2024-03-29T17:02:06Z
https://ejhc.journals.ekb.eg/?_action=export&rf=summon&issue=7171
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Factors Affecting Compliance with Lifestyle Modifications among Patients Suffering from Recurrence of Cerebrovascular Stroke
Eman Ahmed
Abdullah Aziz
Naglaa
El Sayed Mahdy
Sara Fathi
Mahmoud
Background: Compliance to life style modifications among patients suffering from recurrent cerebrovascular stroke is very important for preventing further potential complications as recurrence of cerebrovascular stroke and facilitating recovery for those patients. This study aimed to assess factors affecting compliance with life style modifications among patients suffering from recurrent cerebrovascular stroke. Design: A descriptive exploratory design. Setting: stroke out patients' clinic at Tanta University Hospitals/ Egypt. Subject: A purposive sample of 70 adult patients, with old cerebrovascular stroke. Tools: 1) Stroke patients' structured interview questionnaire. 2) Patients' compliance with life style modifications assessment tool. Results: 64.3% of the studied patients had unsatisfactory level of compliance with life style modifications as well as 64.3% had multiple factors affecting their compliance with life style modifications. Conclusion: There were many factors affecting compliance among patients with recurrence CVS; the most was therapy related factors, followed by patients' related factors and disease related factors. While, health care related factors was the least. Moreover, there was a significant relation between total level of patients' compliance and both of their residence place and type of stroke. Recommendation: Establishing cerebrovascular stroke counseling professional team to provide knowledge about recurrent cerebrovascular stroke and its associated life style modifications.
cerebrovascular stroke
Compliance
Life styles modifications
2019
09
01
1
21
https://ejhc.journals.ekb.eg/article_46247_25766d1dbc67ea77b13f21cbf7d762fa.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of a Blood-Borne Diseases Prevention Program on Nurses' Performance in Pediatric Critical Care Units
Radia
Abd El Satter
Iman
Ibrahim Abd Al-Moniem
Mediha
Amin Morsy
Background: Prevention of percutaneous injuries and other blood exposures is an important step in preventing the transmission of blood-borne viruses to healthcare personnelAim of Study was to assess the effect of a prevention program for blood-borne diseases on nurses' performance for infection control standard precautions. Research Design: A quasi-experimental design was utilized. Study settings: the study conducted at Critical area (Neonatal Intensive Care Unit, Pediatric Intensive Care Unit in Children's Hospital affiliated to Ain Shams University Hospitals. Research Subject: included 45 nurses selected by simple random sample working in the previously mentioned settings. Tools of the data collection: A predesigned questionnaire sheet, Observational Checklists were used pre and post program implementation Results: revealed that there was a statistical significant difference between nurses' performance pre and post program for blood-born diseases. Conclusion a prevention program for blood-borne diseases had significant effect on nurses' performance for infection control. Recommendation it could be recommended that implement the designed prevention program for blood-borne diseases to all nursing staff in all pediatric settings
Pathogen
Infection control
Standard Precautions
2019
09
01
22
36
https://ejhc.journals.ekb.eg/article_46249_d6cd5b6b902b99c33c17cd189fa3629e.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Nursing Care Regarding Post Intraosseous Access Insertion in Critical Care Units
Hanem
Ismaiel Zedan
Eman
Talaat Mohammed
Amany
Mohammed Safwat
Background: Critical care nurses have an important role in care of vascular access difficulties' patients. Intraosseous is parenteral vascular access through the bone marrow. Aim of the study: to assess nursing care regarding post intraosseous access insertion in critical care units. Design: A descriptive exploratory design was utilized in this study. Research questions: What are the nursing care regarding intraosseous (IO) access insertion in critical care units? Setting: The study was carried out at different Critical Care units at Tanta University Hospitals, in Egypt. Sample: A sample of purposive of 40 nurses from different critical care units. The minimum 6 months of experience were included in the present study. Tools of data collection: Two tools were used to collect data; the first tool has two parts; part one is characteristics data that included gender, age, years of experience, educational level and area of work. Part two was intraosseous access knowledge questionnaire to assess knowledge regarding indication, contraindication, and nursing measures towards intraosseous access. The second tool was intraosseous observational checklist that was designed to assess nurses' practices while preparing patient and equipment, handling the physician during insertion, administering fluids and medication and removing of intraosseous access. Results: The current study findings revealed that 65% of studied nurses had unsatisfactory level of knowledge regarding intraosseous access care. While, 35% of studied nurses had satisfactory level of knowledge. Regarding nurses' level of practice, it was found that, 55% of nurses had unsatisfactory practical level. While, 45% of studied nurses had satisfactory practical level regarding intraosseous access care. Regarding intraosseous insertion. A significant correlation were existed between age and practice also between their level of knowledge and practice regarding caring of theintraosseous access. Conclusion: it can be concluded that critical care nurses have unsatisfactory level of knowledge and practice regarding nursing care post intraosseous access insertion in critical care units. Recommendations: Carrying out educational programs about nursing management of patients with vascular access difficulties especially intraosseous access. Replication of the study on a large probability of sample from different ICUs concentrated on emergency departments for benefits of emergency situations is required
Critical Care Nurses ' knowledge
Nurses practice
intraosseous access
intraosseous infusion
2019
09
01
37
49
https://ejhc.journals.ekb.eg/article_46250_f9a622405136ec23e2ca78da79a33fda.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Assessment of Staff Nurse's knowledge and Performance Regarding Triage
Shaimaa
Ahmed Mustafa
Samia
Adam
Hemat
Abd elazem
Background: Emergency department is an integral unit in a hospital because it serve large number of people so triage is needed to decrease overcrowding of Emergency department. Triage is defined as the process of sorting a group of patient in a hospital. The study aimed toassess emergency staff nurses' knowledge and performance regarding triage. Design: A comparative descriptive design was used in carrying out the study. Setting: Emergency departments of Ain Shams University Specialized Hospital affiliated to university hospitals and Naser institute hospital affiliated to Ministry of health and population (MOHP). Subjects: 36 nurses from Ain shams university specialized hospital who worked in emergency department and 30 nurse from Naser institute hospital who worked in emergency department. Tool: the data collection forms consisted of observational checklist to assess performance of nurses regarding triage and questionnaire to assess knowledge of nurses regarding triage. Results: the results showed that above half of the studied nurse had unsatisfactory knowledge regarding triage and more than three quarter of them had inadequate performance regarding triage. Conclusion: the studied nurse had unsatisfactory knowledge and inadequate performance regarding triage. Recommendation: developed triage nurse roles and triage process in the curriculum of nursing schools, nursing institutes and faculties of nursing, development of standards, specifications and qualifications of triage nurse by the Ministry of Health and population, developed training programs to all emergency health team personnel to determine the triage nurse qualifications, role, and how to use triage process, developed the protocols and policies of emergency department to facilitate the triage system and triage nurse work
Triage
Triage nurse
Knowledge
performance
2019
09
01
50
63
https://ejhc.journals.ekb.eg/article_46251_c3820815c06a40d3abbddf9534022f21.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Relationship between Work Environment and Innovative Behavior among Staff Nurses
Shimaa
Abd El-fattah Mahgoub
Mona
Mostafa Shazly
Samah
Mohammed El-sayed
Background nursing Background: An attractive and supportive work environment is critical to innovation. Work environment have numerous properties that may influence both physical and mental wellbeing. Aim of the study: This study aimed tot assess the relationship between work environment and innovative behavior among staff nurses. Design: a descriptive correlational study design was utilized. Subjects: the study was conducted on 203 subjects of staff nurses. Setting: the study was carried out at Beni-sueif university hospital. Tools: two tools were used to collect data: Self-administered work environment questionnaire and innovative behavior inventory. Results: the study revealed that, there were statistical significant relations between work environment and staff nurses' demographic characteristics regarding age and experience years. There were statistical significant relations between innovative behavior and staff nurses' demographic characteristics regarding age and qualifications. Staff nurses have a high level of agreement upon work environment along with high level of agreement upon innovative behavior. Organizational structure dimension of work environment was the highest dimension, while incentives and rewards dimension of work environment was the lowest. Conclusion: There was a statistically significant correlation between work environment and innovative behavior. Recommendations: staff nurses need to: contribute and reinforce leading practices procedures done for innovation development .Integrate informatics and technology into nursing practices. Further research can be conducted to identify strategies that helping nursing staff to develop innovative behavior.
