroused shame and stress level post health education implementation, in the 2nd and 3rd assessments among the study group considerably. In addition, the study proved that there is a parallel positive relation between aroused shame and stress level among parents with CP adolescents. Conclusion: Health education intervention is a successful approach for nurturing aroused shame and stress level among parents with CP adolescents. Recommendations: Continuous health education programs for parents with CP adolescents are needed as well as investigation of its effects on other physical, psychological, intellectual, social, and spiritual parameters.
https://ejhc.journals.ekb.eg/article_238549_96b17e0291de0cbe09f93d4bd458f19d.pdf
2020-09-01
1054
1070
10.21608/ejhc.2020.238549
health education
Parental aroused shame
Parenting Stress level
Cerebral palsied adolescents
Nagla
Hamdi Kamal Khalil El-Meanawi
1
Medical Surgical Nursing, Faculty of Nursing, Alexandria University
AUTHOR
Ayah
Shaban Abd-El Fattah Abd-El Rasoul
2
Nursing Education, Faculty of Nursing, Alexandria University
AUTHOR
Ghada
Ahmed Ghazi
3
Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University.
AUTHOR
Shadia
Ramadan Morsy
4
Nursing Education, Faculty of Nursing, Alexandria University
AUTHOR
ORIGINAL_ARTICLE
Effect of Nursing Care Instructions on Outcomes of Patients with Hepatocellular Carcinoma Undergoing Radiofrequency Ablation Therapy
Radiofrequency ablation (RFA) is a safe and effective first-line treatment modality in patients with early-stage hepatocellular carcinoma (HCC). It is important to improve patient outcome include fewer delays, earlier discharge, decrease readmission, effective, efficient, consistent care, and communication. Aim: This study aimed to evaluate the effect of nursing care instructions on outcomes of patients with hepatocellular carcinoma undergoing radiofrequency ablation therapy. Design: A quasi experimental design was used. Setting: This study was conducted at radiofrequency department in Oncology Hospital and internal medicine outpatient clinic, affiliated to Ismailia University Hospitals, Egypt. Sample: A purposive sample of 60 patients with hepatocellular carcinoma; 30 randomly allocated to each group study and control. Tools:1) Patients' interview questionnaire (pre/post-tests), (2 Hepatocellular carcinoma patient outcome indicators (posttest). Results: There were a highly statistically significant differences between both groups regarding pain, anxiety level, nausea, vomiting, retching, and post procedure complications (P≤ 0.001).There was a positive correlation coefficient between total level of anxiety and total severity of pain among study group patients post-nursing care instructions (r= .580 at P≤ 0.01). Conclusion: The implementation of nursing care instructions for patients with hepatocellular carcinoma undergoing RFA therapy had a statistically significant positive effect on improving study group patients' outcomes versus to control group, which supported the stated hypothesis. Recommendations: Further training programs about RFA therapy for patients should be held on a large number of subjects for evidence of results and generalization.
https://ejhc.journals.ekb.eg/article_238922_0de2dd33354cce8f766265fe9617a84a.pdf
2020-09-01
1071
1089
10.21608/ejhc.2020.238922
Nursing Care Instructions
outcomes
Hepatocellular carcinoma
Radiofrequency Ablation Therapy
Mona
Abdullah Mohamed
1
Medical Surgical Nursing, Faculty of Nursing, Zagazig University ,Egypt
AUTHOR
Hanaa
Elsayed Amin Mohammed
2
Medical Surgical Nursing, Faculty of Nursing Suez Canal University, Egypt
AUTHOR
Magda
Kamal El- Shishtawy
3
Medical Surgical Nursing, Faculty of Nursing , Zagazig University ,Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Polyethylene Cap on Hypothermia Prevention among Low Birth Weight Neonates
Background: Neonatal hypothermia after birth is a worldwide issue across all climates and can prevented by using polyethylene plastic applied immediately after birth. Aim: The study aimed to determine the effect of polyethylene cap on hypothermia prevention among low birth weight neonates. Subjects and method: Design: Quasi-experimental design, pre and post-test with the control group were used to fulfill the aim of this study. Setting: The study was conducted at the neonatal intensive care unit (NICU) affiliated to Sohag University Hospital. Subjects: A purposive sampling technique was used in the study of 100 low birth weight neonates was included, randomly assigned to polyethylene cap (the experimental group included 50 low birth weight neonates who had polyethylene caps put on without drying and the control group (50 low birth weight neonates were underwent routine care and without polyethylene cap). Tools: Low birth weight neonates assessment sheet; it is divided into two parts: Part (1): characteristics of the studied low birth weight neonates Part (2): Hypothermia assessment sheet; and Part (3): Low birth weight neonates' outcomes assessment sheet. Results: The study result revealed that mean axillary temperatures in the experimental group were different after admission and 1 hour and 2 hours later. In low birth weight, neonates' mean temperatures were significantly higher in the experimental group after admission and 1 hour and 2 hours after birth compared to low birth weight neonates in the control group. In the experimental group mean axillary temperature was significantly higher than in the control group. Conclusion: Application of a polyethylene cap was an effective method to reduce hypothermia among low birth weight neonates in the experimental group compared to low birth weight neonates in the control group. Recommendation: The application of a polyethylene cap is recommended for low birth weight neonates to prevent hypothermia.
