ORIGINAL_ARTICLE
Knowledge and Satisfaction among Mothers with Gestational Diabetes
This study aimed to assess knowledge and satisfaction among mothers with gestational diabetes (GDM). A descriptive study design was utilized. The study was conducted at outpatient clinics and inpatient departments of Ain Shams Maternity University Hospital, on a convenience sample consisting of 200 gestational diabetes mothers. Two tools of data collection were used: a structured interview questionnaire, and ―satisfaction part‖ of QOL scale to evaluated satisfaction among gestational diabetes mothers. The study results showed that, half of studied mothers were satisfied with a correct knowledge regarding gestational diabetes management as well as 85.3% of them were satisfied with management of hypoglycemia. There were highly significant association between mothers’ knowledge and their age, education, and area of residence. Also the results revealed that, studied mothers were satisfied with social/economic, psychological/spiritual and family domains (66%, 64% & 50.5% respectively); however 65.5% of them were un-satisfied with health/functioning domain. The study concluded that, the studied mothers had correct knowledge regarding management of GD, effect of GD on mother’s health, effect of GD on fetus health, management of hypoglycemia, and measuring blood glucose at home (62.1%, 64.2%, 67.4%, 90.5% & 63.2 & respectively). More than two thirds of the studied mothers were more satisfied with social/economic and psychological/ spiritual domains and GDM affects studied mother's health and functioning domains Recommendation: Developing awareness program to enhance pregnant mothers’ knowledge and satisfaction regarding promotion of their health in relation to gestational diabetes
https://ejhc.journals.ekb.eg/article_19865_d41d8cd98f00b204e9800998ecf8427e.pdf
2018-12-01
1
9
10.21608/ejhc.2018.19865
Knowledge
Satisfaction
gestational diabetes mellitus (GDM)
Hoda
SH
1
BSC, Nursing science
AUTHOR
Kamilia
R.
2
Maternal & Gynecological Nursing, , Nursing& Faculty of Nursing, Ain Shams University
AUTHOR
Mohamed
H.
3
Obstetrics and Gynecology, Faculty of Medicine , Ain Shams University
AUTHOR
Hanan
AB
4
Maternal & Gynecological Nursing, , Nursing& Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Health Promotion Program on Quality of Life for Patients with Systemic Lupus Erythematosus
Systemic Lupus Erythematosus (SLE or lupus) is a multisystem disease associated with significant morbidity and mortality. Health promotion program is the activities or strategies that are directed towards raising the general level of health and well-being of an individual. Aim: the study aimed to evaluate the effect of health promotion program on the quality of life for patients with Systemic Lupus Erythematosus. Study design: a quasi-experimental design was utilized to conduct this study. Setting: this study was conducted at Rheumatology, Nephrology, Immunology and outpatients clinics at Ain Shams University Hospitals. Subject: A purposive sample of 70 patients, diagnosed with SLE, admitted to the previously mentioned settings was recruited for conducting this study. Data collection tools: 1) Health assessment questionnaire for patient with SLE. 2) Lupus QOL Questionnaire. 3) Lupus awareness's quiz. Results: the present study revealed that there was a highly statistically significant improvement regarding patient‟s levels of awareness post implementation of SLE health promotion program. Moreover, there were highly statistically positive correlations between SLE patients' levels of awareness and patients' QOL and their socio-demographic characteristics as regards their education level. In addition, there were highly statistically significant positive correlations between patients' total QOL and total lupus awareness for SLE patients under the study pre and post implementation of SLE health promotion program. Conclusion: The implementation of Systemic Lupus health promotion program has a statistically significant positive effect on the quality of life for patients with SLE which support the stated hypothesis. Recommendations: Designing a systematically continuous health promotion program for patients with SLE in hospitals in addition to media such as: newspapers, television, and radio to help improve the health status of these patients.
https://ejhc.journals.ekb.eg/article_19868_783a826ba65788dcca75a1138254f4c0.pdf
2018-12-01
10
27
10.21608/ejhc.2018.19868
Health promotion program
QOL
SLE
Eman
Abd El-Azeem Mohamed Yousef
1
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams
AUTHOR
Magda
Abd El-Azeez
2
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams
AUTHOR
Nematallah
Gomaa
3
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams
AUTHOR
Dalia
Ali Ameen
4
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams
AUTHOR
ORIGINAL_ARTICLE
Training of Nurses on Rehabilitation of Patients with Spinal Cord Injuries
Nursing activities and caring should be superior in spinal cord injury rehabilitation, in order to teach care to the family and the patient, nurses should have enhanced knowledge and skills about spinal cord injury and prevention of complications. The aim of the study was to evaluate the effect of a training program for nurses on rehabilitation of clients with spinal cord injuries. Design: A quasi-experimental study design. Setting: The study was conducted at the Physical Medicine and Rehabilitation and Rheumatology Center. Sample: A purposive sample, it targeted all rehabilitation nurses in the studied center, with total number was 100 nurses. Tools: Data were collected by using two tools: I- a structural Questionnaire to collect data about demographic characteristics of the studied nurses, II- knowledge regarding Rehabilitation nursing, Spinal cord injuries, Dysreflexia and pressure ulcer. The second tool was an observational Checklist: to assess nurses’ performance. Results: The study findings indicated that; Near two thirds of the studied nurses had a total score satisfactory knowledge regard rehabilitation nursing, increased to 100% after training, the differences observed were statistically significant, meanwhile less than half of nurse’s had total satisfactory performance of selected rehabilitation nursing skills pre training was raised to 92% after training the differences observed were statistically significant. Conclusion: the study concluded that, training of rehabilitation nurses positively affected their knowledge and performance for caring of patients with statistically significances. Recommendations: The study recommended that, planning of continuous and efficient training programs for nurses on rehabilitation nursing skills. Further researches to be carried out to study other approaches to promote rehabilitation nurses care of spinal cord injuries patients such as; sexuality counseling, pain management and muscular exercises.
https://ejhc.journals.ekb.eg/article_19869_3c407cbda2025d3e3228db170fa2c828.pdf
2018-12-01
28
44
10.21608/ejhc.2018.19869
spinal cord injuries
rehabilitation nursing
Fatma
Khalil Abd-Elhameed
1
Community Health Nursing Military Medical Academe
AUTHOR
Mervat
Amin Sayed
2
Community Health Nursing Al- Fayoum University
AUTHOR
ORIGINAL_ARTICLE
Occupational Health Program for Nurses to Reduce Musculoskeletal Injuries by Using Body Mechanics
The aim of the study was to evaluate the effect of occupational health program for nurses on reducing musculoskeletal injuries- to evaluate the effect of occupational health program on nurse’s knowledge and performance of body mechanics. Abstract: nurses require application of the body mechanics principle to avoid physical harm decreases the risk of damage to the body, fatigue, and increase practice satisfaction Design: A quasi-experimental study design. Setting: The present study was carried out in the Physical Medicine and Rehabilitation Center affiliated to the Military Army force, in Al Helmia district, in Cairo governorate. Sample: all nurses in the Rehabilitation Center with total number of 30 nurses. Tools: two tools were used for data collected: First tool: Questionnaire Sheet: to collect data about Socio-demographic characteristics of the studied nurses - To assess nurse's knowledge Pre-post program implementation regarding Body Mechanics principles and musculoskeletal health hazards. To assess nurse's pre-post musculoskeletal pain. Second tool Observational Checklist: to assess nurses’ performance of Body mechanics pre -post program. Results: The findings of the study clarified that, Nurses’ performance of Body Mechanics improved after application of the program about proper body mechanics in the performance of standing and setting with statistical significance and improved in lifting technique with no statistical significance. Conclusion: The findings of this study provide that, some of the nurses did not performed techniques of body mechanics correctly. Nurses' body mechanics improved after application of occupational health program about proper body mechanics. There is a no statistical relation between nurse's knowledge and performance of body mechanics. There is an improvement in nurse's musculoskeletal compliance regarding pain after program implementation with no statistical significance. Recommendations: It is suggested that: 1- Creation of continuous, planned and efficient in-service occupational health programs for nurses on body mechanics. 2-Enough supply the health facilities of patient-lifting devices which have been shown to be effective in decreasing costs and workdays lost to back injuries and pain among nurses.
https://ejhc.journals.ekb.eg/article_19871_5fffc84bb6244130891c92f7878089f2.pdf
2018-12-01
45
63
10.21608/ejhc.2018.19871
Body mechanics
Mechanical low back pain
Occupational health
occupational musculoskeletal hazards
Fatma
Khalil Abd-Elhameed
1
Community Health Nursing. Military Medical Academy
AUTHOR
ORIGINAL_ARTICLE
High Risk for Obesity among Youth in West Bank /Palestine
Overweight and obesity are the fifth leading risk for global deaths. Obesity and the related health risks have been noted to be an epidemic problem worldwide , especially in developing countries. Aim: Application of health belief model among youth at high risk for obesity in Palestine (West Bank). Research design: A quasi-experimental design. Settings: The study was conducted at Faculty of Nursing /An-Najah National University, which located in Nablus and IBN Sina College for Health Sciences, West Bank- Palestine. Subjects: A purposive sample composed of 117 students, from both previous setting. Tools, three tools were used: First: A self-administered questionnaire, it was composed of four parts, part one: socio-demographic data, part two: Assess university student's knowledge regarding obesity, nutritional habits, and its consequence. Part three: Assess university student's practices related to health belief regarding healthy food and regular exercises. Part 4: Assess the effects of obesity on university student's life style. Second tool: The HBM sub constructs which used in this study. Third tool: Anthropometric measurement to detect body mass index. Results: Revealed that less than half of youth were obesity class1, and more than one third were obesity class II. There was a highly significant difference between student’s knowledge and their practices regarding obesity,healthy food, and exercises pre &post nursing intervention program Conclusion: This study concluded that, the application of health belief model among youth had a significant statistical relationship with improved knowledge and practices related to health belief of student at high risk for obesity. Recommendations: Conducting routine screening for obesity, dieting and other weight reduction practices as an integral part of the ongoing health care provided by all health services .HBM also suggests that the benefits and barriers of changing health behavior must be taken into consideration.
https://ejhc.journals.ekb.eg/article_19872_806c5b4249d8c93c8ad704a865ced7c0.pdf
2018-12-01
64
77
10.21608/ejhc.2018.19872
Obesity
Youth
health belief model
Nursing intervention program
Mustafa
Mohammad Shouli
1
IBN Sina College For Health Sciences in Nablus- West Bank –Palestine
AUTHOR
Nawal
Mahmoud Soliman
2
Community Health Nursing, Faculty of Nursing/ Ain Shams University Egypt
AUTHOR
Hemat
Abd El moneemElsayied
3
Community Health Nursing, Faculty of Nursing/ Ain Shams University Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Nursing Intervention on Students’ Stressors related to their Training in Pediatric Critical Care Settings
The clinical experience is frequently perceived as a stressor in clinical education by nursing students. This study is a quasi-experimental aimed to assess the stressors related to students' training in pediatric critical care settings (PCCSs), study the factors affecting students' training in PCCSs, design, implement and evaluate nursing intervention based on needs assessment of the students. This study was conducted at Pediatric Nursing Departments inboth Faculty of Nursing/Ain Shams and El-Fayoum Universities. The study involved 120 purposive students in the 3rd academic year/ Pediatric Nursing Department regardless their age, residence and socioeconomic standards. Tools of the data collection were used pre and post nursing intervention namely, pre designed interviewing questionnaire (to assess the students' characteristics, data about factors that affect the students’ training in PCCSs as well, the stressors perceived by the students in their training and the students’ knowledge related to their training in PCCSs), Hamilton Rating Scale (to assess the students' anxiety level). The main results of the study showed that, there was a statistical significant difference between the students' knowledge regarding to PCCSs and total stress level pre and post nursing intervention among the study group compared with the control group. The study concluded that, the application of nursing intervention reduce the students’ stressors related to their training in pediatric critical care settings. The study recommended orientation program, identifying students’ needs in the pediatric critical care settings and developing effective nursing interventions to reduce their stress
https://ejhc.journals.ekb.eg/article_20242_53a5bedfc278c6e8d738d72958d496ac.pdf
2018-12-01
78
88
10.21608/ejhc.2018.20242
Critical care
Nursing intervention
Pediatric nursing students- Stressors
Hanan
Abdallah Mohammed
1
Master Degree in Pediatric Nursing
AUTHOR
Wafaa
El-Sayed Abd El-Gileel Ouda
2
Pediatric Nursing, Faculty of Nursing, Ain Shams University.
