ORIGINAL_ARTICLE
Assessment of Nursing Care Provided to Neonates Undergoing Phototherapy
Background: Neonatal jaundice occurs in about 60% of neonates. If not managed properly, it can progress to severe neonatal jaundice leading to death or permanent disability. Aim of this study: To assess nursing care provided to neonates undergoing phototherapy. Design: A descriptive design was utilized in this study. Setting: The study was carried out in the neonatal intensive care units affiliated to Helwan General Hospital and Ain Shams University Obstetric Hospital. Subject:The study included 80 nurses working at the previously mentioned setting and one hundred and twenty neonates.Tools:Two tools were utilized for data collection in a period of 4 months, (1) A questionnaire sheet to assess nurses’ knowledge and (2) An observation checklist to assess nurses’ practice regarding neonates suffering from jaundice and undergoing phototherapy.Results: The results revealed that,the majority of the studied nurses had poor knowledge, more than three-quarters of the studied nurses had a poor level of actual practice regarding nursing care for neonates undergoing phototherapy and there was a highly statistical significant relation between nurses’ knowledge & practice. Conclusion: The study concluded that, nurses had a poor level of knowledge and practice regarding the nursing care for neonates undergoing phototherapy. Recommendations: Develop educational training programs for meeting actual educational need assessment of nurses dealing with neonates undergoing phototherapyto update nurses’ knowledge and practices toward providing comprehensive, concise and complete nursing care for neonates undergoing phototherapy.
https://ejhc.journals.ekb.eg/article_26740_79b6dc18854bcca94bf3a754163d6b8a.pdf
2019-03-01
1
12
10.21608/ejhc.2019.26740
Neonates
nursing care
phototherapy
Maha
Mohamed Ibrahim
1
Pediatric Nursing Master Student, Pediatric Nursing, Faculty of Nursing, Helwan University
AUTHOR
Wafaa
El-Sayed Ouda
2
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Safaa
Salah Ismail
3
Pediatric Nursing, Faculty of Nursing, Helwan University
AUTHOR
Azza
Abdal semia Elewa
4
Pediatric Nursing, Faculty of Nursing, Helwan University
AUTHOR
ORIGINAL_ARTICLE
Competency of Nursing Care Activities at Neonatal Intensive Care Units: An Assessment Study
Competency of nursing care activities of nurses working at neonatal intensive care units together with advancement in medical science and technology increased the survival rate of newborns that need specialized care. To ensure the quality of care and provide the safety of patients, assessing the competency of nursing care activities of nurses working at NICU seems necessary. This study aimed to assess competency of nursing care activities at the neonatal care units. Design: A descriptive design was used. Setting: The study was carried out at the neonatal intensive care units affiliated to Ain Shams University Hospital. Subjects: A purposive sample of 70 nurses working at the previously mentioned setting, regardless their characteristics. Tools of data collection involved an interviewing questionnaire (that was constructed by the researcher after reviewing related literatures to gather data in relation to characteristics of nurses such as age, qualification, years of experience……etc) and observation checklist (to assess competency of nursing care activities at neonatal intensive units). Results: The study findings revealed that nursing care activities at NICU were incompetent by nearly two thirds (64.3%) of them. There was a statistically significant difference between the total mean scores of nursing care activities competencies skills at NICU and their age, qualifications, years of experience and social status. Conclusion: The study concluded that more than half of studied nurses were having incompetent nursing care activities at NICU. Recommendations: The study recommends continuous assessment and upgrading of competency of nursing care activities at NICU.
https://ejhc.journals.ekb.eg/article_26742_cc6a1dbd69c95694c54061500b966c99.pdf
2019-03-01
13
22
10.21608/ejhc.2019.26742
Competency
nursing care activities
Intensive Care Unit
Neonates
Monera
Sayed Mohamed Farag
1
Pediatric Nursing Department – Faculty of Nursing,Ain Shams University
AUTHOR
Wafaa
El-Sayed Ouda
2
Pediatric Nursing Department – Faculty of Nursing,Ain Shams University
AUTHOR
Eman
Amin Mohammed
3
Pediatric Nursing Department – Faculty of Nursing,Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Pregnant Women Knowledge Regard Oral Health Care
This study was aimed to assess pregnant women knowledge regarding the oral health care. Study setting: The study was conducted at ante natal outpatient clinic At Ain Shams University Maternity Hospital. Study design: A descriptive study design was used. subjects and method : The study was conducted among pregnant women were attended at antenatal outpatient clinic At Ain Shams University Hospital 265. Study simple: Purposive sample. Study Tools: Self – administered structured questionnaire sheet, was developed to collect data. Result: There were three quarters of study sample of pregnant women had unsatisfactory knowledge about oral health care during pregnancy. Conclusion: the current study concluded that most of the study sample had unsatisfactory knowledge regard oral health care during their pregnancy period. Recommendations: Emphasize the importance of oral health care during pregnancy to prevent the oral health problems for both mothers and their infants.
https://ejhc.journals.ekb.eg/article_26746_52ed3c6d2c2612e46cf039b9234987ec.pdf
2019-03-01
23
33
10.21608/ejhc.2019.26746
Pregnancy
Oral health disease
oral health care
Eman
Reda Mohamed
1
Maternity & Gynecological Nursing Department, faculty of Nursing - Alex University
AUTHOR
Nadia
Mohamed Fahmy
2
Maternity & Gynecological Nursing Department Faculty of Nursing Ain Shams University
AUTHOR
Sahar
Moussa Soliman
3
Maternity & Gynecological Nursing Department Faculty of Nursing Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
On-the-Job versus off Training of Nurses in Documentation of Nursing Practice
Background: Training, either on-the-job or off-the-job, is the only means that may improve such lack of competencies in documentation. Aim of the study: To investigate the differences between on-the-job and off-the-job training of nurses in documentation of nursing practice. Subjects and methods: This quasi-experimental study was carried out at the primary health care (PHC) centers in Giza Governorate on two cluster samples of 75 nurses each, one for on-the-job and the other for off-the-job training. A self-administered questionnaire was used for nurses’ knowledge and an audit sheet for their practice of documentation. The intervention consisted of a 2-day training in nursing documentation. Results: In total, only one (1.3%) nurse in each group had satisfactory pre-intervention, which increased to 94.7% in both groups after the intervention (p<0.001). Overall, no nurse in the two groups had adequate total audit before the intervention. After the intervention, none in the on-the-job and 4.0% in the off-the-job had adequate audit (p=0.24). Knowledge and audit scores significant positive correlation (r=0.698). Conclusion and recommendations: Both on-the-job and off-the-job approaches are effective in improving nurses’ knowledge of documentation, but with less effect on their audited achievement of documentation criteria
https://ejhc.journals.ekb.eg/article_26748_2e67217a4e32d4dc93c1d9ac4ee42359.pdf
2019-03-01
34
49
10.21608/ejhc.2019.26748
On-the-job
Off-the-job
Training
Nurses
Documentation Audit
Shaimaa
Gamal Hassan
1
Nursing Administration Department Faculty of Nursing - Ain Shams University
AUTHOR
Harisa
Mohamed Elshemy
2
Nursing Administration Department Faculty of Nursing - Ain Shams University
AUTHOR
Nema
Fathy Saad
3
Nursing Administration Department Faculty of Nursing - Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Factors Affecting Postoperative Nursing Performance in The Surgical Units
Postoperative care is very important phase for patient, as it can prevent or reduce the occurrence of the complications. Aim: Assess factors affecting postoperative nursing performance in the surgical units. Research design: A descriptive exploratory design. Setting: surgical units at Benha university hospitals. Subjects: Convenient samples of 75 nurses were worked at the previously mentioned setting at the time of data collection. Tools of the study: self-administered questionnaire and an observational checklist. Results: more than three quarters of the studied nurses had unsatisfactory level of knowledge, more than three quarters of the studied nurses reported that the total factors had an effective effect on their performance, about two thirds of the studied nurses had unsatisfactory level of practice, there were highly statistical significant relation between studied nurses' Knowledge and their experience, while there was statistically significant relation between studied nurses' knowledge and their job and their education, statistically significant relation between studied nurses' practice, their job, their experience and the courses which were taken, highly statistical significant relation between factors affecting nursing performance in the surgical unit and their age, while there was statistically significant relation between factors affecting nursing performance in the surgical units and their marital status and their experience, statistically significant relation between studied nurses' knowledge and studied nurses' practice, anda significant correlation between studied nurses' knowledge and a studied nurses' practice. Conclusion: It was concluded from this study that nurses' performance depends on education, training, experience and attending of courses. Recommendations: The study recommended the importance of implementing an educational training program to improve nurses' performance regarding management of patient after surgery, and recommended to develop a good nurse job description.
https://ejhc.journals.ekb.eg/article_26750_9b7c695b53fd86f7e3e00be261d8cac6.pdf
2019-03-01
50
64
10.21608/ejhc.2019.26750
Postoperative care
Nursing performance and factors affecting nursing performance
Ahmed
Hendy Gouda
1
Department of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Eman
Talaat Mohammed
2
Department of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Dalia
Ali Ameen
3
Department of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nurses' Compliance with Patient Safety Standards in an Accredited Hospital
Background: Patient safety standards are the most important of all accreditation standards. Aim of the study: to assess nurses' compliance with patient safety standards in an accredited hospital through assessing their knowledge, compliance, and documentation of patient safety standards. Subjects and methods: The study was carried out at "Dar Al-Shifa" Hospital using a descriptive cross-sectional design on 89 staff nurses. Data were collected using a self-administered questionnaire for nurses’ knowledge, an observation checklist for compliance, and an audit sheet for reviewing documentation. Results: Nurses’ age ranged between 19 and 55 years, mostly females (82.0%), with diploma degree in nursing (87.6%). Most nurses (84.3%) had satisfactory total knowledge of patient safety. Their compliance was lowest for hand hygiene (68.5%), and labeling medication containers (53.4%), while 86.5% had adequate total compliance, and 94.4% had adequate documentation. A significant positive correlation was found between the scores of compliance and related documentation (r=0.273). In multivariate analysis, training in leadership was a significant positive predictor of the compliance and audit score, whereas a higher qualification was a negative predictor. Conclusion and recommendations: The majority of staff nurses in accredited hospital have satisfactory knowledge of patient safety, adequate total compliance with patient safety standards, and adequate related documentation. All hospitals should to seek accreditation due to its positive impact.
https://ejhc.journals.ekb.eg/article_26753_19363fc7693709f447c12b8e99b8af9b.pdf
2019-03-01
65
79
10.21608/ejhc.2019.26753
Accredited hospital
Compliance
Patient safety standards
Shereen
Ywakaim Andrawes
1
Nursing Administration Department – Faculty of Nursing, Ain Shams University
AUTHOR
Samah
Faisal Fakhry
2
Nursing Administration Department – Faculty of Nursing, Ain Shams University
AUTHOR
Hemat
Abd El Azeem
3
Nursing Administration Department – Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Psychosocial Problems among Patients undergoing Coronary Catheterization
Background: Coronary catheterization can be a stressful experience for many patients because of its invasive nature and potential risks. Aim: Assess psychosocial problems among patients undergoing coronary catheterization. Setting: the cardiac department and cardiac care unit at Ain Shams University specialized hospital, Egypt. Sample: A purposive sample composed of 100 patients undergoing coronary catheterization attending the previous mentioned setting. Tools: First tool, socio demographic interviewing sheet. Second tool, disease history questionnaire. Third tool, Patients' psychological and social problems questionnaire. Results: The mean age of studied patients was 53.6±4.2, more than two thirds of them were married, more than one third of them had technical institute education, the majority of the studied patients were working, More than two thirds of the studied patients were males and more than half of the studied patients were had enough monthly income. There is a highly statistical significant relation between age, gender and marital status of the studied patients and their severity of psychosocial problems. Conclusion: About half of the studied patients were always fear from death, anxious due to unknown procedure about catheterization & fear from hearing that someone death due to catheterization. Also, more than one third of the studied patients were always had family support by frequent visits, need others help before and after procedure, fear from affecting sexual desire & feel fatigue when doing any activities. Moreover, more than one third of the studied patients were always change work style after catheterization procedure, decrease ability to prognosis & decrease working hours. One third of the studied patients were sometimes had medical insurance & treatment at the expense of the state, while one third of them was rarely not had enough monthly income. More than one third of the studied patients were always had psychological, social & work respectively. Recommendations: Further research studies are needed for ongoing assessment of patients including large sample for generalization of results
https://ejhc.journals.ekb.eg/article_26755_6683e42d945fd1756d067442457f8d5e.pdf
2019-03-01
80
90
10.21608/ejhc.2019.26755
Psychosocial Problems
Coronary catheterization
Mohammed
Atallah Mohammed
1
Psychiatric Mental Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Nevien
Mostafa El-Ashry,
2
Psychiatric Mental Health Nursing, Faculty of Nursing, Ain Shams University.
AUTHOR
Galila
Elganzory
3
Psychiatric Mental Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Quality of Life for Women Suffering From Pain Regard Cesarean Section
Aim: the present study aimed to assess quality of life for women suffering from pain regard cesarean section Design: A Descriptive study design Setting: This study was conducted at postpartum unit at Ain Shams University Hospital. Sample: purposive sample included 200 primary cesarean section women. Tool of data collection: interviewing questionnaire sheet, visual analogue scale, and quality of life sheet. Result: the mean age of the studied women was 26.23±4.01 years. The current result reveled that more than half of the studied women had severe pain post delivery within 20 minutes,2 hours,4 hours and 6 hours of operation respectively. Moreover, less than half of studied women had low level in physical domain while,more than half had moderate level in psychological domain. In addition, more than half of them had moderate level in social domain. There was statistically significance difference between socio-demographic characteristics and level of total score of quality of lifeConclusion: women were young age, pain score was severe, the studied women had low physical, moderate psychological and social quality of life Recommendation: Developing awareness program for enhancing woman's knowledge regarding improving quality of life post cesarean section. Further researches on, identify factors affecting quality of life for cesarean section during postpartum period.
https://ejhc.journals.ekb.eg/article_26757_b65db14a7d77c1d90f5bc3ca06b54ed7.pdf
2019-03-01
91
101
10.21608/ejhc.2019.26757
cesarean section
Postpartum
quality of life
Pain
Abeer
Mohammed Yousef Ahamed
1
Maternity & Gynecological Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Shadia
Hamido Mehaseb
2
Maternity & Gynecological Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Sahar
Mossa Soliman
3
Maternity & Gynecological Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Discharge Plan for Children undergoing Chemotherapy and Their Caregivers on Improving Practice and Coping Pattern
Parents dealing with childhood cancer face many different stressors throughout the course of their child's illness. The responsibility is often on caregivers. Aim of the study was to assess the effect of discharge plan for children undergoing chemotherapy and their caregivers on improving practice and coping pattern. Research design: Quasi - experimental design was utilized. Settings: The study was conducted at Children Hospital affiliated to Ain Shams University and Pediatric oncology unit in National Cancer Institute affiliated to Cairo University (NCICU). Subjects: Purposive sample of 50 caregivers of children undergoing chemotherapy were recruited from the previously mentioned settings. Tools: A data were collected by using; interview questionnaire format(before and after implementation of discharge plan) to assess informational needs, Observational checklists to assess practical needs, anxiety & depression scale and coping scale to assess emotional and psychological needs. Results: This study revealed that more than half of caregivers were primary school. Less than two thirds of caregivers‟ knowledge gained good scores after intervention. There is a statistically significant difference between caregivers' knowledge before and after implementation. Only one quarter of caregivers had no anxiety before intervention compared to less than half of them after intervention. Conclusion: This study concluded that caregivers who received discharge plan showed improving in knowledge and practice regarding care of their children, experiencing less level of anxiety and coping with stressful events during children illness. Recommendation: the study recommended that multidisciplinary team should be involved in teaching and helping the caregivers and their children to be managed from an apparently common sequence of physical and emotional reactions.
https://ejhc.journals.ekb.eg/article_26762_d41d8cd98f00b204e9800998ecf8427e.pdf
2019-03-01
102
116
10.21608/ejhc.2019.26762
Discharge plan
childhood cancer
Stress
anxiety
depression and coping
Amal
Bahy El-din Mohamed
1
Department of Pediatrics Nursing – Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
Iman
Ibrahim Abd Al-Moniem
2
Department of Pediatrics Nursing – Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
Lobna
Shalaby
3
Department of Pediatrics Nursing – Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
Salma
Elsayed Hassan
4
Department of Pediatrics Nursing – Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Health Educational Program for Females Blinded Adolescents Students regarding Reproductive Health
Aim of this study: This study was aimed to assess effect of audio teaching programme on blind girls about reproductive health knowledge & attitude. Design: A quasi-experimental design was applied to achieve the aim of the study. Setting: The study was carried out in El-Nor and El-Aml School in Cairo City( Mustafa Asaker), Elfayoum City& Benisuef City. Sample :purposive sample included 60(6%) blind girl were found in El-Nor and El-Aml school, staying and not staying at school. Criteria: Aged 12-19 years, blind girls, attained menarche, unmarried & able to communicate. Tool: Data was collected through An interviewing questionnaire which include three parts 1) socio-demographic characteristics of the girl 2) assess their knowledge about reproductive health. 3) Likert rating scale to assess attitude regard reproductive health. Results: after applying the audio teaching program the study shows high significant improvement in blind girl's knowledge and attitude regarding reproductive health post program with highly statistically differences (P<0.001). Conclusion: According to the finding and research hypothesis, the blind girl's in El-Nor and El-Aml schools their knowledge & Attitude were upgrading after implementation of the audio teaching program about reproductive health. Recommendations: The study recommended that continuous health educational program should be provided to adolescents blinded students& their teacher's about reproductive health & findings emphasize that information about reproductive health should be included in the school curriculum, and that there should be better communication between female students and their teachers, and between daughters and mothers.
https://ejhc.journals.ekb.eg/article_28780_5b0cc723a9dd62d178ee515a019529db.pdf
2019-03-01
117
132
10.21608/ejhc.2019.28780
Adolescent
Reproductive health
Blind girl
Knowledge
Attitude
Hala
Sabra Abd Elmegaly
1
Trainer in Ministry of Health, Egypt
AUTHOR
Aziza
Attia
2
Obstetrical/Gynecological Nursing, Faculty of Nursing Ain Shams University
AUTHOR
Sahar
Mossa Soliman
3
Obstetrical/Gynecological Nursing, Faculty of Nursing Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Assess Nurses’ Knowledge, Attitudes and Practice toward Physical Restraint for Psychiatric Patients
This study aimed to assess nurses‟ knowledge, attitude and practice toward physical restraint for psychiatric patients. Subjects and Methods: A descriptive study was conducted at psychiatric emergency departments at El-Abbassia Mental Health Hospital in Cairo. Sampling: A convenience sample of 100 nurses who are working in the previously mentioned settings. Tools: A structured questionnaire sheet to assess nurses‟ characteristics, their knowledge and their attitudes toward physical restraint. The second tool was an observational checklist to assess nurses‟ practice toward physical restraint. Results: revealed that nearly half of the studied nurses were aged between 20 to 30 years and nearly two thirds of them were females. Nearly half of the studied nurses were graduated from technical nursing institute and more than two fifths of them had less than 5 years of experience. Also, it was clear that more than two fifths of them had satisfactory level of knowledge about physical restraint. While two thirds of the studied nurses had incompetent level of practice regarding physical restraint and more than three quarters of them had negative attitude toward physical restraint. Conclusion: The study concluded that, the majority of the studied nurses had unsatisfactory level of knowledge, negative attitudes and incompetent level of practice 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 restraint of psychiatric patient.
