ORIGINAL_ARTICLE
Respiratory Problems among Workers at A Cement Factory in BeniSuif City .
Background Respiratory problems represent one of the most leading causes for morbidity and mortality worldwide. Occupational agents are one of the major and most importantmodifiable risk factors for these problems. The aim of this study was to assess respiratory problems among workers at a cement factory in Beni-Suef city and to study risk factors of respiratory problems among the workers. Design: A descriptive exploratory research design was utilized in this study. Setting: the study was conducted at Misr Beni-Suef cement factory, BeniSuef City. A convenience sample was used, and it composed of150 workers. Three tools were utilized; 1-an interviewing questionnaire composed of 3 parts; personal data, occupational history and medical history, 2-respiratory symptoms questionnaire, 3-Environmental health checklist. Results:the prevalence of respiratory problems among studied workers were; 37.3% of them suffered from cough, followed by phlegm (35.3%), breathlessness (32.7%), wheezes (30.7%), chest tightness (28.7), runny itchy nose (26.7%), whereas chronic bronchitis was reported by only 22.0% of the workers. This study concluded that advancing age, duration of exposure, smokinghabits, level of education, poor compliance in using protective equipments and poor ventilation in the workplace seen as major risk factors affecting the prevalence of respiratory problems. The present study recommended that pre-placement and periodic medical examination to all the workers and health education programs tailored to improve healthy practices of workers about the occupational safety measures and prevention of respiratory problems.
https://ejhc.journals.ekb.eg/article_54587_2426054a5ad047289bc13fefc2e219b7.pdf
2016-09-01
1
17
10.21608/ejhc.2016.54587
Respiratory Problems
Workers
cement
Sohier
A. Bader El-din
1
Community Health Nursing Department, Faculty of Nursing, Cairo University
AUTHOR
Noha
A. Mohamed
2
Community Health Nursing Department, Faculty of Nursing, Beni-Suef University
AUTHOR
Eman
S. Eweas,
3
B. N. Sc
AUTHOR
ORIGINAL_ARTICLE
Quality of work life as perceived by staff nurses and its relation to their turnover intention at critical care units
A high quality of work life (QWL) is essential and critical for hospitals to attract new nurses and retain qualified and motivated workforce. Consequently, hospitals are seeking ways to address the issues of recruitment and retention by achieving a high QWL. The aim of this study was to assess quality of work life as perceived by staff nurses and its relation to their turnover intention at critical care units. A descriptive correlational design was utilized. The study was conducted at 5 critical care units in Minia university Hospital. A convenience sample of (80) staff nurses working in critical care units was used. Two tools were utilized; first tool was a modified Quality of Nursing Work Life (QWL) Questionnaire and the second tool was turnover intention questionnaire. The findings of study indicated that (71.3%) of participants reported that they had average level of quality of working life and as for turnover intention among participants, (75%) of them had the intention to leave the hospital. Finally, a significant negative correlation was found between Quality of work life as perceived by staff nurses and their turnover intention at critical care unit. The study concluded that it is important to promote and maintain quality of work life of nurses for increasing productivity, reducing turnover and improving quality of care. The study recommended that Hospital administrators might be able to improve the level of QWL by increasing nurses’ satisfaction with job security professional recognition, work conditions, work schedule, workload and nursing staffing.
https://ejhc.journals.ekb.eg/article_54588_09689f8156515d32f51dc57a05ac8787.pdf
2016-09-01
18
32
10.21608/ejhc.2016.54588
Quality of Nursing Work Life
Turnover Intention
Staff nurses
critical care units
Essam
A Abd Elhakam
1
Nursing administration department, faculty of nursing/ Minia University, Egypt
AUTHOR
Safaa
M Abd El Rahman
2
Nursing administration department, faculty of nursing/ Minia University, Egypt
AUTHOR
Magda
A Abd El Fattah
3
Nursing Administration department, faculty of nursing / Cairo University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Assessment of Unhealth risk Behavior among Adolescents Students at Technical Health Institute
Background: High-risk behaviors are those that can have adverse effects on the overall development and well-being of adolescents, or that might prevent them from future successes and development. Aim: Assess unhealthy risk behavior among adolescent students at the technical health institute. Design a descriptive exploratory study. Setting: The study was carried out in technical health institute at Benha. The convenience sample composed of available students from both sexes (200) who actually participated in the study over a period of 6 months. The tool of data collection involved interviewing questionnaire sheet to assess adolescent students' demographic data, the second tool was anxiety symptoms scale to assess the adolescent anxiety symptoms, the third tool was sleep problem scale to assess the sleep problem and disturbances that evoked from the risky behavior of adolescents, the fourth tool was emotional disturbances scale to assess adolescents emotional disturbance that arise from their risky behaviors and the fifth tool was educational problem scale to assess the education hardships observed among adolescents and considered a risk behavior confronting them. Results of the Study: More than one third of studied sample (35%) had taken smoking behavior habits & less than three quarters of the studied sample (71%) had nutrition risk behavior. There were statistically significant relation between adolescent students' sex and total risk score (p<0.05). There were highly statistically significant differences and positive relations between the studied sample residence and their total risk score (p<0.001). The study concluded that all students participate in some risk behavior as smoking, unhealthy hygienic, behavior leading to injury, disturbed dietary and physical inactivity behavior. The study recommended that, emphasize the importance of periodic assessment of unhealthy risk behavior among adolescence students at the technical health institute and provide appropriate program for its management.