https://ejhc.journals.ekb.eg/article_243484_cbd5a7898e594295929df323e84bf88e.pdf
2020-09-01
1090
1098
10.21608/ejhc.2020.243484
Hypothermia
Low birth weight neonates
polyethylene cap
Shimmaa
Mansour Moustafa Mohamed
1
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Zagazig University, Egypt
AUTHOR
Hala
Samir Ahmed El-husseiny
2
Lecturer of Pediatric Nursing Department, Faculty of Nursing, PortSaid University
AUTHOR
Manal
Mohamed Ahmed Ayed
3
Assistant Professor of Pediatric Nursing Department, Faculty of Nursing, Sohag University, Egypt
AUTHOR
Fathia
El-Sayed El-Ghadban
4
Assistant Professor of Pediatric Nursing Department, Faculty of Nursing Fayoum University, Egypt
AUTHOR
Fatma
Mohamed Amin
5
Assistant Professor of Pediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Nursing Intervention on Fear, Post-Traumatic Stress Symptoms, and Pain among Patients with Open Heart Surgery
Background: Open heart surgery is a source of high levels of emotional distress for the patient. If the stress experienced is not adequately compensated, it could harm the postoperative recovery and could not be treated the comorbid mental disorders. Open heart surgery could be a traumatic and stressful experience, and as a result, many people experience psychological difficulties following treatment. Post-Traumatic Stress Disorder (PTSD) is now being investigated in the post-surgical population with surprising results. Open heart surgery is a common intervention that involves several pain-sensitive structures, and intense postoperative pain is a predictor of persistent pain. The study aimed to investigate the effect of a nursing intervention on fear, post-traumatic stress symptoms, and pain among patients with Open heart surgery Setting: The study was conducted at the open heart surgical department and open heart surgical intensive care unit at Menoufia University and Shebin elkom teaching hospitals, Menoufia Governorate, Egypt. Sample: Purposive sample of 80 patients with open heart surgery were enrolled from the previously above-mentioned settings. Data collection: Four tools were used; a semi-structured interview questionnaire, Surgical Fear Questionnaire (SFQ), Davidson Trauma Scale-DSM-IV, and The Numeric Rating Pain Scale Results: Results revealed that there was no significant difference between the study and the control groups regarding demographic characteristics (p>0.05). Also, results revealed a highly significant improvement (with p < 0.0001, in mean surgical fear, pain, and post-traumatic stress symptoms). Conclusion: It was concluded that overall, preliminary findings support the positive effect of the nursing intervention in treating people who have undergone open-heart surgery. Where nursing intervention reduces fear, post-traumatic stress symptoms, and pre and postoperative pain. Recommendations: The developed nursing intervention should be carried out pre and postoperative to reduce fear, post-traumatic stress symptoms, and pain among all patients undergoing open-heart surgery.
https://ejhc.journals.ekb.eg/article_249712_1b8614f1d09879c227966371c122e752.pdf
2020-09-01
1099
1115
10.21608/ejhc.2020.249712
Fear
Pain
post-traumatic stress symptoms. Open heart surgery
Sabah
H. El-Amrosy
1
Assistant Professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt. Currently, Department of Nursing, Faculty of Applied Medical Sciences, Al Baha University, Saudi Arabia
AUTHOR
Aziza
Mohamed Kamel
2
Lecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Menoufia University, Egypt.