https://ejhc.journals.ekb.eg/article_28781_785b8438b32313f60b1d497aadfc9854.pdf
2019-03-01
132
141
10.21608/ejhc.2019.28781
Physical Restraint
Nurses' knowledge
Attitudes
Practice
psychiatric patients
Shaymaa
Mahmoud Ahmed
1
Psychiatric/Mental Health Nursing, Faculty of Nursing, Beni Suef University
AUTHOR
Ghada
Mohamed Mourad
2
Psychiatric/Mental Health Nursing, Faculty of Nursing Ain Shams University
AUTHOR
Entisar
Mohamed Mahmoud
3
Psychiatric/Mental Health Nursing, Faculty of Nursing, Beni Suef University
AUTHOR
ORIGINAL_ARTICLE
Biopsychosocial Needs of the Patients Post Renal Transplant
Renal transplantation is the surgical implantation of a human functioning kidney from either living donor or a cadaver into a patient with end-stage renal failure. Aim of the study: to assess biopsychosocial needs of patients post renal transplant. Design: A descriptive exploratory design was utilized. Setting: this study was conducted at out-patient clinics of the National Institute of Nephrology and Urology in Matariya Hospital. Study subjects: A Purposive sample including all patients admitted to outpatient clinics in the previous mentioned setting. Data collection tools: 1)Patient`s interviewing questionnaire, it includes the following parts, 1) concerned with demographic characteristics of the study subjects (age, gender and marital status),2) Past medical history of patients under study,) Biopsychosocial needs assessment sheet including the following sections: A) Physical needs assessment, B) Psychological needs assessment, C)Social needs assessment, D) Educational needs assessment. Results: the study showed that, the common systemic needs among studied patients were cardiovascular system alterations followed by rest and sleep alterations. Regarding daily living activity function, it was found that more than one third of patients under study had severe function impairment. Conclusion: this study concluded that, regarding psychological needs, it was found more than one third of study subjects had moderate depression and extremely severe anxiety level. Recommendation: the study recommended supportive care services in any hospital care setting should be directed towards meeting biopsychosocial needs of patients post renal transplant.
https://ejhc.journals.ekb.eg/article_28784_43f0703d914c89a6208e63c0f099580d.pdf
2019-03-01
142
154
10.21608/ejhc.2019.28784
biopsychosocial
renal transplant
End Stage Renal Disease
Magda
Abd-El-Aziz
1
Medical Surgical Nursing Faculty of Nursing-Ain Shams University
AUTHOR
Mona
Nadr
2
Medical Surgical Nursing Faculty of Nursing-Ain Shams University
AUTHOR
Hala
Fouad El-Taher Mohammed
3
Medical Surgical Nursing Faculty of Nursing-Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Tertiary Trauma Survey: Nurses' Performance and Poly-trauma Patients Outcome
Tertiary trauma Survey is an important tool for detection of missed injury and some trauma units have created their own protocol for tertiary trauma surveys to decrease the incidence of missed injuries in trauma patients. Aim of the study: This study aimed to assess nurses' performance regarding tertiary Survey and Poly-trauma patients outcome. Research Design: A descriptive exploratory design was utilized. Subjects: A convenient sample of all available nurses (50 nurses) who are working in intensive care unit at Emergency Hospital affiliated to Ain Shams University Hospitals. A purposeful sample composed of (50) adult patients from both gender diagnosed as poly-trauma patients was recruited from the same unit. Methods: Data were obtained through three tools; Self-administered questionnaire for nurses, Nurses practice observational checklist tool and clinical outcomes tool for patients. Results: Nurses under study had unsatisfactory level of knowledge and practice regarding tertiary trauma survey. There were high statistically significance positive correlation between total level of knowledge and practice. There was difference between injury severity score and laboratory investigations and hemodynamic status, physical assessment and radiological findings of poly trauma patients on admission and after 24 hours. Conclusion: Less than half and less than one-third of the nurses under study had an unsatisfactory level of knowledge and practice respectively, regarding tertiary trauma survey and there were high statistical significance positive correlation between total level of knowledge and total level of practice. Poly-trauma patients' outcome, there was difference between injury severity score and laboratory investigations and hemodynamic status, physical assessment and radiological findings of poly trauma patients on admission and after 24 hours Recommendations: In research: Research is needed to follow the patients' outcome and missed injury. Replication of the current study on larger probability sample is recommended to achieve generalization of the results
https://ejhc.journals.ekb.eg/article_28787_152ebf23dbf9f74b9abc4f75410f5d0b.pdf
2019-03-01
155
177
10.21608/ejhc.2019.28787
Tertiary Trauma Survey
Poly-trauma
Patients Outcome
Nurses Performance
Zeinab
Salama Mohamed
1
Faculty of Nursing, Assiut University
AUTHOR
Neamatallah
Gomaa Ahmed
2
Medical Surgical Nursing, Faculty of Nursing - Ain Shams University
AUTHOR
Asmaa
Mohamed Mahmoud
3
Medical Surgical Nursing, Faculty of Nursing - Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Relationship between Quality of Work Life and Turnover Intention among Staff Nurses
Background: A high Quality of Working Life (QWL) is critical for healthcare organizations to attract and retain qualified, committed and motivated employees. Quality of working life refers to an employee‟s satisfaction with working life. Aim: The present study aimed to assess the relationship between quality of work life and turnover intention among staff nurses. Research design: Descriptive- correlational design was used in carrying out this study. Subjects: 148 nurses were included in the study. Setting: This study conduct at Alagouza Governmental Hospital. Tools: two self-administrated questionnaires namely: Quality of work life and Anticipated turnover scale. Results: There was a statistically significant correlation between total home life score and nurses' socio demographic characteristics, while there was a statistically significant correlation between total work design score, total work context score, total work world score, total quality of work life, total intending to leave score and nurses' socio demographic characteristics except with no training course. There was a negative statistically significant difference between nurses' intention to stay and intention to leave and intention to stay by their quality of work life perception. Conclusion: There was a highly positive statistically significant correlation between qualities of work life dimensions. There was a negative statistically significant correlation between quality of life dimensions and intending to leave. Recommendation: The nursing 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_28793_13a4ba7fa41e96ac13a4c2dba7a0f350.pdf
2019-03-01
178
193
10.21608/ejhc.2019.28793
Quality of Work Life
Intention turnover
Staff nurses
Eman
Mohamed Elshahat
1
Nursing Administration department-Faculty of Nursing –Ain shams unversity
AUTHOR
Mona
Mostafa Shazly
2
Nursing Administration department-Faculty of Nursing –Ain shams unversity
AUTHOR
Hemat
Abd - Elazeem
3
Nursing Administration department-Faculty of Nursing –Ain shams unversity
AUTHOR
ORIGINAL_ARTICLE
Training as a Means for Improving Staff Nurses’ Documentation Skills
Background: principals of communicating information among healthcare providers are through patient care documentation. Accurate, timely, thorough and concise documentation can be the deciding factor for whether a patient lives or dies. Aim: The present study was aiming at utilizing training as a means for improving staff nurses’ documentation skills. Subjects: 63 nurses were included in the study. Setting: The study was conducted at inpatient units at Al Helal hospital. This hospital is affiliated to Ministry of Health Specialized Medical Centers. Methods: three tools were used to collect data for this study. Knowledge assessment questionnaire, an observational checklist, Pre and post-test simple questions according to the title of each session. Results: slightly more than two fifth of staff nurses had high level of knowledge regarding total documentation dimensions in preprogram phase, while all staff nurses had highly knowledge in post phase and slightly decline at follow up phase with highly statistically significant improvement with all the phases of intervention. majority of staff nurses had low total performance level at preprogram phase while four fifth of them had high performance level at post phase and three quarter of them had high performance level after three months of training intervention with highly statistically significant improvement in total documentation performance level with all the phases of intervention. Conclusion: There was highly statistically significant improvement in total staff nurses’ documentation knowledge and performance level during post and follow up phase as compared with preprogram phase. This supported the study hypothesis which stated, staff nurses documentation skills will be improved after implementing the training intervention. Recommendation: dissemination of manual for new staff nurses contains documentation skills. Dissemination of information and research finding should be done online to improve its utilization.
https://ejhc.journals.ekb.eg/article_28800_5c43a30b0df350577fcf59668b8819ad.pdf
2019-03-01
194
207
10.21608/ejhc.2019.28800
Documentation skills
Staff nurses
Training
Reham
Gaber Abd-Elsattar Saker
1
M.Sc Nursing Administration Department- Ain Shams University
AUTHOR
Samia
Adam
2
Nursing Administration Administration Department- Ain Shams University
AUTHOR
Rabab
Mahmoud Hassan
3
Nursing Administration Administration Department- Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Stressors and Coping Patterns of Mothers Having Children with Epilepsy
Background: Mothers of children with epilepsy have significant worries and stress around the epilepsy diagnosis, comorbidities, treatments and management of disease that maintain over time. The aim of this study: To assessthe stressors and coping patterns of mothers having children with epilepsy. A descriptive Design was conducted at the outpatient clinic in the Neurological pediatric outpatient clinic affiliated to Ain Shams University Hospitals. Subjects: A purposive sample(100) of children suffering from epilepsy and their mothers. Tools of the study involved, structured questionnaire sheet to assess the children and their mothers,characteristics as well theirknowledge about epilepsy. ParentingStress Index to assess parents, stress. Also, Coping patterns scale to assess the mothers, coping patterns toward their children suffering from epilepsy. Results: The present study revealed that, the mean age of the children was 5.78±3.9 years and more than two fifth of them were ranked as the third child and more in their families. More than half of the children were male. The mean age of the mothers was 32.2±6 years and less than one third of them had secondary education. As regards the mothers, occupation, the majority of them were housewives. More than one third of the mothers had a moderate level of psychological stressors,while, more than half of them had a moderate level of social stressors and less than two thirds of them have high levels of physical stressors. Additionally, more than half of the mothers had a moderate coping patterns regarding their children with epilepsy. Conclusion: The results of this study concluded that, themothers of children with epilepsy are facing with many stressors resulting from their children with epilepsy; these stressors included physical, psychological and social stressors and moderate coping patterns regarding their children with epilepsy. Recommendation: Emphasize the importance of availability and distribution of pamphlets and booklet containing the basic knowledge for mothers about the disease of their children.
https://ejhc.journals.ekb.eg/article_28801_ca95299ec4fa38ab6fe9fe8cb8d2ef93.pdf
2019-03-01
208
222
10.21608/ejhc.2019.28801
Epilepsy
stressors
coping patterns
children
Mothers
El-Marzky
NM
1
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
El -Sharkawy
SS
2
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Adly
RM
3
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Hassan
SE
4
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Repetitive Negative Thoughts and the Vulnerability for Emotional Problems among Adolescents
Repetitive negative thoughts are generally viewed as a specific cognitive vulnerability factor that seems to be involved in the etiology and maintenance of emotional problems. The existing study aimed to investigate the role of repetitive negative thoughts in the vulnerability for emotional problems and determine the prevalence rates of this problems among secondary schools' adolescents, hence, a descriptive cross sectional study design was used. A self- administered questionnaire sheet was used to collect data from 480secondary schools' student. Study results revealed that there were significant positive correlation between neuroticism as an indicator of general vulnerability, repetitive negative thoughts and emotional problems. Whereas, behavioral inhibition had a significant negative correlation with repetitive negative thoughts and emotional problems. Further, more than three quarter (77.6%) of the studied students have symptoms of depression and majority (87.3%) of the studied students have symptoms of anxiety. Conclusion, depression and anxiety had high prevalence rates among adolescents. also, repetitive negative thoughts contribute to adolescents' vulnerability for depression and anxiety. Consequently it is recommended to Conduct school and community-based mental health promotion and prevention programmes directed toward adolescents, their families, educational staff and others who have direct contact with adolescents. And consider repetitive negative thoughts clinically can be effective in treatment of depression and anxiety.
https://ejhc.journals.ekb.eg/article_29844_803d9acb9f6a8dba678aa55e0ad6b67c.pdf
2019-03-01
223
239
10.21608/ejhc.2019.29844
Repetitive negative thoughts
Neuroticism
Behavioral inhibition Secondary schools' adolescents
Emotional problems
Mai
Mohammed Elsayed Abozaid
1
Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Zagazig University, Egypt
AUTHOR
Amira
Ahmed Fouad
2
Psychiatric Medicine Department, Faculty of Medicine, Zagazig University, Egypt
AUTHOR
Hanem
Ahmed Abd Elkhalek
3
Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Zagazig University, Egypt
AUTHOR
Rehab
FathyAbd elhady
4
Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Zagazig University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Quality of Life for Women after Hysterectomy
The aim of this study was to: assess quality of life for women after hysterectomy. Design: Descriptive study. Setting: The study was conducted at the outpatient clinics of Ain Shams University Maternity Hospital and Bab El Sha'rya University Maternity hospital. Sampling: Purposive sample of 160 women with hysterectomy. Data collection: Two tools were used; 1st tool: An interviewing questionnaire included six parts: Part I: Socio-demographic characteristics, Part II: a) Reproductive history b) Health history, Part III: Factors related to hysterectomy, Part IV: a) Assessing health complaints after hysterectomy b) Assessing health problems after hysterectomy c) Assessing health needs after hysterectomy, Part V: Assessing women's knowledge about hysterectomy, Part VI: Assessing women's quality of life after hysterectomy. 2nd tool: Follow up medical record Results: Family history, unhealthy life style, and obesity were found to be associated factors with hysterectomy. Most of women had unsatisfactory knowledge regarding hysterectomy. Constipation, osteoporosis, dyspareunia, and anxiety were found to be the most health problems after hysterectomy. More than three quarters of women were not compliant with follow up after hysterectomy. Less than half of women reported poor quality of life after hysterectomy. Conclusion: A highly statistically significant difference was found between the studied women's knowledge and their quality of life after hysterectomy. Statistical significant differences were found between the studied women's socio-demographic characteristics and their knowledge, their compliance with follow up, and their quality of life after hysterectomy. Recommendations: This study recommended increasing the awareness among women after hysterectomy through effective educational programs, carrying out effective discharge plans for women with hysterectomy including follow up visits schedule, the required examinations and healthy lifestyle guidelines.
https://ejhc.journals.ekb.eg/article_33511_a884bc8df955068d4c2d22a957f4f2de.pdf
2019-03-01
240
252
10.21608/ejhc.2019.33511
Hysterectomy
quality of life
Eman
Ali Mahmoud Mohammad
1
Community Health Nursing Department, Faculty of Nursing- Ain Shams University
AUTHOR
Hala
Mohamed Mohamed
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
Impact of Self Learning Package on Nurses' Performance about Care of Head Injury Children
The aim of the study was to assess the impact of self-learning package regarding care of children with head injury on nurses' knowledge and performance. Research design: A quasi experimental study was utilized for conducting the study. Settings: The study was carried out in Neurosurgery Department, Emergency Department and Pediatric Intensive Care Unit at Benha University Hospital. Subjects: A purposive sample consisted of 100 nurses working in the previously mentioned settings and providing direct care for children having head injury. Tools and data collection: A questionnaire formats to assess nurses' knowledge, and observation checklists to assess practices followed by administration of the self-learning package. Results: The study revealed that there was a statistical significant difference between nurse's performance about care of children with head injury pre and post implementation of the self-learning package. Conclusion: The study concluded that, the implementation of self-learning package upgrade nurses' performance regarding care of children with head injury. Recommendations: The self-learning package for nursing care regarding head injury in children should be available in Neurosurgery Department, Emergency Department and Pediatric Intensive care Unit to be followed by all nurses and updated periodically. Further researches should be performed in a large scale for generalization of the research results.
https://ejhc.journals.ekb.eg/article_33512_f503a3c58abca100eb427665b751ac2c.pdf
2019-03-01
253
267
10.21608/ejhc.2019.33512
Self-Learning Package
Head Injury
Nurses' Performance
Heba
Ismail Abd El-Azim
1
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Iman
Ibrahim Abd El-Moniem
2
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Hossam
Ibrahim Maati
3
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Madiha
Amin Morsi
4
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Motivation and its Influence on Staff Nurses' Intention to Quit
Background: Nurses are very vital and valuable asset of hospitals. A hospital’s success might not be realized without its nurses' support and involvement. Nurses need to be motivated to be able to provide quality of patient care and retain in their work place. Aim: this study aimed to assess the influence of motivation on staff nurses' intention to quit Research design: A descriptive correlational design used in this study. Setting: Ain Shams University hospitals. Study subjects243staff nurses were included in the study, simple random sample was used. Data collection: two tools used to collect data motivation scale and staying or leaving index, Results: about half of studied subjects had low motivation level,less than one quarter of studied staff nurses had high motivation level, less than half of studied staff nurses had moderate level of intention to quit. Conclusion: There was statistically significant correlation between motivation and intention to quit. Recommendations: conducting periodical meeting between hospital mangers and staff nurses to discover work problems and develop solutions for these problem. Hospital management has to appreciate staff nurses sharing in decision making.
https://ejhc.journals.ekb.eg/article_33513_3e8c502d6a8efb78b9cd70d867be4945.pdf
2019-03-01
268
273
10.21608/ejhc.2019.33513
Intention to quit
motivation
Staff nurses
Rabab
Mahmoud Hassan
1
Nursing Administration Department, Faculty of Nursing, Ain Shams University
AUTHOR
Nema
Fathy Saad
2
Nursing Administration Department, Faculty of Nursing, Ain Shams University
AUTHOR
Mansura
Aid Abed Elsalam
3
Nursing Administration Department, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Association between Time of Ambulation and Clinical Outcome of Patients after Cardiac Catheterization
Cardiac catheterization is the gold standard diagnostic test for coronary heart disease. The aim: the present study was conducted to assess the association between time of ambulation and clinical outcomes of patients after cardiac catheterization. Methodology: Setting: the study was conducted at the cardiac catheterization units at Ain Shams University Hospital and Ain Shams University Specialized Hospital. Design:The descriptive exploratory research design was utilized in this study. Subject: A purposive sample of 150 patients was used in the study. Tools: 1) Patients’ interview questionnaire to assess patients' demographic characteristics data and patients' medical history. 2) Patient post cardiac catheterization clinical outcomes which included Vital signs: (temperature, blood pressure, respiration, pulse), O2 saturation, lower peripheral perfusion and cardiac catheterization site assessment. 3) Visual Analogue Pain Scale to assess pain intensity. 4) Anxiety Scale to measure the level of anxiety. Results: there was a highly statistically significant relation between patients' age and vital signs reading at the fourth hour after ambulation p value is<0.001, and there was a statistically significant relation between patients' age and pain intensity in the first and the second hour p value is <0.05, also there was a highly statistically significant relation between them in the fourth hour after ambulation p value is <0.001. Where pain intensity decreased among the patients at the fourth hour'. And there was no statistically significant relation between patients' gender and pain after cardiac catheterization p value is >0.05. Conclusion: Patients on supine position with restricted on bed rest increased the intensity of back pain level at a time (1h) and then decreased at the time third and fourth hour after cardiac catheterization. Recommendation: early ambulation after cardiac catheterization is safe and its' suggested to improve patients' outcomes.
https://ejhc.journals.ekb.eg/article_33515_d4082134742bc17276ee58b40f8568ae.pdf
2019-03-01
274
285
10.21608/ejhc.2019.33515
Cardiac Catheterization
POSITION
Early ambulation
outcomes
patients
Marwa
Ramadan Abdelateif
1
Medical Surgical Nursing, Faculty of Nursing
AUTHOR
Salwa
Samir Ahmed
2
Medical Surgical Nursing, Faculty of Nursing
AUTHOR
Neamatallah
Gomaa Ahmed
3
Medical Surgical Nursing, Faculty of Nursing- Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Health Awareness program towards minimize Symptoms of Menopause women
Background: Menopause is a normal part of life. Menopausewomen experience a widerange of menopause symptoms, that effect on lifestyle patterns and physical, psychological, socialand spiritual. Menopausal symptoms will different from woman to other and difficultly todetermine severity of symptoms. Design: Aquasi-experimental study was used utilized for theconduction of this study at menopause women. Aim of the study: to evaluate the effect ofhealth Awareness program towards minimize symptoms of menopause women. Setting: studywas conducted at outpatient clinics of the maternity and gynaecological hospital affiliated to AinShams University hospitals. Sample: purposive sample included 60 menopausal women wasused. Tools of data collection were : 1). structured questionnaire which divided into two parts forassessing the socio demographic characteristics, second part was assessing menopause women‟sknowledge(pre / post-tests). 2). an observation checklist (pre / post-tests) to evaluate women‟sreported practice toward menopausal symptoms. Results: the majority of studied menopausalwomen were married and half of them housewife In addition there were statisticallysignificant improvement to minimize menopausal symptoms were in post-tests compared topre-test through effect of awareness program(p-value<0.001**) Conclusion Health awarenessprogram had positive efficient on improving menopausal women„s knowledge and practicetoward menopausal symptoms. Recommendations: Increase women awareness about permenopausal period so reduce the severity of menopausal symptoms. Also further researchaddressing women's health needs is also essential for improving the quality of life of menopausalwomen.
https://ejhc.journals.ekb.eg/article_68583_dce935cd540f117baad07bd376d31290.pdf
2019-03-01
286
296
10.21608/ejhc.2019.68583
Symptoms of Menopause
minimize
Health Awareness program
Menopause women
Fatma
A. Eiz - Elregal
1
Community Health Department, Faculty of Nursing, Fayoum University
AUTHOR
Sabah
A. Abd El Haleem
2
Fellow of Community Health nursing in Obstetrics and Gynecological hospital. Ain Shams University
AUTHOR
Almandouh.