https://ejhc.journals.ekb.eg/article_54589_42935a038bc8d7ef3f4aabc25b2293db.pdf
2016-09-01
33
45
10.21608/ejhc.2016.54589
Adolescents
risk behavior
pediatric nurse
unintentional injury
Eman,
A. Mohamed
1
Pediatric Nursing Department, Faculty of Nursing – Ain Shams University
AUTHOR
Hyam,
R. Tantawy
2
Pediatric Nursing Department, Faculty of Nursing – Ain Shams University
AUTHOR
Asmaa,
S. Mohamedy
3
Pediatric Nursing Department, Faculty of Nursing – Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Work Stress and Coping Pattern among Nursing Academic Staff
Work stress has become a serious and growing problem among academic staff with several deleterious consequences. Aim of the study was to assess the work stress and coping patterns among nursing academic staff through: identifying sources, level and manifestations of stress among them, and their coping patterns which they used. Methodology The study was conducted on a group of one hundred and three academic staff who are working at faculty of nursing of Ain Shams University with different positions and departments. Data were collected through interview questionnaire sheet used to assess sources and manifestation of stress among nursing academic staff and their coping patterns. Results of this study revealed that half of academic staff suffer from high stress. Also, more than two thirds of them suffer from moderate stress from work environment followed by workload and stress from students. Two thirds of them had symptoms of stress which may be intellectual, physical, behavioral and emotional. But the most prevalent one among them was the emotional symptoms. academic staff used coping patterns such as setting limits of work, seeking advice and support from others, relaxation & suppression of feeling. Conclusion Half of studied subjects suffer from high stress. Two thirds of them had moderate level of stress manifestation .The study recommended that the encouragement for developing stress management programs and coping strategies that can be made within the faculty of nursing that will reduce work-related stress among academic staff
https://ejhc.journals.ekb.eg/article_54590_8e342b678a7762ef5429768681f28190.pdf
2016-09-01
46
61
10.21608/ejhc.2016.54590
Work Stress
academic staff
coping patterns
Bahaa
Eldin AbdEllatif
1
Psychiatric and Mental Health Nursing Department, Faculty of Nursing – Ain Shams University
AUTHOR
Ghada
Mourad
2
Psychiatric and Mental Health Nursing Department, Faculty of Nursing – Ain Shams University
AUTHOR
Asmaa
Hafez
3
Psychiatric and Mental Health Nursing Department, Faculty of Nursing – Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Educational Nursing Intervention on Knowledge and Practices of Patients with Implantable Port Catheter and Undergoing Chemotherapy
Port systems play an important role in daily care of oncology patients. It provides safe and reliable vascular access for patients on chemotherapy in general but is not without complications. Patient education increases adherence to medication and treatment regimens, leading to a more efficient and cost – effective health care delivery system. Aim of the study: Assess the effect of educational nursing intervention on knowledge and practice of patients with implantable port catheter undergoing chemotherapy. Study design: A quasi –experimental design with pre, post assessment. Setting: This study was conducted at the Radiotherapy oncology and nuclear Medicine center (outpatients' clinic) affiliated to Ain Shams University Hospital. Subjects: A purposive sample of 50 patients from both sexes, alert, connected with implantable port catheter. Data collection: data were collected using the following two tools: 1-Patient's knowledge assessment questionnaire to assess patients' knowledge regarding the port catheter care. 2- Port catheter care observational checklists to assess patient's practice regarding port catheter care. Results: there were highly significance difference between mean and standard deviation of patient's knowledge scores, practice scores and complications warning signs pre and post educational nursing intervention. Also, there was significance difference between mean and standard deviation of extravasation, and patients' anxiety level pre and post educational nursing intervention. Conclusion: Educational nursing intervention has positive effect on knowledge and practice of patients with implantable port catheter. Recommendations: An Arabic illustrated booklet about implanted port catheter should be distributed for each patient newly connected with implantable port catheter and undergoing chemotherapy.
https://ejhc.journals.ekb.eg/article_54591_ea2296b494f2fab6eb7bee98da1c42f2.pdf
2016-09-01
62
72
10.21608/ejhc.2016.54591
implanted port catheter
Chemotherapy
patient education
Rasha
mohammed
1
Medical Surgical Nursing, Department, Faculty of Nursing – Ain Shams University
AUTHOR
Manal
Salah Hassan
2
Medical Surgical Nursing, Department, Faculty of Nursing – Ain Shams University
AUTHOR
Asmaa
Hamdi Mohamed
3
Medical Surgical Nursing, Department, Faculty of Nursing – Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nursing Staffs' Knowledge and Practice Regarding Prevention of Hepatitis (C) Virus Transmission in Hemodialysis Units
Aims and objectives. To assess nursing staffs' knowledge and practice regarding the prevention of hepatitis C virus (HCV) transmission in hemodialysis units (HDUs). Design. A descriptive exploratory study was utilized to fulfill the aim of the study. Subjects. A convenient sample consisted of all hemodialysis nurses (55 nurses) in three HD units at Cairo University Hospital, Egypt. Tools. Two instruments were designed to collect data pertinent to the study: a) Self-administered questionnaire to assess the subjects‟ level of knowledge, and b) Observational checklist, used to assess subjects‟ level of practice. Results. Showed that (54.5%) of the studied subjects have got a satisfactory level of knowledge regarding prevention of HCV transmission, while all of them (100%) have got an unsatisfactory level of practice related to prevention of HCV transmission in HD units. Recommendations. In-service training program should be designed and implemented regularly to all hemodialysis nurses.