work environment
innovative behavior
Staff nurses
2019
09
01
64
76
https://ejhc.journals.ekb.eg/article_48124_87582695a7b08559d9f332893e46492f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of Self Learning Package on Nurses’ Performance Caring for Patients on Ventilators
Samsoma
Askandar Tadros
Mahasen
Abd EL Sattar
Hanan
Shehata
Mona
Nadr
Background: Mechanical ventilation (MV) is a common procedure and life-saving used to treat patients with respiratory failure. Aim of the study: This study aims to evaluate the effect of self-learning package on nurses’ performance caring for patients on ventilators. Subjects and Methods: Research Design: A quasi-experimental study was conducted in critical care units: ICU; RICU and CTICU at Ain-Shams University Hospitals. Subjects: A convenient subject of all available nurses caring for patients on MV were recruited for the conduction of this study from the above mentioned setting. Tools: (1) Self administered questionnaire: Part one is concerning with demographic data that include (age, gender, educational levels, work area, years of experience, ect..). and Part two is concerning with nurses’ knowledge regarding caring for patients on MV, (2) Nurses’ performance observational checklists: It used to assess nurses’ practices during caring for patients on MV and(3) Nurses’ opinions questionnaire regardingself-learning package (SLP) and problems facing nurses during management of the patient on MV: It was used to assess nurses' opinions regarding using SLP and problems & barriers facing nurses. The results of this study reveal that, the mean age for nurses under study was 31.38 ± 6.88. More than two thirds of nurses were females and more than half of them were Diploma nursing graduates. Also, there was statistically significant improvement immediately after SLP implementation and throughout the follow-up phases regarding nurses' performance related to care of patients on ventilators. Conclusion: Concluded that there was statistically significant positive effect for SLP on nurses' level of knowledge and practice. Recommended: this study recommended conducting the SLP in a wider field including all hospitals to raise the efficiency of nursing care provided.
Mechanical Ventilation
self-learning package and nurse’ performance
2019
09
01
77
88
https://ejhc.journals.ekb.eg/article_48123_48ab8b4422a3d553a954c2f2e2f275ce.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Educational Program for Mothers Regarding their Children Suffering from Lymphoma
Samah
Mohammed Abd Almonem Ameen
Nawal
Mahmoud Soliman
Hala
Mohammed Hussein
Background: Lymphoma is the most common cancer in childhood body. Aim: evaluate educational program for mothers regarding children suffering lymphoma disease. Design: a quasi-experimental study was used. Setting: Oncology unit (day care unit) in Nasser Institute Hospital. The sample: A purposive sample of 53 mothers having children with lymphoma. Tools: two tools were used for collected data first tool: An interview questionnaire used to collect data from mothers related to demographic characteristics for mothers and their children, past medical history for mothers and present medical history for children, health problems for children with lymphoma, health needs for children mother’s knowledge related to lymphoma and mothers practices for caring their children with lymphoma. Second tool: medical record for children. Results: the present study revealed that, the age of mothers approximately two fifth of mothers their age ranged from 30-40 years. There is statistically significant relation pre and post program related to mother’s knowledge. There is statistically significant relation pre and post program related to mother’s a practice there is significant correlation mothers satisfaction practices pre and post program about lymphoma. There is significant correlation between age, education levels and occupational with mother’s practices about lymphoma. Conclusion: based on the finding of the present study, it can be concluded that there was improvement knowledge and practices regarding their children with lymphoma disease .Recommendations: Ongoing health education is highly needed for the mothers regarding their children with lymphoma disease, Replication of the study on a larger sample and on different geographical settings to allow generalization of findings.
Lymphoma-Mothers
children
Educational Program
2019
09
01
89
112
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Assessment of Nurses’ Performance Regarding Care of Children Undergoing Hemodialysis Therapy
Mahmoud
Abd Elkhalik Ibrahim
Wafaa
El-Sayed Ouda
Safaa
Salah Ismail
Background: Chronic kidney disease (CKD) is the major health problem worldwide. Hemodialysis is the most common method used to treat the advanced and permanent kidney failure. The pediatric nurse plays an important role in management of child undergoing hemodialysis therapy. Aim of the study: 1) Assessment of nurses' knowledge regarding care of children undergoing hemodialysis therapy. 2) Assessment of nurses' practice regarding care of children undergoing hemodialysis therapy. 3) Assessment of nurses' attitude regarding care of children undergoing hemodialysis therapy. Research design: A descriptive design was utilized. Methods: All available nurses (50) working in hemodialysis units affiliated to both Cairo University (Abu El-Rish Child Hospital) and Ain Shams University Hospitals. Tools: Data were collected through three main tools; Self-administered questionnaire sheet, observational checklists and attitude rating scale to assess nurses’ performance regarding care of children undergoing hemodialysis therapy. Results: The main results of study demonstrated that the mean age of the studied nurses was 30 ± 8.357 years and the mean years of experience were 9.1 ± 6.36 years, the majority of them had satisfactory level of knowledge, incompetent level of practice and had negative attitude regarding care of children undergoing hemodialysis therapy. Conclusion: Nurses had satisfactory level of knowledge, incompetent level of practice, and negative attitude regarding care of children undergoing hemodialysis therapy. There was no a statistically significance relation between total scores of nurses’ performance (knowledge, practice and attitude). Recommendations: Periodic assessment of knowledge, practice and attitude for all nurses dealing or providing care to children undergoing hemodialysis therapy and procedure book should be available in hemodialysis units as a reference for all nurses.
children
Hemodialysis
Nurses
performance
renal failure
2019
09
01
113
125
https://ejhc.journals.ekb.eg/article_48125_8adca72d5375bfa0c4a86749ee929676.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of Self-Care Guideline versus Counseling on Post Cesarean Section Women Practices
Shadia
Saady Mohamed
Shadia
Hamido
Amal
Talaat
Rania
Farrag
term physiological and emotional wellbeing. A qausi- experimental study design aimed to evaluate the effect of self-care guideline versus counseling on post cesarean section women practices. The study was conducted at antenatal clinic, postpartum cesarean section and family planning clinics at Ain Shams University Maternity Hospital. 370 women had cesarean section delivery were included in the study for purposive sample technique, those were equally divided into guideline and counseling group. Three tools of data collection were used named interviewing questionnaire to contain socio-demographic data, obstetric history, pre- test and post-test for assessing effect of self-care guideline versus counseling on post cesarean section women practices. groups and women follow up card. The main result of the current study revealed that, There was no statistically significant difference between both groups regarding total knowledge level regarding self-care after CS and before the intervention. There was no statistically significant difference between both groups regarding total practical level of studied women about self care after CS before the intervention. There was statistically significant difference between two groups regarding total knowledge level after CS in the 6th week of delivery after intervention. There was statistically significant difference between two groups regarding total practical level of studied women after CS (at the end of the 1st, 3rd, 6th week after CS after CS). There was highly statistically significant difference between pre and at the 6th week after CS regarding women knowledge in both groups. The present study concluded that self-care guideline has a positive effect to enhance self-care knowledge & practices among post cesarean section woman than counseling. The researcher recommended conduction of awareness sessions for mothers antenatal units regarding self care guideline for women during antenatal period to enhance self care knowledge and practice among pregnant woman.