AUTHOR
Randa
Mohammed Adly
3
Pediatric Nursing, Faculty of Nursing, Ain Shams University.
AUTHOR
ORIGINAL_ARTICLE
Effect of Guideline on Early Detection of Cervical Cancer among High Risk Group Women
The aim of the current study is to evaluate the effect of guidelines on early detection of cervical cancer among high risk group women. A Quasi experimental design was used. The study was conducted in Early Detection Unit at Ain Shams University Maternity Hospital. a purposive sample for One hundred women were included in the study. Three tools of data collection was used named cervical cancer interview Arabic questionnaire sheet, follow up sheet, diary sheet. The main results of the study indicate that highly statistical significant difference between women knowledge regarding cervical cancer before and after using guideline. As regard to, total attitude score regarding cervical cancer before & after using guideline the present study revealed that highly statistical significant difference between women attitude regarding cervical cancer before and after using guideline. The current study concluded that, the nursing guideline influence on women screening follow up for cervical cancer among high risk group women., Nursing guideline enhance women knowledge & attitude positively regarding cervical cancer. Based on this finding, the researchers recommended; there is an urgent need for conduction of educational programs targeting women by trained health care providers to providing information regarding cervical cancer.
https://ejhc.journals.ekb.eg/article_20430_bc70fda0f6d237351d538c591bb80502.pdf
2018-12-01
89
103
10.21608/ejhc.2018.20430
Early detection of cervical cancer
nursing guideline
High risk women
Wafaa
Gomaa Abdallah
1
Maternity & Gynecological Nursing Faculty of Nursing-Ain Shams University.
AUTHOR
Mona
Ahmed El-Shiekh
2
Maternity & Gynecological Nursing Faculty of Nursing-Ain Shams University.
AUTHOR
Yasser
Abou Taleb
3
Maternity & Gynecological Nursing Faculty of medicine -Ain Shams University.
AUTHOR
Hanan
Abd El-Fatah
4
Maternity & Gynecological Nursing Faculty of Nursing-Ain Shams University
AUTHOR
Sahar
Mossa Soliman
5
Maternity & Gynecological Nursing Faculty of Nursing-Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nursing Performance Regard Caring For Patients Undergoing Blood Transfusion: Exploratory Descriptive study
Nursing management of patient undergoing blood transfusion is important. A comprehensive understanding of blood transfusion process and areas requiring special attention would be important to reduce the complications arising from blood transfusion. All staff must be aware of all aspect of care and the principles of safe effective patient identification, using aseptic technique during transfusion, proper documentation and adequate management of adverse reactions. The aim of this study was to assess the nurses' performance (knowledge& practice) regarding management of patient undergoing blood transfusion and factors affecting nurses’ performance during blood transfusion. Setting: the study was carried out at surgical and hematology departments at Ain Shams University Hospitals. Study subjects: A convenient sample of all available nurses (n=60) were included in this study, their mean age 31.6± 5.7 .Data collection tools: a) self administered questionnaire sheet. b) nurses' practice observational checklist. Results & conclusion: 70% of nurses had unsatisfactory knowledge regarding to management of patient undergoing blood transfusion and 80% of them showed unsatisfactory level of practice regarding to management of patients undergoing blood transfusion. Furthermore, there were many factors affecting nurses' performance as: nurses' related factors, work' related factors and patient' related factors. Recommendations: This study recommends the importance of in-service training courses to enhance the nurse's knowledge and practice and to avoid complications of blood transfusion.
https://ejhc.journals.ekb.eg/article_20434_b0db01cf9bf8115adb6bb2df3482a346.pdf
2018-12-01
104
115
10.21608/ejhc.2018.20434
Nursing Performance
Patient
Blood transfusion
Eman
Abd Elmoety Mohammed Hendy
1
Al-Azhar Univeristy
AUTHOR
Sahar
Yassin Mohammed
2
Medical Surgical Nursing, Faculty of Nursing – Ain Shams University
AUTHOR
Samar
Falts Marzouk
3
Medical Surgical Nursing, Faculty of Nursing – Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Assessment of Mothers' Role in Care of Ophthalmological Problems in Their Children
Diseases should be arranged as one of lines of management. The aim of this study was to assess mother's role in caring their children with ophthalmological problems. Design: A descriptive design was used. Settings: The study was conducted in the Ophthalmology Outpatient Clinics which are, Ophthalmology Hospital affiliated to El-Mansoura University Hospital, El-Demerdash Hospital, affiliated to Ain Shams University and Children Hospital, Abou El-reesh affiliated to Cairo University. Subjects: A purposive sample that composed of 300 mothers having children with Ophthalmological problems. Tools of data collection involved – a designed questionnaire sheet to assess mothers and their children characteristics and mothers' knowledge about eye problems of their children and its reported practice. Results: Majority of mothers have little awareness about ophthalmological diseases, only 26.7% of mothers were able to correctly define myopia. Half of the studied mothers accurately performed hygiene steps for caring their children eyes. Only nearly one third 30.3% of mothers give their children diet rich with Vitamin A. Conclusion: Majority of mothers have little awareness and knowledge about ophthalmological diseases and this was reflected upon their reported practice in caring of their children with eye diseases. Recommendations: Periodic eye examination for children should be regularly scheduled as means to facilitate early detection and treatment of eye problems such as strabismus, anisometropia and high refractive errors. Training of mothers to improve their practice for caring of children with eye .
https://ejhc.journals.ekb.eg/article_22754_41b6753a914b0947cd200753385dc5c5.pdf
2018-12-01
116
128
10.21608/ejhc.2018.22754
Ophthalmological problems
caring
children
Mothers
Eman
Amin Mohammed
1
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
Zeinab
Fathy El-Sayed
2
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
Enaam
El-Metwally Mohammed
3
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nurses' Performance Regarding Chemotherapy Administration in the Clinic Nglaa
Background :Chemotherapy is one of the major categories of the medical discipline specifically devoted to pharmacotherapy for cancer, which is called medical oncology. Chemotherapy is a category of cancer treatment that uses one or more anti-cancer drugs (Chemotherapeutic agents) as part of a standardized chemotherapy regimen. The goal of chemotherapy is to stop or slow the growth of cancer cells. The handling and administration of cytotoxic drugs are hazardous potentially to the health care professionals involved in their preparation and administration, and to the patients receiving them .Aim of the study: Assess nurses’ performance regarding chemotherapy administration in the clinic through: Assess the nurses ’level of knowledge regarding chemotherapy administration in the clinic, assess the nurses ’level of practice regarding chemotherapy administration in the clinic and assess the nurses’ level of attitude regarding chemotherapy administration in the clinic. Research design: A descriptive exploratory research design was utilized. Setting: The study was carried out in chemotherapy clinic at El-Fayoum University Hospital. Study subjects: A Purposive sample of (30) nurses who works in chemotherapy clinic included in the study. Data collection tools: Data were obtained through demographic data tool, nurses' knowledge questionnaire, nurses’ observational checklist and nurses' attitude questionnaire. Results: More than two-thirds (66.7%) of the studied nurses had unsatisfactory level of knowledge and majority (83.3%) of studied nurses had unsatisfactory level of practice regarding chemotherapy administration. Approximately three quarters (73.3%) of the studied nurses had negative attitude regarding chemotherapy administration. There were statistically significant relations between the nurses' level of knowledge, practice and attitude regarding chemotherapy administration and their demographic characteristics as age .Recommendations: Designing in-service training and educational program to improve nurses’ knowledge, practice and attitude regarding chemotherapy administration.
https://ejhc.journals.ekb.eg/article_22760_ea101dfff07280a3df7091cd150c1a38.pdf
2018-12-01
129
140
10.21608/ejhc.2018.22760
Nurses' Performance
Chemotherapy
Administration
Nglaa
elsayed mahdy
1
Medical Surgical Nursing Faculty of Nursing- Ain Shams University
AUTHOR
Asmaa
Abd El Rahman Abd El Rahman
2
Medical Surgical Nursing Faculty of Nursing- Ain Shams University
AUTHOR
Ghada
Ahmed Mohammed Seddek
3
Medical Surgical Nursing Faculty of Nursing- Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Mother’s Care for Children with Nephritic Syndrome at Home
Background: The mother engages to develop a comprehensive care plan specific to the needs of the child with nephrotic syndrome. The mother seeks to understand the child with respect to health status, abilities, and priorities. Aim: This study aim was to a assess mother’s care for children with nephrotic syndrome at home. Design: Descriptive research design was utilized in this study. Setting: The urologic pediatric outpatient clinic in Pediatric Ain Shams university hospital. Sample: a purposive sample of school age children equal 100 children. Tool: interviewing questionnaire consisted of children and caregivers socio-demographic characteristic, child's past and present medical history, caregivers’ knowledge and practice about nephrotic syndrome. Results: more than one third of the mothers of children with nephrotic syndrome have unsatisfactory knowledge level and the vast majority of them not done correctly care to their children. Also, there were statistically significant differences between mothers’ knowledge and demographic characteristics of the mothers except occupation and their residence. Conclusion: the mothers of nephrotic child had poor caring for their children with no statistically significant differences between mothers’ care and demographic characteristics of the mothers except number of children in the family and their residence; also there was strong positive correlation between mothers' knowledge and their practice. Recommendation: conducting educational classes for the mothers and their children about nephrotic syndrome especially newly diagnosed patients at urology pediatric outpatient clinic.
https://ejhc.journals.ekb.eg/article_22765_a16c94752084685e9211a7019c7fffc8.pdf
2018-12-01
141
158
10.21608/ejhc.2018.22765
Mother’s Care
Children Health Problems
home
Nephritic Syndrome
Hend
Mohamed Husain
1
Faculty of Nursing – Minia University
AUTHOR
Seham
Guirguis Ragheb
2
Community Health Nursing, Faculty of Nursing, Ain Shams University.