https://ejhc.journals.ekb.eg/article_54592_29342a3973f0fc801f02d0bf5365a661.pdf
2016-09-01
73
84
10.21608/ejhc.2016.54592
Nurses‟ knowledge
Practice
Hepatitis C virus prevention
Hemodialysis units
Ahmed
Mostafa Shehata
1
B.Sc. Nursing-Cairo University University
AUTHOR
Khairia
Abo Bakr Elsawi
2
Medical Surgical Nursing Department, Faculty of Nursing-Cairo University University
AUTHOR
Hanaa
Youssry Hashem
3
Medical Surgical Nursing Department, Faculty of Nursing-Cairo University University
AUTHOR
ORIGINAL_ARTICLE
Effects of Displacement from War On Growth of Children Under Five Years old in West Darfur
Port A total of 470,000 people were displaced in Darfur during 2014, of which an estimated 60% are children. In North Darfur there are increasing rates of malnutrition with Global Acute Malnutrition (GAM) at 28.3%. Aim of the study: was to assess the effects of displacement from war on growth of children under five years old in west Darfur. Methodology: A convenience sample of 100 participants was taken from children under five years old Results: 10% & 64% of non-displaced and displaced child were underweight, with statistical significant differences between both groups respectively. Regarding length/ height for age, 8%, 6% of non-displaced and displaced group were stunting with no statistical significant differences between both groups. Regarding height for weight, 86%, 96% of non-displaced and displaced group were wasting with statistical significant differences between both groups. also, it observed that, 38%, 38% of nondisplaced and displaced group were under -3 score according to z score with statistical significant differences between both groups. Also, regarding arm circumferences for age, 12.2 %, 79.6% of non-displaced and displaced group were under - 3 score according to z score with no statistical significant differences between both groups. Conclusion: Residents of the refugee camps are at higher risk of malnutrition than children living at home denoting that urgent settlement is needed in the area of the study. Recommendation: there is a need for initiation of longitudinal studies on growth and development of children in Darfur state using larger samples to understand the exact causes behind these differences.
https://ejhc.journals.ekb.eg/article_54594_5c453bd74ab781cc181d7afd64fd6fbd.pdf
2016-09-01
85
98
10.21608/ejhc.2016.54594
Displacement
Growth
Under Five Years
West Darfur
Duria Abdelraheim
Mohammed Ahmed Omer
1
Ph.D. of Pu. Health, MB.BS. M.D. Ain Shams university Egypt 1989 Associate prof. of Pediatrics-Omdurman Islamic university
AUTHOR
ORIGINAL_ARTICLE
Nursing Profession as Baccalaureate Nursing Students Perceived
Introduction: The inconsistencies between the perception of the profession of nursing and the reality of practice can lead to problems in student attrition or result in disillusionment with a career in nursing after a new graduate enters practice. With the nursing shortage reaching critical levels, it is important to examine possible discrepancies that exist and address strategies to reduce them. Perception of profession of nursing is important because they offer strategic clues to overcome the increasing nursing shortage, and public negative stereotyping. Aim: For that, this study was selected to explore the perception of the nursing profession among baccalaureate nursing students. Design: Descriptive design was selected. Subjects and Methods: A convenience sample of baccalaureate nursing students (BSN) was used (N=100). Students who were enrolled at the academic year 2015-2016, at the eight semesters were participated in this quantitative descriptive study. Each participant completed the Perceptions of Professional Nursing Tool (PPNT) which measured perceptions utilizing the tenets of nursing Practice, Values, and Public Image. Results: The findings demonstrated that the majority of faculty nurse students perceived moderate level of nursing profession perception. The highest dimension of subscale is practice followed by the subscale of values had then the lowest subscale is public image. There was a significant correlation between Pre/current experience at hospital or health agency and total nursing profession as well as the nationality and Level of education and preuniversity qualification within the students' perception of nursing profession. Conclusion:providing educational and care environments based on ethical and professional values in nursing is essential and it can be done by conducting broad studies. Recommendations: Education of professional nurses in terms of professional values should be initiated early at the student stage. The students should also be able to recognize the expected tasks and responsibility while they are in faculty. Conducting conferences and workshops for nurse students to orient them about the nursing career, history of nursing, nursing education programs and different clinical experiences and providing good models of professional nurse manager from service.