self-care guideline
cesarean section
counseling
2019
09
01
126
137
https://ejhc.journals.ekb.eg/article_48126_1da0f45eb1b08c35923cbbcccfaa5e70.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of Self –Care Guidelines on Quality of Life for Leukemic Patients Undergoing Chemotherapy
Eman
Mohamad Ramadan Farag
Eman
Tallat Elshamaa
Hanan
Shehata Mohamed
Mona
Nadr Ebraheim
Background: Patients with leukemia undergoing chemotherapy have problems and side –effect which considered life –threatened and affect their quality of life . This requires self-care guidelines for those patients to improve their quality of life. The aim of this study was to assess the effect of self-care guidelines on quality of life for patients with leukemia undergoing chemotherapy .study Design: A quasi experimental design. Setting: the study was conducted at the inpatient and outpatient clinics in Hematological Unit affiliated to Ain Shams University Hospital. Study subjects: A purposive sample of adult patients newly diagnosed with leukemia (No=100). Data collection tools: Structured interview questionnaire for the patients with leukemia undergoing chemotherapy, Quality of Life Cancer survivors Questionnaire and Patients Self-care practices observational checklist.Result: 28% of control group and 84% of the study group got total satisfactory level of knowledge post implementation of self-care guidelines with highly statistical significant between them at P value < 0.01, while there was highly statistically significant deference between study and control groups regarding satisfactory level of self-care practices post implementation of self-care guidelines at p-value was <0.01. Moreover, 70% of the patients in the study have good total quality of life post implementation of self-care guidelines with highly statistical significant differences between two groups .Conclusion: Implementation of self-care guiltiness had statistically significant positive effect on quality of life dimensions for patients with leukemia undergoing chemotherapy which support the study hypothesis. Recommendation: Implementing systematically continuous self-care guidelines in hospitals for patients with leukemia, generalization of self-care guidelines for patients with leukemia in other media such as: newspapers, television, and the radio to help improve the health status of these patients and manage the chemotherapy side effects and A simplified, comprehensive and illustrated Arabic language guided booklet with images
children
Hemodialysis
Nurses
performance
renal failure
2019
09
01
138
158
https://ejhc.journals.ekb.eg/article_54386_540073439a0ee28a84ca32fdaddda86e.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Factors Affecting Adherence toward Therapeutic Regimen among Children with Type 1 Diabetes Mellitus
Rahma
Elsayed Abdel Aziz
Safy
Salah Eldin Alrafay
Randa
Mohamed Matter
Salma
El Sayed Hassan
Background: Although medication adherence is important for diabetic children to prevent disease-related complications and improve quality of life, the rate of children adherence to therapeutic regimen is somewhat disturbing. Hence, this study aimed to assess factors affecting adherence toward therapeutic regimen among children with type 1 Diabetes Mellitus. Design: Descriptive exploratory design. Setting: This study was conducted at Diabetic Outpatient Clinic in Children's Hospital affiliated to Ain Shams University Hospitals. Sampling: A purposive sample comprised of 175 children with type 1 Diabetes Mellitus. Tools:I- Interviewing questionnaire; it was used to assess factors affecting adherence toward therapeutic regimen II-Morisky Scale: it was used to assess children' adherence to medication. Results: This study revealed that the mean age of studied children was 13.01±2.4yearsand slightly more than half of them were female. Most of studied children were adhered toward medication regimen and had agreement with beliefs toward therapeutic regimen. In addition, more than half of studied children had positive attitude factors toward adherence to therapeutic regimen, had social support factors to therapeutic regimen and did not have sufficient health care system factors. Conclusions: Attitude factors, social support factors, therapy factors, health care system factors and disease factors positively affected studied children’ adherence towards therapeutic regimens. Meanwhile, beliefs factors and motivation factors did not have a significant effect on studied children' adherence towards therapeutic regimen. Recommendation: Continuous health teaching to children with type 1 diabetes to improve their adherence.
Children – Adherence
Therapeutic Regimen – T1DM
2019
09
01
159
172
https://ejhc.journals.ekb.eg/article_54387_d022a0039833c37997759d18c7c13b59.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of Self-Management Guidelines on Chemotherapy Associated Symptoms among Non-Hodgkin Lymphoma Patients
Manal
Salah Hassan
Hanan
Shehata Mohamed
Samer Faltus Heba
Abd-Elgawad Elfeky
Background: Non-Hodgkin's lymphoma patients undergoing chemotherapy havesymptoms that continue to place a significant burden and preventing them from living normally.This requires non-hodgkin's lymphoma patients to engage in a range of self-management actions.The aim of this study was to assess the effect of self-management guidelines on chemotherapyassociated symptoms among non-Hodgkin lymphoma patients. Design: A quasi experimentaldesign. Setting: the study was conducted at the hematology unit in Ain Shams UniversityHospital. Subjects: A purposive sample of 76 adult patients. Data collection tools: Three toolswere used in this study, structured interview questionnaire for the non-hodgkin's lymphomapatients undergoing chemotherapy, self-care practices questionnaire, and symptoms experiencetools. Results: Regarding total level knowledge, 28.9% of the studied patients had satisfactorylevel of total knowledge pre implementation of self-management guidelines which improved to65.8% with a highly significant difference post implementation of self-management guidelines(P≤ 0.001). While 26.3% of the studied patients had satisfactory level of total self-care practicespre implementation of self-management guidelines which improved to 57.9% with a highlysignificant difference post implementation of self-management guidelines (P≤ 0.001). There wasa significant improvement on patients` symptoms experience post implementation of selfmanagement guidelines. Conclusion: The implementation of self-management guidelines forpatients with non-Hodgkin's lymphoma undergoing chemotherapy has a statistically significantpositive effect on their knowledge, self-care practice and associated symptoms which support thestated hypothesis. Recommendation: This study recommends the importance of developingtailored self-management programs for fatigue, nausea, vomiting and oral mucositis to understandand promote chemotherapy associated symptoms self-management in patients with non-hodgkin'slymphoma disease.
non-Hodgkin's lymphoma
Associated symptoms
Self-management Guidelines
2019
09
01
173
192
https://ejhc.journals.ekb.eg/article_58677_b6eca4e42959aa593cbbf3c0c10d1e5c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effectiveness of Betadine versus Normal Saline Dressing on Episiotomy Wound Healing
Rasha
Gomaa
Rania
Farrag
Safaa
Abd EL Raof Hashem
Randa
Mohamed
Background: Non-Hodgkin's The current study aims to study the effectiveness ofBetadine versus Normal saline dressing on episiotomy wound healing. A quasi experimentalstudy included a Simple random sample of 160 postnatal women (80 mothers used saline dressingand 80 mothers used povid one iodine solution (10%) who had normal vaginal delivery withepisiotomy from Ain Shams University Maternity Hospital). Three tools were used for datacollection; I. Structured-interviewing questionnaire sheet, II. Standardized REEDA scale and III.Visual Analogue Scale. The results revealed that normal saline had a positive effect on thehealing of episiotomy wound among postnatal mothers in form of lower REEDA scale score andpain scores (VAS). The study recommended that; educational session to increase womenawareness about use of normal saline after episiotomy in form of leaflet or counseling sessionshould be adopted. There should be integration of the saline dressing as a main part in dischargeplan. Further researches to replicate the study on large sample to determine the factors affectingepisiotomy wound healing should be applied.
Episiotomy
saline dressing
povidone iodine solution
postnatal
2019
09
01
193
206
https://ejhc.journals.ekb.eg/article_58678_23bb68d3e77609b8c7a845558df7c64e.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Pediatric Nurses’ Practice towards Reporting of Intravenous Infusion Therapy Errors among Surgical Children
Amal
Abdrbou Hussien
Nora
Abd El-hamid Zaki
Background Children have a advanced risk of being exposed to intravenous infusion errors and are more predisposed to harm. So the aim of this study was to determine pediatric nurses’ practice towards reporting of intravenous infusion therapy errors among surgical children. Design A descriptive research design was carried out. Subjects. A Convenience sampling of 30 nurses working at pediatric surgical unit in Assuit University Children Hospital. Tools two tools were used for example. A structured interview questionnaire sheet and an observational checklists. Result, revealed that mean± SD of the studied nurses practice scores through implementing standard infusion therapy (2.57±1.14,7±3.16 and4.3±1.39 respectively).Statistically significant relationship were shown between personal data such as age and qualification of the studied nurses' and their total score of practice related to intravenous infusion therapy P<0.035&0.023 respectively. Conclusion the study concluded that the studied nurses had unsatisfactory practice associated intravenous infusion therapy. So the researchers recommended that. Implementing educational training program for nurses' about intravenous infusion therapy to update their practice
Pediatric nurses’ practice
Intravenous infusion therapy errors
children
2019
09
01
207
217
https://ejhc.journals.ekb.eg/article_52512_5c562635dd56ff000f0f9e7d5191c7a5.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Implementation of (Plan-Do-Check-Act) Process of Quality and Measuring its Effect on Nurses' Practice of Patient Safety Goals
Motiaa.
F. Seliem
Prof.Dr/ Mona.
M. Shazly
Assist. Prof/Hemat.
A. Mostafa
Background: Implementing PDCA (plan- do- check – act) management can improvepatient safety and satisfaction. Head nurse should create and maintain their safety management toincrease the quality of nursing practices regarding patient safety goals practice. The aim of thestudy was to investigate the effect of head nurses' and staff nurses' use of PDCA on their patientsafety practices.Design: One group pre-post assessment is used to carry out this study.Subjects:Two study subjects – head and staff nurses‟.Setting: The study was conducted at inpatient unitsin Nasser institute hospital, which affiliated to Specialized Medical Centers of ministry of health.Tools of data collection: four tools were used for collecting data.Namely:Patient safety andPDCA knowledge questionnaire for head nurses and staff nurses, Observation checklist forperformance of PDCA process related to patient safety goals for head nurses and staff nurses.Result:head nurses‟:all head nurses had low satisfaction with patient safety .both before and afterthe intervention.none of the head nurses had total adequate practice of PDCA before theintervention, which increased to 86.7% after the intervention (p<0.001).The intervention, was asignificant positive predictor of the practice scores, whereas age, experience in currentdepartment, and attendance of infection control courses were negative predictors.Staff nurses:none of the" staff nurses had satisfactory knowledge of patient safety before the intervention,compared to after the intervention (p<0.001).No staff nurse had adequate practice of PDCA'before the Intervention, compared to after the intervention (p<0. 001).Conclusion:both headnurses and staff nurses in the study settinghad deficient knowledge and practice of PDCA asapplied to patient safety goals.Recommendations: The PDCA quality improvement cycle shouldbe implemented in patient safety as well as in various areas of patient care. The training programshould be applied to all head and staff nurses in the study setting, and should be extended to othersimilar setting. Creating and sustaining a culture of quality improvement by using PDCA cycle.