H.Bosilah
3
Obstetrics and Gynecological Department. Faculty of Medicine Fayoum University
AUTHOR
ORIGINAL_ARTICLE
The Effect of Safety Measure Educational Guideline on Knowledge, Practice and Adverse Health Outcomes among Pesticide Workers
Background: Pesticides are chemicals that are used to kill or control pests which includeinsects and rodents, in addition to a virus, bacteria, fungi, and other organisms. They play akey role in the protection, prevention, responding to outbreaks, and control of infectiousdiseases. The continuous exposure of the workers to pesticides leads to adverse healthoutcome due to that the workers do not apply safety measure guideline. Aim: of this study wasto evaluate the effect of safety measure educational guideline on knowledge, practice andadverse health outcomes among pesticide workers. Subjects and methods: Design: A quasiexperimental design (one group pre/posttest) was used for the conduction of this study.Setting: The study was conducted at all sections of disease vector control of the GeneralDepartment of Vector Control, in the Directorate of Health Affairs, at Cairo Governorate. Thesample: A convenient sample from (120) pesticide workers. Tools of data collection: Thestudy included three tools: A structured interview questionnaire, an observation checklist(pre/post-tests) and a self-reported health assessment sheet of adverse health outcomes ofpesticide workers. Results: All of the pesticide workers were male with a mean age33.2 ± 4.7and less than two third are married. The study denoted that there were poor total knowledgeand inadequate total practice score pre educational guideline and highly significant (p=0.000)improvements of total score of workers knowledge and practice at the post-test. Conclusion:The educational guideline had a positive effect on pesticide workers knowledge and practice.In addition , a significant reduction was observed in posttest regarding adverse healthoutcomes. Recommendations: Periodic safety measure educational guideline for all workersexposed to pesticides with continuous use of personal protective equipment and followingsafety instructions.
https://ejhc.journals.ekb.eg/article_106793_1135efa8996d536d560e6e0d32e36270.pdf
2019-03-01
297
315
10.21608/ejhc.2019.106793
Pesticide workers
safety measure
educational guideline
adverse health outcomes
Fatma A.
Eiz–Elregal
1
Community Health Nursing , Faculty of Nursing , Fayoum University
AUTHOR
Shimaa
Mabrouk
2
Public health and community medicine, faculty of medicine, Fayoum University
AUTHOR
Hend Hassan
Ali
3
Community Health nursing in Obstetrics and Gynecological hospital .Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Empowerment of Self-Care Management Among Women Using Vaginal Pessaries on Vaginal Symptoms and Quality of Life
Background: A vaginal pessary is one type of nonsurgical treatment for pelvicorgan prolapse, which preferred by a wide of women with pelvic organ prolapse.The aim of the current study was to evaluate the effect of empowering selfmanagement among women using vaginal pessaries on vaginal symptoms andquality of life. A Quasi-experimental design was utilized in the current study.Setting: The study was conducted in outpatient clinic affiliated at Obstetrics &Gynecological Department at Banha University Hospital during the period fromJanuary 2017 and completed at the end of December 2017. Subjects: A purposivesample of total 80 women using vaginal support pessaries. Tools: Three tools wereused for data collection, general characteristic interviewing questionnaire, pessariesrelated knowledge and reported self -care practice assessment tool, TheInternational Consultation on Incontinence Modular Questionnaire & the prolapsequality of life tool. Results of the study showed a highly statistically significantdifferences regarding knowledge and self-care practice vaginal support pessariesand quality of life at different times of assessment (p < 0.000). Conclusion:empowerment of self-management among women using vaginal pessaries washighly effective on reducing severity of vaginal symptoms and improving qualityof life. Recommendation: Based on the findings of this study the followingshould be recommended: The nurses should be familiar with self-care measures forvaginal pessaries in addition to more researches should be conducted consideringthe demographic and obstetric factors that have a crucial role in precipitating selfmanagement for vaginal pessary.
https://ejhc.journals.ekb.eg/article_141629_57b59a48501ec2ce1da6429f053150a6.pdf
2019-03-01
316
339
10.21608/ejhc.2019.141629
Empowerment- self management
quality of life
vaginal pessary
vaginal symptoms
Aziza
Ibrahim Mohamed
1
Assistant Professor of Obstetrics and Woman Health Nursing, Faculty of Nursing, Banha University
AUTHOR
Nadia
Abd Elhamed Eltohamy
2
Lecturer of Maternal and Newborn Health Nursing Faculty of Nursing, Helwan University
AUTHOR
ORIGINAL_ARTICLE
Effect of Topical Insulin on Diabetic Wound Healing among Patients with Diabetic Foot Ulcer
Diabetic foot ulcer is a debilitative disease with severe consequences in diabetic patients. Woundhealing is a complex biological process that restores skin integrity. Conventional dressings werefound ineffective for these ulcers. Insulin accelerates wound healing in diabetes by enhancinggrowth of different cell types and affects proliferation by keratinocytes, endothelial cells, andfibroblasts. Aim of the study was to evaluate the effect of topical insulin on diabetic wound healingamong patients with diabetic foot ulcer. Research design: A quasi experimental research designwas utilized. Settings: The study was conducted at inpatient vascular surgery department atAlexandria Main University Hospital. Tools of data collection: One tool was used for datacollection. It consisted of two parts. Part I: Socio demographic and clinical data and Part II: BatesJensen wound assessment tool. Results: The result of the study revealed that there was statisticalsignificant improvement in all items of foot ulcer assessment in the study group over control aftertwo and three weeks of daily topical insulin dressing. There was statistical significant improvementin diabetic foot ulcer severity among the study and control groups after one week, after two andthree weeks daily topical insulin dressing. The findings of the present study also showed thatdiabetic foot ulcer in the study group need less time than the control group for complete healing.Conclusion: This study concluded that patients with diabetic foot ulcer who receive topical insulindressing exhibit enhanced healing rate than patients who do not receive such intervention.Recommendations: Incorporate the technique of topical insulin dressing in clinical nursingcurricula, evaluate this method on other type of wound than diabetic foot ulcer and in servicetraining programs for nurses about topical insulin wound dressing.
https://ejhc.journals.ekb.eg/article_149444_ddc8a72ca30981ec737a71e9a68a1e72.pdf
2019-03-01
340
356
10.21608/ejhc.2019.149444
diabetic foot ulcer
Topical insulin
Wound healing
Noura
Mahmoud Elrefaey
1
lecturer, Medical-Surgical Nursing, Faculty of nursing, Matrouh University, Egypt
AUTHOR
Hoda
Abdou Abd El-Monem El-Deeb
2
lecturer, Medical-Surgical Nursing, Faculty of nursing, Alexandria University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Prenatal Coping Patterns Mediate The Effect of Uncertainty and Perceived Social Support on The Psychological Well-Being of High-Risk Pregnant Women
Background: High risk pregnancy can introduce additional psychological stress on thepregnant women. Also, poor coping skills during pregnancy are associated with negative outcomes.The effects of perceived social support and uncertainty on the psychological well-being of highrisk pregnant women can be mediated by their prenatal coping patterns. Aim: This study aimed toassess the mediating effects of prenatal coping patterns of the perceived social support, anduncertainty on the psychological well-being of high-risk pregnant women. Design: A crosssectional, correlational study design was utilized on 162 high-risk pregnant women according tocertain inclusion criteria and who were attending outpatient clinic in Obstetrics and GynecologyHospital affiliated to Ain Shams University Hospitals. Tools of data collection: The data wascollected using an interview questionnaire that included five sections as the following: 1) patient'sdemographic characteristics and obstetric history 2) The Mishel Uncertainty in Illness Scale; 3) TheMedical Outcomes Study (MOS) Social Support Survey; 4) The Prenatal Coping Inventory; 5) andThe Psychological General Well-Being Index. Results: data and path analysis revealed that,planning/preparation for motherhood negatively mediated the effect of uncertainty onpsychological wellbeing of high-risk pregnant women; planning/preparation for motherhoodmediated the effect of perceived social support on psychological wellbeing of them; and perceivedsocial support had direct effect on psychological wellbeing of the studied subject. Regarding thepsychological well-being, perceived social support, uncertainty, and prenatal coping pattern of thestudied high-risk pregnant women, less than half of them had moderate psychological distress, lessthan two third of them had high perceived social support, more than two third of them reported lowlevel of uncertainty, the majority of them reported less use of avoidance, less than two third of themreported less use of spiritual coping, whereas more than three quarters of them reported frequentuse of planning/preparation for motherhood. Conclusion: The study concluded that prenatal copingpatterns (problem focused coping) mediated the effects of uncertainty and perceived social supporton the psychological well-being of the studied high-risk pregnant women. Recommendation:Incorporating psychosocial assessment in routine prenatal screening for women experiencingmedically complex pregnancies with continuous and routine screening for depression and anxiety
https://ejhc.journals.ekb.eg/article_156876_1eb6250d0053fc0390dfb34365a19ecc.pdf
2019-03-01
357
376
10.21608/ejhc.2019.156876
Prenatal coping
uncertainty
perceived social support
Psychological wellbeing
high
risk pregnant women
Fatma
Mohammed Ibrahim Morsi
1
Psychiatric/Mental Health Nursing- Faculty of Nursing - Ain Shams University
AUTHOR
Zienab
Mohammed Ibrahim Morsi
2
Psychiatric/Mental Health Nursing -Faculty of Nursing - MTI
AUTHOR
ORIGINAL_ARTICLE
Efficiency of Self-care Education on lifestyle Secondary School Students
Now a day a high prevalence of unhealthy dietary intake habits, poor hygienic care, sedentary life aswell as physical inactivity among secondary school adolescents is a major health concern.Therefore, the aim of the present study was to evaluate the efficiency of self-care education onlifestyle of secondary school students. Methods: Design: A quasi-experimental research design wasconducted during the years 2017-2018. Sample: The study sample included 200 students whichselected randomly from two secondary schools at Port Said City. Tools for data collection: Itincluded: A structured questionnaire was developed and designed by the researchers to collect data,it consisted of two parts: part (1): question related to age, dietary habits, hygienic care, sedentarylife and bodily exercise, part (2): Assessment of anthropometric measurement. Results: Femaleswere somewhat younger than Males, males were taller, obese and females had significantly lowermean of BMI than males. The studied sample had mean moderate -intensity physical activity andvigorous -intensity physical activity and poor hygienic care pre interventions which improved postimplementation of education. Majority of secondary school students spent more than 4 hours onMobile daily, which decreased significantly after the self-care education. The studied sample hadpoor dietary habits pre which corrected post implementation of education and there was highlystatistically significant improvement (P ≤ 0.001).before training which increased after training(p < 0.05). The majority of them did not have breakfast, fruit, vegetables which were significantlyimproved after implementation of self-care education, p < 0.01. The studied sample had mean highsedentary time pre interventions which decreased post implementation of education and there washighly statistically significant improvement (P ≤ 0.001). Concerning sleep hours, there was highlystatistically significant improvement (P ≤ 0.001) which increased post implementation of self-careeducation. Conclusions: Findings from the present study confirms that self-care education hadpositive effects on enhancement of healthy lifestyles such as practicing bodily exercise, personalhygiene, Lessing of sedentary life, promoting sleeping and eating habits of secondary schoolstudents. Recommendation: There is a crucial necessity for developing self-care educationregarding healthful eating, lessening sedentary and encourage bodily activity, improving personalhygiene, promoting sleeping, and eating habits amongst secondary school students.
https://ejhc.journals.ekb.eg/article_163258_88a543ea97e6cda0f2ced71367b873e0.pdf
2019-03-01
377
388
10.21608/ejhc.2019.163258
Self-care education
Lifestyle
Secondary school students
Naglaa
Gida
1
Family and Community Health Nursing Department, Faculty of Nursing, Port Said University, Port Said, Egypt
AUTHOR
Jihan
Mahmoud Farrag
2
Pediatric Nursing Department, Faculty of Nursing, Port Said University, Port Said, Egypt
AUTHOR
Hanaa
Mohamed Ibrahim Nassar
3
Pediatric Nursing Department, Faculty of Nursing, Port Said University, Port Said, Egypt
AUTHOR
Eman
El-Sherbeny
4
Department of Community Health Nursing, Faculty of Nursing, Beni- Suef University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Organizational Justice and Organizational Commitment among Faculty Staff and their Assistants
Background: Nowadays, human resources is the most important input for all of the organizations. From this aspect, the justice within the organization and the organizational commitment are undoubtedly the most important elements in using the human factor efficiently. Aim of the study: This study aimed at identifying the relationship between organizational justice and organizational commitment of faculty staff members and their assistants in (Beni-sueif and El-fayoum)faculties of nursing design: a descriptive correlational study design was utilized. Subjects the study was conducted on 196 faculty staff members and their assistants setting: the study was carried out at Beni-sueif and El-fayoum faculties of nursing. Tools: two tools were used to collect data. First tool: self-administered questionnaire sheet which was consisting of two main parts. Part: sociodemographic data sheet and part: organizational justice questionnaire sheet. Second tool: organizational commitment questionnaire sheet. Results: the study revealed that, faculty staff members and assistants had low organizational justice and commitment with relatively high percentages of high organizational justice and commitment among faculty staff members than assistants; 42.6%with high organizational commitment of faculty staff members in front of 29.2% of assistants, regarding organizational justice. percentage of faculty staff members with high organizational justice was 40.4% while among assistants it was 24.8% , the dimensions of organizational commitment ranged as following: continuance commitment are the highest then normative then affective commitment is the least and the highest percentage of organizational justice dimensions was interactional justice and the lowest was distributive justice. Conclusion: there were statistical significant positive correlation between organizational justice dimensions and organizational commitment dimensions: r=.635. Recommendations: conduct training courses for the faculty administrators on the importance of organizational justice perception on organizational commitment.
https://ejhc.journals.ekb.eg/article_193560_b6df072dee677e370cd5a93c7d813c7d.pdf
2019-03-01
389
401
10.21608/ejhc.2019.193560
Organizational justice
organizational commitment
Mona
Mostafa Shazly
1
Professor of Nursing Administration, Faculty of Nursing - Ain Shams University
AUTHOR
Sanaa
Hassan Mohammed
2
Lecturer of Nursing Administration
AUTHOR
Ahmed
Farghaly Towfik
3
B.Sc. In Nursing
AUTHOR
ORIGINAL_ARTICLE
Nurses' Perception Toward Their Professional Rights And Its' Relation To Their Job Satisfaction, Professional And Organizational Commitment
Background: Nurses play a vital role in the healthcare system, providing continuous 24-hour careto hospitalized patients. Nurses established themselves as an essential element of otherdisciplines within the hospitals. Aim: The present study aimed to assess nurses' perception towardtheir professional rights and its' relation to their job satisfaction, professional and organizationalcommitment. Design: A descriptive correlational design was utilized to achieve the aim of thepresent study. Sample: A convenient sample (n=118) of nurses who working at Internal MedicineHospital and who agreed to participate in the study were included. Setting: The study wasconducted at Internal Medicine hospital at Cairo University Hospitals. Tool: Four questionnaireswere used as follow; nurses ' perception toward their professional rights, nurses` job satisfactionscale, nurses` professional commitment questionnaire and nurses` organizational commitmentquestionnaire. Conclusion: The current study concluded that, more than half of the sample wasperceived their professional rights and more than half of the sample was satisfied with their job andmore than half of the sample was not committed to nursing profession, while, near to the half of thesample was committed to their organization. Moreover, there was a highly statistically negativecorrelation between staff nurses' professional rights and their job satisfaction. In addition, there wassignificant positive correlation between nurses` professional and organizational commitment andnurses` perception about their rights. Recommendation: Increasing the awareness of nursingpersonnel about their professional rights by holding workshops and lectures on a regular basisthrough the training and education department team in the hospital and monitor and report hospiceprofessional nurse's turnover rates periodically in light of management's enhanced focus onimproving nurses` satisfaction, professional and organizational nurse's commitment.
https://ejhc.journals.ekb.eg/article_197889_8b50713e8142993f16f0a058daebe517.pdf
2019-03-01
402
419
10.21608/ejhc.2019.197889
Nurses' Professional Rights
Nurses Job Satisfaction
Professional Commitment and Organizational Commitment
Shaimaa
Hassan Mekawy
1
Lecturer, Nursing Administration Department, Faculty of Nursing, Cairo University, Egypt
AUTHOR
Shaimaa
Ali Mohamed Ismail
2
Lecturer, Nursing Administration Department, Faculty of Nursing, Cairo University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Early Marriage and Associated Health Consequences among Female Children in Giza Governorate
Background: Early marriage known as child marriage, is defined as any marriage carried out belowthe age of 18 years, before the girl is physically, physiologically, psychologically and social ready toshoulder the responsibilities of marriage and childbearing. Early marriage therefore has majorconsequences for public health, national security, social development, human rights, economicdevelopment and gender equality. Aim: assess associated health consequences regarding earlymarriage among female children in Giza Governorate. Methodology: design: descriptivecorrectional design was utilized at August 2018 - November 2018. Setting: Baharms village atManshiat El-kanater center in Giza Governorate. Subject: Simple random sample included 100girls experienced with early married before 18 years. Tools of data collection: Tool I: Pre designedinterview questionnaire sheet included demographic data related marriage. Tool II: Bio-psychosocialhazards questionnaire sheet among female children. Results: 37% of the selected female childrenexposed to aged from 16 – 18 year during married. 75% of selected female children had previousearly marriage in their families. 76% of the female children did not have enough information aboutmarriage before their marriage. 41% of the selected female children forced marriage. Conclusions:The current study indicated that more than half of the selected female children experiencedmenstrual disorders, vaginal tearing and bleeding from the effects of intercourse, While the currentstudy showed that the selected female children experienced violence, troubles in the sexualrelationship. Regarding social hazards, the majority of the selected female suffered from withdrawalafter marriage, and the majority of them did not support the idea of early marriage. There was highlystatistically significant with positive correlation between biological hazards and psychologicalhazards. Also, there was highly statistically significant with positive correlation biological and socialhazards. As well as, there was highly statistically significant with positive correlation betweenpsychological and social hazards regarding early marriage. Recommendation: Applying healtheducation program among female students in preparatory schools and their caregivers to increasetheir awareness regarding early marriage and health consequences. Periodic follow up for femalechildren by midwifes, obstetrics and gynecological nurse and family health nurses to detect healthconsequences related early marriage. Home visiting home visit for female children to detectbiopsychosocial problems due to early marriage
https://ejhc.journals.ekb.eg/article_213861_1ec7daa053006861bb2223b8872f72a3.pdf
2019-03-01
420
435
10.21608/ejhc.2019.213861
early marriage
Associated Health Consequences
female children
Mona
Abd-El-Kareem Hegazy
1
Lecturer of Community Health Nursing, Faculty of Nursing, Cairo University, Egypt
AUTHOR
Abeer
Nasr-El-Deen Elsadek
2
Lecturer of Maternity and Newborn Health Nursing, Faculty of Nursing, Beni Seuf University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Nurses’ Advocacy toward Patients and its Relation toward Patients’ Satisfaction
Background: Advocacy is the essence of nursing’s professional commitment to the preservation of human rights, protection of patients from harm, and the provision of quality patient care. Aim: To investigate the nurses’ advocacy toward patients and its relation toward patients’ satisfaction. Design: Descriptive correlational design was used in this study. Sample: The study subjects included (33) nurses and (120) patients both male and female. Setting: Data was collected from inpatient units at Badr University Hospital affiliated to Helwan University in Egypt. Tools: Two tools were used for data collection: Protective Nursing Advocacy Scale and Patients’ satisfaction toward advocacy questionnaire. Results: The majority of studied nurses had high advocacy toward their patients (91.9%), and the majority of studied patients were highly satisfied with nursing advocacy (98.2%). Conclusion: The study concluded that, there was a moderate significant positive correlation between total protective nursing advocacy scale and total patients’ satisfaction toward nursing advocacy, which answer the research question Recommendations: Incorporate nursing advocacy concepts and patient rights into the nursing curriculum in order to cultivate growth of the nursing student’s advocacy abilities needed to work with patients in different clinical settings.
https://ejhc.journals.ekb.eg/article_226273_f66e3303526bbfdd787d60ae6cc3f304.pdf
2019-03-01
436
447
10.21608/ejhc.2019.226273
patients’ satisfaction
Nurses’ Advocacy
Aliaa
Ezz Eldin Abd Elmoaty
1
Clinical Instructor in Nursing Administration Department, Faculty of Nursing- Helwan University
AUTHOR
Eman
Salman Taie
2
Professor and Head of Nursing Administration Department, Faculty of Nursing -Helwan University.