https://ejhc.journals.ekb.eg/article_54595_93d41e19df7e34410a314888c20231cd.pdf
2016-09-01
99
111
10.21608/ejhc.2016.54595
nursing profession
Baccalaureate Nursing Students
Abeer
Refaat Ali Kabeel
1
Nursing Administration1 Department
AUTHOR
Sahar
Abd El-Mohsen Mosa Eisa
2
Psychiatric/Mental Health Nursing Department, Faculty of Nursing, Modern University for Technology & Information (MTI)
AUTHOR
ORIGINAL_ARTICLE
Effect of Application of Training Program about Electrocardiogram on Nurses Competency Level and Expected Clinical Outcome of Cardiac Patients
Electrocardiogram (ECG) monitoring in hospitals has become more complex since it was one of the first importance for nurses who work in medical and critical care units. Aim to;evaluate the effect of application of training program about electrocardiogram on nurses competency level and expected clinical outcome of cardiac patients. Subjects and Methods: The study was conducted in emergency, and cardiology department and coronary intensive care unit (ICU) at the Aswan University Hospital. A convenience sample of 43 nurses was recruited in this study and 70 adult patients with chronic medical condition at selected setting. Design: A quasiexperimental research design was utilized to meet the aim of this study. Two tools were used: (observational checklists and patient outcome tool), during 2014-2015. The results: findings revealed that staff nurses showed high percentage level of competence in knowledge and practices post application ECG training program than pre application p- value of <0.001. 51.28% of patients had satisfactory outcome with no complications X2= 18.97 at P<0.0001, high statistical significance deference was existed regarding to length of hospital stay. In the light of the study finding, it is concluded that, statistically significant difference was existed between pre- post application for nurses' competence performance, also a statistically significant positive patient's outcome regarding length of hospital stay and complications. The study recommended that, Nurse's competence level of knowledge and practice regarding ECG interpretation in emergency department must be considered in periodically evaluation.
https://ejhc.journals.ekb.eg/article_54597_7904d0883318cb54e79ac82b6713ad1e.pdf
2016-09-01
112
124
10.21608/ejhc.2016.54597
Electrocardiogram
chronic medical condition
competency level
Soheir
Mohamed Weheida
1
Medical Surgical nursing, Faculty of nursing Alexandria University
AUTHOR
Amal
Mhammed Ahmed
2
Medical Surgical nursing, Faculty of nursing Aswan University - Egypt
AUTHOR
Entisar
Gaad-Elmoula Sabaan
3
Medical Surgical nursing, Faculty of nursing Aswan University - Egypt
AUTHOR
ORIGINAL_ARTICLE
Supportive Psychotherapy for Enhancing Quality of Life among Patients with Depression
Major depressive disorder is the second leading disease causing functional impairment and disability. It is a prevalent health problem which is associated with diminished life quality, and significant physical and psychosocial impairment. Therefore, the current study aimed to enhance quality of life and decrease depressive symptoms for patients with depression through utilization of supportive psychotherapy. This study was conducted on 40 patients during their follow-up visits to the Outpatient Clinic, Al-Abbassia Mental Health Hospital. Data were collected using: 1) Interviewing questionnaire sheet including, socio-demographic data, history of depression and the patient's knowledge regarding depression. 2) Beck's Depression Inventory. 3) World Health Organization Quality of life Scale. The main result of this study showed that, there is a highly statistically significant difference between pre-post program implementation as regards patients knowledge about depression, level of depression and their total score of quality life domains. The study concluded that, utilization of supportive psychotherapy showed great enhancement of quality of life and decrease in depressive symptoms among patients with depression. The study recommended that the concept of supportive psychotherapy and quality of life should be integrated in nursing education curriculum to help nursing staff to guide patients with depression and their families on how to avoid and/or cope with depression to maintain normal life style at highest possible level of quality of life.
https://ejhc.journals.ekb.eg/article_54600_9d609c075759bc0a69e2e45cf98f5759.pdf
2016-09-01
125
145
10.21608/ejhc.2016.54600
depression
quality of life
Supportive psychotherapy
Hoda
S. Mohamed
1
Psychiatric/Mental Health Nursing Department, Faculty of Nursing - Ain Shams University
AUTHOR
Nevein
M. Elashry
2
Psychiatric/Mental Health Nursing Department, Faculty of Nursing - Ain Shams University
AUTHOR
Ghada
M. Mourad
3
Psychiatric/Mental Health Nursing Department, Faculty of Nursing - Ain Shams University
AUTHOR
Tarek
A. Abdu
4
Psychiatric Medicine Department, Faculty of medicine, Ain Shams University,
AUTHOR
ORIGINAL_ARTICLE
Psychosocial Nursing Intervention for Improving Quality Of Life of Patient with Multiple Sclerosis
Multiple sclerosis (MS) is the most common chronic, non-traumatic neurological disorder afflicting young people during their peak productive ages. It affects approximately 2.5 million people worldwide, and 1.4% of all Neurology cases in Egypt. Once the disease has developed, it continues lifelong, and there is still no cure. The course of the disease can be relapsing–remitting which diminish quality of life (QOL) by interfering with the ability to work, pursue leisure activities, and carry on usual life roles. This study was aiming to assess the effect of psychosocial nursing intervention on quality of life of patient with multiple sclerosis. It was conducted on 50 cases with MS in El-Demerdash day care unit. Data were collected using: 1) Interviewing questionnaire containing the following parts A) Socio-demographic sheet. B) History of illness, C) Patient’s knowledge regarding multiple sclerosis. 2) Multiple Sclerosis Quality Of Life (MSQOL-54) instrument. The result of this study showed that, there are highly statistically significant differences were found between pre- and post- intervention as regard knowledge about disease of patient with multiple sclerosis (P= .000). Additionally, there are highly statistically significant difference were found between pre- and post- intervention as regard physical health composite and mental health composite of patient with multiple sclerosis (P= .000) respectively. As well as, there is highly statistically significant difference was found between pre-and postintervention as regard total overall quality of life of patient with multiple sclerosis, (P= .002). Results concluded that the implementation of psychosocial nursing intervention had a positive effect on quality of life of patient with multiple sclerosis. Based on the results, it is recommended to incorporate non-drug therapy (psychosocial intervention) along with pharmacological therapies in MS management to improve quality of life of patients with MS.