PDCA
patient safety goals
head and staff nurses
2019
09
01
218
233
https://ejhc.journals.ekb.eg/article_59045_02700966e3d847517a2d0d9d9879d2d3.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Factors Affecting Patients' Outcomes after Acute Coronary Syndrome
Esraa
Mahmoud Abdallah
Sahar
Yassien Mohammad
Asmaa
Mohamed Mahmoud
Background: Acute Coronary Syndrome outcomes continue to be one of the mostpowerful measures of quality care in all health care settings for all caregivers. Nurse-sensitiveoutcome measurement is one of the most promising strategies that can enhance patient care andsatisfaction of patients, families, and caregivers. Aim: the aim of this study was to identify factorsaffecting patients' outcomes after acute coronary syndrome. Design: A descriptive exploratorydesign. Setting: the study was conducted in the Coronary Care Units (CCU) at Ain ShamesUniversity hospital. Study subjects: A Purposive sample of 100 patients was included in thisstudy. Tools of data collection: I-Interview questionnaire sheet. II-Patients' outcomes assessmenttool .Results: The present study reveals that about half of the patients suffering from acutemyocardial infarction with st-elevtion. The present study reveals that less than half of the patientssuffering from diabetes mellitus and hypertension. The present study revealed that all patientsunder study weren’t compromised for peripheral tissue perfusion and medication response atphysical health outcomes. These study finding that there are highly statistically significantpositive correlations between physiological healths outcomes, psychological and social healthtotal outcomes. Conclusion: Furthermore, there were many factors affecting patients' outcomessuch as: work status, age of patients, educational level, monthly income, present and past healthhistory. Recommendations: Health education regarding eliminating the risk factors of ACS.Establishment of centers for screening the clients at risk for ACS. More research into biologicaland psychosocial aspects of health outcomes is needed in order to increase the understanding ofACS and to develop more effective interventions.
Acute Coronary Syndrome
Patients outcomes
2019
09
01
234
254
https://ejhc.journals.ekb.eg/article_59048_accf9ddaca26e4ae8baa0d5d139fb441.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Home Self-Care for Client with Hemodialysis
Sabah Fawzy
Bassiouny Whdan
Nawal
Mahmoud Soliman
Suheir
A.H. Mekhemar
Hemat
Abd El-Moneem
Background: Hemodialysis is a therapy that filters waste, removes extra fluid and balanceselectrolytes (sodium, potassium, bicarbonate, chloride, calcium, magnesium and phosphate) whenthe kidneys are in a state of renal failure. Aim of the study: Evaluate home self-car for clientswith hemodialysis. Design was used a quasi-experimental. Setting: Hemodialysis unit in Ashmondistrict Hospital, Menofia governorate. The study sample A purposive sample of 80 clientshemodialysis Tools used were (1) An interview questionnaire used to collect data from clients,assistance related to demographic data and knowledge related to RF. (2) Client practices of selfcare items, included Fluid, diet, medication and vascular access management. (3) Assessment ofclient activities of daily living, (4) Check list assessment of safety home environment. Results:finding of the present study revealed that, the age for more half of clients their age ranged fromaged over 40-60 years. There is statistically significant relation pre and post program related toclient's knowledge about RF, diet regimen, fluid, vascular access and medication. There isstatistically significant relation pre and post program related to clients self-care practices athome related to fluid intake and diet, medication, vascular access and exercise, there isstatistically significant relation pre and post program related to HD clients related to daily livingactivity and safe home environment. There is significant correlation clients satisfaction practicespre and post program about RF. There is significant correlation between age, education levels andoccupational with client's practices about RF. Concluded: Revealed that. Improve client’s selfcar, effect positively through knowledge and practices towards health problems, through activityof daily living for client with hemodialysis post program implementation. Recommendations:Health educational program to improve clients self-care practice, before starting HD sessionsabout medication, side effect of treatment, care of vascular access, diet and fluid restriction,important exercise, prevention and management of complication.
Hemodialysis
home self-care
Educational Program
2019
09
01
255
278
https://ejhc.journals.ekb.eg/article_59050_b44eb3f3d9042e7c8f13037f259c1675.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Nurses’ knowledge and Practice Regarding Prevention and Early Detection of Pressure Ulcers in Damanhur National Medical Institute: Developing protocol
Shimaa
Gomah Yousef
Azza Ibrahim
Abd Elkader Habiba
Saada
Elsayed Rady
Nashwa
Mahmoud Eldeeb
Background: Pressure ulcers are common and one of the most serious disorders that may
occur to patients during hospitalization. Previous studies have shown education and knowledge
affect the implementation of interventions which are one of the main responsibilities of nursing
staff and the administrative authority for improving the quality of nursing care and decreasing
patients' morbidity. Aim of the study: Assessment of nurses' knowledge and practice regarding
prevention and early detection of pressure ulcer, developing protocol for prevention and early
detection of pressure ulcer for nurses in Damanhur National Medical Institute. Research
questions: What are the nurses’ knowledge regarding the prevention and early detection of
pressure ulcers in Damanhur National Medical Institute? What are the nurses’ practices regarding
the prevention and early detection of pressure ulcers in Damanhur National Medical Institute? Do
nurses need protocol for prevention and early detection of pressure ulcers in Damanhur National
Medical Institute? Research design: A descriptive cross-sectional research design was
used. Setting: Study was conducted at Damanhur National Medical Institute El Behaira
governorate from the orthopedic, neurology unit and intensive care unit. Subjects: Finite sample,
in total 111 nurses out of 140 nurses who work in orthopedic, neurology and intensive care
units. Tool: One tool was used for data collection and consisted of four parts. The self
administered questionnaire was designed for data collection of all the four parts. Results: The
mean score of nurses’ practice on screening for pressure ulcer risk was less than half comparing
to mean of nurses' assessment of unit care plan for prevention of pressure ulcer which got a
maximum score. The mean general nurses’ knowledge of pressure ulcer prevention was more
than one third. Conclusion: the present study finding concluded that: there were significant
relations between nurses’ knowledge, practice, and unit care plan. Recommendation: Included
physicians, patients, and family in the nursing care plan.
Pressure ulcers
Practice
Knowledge
unit care plan
prevention
early detection
2019
09
01
279
294
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Factors Contributing to Acquire Muscle Weakness among Critical Ill Patients
Mona
Abd Elaty Atea Mohamed
Eman
Fathy Amr
Manal
Salah Hassan
Zeinab
Hussein Bakr
Background: Intensive Care Unit Acquired Muscle Weakness (ICU-AW) is one of themost important complications occurs in the ICU. ICU-AW is a multifactorial syndromecharacterized by generalized muscle weakness. Critical care nurses (CCNs) have an importantrole in the prevention of ICU-AW through increase mobility and applying of range of motion.Design: A descriptive exploratory design was utilized to achieve aim of this study. Aim: Thisstudy aimed to assess factors contributing to acquired muscle weakness among critical ill patients.Setting: the study was carried out in intensive care units of Beni–Suef University Hospital.Subjects: A Purposive sample of seventy five patients admitted in the previous mentioned setting.Tools of data collection were consisted of Patient assessment tool, muscle strength scale andindicators to incidence of ICU-AW and factors contributing to ICU-AW assessment tool. Results:revealed that more than half of the studied patients had ICU-AW. The majority of studied patientswho had muscle weakness were older than the Non ICU-AW patients. Application of positioningand range of motion exercises were not done in the ICU-AW patients. Administration ofcorticosteroid and incidence of malnutrition was higher in the ICU-AW patients than the NonICU-AW patients. There were no statistically significant relation between incidence of ICU-AWand gender, admission medical diagnosis, administration of parenteral nutrition and application ofpositioning and walking exercises. Conclusion: More than half of studied patients developedICU-AW. The contributing factors of ICU-AW are patient age, WBCs level, not applying rangeof motion and chair sitting exercise to ICU patients, administration of corticosteroid andmalnutrition. Recommendations: Further researches are recommended to study extensively theeffect of nutritional status on incidence of ICU-AW. Also, examine the incidence of ICU-AW insedated and unconscious patients.