AUTHOR
Hoda
A. El-Guindy
3
Assistant Professor of Nursing Administration Department and Vice dean of education and students' affaires, Faculty of Nursing, Beni-Suef University.
AUTHOR
ORIGINAL_ARTICLE
Impact of Glasgow Coma Scale training program on Nurses’ knowledge and practice in the neurological department
Background: The neurological care nurse practices the Glasgow Coma Scale (GCS) as a consistent, reliable, and objective neurological tool used to assess the alteration in consciousness level. Aim: assess the impact of the Glasgow coma scale training program on nurses’ knowledge and practice in the neurological department. Research Hypotheses: there will be significant differences in the total mean score knowledge and practice of neurological care nurses before and after implementing the training program. Research design: A quasi-experimental research design (single-group interrupted time series design). Sample: A convenience sample of 34 nurses who worked at neurological and stroke departments. Result: most of the studied sample (79.4%) were female. The total mean nurse’s knowledge scores increased in the second assessment time as compared to the first assessment time (18.5±2.81 – 2.60±4.36) respectively. However, there was a slight decline in the third assessment mean knowledge scores to be 16.93±3.01 as compared to the second assessment mean scores with a significant statistical difference between the three assessment times (F/P= 236.994, 0.00.P ≤ 0.05). Also, the nurse’s mean practice score regarding implementation of GCS in the second assessment was greater than the first assessment (2.83±0.25 - 0.61±0.69) respectively. Also there was a slight decline in the third assessment mean practice score to be (2.5±0.7) as compared to the second assessment mean practice scores with a significant statistical difference between the three assessment times (F/P= 131.100, 0.001.P ≤ 0.05). Conclusion: The mean knowledge and practice scores of the studied sample regarding the Glasgow coma scale after exposure to the training program was higher than before exposure and all the studied sample had unsatisfactory knowledge and practice before exposure while after exposure most of the studied sample had satisfactory knowledge and practice regarding GCS. Recommendation: activating the application GCS within the neurological departments with continuous training and supervision for nurses.
https://ejhc.journals.ekb.eg/article_227161_1528b89014e8b6c13950ab4dd4511fcd.pdf
2019-03-01
448
459
10.21608/ejhc.2019.227161
Glasgow Coma Scale GCS
Nurses’ Knowledge and Practice
Training program
neurological department
Samah
Zidan
1
Lecturer of Adult Health Nursing, Faculty of Nursing, Badr University in Cairo
AUTHOR
Mishimsha
El Sayed Ibrahim
2
Lecturer of Medical Surgical Nursing, Faculty of Nursing, Cairo University
AUTHOR
ORIGINAL_ARTICLE
The Impact of Home Care Program on Mothers’ Knowledge, Practices and Their Premature Infants’ Physical Growth
Background: prematurity is a global health problem with leading cause of infant death, mothers as the primary care giver need home care program of premature babies to ensure best practices and enhance their ability in attending to their infants’ needs. Aim of the study: evaluate the impact of home care program on knowledge and practices of mothers of premature babies and their infants’ physical growth. Research Design: A quasi experimental study with pretest-posttest nonequivalent groups design. Research hypothesis: The mothers with premature infants who received home care program have higher mean score of knowledge and practices, also, improvement of their infant’s physical growth than those in the control group. Subjects and Method: A purposive sample consisted of 184 mothers and their premature infants divided into two groups (study & control), 92 for each were selected from the premature outpatient follow up clinics attached to premature unit at Abu EL- Reish Pediatric hospitals and El Manial University hospital, Cairo University. A structured interview questionnaire included demographic characteristics, Mother’s knowledge and practices. In addition, growth measurement of the premature infants. Result: Mothers’ knowledge and practice for caring premature infants were significantly higher than the total mean scores of those in the study group post and follow up program intervention (p=<0.000). Also, the premature infants in study group had good growth rate compared to the control group. Conclusion: the developed home care program led to significant improvement on mothers’ knowledge and practices regarding caring of their premature infants, and consequently led to improve physical growth rates among their premature infants. Recommendation: Interventions are needed to be given to mothers at home to improve their ability of caring their premature infants.
https://ejhc.journals.ekb.eg/article_229047_8eb01617c1ebb6c42516145a29887325.pdf
2019-03-01
460
475
10.21608/ejhc.2019.229047
Premature
Home care program
Mothers’ knowledge and practices
Infant physical growth
Hoda
Sayed Mohamed Sayed
1
Lecturer of Family and Community Health Nursing Department, Faculty of Nursing, Badr University in Cairo
AUTHOR
Manal
Mohamed Moselhy
2
Lecturer of Community Health Nursing Department, Faculty of Nursing, Modern University for Technology and Information
AUTHOR
ORIGINAL_ARTICLE
Resilience and Psychological Wellbeing among Parents of Leukemic Child at 57357 Hospital
Background: Parents of child with leukemia are hidden patients in need of protection, which they have a significant negative impact on their psychological wellbeing. Resilience is an aspect of psychosocial care that affects the parents' well-being. Aim: This study aimed to assess resilience and psychological wellbeing among parents of child with leukemia. Design: A descriptive research design was utilized in this study. Setting: this study was carried out in children’s cancer hospital in Egypt 57357 at fifth floor. Subjects: simple random sample of 93 parents of child with leukemia. Tools: 1) Interviewing Socio- Demographic Questionnaire, 2) Connor-Davidson Resilience scale, 3) Ryff’s Psychological Well-Being Scale. Results: the study revealed that half of parents of child with leukemia had moderate levels of resilience and psychological wellbeing. Conclusion: The current study results revealed that there was positive significant correlation between resilience and psychological well-being among parents of child with leukemia. Ultimately, these results may assist the research in Psychiatric Health Nursing department to design interventions that influencing resilience among parents of child with leukemia. Recommendations: Future research to assess the factors that influencing resilience among parents of child with cancer
https://ejhc.journals.ekb.eg/article_239100_57b7e4b1afb099886acc4d3e4a30ce8e.pdf
2019-03-01
476
487
10.21608/ejhc.2019.239100
Resilience
Psychological wellbeing
Leukemia
parents caregivers
Ahmed
Mohamed Mustafa
1
Nurse, children’s cancer hospital, Cairo, Psychiatric/ Mental Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Nevien
Mustafa El-Ashry
2
Nurse, children’s cancer hospital, Cairo, Psychiatric/ Mental Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Sahar
Mahmoud
3
Psychiatric/ Mental Health Nursing, Faculty of Nursing, Ain Shams University, Cairo.
AUTHOR
ORIGINAL_ARTICLE
Caregivers Knowledge of Post Autologous Bone Marrow TransplantationPatients at Home
Background: Autologous bone marrow transplantation is an intervention for a variety of life-threatening diseases. Stem cells transplantation procedures continue to be improved, making transplantation a treatment option for many patients. The unique and intensive nature of this treatment requires distinctive knowledge and care during and post the entire transplant course . Aim to assess the knowledge of the caregivers of post autologous bone marrow transplantation patients at home. Research Design: A descriptive study. Sample: A convenient sample was comprised a total number of 143 patients, during the six months attend the follow up clinic at bone marrow transplantation unit. Setting: The study was conducted at outpatient follow-up clinics, bone marrow transplantation unit in Sheikh Zayed Specialized Hospital, National Oncology Institute, and Nasser Institute. Tools: Two tools were used for data collection. First tool: A self-administered questionnaire of patients and their caregivers’ demographic data. Second tool: Caregivers’ knowledge toward post autologous bone marrow transplantation patients at home. Results: This study indicated that, most of caregivers of the studied sample were totally need to improve their knowledge, and there were significant association between caregivers’ demography and their knowledge. Conclusion: Caregivers had poor knowledge of post autologous bone marrow transplantation. Recommendation: Although caregivers had adequate knowledge on some aspects, gaps were identified. There is a need for educational interventions and discharge plan to upgrade knowledge, post autologous bone marrow transplantation patient at home.
https://ejhc.journals.ekb.eg/article_239361_0ad665125bac46697fd45fac55b5d58a.pdf
2019-03-01
488
498
10.21608/ejhc.2019.239361
caregivers
autologous bone marrow transplantation
home
Asmaa
Farouk Mohamed
1
M.Sc.N., Community Health Nursing Ain Shams University-Egypt
AUTHOR
Nawal
Soliman
2
Professors of Community Health Nursing, Faculty of Nursing - Ain Shams University-Egypt
AUTHOR
Hemat
Abd-El-Moneem El-Sayied
3
Professors of Community Health Nursing, Faculty of Nursing - Ain Shams University-Egypt
AUTHOR
ORIGINAL_ARTICLE
Relationship between Motivating Work Factors and Empowerment among Staff Nurses
Background: Motivation is a concept used to describe an external state inspiring a special behavior and internal responses revealing that behavior. Empowerment means engaging employees in the thinking processes of an organization, getting employee's ownership of their jobs and the resulting products or services produced by it. Aim of the study: The study aimed to exploring the relationship between motivating work factors and empowerment among staff nurses Setting & subjects: Research design: a descriptive correlational design utilized in carrying out .The study conducted on 140 staff nurses working at Met Ghamer Hospital; which affiliated to Ministry of Health, Tools of data collection: two tools used namely motivating work factors questionnaire and the condition for work effectiveness questionnaire. Results: majority (95%) of the studied subjects had low perception regarding total motivating work factors. In addition, majority (96.4%) of the studied subjects had low empowerment levels Conclusion: there were highly statistically significant positive correlations between motivating work factors and sources of empowerment among staff nurses. Recommendations: Support nurses’ professional development and self-determination.
https://ejhc.journals.ekb.eg/article_239362_2953fef9067f94a7873064b1f2eb5050.pdf
2019-03-01
499
512
10.21608/ejhc.2019.239362
empowerment
Motivating work factors
and Staff Nurses
Alshimaa
Abd-Elatef Mohamed
1
B.Cs of Nursing-Ain Shams University-Cairo-Egypt.
AUTHOR
Rabab
Mahmoud Hassan
2
Professor, of Nursing Administration- Faculty of Nursing - Ain Shams University
AUTHOR
Nema
Fathy Saad
3
Assistant professor of Nursing Administration -Faculty of Medicine –Ain Shams University-Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Assessment of Female Sexual Satisfaction among Newly Married Women
Background: Women had sexual problems experience of physical, psychological and social problems that affect their quality of life, sexual activity and sex satisfaction level. The present study aimed to assess female sexual satisfaction among newly married women. A descriptive study design was conducted at the outpatient gynecological clinic of the Ain Shams Maternity Hospital. Subjects (500) of newly married women who suffered sexual problems Data were collected through two types of tool, a structured interview questionnaire sheet, and sex satisfaction sheet. The results of the study revealed that the study subjects suffered from sexual problems as painful intercourse, the inability to be arousal, a lack of orgasm, and inhibited sexual desire, in addition to sexual satisfaction level among newly married women shows that slightly more than one third of women had high level of satisfaction while less one quarter had low satisfaction level. The study concluded Sexual satisfaction Level among newly married women shows that that slightly more than one third of women had high level of satisfaction, where that slightly more than one third of women had average satisfaction levels, while less one quarter had low sexual satisfaction levels. also there were highly statistically significant correlated between sexual problems and sex satisfaction level. Recommendation, Premarital counseling programs for newly married women to ensure its validity in satisfying their needs and to motivate them , Further researches are needed to assess female sexual satisfaction among newly married women in other places
https://ejhc.journals.ekb.eg/article_239365_db688c79fe3b5cd5958a16eab5751d62.pdf
2019-03-01
513
525
10.21608/ejhc.2019.239365
female sexual problems
sex satisfaction level
Sania
Samir Amin
1
Director of nursing in MCH
AUTHOR
Eman
Mostafa
2
Professor of Maternity & Gynecological Nursing, Faculty of Nursing –Ain Shams University
AUTHOR
Amal
Talaat
3
Assistant Professor of Maternity & Gynecological Nursing, Faculty of Nursing –Ain Shams University
AUTHOR
Amal
Fatthy Mohammed
4
Lecturer of Maternity & Neonatal Nursing, Faculty of Nursing – Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Parental Patterns of Care for their Children with Mental Disability
Background: Mental disabilities area lifelong condition that cannot be "cured" however, there are ways in enrich their lives, help them have a pleasant childhood through parents as a care giver Aim: The study aimed to assess the parental patterns of care for their children with mental disabilities. Study Design: A descriptive study design. Setting: The study was conducted at two governmental intellectual development schools at Embaba and El-Dokki Sample size: involved (150) studied children suffering from mental disabilities and their accompanying parents. Tools for Data Collection: (I) A pre-designed structured interviewing questionnaire to assess parents knowledge about of mental disabilities.(II) assessment sheet for parental patterns of care. (III) Parents socialization styles scale. Results: the study results revealed that, the mean age of studied children was (10.4±1.9).while the mean age of their mothers age was (37.7±1.4) the great majority of children receive care through mothers. More than half, of the parents had unsatisfactory knowledge regarding to disease of mental disabilities, approximately less than half of the children were had average pattern of care from parents in most daily living activities. Conclusion: The parents’ knowledge was unsatisfactory regarding to mental disability. Also, the level of parental patterns of care was ranged from poor to an average level. There are positive correlation between parents’ knowledge and level of parents care. Recommendations: it could be recommended: continuous assessment for the level of knowledge of parents and implementation training programs for parents having children with mental disabilities to keep them update.
https://ejhc.journals.ekb.eg/article_239366_d572f31c42e256ad3e911175f8b14bda.pdf
2019-03-01
526
534
10.21608/ejhc.2019.239366
Mental
Disability
parents
children
Knowledge
Socialization Style
Gehan
Fakhry ELyamany
1
Pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.
AUTHOR
Zeinab
Fathy El-Sayed
2
Pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.
AUTHOR
Mona
Mohamed Hafez
3
Pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Organizational Justice and Job Satisfaction among Nurses
Background: Justice and job satisfaction are determinants of quality of work in any organizationThe aim of the study is to investigate organizational justice and job satisfaction among nurses working at Ain Shams University Hospitals. Study subjects and methods: A descriptive correlational design was used in this study and conducted in Ain Shams University Hospitals (Medical Ain Shams University, Surgical El-demerdash, obstetric and pediatric hospitals). The study subjects were 216 nurses (40 head nurses, 176 staff nurses). Two data collection tools were used namely (organizational justice questionnaire consisted of 18 statements categorized into three domains and job satisfaction questionnaire covered ten dimensions of satisfaction and contained (64) statements). Results : revealed that the highest percentages of job satisfaction among staff nurses in the interpersonal hospital relation , and the same with the head nurses. It illustrated that both the staff nurses and head nurses have low perception about justice . The study findings concluded that there is a positive relationship between organizational justice and nurses' job satisfaction. For that, the study recommended using motivation strategies by nurse leaders to activate nurses, recommended improvement of salaries and reward systems.
https://ejhc.journals.ekb.eg/article_240709_95c7d027841e186febf9365b1b9b1455.pdf
2019-03-01
535
544
10.21608/ejhc.2019.240709
Head Nurses
Job Satisfaction
justice
Staff nurses
Doaa
Mohammed Ibrahim El-naggar
1
Demonstrator of Nursing Administration, South Valley University, Ain Shams University
AUTHOR
Harisa
Mohamed El-Shimy
2
Professor of Nursing Administration, South Valley University, Ain Shams University
AUTHOR
Nema
Fathy Saad
3
Assistant Professor of Nursing Administration.Cairo-Egypt. South Valley University, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Electronic Media Abuse on Health Among University Students
Background: Electronic media become an integral part of students' lives. Electronic media abuse has adverse effects on students' physical, psychological, social health and academic achievement of university students. Aim: the aim of study was to assess effect of electronic media abuse on health among university students. Subjects and methods: this study was Descriptiveanalytic Sample: Multistage sample was selected and this study was performed on 298 students Setting: four faculties at Beni-suef University.Tool Data were collected using interviewing questionnaire including 1) Demographic characteristic of university students 2) University students' opinions about electronic media abuse 3) Academic achievement and electronic media use among university students 4) Effects of Electronic media abuse on health of university students.. Results: the result of this study showed that (100%) of university students used internet and (95.3%) of them used smartphone 48.6% of university students had sever effect on psychological condition.43.6% of students had sever effects on physical condition.62.7% of university students had sever effect on social health and there is highly significant association between academic achievement and use of social media in which (p= 0.0001). Conclusions: the studied students had adverse effects of electronic media abuse on physical, psychological, social and academic achievement. Recommendations: Increase university students' awareness about hazardous technological effects on the human body and importance of face-to-face communication to enhance social health of students.
https://ejhc.journals.ekb.eg/article_240862_2fafa313f30624c48b3183a16327a7c9.pdf
2019-03-01
545
559
10.21608/ejhc.2019.240862
Electronic media abuse
university students
physical
PSYCHOLOGICAL
social health
Academic Achievement
Role of CHN
Ebtesam
Ali Mohamed Ahmed
1
B.Sc. Nursing,Department of Community Health Nursing, Faculty of Nursing- Ain Shams University- Cairo-Egypt.
AUTHOR
Nadia
Hamed Farahat
2
Professor of Community Health Nursing, Department of Community Health Nursing, Faculty of Nursing- Ain Shams University- Cairo-Egypt.
AUTHOR
Safinaz
Mohamed Sayed
3
Professor of Community Health Nursing, Department of Community Health Nursing, Faculty of Nursing- Ain Shams University- Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
The Impact of Media Violence on Primary School Children Behaviors
Background: Young population including children, represents more than a quarter of the world’s population during the stage of human development, and risk-taking and violent behaviors are prevailing among this group of people. Violence prevalence in television, videogames and movies has been considered among the factors mentioned as causing aggressive behavior among young people. Aim: Assess the impact of media violence on behavior of primary school children. Setting: Two primary schools in Shebin El Kom at menoufya governorate (Meet Mousa A males and El Shahid Ahmed Goda), Egypt. Sample: A multi stage random sample was used. The total number of students was 320 in third and fourth grade in these two schools. Tools: First tool, An interviewing questionnaire sheet. Second tool, Anxiety scale for children. Third tool, aggression scale for children. Fourth tool, Scale for violent media. Results: (52.4%) of the studied children were in age group of 8 to less than 10 years, (53.8%) of them were female, (95.2%) of them had working father and (49.3%) of them had working mother, (58.2%) of them were had one TV at home and (79.8%) of them were had computer or play station. There was a statistical significant relation between violent media (preferable player/artist), (preferable computer/video games), (preferable cinema/computer films) and degree of aggression in the studied children. There was statistical significant relation between violent media (Preferable computer/video games) and degree of anxiety in the studied children. Conclusion: less than one quarter of children had verbal and physical aggression. Less than one quarter of children had total aggression. More than half of the studied children reported severe anxiety followed by moderate anxiety level. Also, there was statistical significant relation between aggressive degree and socio- demographic characteristics (sex, school grade, Amount per diem and No TV at home) of the studied children. Moreover, there was statistical significant relation between anxiety degree and socio-demographic characteristics (sex, mother work and No. TV at home) of the studied children. Recommendations: Further research studies are needed for ongoing assessment of children including large sample for generalization of results.
https://ejhc.journals.ekb.eg/article_240864_2eb0aec08e3b28eff8c7c877b0905d3f.pdf
2019-03-01
560
569
10.21608/ejhc.2019.240864
Media violence
Primary School Children Behaviors
Ahmed
Taha Mostafa El-Abd
1
Department of psychiatric Health Nursing-Faculty of Nursing, Ain Shams University-Cairo- Egypt.
AUTHOR
Nevein
Mostafa El Ashry
2
Department of psychiatric Health Nursing-Faculty of Nursing, Ain Shams University-Cairo- Egypt.
AUTHOR
Ghada
Mohamed Mourad
3
Department of psychiatric Health Nursing-Faculty of Nursing, Ain Shams University-Cairo- Egypt.