https://ejhc.journals.ekb.eg/article_54601_964d62721dbf76245211853a9a778dcc.pdf
2016-09-01
146
161
10.21608/ejhc.2016.54601
Multiple sclerosis
quality of life
psychosocial nursing intervention
Fatma
Mohammed Ibrahim
1
Psychiatric/Mental Health Nursing Department, Faculty of Nursing / Ain Shams University,
AUTHOR
Zeinab
Abd-Elhameed Loutfi
2
Psychiatric/Mental Health Nursing Department, Faculty of Nursing / Ain Shams University,
AUTHOR
Ghada
Mohamed Mourad
3
Psychiatric/Mental Health Nursing Department, Faculty of Nursing / Ain Shams University,
AUTHOR
ORIGINAL_ARTICLE
Effect of Health Habits’ Modification Program on Health Status for School Children with Parasitic Infestation in Rural Areas
Parasitic infestation represents a major cause of morbidity and mortality in school children all over the world. Health habits make children especially vulnerable to parasitic infections. Aim: To evaluate effect of health habits’ modification program on health status for school children with parasitic infestation in rural areas Study Design: A quasi-experimental design was used to conduct this study. Setting: This study was conducted at Toukh Comprehensive Clinic affiliated to Health Insurance in Qalubia Governorate Subjects:A purposeful sample of 105 school children was included in this study. Tools: Three tools I. An interviewing questionnaire, for school children was divided into five parts; to assess demographic characteristics for school children and their modified risk factors, knowledge, attitude, and health habits II.Observational checklist to assess school children practices. III. Medical records of school children’s health status. Results: Revealed that 59% of school children had poor total health habits pre program implementation, while it was modified to become 61% and 84.8% had good total health habits through post program implementation and follow up respectively compared to 41% in pre program implementation with a highly statistically significant difference (P< .0001). Conclusion: The study concluded that there was statistically significant efficacy of the modification program on improving the health habits for school children and their knowledge, attitude, and practices related to parasitic infestation. As well, the program had evident effect on restoring school children’s health status and preventing parasitic complications in addition to enhancing scholastic achievement through program implementation phases (P< .0001). Recommendations: The study recommended that periodical health education about prevention of parasites is necessary to raise school children’s awareness about health habits and improve personal and environmental hygienic measures at school time.
https://ejhc.journals.ekb.eg/article_54603_0b81d6615b92133119beb1f8744b6c6a.pdf
2016-09-01
162
177
10.21608/ejhc.2016.54603
school children with parasitic infestation – Health habits related to parasitic infestation – school
health nurse
Ferial
Fouad Melika
1
Community Health Nursing Department, Ain Shams University
AUTHOR
Mervat
M. Hassan
2
Community Health Nursing Department, Ain Shams University
AUTHOR
Asmaa
Talat Mohamed
3
Community Health Nursing Department, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Barriers to evidence-based pressure ulcer prevention in Intensive Care Units
Aim of the study: The aim of the present study was to determine the barriers to evidence-based pressure ulcer prevention in Intensive Care Units. Research design and setting: A descriptive crosssectional design was selected to conduct the current study in the ICU units of Zagazig University Hospitals.Subjects: 200 nurses from the above mentioned setting who met the inclusion criteria. Tools of data collection: A Self-administered questionnaire was used. Results: Most of the nurses in the study sample (80%) were having unsatisfactory total knowledge about pressure ulcers. Majority of the nurses in the study sample (90.5%) were having positive attitudes towards the prevention of pressure ulcers. slightly more than two-thirds of them (69.0%) were having high perception of barriers hindering the application of EBP in pressure ulcers prevention. It is noticed that the highest perceived barriers were related to the work environment (62%), whereas the lowest were related to nursing (11.5%). Conclusion: The main barriers to implementation of evidence-based preventive practices for pressure ulcers revealed in the study are the nurses’ deficient knowledge, in addition to the work environment-related barriers. Recommendations: Training programs for nurses about evidence-based pressure ulcer prevention, improvement of work environment and further study for their effectiveness are recommended.