factors
Intensive Care Unit
Acquired Muscle weakness
Critical Ill Patients
2019
09
01
295
314
https://ejhc.journals.ekb.eg/article_59054_a07e1208ca3b546bdd61dd8bdddb21c3.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of instructional guidelines regarding Brucellosis on Improving Knowledge, Attitude and Practices among Smallholder Dairy Farmers in Damietta governorate
Ateya
Megahed Ibrahim
Eman
Mohamed Mohamed Elsherbeny
Background: Brucellosis is considered an emerging zoonotic disease and a community healthconcern, with a better understanding of the knowledge, attitude and practices KAP regarding it,farmers could increase the understanding the risk factors of brucellosis for cattle and humans. Thestudy aimed to evaluate the effect of instructional guidelines regarding brucellosis onimprovingknowledge, attitude and practices among smallholder dairy farmers in Damietta governorate.Design: A quasi-experimental research design with a pre/post-test was utilized. Sample:- A clustersampling technique was used to select 280 farmers in Damietta, Egypt. Tools:: Data were collectedthrough; structure interview KAP questionnaire sheet and blood analysis of brucellosis. Results: 20% were positively regarded the Brucella test. Prior implementation of the instructional guidelines,95% had unsatisfactory total knowledge scores, 80.8% had a negative attitude, and 83 % hadunsatisfactory total practice scores. After the implementation of the instructional guidelines, 81%had satisfactory total knowledge scores, 94.6% had a positive attitude and 90% had satisfactory totalpractice scores. There is a significant difference between mean scores of knowledge, attitude, andpractices of the study group to brucellosis before and after program implementation. Conclusion:The instructional guidelines that were conducted in this area had a significant effect on thepromotion of knowledge, attitude, and practices of farmers towards brucellosis. Recommendations:Farmers should be provided with health information related to brucellosis and well-informedcontinuous; instructional guidelines should be imparted to them
Instructional guidelines
Knowledge
practice and attitude
Brucellosis
farmers
2019
09
01
315
329
https://ejhc.journals.ekb.eg/article_158317_c8bd9145746f1ba33aa5f818549ae569.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
In- service Training Program Regarding Nurses’ performance for Non- Pharmacological Pain Management Among Orthopedic Patients
Wafaa
Hassan Ali Awad
Eshrak
Salama Hashem
Pain management is an important aspect of patient care and nurses play a significant role inproviding pain assessment and management. Non-pharmacological pain management refers tointerventions that do not involve the use of medications to treat pain. They found to be effectivewith less side effects and complications.This study aimed to determine the effect of in- servicetraining program on nurses’ performance towards Non- Pharmacological Pain Management amongorthopedic patients in El-Hadra hospital. A quasi-experimental design was conducted on fiftyorthopedic nurses that were divided into two equal groups as study and control. Three tools wereused data collection: Tool I: demographic data assessment sheet, Tool II: Nurses’ knowledgeregarding non-pharmacological pain relieves methods questionnaire, and Tool III: Nurses'Performance towards Non- Pharmacological Pain Management assessment sheet. Results of thepresent study revealed that: The difference was highly statistically significant as regard the nurses'knowledge and their level of performance toward non- pharmacological pain management eitherwithin the study group nurses or between the control and study groups nurses post the in surfacetraining program. Conclusion and recommendation, the use of non -pharmacological methods is themost effective way for relieving orthopedic procedural pain. Therefore, it is important to conductthis study.
Pain
Non- Pharmacological management
Orthopedic patients
2019
09
01
330
344
https://ejhc.journals.ekb.eg/article_159677_7fd48755a7c85f8fc96d297148cf8641.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Assessment of Nurses' Performance in Implementation of Medical Prescriptions at Pediatric Critical Care Settings
Dalia
Abdel Mordy Baiomy
Wafaa
El Sayed Ouda
Randa
Mohamed Adly
Background: Medical prescription is a physician's order for the preparation andadministration of a drug or device for a pediatric patient. It is considered as a potent way ofcommunication and collaboration between health care providers. Aim: The aim of this studywas to assess nurses' performance in implementation of medical prescriptions at pediatriccritical care settings. Research design: A descriptive explanatory design used to conduct thisstudy. Setting: The study was conducted at pediatric critical care settings namely: Neonatalintensive care unit, Pediatric intensive care units and Emergency unit at Children's Hospitalaffiliated to Ain Shams University Hospitals. Subjects: A Convenient sample of 60 nurseswho are working at the above mentioned settings regardless their characteristics. Datacollection tools: involved; Pre-designed interview questionnaire sheet to gather data relatedto characteristics of the studied nurses and their knowledge about medical prescriptions,Attitude–type rating scale, Assessment sheet for the medical prescriptions and Assessmentsheet for the studied nurses' documentation related to the implementation of medicalprescriptions. Results: The results of the study revealed that, Х͞+SD of the studied nursesage was (33.17±7.30), most of them were females, almost the majority of them hadsatisfactory total knowledge about medical prescriptions, more than three quarters of themhad total positive attitude towards the implementation of medical prescriptions and about twothirds of medical prescriptions evaluated by the researcher were complete. Conclusion: Thestudied nurses' total knowledge was satisfactory, they had positive attitude and poordocumentation related to implementation of medical prescriptions. Recommendation:Provide continuous education program for nurses working at pediatric critical care settingsabout medical prescriptions importance, implementation, and documentation.
Pediatric critical care settings
Medical prescriptions
Nursing
2019
09
01
345
362
https://ejhc.journals.ekb.eg/article_163279_11f8881fdcd3dc6f5043ae3a1be3328a.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of PLISSIT Based Sexual Counseling Model on Sexual Dysfunction among Diabetic Pregnant Women
Nadia
Youssef Abd-Ella
Eman
Hessin Yousef Heggy
Rania
El-Kurdy
Sexual dysfunction is a common problem in women. It extremely affects reproductive health andquality of life. This study aimed to examine the effectiveness of permission, limited information,specific suggestions, and intensive therapy (PLISSIT) based sexual counseling model on sexualdysfunction among diabetic pregnant women. Methods: A quasi-experimental design was utilizedat Antenatal Clinic, Mansoura University Hospital, Egypt. A nonprobability purposive sample of 68pregnant women with diabetes was allocated to either the control group (received routine antenatalcare) or intervention group (received PLISSIT based sexual counseling). Data were collected usinga structured interview schedule, Pregnancy Sexual Response Inventory (PSRI), and Sexual Qualityof Life-Female (SQOL-F). Results: There was no statistical significant difference the total meanscores of PSRI and SQOL-F at baseline assessment between control and PLLIST groups. However,there were highly significant differences in the PSRI (P < 0.0001) and SQOL-F (P < 0.001) scoresafter implementation of PLISSIT based sexual counseling model among the studied groups.Moreover, the total PSRI score showed direct significant correlation with the total SQOL score before (p < /div>= 0.028) and after (p < 0.001) application of PLISST. Conclusion: The PLISSIT-based sexualcounseling model has a positive effect on sexual function of pregnant women with diabetes. It improvesthe quality of their sexual life. Recommendations: The study recommended that, the PLISSIT modelof sexual therapy should be integrated into routine antenatal care for pregnant women with diabetes.
Diabetic pregnant women
PLISSIT model
sexual dysfunction
2019
09
01
363
378
https://ejhc.journals.ekb.eg/article_169728_62f5f0024ba7ffe220ee9f54d6e0449b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
An Educational Bundle to Secure Nursing Competency toward Safe Blood Transfusion
Fathiaa
Attia Mohammd
Naglaa
Abd ElKareem Moghaz
Blood is a unique and scarce resource that must be used cautiously to ensure its safety and efficacy.Blood transfusion is a lifesaving medical intervention, but without basic information about eachstep, the importance of each one related to each other, and when safe practices are not followed,transfusion of blood can create life-threatening risks. Nurses have a dynamic role in bloodtransfusion procedures; their skills and knowledge remain essential keys to ensure safe bloodtransfusion. Study aim: evaluate the effect of the educational bundle on securing nurses'competency toward safe blood transfusion. Study Design: a quasi-experimental design. Setting:blood disorders, emergency, and oncology departments at Zagazig University Hospitals, Al SharkiaGovernorate, Egypt. Subject: all available nurses (50) who are working at the previously mentionedsettings. Tools: A structured interview questionnaire to assess nurses' socio-demographiccharacteristics and their knowledge about safe blood transfusion process; and blood transfusionobservational checklist were used to collect data. Results: the highest percentage of participantnurses their age was 25-30 years and had ≤5 experience years in blood transfusion. There were astatistically significant difference and improvement of the total nurses' knowledge and their practicecompetency toward safe blood transfusion after educational bundle implementation compared tobefore it, and there was a positive statistically significant correlation between total nurses'knowledge and practice regarding safe blood transfusion pre and post-implementation of theeducational bundle as well as between their total pre and post practices. Moreover, the commonesterrors in the blood transfusion process that lead to an adverse reaction as reported by participants'nurses included blood incompatibility followed by not check vital signs pre, during and posttransfusion. Conclusions: The implementation of the educational bundle had a positive effect onimproving the nurses' knowledge and their practice competency toward safe blood transfusion.Recommendations: continually perform regular in-service training and follow-up to nurses'performance and motivation to updating their knowledge and practices.