AUTHOR
Shimaa
Fathy Mikky
3
Community Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Factors Affecting Nurses’ Performance Regarding Use of Physical Restraints in Critical Care Unit
Background: Physical restraints are any devices or materials attached to patients’ bodyprevent the patient from pulling the connected devices. Aim: assess factors affecting nurses’ performance regarding use of physical restraint in critical care unit. Design:Descriptive exploratory designs were used. Setting: The study was conducted in Medical Intensive Care Unit at Ain Shams University Hospital, Egypt. Subjects: A convenient sample of 36 nurses was recruited from the previously mentioned setting. Tools: A structured interview questionnaire to assess nurses'demographic data and nurses’ knowledge about physical restraint, use of physical restraint observational for assessing nurses’ practice and questionnaire for assessing factors affecting nurses’ performance regarding use of physical restraint. Results: Half of the studied nurse had satisfactory knowledge level. All the studied nurses had unsatisfactory level of practice. The majority of the studied nurses reported that the degree of experience is one of the most important factor affecting use of physical restraints properly,less than two third of the studied nurses reported that, separation of ICU patients' in a private room affects their ability to monitor the patients. No statistically significant relation between nurses’ level of knowledge and their demographics data. Conclusion: most common factors affecting use of physical restraint is absence of clear policies to conduct physical restraint, no written consent for patient’s approval on application of physical restraint and in addition to absence of continuous education about use of physical restraint. Recommendations: Developing hospital policy and procedure for physical restraints to be available for all nurses and physicians. A hospital consent policy for obligating doctor and nurses to get approval from patient or his / her family before application of physical restraint.
https://ejhc.journals.ekb.eg/article_22769_27dadf4c2bc22af41f830ed098517e7e.pdf
2018-12-01
159
173
10.21608/ejhc.2018.22769
Critical care unit
Nurses’ Performance
Physical Restraint
Ola
Abdelaty Ahmed
1
Medical Surgical Nursing , Faculty of Nursing, Ain Shams University
AUTHOR
Asmaa
Hamdi Mohamed
2
Medical Surgical Nursing , Faculty of Nursing, Ain Shams University
AUTHOR
Abdelhalim
Mohamed Abdelhalim
3
Technical Health Institute, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Problems Encountered among Patients Undergoing Hyesterecetomy and Nursing Implications
Background: Hysterectomy, which is the surgical removal of the uterus and cervix, is the commonest major gynecological operation in both developed and developing countries. The aim of the study was to estimate the types, indications, complications of hysterectomy and evaluate the effectiveness of nursing interventions program on patients undergoing hysterectomy operation. A prospective descriptive Research design was used to investigate the current research problem over a one-year period between June 2015 to the end of May 2016 and patients number was235 &quasi-experimental for the implemented nursing intervention program (20) nurse. The research was conducted in the department of gynecology, at Zagazig University hospital. Results the prevalence of hysterectomy was 33.5% according to 2016 hospital record. The mean age and parity were 48.7 ±9.6 years and 4.3 ± 2.3respectively, 77.9 % of the studied patients underwent AH, the rest had vaginal and laparoscopic approach (11.5% &10.6% respectively). The most common indications were leiomyomata (62.6%) & bleeding disorders (60.0%) and complications were present in 27.7%, A statistically significant improvements were observed at the posttest in all areas of tested nurses' knowledge & practices related to hysterectomy (p= 0.000*).The study group received adequate and significant preoperative counseling concerning hysterectomy, in terms of clearing up misconceptions, alleviating fear and physical preparation of the patient compared to those in the control group. The program had resulted in an average reduction in length of stay of 3.29±1.56 days and a decrease in complications by as much as 5%. Meanwhile, earlier return of gastrointestinal function (65%), mild to moderate pain scores (25% to 45%), early ambulation (80%) as well as early removal of the urinary catheter (2.2±0.8 day), were also observed. It also significantly improved patient’s satisfaction. Conclusion, the prevalence of hysterectomy was 33.5% with abdominal hysterectomy constituting the most common type. The intervention nursing program resulted in shorter hospital stay, less postoperative pain and an increase of patients’ satisfaction compared to the control group. Recommendation: Maternity nurses should use these guidelines to help integrate existing knowledge into practice, align perioperative care, and encourage future investigations of optimal preoperative and postoperative care for patients undergoing gynecologic/oncology operations.
https://ejhc.journals.ekb.eg/article_22774_0fc8d2fe0abdc1d6caa52c30fbc87cd1.pdf
2018-12-01
174
192
10.21608/ejhc.2018.22774
Hysterectomy
indications
Complications & Nursing program
Eman
Ahmed Gouda
1
Obstetrics and Gynecological Nursing Dep., Faculty of Nursing, Zagazig University
AUTHOR
Gamal
Abass Elsayed
2
Obstetrics and Gynecological medicine, Faculty of Medicine, Zagazig University
AUTHOR
Rabaa
El sayed Shaban
3
Lecturer of Obstetrics and Gynecological nursing, Faculty of Nursing, Tanta University.
AUTHOR
ORIGINAL_ARTICLE
Health Needs and Problems among Children Post Bone Marrow Transplantation
Post the transplantation; children report high levels of somatic distress, mood disturbance, nausea and pain, and fatigue and malaise. In the first 4–6 months post BMT, children are still susceptible to infections and need to live with restrictions. Aim: This study aim was to assess health needs and problems among children post bone marrow transplantation. Design: Descriptive research design was utilized in this study. Setting: The outpatient clinic at Naser Institute- Egypt, this unit considered the biggest unit for BMT in Egypt. Sample: all children had BMT at 2015 which equal 72 children after discharge from BMT until one year. Tools: : Interviewing questionnaire consist of: children and caregivers socio-demographic characteristic, caregivers‟ general knowledge and practice about bone marrow transplantation, child health needs and problems post bone marrow transplantation. Results: Regarding child needs post bone marrow transplantation, near to half of them achieved their needs post bone marrow transplantation regarding safety and security at school followed by more than one third of them achieved their needs regarding personal hygiene then nutritional pattern and sleep pattern. Regarding children present health problems, near to one fifth of children have urinary system problems followed by digestive systems and skin problems, and then the minority them have cardiovascular system and behavioral and psychological problems. Conclusion: more than two third of the caregiver's have satisfactory knowledge level about bone marrow transplantation, all of them caring their children by correctly practices, the vast majority of the caregivers‟ have a good compliance toward follow-up system with the medical team, and there was no a statistically significant difference between caregiver's knowledge and socio-demographic characteristics of the caregivers except number of children in the family. Recommendation: Carrying out rehabilitation program for the patients and their caregivers to be performed properly during the rehabilitation period.
https://ejhc.journals.ekb.eg/article_22776_46c3c3d2edd6bcb27e859d8a11ac349e.pdf
2018-12-01
193
205
10.21608/ejhc.2018.22776
health needs
Health problems
Post bone marrow transplantation
Hasan
Khaled Hasan
1
Faculty of Nursing – Mansoura University
AUTHOR
Seham
Guirguis Ragheb
2
Community Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Shimaa
Fathy Mikky
3
Community Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Quality of Life among Clients with Benign Prostatic Hyperplasia
Back ground: Benign prostatic hyperplasia is non-cancerous enlargement or growth of the prostate gland. Benign prostatic hyperplasia is not usually life-threatening but symptoms can have a major effect on quality of life. The aim of this study was to assess quality of life among clients with benign prostatic hyperplasia. Research design: A descriptive analytical study was utilized. Setting: This study was conducted a tthree urological outpatients’ clinics at El Nil hospital for health insurance at shubra elkheima city. Sample: A purposeful sample of 240clients with benign prostatic hyperplasia. Tools. Interviewing questionnaire for clients was used which included five parts :(I) Socio-demographic characteristics about clients. Part (II)past history about clients, part (III) knowledge assessment for client related to benign prostatic hyperplasia.Part (IV) Assess quality of life among clients. Part (V)Assess health needs and health problems of clients .Results: 78.3% of clients had unsatisfactory total knowledge regarding benign prostatic hyperplasia.78.3% of clients were moderately affected related to their quality of life. 61.2% of clients were not achieved their total needs and 100% of clients had sleeping difficulties, dysuria and hesitancy. Conclusion: The study concluded that a highly statistical significance difference between knowledge of clients with benign prostatic hyperplasia and their socio demographic characteristics and a highly statistical significance difference between knowledge of clients with benign prostatic hyperplasia and their quality of life. Recommendations: the study recommended that; increase public and clients awareness throughout educational sessions, educational programs and campaigns about benign prostatic hyperplasia and further researches to study the different factors that increase the partners' burden and their complaints to find out the suitable solutions.
https://ejhc.journals.ekb.eg/article_23267_38c63c32954d02b2507aab94947b6c80.pdf
2018-12-01
206
220
10.21608/ejhc.2018.23267
quality of life
Benign Prostatic Hyperplasia
Alaa
Mohamed E.lsayed
1
Community Health Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Seham
Guirguis Ragheb
2
Community Health Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Mona
Abo Bakr
3
Community Health Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Quality of Life among School Age Children with Congenital Heart Disease
Background:- Congenital heart disease consider one of the most common pediatric chronic disease that can have an improve on the lives of affected children and their families. This study aimed to identify the quality of life among school- age children with congenital heart disease. Materials and Method: Convenience sampling of one hundred school-age children with congenital heart disease and their mothers were selected from outpatient clinic and inpatient pediatric cardiac departments at Assuit University El-Orrman Hospital. The children's age ranged from 8 to 12 years & free from any associated disease. Three tools were used for gathering data in this study; tool (1): A structured interview questionnaire, it involved characteristic and clinical data of children connected to congenital heart disease. Tool (2) Pediatric Quality of Life Inventory scale used to assess the influence of congenital heart disease on child’s quality of life. Tool (3) Socio-economic scale; used to assess the socio-economic status of the children with congenital heart disease. Results shown that more than three quarters of school-age children with congenital heart disease had a neutral quality of life and less than quarter of them had high. Only small percent of studied subjects had poor. Children 's parents' reports established such results, where there were significant positive correlations among children reports and their parents reports in the majority of studied items regarding congenital heart disease .Conclusion the study decided that, there were significant positive correlations between children reports and those of their mothers in the majority of the studied items of quality of life concerning congenital heart disease Therefore, it is recommended to conduct health education program for school-age children who had congenital heart disease and their parents to the different measures of high quality of life is recommended to aid those children to improvement their quality of life.
https://ejhc.journals.ekb.eg/article_22779_e5635c90859d2c94e60251719a179644.pdf
2018-12-01
221
236
10.21608/ejhc.2018.22779
quality of life
School-age children
Congenital heart disease
Amal
A Hussien
1
Pediatric Nursing, Faculty of Nursing, Assiut Universitqy, Egypt
AUTHOR
Nora
Abd-Elhamid Zaki
2
Pediatric Nursing, Faculty of Nursing, Assiut Universitqy, Egypt Abstract
AUTHOR
Saleh
E. Emery
3
Pediatric Nursing, Faculty of Nursing, Assiut Universitqy, Egypt
AUTHOR
ORIGINAL_ARTICLE
Stressors among Nurse Interns' and Their Perception Regarding Coping Strategies
Background: Stress is seen as a modern society’s illness experienced by professionals from different sectors. It has effects on people’s behaviors, communications and efficiency. Healthcare systems usually provide many stimulus that produce stress especially at the beginning of the nursing career due to the differences between the real world and the ideal world of nursing "reality shock" (Redhwan,.et al 2009). Aim of this study was to assess the stress levels among nurse interns, determining stressors facing nurse interns from their points of view and investigate nurse interns' perception regarding stress coping strategies. Design: A descriptive design was used in this study. Setting: The study was conducted at Ain- Ain-Shams University, El-Demerdash, Pediatrics, and cardiovascular hospitals. Sample: included all the available nurse interns having their training in the aforementioned settings they were 110 nurse interns. Tools: Three tools were used for data collection in this study namely, perceived Stress Scale (PSS-14) to assess the stress levels, stressors scale to determine stressors among nurse interns, and Coping Behavior Inventory (CBI) to investigate nurse interns' perception regarding stress coping strategies. Result: the results of this study revealed that the nurse interns had moderate level of stress, and the most stressor experienced by them was stressor from hospital staff and the least one was stressors from taking care of patient, regarding the coping strategies preferred by them avoidance was the most preferred and transference was the least preferred. Conclusion: The results provided valuable information for clinical educators and clinical staff in identifying students’ needs, facilitating their learning in the clinical setting and developing effective interventions to reduce the stress they encounter. Recommendations: it's recommended to provide nurse interns with adequate orientation program in the beginning of their training period to provide guidance and help, supporting them with periodical workshops to improve their skills, and assisting them to overcome any stressors facing them during the internship year.