https://ejhc.journals.ekb.eg/article_54604_bee08850a75bbe495c0421b11d8f09b6.pdf
2016-09-01
178
188
10.21608/ejhc.2016.54604
barriers
Evidence-based
pressure ulcer
prevention
Intensive Care Units
Eman
Mohammed Abd El-Aziz
1
Medical Surgical Nursing Department, Faculty of Nursing Zagazig University
AUTHOR
Gehan
El-Sayed Hafez
2
Medical Surgical Nursing Department, Faculty of Nursing Zagazig University
AUTHOR
ORIGINAL_ARTICLE
Quality of Life among Children Suffering from Chronic Kidney Disease
Aim of the study: was to assess the quality of life among children suffering from chronic kidney disease. Research design: A descriptive design was used in this study. Setting: This study was conducted in the pediatric nephrology clinic, and the pediatric conservative nephrology clinic of the pediatric dialysis unit at Ain Shams University Children Hospital. Sampling: A Purposive sample, 164 children with their mothers. The criteria of sample: - the inclusion criteria included all available children with age 4-12 years old, both gender and their mothers. Tools of data collection: The first tool:- A questionnaire tool included the following Socio-demographic data of children, Socio-demographic data of mothers and fathers, environmental assessment for children living in. Assessment of mother's knowledge about CKD, and assessment of mother's practice related to children health needs and problem related to CKD by mother's role towards the needs and problem. The second tool: - Quality of life inventory scale was constructed to assess level of quality of life for children with chronic kidney disease. The third tool: Children medical record to assess health status of children. Results: As regards characteristics of the studied children it was found that 41.5% of the studied children were in age from 4<6 year, and 59.8% of the studied children were males, and that 68.9% of the studied sample had a positive level of physical domain of quality of life, that there was a highly statistical significant relation (p<0.001) between total knowledge and total QOL. Conclusion: - In conclusion the finding of this study revealed that 41.5% of the studied t of children age was ranged from 4<6years, Indeed less than half of mothers had unsatisfactory total knowledge, and uncorrected total practice. Most of the children were low weight, and the majority were suffering from loss of appetite. There was statistical significant relation between mothers' age, educational level, and their total practice. Represent that there was a highly statistical significant relation (P<0.001) between total knowledge and total QOL. And clarifies that was highly statistical significant relation between total knowledge and total practice. Recommendations: Educational training programs to children with CKD and their mother to update their knowledge and practice. Effort should be made to reduce the CKD complications among children through adopting a national strategies and plans of CKD prevention, care and control.
https://ejhc.journals.ekb.eg/article_54606_a69e28f90f045ec279c8ece2751c467a.pdf
2016-09-01
190
207
10.21608/ejhc.2016.54606
quality of life
Chronic Kidney Disease
Mother's knowledge
CHNG Role
Enjy
Nessim Welliam
1
Community Health Nursing Department, Faculty of Nursing Ain Shams University.
AUTHOR
Seham
Guirgus Ragheb
2
Community Health Nursing Department, Faculty of Nursing Ain Shams University.
AUTHOR
Ahmed
Hussien Hassan
3
Community Health Nursing Department, Faculty of Nursing Ain Shams University.
AUTHOR
Rasmia
Abd Elsttar Ali
4
Community Health Nursing Department, Faculty of Nursing Ain Shams University.
AUTHOR
ORIGINAL_ARTICLE
Quality of Life Among Children Suffering From Congenital Heart Disease
Aim of the study: this study aimed to assess quality of life among children suffering from congenital heart disease. Research design: A descriptive design was utilized in this study.Setting: The study was conducted at cardio-pulmonary outpatient clinic in pediatric hospital at Ain Shams University. Sampling: A purposive sample.200children with their mothers. Tools of data collection: For data collection two tools were used: The first tool:- A pre-designed questionnaire contains Socio-demographic data of children, socio-demographic data of mothers and fathers, environmental assessment for children living in assessment of mother's knowledge about congenital heart disease, and assessment of mother's practice related to children needs and problems. The second tool includes Quality of life inventory scale was constructed to assess level of quality of life for children with congenital heart disease. Results: The finding of the present study revealed that; more than half of the studied children were females. The present study showed approximately half of the studied mothers start given weaning foods to their infant at the age of two. Conclusion: The Study concluded that there was a highly statistical significant relation between mother's age ,educational level and their total knowledge there was a highly statistical significant relation between mothers educational level and their total practice While, there was a highly statistical significant relation (P<0.001) between total knowledge and total QOL Recommendations: Periodic training programs for the congenitally heart children and their mothers about their disease, management and control to improve their knowledge and consequently their quality of life. Effort should be made to reduce the CHD complications among children through adopting a national strategies and plan of CHD.
https://ejhc.journals.ekb.eg/article_54608_9388360df130964199082d208d75cc68.pdf
2016-09-01
208
219
10.21608/ejhc.2016.54608
quality of life
Congenital heart disease
Mother's knowledge
Community health Nursing roles
Manal
Mahmoud Sayeh
1
Community Health Nursing Department, Faculty of Nursing Ain Shams University.
AUTHOR
Seham
Guirgius Ragheb
2
Community Health Nursing Department, Faculty of Nursing Ain Shams University.
AUTHOR
Waleed
Mohamed ELguindy
3
Community Health Nursing Department, Faculty of Nursing Ain Shams University.
AUTHOR
Rasmia
Abd Elsttar Ali
4
Community Health Nursing Department, Faculty of Nursing Ain Shams University.
AUTHOR
ORIGINAL_ARTICLE
The Effect of Implementing Evaluative Feedback on Staff Nurses’ Performance Regarding Documentation
Background: Accurate documentation of nursing care is vital to protect patient from missedor unsafe care, periodic audit of the documents is crucial for assessing staff nurses' performancewith provision of feedback to improve their performance. Aim: This study aimed to assess theeffect of implementing evaluative feedback on staff nurses' performance regardingdocumentation. Research design: Quasi experimental design was used. Setting: El DemerdashUniversity Hospital Subjects: 90 staff nurses were included in the study Data collection: Anaudit checklist of various nursing records in a patient file. Results: More than one quarter of staffnurses had adequate total performance regarding documentation at the pre intervention phase .However, it increased markedly after the intervention to reach 86.9% at the post interventionphase, and it decreased to 74.9% at the follow up phase which significantly higher than the preintervention phase. Conclusion: There is a statistically significant improvement of staff nurses’performance regarding documentation after using evaluative feedback. Recommendations:Evaluative feedback has to be used as a mean for improving nurses’ performance in differentaspects of care. Current formats of nursing records should be revised and updated and expandusing of an audit technique in different patient care areas.
https://ejhc.journals.ekb.eg/article_68477_9ae0cf57abea2ed18c8a0525b2ff8a58.pdf
2016-09-01
220
232
10.21608/ejhc.2016.68477
Documentation
Evaluative feedback
Staff nurses' performance
Rabab
M. Hassan
1
Nursing Administration, Faculty of Nursing, Ain Shams University
AUTHOR
Fawzia,
M. M. Badran
2
Nursing Administration, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Assessment of Nursing Performance Regarding Hospital Acquired Infection
Background: Hospitalized children are a particularly vulnerable population. This is due to the many invasive procedures and frequent antibiotic use, which put the patient children at risk for infection and promote the emergence of multidrug-resistant organisms. Aim: This study aims to assess nursing performance regarding Hospital Acquired Infections (HAI). Design: A descriptive study was used. Setting: The study was conducted at Neonatal and Pediatric Intensive Care Units, Pediatric Medical and Surgical Units affiliated to Ain Shams University Specialized Hospital. Subjects: A convenient sample of eighty nurses from the previously mentioned settings. Data collection: Two tools, first tool was an interview questionnaire form composed of two parts; Part 1: About demographic characteristics of nurses. Part 2: Knowledge of nurses regarding HAI. The second tool was observation checklist that consists of two parts Part 1: Assess performance of nurses regarding infection control and Part 2: To assess their performance regarding the infrastructure of the involved units. Results: The study indicated that the studied nurses had unsatisfactory knowledge about HAI. In addition, more than half of them had incompetent performance regarding HAI and the related infrastructure of the study units, Conclusion: This study concluded that nurses had unsatisfactory level of knowledge and incompetent performance regarding HAI Recommendations: The study recommended continuous training programs and strict observation of nurses’ performance are required for the correction of poor practices by the infection control team, in addition to utilization of infection control standard precautions.
https://ejhc.journals.ekb.eg/article_23418_a1af4536d7776ad76115577a175ddebe.pdf
2016-09-01
233
243
10.21608/ejhc.2016.23418
Nursing
performance
Hospital Acquired Infection
Amal
Mohamed Ibrahim
1
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
Safy
Salah El-Dien Al-Rafay
2
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
Hyam
Refaat Tantawi
3
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Internship Program on Nurse Interns’ Stress and Structural Empowerment at University Hospital
Background: Internship program supports nurse's intern to pursue careers in nursing.Through this program, nurses intern are introduced to the field of nursing. Although nurseinternship programs are designed to support graduate nurses as they assume the professional role,the evaluation of these programs has been inconsistent. This study aim was to assess the effect ofinternship program on nurse intern's stress and empowerment at Qena University Hospitals.Research Design: A Quasi experimental designing study Sample: was carried out on all nurseinterns (78). Setting: The present study was conducted at Qena University Hospitals during theirinternship year starting September 2015to 31 August 2016. Tools: Data were collected using aself-administered questionnaire including a stress and an empowerment scales. This was done atthe start and end of their internship year. Limitations: The study was started with 78 nurseinterns, but 22 left to other places and could not be followed. Results: Almost all interns (94.9%)had stress at the start of the program, and this declined to 67.9% at its end (p<0.001). Nostatistically significant changes could be revealed in their empowerment or perception of power.Statistically significant correlations were revealed between interns’ scores of empowerment,perception of power, and stress. In multivariate analysis, the internship program was a statisticallysignificant negative independent predictor of interns’ total score of stress, while age andempowerment score were positive predictors. As for empowerment score, the internship programwas a negative predictor, whereas their scores of structural and immediate manager power werepositive predictors. Interns’ total score of power perception was positively predicted by internshipprogram, as well as by their total empowerment score. In conclusion, nurse interns’ high stress atthe start of their internship program is significantly lowered by its end, along with increasedperception of power among them but not empowerment. It is recommended to address thisweakness in such programs so that nurse interns gain more access to opportunities, information,and support.