Educational Bundle
Nursing Competency
Safe Blood Transfusion
2019
09
01
379
401
https://ejhc.journals.ekb.eg/article_171972_a528fa39d03a59d9ef51e422b516b220.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
The Role of Quality of Nursing Work Life and Job Embeddedness in Predicting Nurses' Organizational Citizenship Behavior
Hanan
Elsaid Elsabahy
Ibrahim
Abdullatif Ibrahim
Shaimaa
Abdel Baset Hamed Awad
Background: Nurses with a higher perception of the quality of work life, job embeddedness, and organizational citizenship behavior are motivated, display good performances at work, devote themselves to their work and organization, and importantly report low turnover and personal alienation. Aim: The present study aimed to assess quality of nursing work life, job embeddedness, and organization citizenship behavior among nurses and investigate the associations between quality of nursing work life, job embeddedness and organization citizenship behavior among nurses. Subjects and Methods: A descriptive correlational design was utilized. The study included a convenient sample of 178 nurses who were responsible for providing nursing care for patients in all inpatient units of El Mansoura international hospital. Data were collected through a self-administered questionnaire including three scales for quality of nursing work life, job embeddedness and organizational citizenship behavior. Results: The majority of nurses had a moderate level of quality of work life, whereas half of them had a moderate job embeddedness level and a high organizational citizenship behavior level. There was a statistically significant positive relationship between nurses’ quality of work life, job embeddedness, and organizational citizenship behavior. Conclusion: Nurses, who had a good quality of work life, will be embedded in their jobs, and having a high organizational citizenship behavior. Recommendations: Nursing managers should develop standards for placement nurses in appropriate department/or position based on their competencies, and satisfy the needs of nurses through providing rewards, recognition, and appreciation for their efforts, and contributions.
Job Embeddedness
Quality of Nursing Work Life
organizational citizenship behavior
Nurses
2019
09
01
402
409
https://ejhc.journals.ekb.eg/article_183116_84d4c0880c817fe25c1a1aaada8042ee.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of Negotiation Skills Training Program on Head Nurses' Time Management
Maysa
Fekry Ahmed
Asmaa
Moustafa Abd-ElGhani
Negotiation is an essential skill for time management and it depends on the competence of the head nurse as a negotiator. Negotiation is an everyday experience and it plays a major role in all aspects of daily activities of the head nurses. Negotiation and time management are necessary management tools that head nurses utilized to organize the management activities reasonably, in addition to support their decision making. Aim: The current study aims to assess effect of negotiation skills training program on head nurses' time management skills at Main Mansoura University Hospital. Methods: A quasi-experimental research design was utilized. The study was conducted at all inpatient departments at Main Mansoura University Hospital (MMUH). The total sample was 100 head nurses (convenient sample). Three tools were utilized for data collection in this study, namely; Negotiation Knowledge Questionnaire, Negotiation Process-Style Scale and Time Management Questionnaire. Results: The major findings of this study indicated that the head nurses' had higher negotiation knowledge and skill at post and follow up program as well as higher time management skills. There was a positive correlation among head nurses' negotiation knowledge, skill and time management skills. Recommendations: Periodical assessment of head nurses` knowledge to detect the areas that need training to improve their negotiation and time management skills. Conduct continuous education and training programs for refreshing and developing head nurses’ knowledge and skills about the negotiation. Encourage further application of this program not only for head nurses but also to all nursing staff at all levels to improve their negotiation knowledge and skills as well as to promote their time management skills
Negotiation
Knowledge
Skills
Time Management
Head Nurses
2019
09
01
410
420
https://ejhc.journals.ekb.eg/article_187536_75a15ad415d1709680b3df6305284907.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Knowledge and Practices of School Children and Teachers Regarding Musculoskeletal Problems: An Educational Intervention
Asmaa
Awad Helmy
Amira
Adel Mohammed
Hnaa
Abd El- Gawad Yossif
The present study aimed to evaluate knowledge and practices of school children and teachersregarding musculoskeletal problems. Design: A quasi experimental design was used. Setting: Thisstudy was carried out at two preparatory schools, Al Kholfaa Al Rashdean, and Al Shahid AhmadHamdy in El-Massera district, Helwan, Cairo Governorate. Sample: A stratified multi-stage clusterrandom sample was used for selection of 253 school children and all teachers in both selectedschools who constitute 145 teachers. Data were collected through two main tools: I-Aninterviewing questionnaire to assess general characteristics of school children and teachers, schoolchildren weight, and history of musculoskeletal problems, school children and teachers' knowledgeregarding musculoskeletal problems. II-Observational checklist to assess practice of school childrenand teachers regarding to school bag weight, lifting, carrying and favorable postures techniquesduring standing and sitting. Results of this study showed that there was highly statisticallysignificant difference between pre, post and follow up after two months of implementation of aneducational intervention on school children and teachers' knowledge and health practices regardingmusculoskeletal problems and its’ prevention. Conclusion: An educational intervention ispositively improved school children and teachers' knowledge and health practices regardingmusculoskeletal problems among school children. Recommendation: Dissemination of aneducational intervention improves school children and teachers' knowledge and health practicesregarding musculoskeletal problems
Musculoskeletal problems
Educational intervention
school children
Knowledge and practice
2019
09
01
421
432
https://ejhc.journals.ekb.eg/article_189108_44a3dae91ec9ead05a1292e695dcdd90.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Examining the Relation between Paternalistic Leadership Style, Organizational Trust and Quality of Professional Life among hospital nurses
Asmaa
Farghaly Ali Mohamed
Faten
Ali Ahmed Ali
Amira
Mostafa Fahmy Isamil
Paternalistic leadership communication skills helps maintain the direct organizational relationship among nurses as well as enhance the organizational trust and quality of professional nursing life.. Aim of the study: This study examines the relation between paternalistic leadership style, organizational trust and quality of professional life among hospital nurses. Method: Cross-sectional analytical research design was utilized to conduct this study. Setting: the study was conducted in kidney diseases, urology hospitals & cardio thoracic university hospitals affiliated to Minia university, Minia City, Egypt Subjects:A convenient sample is used in the current study; their total numbers were 222 nurses. Tools: paternalistic leadership style practices, Organizational Trust Scale, and The Professional Quality of Life Scale. Results: showed that the studied nurses had high paternalistic leadership style( 80.2%), moderate organizational trust (63.5%), and all of them had positive professional quality of life. Conclusion: paternalistic leadershipmanagement positively affects the quality of professional life through the gained trust among their staff nurses and it also acts as a predictor for healthy relationship that conveyed good professional quality of life. Recommendation: Provide insight for managers, nurses, and human resource practitioners to help build high trust relationships in a health care setting, and hospital administrators should concentrate on building positive interdepartmental relations.