AUTHOR
Lobna
El Sayed Sallam
3
Lecturer of Psychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.
AUTHOR
Wessam
Fathy Mohamed Gabr
4
Lecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef University, Egypt.
AUTHOR
kariema
I. EL Berry
5
Lecturer of Psychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Effect of Prone versus Lateral Position on Respiratory Status among Children with Lower Respiratory Tract Infections
Introduction: Lower respiratory tract infection is considered one of the major public health problems in many developing countries among under five children. The correct positioning will help to reduce the breathing difficulty to some extent. Aim: The study aims to evaluate the effect of prone versus lateral position on respiratory status among children with lower respiratory tract infections. Subjects and method: Design: A quasi-experimental research design was utilized in this study. Setting: the study was conducted in Pediatric Intensive Care Unit at Sohag University Hospital. Subjects: A non-probability purposive sampling technique was adopted to select 100 children with lower respiratory tract infections from the previous setting who were assigned into two groups, with 50 children in each group. Prone position was given to group 1 and lateral position was given to group 2. Tools: Tool (1) Children assessment sheet and Tool (2) Children respiratory status assessment sheet. Results: The result of the study revealed that in group-1 and group-2, the significance of the difference between the mean pre-observation and post-observation respiratory status score was statistically and was found to be highly significant at 0.05 level. The result shows that the respiratory status had no significant association with their variables. The values of heart rate, respiratory rate, and oxygen saturation improved significantly among children in the prone position than in the lateral positions after the intervention. Conclusion: The current study results concluded that prone and lateral positions were effective in improving the respiratory status of children under five years old with lower respiratory tract infections. The study findings also depicted that the prone position was more effective than the lateral position. Recommendations: Prone position is recommended and could be used in the routine care of children with lower respiratory tract infections as a simple and applicable strategy to improve the respiratory status.
https://ejhc.journals.ekb.eg/article_253130_0d4cbf5d60858b7494ed63267d94c743.pdf
2020-09-01
1116
1126
10.21608/ejhc.2020.253130
Children with lower respiratory tract infections
Prone and lateral positions
Respiratory status
Fatma
Mohamed Amin
1
Assistant Professor of Pediatric Nursing Department, Faculty of Nursing, Mansoura University
AUTHOR
Heba
Ibrahem Mohamed
2
Lecturer of Pediatric Nursing Department, Faculty of Nursing, Kafr El Sheikh University
AUTHOR
Manal
Mohamed Ahmed Ayed
3
Assistant Professor of Pediatric Nursing Department, Faculty of Nursing, Sohag University, Egypt
AUTHOR
Nagwa
Ibrahim Eldemery
4
Lecturer of Pediatric Nursing, Faculty of Nursing, Mansoura University
AUTHOR
Shimmaa
Mansour Moustafa Mohamed
5
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Zagazig University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Assessment of Women's Reproductive Empowerment in Rural and Urban Areas: A Comparitive Study
Background: Empowering women is a key factor for better social and economic development ofdifferent countries because women empowerment enables much more working force and improvesperformance of organizations. Aim: This study aimed to assess women's reproductiveempowerment in rural and urban areas. Design: A cross sectional descriptive research design wasused. Setting: This study was carried out at Maternal and Child Health Care Center at Talkha andSalamoon health facility, Delta, Egypt. Study subjects: A non-probability purposive sample of 334women who were fulfilling the inclusion criteria. Tools A structured interview schedule to cover thedata related to general characteristics and women’s reproductive empowerment questionnaire toassess women’s reproductive empowerment. Results: There were highly statistical significantdifferences regarding cultural, individual family, social and family planning domain scores amongrural and urban women with more empowerment in urban women (p < 0.001). Also, the highest ofwomen’s reproductive empowerment among urban and rural residents were found in culturaldomain with Mean ±SD 20.3 ±4.5 and 18.1 ±5.8 respectively and the lowest scores among rural andurban women were found in family planning domain with Mean ±SD 17.7 ±3.1 and 14.9 ±4.7respectively. Else, women’s reproductive empowerment among the studied group was significantlyassociated with their occupation, educational level and their husband's educational level (p >0.05).Conclusion: The current study question was answered where urban women were moreempowered regarding cultural, individual family, social and family planning domains than ruralwomen. Women occupation, educational level and husband's educational level had aneffective role in reproductive empowerment. Recommendations: The current studyrecommended more involvement of woman in membership in rural institutions and access tosocial networks, also increase awareness of rural woman about their right, legalempowerment and decision-making.