https://ejhc.journals.ekb.eg/article_68478_a91506633737c1aa7dafdc8ab33f780a.pdf
2016-09-01
244
255
10.21608/ejhc.2016.68478
Nurse interns
Stress
empowerment
Internship program
Salwa
Ahmed Mohamed
1
Nursing Administration, Faculty of Nursing, Beni Suef University, Egypt
AUTHOR
Nagwa
Souilm
2
Psychiatric/mental health nursing, Faculty of Nursing, South Valley University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Pilgrims' Awareness regarding Health Hazards during Hajj
Background: Mass gatherings at religious events can pose major public health challenges,particularly the transmission of infectious diseases. Every year the Kingdom of Saudi Arabia(KSA) hosts the Hajj pilgrimage, the largest gathering held on an annual basis where over 2million people come to KSA from over 70 countries. Living together in crowded conditionsexposes the pilgrims for different health hazards. Aim of the study: assess the pilgrim'sawareness regarding health hazards during Hajj. A descriptive cross-sectional design was utilizedto conduct the study. Setting: The study was conducted at Benha The M.C.H. center at Benhacity during Month of Zou Quada1436 (the 11 th month of Islamic year). Subjects: AConvenience Sampling of 254 pilgrims included in the study. Tools: first tool: A structuredquestionnaire: It was developed by the researchers; it was composed considering Pilgrim's sociodemographic data , knowledge regarding health hazards, second tool: self-care practiceassessment tool Results of the study showed that about two thirds had incorrect knowledgeregarding health hazards, which affecting pilgrims and, about more than half of studied samplehad unsatisfactory practice. Also the study showed that highly significant correlation betweensocio-demographic characteristics and both knowledge and practice .Conclusion; the majority ofthe studied pilgrims had poor knowledge and unsatisfactory practice. Recommendations:Educational strategy to improve knowledge regarding health-hazards and to develop healthpractices among pilgrims is recommended.
https://ejhc.journals.ekb.eg/article_68479_767e7593f719bc6936bb352c39ff8e21.pdf
2016-09-01
256
270
10.21608/ejhc.2016.68479
Pilgrims
Health Hazards
Awareness
Hajj
Eman
Nabil Ramadan
1
Community Health Nursing Department, Faculty of Nursing Benha University, Egypt.
AUTHOR
Nehad
Ahmed Ibrahim Zahra
2
Community Health Nursing Department, Faculty of Nursing Benha University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Evaluate the Effectiveness of Nurses' Professional Competence Approach on Their Productivity in Medical-Surgical Units
Background: Professional competence increases productivity. Nursing competency isgenerally viewed as a complex integration of knowledge skills, values and attitude. In clinicalpractice, nurses are required to apply their acquired knowledge, skills and individual traits to eachsituation and be able to adapt in different circumstances. Research aim: Evaluate theeffectiveness of nurses' professional competence approach on their productivity in medicalsurgical units. Research Design: A quasi-experimental design was utilized to achieve the aim ofthis study. Setting: The study was conducted at Benha University Hospital, Egypt in generalmedical-surgical units. Sample: consisted of convenient sample of (100) nurses who areresponsible for providing direct nursing care activities to patients. Tools: three tools were usedfor data collection; 1- nurses' knowledge questionnaire (50 items), 2- nurses' observationalchecklist (60 items), and 3- nurses' productivity questionnaire (60 items). These tools were usedpre, post, and flow-up three months later. Result: The study indicated there were improvement innurses' total level of knowledge, performance, and productivity after interventions of professionalcompetence approach both immediately post and follow-up. More than three quarters of nursestheir knowledge was unsatisfactory, while in the immediate post and follow-up most of nursestheir knowledge improved and became satisfactory. Moreover, more than half of nurses'performance were poor practice in pre-intervention, while after implementation it was improvedto and become good in both immediately post and follow-up. Furthermore, most of nurses'productivity level was low in pre-intervention, while it was improved, increased and become highin both immediate post and follow-up. Conclusion: The study concluded that the designedapproach illustrated statistical significant improvement in nurses' professional competenceknowledge & performance, and increasing of nurses' productivity. The mean scores of allcategories slightly decreased in the follow-up after three months of the approach in comparison toimmediately post. Also there were statistical significant positive correlation among nurses'knowledge & performance and productivity. Recommendation: the study recommended that theIn-service training and education programs must be a continuous process for refreshing andincreasing nurses’ knowledge and skills about the concept of professional competency approachas well as to emphasize nurses' productivity.
https://ejhc.journals.ekb.eg/article_68481_62513c3d2867b47a9b4b7f88b5d08612.pdf
2016-09-01
271
291
10.21608/ejhc.2016.68481
Approach
medical-surgical nurse
productivity
and professional competence
Abeer
Y. Mahdy
1
Medical Surgical Nursing Department, Faculty of Nursing / Benha University, Egypt
AUTHOR
Howida
H.E. Mahfouz
2
Nursing Administration Department, Faculty of Nursing / Benha University, Egypt
AUTHOR