https://ejhc.journals.ekb.eg/article_22781_aa5af11075826d7b3e52db584cf7ec8c.pdf
2018-12-01
237
253
10.21608/ejhc.2018.22781
Nurse interns
Stress
stressors
Coping strategies
Marwa
Abd El-Rahman
1
Department of Nursing Administration– Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
Harisa
El -Sheimy
2
Department of Nursing Administration– Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
Samah
Mohamed
3
Department of Nursing Administration– Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
ORIGINAL_ARTICLE
Knowledge and Practice of Women with Lower Genital Tract Infections
Background: Reproductive tract infections (RTIs) are recognized as a major public health problem and rank second - after maternal morbidity and mortality - as the cause of healthy life loss among sexually- active women of reproductive age in developing countries. The aim: the study: The study aimed to assess to assess knowledge &practice of women regarding lower of reproductive tract infection. Setting: The study was conducted at the patient gynecological clinic at Benha University Hospital. Design: Descriptive study design. Sampling: A purposive sample included300 women were recruited in the current study. Tools: Three tools were used to collect data, Tool 1-Interviewing questionnaire to collect data include Part 1:-sociodemographic characteristics data, Part 2:- Reproductive history Part 3:- Related to characteristics of vaginal discharge Part 4:- Related to personal hygiene habits Tool II: - women's knowledge and Tool III-An observation check list: used to assess practice of studied sample of reproductive tract infections. Results: The present study revealed that most common of the studied group are mean age 25.67 ± 2.09 married, house wife, and are living in urban area. There is highly statistically significant differences women's total knowledge score and their marital status, age at marriage, and years of marriage. The total practice score in relation to their personnel characteristics, it reveals that there was a statistical significant difference between women total practice score and their residence, age at marriage, and years of marriage. Conclusion: There is highly statistically significant differences women's total knowledge score. And the total practice score in relation to their personnel characteristics, it reveals that there was a statistical significant difference between women total practice score and their residence, age at marriage, and years of marriage in addition to highly positive significant correlation that clarifies that increase knowledge will subsequently increase practice of women regarding lower reproductive tract infection. Recommendations: Periodic educational program for women to increase their knowledge and to improve their practice. Counseling women about the importance of periodic follow up.
https://ejhc.journals.ekb.eg/article_26766_d1f64b72eb5b4f20c7f20a4089ce29c8.pdf
2018-12-01
254
270
10.21608/ejhc.2018.26766
Lower reproductive tract infection
Knowledge
Practice
Fatma
Fathy Mohammed
1
Obstetrics and Gynecology, Faculty of medicine, Benha University
AUTHOR
Galal
Ahmed El Kholy
2
Obstetrics and Gynecology, Faculty of medicine, Benha University
AUTHOR
Soad
Abd-Elsalam Ramadan
3
Obstetrics and Gynecology, Faculty of Nursing, Benha University
AUTHOR
Amira
Refaat Said
4
Obstetrics and Gynecology, Faculty of medicine, Benha University
AUTHOR
ORIGINAL_ARTICLE
Critically Head Injured Patients: Improving Nurses` Awareness and Self – Efficacy to Control Extremities Muscles Contracture
Aim: This study aimed to evaluate the effect of improving nurses` awareness and self – efficacy to control extremities muscles contracture in critically head injured patients. Subjects and Method : A quasi-experimental design was utilized for the conduction of this study in the Surgical Hospital affiliated to Ain Shams University in the following Critical Care Units (Neuro- Surgery , ICU and Emergency ). Sample: A purposive sample was composed of 50 nurses with different ages, education and experiences. In addition, 40 critically head injured patients from the above mentioned settings. Tools of data collection : 1) Self administered questionnaire (pre / post tests ) to assess the studied nurses` knowledge as regards controlling extremities muscles contracture . 2) An observation checklist (pre / post tests) to evaluate studied nurses ' practices in relation to care of patient's withcritically head injury to control extremitiesmuscle contracture. 3) General self-efficacy scale (pre / post tests) to assess studied nurses` self – efficacy level. 4) Patients` condition assessment sheet (pre / posttests): a) Glasgow Coma Scale to assess level of consciousness . b) Muscle contracture assessment sheet. Results: Mean ages of studied nurses were (16.7± 9.6). More than half of them had diploma nursing with less than five years of experience. In addition, there were unsatisfactory level of nurses ` knowledge, practices and self – efficacy in pre test . As regards the studied patients , significant improvement was indicated in post and follow- up tests for muscle contracture . Conclusion : In light of the present study, improving nurses` awareness ( knowledge and practices ) and self – efficacy through educational guidelines was helpful on controlling extremities muscles contracture in critically head injured patients , whereas significant improvement was indicated in post tests compared to pre. Moreover, patients` health condition assessment (incidence of extremities muscles contracture) was reduced in post - tests. Recommendations: Further studies should be carried out on a large number of critical care nurses with evidence of results and generalization.
https://ejhc.journals.ekb.eg/article_26768_90ad6e47d26c4bb4a1e8307ee522cf28.pdf
2018-12-01
271
287
10.21608/ejhc.2018.26768
Critically head injured patients
Control extremities muscles contracture
Improving nurses` awareness and self – efficacy
Shimaa
N. Abdelsalam
1
Medical – Surgical Department, Faculty of Nursing
AUTHOR
Dalia
A. Abdelatief
2
Medical – Surgical Department, Faculty of Nursing
AUTHOR
Rasha
M. Elmetwalley
3
Medical – Surgical Department, Faculty of Nursing
AUTHOR
Maha
A. Nada
4
Neurology Department, Faculty of Medicine, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Performance of Health Care Providers regarding Helping Babies Breathe during Neonatal Resuscitation
This study aimed to evaluate the Health care providers (nurses) performance regarding helping babies breathe during neonatal resuscitation. Research design: descriptive analytical study. Setting: The study was conducted at the delivery room of Obstetric and Gynecological Hospital affiliated to Ain Shams University Hospitals. Subjects: A purposive sample composed of 50 health care providers (nurses, assistance nurses trainee and nursing staff) who, attended and receive the baby for resuscitation at the previously mentioned setting over a 6 months period regardless of their residence, age and gender. Tools: A predesigned questionnaire sheet to assist health care providers (nurses) knowledge regarding helping baby breath and an observation checklist to assess health care providers (nurses) performance regarding helping babies breathe. Results: the study revealed that there was Almost three quarters studied sample had poor score for total knowledge, compared with less than one quarters had average score. Almost less than two thirds of the studied nurse had incompetent performance regarding helping baby breath, There was a positive correlation between total knowledge of the studied nurses and their total performance regarding helping baby breath Conclusion: Based on finding of the present study and answering research question, more than three quarters of the studied health care providers (nurses) had poor score level of knowledge regarding helping babies breathe, more than one fifth of the studied health care providers (nurses) had incompetent performance regarding helping baby breath, and there were positive correlation between total knowledge of the studied nurses and their total performance regarding helping babies breathe. Recommendation: upgrade health care providers' knowledge regarding helping babies breathe through continuous educational program. Enhance health care providers (nurses) practice according to helping babies breathe. Further researches are required involving all health care providers not only nurses about helping babies breathe at different study all over Egypt..
https://ejhc.journals.ekb.eg/article_23917_18c5055977105990f0eac58c667eee21.pdf
2018-12-01
288
301
10.21608/ejhc.2018.23917
Health Care Providers
Helping Babies Breathe
Neonatal Resuscitation
Iman
Ibrahim Abd El-Moniem
1
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
Hyam
Refaat Tantawi
2
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
Adel
Amin Mohammed Ibrahim
3
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Assessment of Nurses’ Performance in Physical Restraining for Children Undergoing Invasive Procedures
This study aimed to assess nurses’ performance in physical restraining for children undergoing invasive procedures. Subjects and Methods: A descriptive study was conducted at the pediatric surgical and medical departments affiliated to BeniSuef University Hospital and Ain Shams University Hospital. Sampling: A convenience sample include all available nurses who are working in the previously mentioned settings. Tools: A structured questionnaire sheet to assess nurses’ characteristics and their knowledge regarding physical restraint. The second tool was an observation checklist to assess nurses’ practice toward physical restraint. The third tool was an attitude sheet to assess nurses’ attitude regarding physical restraint. Results: revealed that more than two fifth of the nurses was aged less than twenty five years and more than half of them were technical institute. Nearly two fifth of nurses had less than five years of experience. Also, it was clear that more than two fifth of them had average knowledge about physical restraint. While nearly two thirds of nurses had incompetent level of practice regarding physical restraint. And more than two fifth of nurses had negative attitude about physical restraint. Conclusion: The study concluded that, the majority of the studied nurses had poor level of knowledge, incompetent level of practice and negative attitude regarding physical restraint. Recommendations: The study recommended that, implementation of training program for nurses regarding physical restraint. Continuous monitoring and teaching on spot from nurse supervisor is needed to ensure quality of care provided by nurses for physical restraints.
https://ejhc.journals.ekb.eg/article_23919_4f3114a25702d5a786ccc199ad19d70b.pdf
2018-12-01
302
310
10.21608/ejhc.2018.23919
Physical Restraint
Nurses
Knowledge
Practice
Attitude
children
Fatma
Sayed Abdel Aziz Mohamed
1
Faculty of Nursing, BeniSuef University
AUTHOR
Asmaa
Nasr Elden Mosbeh
2
Pediatric Nursing Faculty of Nursing, Ain Shams University
AUTHOR
Mona
Ail Kunswa Mohamed
3
Pediatric Nursing Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Core Competencies of Nurse Educator At Technical institutes of Nursing
Background: Core Competencies are a valuable resource for nurse educators. The appropriate preparation of nurse educators is critical to the development of knowledge, skills, and attitudes of nurses. Aim: Study was aimed to assess core competencies of nurse educators at technical Institutes of nursing. Subjects and methods: - A descriptive cross sectional design was used in carrying 0ut the study on (40) nurse educators from Nursing Technical Institute affiliated to Ain Shams Specialized and University Hospitals, and (56) educators from Imbaba Technical Health Institute for Nursing, affiliated to Ministry of Health. A self-administered questionnaire was used to collect data. The fieldwork lasted from October to December 2016. Results: - the results revealed that their age ranged between 25 and 56 years, and 52.1% had a postgraduate degree. The highest core competencies were facilitating learning, while the lowest was participating in curriculum design and evaluation. Overall, 76.0% had high competencies. In total, 92.5% of nurse educators' in Ain-Shams institutions had high core competencies, compared with 64.3% in Imbaba institution (p˂0.001). Those who attended training courses had higher facilitator competency (p=0.047). in multivariate analysis, working in Imbaba institutes was the only significant independent negative predictor of the score of core competencies. Conclusion and Recommendations: - the nurse educators in the study setting have good core competencies, which are influenced by their age, qualification, attendance of training courses, and the workplace
https://ejhc.journals.ekb.eg/article_47161_16d043e0c2c02a14e6f377b41d7f5f6a.pdf
2018-12-01
311
319
10.21608/ejhc.2018.47161
Core Competencies
Nurse Educator
Nursing Institute
Doaa Lotfy
Ahmed Mohamed
1
Nursing Administration Department – Faculty of NursingAin Shams University
AUTHOR
Mona
Mostafa Shazly
2
Nursing Administration Department – Faculty of NursingAin Shams University
AUTHOR
Nema
Fathy saad
3
Nursing Administration Department – Faculty of NursingAin Shams University
AUTHOR
ORIGINAL_ARTICLE
Correlation between Invasive and Noninvasive Arterial Blood Pressure Monitoring in Pediatric Cardiac Surgical Patients
Background: Blood pressure (BP) is a basic hemodynamic monitoring index that is a core vital sign used as a basis for diagnosis, management and treatment of patients postoperatively. Measurement of blood pressure can be accomplished invasively or non-invasively. Accurate blood pressure measurement is critical in which the inaccuracies may delay treatment of serious conditions. Several studies have indicated a significant relation between invasive and noninvasive arterial blood pressure measurement. Therefore, the aim of this study is to investigate correlation between invasive and noninvasive arterial blood pressure monitoring in pediatric cardiac surgical patients in Intensive Care Unit at Children Hospital, Mansoura University. Material and Methods: A comparative research design was used to carry outconvenient sample the research on fifty pediatric cardiac surgical patients in Intensive Care Unit at Children Hospital, Mansoura University. Two tools were used to collect data about correlation between invasive and noninvasive arterial blood pressure measurements. Results: the findings showed a significant correlation between invasive and noninvasive arterial blood pressure pre and postoperatively in pediatric cardiac surgical patients. Six equations were inferred from our results to calculate invasive arterial blood pressure from noninvasive ABP (systolic, diastolic and mean ABP pre and postoperatively). Conclusion: Invasive arterial blood pressure can be calculated by inference from noninvasive arterial blood pressure using the calculated equations pre and postoperatively. Recommendation: Further research studies are required to measure correlation between invasive and noninvasive arterial blood pressure with different sites as brachial and femoral arteries as well as replication of this study on a large probability sample.