Leadership Style
Organizational Trust
Paternalistic Leadership
Quality of Professional Life
2019
09
01
433
447
https://ejhc.journals.ekb.eg/article_204768_56e318029772d6d6b3bed587245ece32.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of a Cyber-Bullying Prevention Program "Media Heroes" on Knowledge and Self-Perception among Adolescents in Port Said Governorate
Nadia
Mohamed Wahba
Safaa
Gomaa Ahmed
Samar
Mohammed Abdel-kader
Huda
Gaber Hamza
Internet as well as electronic devices has given adolescents novel means of socializing and positive effects in academic achievement, beside situations that cause various negative consequences as an effect of the massive usage of such technologies. Cyber-bullying-behavior comes to the forefront among these problems. The adolescents' self-perception is damagingly affected either by being cyber-bullies or cyber- victims, consequently, psychological risks are exhibited range from frustration, sadness, fear, and even suicide. Aim: The study intended to evaluate the effect of a cyber-bullying prevention program "Media Heroes" on knowledge and self-perception among the studied adolescents in Port Said Governorate. Method: One- group quasi-experimental design with pre-post evaluation, which was conducted in six preparatory schools randomly chosen representing the three educational zones of Port Said Governorate. The studied subjects compromised 265 adolescents recruited randomly from every educational grade. Tools: 1) a Structured Interview Questionnaire for the adolescents, 2) European Cyber-bulling Intervention Project Questionnaire, and 3) Self-Perception Profile for Adolescents Scale were used to collect data. Results: a highly statistically significant difference between the studied adolescents' total knowledge scores regarding cyber-bullying pre and post program was detected at P < 0.001. Also, highly statistically significant differences between the studied adolescents' total mean scores of all domains of self-perception except close friendship pre and post program were remarked at P < 0.001. Conclusion: A highly statistically significant improvement in adolescents' knowledge and self-perception after the application of a cyber-bullying prevention program was remarkable. Recommendations: Designing and applying more continuous educational programs for adolescents to increase their awareness level regarding cyber-bullying to prevent its negative psychological, behavioral, academic, and even physical
Cyber-bullying
Prevention program
Knowledge
self-perception
Adolescents
2019
09
01
448
466
https://ejhc.journals.ekb.eg/article_206583_9dffab20b7224e0dd4c725bf8ed27309.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of Instructional Guidelines on Knowledge, Practice, and Fatigue Level among Post Cardiac Surgery Patients
Aziza
Youniss Ahmed El-ghiety
Basma
Mohamed Khalil
Amira
Mohammed Ali Hassan
Manal
Saad shaker Soliman
Educating the patient is the responsibility of the nursing, which is one of the most important aspects of patient post cardiac surgery. Fatigue is recognized as one of the most common and distressing complications post cardiac surgery. Educational guidelines are providing general information about fatigue and introduce new concepts regarding cardiac surgery, self-care, and confrontation techniques. The aim was to determine the effect of instructional guidelines on knowledge, practice, and fatigue level among post-cardiac surgery patients. Subjects and method: Design: A quasiexperimental research design was utilized to fulfill the aim of this study. Setting: the research was applied in the Cardiothoracic Surgery Department at the Fayoum University Hospital. Subjects: A purposive sample of 60 adult patients who are undergoing cardiac surgery was included. Four tools were used: Tool (I) a structured interview questionnaire, Tool (II) patients' knowledge regarding cardiac surgery, Tool (III) patients' practice regarding cardiac surgery (pre/post), and Tool (IV) Fatigue assessment scale. Results: The results revealed that there was a positive significant correlation (P=0.001) between patients' knowledge scores and their practice post-two months of instructional guidelines implementation. There were highly significant improvements in patients' knowledge and practice regarding cardiac surgery post instructional guidelines implementation (P=0.005). Statistical highly significant differences and reduction were detected between fatigue mean scores post-one-month of instructional guidelines implementation. Conclusion: The instructional guidelines implementation had a highly significant positive effect on reducing fatigue levels among patients undergoing cardiac surgery. Recommendations: The instructional guidelines regarding cardiac surgery should be conducted, discussed, integrated into the rehabilitation programs, and taught to the patients using the booklet and illustrated pamphlets for each one to improve their information and reduce their fatigue level and replication of the current study with a larger sample of patients undergoing cardiac surgery in different settings is required for generalizing the results.
Adult patients
cardiac surgery
fatigue level
Instructional guidelines
Knowledge
and Practice
2019
09
01
467
480
https://ejhc.journals.ekb.eg/article_209612_caafd39be6e58296756a02389d9b034b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of Lecture versus Jigsaw Teaching Strategies on Maternity Nursing Students' Attitudes and Academic Achievement
Randa
Mohamed Abobakar
Hoda
Mohamed Abdel Rahman
Jigsaw learning is a cooperative learning strategy in which maternity nursing students participate actively in the teaching-learning process. It also allows students to interact and participate in maternity nursing courses. Aim: The study aimed to assess the effect of lecture versus jigsaw teaching strategies on maternity nursing students' attitudes and academic achievement. Research design: A quasi-experimental study design was used. Research setting: The study was conducted at the College of Applied Medical Sciences at Hafr Al Batin University during the course entitled "Maternity Nursing." Sampling: A convenience sample of nursing students in the 5th and 3rd-year was recruited. Number = 160 were categorized into two groups: control group (80) "lecture group" and study group (80) "jigsaw group". Tools: The data was gathered using four tools. 1. self-administered questionnaire, 2. student’s knowledge assessment tool (pre-posttest), 3. Likert attitude scale to assess the students' attitude toward the teaching strategy, 4. Students' Opinion Sheet. Results: There was a significant difference between both groups regarding the students’ achievement (post and follow-up written exams). The students' theoretical achievement of maternity nursing lectures was higher in the study groups than the control group on the post and follow-up exams. Students in the study group exhibited a more positive attitude concerning the teaching strategy than the students who were in the control group. Conclusion: The jigsaw learning strategy is effective in improving the attitudes and achievements of maternity nursing students during the course. Recommendations; apply the jigsaw learning strategy as a method of teaching in all nursing academic courses.
jigsaw strategy
Academic Achievement
Maternity Students’ Attitudes
2019
09
01
481
492
https://ejhc.journals.ekb.eg/article_224689_8367f6cb47cd6bd5cbda7a1b0b22c3c7.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of foot reflexology on breast engorgement among lactating mothers
Naglaa
F. Ahmed
Background: Breast engorgement is a very common and painful postnatal condition that affects both the mother and the newborn. Breast engorgement is the distention and swelling of the breast, that precedes true lactation. Postpartum reflexology has huge health benefits for the mother and the newborn. It increases the health and well-being of women and provides a comforting and nurturing environment for both mother and baby. Aim: To evaluate the effects of foot reflexology on lactating mothers’ breast engorgement. Methods: A quasi-experimental research design was used. Conducted at the postpartum outpatient follow up, Minia University Hospital for Obstetrics and Pediatrics, Egypt; with a sample size of 100 lactating mothers divided into two groups (study and control), each with 50 women. The structured interview, the six-point engorgement scale, the Visual Analogue Scale, and the breastfeeding LATCH Scale were the four tools used. Foot reflexology was implemented in the study group. Results: There was a highly statistically significant difference between the study and control groups regarding the level of breast engorgement after the intervention. Conclusion: For the management of breast engorgement, foot reflexology proved to be an efficient non-pharmacological therapy. Recommendations: Planning and developing antenatal classes for all women to improve their knowledge and self-care practices regarding foot reflexology as a method to manage breast engorgement.
Foot Reflexology
breast engorgement
lactating mothers
2019
09
01
493
506
https://ejhc.journals.ekb.eg/article_231782_bf3b4ed493ae986af256ccb1cd8a24bf.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Appraisal Interview: its Reflection on Nurse Interns, Shift report Exchange
Rasha
Ali Abd Elhamed
Fatma
Hamdy Hassan
Samah
Faisal Fakhry
Background: Effective communication has been identified as essential in providing safe and quality patient care and ensuring continuity in each patient’s care. Aim: this study was aimed at investigating the appraisal interview and its reflection on nurse interns' shift report exchange. Research Design: A quasi – experimental study with one group pre/ post test design was utilized in this study. Settings: this study was conducted in all critical units affiliated to Ain Shams University Hospitals. Subject: all available nurse interns who started their internship in October 2017, and their total number was 89. Tools of data collection included two tools namely a shift report knowledge questionnaire and observation checklist for nurse interns' performance of oral shift report . Results: none of nurse interns 0.0% had satisfactory total knowledge of shift report at pre intervention phase. Conversely, all of them 100% had satisfactory total knowledge of shift report at the post and follow up phases of the intervention, none of them had adequate performance at pre intervention phase which increased to 100% of them performed adequate performance of shift report at post study phase, and follow up phase of the intervention was 85.3%. In conclusion, the implementation and conduction of an appraisal interview intervention for nurse interns about shift report was effective and reflected on improving their knowledge and performance in shift report exchange. The study recommends The appraisal interview approach should be used continuously as a constructive tool for development and improving the performance of nurse interns in different clinical care area, In-service training and continuing education programs must be initiated and be available to all nurses, nurse interns and newly graduates to be acquainted with knowledge and necessary skills related to oral shift report.