AUTHOR
ORIGINAL_ARTICLE
Student’s Problem Solving Abilities at Technical Institute of Nursing
Background: Education is an ongoing process, providing personal and professional stimulation to improve life. Since life is full of problems, the aim of education is to help individuals to acquire the knowledge, skills, and attitudes necessary to overcome these problems. Aim of Study: to assess nursing student’s problem solving abilities at technical institute of nursing. Subjects and methods: descriptive analytical study was carried out at Al-zahra Technical Institute of Nursing affiliated to Al Azhar University. The sample included all 83 nursing students enrolled in the fifth year during the academic year (2017/2018). One tool were used in data collection, namely a self-administered questionnaire to assess abilities of problem solving (PS). Results: students’ age ranged between 19and 20 years. The majority of the nursing students computer abilities (79.5%) and were aware of problem- solving (92.8%) although only 61.4% studied it. Meanwhile, 80, 7% of them stated used PS in their personal life. Students in problem solving knowledge and skills were high deficiency. Student’s knowledge scores had significant strong positive correlation with the skills score. Conclusion: None of the nursing students had adequate knowledge and skills of PS. The skills score had statically significant weak positive correlation with student’s GPA. And positive correlation between nursing students’ scores of knowledge and skills (r=0.907). Recommendation: The study recommends more use of the (PS) education approach and PBL strategy in all nursing curricula; course planners need training in developing educational problems.
https://ejhc.journals.ekb.eg/article_240865_d052639fe1c848147f2c9f1b3e0eecbd.pdf
2019-03-01
570
577
10.21608/ejhc.2019.240865
Problem Solving Abilities
Nursing students
Doaa
Ali Seliman Ali
1
B.Sc. in Nursing Administration, Department of Nursing Administration, Faculty of Nursing, Ain-Shams University-Cairo-Egypt.
AUTHOR
Mona
Mostafa Shazly
2
B.Professor of Nursing Administration, Department of Nursing Administration, Faculty of Nursing, Ain-Shams University-Cairo-Egypt.
AUTHOR
Nema
Fathy Saad
3
Assistant Professor of Nursing Administration-Cairo-Egypt. Department of Nursing Administration, Faculty of Nursing, Ain-Shams University-Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Practical Training Barriers Among Nursing Students In Critical Care Settings
Background: There are many barriers experienced by nursing students and affect the quality of practical training and also affect students' satisfaction about their training. Aim: This study was conducted to assess practical training barriers among nursing students in critical care settings Method: This study was conducted in Central laboratory at Faculty of Nursing Ain Shams University and Critical care settings at Ain Shams University hospital. Sample: Purposive sample of 70 2nd year students were recruited in the present study. Tools: 1) Student Interview Questionnaire.2) Student Satisfaction Level Questionnaire. Results: The present study revealed that students' practical learning is affected by many barriers including barriers related to communication between student and faculty staff and nursing staff working at critical care units, lack of training opportunities, lack of equipment and supplies, unavailability of simulators at skills lab and presence of theory practice gap. Also, more than half of studied students are satisfied with practical training at critical care settings. Conclusion: The results of this study concluded that there were many barriers facing students during clinical training at critical care (at hospital and faculty), also students have a moderate satisfactory level about their practical training. Recommendations: Further studies should be designed to overcome the barriers that have negative effect on clinical training quality and students' satisfaction about their practical training at critical care units.
https://ejhc.journals.ekb.eg/article_241352_e9f71bf295dbf07cba31b0bd90c60b42.pdf
2019-03-01
578
588
10.21608/ejhc.2019.241352
practical training
barriers
critical care settings
Mahmoud
Hassan Mohamed
1
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Tahany
El senosy
2
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Dalia
Abdallah
3
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Amira
Hedaya
4
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Quality of life among Patients with Depression
This study aim to assess quality of life among patients with depression through assess the level of QOL among patients with depression and assess factors affecting QOL among patients suffering from depression. Descriptive design was used to achieve the aim of this study. Setting: This study was conducted at Outpatient Clinic of El-Abassia Governmental Hospital for Psychiatric Mental Health. Subject: A convenience sample of 130 patients at Outpatient’s Clinic in El Abassia Psychiatric Mental Hospital. Tools: tool I Structural questionnaire sheet to assess socio-demographic data and factors affecting quality of life among patients with depression. And tool II, World Health Organization quality of life scale, Result: The findings demonstrated that, more than half of studied patients were females in the age group ˃37. This study revealed that, the highest percentage of subscales of quality of life were the psychological health were poor among the patients with depression and while, the lowest percentage was the environment was good. Also, showed that, the highest percentage of factors affecting QOL among patients with depression were family factors while, the lowest percentage of factors affecting QOL were social factors. Conclusion: There were statistical significant relation between QOL, educational level and financial income. Also, there are statistical significant relation between total factors affecting QOL among patients with depression, sex and function status. Additionally, there were a highly statistical significant relation between QOL and family, professional and social factors. Recommendations: This study recommended that, depressed patients required interventions that enhance quality of life, decrease factors affecting QOL among patients with depression and develop an educational program to 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 QOL.
https://ejhc.journals.ekb.eg/article_241356_e7f84285a5df6e26bf9f221ac66e6051.pdf
2019-03-01
589
604
10.21608/ejhc.2019.241356
depression
quality of life
Hanaa
Mounir Hassan
1
Nursing Instructor of Nursing Department Technical Health institute -Imbaba Professor of Psychiatric/Mental Health Nursing
AUTHOR
Omyama
Abu Bakr Osman
2
Nursing Instructor of Nursing Department Technical Health institute -Imbaba Professor of Psychiatric/Mental Health Nursing
AUTHOR
Ghada
Mohamed Mourad
3
Faculty of Nursing Ain Shams University. Professor of Psychiatric/Mental Health Nursing
AUTHOR
Hanaa
Ezz El Din Prince
4
Faculty of Nursing Ain Shams University and lecturer of Psychiatric/Mental Health Nursing
AUTHOR
ORIGINAL_ARTICLE
Patients with Bronchial Asthma: Effect of Self Management Program on Knowledge, Practice, and Self Efficacy
Background: Bronchial asthma is a serious health problem worldwide ،it is a major cause of patients' disability and in rare cases causes sudden death; asthma morbidity and mortality are largely preventable when patients and their families are adequately educated about the disease and have access to high quality of care. Aim: This study aimed to develop ، implement and evaluates the effect of self-management program on knowledge ،practice and self-efficacy for patients' with bronchial asthma. The research hypotheses were that implementation of self management program will improve the knowledge ،practice and self efficacy. Methods: Design: A quasi-experimental research design was used with pre-post and follow up assessment of outcome ،It involve four steps; pre self management program assessment ،self management implementation ،post ،and follow up assessment. The study was conducted at Chest Outpatient Clinic at El Kaser Al-Eini Hospital ،started April 2013 and was completed by October ،2013. Sample: The study was carried on (130) a purposive sample of asthmatic adult patients with bronchial asthma based on selected criteria. Tools: Four tools were used for data collection ،1) Patients' Socio-demographic Characteristics and Clinical Data Sheet ،2) Arabic questionnaire for patient' knowledge ،3) Checklist to assess patients practices ،4) Self Efficacy Scale ، Results: The study revealed that there were a statistically positive significant difference between total knowledge ،total practice ،and total self-efficacy pre/post and follow up self-management program. Conclusion: The study concluded that the studied patients have a higher mean knowledge, practice, and self efficacy scores post self management program. The study recommended further study have to be carried out in order to assess the effectiveness self management program on patients' adherence to the prescribed therapeutic management.
https://ejhc.journals.ekb.eg/article_241360_16f53a2e84b61a6365594cdaffbbd1ed.pdf
2019-03-01
605
619
10.21608/ejhc.2019.241360
bronchial asthma
Self
Management Program
Self efficacy
Hanaa
Farahat Ibrahim
1
Department of Medical-Surgical Nursing, Faculty of Nursing - Ain Shams University-Cairo- Egypt.
AUTHOR
Salwa
Samir Ahmed
2
Department of Medical-Surgical Nursing, Faculty of Nursing - Ain Shams University-Cairo- Egypt.
AUTHOR
Ola
Abdel Aty Ahmed
3
Department of Medical-Surgical Nursing, Faculty of Nursing - Ain Shams University-Cairo- Egypt.
AUTHOR
ORIGINAL_ARTICLE
Nurse Mangers Leadership Style and Staff Nurses Autonomy
Background: Nurse Manager's leadership style is very important for shaping a nurse's personality by motivating their staff and increasing their nurse autonomy, self- confidence, and decision-making. This study aimed to investigate the relationship between nurse managers' leadership styles and their staff nurse's autonomy. Subjects & Methods; Research design: a descriptive correlational design was used in carrying out this study, which was conducted at general Suez Hospital affiliated to the ministry of health and composed of seven buildings (emergency building, I.C.U and dialysis building, operating theater building, burns building and laparoscope building, obstetric building and outpatient clinic building). The study subjects were included in two groups namely: nurse managers group composed of 58 nurse managers and staff nurses group composed of 165 staff nurses. Tools: Two questionnaires were used to collect the data namely leadership style questionnaire for nurse manager and Autonomy questionnaire for staff nurses. Results: The study findings revealed that, fifty percent of studied nurse manager were transactional and the majority of the studied staff nurses had moderate level of autonomy regarding patient care, collaboration, patient education, handling patient complaints, diagnosis discharge decisions, and the related issue. Conclusion & Recommendation: Based on the study finding it concluded that, the majority of the studied staff nurse mangers had transactional leadership style and the majority of the studied nurse had moderate autonomy regarding to patient care, collaboration, patient education, handling patient complaints, diagnosis discharge decisions, and related issues. Hence, the study recommended that, development programs involve training, coaching and mentoring and needs to explore the barriers that nurse face in autonomous decision-making.
https://ejhc.journals.ekb.eg/article_243149_7b4e866946c060690e71c43fffd0f7e5.pdf
2019-03-01
620
633
10.21608/ejhc.2019.243149
autonomy
Leadership Style
Nurse Mangers
Staff nurses
Eman
Ali Mohamed Ali Selim
1
B.Sc of Nursing, Nursing Administration Department - Faculty of Nursing, Ain Shams University-Cairo-Egypt.
AUTHOR
Harisa
Mohamed Ali El-Shimy
2
Professor of Nursing Administration- Faculty of Nursing, Ain Shams University-Cairo-Egypt. Nursing Administration Department - Faculty of Nursing, Ain Shams University-Cairo-Egypt.
AUTHOR
Nema
Fathy Saad
3
Assistant Professor of Nursing Administration- Faculty of Nursing, Ain Shams University-Cairo- Egypt. Nursing Administration Department - Faculty of Nursing, Ain Shams University-Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Factors Affecting Healing Process of Patients with Diabetic Foot Ulcer
Background: Diabetic foot ulcer is a major medical, social, economic problem and a leading cause of morbidity and mortality. The most type of neuropathy affecting person with diabetes is sensory neuropathy this can lead to the loss of protective sensation in the lower extremity. The study Aims: to assess the factors affecting healing process of diabetic foot ulcer among diabetic patients. Research design: descriptive exploratory design was utilized. Setting: This study conducted in ICU and surgical department at ELArish General Hospital. Subjects: The study subject includes75patients with diabetic foot ulcer as result of diabetes. Tools of data collection:four tools were used for collection of data it included Patient interviewing questionnaire, questionnaire about patient's knowledge about diabetes mellitus and patients practice about foot care, Wagner classification system to assess wound grade, Thai stress test questionnaire. Results: The present study finding showed that one thirds of studied patients were old age, majority of studied patients had poor glycemic control, two thirds of studied patients had diabetes from ten years ago, more than half of them had high stress level and more than half of studied patients had unsatisfactory level of knowledge about diabetes mellitus, while more than half of studied patients had good practices about foot care. Factors that were significantly affect negatively ulcer healing were age, smoking, obesity, wound grade, infection, debridement, blood glucose level, lack uses offloading device and mental stress. Conclusion The study findings concluded that, the most factors which affect wound healing were age, wound grade, infection, debridement blood glucose, offloading device and mental stress. Recommendation Developing and dissminate a simplified and comprehensive booklet including basic information about caring of diabetes patient's.
https://ejhc.journals.ekb.eg/article_243151_16576153abb592e74db84a766fbde9bd.pdf
2019-03-01
634
648
10.21608/ejhc.2019.243151
Wound healing
foot ulcer
Hanan
Salah Ead
1
B.Sc., Faculty of Nursing- Port Said University
AUTHOR
Howyda
Ahmed Mohammed
2
Assist Professor of Medical-Surgical Nursing - Faculty of Nursing -Ain Shams University
AUTHOR
Amira
Hidaya Morad
3
Lecturer of Medical-Surgical Nursing - Faculty of Nursing -Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
The Effect of Problem Based Learning Versus Traditional Method of Learning at Nursing Schools
Background: The incorporation of problem-based learning is now an expected part of the student’s learning experiences, and student’s learning is the corner stone in all higher education quality. Aim of the study was to assess the effect of problem based learning versus traditional method of learning at nursing schools. Research design: A quasi- experimental study was used. Settings: This study was carried out in El-Nile and Benha secondary technical nursing schools, affiliated to the Health Insurance Organization, in Qalyoubiah Branch. Subjects: A convenient sample included (60) students in third grades at the previously mentioned settings. Tools of data collection: 1) questionnaire pre/ post format consisted of two parts: First part was designed by the researcher to assess socio- demographic characteristics of the student such as; age, father’s educational level, etc. Second part it concerned with knowledge of nursing students towards iron deficiency anaemia and marasmus. 2) Likert-type rating scale concerned students ’attitudes regarding problem based learning versus traditional learning. Results: The main results showed that, approximately half of students were from rural areas with a mean age of 17.61±1.41 years. There were statistically significant relations between total knowledge regarding problem based learning of the studied students and their age and their parents’ educational level. There was no relation between total attitude of the studied students and their residence. Approximately three quarters of studied students total attitude were agree regarding problem based learning. Conclusion: As regarded of total attitude of studied students, the current study concluded that, the problem based learning method significantly improved the learning of the nursing students achievements compared with the traditional method. Recommendations: Prepare tutors with capabilities and skills required for facilitating and management of group dynamics and use of PBL during the teaching process and Integration PBL as a method of teaching to students receiving pediatric course.
https://ejhc.journals.ekb.eg/article_243154_330e454b68f09b245fd3e6b2b273659c.pdf
2019-03-01
649
666
10.21608/ejhc.2019.243154
Problem-Based Learning
Traditional Learning
technical nursing students
and Nursing education
Heba
Maher Abd Elsalam Elfeky
1
B.Sc. Nursing, 2002 Faculty of Nursing-Ain shams University-Cairo-Egypt.
AUTHOR
Iman
Ibrahim Abd Al-Moneim
2
Professor of Pediatric Nursing Faculty of Nursing-Ain shams University-Cairo-Egypt.
AUTHOR
Asmaa
Nasr Eldin Mosbeh
3
Professor of Pediatric Nursing3 Faculty of Nursing-Ain shams University-Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Predisposing Factors related to Relapse among Addicted Persons
This study aimed to: assess the predisposing factors related to relapse among addicted persons. Design: Descriptive study. Setting: The study was conducted at the Outpatient clinics of El-Abbassia Mental Hospital and the Psychiatric Medical Center. Sampling: Purposive sample of 260 addicted persons. Data collection: An interviewing questionnaire was used and included five parts: PartI: Socio-demographic characteristics, PartII: a) History of addiction b) Previous history of relapse addiction, Part III: a) Assessing addicted person's knowledge about addiction b) Assessing addicted person's knowledge regarding to relapse addiction, Part IV: a) Assessing addicted person's needs b) Assessing addicted person's health problems, Part V: Assessing factors related to relapse of addiction. Results: More than three - quarters of addicted persons were returned to the same type of substance abuse during relapse. More than half of addicted persons were not compliant with follow- up plan before relapse. More than half of addicted persons had unsatisfactory knowledge regarding addiction and relapse. Less than two-third of addicted persons had inadequate health needs. Conclusion: A highly statistically significant difference was found between the studied addicted person's knowledge and needs, and their relapse of addiction. Statistical significant differences were found between the studied addicted person's socio-demographic characteristics and their relapse of addiction. Recommendations: This study recommended increasing the awareness among addicted persons through effective educational programs, carrying out effective discharge plans for addicted persons including follow- up visits schedule and healthy lifestyle guidelines. Further nursing researches are required to assessthe addicted person's needs and health problems.
https://ejhc.journals.ekb.eg/article_243155_c2a752392ee9fce3164fd2eabff4ee0e.pdf
2019-03-01
667
683
10.21608/ejhc.2019.243155
relapse
Addiction
Addicted persons
Nagwa
M, Hussien
1
Nursing Community Department-Faculty of Nursing -Ain Shams University-Cairo-Egypt.
AUTHOR
Hala
M. Mohamed
2
Nursing Community Department-Faculty of Nursing -Ain Shams University-Cairo-Egypt.
AUTHOR
Wafa
Kh.Ibrahim
3
Nursing Community Department-Faculty of Nursing -Ain Shams University-Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Assessment of Children's Oral Health Care Practices and their Dental Problems
Background: Oral health is crucial for general health, and a fundamental nursing responsibility as it is a state of being free from mouth and oral infection, periodontal disease, tooth decay, tooth loss, and other diseases that affect millions of children. Aim: This study aimed to assess children's oral health care practices and their dental problems. Subjects and Methods: A descriptive design was conducted at outpatient dental clinics at both Ain Shams and Tanta University Hospitals. Tools of data collection involved I- a structured questionnaire to assess school age children knowledge as regards oral health care and dental problems. II- Dental Assessment Sheet to assess children's dental problems. III - Tooth brushing and flossing checklist (reported practice) to assess children's oral health care practices. Results: The study findings revealed that the majority (95%) of the studied children had decayed teeth. There was a highly statistically significant difference between studied children's decayed teeth and their total oral health care reported practices. Conclusion: The study concluded that the children's oral health care practices are tooth brushing and flossing technique and the children's dental problems are dental caries, dental injury and gingivitis and also concluded that there was appositive relation between children's oral health care practices and their dental problems. Recommendations: Educating the children proper tooth brushing with fluoride toothpaste, flossing technique through mass media and limiting sugar-containing takeaway food and beverage consumption, to provide adequate nutrition for children.
https://ejhc.journals.ekb.eg/article_244267_1194fc4eea64b9afd2048a6aa7e34790.pdf
2019-03-01
684
691
10.21608/ejhc.2019.244267
Dental problems
Knowledge
nurse
oral health
Practice
school children
Ayat
Ibrahim Mossallam Naeim
1
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
Wafaa
El-Sayed Ouda,
2
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
Eman
Amin Mohammed
3
Pediatric Nursing Department – Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nurses’ Performance Regarding ICU Devices Alarms
Background: Most patients in the critical care units cannot speak for themselves hence cannot pinpoint when their condition. It is therefore important to assess the nurses’ performance when managing clinical alarms. Aim of the study: The study was aiming to assess the nurses’ performance regarding devices alarms in intensive care units. Study Design: A descriptive exploratory design was followed to achieve the aim of this study. Setting: The study was conducted at the open heart intensive care unit at Academy of Heart affiliated to Ain shams University Hospitals. Sample: A Convenience sample of nurses (30) in ICU unit at Ain Shams University Hospital. Tools of data collection: A structured self-Administered knowledge assessment Questionnaire nurses, Observational check list and Nurses` attitude rating scale. Results: The results of this study showed that more than three quarters of studied nurses had unsatisfactory knowledge and majority of them had unsatisfactory practice and more than half of the study group of nurses had positive attitude regarding management of devices alarms. Furthermore, there was a highly statistical significant correlation between total studied nurses’ knowledge and total practice and there was a highly statistical significant correlation between total studied nurses’ practice and attitude. Conclusion: The current study concluded that, more than two third of the studied nurses had unsatisfactory level of knowledge and practice. Recommendations: The study recommended the importance of implementing an in service training program to improve nurses’ performance regarding dealing with ICU devices alarms.
https://ejhc.journals.ekb.eg/article_244268_4e41cb8a7ef7e947dd7a554a9a4f30ef.pdf
2019-03-01
692
707
10.21608/ejhc.2019.244268
ICU devices alarms
Nurses’ Performance
Ayman
Mabrouk Abdelhalim
1
BSN , Faculty of Nursing Ain Shams University.
AUTHOR
Eman
Talaat Mohammed
2
Professor of Medical Surgical Nursing, Faculty of Nursing Ain Shams University.
AUTHOR
Dalia
Abdallah Abdelatief
3
Assistant Professor of Medical Surgical Nursing, Faculty of Nursing Ain Shams University.