https://ejhc.journals.ekb.eg/article_47163_a47512be5f8a8e352b953763bb86215b.pdf
2018-12-01
320
331
10.21608/ejhc.2018.47163
Arterial blood pressure
Invasive arterial blood pressure
Noninvasive arterial blood pressure calculated invasive ABP
pediatric cardiac surgical patients
Belal Ibrahim
Ibrahim Mohamed
1
B.Sc of Nursing
AUTHOR
Mohamed
Ahmed A. Sultan
2
Intensive and Emergency department, faculty of medicine, Mansoura University
AUTHOR
Mohamed Adel
Fatouh El- Gamal
3
Cardiothoracic department, faculty of medicine, Mansoura Universit
AUTHOR
Hanaa
H. El-Sayed Ahmed
4
Critical care & Emergency Nursing department, faculty of Nursing Mansoura University
AUTHOR
ORIGINAL_ARTICLE
Predicting The Diabetic Foot Ulcer Risk Using Sensory Monofilament Test Among Diabetic Patients At Benha University Hospitals
Diabetes mellitus continues to grow in global prevalence and to consume health care resources. One of the key areas of morbidity associated with diabetes is the diabetic foot. Many cohort prospective studies considered that 5.07/10g Semmes Weinstein Monofilament test is asignificant predictor of loss of protective sensation, peripheral diabetic neuropathy, future ulcer and likely lower extremity amputation. This study aimed to predict the diabetic foot ulcer risk using sensory monofilament test. Methods: Quasi-experimental design was conducted at Benha University Hospitals. Purposive sample of 60 diabetic patients admitted to medical department, Benha University Hospitals with inclusion criteria: Patients' age ranges from 21-60 years, intact foot skin, exclusion criteria: Patients with diabetic foot ulcer & anticipatory reaction. Data were collected using three tools I)"Structured Questionnaire" which includes 2 parts: part I: "Socio demographic data"& patient`s life style. Part II: Medical data. Tool II) "Neurovascular Foot Assessment Sheet" which includes 2 parts; part I "Sensory assessment sheet'. Part II: "foot assessment sheet". Tool III) "foot Ulcer Assessment Sheet" for 2nd and 3rd assessment. Resultsloss of protective sensation has increased from one quarter to more than one third after six months for RT& LT feet using sensory monofilament test, one fifth of sample were high risk group for diabetic foot, after six months. One sixth of diabetic foot ulcer risk group had foot ulcer. Conclusion: Semmes Weinstein Monofilament is an evidence based procedure used in identifying loss of protective sensation, diabetic neuropathy consequently diabetic foot ulcer risk.Recommendations: Instruct patients to use 5.07/10g nylon Semmes Weinstein Monofilament to test their feet for neuropathy & recommendations for nurses to use the test in outpatient clinics as a routine procedure.
https://ejhc.journals.ekb.eg/article_47165_32a94df840375a08eb6459dc94b0b432.pdf
2018-12-01
332
348
10.21608/ejhc.2018.47165
foot ulcer
peripheral neuropathy
Sensory monofilament test
5.07/10g Semmes Weinstein Monofilament
Sarah
Reda Shohood
1
Clinical Instructor –Faculty of Nursing Damanhour University
AUTHOR
Wafaa
Ismail Shrief
2
Medical Surgical Department-Faculty of Nursing –Mansora University
AUTHOR
Marwa
Mosaad Ali
3
Medical Surgical Department, Faculty of Nursing-Benha University
AUTHOR
ORIGINAL_ARTICLE
Effect of Self- Care Guidelines on Knowledge and Practice for Pregnant Woman Suffering from Heart Disease
Background: Heart disease in pregnancy is still a major problem worldwide, particularly indeveloping countries. The presence of heart disease increases the risk of maternal and fetalcomplication. Aim: The present study aimed to evaluate the effect of self care guidelines onKnowledge and practice for pregnant women suffering from heart disease. Design: Quasiexperimental research design was used. Setting: The study was conducted at Ain shamsuniversity Maternity Hospital outpatient clinic Sample: purposive sample of 40 pregnant wasincluded in the study. Tools: two tools were utilized for data collection; 1) A structuredinterviewing questionnaire sheet, 2) self –care practice as reported by study sample adopted fromWHO (2014) and modified by the researcher to assess women's practices regarding heart diseasesduring pregnancy Results of the current study revealed a statistically significant improvement inwomen's knowledge and practice related to self care of pregnant women suffering from heartdisease at the post test. Conclusion: implementation of self care guidelines to enhance pregnantwomen's knowledge & practices about heart diseases during pregnancy, so study mainlyRecommended that educational program for pregnant women suffering from heart disease shouldbe conducted periodically by nursing staff in outpatient clinic in obstetrics and gynecologydepartment.
https://ejhc.journals.ekb.eg/article_68584_39869555c65b190f75b905fb33ad8584.pdf
2018-12-01
349
367
10.21608/ejhc.2018.68584
Self Care
guidelines
Pregnant women
Heart Diseases
Sabah
M. Metwally
1
Professor of Maternity and Gynecological Nursing, Faculty of Nursing –Ain Shams University
AUTHOR
Heba
Mahmoud Mohammed
2
Lecturer of Maternity and Gynecological Nursing, Faculty of Nursing, Ain Shams University,
AUTHOR
Sabah
A. Abd El haleem
3
Follow of Community Health Nursing, Obstetrics and Gynecological Hospital, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Internet Addiction and Its relationship with Nursing Students’ Health Profile
Background: Nursing students need to be aware of the optimal use of the Internetbecause they spend a lot of time conducting scientific research that complements theacademic curriculum, but when a nursing student becomes unable to control the use ofthe Internet, this leads to internet addiction and this will affect their physical,psychological and social health. Aim: This study was to assess internet addiction andits relationship with the nursing student‟s health profile. Design: a descriptivecorrelative study design was used to achieve the aim of this study. Setting: The studywas conducted at the Technical Institute of Nursing, Fayoum University. Thesample: A simple random sample (322) nursing students Out of 754 Nursingstudents. Tools of data collection: The study included three tools first tool: a selfadministered questionnaire to assess the socio-demographic characteristics of nursingstudents. Second tool: Young Internet Addiction Scale (IAT) to assess the level ofinternet addiction; the third tool: The Duke Health Profile. Results: It was found that8.1% of nursing students were addictive internet users and15.5% of them were at risk.80.8%, 80.0% of addicts, and at-risk students had poor total the duke health profile,and 78.9% average internet user students had good total manual scoring for the dukehealth profile. A positive highly statistically significant difference between the levelof Internet Addiction and the duke health profile (p <0.001).Conclusion: The currentstudy concluded that a nursing student who is addicted to the Internet negativelyaffects the physical, psychological, and social health, unlike the student who does notoveruse the Internet. Recommendations: The hazards and determinants of Internettechnology should be added to the educational curricula and the methods that must befollowed to avoid its adverse effects on physical, psychological, and social well -being
https://ejhc.journals.ekb.eg/article_112545_bac577a94b1ac11c49c040916d2add82.pdf
2018-12-01
368
381
10.21608/ejhc.2017.112545
Internet Addiction
health profile
Nursing students
Fatma A.
Eiz -Elregal
1
Community Health Nursing ,Faculty of Nursing, Fayoum University, Egypt.
AUTHOR
Manal Saad
Shaker
2
Medical surgical Nursing, Faculty of Nursing, Fayoum University, Egypt.
AUTHOR
Hanan Abd Elwahab
El Sayed
3
Assistant prof. Community Health Nursing , Benha University, Benha, , Egypt
AUTHOR
Enaam
Abd-El latif
4
Psychiatric Health Nursing, Faculty of Nursing, Fayoum University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Chewing gum: post-operative effect on women's recovery and bowel motility following gynecologicabdominal surgery
Background: Ileus commonly happens post abdominal surgery and is associated with complication andmay delay recovery. The study is hypothesized that chewing gum decreases postoperative ileus byimproving early recovery of gastrointestinal function. Aim: The study aims to investigate the effect ofchewing gum on the postoperative recovery of gastrointestinal function after gynecological andabdominal surgery. Methods; Design: A quasi-experimental research design. Setting: the study wasconducted at the general surgery department, and gynecological department at the university hospital inEl Fayoum city. Subjects: a purposive sample of 60 postoperative women. Tools: Data collection toolconsists of structured interviewing schedule, post-operative assessment sheet, and patient satisfaction ofusing gum. Results there was significant difference between two groups according to patient'sperformance after surgery, also there was significant difference between two groups as regardingvomiting time, abdominal distention and amount of oral fluid intake. Conclusion: the study conclude thatchewing gum is an accessible, effortless, safe, harmless, cheap, and effective method in declining ileusand accelerating gastrointestinal recovery after gynecological and abdominal surgery.Recommendations: Chewing sugar-free gum should be added in the protocol of nursing care aftergynecological and abdominal surgery in the surgery units.
https://ejhc.journals.ekb.eg/article_151633_a7c532b3bdb1b4c2c2cc64aa817bc1e1.pdf
2018-12-01
382
393
10.21608/ejhc.2018.151633
Bowel Motility
chewing gum
gynecological and abdominal surgery and post-operative ileus
Asmaa
Abouda Abdelhamed
1
Medical Surgical Nursing, Faculty of Nursing, Fayoum University, Egypt
AUTHOR
Amal
Sarhan Eldesokey
2
Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, Egypt
AUTHOR
Rasha
Nabil Malk
3
Medical Surgical Nursing, Faculty of Nursing, Beni-Suef University, Egypt
AUTHOR
Hanan
Elzeblawy Hassan
4
Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Factors Contributing to Hospital Acquired Anemia among Critical Ill Patients
Background: Hospital acquired anemia (HAA) is one of the most common intensive careunit (ICU) acquired complications that associated with poor outcomes, increase morbidity andmortality for critically ill patients. Factors contribute to its development include profound loss ofRBCs or insufficient RBCs production. Aim of the study: to assess factors contributing to HAAamong critical ill patients. Design: A descriptive exploratory design was utilized. Setting: Thestudy was carried in Beni –Suief university hospital inside the critical care units which include;general ICU, cardio care unit (CCU) and chest ICU. Study subjects: purposive sample of75newly admitted adult critically ill patients to the above mentioned sitting was included in thestudy. Data collection tools: Data were obtained through patients assessment tool, factorscontributing to HAA and indicators of HAA tool. Results: reveals that, nearly one third ofstudied patients their age were more than or equal fifty years. As regard to gender, the resultsrevealed that, more than half of them were males, nearly one third of anemic patients had HAA inthe 5th day from admission to hospital. As well more than three quarter of anemic patients wereunder feeding and more than one third of them had sepsis, in addition to mean amount of bloodloss for anemic patients exceed amount of blood loss for non anemic patients. Conclusion: Morethan half of studied patients developed HAA during their ICU stay. Even, non-anemic patientswere subjected to a decline in their Hb level. As well as, there were statistically significantrelation between nutrition deficiency, sepsis, blood loss in ICU and drugs increase RBCs lossfactors and occurrence of HAA. Also there were insignificant relation between demographiccharacteristic of studied patients, their diagnosis on admission to hospital, hemodilution, drugsaffect RBCs production and occurrence of HAA. Recommendations: Designing in-servicetraining and educational program for nurses about blood conversation strategies especiallyprevention of blood loss associated invasive procedure and phlebotomy practice.