Appraisal Interview
Nurse interns
Shift Report Exchange
reflection
2019
09
01
507
516
https://ejhc.journals.ekb.eg/article_234461_015bd905e647e80ad3d1e1eadabb4015.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of Implementing Discharge Plan on Patient’s Outcomes Post Coronary Artery Bypass Graft Surgery
Fatma
Mohamed Elesawy
Warda
Ramadan Abouzied
Ragaa
Dahi Mohamed Ahmed
Amal
Hemed Hamad
Background: Despite the development of cardiothoracic surgery, many patients still face somepostoperative complications and difficulties, which can be ameliorated through continues care andan appropriate discharge plan. This study aimed to evaluate the effect of implementing a dischargeplan on patient outcomes post Coronary Artery Bypass Graft (CABG) surgery. Design: A quasiexperimental research design was used in the study. Setting: The study was conducted in thedepartment of Cardiothoracic Surgery and were completed in Outpatients Cardiothoracic SurgicalFollow up Clinics at Zagazig University Hospital. Subject: A purposive sample of 60 patients wererandomly recruited in this study, which divided into two equal groups, study and control (30patients in each). Tools: Four tools were utilized for data collection, knowledge assessmentquestionnaire, Cardiac Symptoms' Survey, Exercise of Self-Care Agency Scale and lab investigationof lipid profile. Results: The mean scores of knowledge, post-operative symptoms' severity, andself-care ability at one month and at three months later of the study group were significantly higherthan those of the control group (p <0 .001). Also there were a statistically significant difference ofthe mean score of all lipid profile variables between control and study group. Conclusion:implementing a discharge plan was effective in improving patients' clinical outcomes includingknowledge, post-operative symptoms severity, self-care ability and lipid profile. Recommendation:Discharge plan for patient undergoing CABG surgery should be implemented in pre and postsurgery, as well as during follow up.
CABG surgery
Discharge plan
Patient’s Outcomes
2019
09
01
517
534
https://ejhc.journals.ekb.eg/article_252377_dd40a91a0f05999b4ec608acec17e3ca.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Depression, Self-Esteem and Daily Living Activities among Geriatric Home Residence People
Mona
H. Mostfa
Nareman
A. Mohamed
Aim: To investigate the relationship between depression, self-esteem and activity of daily livings (ADLs) among geriatric home residence people. Setting: Dar Maana and Hedia Barakat geriatric home. Design: A descriptive correlation research design was used in this study. Sample: A purposive sample of (50) geriatric home residence people. Tools: personal and medical data sheet, geriatric depression scale, Rosenberg self-esteem scale and daily living activities questionnaire. Results: 62% of the studied sample had high level of depression, 68% of them had low self-esteem and 84% of them had low function of daily living activities. The study also revealed a statistically significant negative correlation between levels of depression and levels of self-esteem. There was a statistically significant negative correlation between level of depression and level of daily living activities. Conclusion: The majority of geriatric home residence people suffer from high level of depression and low function level in daily living activities. Recommendation: The current study recommended that, design a cognitive stimulating treatment program to improve depression, self- esteem and daily living activities among geriatric home residence people.
depression
Self-esteem
Daily living activities and Geriatric people and Home Residence
2019
09
01
535
543
https://ejhc.journals.ekb.eg/article_259466_ad5e4a6013b4c7ecdecf5adbbf6a226d.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of Supportive Guidelines on Nurses’ Knowledge and Practices regarding Ovarian Hyperstimulation Syndrome
Magda
Fawzy Hasab Allah
Safaa
Ali Abdelnaem
Amany
Hassan Abd Elrahim
Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic and potentially life-threatening complication of fertility treatment. Aim: To evaluate the effect of supportive guidelines on nurses’ knowledge and practices regarding ovarian hyperstimulation syndrome. Study design: quasiexperimental pre and posttest research design was applied. Setting: The current research was carried out at all infertility treatment centers in Minia city (El Nile, Jannah, Minia center, and Egypt center). Sample: A convenient sample was utilized in the current study, 60 nurses who agree to participate. Tools: data were gathered via three tools: the first include socio-demographic data, knowledge assessment tool, and practices observational checklist regarding OHSS prevention. Results: it reveals that 76.7 % of the participants had poor knowledge about OHSS in pretest reduced to 6.7% in posttest. And 71.7 % of the participants had unsatisfactory practices regarding OHSS prevention in pretest which decreased to 21.7% in posttest. Furthermore there was a positive correlation between studied sample’s knowledge and practices in pretest and posttest with statistically significant differences where p_ value was .001. Conclusion: There were highly statistically significant improvements in nurses’ knowledge and practices regarding OHSS after implementation of supportive guidelines. Recommendation: Provide a continuous planned educational courses for nurses in infertility treatment centers and clinics to update their knowledge continuously and improving their practices regarding preventing OHSS and, routinely provide a brochure or a booklet that contain all information about OHSS for every women receiving ovulation induction medication in all infertility centers or clinics.
Knowledge
Nurses
Ovarian Hyperstimulation Syndrome Practices
Supportive Guidelines
2019
09
01
544
559
https://ejhc.journals.ekb.eg/article_262284_adaeeb3c342e4ca7aa185e2b351261d4.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
The Effect of a Home Fire Safety Program on Fire Safety Knowledge and Behavior of Community-Dwelling Older Adults and their Family Caregivers
Elham
Hassan Tawfik
Abeer
Abd El- Rahman Mohamed
Amel
Attia Abd Elghaffar Moustafa
Background: Older adults are at higher risk for fire-related injuries and deaths than younger peopledue to their impaired physical and sensory functions. A fire safety programs should be developed forolder adults and their family caregivers to prevent fire-related accidents. Aim of this study is toevaluate the effect of a home fire safety program on fire safety knowledge and behavior of community-dwelling older adults and their family caregivers. Design: A quasi-experimental research design wasused (one-group pretest–posttest). Setting: The study was conducted in five community clubs forcommunity-dwelling older adults in Alexandria namely; El-Saada, El-Hanan, El-Wafaa, El-Hayia Wl-Amal, and El-Wedad clubs. Subjects Purposive sample was composed of two subjects; older adultsand their family caregivers were selected based on specific criteria. Results: There was a statisticallysignificant effect of home fire safety program on the level of knowledge of both older adults and theirfamily (P = 0.001). Also, there were a significant effect of the program on the reported home fire safetybehavior for older adults and their family caregivers (P = 0.0001). Conclusion: There wereimprovements in home fire safety knowledge and behavior of the community-dwelling older adults andtheir family caregivers after the application of a home fire safety program. Recommendations: Homefire safety programs should be disseminated to the older adults and their family caregivers in varioussettings. Encouraging the involvement of home fire safety programs in the mandatory fire safetycurriculum in the educational system.
Home fire safety programs
fire safety knowledge and behavior
community-dwelling older adults
family caregivers
2019
09
01
560
579
https://ejhc.journals.ekb.eg/article_267726_94760e5e705ecb2748478c44a11057d2.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2019
10
3
Effect of Self-learning Module on Nurses' Knowledge and Safety Practices Concerning Care of Patients Undergoing Upper Gastrointestinal Endoscopy
Nora
Salah Eldin Saad
Ola
Abdelwahab Abdallah Srour
Upper gastrointestinal endoscopy plays a major role in diagnosis and management of uppergastrointestinal disorders . Endoscopy nurses play a critical role in ensuring that endoscopy is bothsafe and of high-quality. Aim: evaluate the effect of self-learning module on nurses' knowledge andsafety practices concerning care of patients undergoing upper gastrointestinal endoscopy. Design: Aquasi experimental research design (pre and post-test) was utilized. Setting: in the endoscopy unitat Homeyat Elabassia Hospital. Sample: A convenient sample of all available nurses (60 nurse)working at the previously mentioned setting. Tools of the study: Two tools were used, the first toolwas structured self-administrated questionnaire: it was consisted of two parts; demographiccharacteristics of nurses and nurses' Knowledge. The second tool was nurses' safety practicesobservational checklist. Results: Mean age of studied nurses was 27.9 ± 4.71. 23.3% of the studiednurses had satisfactory level of knowledge pre implementation of self-learning module whichincreased to 76.7% post implementation with a highly statistically significant differences betweenpre and post implementation at p=0.000. A highly statistically significant difference of total nurses'safety practices between pre and post self-learning module implementation among the studiednurses. There was a direct statistically significant correlation between total knowledge and totalsafety practices of studied nurses. Conclusion: There was a positive effect of self-learning moduleon nurses’ knowledge and safety practices and there were highly statistically significant differencesin total nurses mean score of knowledge and practices between pre and post implementation of self-learning module. Recommendations: Periodic in-service training to maintain and update level ofknowledge and safety practices of nurses working at endoscopy unit.
Nurses' knowledge
safety practices
Self-learning module
upper gastrointestinal endoscopy
2019
09
01
580
595
https://ejhc.journals.ekb.eg/article_271424_ecf22e28a653aac2421d44122c245af4.pdf