AUTHOR
ORIGINAL_ARTICLE
Assessing the Nursing Performance to Meet Client Satisfaction regarding Antenatal Care
Aim: This study aim was to assess nursing performance to meet clients' satisfaction regarding antenatal care. Design: descriptive research was utilized in this study. Setting: The study was conducted at three MCH centers at Shoubra ELKhima district. Sample all nurses in the previous MCH centers are 35 nurses and 150 pregnant women attending for maternal health care. Tool: two tools were used for data collection the first one was a structured interviewing questionnaire sheet included socio demographic data about nurses, nurses’ knowledge regarding antenatal care, socio demographic data about pregnant women, obstetric history, antenatal follow up and likert scale which monitor women satisfaction. The second tool was an observational checklist to observe actual nursing performance in ante- natal care clinic. Results: the majority of the nurses had poor knowledge regarding antenatal care in MCH centers and had poor performance of antenatal care. The majority of the study subjects were unsatisfied with the performance of the nurses in MCH centers. Conclusion: quality of antenatal care provided at studied MCH centers was poor, due to shortage of staff, lack of necessary equipment and supplies. Pregnant women were unsatisfied with antenatal care provided in these centers. Recommendation: Continuous training Programs for health care providers at MCH centers to improve their performance and consequently raise the quality level.
https://ejhc.journals.ekb.eg/article_245397_30a9b7c295b6666c9673673f903ef84f.pdf
2019-03-01
708
720
10.21608/ejhc.2022.245397
Ante-natal care
Nursing Performance
Client satisfaction
Nawal
Mahmoud Soliman
1
Community Health Nursing-Faculty of nursing -ain shams university-Cairo-Egypt
AUTHOR
Shimaa
Fathy Miky
2
Community Health Nursing-Faculty of nursing -ain shams university-Cairo-Egypt
AUTHOR
Fatma
Mohamed Mohamed
3
Community Health Nursing-Faculty of nursing -ain shams university-Cairo-Egypt
AUTHOR
ORIGINAL_ARTICLE
Assessment to Primipara Mothers Performance about Breastfeeding
Background:The knowledge of primipara mothers regarding breastfeeding was not completely adequate and this was reflected on the practice.. Aim of The study: was assess Primipara Mothers Performance about breastfeeding. Research Design: A descriptive design was used. Settings: This study was conducted at the selected maternal and child health center affiliated to the east and west medical sector of Cairo governorate namely El-waily maternal and child health care center and medical center El mahkama. Subjects: A simple random sample consisted of 50 were selected out of all primipara mothers those on exclusive breast feed and their infant not reach 12 months.from the previously mentional setting .Tools of data collection: An interviewing questionnaire sheet to assess mothers knowledge and reported practices about breast feeding. Results: Revealed less than half of the studied mothers had satisfactory level of reported practice about Breast Feeding as well as the expression and storage of the breast milk. Conclusion: The primipara mothers had deficit in repoted practices about breastfeeding. Recommendations: Design, implement and evaluate an education program for the primipara, to cover the deficit in the practice the Exclusive breastfeeding
https://ejhc.journals.ekb.eg/article_245400_c941f0470c7cfce5101aa1a3041e5ad1.pdf
2019-03-01
721
728
10.21608/ejhc.2019.245400
primipara mother
BF practice
Magda
Mohammed
1
B.Sc. Nursing, 2003, Faculty of Nursing- Ain Shams University-Cairo-Egypt.
AUTHOR
Iman
Ibrahim Abd Al-Moniem
2
Professor of Pediatric Nursing and Vice Dean of Community Service & Environment Development Affairs, Faculty of Nursing- Ain Shams University-Cairo-Egypt.
AUTHOR
Asmaa
Nasr Eldin Mosbeh
3
Professor of Pediatric Nursing, Faculty of Nursing- Ain Shams University-Cairo-Egypt.
AUTHOR
Madiha
Amin Morsi
4
Assistant Professor of Pediatric Nursing , Faculty of Nursing- Ain Shams University-Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Nurses 'Performance Regarding Patient with Traumatic Head Injury In Intensive care unit
Background: Head injury is a trauma to the head that may or may not include injury to the brain. Traumatic head injury (THI) is the leading cause of death and disability in young adults in the developed countries. The aim of this study: was to assess nurses’ Performance regarding caring of Patient with traumatic head injury in Intensive care unit. Design: A descriptive exploratory study Setting: the study was conducted in the intensive care unit (ICU) at Ain shams University Hospital. Study Subjects: A convenience sample of nurses (No=40). Data collection tools: Nurses' Self- administered questionnaire and Observational checklists of caring for traumatic head injury. Results: Approximately seventy five percent of the studied nurses had unsatisfactory level about total knowledge regarding caring of patient with traumatic head injury and eighty percent of the studied nurses had satisfactory level regarding total practice about traumatic head injury, there was statistically significant relation between total knowledge and total practice. Conclusion: Based on the study findings, most of the studied nurses at intensive care unit had unsatisfactory level of knowledge and satisfactory level about practice regarding caring for patients with traumatic head injury in intensive care unit. Recommendation: Further studied was recommended to evaluate the reflection of in-service training program regarding caring of patients with traumatic head injury in intensive care units on nurses' performance and consequently on the patients' outcome.Orientation and periodic in-service training program for nurses in intensive care units regarding caring for patients with traumatic head injury for continuous updating their knowledge.
https://ejhc.journals.ekb.eg/article_245402_abc4fad96026b636232c5795a9d72688.pdf
2019-03-01
729
743
10.21608/ejhc.2019.245402
Intensive Care Unit
Nurses’ Performance
Traumatic head injury
Mahasen
Ebrahim AbdELstar
1
Professor of Medical Surgical Nursing - Faculty of Nursing - Ain Shams University
AUTHOR
Jakleen
Faheem Gendy
2
Assistant- Professor of Medical Surgical Nursing - Faculty of Nursing - Ain Shams University
AUTHOR
Nada
Hassan Abass Mohamed
3
B.Sc.in Nursing - Faculty of Nursing - Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Quality of Life Assessment among Infertile Couples
Background: Quality of life is an important indicator for the assessment of individual's health, decision-making, and passing judgment on the overall community health. Infertility in most societies across the world is considered as a stain and shame, which leads to the infertile couples suffering. Aim: It was to assess the quality of life among infertile couples through utilizing the quality of life's domains. Design: A descriptive exploratory design was utilized. Subjects: A convenient sample was obtained; all infertile couples who attended and accepted to participate in study at the previously mentioned setting. Setting: The study was conducted at the outpatient infertility clinics, at the Maternity Hospital-Ain Shams University. Data Collection: 1. Arabic Structured Interviewing Questionnaire, developed by the researcher. 2. A Ferti QOL, is the 2nd tool and the 1st internationally validated self-report questionnaire, it is adopted from Jat Ky Boivin, et .al (2002), and adapted by the researcher. Results: Findings showed highly statistically significant relations between levels of education of the infertile couples and all the QOL sub-domains. Also, there were statistical significant relations between levels of OOL of the infertile couples and their type of infertility. Meanwhile, a confirmed positive statistically significant correlation was between infertility and QOL of the study sample. Conclusions: Although infertility affects all the QOL domains of infertile couples, but it has a major impact on their psychological and emotional aspects. Recommendations: Develop different health awareness programs for infertile couple in different health settings in order to enhance their knowledge and QOL. Also, health awareness is needed for health professionals to include the psychological symptoms assessment of the infertile patients to their plan for more efficient interventions.
https://ejhc.journals.ekb.eg/article_245405_b6c6856ff75431950c36bc606fb93e4b.pdf
2019-03-01
744
757
10.21608/ejhc.2019.245405
Infertility
quality of life
Awareness
and domains
Mariam
Nabil Fathey
1
Maternity & Gynecological Nursing Department, Faculty of Nursing-Ain Shams University- Cairo-Egypt.
AUTHOR
Shadia
Hamedo
2
Maternity & Gynecological Nursing Department, Faculty of Nursing-Ain Shams University- Cairo-Egypt.
AUTHOR
Randa
Mohmed
3
Maternity & Gynecological Nursing Department, Faculty of Nursing-Ain Shams University- Cairo-Egypt.
AUTHOR
Amira
Morsy
4
Maternity & Gynecological Nursing Department, Faculty of Nursing-Ain Shams University- Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Health Needs among Preschool Children in Rural Areas
The aim of this study was to: Assess health needs among preschool children in rural areas. Setting: Governmental Nursery School in Gharbiya Govemorate Tanta Basyoun center, which about 38 Governmental Nursery School. Sample: A multi stage sampling will be used in this study to get study participants and the final sample size was (200) participant. Tools: First tool, Structured interviewing questionnaire by the investigator to assess socio- demographic data, current health status for preschool child, mother’s knowledge regarding health needs &problems of their preschool child, mother's practices. Second tool, Observational checklist to assess growth and development through Anthropometric measurements. Results: The mean age of the studied children was 4.2±0.81, more than half of them were males. More than half of mothers were satisfactory in total knowledge. More than half of preschool children didn't have health problems. More than half of mother's reported practice was always in physical health needs, psychological, social, and cognitive and security needs and the majority of studied children were normal in their total growth and development. Conclusion: There was a highly statistically significant relation between socio-demographic characteristics and mother's knowledge regarding health needs& problems among their preschool children. Also, there was highly statistically significant relation between total practice with age of mother, Mother education level and mother's job. There was positive statistically significant correlation deference between total knowledge and Total practice, negative statistically significant correlation deference between total knowledge and Total health problems and negative statistically significant correlation between Total practice and Total health problems. Recommendations: Counseling programs for mothers to improve their knowledge and practice toward achievement of health needs for their preschool children, Provide proper health education for mothers to improve their practices toward resolving any problem may face their preschool children. Particular effort should therefore be made to ensure this knowledge is rightly acquired. Other means of knowledge acquisition for mothers who do not have a formal education or cannot complete education above primary school should be employed. More importantly, programs should identify which child care practices should be encouraged to enhance maternal and child nutrition and health; promoting such could mitigate the negative association of mother’s lack of education with children’s health. Finally, adult education through behavioral change communications would be an effective means for reaching out to poor and less educated Nigerian women. -Follow up frequently to early detection of health problems and unachieved health needs of preschool children in all nursery school all over the government.
https://ejhc.journals.ekb.eg/article_245407_c9e82b0a871e24575a067a2997c2376b.pdf
2019-03-01
758
772
10.21608/ejhc.2019.245407
health needs
preschool children
Rural areas
Omaima
Mohamad Esmat
1
Nursing Community Department- Faculty of Nursing – Ain Shams University-Cairo-Egypt.
AUTHOR
Wafa
Kh.Ibrahim
2
Nursing Community Department- Faculty of Nursing – Ain Shams University-Cairo-Egypt.
AUTHOR
Rasha
Shehata Mohamed Ramadan
3
Nursing Community Department- Faculty of Nursing – Ain Shams University-Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Self-awareness among Nursing Students Dealing with Psychiatric Patients
Aim: this study aimed to assess self-awareness among nursing students dealing with psychiatric patients. Design: a descriptive exploratory design was utilized in this study. Setting: This study was conducted at Abbassia psychiatric hospital which contains two secondary nursing schools, one for males and another for female (both of them affiliated to Abbassia psychiatric hospital). Sampling: A convenience sample of 100 students. Tools: Interview questionnaire sheet used to assess student's socio-demographic characteristics, Cooper- smith self-awareness scale used to assess self-awareness level and Rosenberg self- esteem scale to assess nursing student's self-esteem level. Results: It illustrated that more than half of the study sample had a low level of self-awareness. Close to half of the students had low and medium level of self-esteem respectively; there was highly significant correlation between students’ self- awareness and their self-esteem. Conclusion: according to this study the majority of students had low self-awareness and more than two thirds of students had low and medium self-esteem respectively. Recommendations: There must be training courses for nursing students who deal with psychiatric patients to develop their self- awareness and how to use self as a therapeutic method in their relationship with patients.
https://ejhc.journals.ekb.eg/article_248150_f2a8f7a589238c757ea13dfb2487eca9.pdf
2019-03-01
773
785
10.21608/ejhc.2019.248150
self-awareness
Nursing students
Self-esteem
Psychiatric Patient
Amal
Mohammed Osama
1
Clinical Instructor at Abbassia Nursing Institute for Girls, Professor & Head of Department of Psychiatric Mental Health Nursing Faculty of Nursing, Ain Shams University
AUTHOR
Omayma
Abu Bakr Osman
2
Clinical Instructor at Abbassia Nursing Institute for Girls, Professor & Head of Department of Psychiatric Mental Health Nursing Faculty of Nursing, Ain Shams University
AUTHOR
Galila
Shawky EL-Ganzory
3
Professor of Psychiatric Mental Health Nursing Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Assessment of Parental Caring for Children with Cancer on Their Quality of Life (An Assessment Study)
Background: Cancer is a name given to large group of disease characterized by un- controlled and un-regulated growth of cells. Aim: The study aimed to asses parental caring for children with cancer on their quality of life. Design: A descriptive design was used. Setting: This study was conducted at both the Out-Patient clinic and In-Patient pediatric departments at National Cancer Institute, affiliated to Cairo University. Subject: A purposive sample including 150 children with inclusion criteria were suffering from cancer, both gender, aged from one year to less than or equal age 18 years, start session of chemptherapy, radiotherapy Tools: two tools used: I) A structured interviewing questionnaire sheet: to assess parent's knowledge and practices regarding to their children with cancer and II) quality of life scale to assess children health with cancer related quality of life. Results: revealed that, more than half of parents had poor knowledge about cancer disease; there was statistically highly significant relation between parents' total knowledge regarding cacer disease and level of quality of life in their children Conclusion: the study concluded that, parents needs for the guideline to support theme in care for children having cancer on their quality of life. Recommendations: the study recommended that: implementation educational programs for parents having children with cancer to keep them update with knowledge and practices for care of their children of parents having children with cancer.
https://ejhc.journals.ekb.eg/article_249915_a98118a238b0cc5ae4cf1da3d1147755.pdf
2019-03-01
786
800
10.21608/ejhc.2019.249915
Cancer
children
parents
quality of life
Mona
Ahmed Ewes
1
B. Sc. Nursing, Assiut University, National Cancer Institute
AUTHOR
Zeinab
Fathy Elsayed
2
Assistant Professor of Pediatric Nursing Faculty of Nursing - Ain Shams University
AUTHOR
Mona
Mohamed Hafez
3
Lecturer of Pediatric Nursing Faculty of Nursing - Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
urses Sensitive Outcomes Regarding Palliative Care for Patients with Cancer
Background: Palliative care meets the needs of all patients requiring relief from symptoms, the needs of patients and their families for psychological and supportive care. AIM of the study: to assess nurses level of knowledge and practice regarding palliative care and sensitive outcomes regarding palliative care for patients with cancer. Design: Exploratory design was utilized. Setting: this study was carried out in Oncology unit of El Demerdash hospital. Subjects: convenient sample of all available nurses n=40 and purposive sample n=30were included in the study. Data collection: Data were obtained through demographic data tool, nurses knowledge questionnaire, nurses observational checklist, questionnaire to assess sensitive out comes to patient with cancer regarding palliative care. Results: It was revealed that 60 % and 62.5% of the nurses had satisfactory level of knowledge and practice respectively. Also, 86.7% and 85% of the patients receiving palliative care, their sensitive physical and psychological side effects respectively disappeared. Conclusion: It was concluded that the majority of nurses had satisfactory level of knowledge and practice regarding palliative care. This finding had significant relation with nurses' level of education, continuous training courses and years of experience. Palliative care had positive effect on patients physical and psychological sensitive side effects. Recommendations; Designing in-service training and educational program to improve nurses knowledge and practice about policy of follow palliative care as routine of care to improve quality of patients life.
https://ejhc.journals.ekb.eg/article_249917_c9346a74d891ac5ff3630dd3685e1bd5.pdf
2019-03-01
801
810
10.21608/ejhc.2019.249917
Sensitive outcomes
Palliative Care
Hayam
M. Eltaher
1
Head nurse of ICU Medical surgical nursing (Critical Care Nursing)
AUTHOR
Manal
M. Nasr
2
Prof. Dr. M. Surgical Medical surgical nursing (Critical Care Nursing)
AUTHOR
Howyda
A. Mohamed
3
Assist. Prof. Surgical nursing Medical surgical nursing (Critical Care Nursing)
AUTHOR
ORIGINAL_ARTICLE
Assessment of Women’s Expectations and Experiences during Childbirth
Background: The effects of a birth experience can be positive and empowering, or negative and traumatizing. Nurses, midwives and obstetricians require a deep understanding of the emotional aspects of childbirth in order to meet the emotional and psychosocial needs of laboring women. Aim of the Study: The study aimed to assess the women's expectations and experiences during childbirth. Research Design: a descriptive design utilized in carrying out this study. Setting: The study conducted at the antenatal clinic and at postnatal room, Ain Shams University Maternity Hospital. Sample: Convenient sample, sample was 500 pregnant women. Tools: (I) A structured interview questionnaire sheet assess socio-demographic characteristics of the study sample include age, education level, occupation, place of residence, and phone number. Moreover, to asses obstetric history of study sample includes previous pregnancy and delivery, parity, previous pregnancy outcome, type of delivery, number of abortions, and place of the previous delivery. It has involved information about present pregnancy as gestational age; any complications with a previous pregnancy, antenatal follow up, (II) the expectations of childbirth experience questionnaire, (III) the expectations of nursing support during labor and birth and (IV) childbirth experience questionnaire. Results: 62.6% of the studied sample was had negative expectations toward childbirth. 58.3% of the studied sample was had negative expectations toward nursing support.62.6% of the studied sample was had negative experiences toward childbirth. Conclusion: It was found that, slightly two thirds of the studied sample were had negative expectations toward childbirth. More than half of the studied sample were had negative expectations toward nursing support. In addition to the slightly two-thirds of the studied sample were had negative experiences toward childbirth. Also, there was highly significant correlation between total childbirth expectations score, total nurse expectations score of studied sample & their total childbirth experiences. Recommendation: The study recommended with conducting an educational programs to expectant mothers about what actually happens during labor.
https://ejhc.journals.ekb.eg/article_251020_48992458aed2aa30a17d732d17245a08.pdf
2019-03-01
811
820
10.21608/ejhc.2019.251020
expectations
experiences
childbirth
Women’s
Eman
Shaban Mohammed
1
Sc. Nursing Sciences 2004 Ain Shams University-Cairo-Egypt.
AUTHOR
Sabah
Metwally Mohamed
2
Professor of Maternity and Gynecological Nursing, Faculty of Nursing Ain Shams University-Cairo-Egypt.