https://ejhc.journals.ekb.eg/article_156955_80ed174f586c7ee338a5782ce0b6c73d.pdf
2018-12-01
394
414
10.21608/ejhc.2018.156955
factors
Hospital acquired anemia
Critically Ill Patients
Hamdya
A. Ali.
1
Medical Surgical Nursing Department, Faculty of Nursing-Beni-sueif University
AUTHOR
Manal
Salah Hassan
2
Medical Surgical Nursing Department, Faculty of Nursing - Ain Shams University
AUTHOR
Rasha
Mohamed El- Metwaly
3
Medical Surgical Nursing Department, Faculty of Nursing - Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Staff Nurses’ Knowledge and Commitment toward Hospital Waste Management
Background: Healthcare waste management should be strictly followed by all healthteam members, and nurses should have required knowledge and skills to deal properly withwaste. Aim of the study: To assess staff nurses’ knowledge and commitment towardhospital waste management. Design: A descriptive study design was utilized to meet the aimof this study Setting: This study was conducted at Sirs Elian hospital, El-Monoufyiagovernorate, the study sample consisted of 184 staff nurses in all units. Tools of datacollection: two self-administered questionnaire sheets was used to collect data: I) Hospitalwaste management knowledge questionnaire sheet. II) Commitment toward hospital wastemanagement questionnaire sheet. Results A great majority of the nurses had high totalknowledge of workplace preventive measures. The majority had high knowledge and hadadequate commitment, while had satisfactory knowledge of hospital waste management. Thescores of knowledge and commitment are correlated. The knowledge score is positivelyinfluenced by the attendance of training in management, whereas the commitment score ispositively influenced by nurse’s age and by scores of knowledge. Conclusion: staff nurses inthe study setting have high knowledge and commitment to waste management, while theirrelated knowledge is variable. Their commitment is positively related to their age and theirscores of knowledge recommendations: The study recommends more training courses inwaste management. Further research is proposed to investigate the effect of traininginterventions and leadership on nurses’ commitment towards hospital waste management.
https://ejhc.journals.ekb.eg/article_198487_d20513cb74875e76e3a3aef2a74ef833.pdf
2018-12-01
415
426
10.21608/ejhc.2018.198487
Commitment
Hospital Waste Management
Knowledge
Staff nurse
Ahlam
Abdallah Mohammed Abou El Ella
1
B.Sc. Nursing, Professor of Nursing Administration-, Faculty of Nursing Ain Shams University.
AUTHOR
Mona
Mostafa Shazly
2
Head of Nursing Administration Department,Faculty of Nursing, Ain Shams University.
AUTHOR
Hemat
Abd Elazeem Mostafa
3
Assistant Professor of Nursing Administration, Faculty of Nursing, Ain Shams University.
AUTHOR
ORIGINAL_ARTICLE
Parents' Care About Pneumonia Among Preschool Children
Background: Pneumonia is the inflammation of the lung parenchyma and it is oneof the leading cause of mortality in children aged less than five years. Aim: Assess parents'care for preschool children with pneumonia. Setting: pediatric outpatient clinic at the NasserInstitute Hospital for Research and Treatment, Cairo, Egypt. Research design: A descriptivedesign was used in this study. Sample: A purposive sample composed of 135 childrendiagnosed with pneumonia and their parents attending the previous mentioned setting over aperiod of 6 months during the winter and the autumn season. Tools: First tool, aninterviewing questionnaire designed by the researcher to assess a) socio-demographic data ofchildren, b) socio-demographic data of parents, C) parent’s knowledge, D) parent's practice.Second tool, consisted of a) Child medical record data, Physical examination tool. Results:More than half of the studied parents had unsatisfactory knowledge meanwhile, more thanone third of them had satisfactory knowledge. More than half of the studied parents had notdone practice meanwhile, more than one third of them had done practice. More than twothirds of the studied children had health problems meanwhile, more than one third of themhad no health problems. More than half of the studied children had achieved needsmeanwhile, more than one third of them had not achieved needs. Conclusion: There was ahighly statistically significant relation between the studied parents demographiccharacteristics (age, education level and occupation) and satisfactory knowledge. There wasa statistically significant relation between the studied parents demographic characteristics(age, education level and occupation) and done practice. There was a highly statisticallysignificant positive correlation between total knowledge and total practice.Recommendations: Further research studies are needed for ongoing assessment of childrenand parents including large sample for generalization of results.
https://ejhc.journals.ekb.eg/article_198489_7fa3a7215b5f7a334daadd7d4aa072b0.pdf
2018-12-01
427
442
10.21608/ejhc.2018.198489
pneumonia
Preschool Children - Parents' Care
Amira
Ahmed Ali Hassan
1
Nursing Master Student, Faculty of Nursing , Ain Shams University
AUTHOR
Seham
Guirguis Ragheb
2
Professor of Community Health Nursing, Faculty of Nursing , Ain Shams University
AUTHOR
Asmaa
Talaat Mohamed
3
Lecturer of Community Health Nursing, Faculty of Nursing , Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Occupational Hazards among Gas Station Workers
Background: Gas stations as work setting have hazards such as of chemicalssubstance and physical hazards which be potentially hazardous to environmental andhuman health. Aim of the study was to assess the occupational health hazards among gasstation workers Research design :descriptive analytical design was used Setting: the studywas conducted at 53 gas stations in Assuit governorate Sample: convenience sampleinclude 260 gas station workers Tools: two tools were used for data collection, 1st tools:interviewing questionnaire sheet for the workers divided into five parts: part one: socio-demographic characteristics and work characteristics, part two: workers medical history,part three: occupational health hazards exposure in the work place part four: gas stationworker's health status assessment, part five: worker's knowledge about of occupationalhealth hazards& work related preventive measures 2nd tools: observational checklist forworkers practice for work related preventive measures, and gas station work environmentResults: the study revealed that one third of workers age was >30-40 years old, andmajority of the workers Define Chemical hazards as hazard they expose in workplace ,three quarters of the workers define inhalation of petroleum fumes as a cause ofchemicals hazards . more than halve of the workers demonstrated exposure tooccupational health hazards during work , three quarters of workers had un satisfactorypractice regarding to safety measures (Personal Protective Equipment & The personalhygiene) . And less than half of gas stations had unsafe environment. Conclusion: thestudy concluded there was statistically significant relation between knowledge of gasstation workers and their age, education level, monthly income. Although there wasstatistically significant relation between gas station worker's exposure to Occupationalhealth hazard and their education level highly, There was statistically significant relationbetween worker's knowledge and their occupational hazard exposure and there was Negativecorrelation and significant between hazard exposure and the Working environment.Recommendation: the study recommended that educational program related to gasstation's health hazards, safety measures should be conducted
https://ejhc.journals.ekb.eg/article_198490_11a7964423dcba4245eac0b46dcd6938.pdf
2018-12-01
443
463
10.21608/ejhc.2018.198490
Gas station
Occupational hazards
gasoline
preventive measure
Asmaa
S. ELsayed
1
Demonstrator of Community Health Nursing Faculty of Nursing, Ain Shams University
AUTHOR
Hanaa
A. Ahmed
2
Professor of Community Health Nursing Faculty of Nursing, Ain Shams University
AUTHOR
Hala
M. Mohamed
3
Assist.Prof of Community Health Nursing Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Practices of Pediatric Nurses Versus Mothers Having Children With Respiratory Problems regarding Chest Physiotherapy
Background: Respiratory problems are the commonest illness of childhood they accountfor 30-40% of acute medical admission to the hospital in children Aim of the study: the aim of thestudy was to assess the practices of nurses versus mothers having children suffering from respiratoryproblemsregarding chest physiotherapy .Design: A descriptive design. Subjects & Methods: Thisstudywas conducted at emergency pediatric department and outpatient clinic and pediatric intensive care unit atChildren's Hospital, affiliated to Ain Shams University's Hospital. The total sample was 150 pediatricnurses and 150 mothers having children suffering from respiratory problems. Tools: data collectioninvolved: structured interviewing questionnaire sheet to assess characteristics of the studied nurses andmothers of children as well, their knowledge about chest physiotherapy, observation checklists to assessthe practices of the pediatric nurses as well as mothers regarding the procedure of chest physiotherapy.Results: The present study revealed that, the mean age of the studied nurses 25.56±5.73, while, the meanage of the studied mothers was 26.07±2.04. There was statistically significant relation betweencharacteristics nurses and their total level of Knowledge about chest physiotherapy. There was nostatistically significant relation between characteristics of nurses' and their total level of practicesregarding chest physiotherapy. Also, there was statistically significant relation betweencharacteristics mothers and their Knowledge about chest physiotherapy. Conclusion: nurses andmothers were had satisfactory or sufficient regarding chest physiotherapy. Almost, the majority ofstudied nurses had incompetent or incorrect practice meanwhile; all mothers had incompetentpractice regarding chest physiotherapy. there is difference between practices of nurses andmothers regarding chest physiotherapy for children suffering from respiratory problemsRecommendation: Training programs should be on a regular basis for pediatric nurses with professionalphysiotherapists and conduction for awareness session about chest physiotherapy for mothershaving children suffering from respiratory problems
https://ejhc.journals.ekb.eg/article_198491_8bf6923ef9f627353854924f2e0de753.pdf
2018-12-01
464
475
10.21608/ejhc.2018.198491
Practices
Knowledge
pediatric nurses
Mothers
children
Respiratory Problems
Chest physiotherapy
Ebtesam
Abd El-Salam Ahmed Al-Masry
1
(B.S.C. in Nursing 2004), Faculty of Nursing - Ain Shams University
AUTHOR
Randa
Mohammed Adly
2
Professor of Pediatric Nursing, Faculty of Nursing - Ain Shams University
AUTHOR
Zeinab
Fathy El-Sayed
3
Assistant Professor of Pediatric Nursing, Faculty of Nursing - Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Medication Preparation Errors among Staff Nurses at Neonatal Intensive Care Units (NICUs)
Background: Medication errors are probably the most common type of child safetyincidents worldwide and cause harm to neonates, distress to medical staff and costs to thehealth care system. The study aimed to assess medication preparation errors among staffnurses at Neonatal Intensive Care Units. Research Design: A descriptive analytical researchdesign was utilized. Research Settings: This study was conducted at Neonatal IntensiveCare Units belong to two University Hospitals the Children Hospital & Obstetric Hospitalaffiliated to Ain Shames University Hospitals, Abo-Elrish Children Hospital and New El-Kasr El Ainy affiliated to Cairo University Hospitals. Subject: A purposive sample consistedof 60 nurses at the previously mentioned settings regardless their age, gender, andqualification for a period of 6 months. Tools: Two tools were used a pre designedquestionnaire sheet to assess knowledge of the studied nurses about medication preparationerrors and observational checklists sheet to assess nurses' practice regarding medicationpreparation errors. Results: More than one third of studied nurses do not know theprecautions during medication preparation and half of studied nurses asked the pharmacist tochange medication sticker when had difficulty to read medication name. More than twothirds of studied nurses needed to know information before medication administration, whilemore than one third of studied nurses combined oral medication with artificial milk and morethan two thirds of them didn’t clarify medication label. Conclusion: The current studyconcluded that, the common medication preparation errors among the studied nurses weredid not know precautions before leaving medication preparation, combined oral medicationwith artificial milk, didn’t know clarify medication label, didn’t know ten medication rights,didn’t know precaution before oral medication administration, review the incubator cardbefore medication administration and didn’t monitor/assess child before medicationadministration. Recommendations: Periodical educational programs for enhancing level ofnurses’ knowledge and practice for prevention of medication errors and emphasize theimportance of implementing the effective error prevention strategies, increasing the nurse toneonate ratio and participation of pharmacy department in drug preparation.
https://ejhc.journals.ekb.eg/article_198492_5b673f80cfee1c368e9cc5aa49f29b9b.pdf
2018-12-01
476
489
10.21608/ejhc.2018.198492
Medication preparation errors
Staff nurses
Neonatal Intensive Care Unit
Fareed
Fathy Moustafa
1
B.sc,Faculty of Nursing, Helwan University
AUTHOR
Iman
Ibrahim Abd Al Moniem
2
Prof.Dr. Faculty of Nursing, Ain shams University.
AUTHOR
Hayam
Refaat Tantawi
3
Assist. Prof. Dr. Faculty of Nursing, Ain shams University.