https://ejhc.journals.ekb.eg/article_149081_07dd072cf0995d1cd32b235fdc0d59aa.pdf
2020-09-01
1127
1142
10.21608/ejhc.2021.149081
Reproductive health
Rural areas
Urban areas
Women’s empowerment
Shaimaa
Fouad Mohammed
1
Woman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, Egypt
AUTHOR
Hanan
El-Sayed Mohamed El-Sayed
2
Woman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, Egypt
AUTHOR
Marwa
Ibrahim Hamdy Aboraiah
3
Woman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Social Platform Program on Mothers' Caring regarding Feeding of the Children with Cerebral Palsy
Feeding and eating are important activities that allow individuals to maintain adequate growth in children with cerebral palsy. Aim: The study aimed to evaluate the effect of social- platform program on mothers' caring regarding feeding of the children with cerebral palsy. Material and methods: Design: A quasi-experimental research design was adopted for this study. Setting: This study was applied in Egypt at Mansoura City. Sample: - A total sample of 200 mothers through the non-probability purposive sampling technique was selected using an online questionnaire via Google Form. Participants were equally and randomly allocated to a study and a control group, (with 100) patients for each one. Tools: Three tools were used: Tool I: Mother's knowledge assessment questionnaire regarding cerebral palsy, Tool II: Mother's reported practice regarding feeding children with cerebral palsy, and Tool III: Mother's satisfaction with the social-based program. Results: The study findings demonstrated that the majority of investigated mothers' knowledge and feeding practices were satisfactory and improved after the online social-based program compared to before the social-based program. The study result portrays that (80%) of the mothers in the experimental group compared to (70%) of them in the control group were of the same age from 20- ≤ 30 years old with a mean age (25.21 ± 2.02) (26.61 ± 3.43) respectively. Conclusion: The study concluded that an social- platform feeding program for children with cerebral palsy improved their mothers' knowledge and practice. The study and control groups differed statistically significantly. Recommendations: Provide mothers with a well-planned social- platform program to increase their knowledge and practice of feeding children with cerebral palsy.
https://ejhc.journals.ekb.eg/article_264619_9bb66acb1f2c38892f7e9ff26d8891ba.pdf
2020-09-01
1143
1159
10.21608/ejhc.2020.264619
Cerebral palsy
children
Mothers
social platform program
Amirat
Ali Elsabely Mohammed
1
Lecturer of Pediatric Nursing Department, Faculty of Nursing, Zagazig University, Egypt
AUTHOR
Wafaa
Hamed Kamal Elshafie
2
Lecturer of Community Health Nursing Department, Faculty of Nursing, Mansoura University, Egypt
AUTHOR
Dalia
Mohamed Abdelkhalik Kishk
3
Lecturer of Community Health Nursing Department, Faculty of Nursing, Mansoura University, Egypt
AUTHOR
Manal
Mohamed Ahmed Ayed
4
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, Egypt
AUTHOR
Nagwa
Ramadan Esmail Magor
5
Lecturer of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt
AUTHOR
Manal
Farouk Mohamed
6
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Suez Canal University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Factors Interfering with Nursing Students Performance Through Practical Training of Maternal and Newborn Health Course
Background: The competency of students performance requires the integration between learned theory as will as practice well through its attributes in clinical learning environmenment. Aime: was to evaluate the factors interfering with nursing students performance through practical training of maternal and newborn health. Design a descriptive design was adopted. Sitting: technical instituation of nursing, suez canal university (2nd year). Sample: convenient sample included 458 nursing students studing maternal and neonatal health course was enrolled.Tools: Tool I. self adminestred questioner include questions about: socio demographic data and factors interfering with nursing students performance in lab and clinical practice sitting Tool II: An observational checklist for students' performance on four skills (abdominal examination, vaginal inspection, handling procedure, and perineal care). Result:- The bulk of the studied students (94.1%) reported that they didn't have enough time to performing a vaginal examination. Additionally, 79.9 and 82.1% of the students in the study demonstrate that there are not enough instructors to adequately train students. During the re-demonstration of the abdominal gripping skills, perineal care, handling, and vaginal exam, respectively, 46, 7, 46, 7, 47, and 60.5% of the studied students didn't communicate well with the trainer.Conclusion: One of the factors associated students' performance in the lab was an insufficient ratio of students to lab space. The clinical sitting also revealed that there weren't enough patients in relation to the number of students.Recommendation: suggested that, appeal technical nursing institutions dircate to serves suitable lab area and recruit staff members to cover the gap.
https://ejhc.journals.ekb.eg/article_270599_3c82e00d30e732ed2abae8b869c0f547.pdf
2020-09-01
1160
1174
10.21608/ejhc.2020.270599
Nursing students performance
Clinical instructor
Clinical learning Environment
Zeinab
A. Baraia
1
Maternity, Obstetrics and Gynecological Nursing, Faculty of Nursing, Suez Canal University, Egypt.
AUTHOR
Ola
Adel Ali
2
Nursing specialist at Technical Institute of Nursing at Suez Canal University
AUTHOR
Inaam
Hassan Abdelati
3
Professor of Maternity, Obstetrical and Gynecological Nursing, Faculty of Nursing -Port Said University
AUTHOR
ORIGINAL_ARTICLE
Academic Advising and its Relation to Nursing Students' Self Efficacy
Background: Academic advising is a collaborative relationship between a student and an academic advisor. The intent of this collaboration is to assist the student in the development of meaningful educational goals that are consistent with personal interests, values and abilities. Aims: This study aimed to assess academic advising and its relation to nursing students' self-efficacy. Design: An analytic cross-sectional research design was used in conducting the study in order to find out the relationship between academic advising and nursing students' self-efficacy, Both dependent and independent variables were measured at the same point in time with no prospective or retrospective follow-up. Subject and Method: The subjects of this study consist of nursing students enrolled in the four academic years in Faculty of Nursing, MTI University. Their total number was 750 students in the academic year 2019/2020. Tools were used to collect the necessary data, a structured interviewing questionnaire, Academic Advising Inventory (AAI) to assess the mode of academic advising from student's point of view and Perceived self-efficacy scale to assess nursing student's perception regarding self-efficacy. Results: The study revealed (43.5%) of the nursing students were satisfied with academic advising. While, (71.5%) of nursing students having high level of self-efficacy. Conclusion: The finding of this study concluded that the prescriptive academic advising mode is the most prevailing mode in the study setting. However, students’ satisfaction and self-efficacy are higher with the developmental mode. Recommendations: staff development programs are strongly recommend to train academic advisors in the modes of advising, with emphasis on the merits of the developmental mode. Academic advisors should be provided with sufficient time for advising sessions to be able to provide their students with all their academic needs.
https://ejhc.journals.ekb.eg/article_280654_e7773bb2430a5bdd34d0084ca9609535.pdf
2020-09-01
1175
1186
10.21608/ejhc.2020.280654
Academic Advising
Nursing students
Self-Efficacy
Ramy
Mohamed Ibrahim
1
B.Sc. in Nursing Administration
AUTHOR
Samah
Faisal Fakhry
2
Professor of Nursing Administration Faculty of Nursing, Ain Shams University
AUTHOR
Dalia
Atef Khalaf
3
Lecturer of Nursing Administration - Faculty of Nursing, Ain Shams University.
AUTHOR
ORIGINAL_ARTICLE
Effect of physical Exercise and Heat Application on Pain and Morning Stiffness in Osteoarthritis Patients
Background: Osteoarthritis (OA) is a mutual advanced joint disease which is characterized by chronic pain, stiffness, and functional disability. Aim of the study: Evaluate effect of physical exercises and heat application on pain and morning stiffness in osteoarthritis patients. Study design: Quasi-Experimental design was employed to implement this study. Setting: This study was implemented at the Suez- Canal University Hospitals' orthopedic outpatient clinics. Subjects: 120 patients were included in the study as a purposive sample, while 40 patients assigned randomly into each group (control, heat and physical exercise). Data collection tools: Structured interview questionnaire to assess demographic data of patients and awareness about the disease and its management in addition to, the self- administered Knee Injury and Osteoarthritis Outcome Score (KOOS) to assess short and long-term patient-relevant outcomes following knee osteoarthritis. Results: This study revealed that (80%, 100% and 97.5%) and, (32.5%, 15%, 57.5%) of the heat, exercise, and control group had joint pain and stiffness respectively. Regarding post intervention; there was statistically significant difference between the heat, exercise and control group with 45 % of the heat group and 95% of the exercise group had moderate level of signs and symptoms. Conclusion: Heat application and physical exercises had positive effect on relieve pain, stiffness, and improvement of physical function, with heat applications had have the higher effect on symptoms. Recommendations: Using a combination of physical exercise and heat application together for patient with osteoarthritis to control pain, morning stiffness, and activity level.
https://ejhc.journals.ekb.eg/article_282823_733b65752615c17910652a6000599d06.pdf
2020-09-01
1187
1201
10.21608/ejhc.2020.282823
Heat Application
osteoarthritis
morning stiffness
Pain
physical exercises
Shereen
Abd El Moniem Ahmed
1
Assist. Prof of Medical-Surgical Nursing, Faculty of Nursing, Suez Canal University
AUTHOR
Wafaa
Ismaiel Shereif
2
Professor of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University
AUTHOR
Shereen
Reda Hassan
3
BScN, Zagazig University, Master student, Faculty of Nursing, Suez Canal University
AUTHOR
Nagwa
Mohamed Helmy
4
Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Suez Canal University
AUTHOR
ORIGINAL_ARTICLE
Bullying Behavior and Its Effect on Preparatory School Students
Background: Bullying is an ever-present problem occurring within preparatory schools across the world. Bullying creates personal, social, and emotional, as well as academic problems for the victim. Therefore, this study was aiming to assess bullying behaviors and its effect on preparatory school students. This study was conducted on 400 students in preparatory school students in Ashman city of Mounofyia government. Data were collected using: 1) Interviewing questionnaire including the following parts: A) Socio-demographic sheet. B) bullying behavior scale. C) victim scale and D) effects of bullying behavior on preparatory school students. The result of this study showed that more than half of students under study (56.75 %) sometimes perform social bullying behaviors, nearly half of them (44.75%) perform verbal bullying behaviors and less than half of students under study (41.75%) sometimes perform physical bullying. Also, about two fifth of students under study (39,75%) sometimes exposed to physical bullying behaviors and more than two fifth of them (45%) exposed to verbal bullying behaviors and 69% of them have moderate physical effect, also 59.25% of them were had moderate psychological effect and42.5 of them were had moderate social effect and moderate impact on academic achievement. Study concluded that preparatory school students sometimes perform (physical, verbal, and social) bullying behavior and male students were involved in bullying behavior more than female. More than two fifth of victimization exposed to verbal and social bullying. In addition, there was a highly statistically Significant relation between type of bullying and effects of bullying behavior. The study recommended designing and implementing a counseling program geared towards preparatory school students to guide them on how to avoid and/or deal with bullying behavior to prevent psychosocial problems and improve academic achievements.
https://ejhc.journals.ekb.eg/article_295318_b8eebb385b8bacacfdeff43c2ebf19fd.pdf
2020-09-01
1202
1218
10.21608/ejhc.2020.295318
bullying behavior
Effect
Preparatory Schools Student
victimization
Hanaa
Mohamed Abd Elstar Elsisi
1
Department of Psychiatric Mental Health Nursing, Faculty of Nursing Ain Shams University
LEAD_AUTHOR
Galila
El-ganzory
2
Department of Psychiatric Mental Health Nursing, Faculty of Nursing Ain Shams University
AUTHOR
Hoda
Sayed Mohamed
3
Department of Psychiatric Mental Health Nursing, Faculty of Nursing Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Internet Addiction on Academic Achievement among Primary School Children
Internet addiction (IA) is a relatively new subject of study in academia, and it has several effects on a person's life in a variety of ways, including academic achievement, relationships, physical and mental health. Aim: To describe the effect of internet addiction on academic achievement among primary school children. Research Design: A descriptive research design was used in the current study. Settings: The study was applied in two primary schools in Sohag City. The Study Sample: A multi-stage random sample of 720 primary school children was recruited using a multi-stage random sample technique. Tools: There were three tools used in the current study, (I) demographic assessment tool, (II) Young's Internet addiction scale, and (III) academic achievement assessment tool. Results: more than half of the primary school children were female; the mean age them was 9.34 ± 1.64 years. Half of them spent 3-5 daily times on the internet. There was an association between internet addiction and academic achievement. The majority of primary school children agree to improve awareness about internet addiction and its effects through holding classes as proposed preventive interventions to reduce harm from IA. Conclusion: Excessive internet usage was shown to be one of the most common behaviors among primary school children, which can lead to addiction and harm their personal, social, and academic achievement. Recommendation: Children should be aware of the potentially detrimental effects of internet addiction, as well as the necessity to restrict internet usage, which can have a severe impact on kids' academic progress.
https://ejhc.journals.ekb.eg/article_298938_9acc00cbb803c5cc0f7df4aaa4eed71f.pdf
2020-09-01
1219
1228
10.21608/ejhc.2020.298938
Academic Achievement
Internet Addiction
Primary School Children
Manal
Mohamed Ahmed Ayed
1
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, Egypt
AUTHOR
Ghada
.A.Hassan
2
Lecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University
AUTHOR
Sara
Sayed Abdalla
3
Child and Adolescents health nursing, Faculty of Nursing, British University in Egypt
AUTHOR
Donia
Elsaid Fathi Zaghamir
4
Pediatric Nursing Department, Faculty of Nursing, PortSaid University
AUTHOR
ORIGINAL_ARTICLE
Psychological Resilience and Suicidal Thoughts in Bipolar Disorders Patients
Background: Bipolar disorder is a serious mental illness associated with an increased risk of suicidal thoughts and behaviour. Resilience, or the ability to adapt and manage stress and adversity, maybe a major factor in lowering this risk and improving outcomes for people with bipolar disorder. Aim: The current study aimed to assess the relationship between psychological resilience and suicidal thoughts in bipolar disorder patients. Design: A descriptive correlational design was adopted in the present study. setting: The research was carried out in the "Psychiatric Medicine and Addiction Prevention Hospital—Cairo University Hospitals" inpatient and outpatient departments. Sample: A purposive sample of 50 male and female bipolar illness patients selected for this investigation. Tools: A structured interview sheet collecting socio-demographic and medical information, the Connor-Davidson Resilience Scale, and the Morey Suicidal Ideation Scale were used to collect data. Results: The results showed that (46.60%) of the bipolar patients tested had a low degree of resilience, (42.20%) had a moderate level of resilience, and only a small fraction (11.2%) had a high level of resilience. Suicidal thoughts were present in 66.60% and 33.40% of studied bipolar patients, respectively. In bipolar disorder patients, there is no statistically significant relationship between psychological resilience and suicidal thoughts. In order to build resilience and reduce the risk of suicide thoughts and behaviours in bipolar patients, a complete approach that treats both the medical and emotional elements of the condition is required. Recommendation: A patient education programme is necessary: Nurses can educate patients on the value of resilience and self-care in the management of bipolar disease, as well as providing information on coping techniques and self-care practises that patients can use to improve their well-being
https://ejhc.journals.ekb.eg/article_305490_bf2600ca4d0d02b7dd23e898f072063b.pdf
2020-09-01
1229
1242
10.21608/ejhc.2020.305490
psychological resilience
Suicidal thoughts
Bipolar disorders
patients
Shymaa
Aly Hamed
1
Lecturer of Psychiatric Mental Health Nursing, Faculty of Nursing - Cairo University, Egypt
AUTHOR
Samah
Osman Ali
2
Lecturer of Psychiatric Mental Health Nursing, Faculty of Nursing - Cairo University, Egypt
AUTHOR