AUTHOR
Amal
Fatthy
3
Lecturer of Maternity and Gynecological Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Assessment of Children Having Diarrheal Diseases
Background: Diarrheal diseases are major public health problems, especially in children in developing countries. Globally, diarrhea remains the second most common cause of death among children under five years of age. Aim: This study aimed to assess needs of children having diarrheal diseases. Research Design: A descriptive designed was utilized in this study. Research settings: This study was conducted at Pediatric Department affiliated to Beni Suef University Hospital and General Beni Suef Hospital. Research subjects: A purposive sample included (45) children admitted to the pediatric department who having diarrheal disease was selected from previous mentioned settings. Tools of data collection: A Pre-designed Questionnaire Sheet; Medical data sheet; Patient assessment data sheet; Complication monitor sheet. Results: of the study revealed that regarding to demographic characteristics of children more than half of children were males, lived in urban and having natural feeding. There were half of them readmission after one week and two thirds have feverish. Conclusion: Children having diarrheal disease needs accurate management and nutrition. Recommendation: Periodical in-service training programs for nurses to improve their quality of care (QOC) to meet needs of children having diarrheal disease.
https://ejhc.journals.ekb.eg/article_251334_e0ad61b99fefe48cd8c04c043c738a02.pdf
2019-03-01
821
830
10.21608/ejhc.2019.251334
Assessment
children
and Diarrhea
Baraka
Fam Merry
1
Professor of Pediatric Nursing and Vice Dean of Community Service & Environment Development Affairs, Ain Shames University
AUTHOR
Eman
Ebrahim
2
Professor of Pediatric Nursing and Vice Dean of Community Service & Environment Development Affairs, Ain Shames University
AUTHOR
Madiha
Amin Morsy
3
Ass. Professor. DR. of Pediatric Nursing, Ain Shames University
AUTHOR
ORIGINAL_ARTICLE
Effect of Primary prevention for Infection with Hepatitis B & C on Nurses’ Knowledge and practices
Background: Primary prevention of viral hepatitis B & C is a vital element in controlling the spread of the disease between nursing staff. The aim of the study was to assess nurses' knowledge about viral hepatitis B and C, assess nurses' preventive practices about viral hepatitis B and C, The research design: A descriptive study was utilized for current study. Setting The study was conducted in two setting, National Liver Institute and Menofia University Hospital in Shebin El-Kom City. Sample convenient sample consist of 117 nurses were recruited for the study. Tools: Data were collected through self adminstered questionnaire sheet to assess socio-demographic characteristics data about nurses, assessing the nurses knowledge about HBV &HCV, Observational checklist used to assess nurses' practices and infection control in hospitals. Results: The majority of studied nurses were knowledgeable about viral hepatitis B&C and preventive measures of viral hepatitis B&C, the majority of studied nurses had unaccepted practices. The study also revealed a statistical significant relation between nurses' knowledge, practices and their years of work. Conclusion: This study concluded that, the nurses had adequate knowledge about viral hepatitis B& C except incubation period. The level of the nurses' practices regarding preventive measures of viral hepatitis B&C not accepted. The hospital had an important role to prevent transmission of viral hepatitis B&C to nursing staff through availability of hepatitis B vaccination infection control devices, equipment and solutions. Recommenations: The study recommended a periodic training program for nurses about viral hepatitis B& C. Further researches about nurses' compliance to infection control practices. Booklet and simplified teaching material should be available for nurses about infection control practices and safety measures.
https://ejhc.journals.ekb.eg/article_251335_f812ac536176050c4e5efd2c6d1d18c6.pdf
2019-03-01
831
842
10.21608/ejhc.2019.251335
HCV
HBV
Nurses’ Knowledge and Practices
primary prevention
Elsayeda
Said Elwaleil
1
Master degree Department of Community Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Suheir
A.H. Mekhemar
2
Professor of Community Health Nursing Department of Community Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Nadia
Hamed Farahat
3
Professor of Community Health Nursing Department of Community Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Ayman
El-sebaey El-ghreib
4
Assist. Professor of Hepatology, National Liver Institute, Menoufia University
AUTHOR
Hala
Mohamed Mohamed
5
Department of Community Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nurses' Performance Regarding Patient Safety in Operating Room at Zagazig University Hospitals
Background: The patient safety is a fundamental principle of health care. It has been defifined as reduction of risk of unnecessary harm associated with delivery of health care to a minimum as well as the prevention of errors and avoidable adverse events, to protect patients from injury. Aim: This study was conducted to assess nurses' performance regarding patient safety in operating room. Design: A descriptive research design was utilized to meet the aim of the study. Setting: The study was carried out in the General operating rooms at Zagazig University hospitals. Study subject: A Purposive sample included all available nurses working in general operating room, (50 nurses)at zagazig university hospital and agree to participate were recruited in this study. Tools: three tools were used including:-I-Self-administered questionnaire. II- Nurses’ level of practice observational checklist. III- Nurses’ attitude Likert scale. Results: 74% of studied nurses under the study had unsatisfactory level of knowledge regarding patient safety in operating room, 54% of studied nurses had unsatisfactory level of practice regarding patient safety in operating room and 96% of studied nurses had positive attitude regarding patient safety in operating room. Conclusion: about three quarters of studied nurses had unsatisfactory level of knowledge regarding patient safety in operating room. More than half of studied nurses had unsatisfactory level of practice regarding patient safety in operating room. While, the most of studied nurses had a positive attitude regarding patient safety in operating room. Recommendations: On-going and regular in-service educational programs regarding evidence-based guidelines about application of patient safety checklist in the operating room.
https://ejhc.journals.ekb.eg/article_251337_c6433af131a745e626896274636ede4b.pdf
2019-03-01
843
856
10.21608/ejhc.2019.251337
Nurses’ Performance
Patient Safety
operating room
Samar
Nabil Mohamed Abd Elglil
1
B.Sc. Medical Surgical Nursing, Faculty of Nursing, Ain Shams University - Egypt
AUTHOR
Howyda
Ahmed Mohamed
2
Assistant Professor of Medical Surgical Nursing,Faculty of Nursing, Ain Shams University - Egypt
AUTHOR
Mona
Nadr Ebrahim
3
Assistant Professor of Medical Surgical Nursing Faculty of Nursing, Ain Shams University - Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect of Secondary Level of Burn Injuries on Body Image and Self Esteem of Adolescents
Background: Burns are the second most common injury for adolescents in families of low socioeconomic status moreover burns and related injuries are still the major cause of mortality and disability around the world. Aim: This study aimed to assess the effect of secondary level of burn injuries on body image and self–esteem of adolescents. Design: A descriptive analytical design was used. Setting: This study conducted at the Burn Unit for both of El–Demerdash Hospital affiliated to Ain Shams University and Al–Ahrar Zagazig General Hospital affiliated to Ministry of Health. Subject: A purposive sample composed of 120 adolescents who were suffering from second degree of burn and admitted to the previously mentioned setting. Tools: Three tools used for data collection; A Structured Interview Questionnaire Format to assess characteristics of adolescents and history of burn, Body Image Scale to assess body image of the studied adolescents and Coopersmith Self– Esteem Inventory Scale to assess self–esteem of the studied adolescent. Results: the results of the study illustrated that there was a positive correlation between total body image of the studied adolescents and their total self–esteem and a negative correlation between total burn ratio and total body image and total self–esteem. Conclusion: Based on the findings of the current study, the study was concluded that, more than two thirds of the studied adolescent with secondary burn had moderate body image and the majority of them had moderate self– esteem. Recommendations: Develop a program to empower adolescents’ for overcoming the effect of secondary level of burn injuries on body image and self–esteem.
https://ejhc.journals.ekb.eg/article_251339_a07eb9399e99affb31c6934ac0ef9221.pdf
2019-03-01
857
868
10.21608/ejhc.2019.251339
Burn injury
Body Image
Self
esteem
Adolescents
Mohamed
S.M
1
B.Sc. Nursing 2010,Faculty of Nursing, Ain Shams University, 2019
AUTHOR
Al-Rafay
S.S.
2
Professor & Head of Pediatric Nursing Department Faculty of Nursing, Ain Shams University, 2019
AUTHOR
Hassan
S.E.
3
Professor of Pediatric Nursing, Faculty of Nursing, Ain Shams University, 2019
AUTHOR
Morsy
M.A.
4
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Ain Shams University, 2019
AUTHOR
ORIGINAL_ARTICLE
Factors Affecting on utilization of Screening Procedures among Pregnant Women
Background: Screening tests early in your pregnancy you should be offered a number of tests, to help antenatal care team to provide the best care possible during pregnancy and the birth. Aim: This study is to assess the main factors affecting on utilization of screening procedures among pregnant women. Methods: A descriptive research design was adopted to fulfill the aim of the study and answer the research question. Setting: The study was conducted at Obstetric outpatient antenatal clinics of Beni-suef University Hospital and Beni-suef General hospital. Sample type: Simple random sample technique was used. Sample criteria: A sample of pregnant women was recruited from the eligible group. The sample included every pregnant women who was attending the antenatal clinics 3 days per week and fulfilling the inclusion criteria as different age group, different educational level, free from medical &surgical problem and agree to participation in the study until reaching sample size. Results: Regarding relation between characteristics of studied sample and their score of factors, the study revealed that were a highly significant association between educational level of women and occupation for husband with total score of factors (p. value <0.05). Conclusion: The present study, revealed that most of studied pregnant women had factors affecting utilization of screening procedures as social, economic, psychological, environmental factors. In addition, there is significant association between personal characteristic of pregnant women and their total score of factors that effect on utilization of screening procedures. Recommendation: Nurses should have more positive role in raising the awareness of women about the importance of screening procedures through developing mother's class programs at maternity hospitals and preparation of health education materials for pregnant women.
https://ejhc.journals.ekb.eg/article_251341_e85efa35778cad09c5eb410b8e372426.pdf
2019-03-01
869
879
10.21608/ejhc.2019.251341
factors
screening procedures
Pregnant women
Hend
Eweis Saad
1
Clinical instructor in Maternity and Gynecological Nursing in faculty of Nursing, Beni Sweif University
AUTHOR
Shadia
Hamido
2
Professor of Maternity and Gynecological Nursing at faculty of Nursing, Ain Shams University
AUTHOR
Nevin
Samir
3
Assist professor of Maternity and Gynecological nursing at faculty of nursing, Ain-Shams university
AUTHOR
Amal
Talaat
4
Assist professor of maternity and Gynecological nursing at faculty of nursing ,Ain-shams university.
AUTHOR
ORIGINAL_ARTICLE
Factors Affecting Prediction of Pressure Ulcer among Patients at Critical Care Unit: Suggested Nursing Care Plan
Background: Pressure ulcer (PU) commonly called Pressure injury (PI), pressure sores (PS), decubitus ulcers (DU) or bedsores (BS), are localized injury occur most often in the skin and subcutaneous tissue over bony prominences. Aim: This study aimed to assess factors affecting prediction of pressure ulcer among patients at critical care unites. Design A descriptive exploratory design was utilized for the conduction of this study. Setting the study was carried out in critical care unit (ICU) of Sohag University Hospital. Study subject: A purposefulsample of seventy patients. Tools: I – patient assessment form which includes patients demographic characteristics' and patients’ clinical data, II- Braden scale to detect high risk patient for pressure ulcer, III-factors affecting prediction of pressure ulcer tool. Results: revealed that, many factors affecting prediction of pressure ulcers, such as patient’s related factors, 55.7% of the studied patients were bed ridden, 87.1% of them were incontinence of stool, 72.9% having a low level of consciousness, 74.3% of the studied patients exposed to shear and friction on the skin, 64.3% were diabetic, and 55.7% were suffered from vascular disease. Almost all of the nurses’ practices regarding pressure ulcer prevention were poor, and according to Braden scale assessment 55.7% of patients admitted to ICU were at high risk for pressure ulcer. Conclusion: more than half of patients admitted to ICU had sever risk for pressure ulcer according to Braden scale, more than half of patients were bed ridden, most of them were incontinence of stool, three quarter of patients having a low level of consciousness and were exposed to shear and friction on the skin, nearly two third of patients were diabetic and more than half of them were suffered from vascular disease. All of nurses’ practices regarding pressure ulcer prevention were poor, and most of patients did not have environmental factors to prevent pressure ulcer. Recommendations: Application of Braden scale tool to assess all admitted patientsto intensive care units. Braden scale should become as daily nursing assessment task.
https://ejhc.journals.ekb.eg/article_251342_66e20dbb4dd2c258b44df56593c52aa5.pdf
2019-03-01
880
892
10.21608/ejhc.2019.251342
pressure ulcer
Braden Scale
Nursing
Lobna
A. Ibrahim
1
Clinical instructor /Faculty of Nursing Sohag University
AUTHOR
Neamatalah
Goma Ahmed
2
Ass. Professor /Medical Surgical Nursing Department/Ain Shams University
AUTHOR
Dalia
Ali Ameen
3
Ass. Professor /Medical Surgical Nursing Department/Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Assess Critical Thinking Skills among Psychiatric Mental Health Nursing Students
Background: This study aimed to assesses critical thinking skills among psychiatric mental health nursing students. Study design was a descriptive research design. The study was conducted on 90 psychiatric mental health students at Faculty of nursing, affiliated to Ain Shams University. The type of sample was convenient sample. Data were collected using The California Critical Thinking Dispositions Inventory questionnaire (CCTDI) it divided into two parts (1) socio-demographic characteristics sheet (2) critical thinking assessment sheet. The results: this study revealed that the majority of sub-scales of CCTDI students showed a negative disposition toward critical thinking. No statistical significant difference was found in relation of critical thinking disposition and age and residence. The study concluded that, the majority of psychiatric mental health’s nursing students have the highest mean percentage about skills of critical thinking in “truth seeking followed by open mindedness and inquisitiveness meanwhile, the lowest mean percentage of dispositional level characteristics of “self-confidence” among psychiatric mental health students. The most of psychiatric mental health nursing students have negative disposition toward clinical thinking. The study recommended that, Nursing educational program for enhancing critical thinking skills and how to apply, the students must play an active role in designing this program. Short courses workshops are recommended to develop critical thinking skills. Revising the curriculum and preparing nurse educators for implementation of innovative and active teaching strategies are suggested.
https://ejhc.journals.ekb.eg/article_251343_49b46f54a302b421e18e5d2182604375.pdf
2019-03-01
893
904
10.21608/ejhc.2019.251343
critical thinking
psychiatric Nursing Students
Shireen
Sobhy Hassaneen
1
Nursing Instructor of Nursing Department Technical Health institute -Imbaba
AUTHOR
Ghada
Mohamed Mourad
2
Professor of Psychiatric/Mental Health Nursing1, Faculty of Nursing Ain Shams University.
AUTHOR
Hanaa
Ezz El Din Prince
3
lecturer of Psychiatric/Mental Health Nursing2, Faculty of Nursing Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Maternal Practices for Prevention and Care of Communicable Diseases for their Children
This study aimed to assess maternal practices for prevention and care of communicable diseases for their children. Subjects and Methods: A descriptive study was conducted at fever hospital in Abbasia and Alfayoum city and nursery school. Sampling: A convenience sample include their total number was 130 mothers. Tools: A structured questionnaire format to assess mothers characteristic and their knowledge regarding communicable diseases, the second tool was reported practice to assess mothers practice toward communicable diseases. Results: showed that two fifth of (preventive) healthy children mothers aged forty years and more. Also the majority of (curative) diseased children mothers had unsatisfactory knowledge related to specific communicable diseases. Majority of healthy children and diseased children mothers had inadequate reported practices. Conclusion: More than half of (preventive) healthy children mothers had unsatisfactory knowledge and the majority of them had inadequate reported practices related to communicable diseases. Meanwhile, less than two thirds of diseased children mothers had unsatisfactory knowledge related to general knowledge while majority of them had unsatisfactory specific knowledge. In addition to the majority of diseased children mothers had inadequate reported practices related to communicable diseases Recommendations: The study recommended that, Implementation of health education program for mothers about the preventive measures and care of children having communicable diseases in MCH and outpatient clinic as needed.
https://ejhc.journals.ekb.eg/article_251344_58f4d21a3785b0cbc33e43694ad08d89.pdf
2019-03-01
905
912
10.21608/ejhc.2019.251344
communicable diseases. Mothers ' Knowledge
Practice
children
Marwa
Abd allah Salem Ramadan
1
Demonstrator of Pediatric Nursing, Faculty of Nursing Beni Suef University
AUTHOR
Eman
Amin Mohammed
2
Professor of pediatric Nursing, Faculty of Nursing Ain Shams University
AUTHOR
Salma
Elsayed Hassan
3
professor of Pediatric Nursing, Faculty of Nursing Ain Shams University-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Nurses' Performance Regarding Care of Patients with Bleeding Esophageal Varices
Background: Esophageal varices are enlarged or swollen veins that occur on the lining of the esophagus. Varices can be life-threatening if they break open and bleed. Aim: This study was conducted to assess nurses' performance (knowledge, practice and attitude) while caring of patients with bleeding esophageal varices. Design: An exploratory descriptive design was utilized to achieve the aim of the study. Setting: The study was conducted at medical ICU and hematemsis unit at Zagazig University Hospitals. Study subject: A convenient sample of (30) nurses working in the previously mentioned units within 6 months. Tools: three tools were used including: I- Nurses' self- administered questionnaire used to assess nurses’ knowledge and demographic characteristics of the study nurses. II- Likert scale used to assess nurses’ attitude in caring of patients with bleeding esophageal varices. III- Nurses' observational checklist used to assess nurses’ practice in caring of patients with bleeding esophageal varices. Results: 65.7% and 53.33% of nurses had unsatisfactory level of knowledge and practice, while 60% of them had a positive attitude regarding caring of patients with bleeding esophageal varices. Conclusion: there was a highly statistically significant relation between total nurses’ knowledge and practice. Recommendations: Further research are recommended to study new approaches in the area of care and management of patients with bleeding esophageal varices and evaluate its reflection on patient’s outcomes.
https://ejhc.journals.ekb.eg/article_251345_8ff1248f00635f2813e0576fe4dce7cf.pdf
2019-03-01
913
927
10.21608/ejhc.2019.251345
Bleeding esophageal varices
Nurses' Performance
Noura
Shaban Abdelazim Abdelhaleem
1
Demonstrator at Medical Surgical Nursing Department at El-Ahrar Technical Institute.at El Sharkia
AUTHOR
Manal
Houssien Nasre
2
Professor of Medical Surgical Nursing,-Faculty of Nursing- Ain Shams University
AUTHOR
Naglaa
Elsayed Mahdy
3
Professor of Medical Surgical Nursing,-Faculty of Nursing- Ain Shams University
AUTHOR
Samar
Faltas Marzouk
4
Assist. Prof of Medical Surgical Nursing-Faculty of Nursing- Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Workplace Spirituality versus Work Engagement among Faculty Staff Members and their Assistants
Background: work engagement is a positive state of mind characterized by the extent to which employees are vigorous. Spirituality is a sense of wholeness, connectedness at work, and deeper values. Aim: The current study aimed at comparing between faculty staff members and their assistants regarding workplace spirituality and work engagement. Subject and Methods: A descriptive comparative research design. This study was conducted at faculty of nursing Ain Shams University. (124) faculty staff members and (79) faculty staff members’ assistants were included in the study. Data were collected using two tools; workplace spirituality questionnaire to assess faculty staff members and their assistants’ perception toward workplace spirituality and work engagement scale to assess faculty staff members and their assistants’ perception toward work engagement. Results: There are a statistically significant difference between demographic variables of faculty staff members and workplace spirituality regarding position and specialty P<0.05, there is no statistically significant correlation between workplace spirituality and demographic of faculty staff assistants P>0.05, there is highly statistically significant direct positive relation between all dimensions of workplace spirituality and all dimensions of work engagement. Conclusion: The current study concluded that there is no significant difference among the perception of the faculty staff members and their assistants regarding workplace spirituality, while there is a significant difference between the perception of the faculty staff and faculty staff assistants regarding work engagement. Recommendations: The study recommends encourage high spirituality of all faculty staff and workers, reward high engaged staff and gives more appreciation, enhance sense of community for all staff and workers, and disseminate organizational values all over the faculty to get more cooperation
https://ejhc.journals.ekb.eg/article_251347_ca8a666f4391637b330893a3dfb2fa7b.pdf
2019-03-01
928
938
10.21608/ejhc.2019.251347
Workplace Spirituality
work engagement
Faculty Staff Members and Faculty Staff Assistants
Mona
Y. Abd-Elrahman
1
Master degree student at Ain Shams University.
AUTHOR
Rabab
M. Hassan
2
Prof. of Nursing Administration, Faculty of Nursing, Ain-Shams University.
AUTHOR
Hanaa
M. Abd-Rabou
3
Lecturer of Nursing Administration, Faculty of Nursing, Ain-Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Health Promotion Program on Improving Physical Activity among Post- Menopausal Women with Osteoporosis
Aim: This study was aimed to investigate the efficacy of health promotion program on improving physical activity among post - menopausal women with osteoporosis. Research design: quasi-experimental intervention study design was used. Setting: this study conducted at women’s health center in Nasser institute hospital in Egypt. Subjects: simple random sampling technique was used to recruit 100 post- menopausal women diagnosed with osteoporosis in the study. Tools of data collection: three tools were used for data collection; an interviewing questionnaire sheet, Osteoporosis Knowledge Test, and global physical activity questionnaire. Results: There is no statistical significant difference between post-menopausal women in both groups regarding their socio-demographic characteristics. There was a statistical significant improvement on total level of knowledge and physical activity regarding osteoporosis after intervention and at follow up (p= 0.001). Conclusion: The findings of the current study supported the hypothesis of this study which stated that application of health promotion program had positive effect on improving physical activity among post-menopausal women with osteoporosis. Recommendation: based on the finding of the current study the following recommendation is suggested application of physical activity program for post-menopausal women with osteoporosis to prevent osteoporosis complication.
https://ejhc.journals.ekb.eg/article_251348_4d6de3eccfb001ecb4a10028908ffc70.pdf
2019-03-01
939
953
10.21608/ejhc.2019.251348
Osteoporosis
Post- menopausal women
Health promotion
Physical activity
Sheren
Eid Bayome
1
Maternity & Gynecological Nursing Department Faculty of Nursing Ain Shams University.
AUTHOR
Nadia
Mohamed Fahmy
2
Maternity & Gynecological Nursing Department Faculty of Nursing Ain Shams University.