AUTHOR
ORIGINAL_ARTICLE
Smoking Intervention Program For Male Secondary School Students
Background: The smoking intervention program was conducted for 27 students inthe study group and also controlled by another 27 students aged 14-18 years in malesecondary schools. This study aimed to develop a smoking intervention program for malesecondary school students. The study sample was systematic random sample technique.Students in the study group were divided into 5 groups each group consisted of 6 students.The program conducted in two days per week for three weeks in 12 hours, 8 hours theoryand 4 hours practice or each group. The pre and post-test design to evaluate the program.The results found that the minority of the study group and the control group (3.7%) drinkalcohol and take illicit drugs. 74.1% of the study group and 96.3% of the control group weremoderately dependent on nicotine before the program. An equal percent of both the studyand the control group (92.6%) had unsatisfactory knowledge about smoking before theprogram while all of the study had a good knowledge immediate the implementation of theprogram and 96.3% of them had a good knowledge after 3 months from the program. In theother hand the majority of the control group still had unsatisfactory knowledge aboutsmoking immediate and after 3 months from the program. Only 7.7 % from the studysucceeds to quit. Thence the study recommended that educational program about how to dealwith smokers and non- smokers' students should be performed for the parents, school nurseand teachers.
https://ejhc.journals.ekb.eg/article_198493_bf03d147c99417eafd7e2b687cc28e21.pdf
2018-12-01
490
512
10.21608/ejhc.2018.198493
Adolescents
Smoking
bad habits
secondary school
Faten
Fathi Ahmed Mahfoz
1
Lecturer in pediatrics nursing department–Faculty of Nursing –Suez Canal University
AUTHOR
ORIGINAL_ARTICLE
Home Care for Clients with Diabetic Peripheral Neuropathy
Background: Diabetic peripheral neuropathy (DPN) is one of the most frequentcomplications of diabetes mellitus leading cause for disability due to foot ulceration andamputation, gait disturbance, and fall-related injury. The aim of this study was to evaluatethe effect of home care program of clients with diabetic peripheral neuropathy. Setting: Thisstudy was conducted at the diabetic Outpatient Clinics at Ain Shams University Hospitalthrough clients home. Sampling: A purposive sample of 50 clients with DPN were included,male & female aged from 35 years and above56, and registered for follow up in the previoussetting. Tools: For data collection three tools were used, an interviewing questionnaire forthe DPN clients include four parts; 1st part socio-demographic characteristics, homeenvironmental assessment, Past and present medical and family history, knowledgeregarding diabetic peripheral neuropathy and. 2nd tool: Healthy practices assessment sheetfor client's' with diabetic peripheral neuropathy client's lifestyle toward DPN & Foot Care,3rd tool: A neurological examination includes physical assessment measurements. Results:of this study revealed that majority from clients had unsatisfactory knowledge regardingDPN. Regarding total lifestyle practices most of clients had positive lifestyle practices; twothird of clients had correctly done foot care practice toward DPN after programimplementation. Conclusion: The study concluded that the Home Care program showedremarkable improvement in patient's knowledge, and practices regarding their DPN. Therewas highly statistically significant difference in relation to client's knowledge and, practicestoward DPN pre/post home care program. Recommendations: The study recommended thatContinuity of health education programs to raise the health awareness and knowledge offamily and clients about risk factors for diabetic peripheral neuropathy and encourage themto adopt a healthy dietary behavior, and promote physicalexercise. Providing diabeticoutpatient clinics in governmental hospitals with rehabilitationcenters to follow-up lifestylepromoting for diabetic patients
https://ejhc.journals.ekb.eg/article_198494_42ac84594eafbfcc073a2836dcb01d88.pdf
2018-12-01
513
535
10.21608/ejhc.2018.198494
Home Health Care
Diabetic Peripheral Neuropathy. Diabetic foot
Life Style
Transcutaneous electrical nerve stimulation
Fatma
Gomaa Mohmed
1
Community Health Nursing - Faculty of Nursing, Ain Shams University
AUTHOR
Faten
Khyrat El Guindi
2
Community Health Nursing - Faculty of Nursing, Ain Shams University
AUTHOR
Omaima
Mohmed Esmat
3
Community Health Nursing - Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Training Program for Improving Nurses Performance toward Infection Control in Ambulatory Care Units
Background: Ambulatory care is provided in a variety of settings, including physician'soffices, hospital-based clinics, and public health clinics. The Aim of this study was to evaluatethe effect of training program for improving the nurse's performance toward infection control inambulatory care units. Setting: This study was conducted in ambulatory care units at UniversityAin Shams specialized hospital, Cairo Governorate, Sampling: A purposive sample of 83 nursesworking in ambulatory care units in Ain Shams specialized hospital, Study design: descriptiveStudy. Tools: two tools were used for data collection, First: An interviewing questionnairedivided intotwo parts: Part 1 nurses Socio-Demographic, Part 2 Nurses knowledge. Second:Observationchecklist for assessing nursing performance regarding infection control ResultsReveals that53.8% had correct performance toward infection control preprogram, improved to87.4% post program implementation, there were statistically significant differences betweennurse'stotal knowledge scales and subscales in Pre and Post program. Also reveals that there werehighly statistically significant differences related to nurses correct performance score level pre andpost program. Conclusion: education training program reported remarkable improvement inambulatory care nurses' knowledge and performance toward infection control. Recommendationsthe study recommended that Continuing training courses for nurses to demonstrate nurses’compliance/ performance/ utilization of standard precautions of infection control by the infectioncontrol team
https://ejhc.journals.ekb.eg/article_198495_21bcf7eac550d4548ff0baab91c63104.pdf
2018-12-01
536
545
10.21608/ejhc.2018.198495
Ambulatory care
Infection control
Nurses Performance
Nawal
M. Soliman
1
Department of Community Health Nursing, Faculty of Nursing - Ain Shams University Egypt
AUTHOR
Magda
A. Ahmed
2
Department of Community Health Nursing, Faculty of Nursing - Ain Shams University Egypt
AUTHOR
Hend
M. Afefy
3
Department of Community Health Nursing, Faculty of Nursing - Ain Shams University Egypt
AUTHOR
ORIGINAL_ARTICLE
Counseling for Mothers Regarding Accident Prevention for Their Children with Special Needs
Background: Injuries are one of the most serious health problems facing any society.Aim of the present study was to determine the effect of counseling intervention for motherscaring children with mental disability to help them in accidents prevention. Research design:A quasi experimental design was utilized for conducting the study. Settings: The study wasconducted in the two Special Needs Care Centers at Cairo governorate namely Ard El HobeCenter and Sara Center. Subjects: A purposive sample includes 48 mothers coupled withtheir children those selected from the previously mentioned setting those had eligible criteria.Tools of data collection: An interview questionnaire sheet was used pre / post counseling.Results: This study revealed that, there was a highly statistical significant differencebetween rate of accidents` occurrence pre / post counseling. Conclusion: This studyconcluded that, the rate of accidents among mentally disabled children was significantlydecreased after counseling intervention. Recommendations: Counseling and guidanceshould be provided to improve parents` knowledge and practices about accidents in (home,school, street and public place), prevention and first aids for all mentally disabled children.Further studies should be done to assess the effect of counseling and training programs onchildren`s parents to reduce the rates and severity of accidentsamong mentally disabledchildren.
https://ejhc.journals.ekb.eg/article_198496_328801014257757d58768948c8e818b8.pdf
2018-12-01
546
562
10.21608/ejhc.2018.198496
counseling
children
accidents` prevention
Special Needs
Mira
Ramis Ibrahim
1
M.Sc of Pediatric Nursing,Faculty of Nursing, Ain Shams University
AUTHOR
Iman
Ibrahim Abd AL Moniem
2
Professor of Pediatric Nursing, Vice Dean of Community Service and Environment Development Affairs,Faculty of Nursing, Ain Shams University
AUTHOR
Madiha
Amin Morsy
3
Assistant Professor of Pediatrics Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nutritional Patterns of Lactating Mothers in Rural Area
Background: Lactation is one of the periods of considerable physiological stress, whichcalls additional nutrient requirements. In developing countries the intake of all the nutrients havebeen found inadequate to meet the needs of mother as well as her growing infant and Specialattention should be given to the diet of mothers during lactation. The aim: This study aimed toassess nutritional patterns of lactating mothers. Research design: Descriptive analytical designwas utilized. Setting: This study was conducted at the 3 health care centers within Kom Hamada.Sample: Multi stage sampling technique was used to get study participants. Tools: Tool IStructured interviewing questionnaires will be used to collect data about: (1) Sociodemographic characteristic about mothers and their infants (2)mother's knowledge regarding thenutritional patterns during lactation period (3)Assess lactating mother's practices regarding theirnutritional patterns during lactation period (4) assess infant's health problems associated withnutritional patterns of their lactating mothers. Tool II: Assessment mother and infant health statusthrough observational chick list Results: The study result found that the knowledge of the lessthan two third of lactating mothers regarding nutritional patterns during lactation period wassatisfactory approximately two thirds and health problems of more than half of lactating motherswas low health problems more than half. Conclusion: More than two fifth of the lactatingmothers take food groups as recommended but take food nutrients less than recommended. Therewere statistically significant relation between knowledge and age, mother education, mother'soccupation, husband's occupation, crowding index and type of family with p-vale(<0.05).Recommendation: Well-designed nutrition intervention programs focusing on nutrientintake from culturally acceptable and affordable foods to increase dietary diversity and foodvariety of lactating women in this low socio-economic area.
https://ejhc.journals.ekb.eg/article_198497_0a308d1a3d3743fb5d1bb256d252206a.pdf
2018-12-01
563
576
10.21608/ejhc.2018.198497
lactation
lactating mothers
nutrition patterns
role of community health nurse
Nagwa
Ibrahim Mohammed Ali
1
Community health Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
Magda
AbdElstar Ahmed
2
Community health Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
Wafaa
Khalil Ibrahim
3
Community health Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Adolescents Pregnant Women Perception Regarding Safe Pregnancy in Rural Areas
Background: Adolescent pregnancy among females aged 15-19 year harmfulimplications on girls᾿ physical, psychological, economic and social status and highly rate ofmorbidity and mortality in young age pregnancy. Aim of the study: adolescent pregnantwomen perception regarding safe pregnancy in rural areas. Design: Descriptive researchdesign was utilized to carry out this study. Setting: The present study was three MCH centerin Banha City. Sample: purposive sample including the adolescent pregnant women in MCHand included 105 women. Tools: for data collection divided into:1st tool: An interviewingquestionnaire which includes: Part 1: Socio-demographic characteristics of adolescent pregnantwomen, Part 2: Adolescent pregnant women knowledge assessment sheet, Part 3:adolescent pregnant women practices regarding safe pregnancy, 2nd Tool: Medical record ofadolescent pregnant women: a) Physical examination, b) Current medical history, c) Follow up < /div>compliance. Results: Adolescent pregnant women ranged between 17-19 years with themean age of (18years), the highest percentage of them were between the age of 18-19 years,more than three quarters of the study subjects had unsatisfactory knowledge score regardingsafe pregnancy, one third of the study subjects had satisfactory practices regarding safepregnancy; about two thirds were unsatisfied from the perception. Conclusion: There aresignificant association between the adolescent pregnant women total knowledge score andeducational qualification, occupation and income, there was a highly statistical significanceassociation between total practice score and their educational qualification and their age also,there are highly statistical significance association between total practice score and theirperception and there significance between their knowledge and total practices.Recommendation: The study recommended to carry out discharge plan contain healtheducation for adolescent pregnant women regarding complications of pregnancy, follow-up < /div>schedule and healthy life style behavior.
https://ejhc.journals.ekb.eg/article_198498_503f7eca406e5bb63227bf99d480cfc1.pdf
2018-12-01
577
591
10.21608/ejhc.2018.198498
Adolescence pregnant women
women perception
safe pregnancy rural area
Hemat
Abd Elmoneem El Sayid
1
Assistant Professor of Community Health Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Mona
Abo Baker Abd Ellatef
2
Lecturer of Community Health Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Rasha
Saad Abd El Aziz
3
B.CS of Nursing, 2006, Community of Health Nursing Department, Faculty of Nursing-Banha University
AUTHOR
ORIGINAL_ARTICLE
Factors Affecting Learning Atmosphere among Pediatric Nursing Students at Technical Institutes of Nursing
Aim of study: To assess factors affecting learning atmosphere among pediatric nursingstudent at Technical Institutes of Nursing. Research design: A descriptive design was used toconduct this study. Research settings :The study was conducted at four Technical Institutes ofNursing selected randomly from Giza and Cairo governorate. Subject: One hundred and twentypediatric nursing students enrolled in academic year (2017/2018) at Technical Institutes ofNursing in the previously mentioned settings. Tool of data collection: Questionnaire sheet,Student evaluation of institute for being a media for learning , Job Stressor to assess the studentstressor during training in the clinical area and likert like type rating scale to assess stressorsrelated to nature of nursing profession related to evaluation process and an observation check listto assess media of learning in institute. Results: Revealed that more than half of studied studentsbelieve that the instructor did not had self confident, student not respect instructor knowledge,instructor not help to improve student skills leads to not feel confident due to increase knowledgeand skills, instructor not do revision after clinical finish, evaluation steps not fair and instructornot close to students were factors affecting learning atmosphere. Conclusion: study couldconcluded that the media of learning and their clinical instructor nature of the nursingprofession, evaluation process ,different types of patient and nature of work were factorsaffecting learning atmosphere. Recommendation: itrecommended that overcome factorsaffecting learning atmosphere among pediatric nursingstudent for facilitate learning throughrecruitment of adequate number of qualified teachersand prepare of experienced teachers.Further research will be performed
https://ejhc.journals.ekb.eg/article_198499_6cc604327925d9ec3c4e7cf86bd4828b.pdf
2018-12-01
592
604
10.21608/ejhc.2018.198499
Learning Atmosphere
Pediatric Nursing Students
Technical Institutes of Nursing
Zeinab
Magdy Mahmoud Ahmed
1
B .SC, Nursing,–Faculty of Nursing, Ain Shams University
AUTHOR
Iman
Ibrahim Abd Al Moniem
2
Professor of Pediatric Nursing –Faculty of Nursing, Ain Shams University
AUTHOR
Madiha
Amin Morsy
3
Eminent Professor of Pediatric Nursing Pediatric Nursing Department –Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Active Learning Strategies on Classroom Engagement among Baccalaureate Nursing Students
Background: Active learning is an instructional method that engages students in the learning process. Aim: to explore the effect of active learning strategies on classroom engagement among baccalaureate nursing students. Design: Descriptive, cross sectional study design was used. Setting: The study was conducted in the Faculty of Nursing at Assiut University - Egypt. Subject: Convenient sample for 4th year undergraduate baccalaureate nursing students in 2 nd semester (N=107) divided into four groups. Study tool: The data were collected using: Self-administered questionnaire including part (I) Socio demographic data, part (II) Active Learning Scale, part (III) Student Engagement scale, Results:. There was a positive correlation between active learning strategies & classroom engagement for nursing students. Conclusion: there were statistically significant differences between active learning and classroom engagement among studied nursing students with all items. Recommendation: Encourage repeated study researches at all classes in this faculty to identify and measure faculty behaviors that promote engagement in the classroom would allow for the comparison of student and instructor perceptions and increase the validity of the measurement of active learning environments.
https://ejhc.journals.ekb.eg/article_207945_66cd094ffa5296b68a0a0d76d4bf37d5.pdf
2018-12-01
605
615
10.21608/ejhc.2018.207945
active learning
strategies
Classroom Engagement
Baccalaureate Nursing Students
Hanaa
Mohamed Ahmed
drhanaa57@gmail.com
1
Lecturer of Nursing Administration, Faculty of Nursing, Assiut University, Assiut, Egypt
LEAD_AUTHOR
ORIGINAL_ARTICLE
The Effect of Early Maternal Newborn Skin to Skin Contact after Birth on the Third Stage of Labor and Breast Feeding Status
Background an essential practice for safe and healthy birth is to keep mothers and babies together and ensure unlimited opportunities for skin-to-skin care and breastfeeding. Aim: To assess the effect of mother and newborn early skin-to-skin contact (SSC) on the third stage of labor and breast feeding status. Subjects &Methods: A randomized controlled clinical trial was used, and a purposive sample of 100 parturient women was recruited who equally divided into two groups. Early mother and newborn SSC was applied to the study group, while no intervention was done to the control group. The study has been conducted in the delivery room of maternity hospital at Zagazig university hospital. Tools of data collection include; an assessment sheet to elicit information about women characteristics, their condition during the third stage of labor, the infant breast-feeding assessment tool (IBFAT), and maternal satisfaction tool. Results: Women in the SSC group were significantly more likely to have shorter duration of the third stage of labor, hard and contracted uterus, less amount of blood loss as well as early initiation of breast feeding and group more satisfaction of the parturient women than the control (p < 0.05). Conclusion. Early maternal and newborn SSC leads to the reduction of the duration of placental delivery, followed by hard and contracted uterus as well as less amount of blood loss after delivery. It also lead to early initiation and successful breast feeding as well as promoting mother’s satisfaction. Recommendation. Maternity nurses have a responsibility to support this physiologic need through education, advocacy, and implementation of evidence-based maternity practices
https://ejhc.journals.ekb.eg/article_209940_c61a1f744943e655dc4345c0acb81a51.pdf
2018-12-01
616
625
10.21608/ejhc.2018.209940
Early maternal- newborn skin contact
third stage of labor and breast feeding status
Mervat
Mostafa Abd el Monem Desoky
1
Lecturer of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University
AUTHOR
Hanan
Morsy Salim Metwally
hananmorsy45@yahoo.com
2
Lecturer of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University
LEAD_AUTHOR
ORIGINAL_ARTICLE
Factors Affecting Patients' Mobility Post Hip Fractures Surgery
Back ground: Mobility from second day post hip fractures surgery considered the optimalline for early recovery and prevention of complications. There are several patient and environmentalrelated factors that affect patients mobility. Aim: This study was to conducted to assess factorsaffecting patients' mobility post hip fractures surgery through the followings: Assessing patients'medical data regarding hip fractures surgery, assessing patients' knowledge regarding mobility,assessing patients' ability to practice allowed exercise post hip fractures surgery and assessingpatient related factors as physical, psychological and social in addition to environmental factors thataffect patients' mobility post hip fractures surgery. Method: This study was conducted at theorthopedic and trauma units at El. Demerdash Hospital affiliated to Ain Shams University. Sample: Purposive sample of 66 adult patients were recruited in the present study. Tools: 1) Patient'sinterviewing questionnaire. 2) Oxford hip scale. 3) Factors affecting patients' mobility post hipfractures surgery. Results: The present study revealed that, more than three thirds of studied samplehad negative affect by total physical factors. Less than two thirds of studied sample had negativeaffect by total psychological factors. More than two thirds of studied sample had positively affectedby total social factors. The majority of studied sample had positive affect by total surroundingenvironment factors as well as available mobility aids. Conclusion: The results of this studyconcluded that, the factors which had positive effect on patients' mobility post hip fractures surgerywere social factors, surrounding environmental factors and available mobility aids while; the factorswhich had negative effect were physical and psychological factors. Recommendations: Furtherstudies should be designed to overcome physical and psychological factors that have negative effecton patients' mobility post hip fractures surgery.
https://ejhc.journals.ekb.eg/article_268466_bbf93fef7cc5b127b6676bd1292dd9c1.pdf
2018-12-01
626
643
10.21608/ejhc.2018.268466
factors
Hip fractures surgery
mobility
Abeer
Abd El. Mohaymen Ahmed
1
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Manal
Hussien Nasr
2
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Amany
Mohammed Safwat
3
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Sara
Fathi Mahmmoud
4
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Workplace Silent Behavior Among Nurses: Its Motives And Its Relation To Engagement And Thriving At Work
Background: Workplace silent behavior constitutes a significant threat to organizational ethics and
success. Also, it can cause harm to organizations and nurses as hidden damage to the safety of
patients, minimizing nurses’ performance, engagement, and thrive at workplace. Aim: The present
study aimed to assess the motives of nurses` work place silent behavior and investigate the
relationship between workplace silent behavior, engagement and thriving among nurses at work.
Design: A descriptive explanatory research design will be utilized to conduct this study. Sample:
Convenient sample of 97 nurses who agreed to participate in the study were included. Setting: The
current study was conducted in 185 for emergency and burns hospital at Al-Kasr Al-Aini Hospital,
Cairo University Hospitals. Tool: Three tools were used; I. Workplace silent behavior and its
motives scale; II. Utrecht Work Engagement Scale (UWES); and III. Thriving at Work Scale.
Results: Slightly less than half of the nurses reported high levels of overall workplace silent
behavior. Moreover, the majority of staff nurses perceived low level of overall work engagement.
Furthermore, the majority of nurses perceived low level of thriving at workplace. Conclusion: The
study findings concluded that, there was a statistically significant negative correlation between the
workplace silent behavior, its motives and other two variables (engagement and thriving at work).
On the other hand, there was a highly statistically significant positive correlation detected between
engagement and thriving at work. Recommendation: Nurse Managers should establish strategies to
encourage speaking up behavior in the workplace and enhance interactions, engagement,
collaborative relationships and teamwork among nurses. In addition, the organization should
develop an educational strategy to make nurses more aware about silent behavior, its motives, and
its relations to nurses’ engagement and thrive at workplace.
https://ejhc.journals.ekb.eg/article_276445_af5fcfda9ead1e257407ca4ea10d77d0.pdf
2018-12-01
644
656
10.21608/ejhc.2018.276445
Workplace Silent Behavior
motives
work engagement
and Thriving at Work
Shaimaa
Hassan Mekawy
1
Lecturer of Nursing Administration Department, Faculty of Nursing, Cairo University, Egypt
AUTHOR
Shaimaa
Ali Mohamed Ismail
2
Lecturer of Nursing Administration Department, Faculty of Nursing, Cairo University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Assessment of Critical Thinking Disposition among Nursing Academic Staff Members and Assistance
Background: Critical thinking was thinking that analyzed thought, that assessed thought and transformed it for better. Critical thinking is one of the critical components for the learning and academic staff members also considered as core element of higher education institutions. Critical thinking is considered one of the most important concepts in education of preparing educators to teach critical thinking disposition through implementing active and innovative teaching strategies (Huang & Newman and Schwartzstein, 2015). The study aim was assessing critical thinking disposition among academic staff members and assistance at faculty of nursing in Fayoum University. A research design: Descriptive study research design was followed. Setting: The study was conducted at Faculty of nursing, affiliated to Fayoum University. Subject: a sample of (84) of academic staff members. Tool of data collection: Data was collected by using The California Critical Thinking Dispositions Inventory (CCTDI). Results: This study revealed that the majority of sub-scales of CCTDI academic staff members showed a positive disposition toward critical thinking. No statistical significant difference was found in relation to all dispositional subscales, the lecturers have the highest mean score toward critical thinking. Conclusion: The academic staff members had achieved the highest mean scores in “truth seeking, analyticity and open- mindedness”. Meanwhile, they achieved the lowest mean scores in the dispositional level characteristics of '' Self- Confidence, Cognitive maturity ''. Recommendations: Academic staff members must use a new effective teaching strategies to promote students critical thinking.
https://ejhc.journals.ekb.eg/article_311218_1c04bd8d5ba685eb479f433af836d0f7.pdf
2018-12-01
657
665
10.21608/ejhc.2018.311218
Critical Thinking Disposition
academic members and assistants
Geham
Mohamed Ahmed
1
Professor of Nursing Administration
AUTHOR
Fatma
Mohamed Elnady
2
Faculty of Nursing, Fayoum University, Egypt.
AUTHOR
Fatma
Yousif Ahmed Mawed
3
Assistant Professor of Nursing Administration, Faculty of Nursing, Helwan University, Egypt, B.Sc. in Nursing
AUTHOR