AUTHOR
Randa
Mohamed Ebrahim
3
Maternity & Gynecological Nursing Department Faculty of Nursing Ain Shams University.
AUTHOR
ORIGINAL_ARTICLE
Mother’s Perception towards Hazards of Female Circumcision in Rural Community
Background: Female circumcision is any procedure involving the partial or total removal of the external female genitalia. Aim: The aim of this study was to assess mother's perception toward hazards of female circumcision in rural community. Design: descriptive research design was used to conduct this study. Setting: the study was conducted at MCH centers in Beni- suef city. Sample: A purposive sample of three hundred mother having female daughters at the age of 7 to 15 years who have done circumcision or not was selected. Tools: two tools were used for data collection, first tools divided into three parts, structured interviewing questionnaire to assess socio- demographic data of mothers, knowledge of mothers regarding female circumcision and its hazards, part three to assess predisposing factors leading to female circumcision, and the reported practices of mothers regarding hazards after circumcision, second tool to assess attitude of mothers toward hazards of female circumcision in rural community. Results: the mean age of mothers was 34.3 ±4.1 years, nearly half of mothers had satisfactory level of knowledge regarding female circumcision, more than two fifths of them done practices regarding hazards after circumcision and nearly three fifth of them had positive attitude regarding female circumcision. Conclusion: there is significance relationship between studied mothers knowledge, practice and attitude with their socio- demographic characteristics and there is significance correlation between knowledge of the studied mothers and their attitude regarding female circumcision. Recommendation: Increase mothers awareness about female circumcision through outpatient clinics and MCH centers.
https://ejhc.journals.ekb.eg/article_251349_5b777d36a48fc5b94c2af87f188a2ab1.pdf
2019-03-01
954
964
10.21608/ejhc.2019.251349
female circumcision
perception
Health
Rural community
Shimaa
Saber Abd el Atey
1
Clinical Instructor of Community Health Nursing, Faculty of Nursing Beni Suef University,
AUTHOR
Hala
Mohamed Mohamed
2
Assistant Professor of Community Health Nursing, Faculty of Nursing Ain Shams University
AUTHOR
Shimaa
Fathy Miky
3
Lecturer of Community Health Nursing, Faculty of Nursing Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nurses’ Performance Regarding Care of Children with Neurological Disorders
Background: The term “neurologic disorder” applies to any condition that is caused by a dysfunction in part of the brain or nervous system, resulting in physical and/or psychological symptoms. Aim: This study aimed to assess nurses’ performance regarding care of children with neurological disorders. Research design: A descriptive research design was used in this study. Setting: The study was conducted at Neurosurgery Intensive Care Unit and Neurosurgery Department in El-Demerdash hospital which affiliated to Ain Shams University Hospitals. Research Subject: A convenient sample of all (50) nurses. Tools of data collection: Two tools were used Included I. Interviewing questionnaire to assess nurses' knowledge regarding to care of children with neurological disorders II. The observational checklist to assess nurses 'practice regarding care of children with neurological disorders. Results: less than two thirds of the studied nurses (62%) had unsatisfactory knowledge , additional to 58% of them were having incompetent practice regarding care of children with neurological disorders. Conclusion: The current study concluded that, there were statistical significant relation between total nurses’ knowledge, their total practice and their demographic characteristics as regards: age, position and experience. With a strong positive correlation between nurses level of knowledge and their level of practice. Recommendation: The study recommended that importance of implementing an educational training program for nurses in neurosurgery intensive care units and neurosurgery department regarding neurological disorders.
https://ejhc.journals.ekb.eg/article_251350_ae52e939b5eeed7af3b65e789e4e6bde.pdf
2019-03-01
965
974
10.21608/ejhc.2019.251350
Neurological disorders
Nurses’ Performance
children care
Sanaa
Abdelaziz Ahmed
1
BSc. In Nursing 2004, Faculty of Nursing – Ain Shams University
AUTHOR
Randa
Mohamed Adly
2
Professor of Pediatric Nursing Faculty of Nursing – Ain Shams University
AUTHOR
Salma
El Sayed Hassan
3
Professor of Pediatric Nursing Faculty of Nursing – Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
The Effect of High Internet Use on Health of Adolescents
Background: Adolescents are in a vulnerable age, they may be prone to high Internet use and its negative effects on their health. So controlling the pattern of internet usage is very important. Aim: The study aimed to evaluate the effect of high internet use on health of adolescents. Study design: A descriptive design was used in this study. Subject: Multistage sample composed of 800 adolescent students. Setting: This study was carried out at El kobba, saraya El kobba, Ensaf serry, talaee Gaber, Amon secondary schools, at Elzayton administrator. Tools: It composed of two tools. The first tool is self-administered questionnaire to assess socio-demographic characteristics, pattern of internet use, social and psychological health condition of adolescents using internet. The second one is physical assessment sheet is also used to assess physical status of them. Results: The results of this study clarified that 33% of study sample their ages were 17 years or more, 69.5% of them are male, 84.6% of them, their pattern of internet use were moderate pattern and 15.4% of them were high pattern, 17% of the study sample with high pattern of internet use had high negative physical health effect, 65.5% of them had high negative social health effect, while 49.1% had high negative psychological health effect. Conclusion: There were a significant statistical relation between the pattern of internet use and the physical, social, psychological, health status of adolescent, and there were also a statistical significant relation between the pattern of internet use and scholastic achievement of adolescent. Recommendations: The study recommended that, continuous assessment for adolescent s health status at school and at their homes is essential, conducting educational programs for students, parents about proper use of internet, limiting hours spent on the internet, proper body mechanics during internet usage, design pamphlets about the health hazards of high internet usage for secondary schools students and design short programs in the mass media to increase awareness of adolescents and their parents about hazards of high internet usage.
https://ejhc.journals.ekb.eg/article_251356_9b6c340c597ffae65d22d66441f65851.pdf
2019-03-01
985
995
10.21608/ejhc.2019.251356
High internet Use
Adolescents
Nehad
A. Saied
1
Master student in Community Health Nursing at Faculty of Nursing, Ain Shams University.
AUTHOR
Seham
G. Ragheh
2
Professor of Community Health Nursing, Faculty of Nursing - Ain Shams University.
AUTHOR
Ferial
F. Malika
3
Assistant Professor of Community Health Nursing, Faculty of Nursing - Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Relationship between Emotional Intelligence and Job Stress among Nurses in Abbassia Mental Hospital
Background: Emotional intelligence is an essential factor that responsible for shaping interaction between nurses and job stress Aim: this study aimed to assess relationship between emotional intelligence and job stress among nurses in Abbassia mental hospital. Design: A descriptive correlational design was utilized in this study. Setting: The study was carried out at inpatients departments of El-abbassia Mental Hospital located in Cairo Subjects: The study was conducted on 220 of nurses working in El-Abbassia mental hospital Tools of data collection Socio-demographic Sheet, Emotional intelligence scale and psychiatric Nurses Job Stress Scale. Results: The highest percentage of the studied sample were able to appraisal and regulation of own emotion, and three quarter of them had high level of emotional intelligence with significant difference between level of emotional intelligence and their gender, income, professional experience and qualification Regarding to job stress the highest percentage of nurses had ability to provide psychiatric nursing care toward psychiatric patient and the most of them suffering from moderate level of job stress with significant difference between level of job stress and their sex, experience and qualification Conclusion: The result of the current study concluded that there was a negative relationship between emotional intelligence and job stress Recommendations: Establish a psycho-educational program for psychiatric nurses to learn them how to cope positively with their job stressors and conduct intervention program concerning emotional intelligence among newly graduated nurses in order to managing their stress and improving job performance.
https://ejhc.journals.ekb.eg/article_251358_c5aa6b7fb0bc3ae6ae1c7c11e8a4edc6.pdf
2019-03-01
996
1011
10.21608/ejhc.2019.251358
emotional intelligence
Job stress
Wafaa
Hussien Ahmed
1
B.Sc Nursing, Faculty of Nursing, Ain Shams University.
AUTHOR
Sorayia
Ramadan
2
Professor of Psychiatric/Mental Health Nursing, Faculty of Nursing - Ain Shams University.
AUTHOR
Sahar
Mahmoud
3
Professor of Psychiatric/Mental Health Nursing, Faculty of Nursing –
AUTHOR
ORIGINAL_ARTICLE
Assessment of Nurses’ Documentation Skills in Neonatal Intensive Care Units
Background: Documentation is a fundamental nursing responsibility with professional, legal and financial ramification. Aim: This study aimed to assess the nurses' documentation skills in neonatal intensive care unit through assessing nurses’ knowledge and practices toward the documentation and assessing nurses’ attitude toward documentation in neonatal intensive care units. Research design: descriptive study. Setting: The study was conducted at Neonatal Intensive Care Units at Maternity and Gynecological Hospital and Pediatric Hospital affiliated to Ain Shams University Hospitals and Said Galal Hospital affiliated to Al-Azhar University hospitals. Subjects: A purposive sample the subject of the study included of nurses (60) and purposive sample of neonates (60) who admitted in NICU in the previously mentioned settings. Tools: four tools were used: First tool, Structured questionnaire format: to assess nurses’ knowledge as regard to documentation skills. Second tool, neonates' assessment sheet. Third tool, Standardized frame for documentation skills for common neonatal problems. Fourth tools, nurses' attitude regarding documentation skills in NICU. Results: The mean age of the studied nurses was 26.5±5.91 years. Regarding educational qualification, 53.3% of studied nurses had nursing technical institute education. In relation to mean years of experience in neonatal intensive care, the mean was 6.62±2.87 years. Three quarters of nurses had no attendance of previous training courses in nursing documentation. There is a statistically significant relation between total knowledge of the studied nurses and their socio-demographic characteristics (age, educational qualification and years of experience in NICUs). There is a statistically significant relation between total practice of the studied nurses and their socio-demographic characteristics (age, educational qualification and years of experience in NICUs). There is a statistically significant relation between total attitude of the studied nurses and their educational qualification. Conclusion: More than half of nurses had satisfactory knowledge regarding documentation skills in NICUs. The majority of nurses had positive attitude regarding documentation skills in NICUs. More than half of nurses had competent practices regarding documentation skills in NICUs. There is a highly statistically significant positive correlation between total nurses' knowledge, attitude and practice. Recommendations: In-service education for upgrading nurses’ skills toward documentation in neonate intensive care units. Further research studies are needed for ongoing assessment of nurses including large sample for generalization of results.
https://ejhc.journals.ekb.eg/article_251360_bfb7d289a3f23960e765b037d95fdd64.pdf
2019-03-01
1012
1026
10.21608/ejhc.2019.251360
Documentation skills
Neonatal Intensive Care Units
Wafaa
Hamdy El Khateeb
1
B.s.c, Benha University, Faculty of Nursing, Ain Shams University
AUTHOR
Randa
Mohamed Adly
2
Professor Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Bothayna
Nader Sadk
3
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Quality of Life for Adult Client with Chronic Kidney Disease
Background: Chronic kidney disease is a reduced glomerular filtration rate and it an important cause of death and loss of disability-adjusted life-years worldwide. Aim: was to assess the quality of life for adult clients’ with chronic kidney disease. Design: A descriptive study design was utilized in the current study. Sample: A Purposive sample with 122 adult Client with chronic kidney disease with the following criteria: adult male and female, age ranged from 21-50 years. Setting: the study was conducted in renal insufficiency outpatient clinics at Ain Shams University Hospitals, Cairo governorate. Tools: first: An interviewing questionnaire sheet (knowledge & compliance), and second: Kidney disease Quality of Life. Results: The mean age of the study sample were 23.4 ± 15.2 years. More than one third (36.1% & 35.0% respectively) of the client with chronic kidney disease had satisfactory knowledge and compliance level about their disease, and more than half (52.5%) of them had poor Quality of Life level. There was no statistical significance relation between client quality of life and their knowledge but there were statistical significance relation between client quality of life and their compliance. Conclusion: More than one third of the client with chronic kidney disease had satisfactory knowledge and compliance level about their disease, more than half of them had poor QoL level, and more than one third of them had average QoL. There were a relation between client knowledge and their compliance and between their quality of life and their compliance. Recommendation: Patients should to be provided with sufficient relevant written and visual knowledge to facilitate educating them about kidney disease, importance of hemodialysis, care of fistula, therapeutic regimen, and follow- up < /span>.
https://ejhc.journals.ekb.eg/article_251361_cbf89e9835254a38607d67bb13f57c80.pdf
2019-03-01
1027
1039
10.21608/ejhc.2019.251361
Adult client
Chronic Kidney Disease
quality of life
Karem
Mahmoud Mohammed
1
B.Sc Nursing, Faculty of Nursing, Port Said University
AUTHOR
Hemat
Abd Elmoneem Elsayied
2
Professor of Community Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Asmaa
Talaat M.
3
Lecturer of Community Health Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Develop Guidelines Instructions for Nurses Regarding Caring of Children Suffering from Favism
This study aimed to: Effect of Guidelines Instructions on Nurses Regarding Caring of Children suffering from Favism. Subjects and Methods: a quasi-experimental study was conducted at hematological units in children hospital affiliated to both Ain Shams and Tanta University hospitals. Subjects: A convenience sample include total number of 50 nurses. Tools: A structured questionnaire to assess nurses characteristic and their knowledge regarding favism, . II- observational checklist to assess nurses practices regarding care of children with favism and A guiding Booklet about favism. Results: : nearly half (48%) of studied nurses their age were 20>30 years and more than two fifth of them (44%) held >5 years of experience in hematological units, There was statistically significant difference between Pre / Post guidelines regarding nurses' total level of knowledge and their total level of practices as regards care for children with favism . Conclusion: The designed guidelines instructions led to significant improvement of knowledge and performance of the studied nurses toward care of children with favism. Recommendations: The study recommended that, periodic refreshing training should be provided for all nurses working in hematological department and caring of children with favism. A manual guided booklet about favism should be available for all nurses working in hematological unit.
https://ejhc.journals.ekb.eg/article_251539_72b3e00aefa4afaae6affc49680dd786.pdf
2019-03-01
1040
1050
10.21608/ejhc.2019.251539
children
Guidelines Instructions
Favism
Nurses
Aya
Eid Ahmed Abou Taleb
1
B.Sc., Nursing Sciences - Faculty of Nursing Ain Shams University-Cairo-Egypt.
AUTHOR
Eman
Amin Mohamed
2
Professor of Pediatric Nursing- Faculty of Nursing Ain Shams University-Cairo-Egypt.
AUTHOR
Salma
El sayed Hassan
3
Professor of Pediatric Nursing- Faculty of Nursing Ain Shams University-Cairo-Egypt.
AUTHOR
Mona
Ali Konswa
4
Lecturer of Pediatric Nursing- Faculty of Nursing Ain Shams University-Cairo-Egypt.
AUTHOR
ORIGINAL_ARTICLE
Effect of selected play activities along with music therapy on social and stereotype behaviors among school age children with autism
Background: Children with Autism Spectrum Disorder (ASD) have problems in the social
interaction, communication skills, repetitive and stereotyped patterns of behaviors, and interests of
activities across multiple contexts. Aim: this study aimed to assess the effect of selected play
activities along with music therapy on social and stereotype behaviors among school age children
with autism. Design: one group pre and post quasi-experimental design was used in this study.
Sample: A purposive sample of thirty school age children diagnosed with autism. Setting: this
study was conducted at Center for Social and Preventive Medicine (Child Psychiatry Outpatient
Clinic) Cairo University Hospital. Data collection Tools: data were collected using three tools:
Socio-demographic and Medical Data Sheet, Autism Social Skills Profile (ASSP), Stereotyped
Behavior Scale (SBS). Results: more than half of the studied sample (56.7%) suffers from low level
of social skills interaction pre-intervention as compared to 3.3% post intervention, statistically
significant difference were found between social skills and stereotype behaviors pre and post
intervention. The study recommended that, music and play therapy should be integrated in treatment
programs for those children.
https://ejhc.journals.ekb.eg/article_272607_8595c3c6d707d28734e1fb27f2b4b5a9.pdf
2019-03-01
1051
1059
10.21608/ejhc.2019.272607
Play
music
autism
Social behaviors
Stereotype behaviors
Naglaa
Mostafaa
1
Psychiatric mental health nursing, Faculty of Nursing, Cairo University
AUTHOR
Marwa
Abdelkreem
2
Pediatric Nursing,Faculty of Nursing, Cairo University
AUTHOR
Mona
Hamdy
3
Psychiatric mental health nursing, Faculty of Nursing, Cairo University
AUTHOR
ORIGINAL_ARTICLE
Assessment of Infertile Couples' Knowledge regarding In Vitro Fertilization Process
Background: In Vitro Fertilization (IVF) is a type of assisted reproductive technology used
for infertility treatment couples undergoing (IVF) suffer from various problems that affect their life.
Aim: This study aimed to assess infertile couples' knowledge regarding In Vitro Fertilization
Process. Research design: A descriptive research design was utilized. Setting: This study
conducted at Assisted Reproductive Unit at Ain Shams Maternity University Hospital. Sample: A
simple random sample was used to recruit 98 couples. Tool of data collection: An interviewing
questionnaire sheet was used for data collection. Results: shows that mean age of the studied
husbands is (35.97 ± 5.47) years while, the mean age of the studied wives is (29.72 ± 4.14) years.
As regard infertile couples total level of knowledge regarding IVF process only (12.8571 ±
2.55767)of the wives have satisfactory level of total knowledge regarding IVF process while,
(6.0408 ± 1.45715) of husbands have satisfactory level of total knowledge regarding IVF process.
Conclusion: The finding of the current study indicated that less than two third of infertile couples
have unsatisfactory level of knowledge regarding IVF process. Furthermore, nearly three quarters of
wives have unsatisfactory knowledge regarding factors that increase the chances of IVF success,
required medications, instructions followed after the procedure, and complications of IVF process.
While, nearly three quarters of husbands have unsatisfactory knowledge regarding instructions
followed before and during the procedure. Recommendation: Based on the finding of the current
study the following recommendation is suggested developing educational programs regarding IVF
process for infertile couples on IVF unit of Ain shams maternity university hospital.
https://ejhc.journals.ekb.eg/article_274783_4775d963aa24e0f9e51d12a5259c0b2a.pdf
2019-03-01
1060
1068
10.21608/ejhc.2019.274783
Infertile Couples knowledge
In Vitro Fertilization Process
Gehan
Shaban
1
Master of Maternity and Gynecological Nursing, Benha Technical Health Institute
AUTHOR
Shadia
Hamido
2
Professor of Maternity and Gynecological Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Randa
Mohamed
3
Professor of Maternity and Gynecological Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Assessment of Mothers Needs regarding their Children with Cardiac Pacemaker Implantation
Background: A pacemaker can relieve some arrhythmia symptoms, such as fatigue and
fainting. A pacemaker also can help a child who has abnormal heart rhythms resume a more active
life style. Aim: is to assess mothers needs regarding their children with cardiac pacemaker
implantation. Research design. descriptive design will be utilized in this study. Setting. the study
conducted in cardiac department in Ain shams university hospital and national heart institution in
Giza governorate. Sample. it include 50 mothers in the previously mentioned settings. Tools ; used
for data collection include an interview questions to assessing socio-demographic characteristics
of mothers and their children, mothers knowledge regarding pacemaker and activities of daily
living, and interview questionnaire to assessing anxiety scale, stressors and copying style among
mothers involved in the study. Results: the study finding showed that the majority of the mothers
had correct satisfactory knowledge regarding pacemaker. As regard aspect of anxiety level with
permanent pacemaker have mild anxiety and half of mothers have high level of stressors regarding
pacemaker implantation. Conclusion: concerning mothers knowledge regarding pacemaker the
result of the current study indicated that nearly three quarters of the mothers had satisfactory
knowledge regarding pacemaker and as regards total level of stressors found, also half of the
mothers have high level of stressors while, more than half of mothers cannot use a copying styles
regarding pacemaker with a statistical significant relation between mothers aged and total
knowledge, also there are high statistical significant deference between mothers anxiety and their
age, and marital status. Recommendation; design and implement health education program based
on mothers identified needs to enhance their awareness regarding to pacemaker, inflammation signs,
time of battery off, precautions after insertion and children nutritional needs to enhance their
quality of life.
https://ejhc.journals.ekb.eg/article_274785_d41d8cd98f00b204e9800998ecf8427e.pdf
2019-03-01
1069
1081
10.21608/ejhc.2019.274785
Mothers Needs
Pacemaker
Randa
Mohamed Adly
1
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Eman
Abdelfattah Ail
2
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Basma
Abdullah Abdelrhman
3
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR