Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Nursing Rehabilitation Program on Knee Functional Outcomes for Patients undergoing Arthroscopic Meniscus Surgery.12622716610.21608/ejhc.2022.227166ENHebaMahmoud MahmoudLecturer of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptRashaFathy Ahmed DawoodAss Prof .Medical Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptHamdaAhmed Mohamed EldesokyLecturer of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptJournal Article20220327Background: Knee derangements are often due to either knee injury or arthritis. Knee injuries are <br />so common that knee arthroscopy is amongst the most common procedures performed in orthopedic <br />surgery. Successful arthroscopic meniscus surgery requires physical rehabilitation to help patients return <br />to an active lifestyle. The Aim of the study is to evaluate the effect of nursing, rehabilitation <br />program on knee functional outcomes for patients undergoing arthroscopic meniscus surgery. <br />Research design: A quasi experimental research design with a pretest-posttest control group was <br />utilized. Setting: the study was carried out in the Orthopedic Departments at El- Hadara <br />Traumatology and Orthopedic University Hospital and the affiliated Outpatients Clinics, <br />Alexandria. Subjects: Convenience sample of eighty adult patients were selected according to <br />eligibility criteria. They were divided into two equal groups 40 in each study and control group. <br />Tools of data collection: three tools were used to collect the necessary data, namely: Tool I: <br />patient’s assessment structure interview sheet, Tool II: knee pain scale and Tool III: Mobility Index <br />of the Knee was divided into four parts. Part I: Muscle strength assessment scale, part II: Knee <br />range of motion assessment sheet, part III: Knee Outcome Survey Activities of Daily Living Scale <br />(ADLS) and part IV: Complications assessment sheet. Results: The result revealed that post <br />program implementation, study group had a reduction in pain and improvement in knee muscle <br />strength, knee function and (KOS-ADLS) more than the control group. Conclusions: Rehabilitation <br />program after arthroscopic meniscus surgery had a significant positive effect on patient’s knee functional <br />outcomes. Recommendations: The developed booklet with its straightforward instructions and <br />illustrations should be utilized in hospitals as a teaching aid for patient undergoing arthroscopic <br />meniscal surgeryhttps://ejhc.journals.ekb.eg/article_227166_0deb6e1c60f9ed32b14acce627729d49.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Applying Acupressure on the Clinical Outcomes of Critically Ill Children with Respiratory Tract Infections: An Integrative Nursing Approach273822716710.21608/ejhc.2022.227167ENRashaM. Abo-HadidaDepartment of Pediatric Nursing, Faculty of Nursing, Alexandria University, EgyptMohamedE. AbdelgawadDepartment of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, EgyptZohourI. RashwanDepartment of Pediatric Nursing, Faculty of Nursing, Alexandria University, EgyptPediatric Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, BahrainNagwaI. HamadDepartment of Pediatric Nursing, Faculty of Nursing, Alexandria University, EgyptJournal Article20220327Background: Respiratory tract infections are heterogeneous and complex group of diseases that require<br />pharmaceutical interventions with undesirable side effects. Thus, integration of acupressure in the care of<br />children with respiratory problems may be effective with regard to management of respiratory distress and<br />prevention of medicinal treatment side effects. Aim: To investigate the effect of applying acupressure on the<br />clinical outcomes of critically ill children with respiratory tract infections. Methods: Quasi-experimental, pre-<br />posttests, research design was carried out at the Pediatric Intensive Care Unit of El-Shatby University Hospital in<br />Alexandria, Egypt. Subjects were 60 eligible children who were assigned into two equal groups. The control<br />group received the routine care of the unit only whereas the study group received acupressure in addition to<br />routine care. Findings: Degree of dyspnea decreased dramatically among the study group after three days of<br />acupressure as 56.7% were not troubled at all by dyspnea compared to only 3.3% of children in the control group.<br />Regarding degree of respiratory impairment, all children in study group experienced mild respiratory impairment<br />in the 2nd and 3rd days of the study period (100% in each) compared to the control group (23.3% and16.7%<br />respectively) with significant statistical differences (p= 0.000 in each day). Conclusion and<br />recommendations: Integrating acupressure with conventional medical therapy could decrease the severity of<br />dyspnea and enhance pulmonary functioning. In that sense, acupressure was proved to be promising in<br />improving respiratory problems among children with respiratory tract infections. Accordingly, pediatric<br />intensive care nurses can accelerate the improvement of those children using such non-pharmacological<br />approach with the pharmacological one.https://ejhc.journals.ekb.eg/article_227167_6951869d6cf3cbcb2428e431fa93f8d2.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Pilates Exercises versus Benson Relaxation Technique on Premenstrual Syndrome Symptoms395322716810.21608/ejhc.2022.227168ENAfafHassan AhmedAssistance professor of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University.NohaMohamed HassanAssistance professor of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University.AbeerHassan ShamekhLecturer of Obstetrics and Gynecologic Nursing Faculty of Nursing, Alexandria University.AmanyS. BadawyLecturer of Obstetrics and Gynecologic Nursing Faculty of Nursing, Alexandria University.Journal Article20220327Objectives: This study was done to identify the effect of Pilates exercises versus Benson relaxation <br />technique on the symptoms of premenstrual syndrome. Design: A quasi experimental was utilized. <br />Subjects: A purposeive sample of 100 girl students were selected from four academic years in the <br />faculty of nursing at Zagazig University. Tools: two tools were used for data collection Tool (I): <br />Basic data structured Interview schedule and tool II Premenstrual Syndrome Scale (PMSS). The <br />high score received from PMS shows that the symptoms were severe. The students in study groups <br />were asked to practice the Pilates exercises and Benson relaxation technique for two months. At the <br />end of the two months, premenstrual syndrome symptoms of experimental groups was diagnosed <br />and the effect of interventions on PMS was evaluated. Results: It was observed that after applying <br />both interventions, a statistically significant difference was detected between the means of total <br />score among the two groups in relation to all physiological, psychological and behavioral symptoms <br />P=<0.001), also the differences between the two groups were statistically significant after applying <br />interventions in relation to severity of PMS in favor of Pilates exercises, where p=<0.001 on 8 <br />weeks. Conclusion: it can be concluded that Pilates exercises were more effective in relieving <br />physical, behavioral and psychological symptoms of PMS than Benson relaxation technique. <br />Recommendation: it can be recommended that The curricula of basic nursing / midwifery <br />education as well as continuing education could be enriched with , correct , relevant evidence – <br />based information about non-pharmacological management of PMS.https://ejhc.journals.ekb.eg/article_227168_c95e1121badf893f393ba0942e51e319.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effectiveness of an educational counselling program in improving husbands’ knowledge, awareness, attitudes, and intention to participate with wife in family planning1936194724935510.21608/ejhc.2022.249355ENAzizaM. AboziedAssist. Prof. of Community Health Nursing,Beni-Suef University. -EgyptFatmaA. OrabyLecturer Obstetrics Nursing,and Gynecology Faculty of Nursing-Misr University for Science and Technology.MerfatAmin ElzehriPHD of Woman Health and Midwifery Nursing, Technical institute of Nursing, Mansoura University Egypt &
Assist.prof.of Child bearing family College of Applied Medical Science, Taibahu UniversitySamarAhmed MahmoudLecturer of Community Health Nursing. Aswan University Egypt ,Currently in Faculty of Applied Medical
Science,AL Baha UniversityJournal Article20220716Background: Egypt is faced with a major challenge with over-population. The burden of family <br />planning and use of contraception have always fallen on women, with undermining the role of men. <br />Aim of the study: To assess the effectiveness of an educational FP counselling program in <br />improving husband’s related knowledge, awareness, attitudes, and intention to participate with wife <br />in FP. Participants and methods: This quasi-experimental study was conducted in urban and rural <br />household from community-dwelling in Beni-Suef city and suburbs on 110 husbands. An interview <br />questionnaire covering participant’s demographic characteristics, knowledge, sources of <br />information, attitudes towards FP, and the intention to participate with wife in FP, and related <br />barriers. The fieldwork was executed through assessment, planning, implementation, and evaluation <br />phases. Results: Husbands median age was 35 years; 47.3% had university education. Post<br />intervention knowledge demonstrated statistically significant improvements in all areas (p < 0.001); <br />73.6% had total satisfactory knowledge. Statistically significant improvements in attitudes were <br />shown after the intervention. The multivariate analysis identified the study intervention as the main <br />positive predictor of husbands’ knowledge score. The intervention increased husbands’ intention to <br />participate in FP with wife by two-folds (OR=2.012). Conclusion and recommendations: The <br />educational counseling program is successful in improving husband’s knowledge and attitudes. It is <br />recommended to implement this program in various healthcare settings. Further research is <br />proposed to examine the effectiveness of such interventions involving husbands and wives together.https://ejhc.journals.ekb.eg/article_249355_2c88f0d812555e9ee4a08e36bcb0dc6d.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Health Needs and Health Problems of Pregnant women with Hyperemesis Gravidarium546622716910.21608/ejhc.2022.227169ENElsayed, NNursing supervisor in Ain Shams Maternity HospitalMohamed, H.Professor of Community Health Nursing, Faculty of Nursing Ain Shams UniversityMohamed, M.Lecturer of Community Health Nursing Faculty of Nursing Ain Shams UniversityJournal Article20220327Background: Persistent nausea and vomiting (hyperemesis gravidarum) in early pregnancy remains a <br />significant health problem that result in negative side effects on women and their pregnancy. <br />Design: A descriptive research design was utilized. Sample: A purposive sample composed of 150 of <br />pregnant women from first trimester to13 weeks and confirmed diagnosis with hyperemesis gravidarium. <br />Tools: Three tools were utilized to collect data; (1) A structured Interviewing Sheet, (2) Assessment the <br />pregnant women health needs developed often occurring of the hyperemesis gravidarium, (3) Assessment <br />the pregnant women health problems developed often occurring of the hyperemesis gravidarium. Results: <br />It was found that, 71.3% of the studied women have unsatisfactory level of knowledge. Also, 60.7% of <br />them have incorrect practices. Moreover, 55.3%of the studied women their health needs unsatisfied <br />achieved. Furthermore, 62% of them have health problems related to hyperemesis gravidarium. <br />Conclusion: Based on the study finding it concluded that, there was a relation between socio- <br />demographic data of pregnant women and their knowledge and reported practices about hyperemesis <br />gravidarium. Also, there was statistically significant positive correlation between total practices of the <br />studied women and their total knowledge. Recommendations: The study recommended that, Increase <br />awareness of pregnant women about hyperemesis gravidarum hazards and the importance of prompt <br />medical care-seeking to avoid complications, organizing of training programs for pregnant women about <br />self-care to improve their behavioral and life style.https://ejhc.journals.ekb.eg/article_227169_1381b3ef93c5e1b2c4057be34c56a85f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Applying Health Belief Model on Type 2 Diabetic Patients’ Knowledge, Self-Care Practices and Health Beliefs678122717110.21608/ejhc.2022.227171ENRashaA. MohamedAssistant Professor of Community Health Nursing, Faculty of Nursing, Mansoura University, EgyptSoadMohammed Abd -ElghanLecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptSafaaHussein Mohammad Abd ElrhmanLecturer of Medical-Surgical Nursing, Faculty of Nursing, Zagazig University, EgyptNagwaNabeh TarefLecturer of Community Health Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20220327Background: Effective management of type 2 diabetes poses a significant public, medical <br />and behavioral health challenge, predominantly with the high prevalence attributable to unhealthy <br />lifestyle behaviors. Aim: This study aimed to assess the effect of applying a health belief model <br />(HBM) on type 2 diabetic patients' knowledge, self-care practices, and health beliefs. Research <br />Design: A quasi-experimental pre and post-test, one-group only design was utilized for this study. <br />Setting: This study was carried out at the diabetic outpatient clinics affiliated with the Medical <br />Specialized Hospitals/Mansoura University, Dakahlia Governorate, Egypt. Subjects: A purposive <br />sample of 72 type 2 diabetic patients who agreed to participate in the study was utilized. Tools of <br />data collection: Four structured interview sheets were designed, namely (socio-demographic, <br />knowledge, self-care practices, and health beliefs). The results: The study results revealed highly <br />statistically significant differences with an improvement in total patients’ knowledge and self-care <br />practices’ score in post-educational intervention based on HBM as compared with pre-intervention. <br />Additionally, post-intervention, the mean score of each HBM constructs: susceptibility, severity, <br />benefits, cues to action, and self-efficacy were increased significantly (except the barriers construct <br />which was declined) compared to pre-intervention (P-value <0.000). Conclusion: The application <br />of the HBM model was proved to be effective in increasing knowledge, promoting the self-care <br />practices and health beliefs of patients with type 2 diabetes mellitus. Recommendations: Increasing <br />people’s awareness of their disease, treatment adherence, adopting a healthy lifestyle via education <br />and training classes should be emphasized. Besides, supporting, continuous, and well-designed <br />training programs for healthcare professionals should be established to apply HBM on chronic <br />disease prevention and control.https://ejhc.journals.ekb.eg/article_227171_65b8dc95b804378d9126798feb1d34bd.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Factors Affecting Weaning of Mechanically Ventilated Patients829722853610.21608/ejhc.2022.228536ENAhmedAbd Eltawab AttiaB.Sc. in Medical Surgical Nursing, Ain Shams UniversityDaliaAbdullah AbdullatifAssistant Professor of Medical Surgical Nursing, Ain Shams UniversitySusanMohamed Desowky AbdElGhanyLecturer of Medical Surgical Nursing. Faculty of Nursing, Ain Shams UniversityJournal Article20220331Background: Mechanical ventilation (MV) is life-saving technology. <br />Mechanical ventilator hasserious complications, so the ultimate goal of MV is ventilator <br />discontinuation, weaning a patient from MV is challenge for critical care nurses who <br />play a vital role in assessing patient readiness for weaning. The aim: Study aimed to <br />assess the factors affecting weaning of mechanically ventilated patients. Design: <br />Descriptive exploratory research design was used in carrying out thisstudy. Setting: The <br />study was conducted in the medical intensive care units at Ain Shams Hospitals. Sample: <br />A convenience sample of all available nurses (n=50) and a convenience sample of 50 <br />patients with MV. Tools of data collection: Patients' physical assessment tool, Hospital <br />anxiety and depression scale, Nurses’ self-administered questionnaire, Equipment’s and <br />Environmental- related factors tool. Results: 70% of the studied nurses had satisfactory <br />level of knowledge regarding the total knowledge about patient weaning from <br />mechanical ventilator. Also, 72% of the studied nurses had satisfactory level in practicing <br />their role during the process of weaning of patient from MV device. In addition to 81% <br />of the human resources and structure was available. Moreover 67% of the equipment <br />was available. Conclusion: More than two thirds of the studied nurses had a satisfactory <br />level in practicing their role during the process of weaning of patient from MV. Also the <br />most of the human resources and structure was available. In addition to more than two <br />thirds of the equipment was available. Recommendations: An orientation programme <br />for staff newly appointed to the ICU should be conducted including education with <br />regard weaning from mechanical ventilator. Extensive and ongoing in-service training <br />programmes for ICU nurses to improve their knowledge and practice regarding weaning <br />of patientsfrom mechanical ventilator.https://ejhc.journals.ekb.eg/article_228536_188172fb0aeffb678f3a0de37ce72127.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Transition program and its Effect on Nurse Interns' Role Perception9811022853710.21608/ejhc.2022.228537ENAminaA.Abd ElfatahAssistant Lecturer at Nursing Administration, Faculty of Nursing, Ain Shams University.SamiaM.AdamProfessor of Nursing Administration, Faculty of Nursing, Ain Shams University.HanaaM.AbdrabuAssist. Professor of Nursing Administration, Faculty of Nursing, Ain Shams University. Lecturer at Nursing Administration, Faculty of Nursing, Ain Shams University.GalilaAbd ElgafarAssist. Professor of Nursing Administration, Faculty of Nursing, Ain Shams University. Lecturer at Nursing Administration, Faculty of Nursing, Ain Shams University.Journal Article20220331Background: the ultimate goal of transition programs is to increase competence of <br />new nurses and consequently augment the quality and safety of healthcare provided to all <br />patients, and adapt to their new role. For that, it is importance of nurse interns to know their <br />future roles to facilitate and prepare them socially to work and decrease the reality shock <br />when go outside to the labor market Aim of the study: assessing the effect of transition <br />program among nurse interns on their role perception. Design: Quisi-experimental research <br />design. Setting: Ain Shams University Hospitals. Subjects: (100) nurse interns whom are <br />path from fourth year at faculty of nursing Ain Shams University. Tools of data collection: <br />Nurse Interns’ knowledge regarding role transition questionnaire, and role perception <br />questionnaire. Result: at pre role transition program phase minority of nurse interns had high <br />total knowledge, and total roles perception level. Moreover, at post program and follow up <br />phases the total knowledge and total roles perception level was improved markedly <br />respectively. Additionally, there were a positive highly statistically significance correlation <br />between total nurse interns’ transition knowledge score and total roles perception score <br />throughout transition program phases. Conclusion: The level of total transition knowledge, <br />and total roles perception level was improved markedly among nurse interns throughout <br />program phases. Recommendations: Introducing a mandatory preceptorship program would <br />assist with a smoother transition, academic institutions must provide ongoing support and <br />resources for new faculty nurse intern, further attention to academic preparation of nursing <br />interns to promote their perceptions about role transition, A future research must be made to <br />improve perceptions of nursing interns about role transition.https://ejhc.journals.ekb.eg/article_228537_5c1f81f9ef2e9ae1e48244cf10043099.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Quality of life of women with rheumatoid arthritis11112522853810.21608/ejhc.2022.228538ENAmanyEid Soliman GhanemMaster student at faculty of nursing, Ain Shams University-Cairo-Egypt.NadiaHamed FarahatProfessor of Community Health Nursing faculty of nursing, Ain Shams University-Cairo-Egypt.SafenazMohamedlecturer of Community Health Nursing faculty of nursing, Ain Shams University-Cairo-Egypt.Journal Article20220331Background: Rheumatoid arthritis is asystemic inflammatory autoimmune disease that has great <br />effect on patients' quality of life. Aim of the study the study aims to assess quality of life of women with <br />rheumatoid arthritis through:-Assessing knowledge of women about rheumatoid arthritis, Assessing <br />physical ability, psycological, emotional, occupational function of women with rheumatoid arthritis. <br />Research design: A descriptive research design was utilized. Setting: The study was conducted in <br />physical medicine, rheumatology, and rehabilitation department Tanta university hospitals. Sample: A <br />purposive sample that included 350 women that were diagnosed with rheumatoid arthritis. Data <br />collection tools: One data collection tool was used to carry out the current study namely: <br />Interviewing questionnaire sheet. The study tool consists of five parts; demographic data, women’s <br />health history, women’s life style factors, woman's knowledge, and Physical quality of life. Results: <br />Nearly three quarter of women with arthritis had correct and complete knowledge, more than two third of <br />women with arthritis had unsatisfactory total knowledge, more than half of women with arthritis had poor <br />total psychological state, nearly half of women with arthritis had poor total physical conditions, nearly <br />half of women with arthritis had poor total quality of life. Conclusions: This study concluded that More <br />than two third of women with arthritis had unsatisfactory total knowledge. More than half of women <br />with arthritis had poor total psychological state. Less than half of women with arthritis had poor total <br />physical and occupational conditions, and less than half of women with arthritis had poor total quality of <br />life. There was highly statistically significant correlation between total knowledge with psychological, <br />physical, social and total QOL. Recommendations: Provide educational programs to Increase women's <br />knowledge regarding rheumatoid arthritis. Priority should be given to increase women's awareness <br />regarding rheumatoid arthritis. Providing emotional and social support for women with rheumatoid <br />arthritis.https://ejhc.journals.ekb.eg/article_228538_f573df956c1648dcf1fcf992cf7365a4.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Childhood Obesity and Healthy Weight Program among Primary School Children12613622853910.21608/ejhc.2022.228539ENHanaaAbdel Hakeem AhmedDepartment of Community Health Nursing and Environment -Faculty of Nursing, Ain Shams University-Cairo-Egypt.FerialFouad MelikaDepartment of Community Health Nursing and Environment -Faculty of Nursing, Ain Shams University-Cairo-Egypt.AminaMohamed IsmailDepartment of Community Health Nursing and Environment -Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220331Background: Obesity has well documented adverse physical health consequences in both <br />childhood and adulthood. Childhood obesity tends to persist until adulthood and thus potentially <br />represents the beginning of a lifetime chronic process leading to different patterns and magnitudes <br />of impairment in relation to the health-related quality of life. Over 10 percent or 3.6 million of <br />Egyptian children are considerably overweight. It's particularly troubling because the extra pounds <br />often start children on the path to health problems that were once considered adult problems: <br />diabetes, high blood pressure and high cholesterol. Aim of the Study: assess the effect of primary <br />prevention program of obesity among primary school children through: assessing knowledge & <br />practices of primary school children related to obesity. Subjects and Methods: Setting: The study <br />was conducted in four primary governmental school of El-Salam city, Cairo governorate Size: the <br />sample composed of 144 primary school children chosen randomly through multistage sampling. <br />Tools: Different tools were used for data collection of study and it was written in simple language <br />to suit the understanding level of the studied primary school children First tool: Structured <br />interviewing questionnaire, second tool: Anthropometric Measurements, physical assessment sheet <br />Results: clarified that only few percentage of primary school children had good Knowledge <br />preprogram while this improved to more than one third post program implementation related to their <br />total knowledge about childhood obesity, there was highly statistically significant difference in post- <br />program compared to pre-program according to their total practice related to childhood obesity. <br />Conclusions: primary school children improved their knowledge and practice regarding childhood <br />obesity after program implementation. Recommendation: primary prevention program must be <br />provided for all primary school children to prevent childhood obesity risks.https://ejhc.journals.ekb.eg/article_228539_4eb9ab60bf63281adbd12636f0254a4f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Self-Care Practices Regarding Prevention of Reproductive Tract Infection among Female Adolescent13715722854110.21608/ejhc.2022.228541ENAmiraAly IbrahimB.Sc., El Monofia UniversityAzizaAhmed AttiaProfessor of Maternity & Gynecological Nursing, Faculty of Nursing, Ain Shams University-cairo-egypt.AmalFatthy MohammedAssisstant professor of Maternity & Gynecological Nursing, Faculty of Nursing, Ain Shams University-cairo-egypt.Journal Article20220331Background:Female adolescent with RTI represents various symptoms like backache <br />to lower abdominal pain, genital ulcers, vulval itching, inguinal swelling, and abnormal <br />vaginal discharge. The study was aimed to: Assess self -care practices regarding <br />prevention of reproductive tract infection among female adolescent. Research design: A <br />descriptive study design was used. Sample: A convenient sample Of 150 students from <br />faculty of nursing, Menofiyia university.Tools: First tools, self-administered questionnaire <br />sheet to assess female adolescent general characteristics, their knowledge and self -care <br />practices for prevention of RTI. Results: The current study finding revealed that 68, 2% of <br />studied adolescents had incorrect total knowledge score regarding RTI while 31, 8% of them <br />had correct total knowledge score, 71, 3% of studied adolescent had unsatisfactory self- care <br />practice regarding prevention of RTI. There were a highly statistically significant relation <br />between total studied adolescent knowledge score and total studied adolescent self –care <br />practices score regarding prevention of RTI(p < 0.001). Conclusion: The current study <br />concluded slightly more than three quarter of the studied adolescent had incorrect regarding <br />mode of transmition of RTI and slightly more than two third of them had incorrect <br />knowledge regarding preventive measures. Regarding total knowledge score the current <br />study finding revealed that slightly more than two third of them had incorrect knowledge. <br />Also slightly less than three quarter of the studied adolescent had unsatisfactory self-care <br />practice regarding RTI. Recommendation: The current study recommended <br />that :Application of the nursing preventive strategy for RTI on female adolescent at <br />secondary school through designing and application for an educational program to increase <br />awareness of female adolescent through (videos, booklets, lectures), Further researches are <br />needed to investigate the contributory factors leading to RTIs and the adequate intervention.https://ejhc.journals.ekb.eg/article_228541_19b0dfd388c894af6740d91aa2426dcc.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Family-Centered Care on Mothers' Information Needs, Anxiety and Depression Level Regarding Care for their Children Undergoing Heart Surgery15817222854510.21608/ejhc.2022.228545ENAmiraSobhy El-Said HusseinM. Sc. in Pediatric Nursing, Assist. Lecturer of Pediatric Nursing, Faculty of Applied Medical Sciences, October 6 UniversityWafaaEl-Sayed Abd El-Gileel OudaProfessor of Pediatric Nursing, Faculty of Nursing, Ain Shams UniversityRandaMohamed AdlyProfessor of Pediatric Nursing, Faculty of Nursing, Ain Shams UniversityJournal Article20220331Background: Families of children with congenital heart diseases needed for accurate and <br />reliable information about the cardiac conditions, heart surgery and psychological and emotional <br />support. Aim of this study was to evaluate the effect of family-centered care intervention on <br />mothers' information needs, anxiety and depression level regarding care for their children <br />undergoing heart surgery. Design: a quasi-experimental design was used. Setting: The study was <br />carried out at the pediatric inpatient department in Cardiovascular Hospital, affiliated to Ain Shams <br />University Hospitals. Subject & methods: A purposive sample of 50 children who were <br />undergoing heart surgery and their accompanying mothers. Tools: Child' assessment sheet, the <br />needs of parents questionnaire, structured interview questionnaire, and anxiety–depression scale. <br />Results: There was a highly statistically significant difference before and after FCC intervention <br />regarding mothers' total knowledge about congenital heart disease, pre-post operative care and <br />follow up care. There was a highly statistically significant difference between the level of anxiety <br />and depression before and after FCC intervention. Conclusion: The family-centered care <br />intervention was effective in meeting mothers' information needs as well as reduced the level of <br />anxiety and depression regarding care for their children undergoing heart surgery. <br />Recommendations: Emphasize on the importance of family (usually the mother) participation in <br />care for their children suffering from congenital heart diseases during hospitalization for heart <br />surgery. Designing and carrying out programs for pediatric nurses to promote the implementation of <br />family-centered care in clinical practice.https://ejhc.journals.ekb.eg/article_228545_b48a9fc2d65efe891c74f6aaec409b43.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Activities of Daily Living among Adult Patients with Lumbar Disc17319022854810.21608/ejhc.2022.228548ENAsmaaZakariea Abd El- Ghany EbrahemB.Sc. of Nursing 2000) Faculty of Nursing - Ain Shams University-Cairo-Egypt.NadiaHamed FarahatProfessor of Community Health Nursing, Faculty of Nursing - Ain Shams University- Cairo-Egypt.WafaaKhalil IbrahimLecturer of Community Health Nursing, Faculty of Nursing - Ain Shams University- Cairo-Egypt.Journal Article20220331Background: Activities of daily living among adult patients with lumbar disc (LD) is a <br />barrier between their needs and abilities to implement them, there is a strong correlation <br />between patients' condition and reduced physical activity. Aim: The aim of this study is to <br />assess the activities of daily living among adult patients with lumbar disc Research design: <br />Descriptive study was used. Setting: The study was conducted at Out-patient clinics of <br />neurosurgery in Ain Shams University Hospital Results: The study found that total satisfactory <br />knowledge of adult patients regarding LD was 25%, the total poor practice regarding daily <br />living activity among adult patients with lumbar disc was 68% and total moderate pain score <br />among adult patients with lumbar disc was 49%. Conclusion: There was a statistically <br />significant relation between income & BMI and patient practice with p-value (<0.043-<0.049 <br />respectivley), there was a statistically significant relation between instrument activities of daily <br />and pain scale of patient practice with p-value (<0.004-<0.025 respectivley). <br />Recommendations: Lumbar disc rehabilitation programs must be developed for LD patients as <br />it is the best predictor of their compliance of optimal ADLs and life style management are to be <br />achieved by the patients.https://ejhc.journals.ekb.eg/article_228548_d2d577940f22768d98db666284d742ab.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Quality of life for patients with Hepatocellular carcinoma undergoing Radio frequency Ablation19120122854910.21608/ejhc.2022.228549ENManalSalahProfessor of Medical Surgical Nursing ,Faculty of Nursing, Ain Shams University-Cairo-Egypt.YosreahMohamedAssistant Professor of Medical Surgical Nursing Faculty of Nursing, Ain Shams University-Cairo-Egypt.AhmedSolimanLecturer of Interventional Radiology Faculty of Nursing, Ain Shams University-Cairo-Egypt.AzharTahaFaculty of Medicine, M.Sc Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220331Background:Hepatocellular carcinoma (HCC) is considered as one of the most <br />challenging tumors with high incidence, prevalence and mortality rates. Radiofrequency <br />Ablation (RFA) is one of the emerging therapeutic modalities used for the minimally <br />invasive treatment in the management of early-stage of HCC. Aim: This study aimed to <br />assess quality of life for patients with Hepatocellular Carcinoma undergoing Radio <br />Frequency Ablation. Design: Descriptive design was used to achieve the aim of this study. <br />Setting:This study was conducted at the Interventional Radiology Unit, affiliated to Ain <br />Shams University Hospital Subject: A purposive sample of 50 patients with Hepatocellular <br />Carcinoma. undergoing RadioFrequency Ablation. Tools: (I)Structured Interview <br />Questionnaire for patients with Hepatocellular Carcinoma undergoing Radio Frequency <br />Ablation. It is composed of three parts. Socio-demographic characteristic, Assessment of <br />Patients' medical health and knowledge about HCC and RFA. (II) Quality of life of cancer <br />Survivors Questionnaire. Results: The present study revealed that near two thirds of <br />patients had an unsatisfactory level of knowledge to all items about HCC and <br />RFA. On the other hand there were statistically insignificant relations between the <br />patient's Quality of life and their level of knowledge. Conclusion: More one half of the <br />studied patients had Low QoL regarding physical, social, emotional, functional and Spiritual <br />wellbeing. The most prominent physical problem with low effect quality of life of physical <br />dimension among the studied patients were chest pain, lack of energy recurrent infection and <br />urinary retention. Social and family problem concerning with low quality of life of social and <br />family dimension was treatment cost as burden on patient's family. Recommendations: <br />Health education programs about disease and its treatment modalities should be provided for <br />HCC patients using new methods of teaching such as computer assisted instructions and <br />home videos should be performed. Further studies about the effect of the bio-psychosocial <br />needs on the patients` quality of life and outcomes.https://ejhc.journals.ekb.eg/article_228549_0034cc03561bee89f2965e9fc80907b9.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Factors Affecting Performance of Cardiopulmonary Resuscitation Team20221823323310.21608/ejhc.2022.233233ENAsmaaHamdi MohamedAssistant Professor of Medical Surgical Nursing, Faculty of Nursing- Ain Shams University-Cairo-Egypt.DaliaAli AmeenAssistant Professor of Medical Surgical Nursing, Faculty of Nursing-Ain Shams University-Cairo-Egypt.MahmoudAdel ElhamamsyB.Sc. NursingJournal Article20220425<strong>Background:</strong> There are many factors that affect quality of provided cardiopulmonary resuscitation, as it can improves return of spontaneous circulation and prevent sudden death<strong>. Aim: </strong>The present study was conducted to assess factors affecting performance of cardiopulmonary resuscitation team. <strong>Research</strong> <strong>d</strong><strong>esign: </strong>A descriptive exploratory design. <strong>Setting:</strong> This study was conducted in Intensive Care Unit and Emergency Department of Wady El-Natroun Central Hospital<strong>.</strong> <strong>S</strong><strong>ubject: </strong>A<strong> </strong>convenient sample of all available nurses (N=55), and all available physicians (N=6). <strong>Tools:</strong> Three tools were developed (adapted) by the investigator to collect data and they were; cardiopulmonary resuscitation team knowledge assessment questionnaire, cardiopulmonary resuscitation quality assessment observational checklists and factors affecting cardiopulmonary resuscitation team performance checklists.<strong> </strong><strong>Result: </strong>There was a statistical significant relationship between demographic characteristics (age of the studied subjects, education, years of experience and cardiopulmonary resuscitation training courses) regarding to total knowledge of the studied subjects, cardiopulmonary resuscitation teams' practice and factors affecting performance of cardiopulmonary resuscitation team. While there was a statistical significant relationship between total cardiopulmonary resuscitation teams' practice regarding to total knowledge of the studied subjects and factors affecting their performance.<strong>Conclusion: </strong>It was concluded that, several demographic factors were affecting the performance (age, years of experience, level of education and attendance of cardiopulmonary resuscitation courses), in addition to the organizational factors and personal factors. Also it was found that the knowledge level was affecting the performance.<strong> Recommendations: </strong>The study recommended the importance of implementing continuous training programs and recommended to obtain basic life support and advanced life support before practicing the profession. https://ejhc.journals.ekb.eg/article_233233_344e10edde8a0d3757d49b0f59bec34e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Health Educational Program on Maternity Nurses' Performance Regarding Obstetric Fistula and its Prevention21924022855410.21608/ejhc.2022.228554ENFatmaKamal AliObstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, Egypt.HemmatMostafa El BannaObstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, Egypt.ZeinabRabea Abd ElmordyObstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, Egypt.Journal Article20220331Background: Obstetric fistula is a major public health issue among thousands of women <br />within a developing country and has the most devastating effects on physical, social, and economic <br />levels. Also, obstetric fistula is a preventable condition that healthcare workers play a key role in its <br />prevention. Aim: The present research was aimed to evaluate the effect of health educational <br />program on maternity nurses' performance regarding obstetric fistula and its prevention. Design: A <br />quasi-experimental research design was utilized. Settings: The research was conducted at Obstetrics <br />and Gynaecology department and emergency department affiliated to Benha University Hospital. <br />Sample: A convenient sample of 80 maternity nurses was recruited. Tools: Four tools were used for <br />data collection; a structured self-administered questionnaire, maternity nurses' knowledge <br />assessment sheet, modified Likert scale for maternity nurses' attitudes and checklists about fistula <br />care skills to assess nurses' practices during caring women with obstetric fistula. Results: Illustrated <br />that, there was a highly statistically significant improvement in relation to maternity nurses’ <br />knowledge, attitudes and practices regarding obstetric fistula and its prevention at post-intervention <br />phase compared to pre-intervention phase (P ≤ 0.001). As well, there was a highly positive <br />statistically significant correlation between total knowledge, total attitudes and total practices scores <br />at pre-and post-intervention phase (p≤0.001). Conclusion: Was concluded that research hypothesis <br />was supported and maternity nurses exhibited improved performance (knowledge, attitudes and <br />practices) regarding obstetric fistula and its prevention after implementation of educational program. <br />Recommendations: Increase awareness of obstetric fistula and its prevention among health care <br />teams. Training of health care workers to facilitate early screening for identification and referral of <br />women with obstetric fistula.https://ejhc.journals.ekb.eg/article_228554_b56dbd7866455130894c594f470083b5.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Social Media Based Teaching Program on Emotional Status and Quality of Life for Women undergoing Hysterectomy during Covid-19 Lockdown24125922852710.21608/ejhc.2022.228527ENMadihaMohamed TossonObstetrics and Gynecology Nursing, Faculty of Nursing, Assuit University, EgyptEbtsamSalah Shalaby SalamaMental Health & Psychiatric Nursing, Faculty of Nursing, Mansoura UniversityEntisarMohammed Mahmoud Abu SalemPsychiatric Mental Health Nursing, Faculty of Nursing, Beni-Suef University, EgyptElSayedaHamdy Nasr AbdelhalimMaternity, Obstetrics, and Gynecology Nursing, Faculty of Nursing, Port Said UniversityNagatSalah Shalaby SalamaMaternity, Gynecology and Obstetrics Nursing, Faculty of Nursing, Port Said UniversityJournal Article20220331<strong>Background</strong>: The care of the women undergoing hysterectomy should meet both their physical and psychological needs, and this must involve their families. However, psychological care such as the provision of sound information, emotional support, and advice, is often missed.<strong> Aim:</strong> To evaluate the effect of social media-based teaching program on emotional status and quality of life for women undergoing hysterectomy during Covid-19 lockdown. <strong> Methods:</strong> <strong>Subjects and</strong> <strong>method</strong>:<strong> Design</strong>: Quasi-experimental research design pre-post-test was used. <strong>Settings</strong>: The study was conducted at Mansoura City in Egypt. <strong>Sample</strong>: A purposive sample of 400 women having a hysterectomy was obtained from social media such as Facebook and WhatsApp groups, 2020 which the online Google form spreadsheet was opened from the third day of May 2020 to 23 May 2020 it was closed. <strong>Three tools used in data collection</strong>: (I): A self-administered questionnaire (pre and post-test format) to assess women's demographic characteristics, obstetric, and medical histories; women's knowledge about hysterectomy (pre and posttest format); (II): Depression, Anxiety, and Stress Scale (DASS); and (III): Quality of Life (QoL) scale. <strong>Results:</strong> The present study revealed that there were highly statistically significant differences between women's knowledge and their depression, anxiety, and stress levels regarding hysterectomy at the COVID-19 pandemic outbreaks pre and post-implementation of the social media-based teaching program. Also, Significant improvements in the QoL (p < 0.001) were revealed after the implementation of the social media-based teaching program.<strong> Conclusion:</strong> the study concluded that social media-based teaching program implementation achieved significant improvements in the women's knowledge has a positive effect on improving the emotional disturbance as depression, anxiety and stress, and quality of life among undergoing hysterectomy women during the covid-19 lockdown. <strong>Recommendations:</strong> The social media-based teaching program should be applied and carefully planned for all women undergoing hysterectomy as a new teaching method for proving health issues.https://ejhc.journals.ekb.eg/article_228527_65013c9b7fb3ec1c635c866a0e116197.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Assessment of Knowledge and Practices Regarding Elderly Care among Elderly Care Givers at Geriatric Homes26026922908610.21608/ejhc.2022.229086ENSanyaZakarya MohammedM.Sc.N., Community Health Nursing
Faculty of Nursing, Ain Shams UniversityMagdaAbdelsattar AhmadProfessor of Community Health Nursing
Faculty of Nursing, Ain Shams UniversityNadiaHamed FarahatProfessor of Community Health Nursing
Faculty of Nursing, Ain Shams UniversityJournal Article20220405<strong>Background:</strong> Elderly mainly need to caregivers who should have the chance to perform their practices toward their elderly by professional. <strong>Aim:</strong> to assess knowledge and practices regarding elderly care among elderly care givers at geriatric homes. <strong>Design: </strong>descriptive study<strong> </strong>design.<strong> </strong><strong>Setting</strong>: In geriatric homes at Cairo governorate.<strong> Sample:</strong> A convenient sample included 60 of elderly caregivers working in the previous mentioned settings.<strong> Tool: </strong>two tools were used; interview questionnaire form (Appendix I): the questionnaire sheet was designed by the researcher and written in simple Arabic language based on scientific literature review and experts' opinion. It is comprised of two parts. Part I; It was used to assess demographic characteristics of elderly caregivers. Part II; It was used to assess knowledge about elderly care. Observational checklist to assess caregivers’ practices by researcher (Appendix II):it was adopted from Saskatchewan Ministry of Health Home Care Policy Manual (2021) and Rice (1999). The checklist was used to meet the needs of elderly caregivers. <strong>Results: </strong>show that 71.7% elderly caregivers regarded to gender were female. There were highly statistically significant difference and very highly statistically significant differences between total knowledge and total practices at P-value was (p < 0.01**) and (p < 0.001***) respectively. <strong>Conclusion:</strong> two fifths of studied sample age was ranged from 41 to less than 50 years old with the mean age was 38.53 ± 9.79. Majority of study sample were females than males, who were in common married. More than half of them were poor in total knowledge about elderly care at geriatric homes. For the total practices of the elderly caregivers toward elderly care at geriatric home, three quarters of the elderly caregivers were not competent. There was a positive correlation between knowledge score with practice score when r = 0.856. <strong>Recommendation:</strong> Encourage multidisciplinary researches in the same study in order to cover large group of elderly caregivers in different places and effectively address the issue of caregiver´s burden during caring for elderly with chronic illness and problematic behavior.https://ejhc.journals.ekb.eg/article_229086_7da495e58da953cbd44cc19e9a73a8e6.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Risk Factors for Deep Venous Thrombosis among Patients Admitted to Vascular Unit27028622929010.21608/ejhc.2022.229290ENBasemR. MousaBSc. In Nursing ScienceNglaaE. MahdyProfessor of Medical Surgical Nursing, Faculty of Nursing/ Ain Shams UniversitySara FMahmoudAssistant professor of Medical Surgical Nursing Faculty of Nursing Ain Shams UniversityMonaG. MohamedLecturer of Medical Surgical Nursing Faculty of Nursing Sohag UniversityJournal Article20220406<strong>Background:</strong> Deep venous thrombosis (DVT) is an a major public health concern and important cause of morbidity and mortality worldwide; with an estimated annual incidence in developed countries 1 to 2 per 1,000 people each year. <strong>The</strong> <strong>study</strong> <strong>aimed</strong> to assess risk factors for deep venous thrombosis among patients admitted to vascular unit through Assessing patients’ demographic characteristics, patients’ educational needs regarding DVT and risk factors that lead to developing of DVT.<strong> Study design</strong>: a descriptive exploratory design was be utilized. <strong>Setting: </strong>this study was conducted at vascular surgical unit of Sohag university hospitals.<strong> Subjects</strong>: A purposive sample of 75 Patients with DVT were be recruited in the study. <strong>Tools of</strong><strong> data collection:</strong> (1) patient structured interview questionnaire & (2) DVT risk factor assessment Tool.<strong> Results:</strong> More than half of the studied patients had unsatisfactory level of knowledge towards risk factors for DVT. Major of the studied patients had immobility, fracture, obesity, stroke, malignancy and chemotherapy as risk factors for DVT.<strong> </strong>There was a significant relation between risk assessment scale for DVT with total knowledge, patients' habits, age, gender, past medical &surgical history and body mass index of the studied patients <strong>Conclusion:</strong> There were many risk factors for DVT incidence, the most common risk factors related to patients daily habits. While family history and activity of daily living related factors were the least common risk factors. It was concluded that taking oral contraceptive pills were considered significant risk factor for DVT among female studied patients. There was a significant positive correlation between educational level and patients' total knowledge regarding DVT .<strong>Recommendation:</strong> Designing educational program for patients with DVT to improve their knowledge regarding risk factors for deep vein thrombosis and its potential associated complications with submission of educational handouts, posters, booklets and brochures. https://ejhc.journals.ekb.eg/article_229290_a578dd7185d17aacc289a19593c0667c.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Self-Efficacy Level Among Patients with Chronic Obstructive Pulmonary Disease28729722929210.21608/ejhc.2022.229292ENEmanMohammed IbrahimB.Sc. In NursingTahanyEl SenousyProfessor of Medical Surgical NursingHowydaAhmedAssistant prof. of Medical Surgical Nursing-Cairo-Egypt.MonaNadr IbrahimAssistant prof.of Medical Surgical Nursing Faculty of Nursing - Ain Shams University-Cairo-Egypt.Journal Article20220406<strong>Background:</strong> Chronic obstructive pulmonary disease (COPD) is an important cause of morbidity and mortality worldwide. Accurate prediction of outcomes such as rate of lung function decline, exacerbations, healthcare utilization of resources and risk of death are important because it helps to identify patients whom the implementation of therapeutic measures could improve their outcomes.<strong> Aim</strong>: This study aims to assess level of self efficacy among patients with COPD. <strong>Study design</strong>: A descriptive exploratory design. <strong>Setting:</strong> This study will be conducted in the chest department and outpatient clinic at chest hospital at Zagazig. <strong> Subjects</strong>: A convenient study sample included 108 patients in chest department from the previously mentioned setting. <strong>Tools</strong>: Tools were used for data collection; patient interview questionnaire (demographic characteristics and patient knowledge about COPD), COPD self efficacy scale (CSES), factors that affect the level of self efficacy among patients with COPD (demographic characteristics, patient knowledge about COPD, BORG scale, depression and social support survey). <strong>Results</strong>: The current study showed that about slightly half of them had unsatisfactory<strong> </strong>level<strong> </strong>of total knowledge regarding chronic obstructive pulmonary disease and that<strong> </strong>more than half of the studied patients had low<strong> </strong>level<strong> </strong>of self-efficacy regarding chronic obstructive pulmonary disease, more than one third of the patients under the study had slight difficulty of breathing and sever difficulty of breathing regarding to BORG scale, about half of the studied patients had a mild<strong> </strong>level<strong> </strong>of depression regarding COPD, the study revealed that about half of the studied patients had a mild<strong> </strong>level<strong> </strong>of depression regarding COPD and about two third of the studied patients had moderate social support dysfunction.<strong> Conclusion:</strong> Based on the findings of the current study, it could be concluded that half of studied patients had unsatisfactory level of knowledge regarding COPD, more than half of the studied patients had low<strong> </strong>level<strong> </strong>of self-efficacy regarding COPD. It could be concluded that the physical, psychological and social factors affecting self efficacy level among the studied patients with COPD<strong> Recommendation:</strong> Providing health education and update information about COPD to the patients and their families from health care givers .Establishing organization for patients with COPD to improve their self efficacy and quality of life.https://ejhc.journals.ekb.eg/article_229292_b83cf2dbc006ea8360a2ed1808e957e2.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Disaster Management among El-Monira Hospital Health Providers29830922929310.21608/ejhc.2022.229293ENAymanFawzy HabibB.Sc. of NursingHalaMohammed MohammedAssis. Professor of Community Health Nursing, Faculty of Nursing – Ain Shams UniversityWafaaKhalil IbrahimLecturer of Community Health Nursing , Faculty of Nursing – Ain Shams University- Cairo-Unvrsity.Journal Article20220406Background: Disasters are unexpected events since it is unknown when, where, and <br />how health providers will occur. Health providers create chaos, risk of injury or illness, and <br />loss of life or property. When disasters occur, there is often a mismatch between resources <br />and needs, magnifying the chaos, risks, and losses. In addition, the number and distribution <br />of victims over time or location can vary Aim: The study was aimed to assess Disaster <br />Management among El Monira Hospital Health Providers. Design: descriptive analytical <br />design was utilized in this study. Setting: The study was conducted at El-Monira General <br />Hospital. The study subject was included a representative sample of 30% (194 health <br />providers) of total health providers working at El-Monira General Hospital by simple <br />random sample. Tool: The data collection tool consisted of one tool with three parts part 1: <br />Demographic characteristic data of health providers, part 2: Health providers knowledge <br />assessment questionnaire regarding hospital disaster management, and part 3: Health <br />providers’ reported practices regarding hospital disaster management Results: more than half <br />of the studied sample aged between 20- < 30 years with mean age 30.1 ± 6.77 years, the most <br />of them were females, had bachelor degree, and the majority was married. The majority of <br />the studied sample had satisfactory knowledge regarding types of different disasters and <br />patient categories and priorities, most of them had satisfactory knowledge regarding all <br />definitions of hospital disaster, and less than three quarter of them had satisfactory <br />knowledge regarding effect and dangerous of hospital disaster on health care providers and <br />more than two third of the studied sample had satisfactory practice regarding disaster <br />hospital. Conclusion: less than three quarter of the health care providers had satisfactory <br />knowledge and achievement practice significant relation regarding hospital disaster management in <br />El-Monira hospital and there was a highly statistically significance between health providers <br />knowledge and their practice regarding hospital disaster management, Recommendation: <br />Health care providers must be provide with periodically educational classes regarding <br />hospital disaster management in El-Monira hospitalhttps://ejhc.journals.ekb.eg/article_229293_5e11b55a6c0ed8b939df0ef3138e9e53.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Relationship between Civility Behavior and Classroom Engagement among Nursing Students31031922929410.21608/ejhc.2022.229294ENEmanHassan MohamedMaster degree of Nursing Administration, Faculty of Nursing, Ain Shams University.MonaMostafa ShazlyProfessor of Nursing Administration, Faculty of Nursing, Ain Shams University.HebaAli HassanAssistant Professor of Nursing Administration, Faculty of Nursing, Ain Shams University.Journal Article20220406 <strong>Background</strong>: Civility behavior of students is a very valuable topic in higher education. It changes the teaching and learning environment by improving both student and faculty staff engagement and has positively effect on the learning outcomes.<strong> The aim</strong> of this study was to assess the relationship between civility behavior and classroom engagement among nursing students. <strong>Subject& method: </strong><strong>Design</strong>: descriptive correlational design was used in this study. <strong>Setting:</strong> The study was conducted at Faculty of Nursing – Ain Shams University., <strong>Subjects</strong>: all available nursing students (200) at 1st scholar year during the data collection period at academic year (2019-2020). The convenient sample was utilized in conducting of this study<strong>. Tools</strong>: The data were collected by using 2 tools Incivility in Nursing Education (INE) Questionnaire, National Survey of Student Engagement (NSSE). <strong>The results</strong> of the study revealed that more than half of nursing students had uncivil behavior while less than one third of nursing students had civil behavior. In addition, that two fifth of nursing students had low level of classroom engagement while less than half of nursing students had high level of classroom engagement.<strong> The conclusion</strong>:<strong> </strong>The study findings concluded that there was highly statistically significant relation between nursing students’ civility behavior level and all classroom engagement level.<strong> The recommendation</strong>: Based on the study findings, it was recommended that develop innovative teaching\learning strategies to improve the student engagement in the classroom. and conduct the orientation for newly enrolled students should include clearly civility behavior guidelines https://ejhc.journals.ekb.eg/article_229294_2b789e44679921ff9eb5ed80a9ea2020.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Ionizing Radiation Hazards among Radiology Health Team32033322948210.21608/ejhc.2022.229482ENEsraaFathi HusseinB.Sc. in NursingHanaaAbd Elhakiem AhmedProfessor of Community Health Nursing, Faculty of Nursing - Ain Shams University-Cairo-Egypt.WafaaKhalil IbrahimAssistant Professor of Community Health Nursing-Faculty of Nursing - Ain Shams University-Cairo-Egypt.Journal Article20220406<strong>Background:</strong> Ionizing radiation is an energy type in the form of electromagnetic waves or particles. Ionizing radiation as a diagnostic tool in medical fields leading to different health hazards to radiology health team.<strong> Aim of the Study: </strong>To assess the ionizing radiation hazards among Radiology Health Team.<strong> Subject and Methods:</strong> A descriptive research design was utilized.<strong> Setting:</strong> The study was conducted in radiology departments in 4 urban hospitals at Fayoum city: (surgical Fayoum university hospital, medical Fayoum university hospital, Fayoum Health Insurance hospital, Fayoum General Hospital).<strong> Sample</strong>: A purposive sample of all available radiology health team who are working with X-Ray devices in the selected settings. The total sample reached 150 of radiology health team.<strong> Tools:</strong> Three tools were used; 1<sup>st</sup> tool Ionizing Radiation Hazards Structured Questionnaire which included:1- socio-demographic characteristics,2- Radiology health team’ medical history,3- Radiology health team’ knowledge regarding ionizing radiation. 2<sup>nd</sup> tool Observational checklist of the ionizing radiation protection practices among radiology health team. 3<sup>rd</sup> tool Observational checklist of Environmental safety.<strong> Results:</strong> the studied sample ' age ranged between 20 and 55 years old, with mean 34.04 ± 8.83 years. 40.7% of the studied sample were aged between 30 and 39 years old, with slightly more male 62.0%. job title, 43.3% were radiology technician, radiologist 23.4%, nurse 33.3 and had 6 to 10 years of experience 30.7%.<strong> </strong>Hazards exposure 53.5% of the studied sample reported physics hazards followed by biological and physical hazards 39.3% then chemical hazards 22.0%. 52.0% of the studied sample had satisfactory knowledge regarding ionizing radiation and 48.0% of them had unsatisfactory knowledge regarding ionizing radiation. 68.0% in the study sample had inadequate practicing regarding ionizing radiation protection and 32.0% of them had adequate practicing regarding ionizing radiation protection. Results portrays that the environmental safety was adequate in only Fayoum insurance hospital 25.6% compared with other studied hospitals <strong>Conclusion:</strong> There was negative correlation between knowledge and health problems<strong>.</strong> knowledge had positive correlations with practices, also work hazards and health problems<strong> Recommendation:</strong> Educational programs about ionizing radiation hazards and protection practices should be provided obligatory to all radiology health team prior to work.https://ejhc.journals.ekb.eg/article_229482_dcd815c5565d3ea392475365eefd7493.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Assessment of Mothers' Knowledge, Practice and Attitude Regarding Prevention of Exclusive Breastfeeding Discontinuation33434222948310.21608/ejhc.2022.229483ENEl-TalawySSAssistant Lecturer of Pediatric Nursing
Pediatric Nursing Department- Faculty of Nursing-Ain Shams University.OudaWEProfessor of Pediatric Nursing,
Pediatric Nursing Department- Faculty of Nursing-Ain Shams University.El-RafaySSProfessor of Pediatric Nursing,
Pediatric Nursing Department- Faculty of Nursing-Ain Shams University.MohamedFMLecturer of Pediatric Nursing- Pediatric Nursing Department- Faculty of Nursing-Ain Shams University.Journal Article20220406<strong>Introduction:</strong> Exclusive breastfeeding (BF) is the cornerstone of child survival, nutrition, development and maternal health. Nursing intervention and health education regarding exclusive BF can improve knowledge, practice and attitude of mothers and contribute to prevention of exclusive breastfeeding discontinuation (BFD). <strong>Aim:</strong> To assess mothers' knowledge, practice and attitude regarding prevention of exclusive BFD. <strong>Design:</strong> A descriptive design was utilized. <strong>Setting:</strong> Obstetric Outpatient Clinic, Breast Feeding Room in NICU of Children’s Hospital affiliated to Ain Shams University hospitals and MCH center in Abassia sector affiliated to Ministry of Health/ Cairo. <strong>Subject:</strong> A purposive sample of 100 mothers (24 primipara women at the third trimester and 76 lactating mothers to support maternity practices of exclusive BF). <strong>Tools:</strong> Predesigned questionnaire to assess: mothers and infants characteristics, knowledge regarding factors affecting exclusive BFD, Iowa Infant Feeding Attitude Scale and observational checklists to assess mothers’ breastfeeding practice. <strong>Results:</strong> Less than one third of mothers of the studied mothers had good knowledge, only one fifth of the studied mothers had a positive attitude towards prevention of exclusive BF discontinuation and more than half of the studied mothers performed incompetent breast feeding practice. There was highly statistical significant difference between total knowledge of the studied mothers regarding exclusive BF, factors affecting exclusive BFD and total practice of breastfeeding (P-value =<0.001**). <strong>Conclusion</strong>: The majority of the studied mothers had poor knowledge, negative attitude towards prevention of exclusive BFD and incompetent BF practice. <strong>Recommendation:</strong> Developing pre and postnatal nursing intervention for protecting, promoting and supporting breastfeeding which aid in the prevention of exclusive BF discontinuation.https://ejhc.journals.ekb.eg/article_229483_99048dbc28aa66f9c2d032cd25f1fd96.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Whats App Reminder Teaching Program regarding Prevention of Child Abuse on Primary School Teachers' Knowledge34335423001810.21608/ejhc.2022.230018ENMahaMoussa Mohamed MoussaCommunity Health Nursing Department, Faculty of Nursing, Port Said University, EgyptHebaAli Hamed MohamedCommunity Health Nursing Department, Faculty of Nursing, Mansoura University, EgyptOmimaMostafa Abd Elzaher MohamedCommunity Health Nursing Department, Faculty of Nursing, Sohag University, EgyptMonaAdel Soliman AttiaAssociate Professor, Public Health Department, Faculty of Medicine, Cairo UniversityFatmaEl Emam Hafeze ElemamCommunity Health Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20220410There's more to child abuse than bruises and broken bones. While physical abuse is alarming <br />because of the scars it leaves, not all forms of child abuse are. Child abuse includes ignoring a <br />youngster's needs, placing them in unsupervised, risky circumstances, or making a child feel <br />worthless. Aim: To evaluate the effect of the Whats App reminder teaching program regarding the <br />prevention of child abuse on primary school teachers' knowledge. Subjects and method: Design: A <br />quasi-experimental group pre-test post-test research design was utilized to achieve this study aim. <br />Setting: The study was conducted in two primary schools in Mansoura City in October 2021. <br />Subjects: A convenient sample of 100 teachers was included in the study from the previously <br />mentioned setting. Tools for data collection: It included: Tool I: Structured interviewing <br />questionnaire which consisted of two parts; Part I: Demographic data of the teachers and Part II: <br />Teachers' knowledge regarding child abuse and its prevention. Results: The study results revealed <br />that the majority of teachers had unsatisfactory knowledge regarding child abuse and its prevention. <br />There were statistically significant differences with improvement in the knowledge level pre-and <br />post- WhatsApp reminder teaching program regarding child abuse and its prevention. Conclusion: <br />There was a satisfactory level of knowledge post-Whats App reminder teaching program among <br />primary school teachers. The study results revealed that the Whats App reminder teaching program <br />regarding child abuse and its prevention was effective in improving the knowledge among primary <br />school teachers. Recommendations: Frequently Whats App reminder teaching program should be <br />conducted for primary school teachers regarding the prevention of child abusehttps://ejhc.journals.ekb.eg/article_230018_e61d34661611a0aec6e3186598c67630.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Whats App Teaching Program Reminder on Mothers’ Emotional Status Regarding Behavioral Changes among their Children with Autism35537223001910.21608/ejhc.2022.230019ENEtemadHassien SayedPediatric Nursing Department, Faculty of Nursing, Assiut UniversitySafaaDiab Abd El-wahabAss.Pro. of Psychiatric-Mental Health Nursing Department, Faculty of Nursing, Menoufia UniversityNabilaHassan Aly AbdellaPediatric Nursing Department, Faculty of Nursing, Port Said UniversityManalMohamed Ahmed AyedPediatric Nursing Department, Faculty of Nursing, Sohag UniversityShadiaAbd Elmoniem SyanPediatric Nursing Department, Faculty of Nursing, Sohag UniversityJournal Article20220410Background: Mothers of children with Autism Spectrum Disorder report high levels of stress and <br />anxiety. Current Whats App teaching program reminder for ASD typically focuses on working with <br />the child to support mothers and improve their emotional status regarding behavioral changes. Aim: <br />The study was aimed to evaluate the effect of Whats App teaching program reminder on mothers’ <br />emotional status regarding behavioral changes among their children with autism. Subjects and <br />method: A quasi-experimental research design was used in the current study. Subjects: A <br />purposive sample of 300 mothers having children with autism residing at Menoufia Governorate, <br />Egypt was participated. Tools of data collection: Five tools were used in the study: A self<br />administered questionnaire, the Adaptive Behavior Assessment System, The ASD behavior <br />Inventory, The Short Sensory Profile, Depression, Anxiety, and Stress Scale to measure the <br />mothers' emotional status symptoms, and mothers' evaluation toward WhatsApp teaching program <br />reminder content. The link of the survey using the questionnaire, the scale, and the teaching <br />program was sent to the mothers through Facebook and WhatsApp groups. Results: The study <br />showed a decrease in repetitive and restricted behaviors in more than one-third of the mothers. <br />Mothers' emotional status (stress, depression, and anxiety levels) were severe pre-implementation of <br />the Whats App teaching program reminder and become lower post-Whats App teaching program <br />reminder implementation. Conclusion: The result concluded that the use of Whats App teaching <br />program reminder was effective in reducing mothers' emotional disturbance such as depression, <br />anxiety, and stress concerning the behavioral changes among their children with autism. <br />Recommendations: The result recommended that mothers should be trained about behavioral <br />changes among their autistic children and psychological support through the Whats App education <br />program should be implemented. https://ejhc.journals.ekb.eg/article_230019_8f02c551a1284e8e124c38dbfff57cf4.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Virtual Reality Technology on Sleeping Pattern and Its Effect on Physiological Parameters among Critical Ill Children37338423001710.21608/ejhc.2022.230017ENAsmaaAwad HelmyPediatric Nursing Department, Faculty of Nursing, Helwan University, EgyptHananElsayed Metwally MansourPediatric Nursing Department, Faculty of Nursing, Benha University, EgyptEmanAbd-Elaziz MohamedPediatric Nursing Department, Faculty of Nursing, South Valley University, EgyptManalMohamed Ahmed AyedPediatric Nursing Department, Faculty of Nursing, Sohag University, EgyptJournal Article20220410Background: Critical ill children in critical care units (CCUs) require adequate sleep to sustain <br />their mental and physical health. The aim: of the study was to evaluate the effect of virtual reality <br />technology on sleeping patterns and its effect on physiological parameters among critically ill <br />children in CCUs. Subject and Methods: Design: To achieve the study's aim a quasi-experimental <br />research design was utilized. Setting: The study was conducted in the Pediatric Critical Care Units <br />affiliated at Sohag University Hospital. Sample: A purposive sample of 100 critically ill children <br />was included, randomly assigned equally into a study and control group (Study group involved 50 <br />critically ill children, they used virtual reality technology and 50 critically ill children in the control <br />group not using virtual reality technology. Three tools were used to collect data: (I) Demographic <br />characteristics of critically ill children (II) ST Mary’s Hospital Sleep questionnaires and (III) <br />physiological parameters assessment tool (Temperature, Pulse, Respiration, and Blood Pressure). <br />Results: The study result showed that the majority of critically ill children have significant sleep <br />disturbance pre using virtual reality technology, but post virtual reality technology intervention the <br />majority of critically ill children did not have sleep disturbance compared to one fifth in the control <br />group had only mild sleep disturbance, which associated positively with improving physiological <br />parameters. In critically ill children in CCUs, poor sleep quality causes significant alterations in <br />Temperature, Pulse, Respiration, and Blood Pressure. Conclusion: The study concluded that virtual <br />reality technology had positive effects that improved sleeping pattern and physiological parameters <br />among critically ill children in the study group than those in the control group. Recommendations: <br />The present study recommended that virtual reality distraction technology should be integrated as a <br />part of the routine care of critically ill children in CCUs.https://ejhc.journals.ekb.eg/article_230017_29fcf0543efd92e5143e6212fe58ca25.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Depression, Burden, and Self-Efficacy among Caregiving Parents of Children with Cancer38540123038710.21608/ejhc.2022.230387ENAsmaaMohamed MahmoudPsychiatric and Mental Health Nursing, Faculty of Nursing, Damanhour UniversityLaylaHelmy Osmanpsychiatric nursing and mental health, Faculty of Nursing, Alexandria UniversityMahaMohamed El- Sayed Gaafarpsychiatric nursing and mental health, Faculty of Nursing, Alexandria UniversityNagiaIbrahim Hassan GomaaPsychiatric and Mental Health Nursing, Faculty of Nursing, Damanhour UniversityJournal Article20220411<strong>Background: </strong>Cancer is stigmatized in Egypt, where there are many misconceptions associated with having cancer. Most people think that cancer is the death penalty.<strong> The aim of the study </strong>is to determine the degree of burden, depression, and self-efficacy among caregiving parents of children with cancer<strong>. Design: </strong>A descriptive correlational research design was utilized. Setting: The study was carried out at the outpatient clinic of Sporting Students Hospital which is affiliated with the Health Insurance Organization, Ministry of Health and Population. The hospital has an outpatient clinic for children suffering from cancer. <strong>Sample: </strong>Subjects of the present study consist of 200 caregiving parents of children with cancer who were recruited from the outpatient clinics of Sporting Students Hospital.<strong> Tools of data collection: Tool 1: </strong>Caregiver socio-demographic and clinical data structured interview schedule.<strong> Tool 2: </strong>Caregiver Burden Inventory (CBI).<strong> Tool 3: </strong>Caregiver Self-Efficacy Scale (CaSES).<strong> Tool 4: </strong>Center for Epidemiologic Studies Depression (CES-D) Scale. <strong>Result: </strong>About three quarters of the subjects (72.5 %) were mothers, the mean score percent of total burden among the studied caregiver parents was 63.59±13.94% reflecting high degree of burden, in which the majority of them (96.0%) were at high risk for burn out, the mean score percent of the self-efficacy among the studied caregiver parents was 52.34± 12.02 %, showing that the majority of the studied caregiver (81.0%)had moderate level of self-efficacy and 99.0% of the studied care giver parents had depression with the mean score percent of 61.84±15.87 reflecting a very high level of depression. <strong>Conclusion: </strong>The great majority of the studied cares giving parents were at high risk for burn out and almost all of them were depressed. They tend to have high scores for both burden and depression. In addition, the majority of them had a moderate level of self-efficacy. Caregivers' burden significantly positively correlates with depression. As well, the more self-efficacy they have, the less their burden and depression.<strong> Recommendation: </strong>Based on results, family caregivers (FCs) have to be included in the plan of child care. Also, psychiatric health care nurses have to emphasize the issue of supporting family caregivers to improve their management of symptoms including those less visible such as emotional and communication issues.https://ejhc.journals.ekb.eg/article_230387_89d666f0aed6ef9ae52688f8984cd301.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Efficacy of Training Program on Nurses Performance regarding Preventive Measures of Venous Thromboembolism among Critical Pregnant Women40241423039010.21608/ejhc.2022.230390ENRashaNabil MalkMedical Surgical Nursing, Faculty of Nursing, Beni-Suef University, EgyptEmanMawed FahemMedical Surgical Nursing, Faculty of Nursing, Beni-Suef University, EgyptHananElzeblawy HassanMaternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, EgyptAsmaaAbouda Abdelhamed SoultanMedical- Surgical Nursing Faculty of Nursing, Damietta University, EgyptJournal Article20220411<strong>Background: </strong>Venous thromboembolism is the most common cause of preventable death in hospitalized patients worldwide. More than 80% of thromboembolic illnesses in pregnant women are venous thromboembolism (VTE), and the prevalence of VTE is significantly higher in pregnant women than in non-pregnant women. The disease is highly insidious, develops rapidly and seriously endangers the health and life of the pregnant women. It is important that maternity and critical care nurses to have sufficient knowledge and skills about preventive measures of<strong> </strong>VTE. <strong>Aim: </strong>evaluate the effect of training program on maternity and high-risk nurses' performance (knowledge and practice) regarding preventive measures of<strong> </strong>VTE. <strong>Design: </strong>A quasi-experimental design was used. <strong>Setting</strong>: The study was conducted in high-risk pregnancy units and intensive care unit at Beni-Suef University Hospital. <strong>Sample</strong>: All convenient samples 50 nurses.<strong> Tools:</strong> Two tools were used (1) a self-administered questionnaire sheet to assess knowledge, (2) an observational checklist to assess practice regarding preventive measures of<strong> </strong>VTE. <strong>Results</strong>: preprogram; the majority of the nurses had unsatisfactory knowledge and practice regarding preventive measures of<strong> </strong>VTE (82% and 92% respectively). A significant improvement was found immediately post-program (86% and 88%, respectively) while this improvement lowered slightly post 3 months at follow up (72%and 70% respectively). <strong>Conclusion: </strong>A statistically significant improvement in nurses' performance had got after implementation of the program which supported the study hypothesis.<strong> Recommendation: </strong>Continuous in-service training programs about preventive measures of VTE.https://ejhc.journals.ekb.eg/article_230390_ff453dcbc3c95f3a8b00cdcb5ce21471.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effectiveness of Quadriceps Exercises on Knee Pain and Muscle Strength among Elderly People in Egypt41542323039710.21608/ejhc.2022.230397ENWalaaHassan Abd AlfatahLecturer of Community Health Nursing, Faculty of Nursing, Assiut University,Egypt.HebaMohamed FahmyAssistant professor of Gerontological Nursing, Faculty of Nursing, Assiut University,Egypt.SafaaR. OsmanAssistant professor of Community Health Nursing, Faculty of Nursing, Assiut University, Egypt.SaiedaAbdelhameed AbdelAzizAssistant professor of Gerontological Nursing, Faculty of Nursing, Assiut University,Egypt.Journal Article20220411<strong>Background</strong>: Knee pain is a common complaint in older adults. Exercise is now consistently recommended in improving Quadriceps muscle.<strong> Aim: </strong>To investigate the effect of quadriceps exercises on knee pain and muscle strength among elderly people. <strong>Method:</strong> Experimental research design was used. This study was implemented at the elderly Clubs in Assiut Governorate. The studied sample involved 150 elderly (75 study, 75 control) who selected by simple random sample technique. An interview questionnaire was used which included their socio-demographic characteristics, measurement of quadriceps muscle strength and Knee injury and osteoarthritis outcome score scale which contained 5 separately scored subscales (pain, symptoms and stiffness, function in daily living, function in sport and recreation, and knee-related quality of life). <strong>Results</strong>: There were significant relationship between KOOS Sub-domains in pre and post-test among elderly people (study group) (P. value= 0.046, 0.014, 0.004, 0.010) except in sport/Rec domain (P. value= 0.354) and in quadric muscle strength measurement (P value= 0.001). <strong>Conclusion</strong>: Quadriceps exercises are effective in the decreasing pain, improvement of function and quality of life for elderly patients with knee joint pain. Therapeutic exercise should be used to relieve pain, stiffness and improvement of physical function for elderly patient. https://ejhc.journals.ekb.eg/article_230397_1b34ef0a1045231ccf0c1cd879697414.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Relation between Work Practice Environment, Workplace Civility Climate and Staff Nurses’ Intention to Leave the Profession42443623040410.21608/ejhc.2022.230404ENSalwaAhmed Mohamed EbrahimAssistant professor of Nursing Administration, Faculty of Nursing, Beni-Suef University, EgyptRadyMubarak AhmedLecturer of Nursing Administration, Faculty of Nursing, Beni-Suef University, Egypt.Journal Article20220411<strong>Background:</strong> Nurses are the largest and essential capital of health care organizations. Nurses’ intention to leave is a devastating phenomenon that threatens the health care systems locally and globally. Work practice environment and workplace civility climate are major determinants of nurses’ intention to leave. <strong>Aim: </strong>To evaluate the relation between work practice environment, workplace civility climate and staff nurses’ intention to leave the profession. <strong>Research Design: </strong>A descriptive correlational research design was utilized. <strong>Setting</strong>: Different departments at Beni-Suef University hospital. <strong>Sample:</strong> A convenient sample of 165 staff nurses were recruited for the study. <strong>Data Collection Tools:</strong> Three data collection tools were used: Practice Environment Scale of the Nursing Work Index (PES-NWI), Perceived Workplace Civility Climate Scale (PWCCS) and Staff Nurses’ Intention to Leave Nursing Profession Questionnaire. <strong>Results:</strong> More than three quarters of staff nurses (80%) perceived their work practice environment as unfavorable. More than half of the staff nurses (56.3%) had moderate level of perception of work place civility climate. About three quarters of staff nurses (74.5%) had high intention to leave. There was a significant negative statistical correlation between work practice environment and staff nurses’ intention to leave (P=0.000). Also staff nurses’ intention to leave was negatively correlated with perceived workplace civility climate (P=0.000). Work practice environment was positively correlated with work place civility climate (P=0.002). <strong>Conclusion: </strong>The study concluded a highly statistically significant relation between work practice environment, workplace civility climate and staff nurses’ intention to leave the profession. <strong>Recommendations: </strong>Adopting new leadership approaches and practices that are supportive to staff and building a constructive work environment and improving workplace civility climate. Make the necessary changes in the work practice environment based on the suggestions and recommendations of staff nurses.https://ejhc.journals.ekb.eg/article_230404_6bbe4dd7bfdc7bd8b607d607afbdb2fd.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Postnatal Evidence Based Nursing Practice: Effect of an Educational Guideline on Internship Student's Knowledge and Skills43744723040810.21608/ejhc.2022.230408ENMervatGaber ZagloulMaternity, Obstetric & Gynecological Nursing, Faculty of Nursing, Port Said University, EgyptSaraSaied HassanObstetric & Gynecological Nursing, Faculty of Nursing, Suez Canal University, EgyptEmanAli Abd Elmoaty ShehaCommunity Health Nursing, Faculty of Nursing, Fayoum University, EgyptHananElzeblawy HassanMaternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, EgyptJournal Article20220411<strong>Background</strong>: Postpartum period is a serious period that needs special health care for both mother and baby. The study<strong> aimed</strong> to evaluate the effect of the educational guideline program on internship nursing students' knowledge and skills regarding postnatal evidence-based-nursing-practice in the postnatal unit. <strong>Design:</strong> Quasi-experimental (pre and post-test) design. <strong>Setting:</strong> The study was conducted at the postnatal unit affiliated to the obstetric department in maternity hospital in port-Said city. <strong>Sample:</strong> A convenient sample of 84 internship students. <strong>Tools</strong> <strong>of data collection:</strong> four tools were used to collect the necessary data: (1) Interview questionnaire for students' characteristics; (2) An observational checklist; (3) Reeda scale; (4) Visual analog scale. <strong>Results: </strong>There was a highly statistically significant difference between the total score of knowledge, and practice among internship students pre and post-test (p <0.001). <strong>Conclusion: </strong>A statistical improvement in students' knowledge and practice after implementation of the educational program intervention. <strong>Recommendation:</strong> Developing continuous educational programs and workshops should be planned regularly for the internship nursing students receiving training in postnatal unit to enhance their skills regarding Evidence-Based-Nursing-Practice.https://ejhc.journals.ekb.eg/article_230408_2234ae2a318255a4e1dfb8fd4cd332f9.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Coping patterns among parents of Children with Attention Deficit Hyperactivity Disorder44845723118910.21608/ejhc.2022.231189ENNabilaAtallah Attia MoawadDepartment of Psychiatric ⁄ Mental Health Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.GhadaMohamed MouradDepartment of Psychiatric ⁄ Mental Health Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.FatmaAtaDepartment of Psychiatric ⁄ Mental Health Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220416Background: Families of children with ADHD encounter greater difficulties such as <br />family conflict, negative parent- child relationship, higher rates of parent stress and <br />ineffective coping. The aim of study: was to identify the coping patterns and assess the level <br />of stress among parents having children with ADHD. Study design: This study was <br />exploratory descriptive. Setting: This study was conducted at Pediatric Out-Patient Clinic at <br />El-Abbassia hospital for psychiatric and mental health. Subject: convenient sample of 50 <br />parents were chosen for conducting this study. Data collection tools: (1) Socio demographic <br />and clinical characteristics data for children and their parents (2) Parental stress scale (3) <br />Ways of coping Questionnaire. Results: the present study revealed that three quarters of <br />parents having children with ADHD had high level of stress and more than half of parents <br />had negative coping patterns. Conclusion: In the light of the current study, it can be <br />concluded that, the majority of the studied parents have children with ADHD were mothers, <br />and more than three quarters of children sex were male. The study findings revealed that <br />three quarters of parents of children with ADHD had high level of stress, and more than half <br />of the parents had negative coping patterns. In addition to there was highly statistical <br />significant positive correlation between total score of Parental Stress and their total score of <br />ways of coping. Recommendations: Counseling clinics for parents of ADHD children are <br />needed. Design a training Programs for parents of children with ADHD such as stress <br />management technique methods, such as meditation, relaxation techniques, and exercise <br />to increase their own tolerance for frustration .https://ejhc.journals.ekb.eg/article_231189_3f11daad0d4e836bca61a89c8451fcb0.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Nursing Guidelines for Reducing Marital Problems among Women Sufferingfrom Urinary Incontinence45847323119010.21608/ejhc.2022.231190ENSamiaGamal GoudaM.Sc., -Faculty of Nursing- Ain Shams University- Cairo-Egypt.NadiaMohammed FahmiProfessor of Maternity & Gynecological Nursing-Faculty of Nursing- Ain Shams University- Cairo-Egypt.HananAbd El-FattahProfessor of Maternity & Gynecological Nursing-Faculty of Nursing- Ain Shams University- Cairo-Egypt.NadiaAbd El HamidProfessor of Maternity & Gynecological Nursing-Faculty of Nursing- Ain Shams University- Cairo-Egypt.Journal Article20220416Background: Urinary incontinence is a common condition, which reported <br />prevalence ranging from 28 to 47% in women during midlife. Although urinary incontinence <br />is not a life-threatening disease, but can also affect social, psychological, familial, <br />occupational, physical and sexual aspects of women's lives. Aim: To evaluate the effect of <br />nursing guidelines for reducing marital problems among women suffering from urinary <br />incontinence. Methods: Quasi experimental design was used. Setting: At uro-gynecology <br />unit at Ain Shams Maternity University Hospital. Sample type: A purposive sample of 76 <br />women attending the previously mentioned and was used, sample criteria composed of <br />women age ranged from 20-45 years, married, diagnosed with UI, and free from chronic <br />disease that attended uro-gynecology unit. Tools: Interview questionnaire sheet, kings health <br />questionnaire, voiding diary, observational checklist, follow up card and women's <br />opinionnaire were used to collect data. Results: Findings of the present study showed that <br />when woman done kegel exercise and pelvic floor muscle training before intercourse that <br />decreased urinary incontinence during intercourse and decreased sexual problems. <br />Conclusion: The result of the study was supported the study hypothesis in which nursing <br />guidelines reduced marital problems among women suffering from urinary incontinence, <br />knowledge and practice of the study group improved significantly in the study group. <br />Recommendations: Performing training programmes for improving women awareness <br />about urinary incontinence and sexual life.https://ejhc.journals.ekb.eg/article_231190_48518a507c72e28c69bb788eeaa133a7.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Assessment of Nurses Pitfalls in Caring of Children with Hematological Disorders47448723119110.21608/ejhc.2022.231191ENAmalM. NabihTeacher at Bolak Abo El-Ela Technical of nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.EmanA. MohamedProfessor of Pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.EmanA. AliAssistant. Prof. of Pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220416Background: Nursing pitfalls are an acknowledged and ever-present problem in<br />healthcare domains . These pitfalls can result in irreparable, irremediable damages (e.g.<br />permanent disability or death). Therefore, their prevention requires constant attention. Aim of<br />this study: To assess the nurses pitfalls in caring of children with hematological disorders.<br />Setting: This study was conducted in hematological department at three different settings:<br />National Cancer Institute affiliated to Cairo University, El Sheikh Zayed Specialized<br />Hospital affiliated to Secretariat of Specialized Medical Centers and Nasser Institute<br />affiliated to Ministry of Health. Study subjects: A convenient sample of all available<br />pediatric nurses (90) were included in this study. Data collection tools: Three types of tools<br />were used to collect data, interviewing questionnaire format, observational checklist and<br />nurses' pitfalls attitude scale. Results of the study revealed that: More than two thirds of<br />the studied nurses had good total knowledge regarding nursing pitfalls in caring of the<br />children with hematological disorders , total nurse's attitude about reporting their pitfalls in<br />hematological disorders is one hundred percent has positive attitude in bone marrow and<br />inpatient unit and no one of the studied nurses' had poor practice in bone marrow unit while<br />less than one fifth of them had poor practice in inpatient and outpatient unit. Conclusion:<br />There was relation between nurses' knowledge, practice, characteristics and their pitfalls<br />during caring of children with hematological disorders from afore mentioned settings, the<br />study achieved the aim. Recommendations: Developing nursing guidelines about caring of<br />children with hematological disorders.https://ejhc.journals.ekb.eg/article_231191_aed31e4e35964e9da93abb394efb55d5.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Influence of Psychological Capital on Nursing Students Engagement48849823119210.21608/ejhc.2022.231192ENLobnaSaleh Abou ElyaziedDepartment of Nursing Administration- Faculty of Nursing, Ain Shams University – Egypt.RababMahmoudDepartment of Nursing Administration- Faculty of Nursing, Ain Shams University – Egypt.SamahMohamedDepartment of Nursing Administration- Faculty of Nursing, Ain Shams University – Egypt.Journal Article20220416Background: faculty students as a part of the community has a dual role as young <br />people psychological capital is a concept that focused on person’s positive psychological <br />condition which has an great impact in students’ academic performance, achievement and <br />engagement. Aim of the study: it aimed to assess the influence of psychological capital on <br />nursing student engagement Research design: A descriptive correlational design was used to <br />carry out this study. Setting: The study was conducted at Faculty of Nursing Ain Shams <br />University. Subjects: 284 out from 448 nursing student. Tools: Data were collected by using <br />Psychological Capital Questionnaire (PCQ) and National Survey of Student Engagement <br />(NSSE). Results: 50.7% of Nursing students' had a moderate level of psychological capital, <br />considering the hope is highest dimension and more than half of them had high engagement <br />level considering the experiences with faculty had the highest domain. Conclusion: There was <br />a highly statistically significant influence of psychological capital on nursing student <br />engagement. Recommendations: Provide supportive and positive academic environment for <br />nursing student.Building mutual relationships between faculty members and their students to <br />enhance students sharing in youth care activities.https://ejhc.journals.ekb.eg/article_231192_d59578ae121376806797a9205c37166f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Prevalence, Determinants and Adverse Events of Cosmetics use among University Female Students: A study in Egypt49950923119310.21608/ejhc.2022.231193ENFatmaEl Emam Hafez El EmamAssistant Professor, Community Health Nursing, Faculty of Nursing, Mansoura University, EgyptEmanSamy BauomyLecturer of Community Health Nursing, Faculty of Nursing, Mansoura University, EgyptAbdel- HadyEl-GilanyProf. Public Health & Preventive Medicine, Faculty of Medicine, Mansoura University, EgyptNagwaNabeh TarefLecturer of Community Health Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20220416Background: Concern regarding the potential for health risks associated with chemicals <br />used in cosmetic products is well documented. Cosmetics are commonly used by women. Cosmetics <br />may have allergic, irritating, and harmful effects on human health. Aim of the study: The present <br />study aims to estimate the point prevalence and to identify determinant and adverse events of <br />cosmetics use among female students at Mansoura University. Subjects & Methods: The study was <br />conducted among 790 female students selected from Mansoura university through stratified cluster <br />sampling with proportional allocation. Data were collected through self-administered structured <br />questionnaire. Results: Overall prevalence of cosmetic product use was 87.5%. Student age, <br />residence, family size and income were found to be statistically significant predictors for cosmetic <br />use. About 61% of the students used cosmetics for beautification purpose, while only 26.5% used it <br />for disinfection and 21.1% for treatment. Only 21.9% checked whether cosmetic they used was <br />tested on animals or not and 46.7% of them tested cosmetic for allergic reaction. From 691 cosmetic <br />users, 84.7% self-reported ever experience of at least one adverse event due to cosmetic products. <br />About half of them attained cosmetics from local shops. Conclusion: Overall prevalence and self- <br />reported adverse reaction of cosmetic product use were high among university female students. <br />Recommendation: The development of educational intervention to raise female awareness about <br />harmful effects of the chemicals contained in cosmetics after prolonged use is important.https://ejhc.journals.ekb.eg/article_231193_e18a749d0179dfd0432cd13e7cb8c635.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Assessing Head Nurses’ Leadership Practices Using 360 Degree Feedback51052023119410.21608/ejhc.2022.231194ENSabrineMohamedB.S.C Nursing - Ain Shams UniversitySamahFaisalProfessor of Nursing Administration, Faculty of Nursing- Ain Shams University-Cairo-Unversity.HebaAliAssistant Professor of Nursing Administration, Faculty of Nursing- Ain Shams University-Cairo-UnversityJournal Article20220416Background: Leadership practices are crucial and main concern of health care <br />organizations around the world. Assessing head nurses' leadership practices by 360-degree <br />feedback are essential for leadership development. Aim: The study aimed at assessing head <br />nurses’ leadership practices <br />using 360-degree feedback. Subjects and Methods: <br />Descriptive cross sectional design was used to carry out this study. The study was conducted <br />at Ain Shams University hospital and Ain shams pediatric hospital. The subjects of this <br />study included a convenience sample of 4supervisors and 50 head nurses, a stratified <br />disproportional random sample of 150 staff nurses and (150) patient from the <br />aforementioned settings. Data collection tool: was Leadership Practices Inventory. The <br />results: head nurses' perceived their own leadership were high (96%), while only (40%, 28%, <br />32%) of head nurses had high total leadership practice scores as perceived by their <br />supervisors, staff nurses and patients.Conclusion: there were high self-rating of head nurses <br />to their leadership practices and low other rated leadership practices scores as perceived by <br />supervisors, staff nurses and patients. Indicating over-self estimation of head nurses to their <br />leadership practices and lack of their self awareness. Recommendations: Conduct head <br />nurses' leadership practices training program to improve competencies they need to face <br />challenges. Studying the relationship between head nurses' leadership practices and staff <br />nurses' innovative behavior.https://ejhc.journals.ekb.eg/article_231194_acfb5e2188c8ebc64759267781df8a2c.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Supportive Measures Training Program on Nurses' Practices during Labour52153323119510.21608/ejhc.2022.231195ENKamiliaRagab Abou ShabanaProf. of Maternal and Gynecological Nursing-Faculty of Nursing Ain Shams UniversityOm-elsaadFaroukProf. of Maternal and Gynecological Nursing-Faculty of Nursing Ain Shams UniversityRandaMohamedCairo-Egypt. Head & Professor of Maternal and Gynecological Nursing Department-Faculty of Nursing Ain Shams UniversitySherineShokry YousefM.Sc. of Maternity and gynecological Nursing-Faculty of Nursing Banha University, Clinical Instructor in Technical Institute of NursingJournal Article20220416Aim of the study: to investigate the effect of supportive measures training program <br />on nurses' practices during labor. Setting: At obstetric wards and intrapartum unit at Nasser <br />Institute Hospital. Study Design: A quasi- experimental (an interventional pre and posttest <br />study). Sample: All nurses provide guided direct care, there were 40 nurses included in the <br />study. Tools: Three tools were used to collect data named self-administered questionnaire <br />sheet, labor supportive measures' observational checklists, and nurses' satisfaction sheet. <br />Results: The result of the present study findings was highly significant improvement in total <br />knowledge and total practical skills among the studied sample pre intervention compared to <br />immediate post and follow up 4 weeks post intervention. P= < 0.01. Additionally 95% <br />among studied sample satisfied with the advanced knowledge included in training program. <br />Conclusion: the supportive measures training program had an efficient improving nurses’ <br />knowledge and practices post intervention. Also majority among the studied sample were <br />satisfied with the implemented training program. Recommendations: Implementation of <br />labor supportive measure training program on different childbirth units to improve nurses' <br />practice. Further research is required to investigate parturient woman's satisfaction with <br />childbirth process after implementing labor supportive measures and effect of labor <br />supportive measures on childbirth process out-come.https://ejhc.journals.ekb.eg/article_231195_3706b79f92554583572ae73aba248c12.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Psychosocial Adjustment of Adolescent with Substance Abuser during Rehabilitation Phase of Treatment53454423119610.21608/ejhc.2022.231196ENEmanEl-Sayed Bauomey MohamedLecturer of psychiatric and mental health nursing -Faculty of nursing Ain Shams UniversityJournal Article20220416Background: Adolescence represents a critical period for the onset of drug use; onset <br />of use during these years increases the likelihood of negative impacts on a range of <br />developmental factors, including cognitive, physical, and psychosocial. Adolescents may <br />use various substances to improve psychological wellbeing or to face personal discomfort. <br />So they need psychosocial adjustment to avoid substance abuse. The aim of this study was <br />to assess the psychosocial adjustment for adolescence with substance abusers during <br />rehabilitation phase of treatment. Research design; a descriptive design was used. It was <br />conducted on 100 substance abusers from Abbasia psychiatric and mental health hospital. <br />Data were collected using three tool; interview questionnaire to assess socio demographic <br />characteristics of the studied sample, psychological adjustment scale and social adjustment <br />scale. The result of the study showed that; there was a highly positive correlation was <br />found between psychological and social adjustment of substance abusers under study. Result <br />concluded that; the majority of adolescence with substance abuse under the study were have <br />maladjusted during their rehabilitation phase of treatment in both psychological and social <br />adjustment Recommendations; further research on large number of adolescence with <br />substance abuse about how to cope effectively with their psychosocial problems.https://ejhc.journals.ekb.eg/article_231196_dd665f3460a46dea06e7255b1146dea2.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Evidence Based Practices Guidelines on Immobilized Orthopedic Patients' Outcome regarding Pressure Ulcers54556023179210.21608/ejhc.2022.231792ENDoaaMohamed MahmoudLecturers of Medical Surgical Nursing, Faculty of Nursing, Benha University, EgyptEmanSobhy OmranLecturers of Medical Surgical Nursing, Faculty of Nursing, Benha University, EgyptJournal Article20220418<strong>Background: </strong>Pressure ulcers are common health problems that represent a nursing and social burden. Mortality risk in a patient with pressure ulcer is two to six times greater than this in a patient with intact skin. <strong>Aim </strong>of the study is to evaluate the effect of implementing evidence based practices guidelines on immobilized orthopedic Patients' Outcome regarding<strong> </strong>Pressure Ulcers. <strong>Method</strong>: Quasi-experimental research design was used to conduct this study in orthopedic unit at Benha University Hospital. A purposive sample of sixty adult patients was recruited in this study, divided equally into study and control groups. Two tools were used for data collection. Tool I; Comprehensive skin assessment sheet and tool II; Braden Risk Assessment Scale. <strong>Results: </strong>There was statistically significant difference between the study and control groups regarding Patients' Outcome regarding<strong> </strong>pressure ulcers post-implementation of evidence based practices guidelines. On the other hand, orthopedic immobilized patients who received routine nursing care developed several and higher stages of pressure ulcers. <strong> Conclusion:</strong> Implementation of evidence based practices guidelines was highly effective in improving orthopedic immobilized patients' outcome regarding pressure ulcers as compared with orthopedic immobilized patients who received routine nursing care. <strong>Recommendations</strong>: Evidence based practices guidelines for prevention of pressure ulcers should effectively be implemented for orthopedic immobilized patients who are assessed as being at pressure ulcers risk. https://ejhc.journals.ekb.eg/article_231792_de12ca48faf15bf734fe7c6116c63c98.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Relationship between Quality of Work Life and Job Involvement among Staff Nurses56157223198110.21608/ejhc.2022.231981ENEmanIsmaiel Abd ElmohsenB.Sc., Nursing Administration
Faculty of Nursing, Ain Shams University, Cairo, EgyptHematAbd Elazem MostafaAssistant Professor of Nursing Administration, Faculty of Nursing, Ain Shams University, Cairo, EgyptSamahMohammed ElsayedAssistant Professor of Nursing Administration, Faculty of Nursing, Ain Shams University, Cairo, EgyptJournal Article20220419<strong>Background: </strong>The interest in work and health organization in relation to quality of work life (QWL) has increased due to many positive outcomes as job satisfaction, job involvement, and increased productivity. <strong>Aim: </strong>The study aimed at identifying the relationship between quality of work life and job involvement among staff nurses.<strong> Research design:</strong> A descriptive, correlational design was used.<strong> Setting: </strong>The study was conducted at Bahteem Central Hospital. <strong>Subjects: </strong>The study subjects 90 staff nurses were included in data for the study. <strong>Tools:</strong> Data were collected by using two tools: Quality of nursing work life questionnaire and staff nurses' job involvement scale. <strong>Results:</strong> the study result demonstrated that, half of studied nurses had moderate level of quality of work life. While slightly more than quarter and less than quarter of staff nurses had low and high level of quality of work life, respectively. Slightly more than half of studied nurses had moderate level of job involvement. While slightly more than quarter and less than quarter of staff nurses had high and low level of job involvement, respectively.<strong> Conclusion:</strong> There was highly significant positive correlation between total quality of work life and total job involvement. <strong>Recommendations:</strong> Create healthy working conditions for nurses and Conduct a regular meeting among the supervisors and nurses to discuss and solve their problems.https://ejhc.journals.ekb.eg/article_231981_a029cd3a58608327843f7518de35e388.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Relationship between Internet Addiction and Self-Esteem among University Nursing Students’57358423199510.21608/ejhc.2022.231995ENOlaAshraf Hammad AhmedFaculty of Nursing-Ain Shams University--Cairo-Egypt.RaniaAbdelhamed ZakiAssistant Professor of Psychiatric/Mental Health Nursing-Faculty of Medicine-Ain Shams University-Cairo-Egypt.FatmaAta Abd El-SalihenLecturer of Psychiatric/Mental Health Nursing, Faculty of Nursing-Ain Shams University--Cairo-Egypt.Journal Article20220419Background: Using modern technologies is a common feature of today’s world.<br />The internet has become an indispensable instrument, which often plays a key role in<br />work-related activities. It has also become part of people’s leisure time. Since the 1990s,<br />internet addiction has attracted professionals as well as the public across the globe. Aim of<br />the Study: assess the relationship between internet addiction and self-esteem among<br />university nursing students. Subjects and Methods: Setting: The study was conducted in<br />faculty of nursing / Ain Shams University. Size: the sample composed of 110 nursing<br />students aged 19-26. To determine empirical data. Tools: Different tools were used for<br />data collection of study and it was written in simple language to facilitate the<br />understanding of the students. First tool: Sociodemographic Questionnaire, second tool:<br />Internet Addiction Scale, third tool: Self-Esteem Scale. Results: A significant negative<br />relationship was found between age, self-esteem, and internet addiction among social<br />network users. A significant positive relationship was confirmed between self-esteem and<br />internet addiction. Gender differences were identified in internet addiction as well.<br />Conclusion: There is highly positive correlation between level of internet addiction and<br />level of nurse students' self-esteem among nurse students under study. Recommendation:<br />Conducting training program for nursing students in the harms of Internet addiction in the<br />level of physical and psychological damage and the impact on self-esteem.https://ejhc.journals.ekb.eg/article_231995_8a87bb44be9cacee591765447897bce3.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Assessment Coping Skills and Drug Craving among Addicts58559323199610.21608/ejhc.2022.231996ENNadiaAhmed AhmedDepartment of psychiatric-Mental Health Nursing-Faculty of Nursing, Ain Shams University-Cairo-Egypt.ZeinabLoutfiDepartment of psychiatric-Mental Health Nursing-Faculty of Nursing, Ain Shams University-Cairo-Egypt.RaniaAbed El Hamid ZakiDepartment of psychiatric-Mental Health Nursing-Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220419<strong>Background:</strong> Drug craving has been defined as tendency or compulsion to abuse substances. Coping skills approach provides a systematic way assessing the full range of antecedents' and consequences of abusing drug that influence an individual's craving potential and devising interventions to deal with them that are likely to reduce the probability of future relapse. <strong>Aim</strong> assess coping skills and drug craving among addicts<strong>. Study design: </strong>a descriptive exploratory design was utilized to conduct this study.<strong> Setting:</strong> this study was conducted in the Heliopolis psychiatric Hospital. <strong>Subject:</strong> convenience sample of thirty patients suffered from drug craving at the addiction outpatient clinic, <strong>Data collection tools:</strong> 1) Socio-demographic interview questionnaire to assess the socio demographic characteristics of study sample and data related to the previous history of drug abuse and relapse. 2) Drug craving questionnaire that was used to assess variable contributing to craving among drug abuse. 3) Coping Behavior Inventory (CBI) that was used to assess coping skills among drug craving patients. <strong>Results:</strong> The present study revealed that youth aged between twenty-five to thirty-five years were the most prone to multiple craving factors. <strong>Conclusion: </strong>this study concluded that there was high statistically significant positive correlations between the drug craving and coping skills. Recommendations: A hotline must be available to solve immediate problems of craving patient. Expand primary health care services in community services frequently used by patients with drug craving.https://ejhc.journals.ekb.eg/article_231996_093c4619281a01dad0a67a2ae85c80e5.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Nurses Performance Regarding Invasive Procedures in Intensive Care Unit59460823198010.21608/ejhc.2022.231980ENOsamaKamel MayezB.Sc. Nursing-Faculty of Nursing - Ain Shams University-Cairo-Egypt.OlaAbd El AttyProfessor of Medical Surgical Nursing,-Faculty of Nursing - Ain Shams University-Cairo-Egypt.YosreahMohamed MohamedAssistant Professor of Medical Surgical Nursing-Faculty of Nursing - Ain Shams University-Cairo-Egypt.Journal Article20220419Background: Several medical procedures are performed daily in the intensive care <br />unit (ICU). It is evident that complications still occur frequently and are potentially life- <br />threatening. The most common support and monitoring devices used in the ICU include, <br />intravenous catheter, nasogastric tube, endotracheal tube, central venous catheter, <br />hemodialysis double-lumen catheter and chest tube. Aim: This study aimed to assess nurses <br />performance regarding invasive procedures Design A descriptive explorative design was <br />utilized for the conduction of this study. Setting The study was carried out at intensive care <br />units at El-Matrya teaching hospital. Study subject: A convenience sample of all available <br />nurses(30)nurses working at the previous mentioned setting Tools: I – nurses’ self – <br />administrated questionnaire form which consisted of nurse’s demographic characteristics' <br />and nurses’ knowledge II nurses' practice observational checklist regarding invasive <br />procedures. Results: revealed that 63.3% of the studied nurse's had satisfactory total level of <br />knowledge, while 53.3 %had satisfactory level of practice regarding invasive procedures. <br />Conclusion: around two third of the studied nurses had satisfactory knowledge and around <br />half of studied nurses had satisfactory practice with invasive procedures. <br />Recommendations:: improved nurses theoretical knowledge, clinical practice and <br />continuous evaluation of nurses knowledge and practice regarding invasive procedures at <br />intensive care unithttps://ejhc.journals.ekb.eg/article_231980_d94b273f300651673bb0f5b2e55f91f3.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Faculty Members’ Perception and Satisfaction Towards Using the Blackboard Learning Management System in Nursing Courses at Cairo University60962423588810.21608/ejhc.2022.235888ENRehab FouadAbd ElkodoosLecturer of Community Health Nursing, Faculty of Nursing, Cairo University, Cairo, EgyptKhadraaMohamed MousaLecturer of Community Health Nursing, Faculty of Nursing, Cairo University, Cairo, EgyptManalMohamed ElsawyLecturer of Community Health Nursing, Faculty of Nursing, Cairo University, Cairo, EgyptJournal Article20220509<strong>Background: </strong>The perceptions of faculty members about technology integration are crucial to the effective implementation of the Blackboard virtual environment in the teaching and learning process. The aim of the study was to assess the perception and satisfaction of faculty members at Cairo University towards using the Blackboard Learning Management System in Nursing Courses. <strong>Design:</strong> A descriptive research design was utilized to fulfil the aim of this study. <strong>Setting:</strong> The study was conducted at the faculty of Nursing, Cairo University, Egypt. <strong>Sample</strong>: A purposive sample of 37 faculty members who teach nursing courses on the Blackboard platform were included in the study. <strong>Tools</strong><strong>:</strong> Two tools were used to collect the data; the first is a structured questionnaire that includes the faculty members' demographic information, and the second is an electronic questionnaire that describes faculty perception in four sections: usefulness, enjoyment, satisfaction, and challenges. <strong>Conclusion:</strong> The study concluded that, faculty members had a positive attitude towards using the Blackboard Learning Management System. According to the most important factor in using the Blackboard in the teaching system for nursing courses at Cairo University, it was enjoyment 85.7%, followed by faculty benefit with 84.4%, and then satisfaction with Blackboard with 74.1%. Finally, faculty challenges to applying Blackboard were ranked as the least significant factor, with 72.9% able to apply Blackboard. <strong>Recommendations</strong><strong>:</strong> The study recommended continuing to support a culture of online learning among faculty members by publishing an electronic guide or videos on the university's website on how to use Blackboard. The authors of this study also recommended that it be repeated with a large sample size and in a variety of situations to generalize the results.https://ejhc.journals.ekb.eg/article_235888_7317032f71908cd63947a30f29818be8.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Virtual Reality Application on Pain and Anxiety among Primiparous Women with Episiotomy62563923317210.21608/ejhc.2022.233172ENHebaAhmed Osman MohamedLecturer of Obstetric and Gynecological Department, Faculty of Nursing, Assiut UniversityMarwaYehia Moustafa SweelamLecturer of Maternity and Neonate Health Care Nursing Department, Faculty of Nursing, Fayoum UniversitySafaaH MohamedAssistant Professor of Obstetric and Gynecological Nursing Department, Faculty of Nursing, Assuit UniversityAzzaMohamed Abd-Aziz AbuzaidLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Assiut University, EgyptNawalKamal Abd ElkhalekLecturer of Obstetrics and Gynecological Nursing, Faculty of Nursing, South Valley UniversityNohaHassan AbdElfattah MohamedLecturer of Maternal and Neonatal Health Nursing Department, Faculty of Nursing Beni- Suef University.Journal Article20220424<strong>Background: </strong>One of the most popular procedures for facilitating birth and preventing problems is episiotomy. During the postpartum period, episiotomy-related pain and anxiety interfere with women's normal activities. Virtual reality is a novel and cutting-edge technology that is both safe and effective in lowering pain and anxiety after episiotomy. <strong>The aim </strong>was to evaluate the effect of virtual reality application on pain and anxiety among primiparous women with episiotomy. <strong>Design: </strong>A quasi-experimental design was used to achieve the aim of this study. <strong>Setting</strong>: The study conducted at General Qena Hospital and South-Vally University Hospital's postpartum department. <strong>Sample: </strong>A purposive sample included 200 primipara women enrolled and was equally divided into two groups (the control group was 100 primipara and the study group was 100 primipara). <strong>Tools: </strong>There are four main tools; (I) interviewing questionnaire included two parts (1) demographic data and (2) obstetrics history), (II) Numerical Analog Scale (NAS), (III) Anxiety Rating Scale, and (IV) Modified maternal satisfaction questionnaire. <strong>Results</strong>: According to the current study, the study results revealed that there were no statistically significant differences in maternal characteristics between the two groups. Regarding pain intensity, postpartum mothers in the study group had a lower mean score than those in the control group, with a statistically significant difference between the two groups on the eighth and fourteenth days after the intervention. The majority of primiparous women undergoing episiotomy reported being satisfied with the virtual reality application, and there was a highly statistically significant difference in anxiety levels. <strong>Conclusion:</strong><strong> </strong>Virtual reality had a positive effect on reducing pain and anxiety levels among primiparous women with episiotomy<strong>.</strong> <strong>Recommendations: </strong>Virtual reality is recommended and should be included as an alternative non-pharmacological therapy for reducing pain and anxiety among primiparous women with episiotomy during the postnatal period.https://ejhc.journals.ekb.eg/article_233172_82667ee054f415134b20ebe524436e5c.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Coping Strategies Education on Pregnant Women's Knowledge and Anxiety with Detected Fetal Anomalies64065423588710.21608/ejhc.2022.235887ENHeba AhmedOsman MohamedObstetric and Gynecological Department, Faculty of Nursing, Assiut UniversityMadihaMohamed TossonObstetrics and Gynecology Nursing, Faculty of Nursing, Assuit University, EgyptNawalKamal Abd ElkhalekObstetrics and Gynecological Nursing, Faculty of Nursing, South Valley UniversityWafaaHamed Kamal ElshafieCommunity Health Nursing Department, Faculty of Nursing, Mansoura UniversityNagiaI. HassanDepartment of Psychiatric Nursing and Mental Health, Faculty of Nursing, Damanhour University, Damanhour
Egypt.0000-0003-2625-1708ElSayedaHamdy Nasr AbdelhalimMaternity, Obstetrics, and Gynecology Nursing, Faculty of Nursing, Port Said UniversityJournal Article20220509Background: The detection of fetal anomalies during pregnancy can affect woman's social, <br />physical, psychological, and emotional well-being. The study aimed to evaluate the effect of coping <br />strategies education on pregnant women's knowledge and anxiety with detected fetal anomalies. <br />Subjects and Methods: Design: A quasi-experimental design was used to achieve the aim of this <br />study. Setting: This study was conducted at the antenatal clinic at General Qena Hospital and <br />South-Vally University Hospital. Sample: A total of 100 pregnant women with a prenatal diagnosis <br />of fetal anomalies. Four tools were used to collect data: (1) A structured interviewing <br />questionnaire, (2) Pregnant women's knowledge assessment form, (3) an Anxiety Rating Scale, and <br />(4) Parental Coping Strategies Inventory (PCSI). Results: The results of the current study revealed <br />that after the coping strategies education, the pregnant women's knowledge and coping level <br />regarding fetal anomalies improved and their anxiety reduced (p < 0.05). A statistically significant <br />improvement was found between the knowledge, coping level and anxiety-reducing among the <br />pregnant women as pre/ post one month of coping strategies education (p < 0.05). Conclusion: The <br />study concluded that implementation of coping strategies education for pregnant women regarding <br />fetal anomalies had a statistically significant positive effect on improving their knowledge, coping <br />level and reducing their anxiety. Recommendations: Coping strategies education should be <br />included in pregnant women's educational and counseling programs.https://ejhc.journals.ekb.eg/article_235887_2b4d7f05ead95aa8c78ff963f9208d6f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Coping Strategies Education regarding Bullying on Knowledge and Behavioral Change among Secondary School Students65566923317710.21608/ejhc.2022.233177ENFatmaMohamed El SwerkyFamily & Community Health Nursing Department, Faculty of Nursing, Port Said UniversityHodaEsmat Mahmoud KhalilCommunity Health Nursing, College of Nursing, Misr University for Science and technologyHodaSayed Mohamed SayedFamily & Community Health Nursing Department, Faculty of Nursing, Badr University in CairoWafaaMohesen Ahmed ElkadyDoctor of Nursing Sciences with a Specialization in Mental Health Nursing - Ain Shams University and Director of the Training Department at the Cardio-Thoracic and Vascular Surgery Hospital, Ain Shams UniversityWafaaHamed Kamal ElshafieCommunity Health Nursing Department, Faculty of Nursing, Mansoura University, EgyptNahlaAli Maher NashaatCommunity Health Nursing Department, Faculty of Nursing, Alexandria UniversityJournal Article20220424Bullying in schools is a widespread problem that, if not managed properly, can lead to a population that is psychologically, emotionally, physically, and socially dysfunctional for an extended length of time<strong>. The aim was to</strong> evaluate the effect of coping strategies education regarding bullying on knowledge and behavioral change among secondary school students. <strong>Subjects and method: Design: </strong>A quasi-experimental research design was utilized to fulfill the aim of this study. <strong>Setting:</strong> the research was conducted at four secondary schools in Port Said city.<strong> Subjects</strong>: A multi-stages technique of a purposive sample of 300 secondary school students was enrolled. <strong>Tools for data collection:</strong> The first tool was a structured interview questionnaire which consisted of two parts; part (I) demographic characteristics of the secondary school students; part (II) secondary school students' knowledge regarding bullying (pre/post) and the second tool was a coping behavior checklist for bullying. <strong>Results</strong>: The study result revealed that 56.0% of the secondary school students aged between 16-18 years with a mean of 16.38+1.23. There were highly significant improvements in secondary school students' knowledge post coping strategies education regarding bullying after two months of intervention (P<0.001). Three-fifths of the studied secondary school students reported suffering from all health effects, followed by absenteeism then depression, and suffering decreased self-esteem. The results also showed a highly statistically significant improvement in the secondary school students' behaviors regarding bullying between pre and post-intervention phases. <strong>Conclusion: </strong>The present study concluded that coping strategies education had a positive effect on improving knowledge and behavioral change among secondary school students<strong>. Recommendations</strong><strong>:</strong> The study recommended that training programs should be provided among secondary school students to fight against bullying and should be aware of the harms of bullying and focus on its prevention in their organizations.<strong> </strong>Replication of the current study with a larger sample of secondary school students in different settings is required for generalizing the results.https://ejhc.journals.ekb.eg/article_233177_3dcde8d112d0d6f6b4b361acddbd1b08.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Needs and Problems of children Undergoing chemotherapy and their Caregivers: An assessment study67067923322910.21608/ejhc.2022.233229ENAlaaElhussieny MohammedPediatric Nursing Department, Faculty of Nursing – Ain shams University- Cairo- EgyptSalmaEL-Sayed HassenProfessor of Pediatric Nursing, Pediatric Nursing Department, Faculty of Nursing – Ain shams University- Cairo- EgyptEmanA. AliAssistant professor of Pediatric Nursing,
Pediatric Nursing Department, Faculty of Nursing – Ain shams University- Cairo- EgyptJournal Article20220425<strong>Background: </strong>Cancer is a group of diseases characterized by uncontrolled growth and spread of abnormal cells. If has been categorized as a chronic disease that is characterized as a prolonged course, which does not resolve spontaneously and for which a complete cure is rarely achieved.<strong>so, this study aimed</strong> to assess needs and problems of children undergoing chemotherapy and their caregivers. <strong>Design: </strong>A<strong> </strong>descriptive study exploratory design was used to conduct this study. <strong>Subject:</strong> A purposive sample composed of 100 children undergoing chemotherapy. <strong>Settings: </strong>this<strong> </strong>study<strong> </strong>was<strong> </strong>carried<strong> </strong>out<strong> </strong>in Oncology Units in Children Hospital affiliated to Ain Shams University Hospitals and Minia Oncology Center over six months.<strong> Tools: </strong>two<strong> </strong>tools were used to collect necessary data, Interview questionnaire sheet and children’ needs and problems sheet. <strong>Result:</strong> more than two thirds of the studied caregivers had unsatisfactory level of total knowledge while this study revealed that more than third of studied children had high needs. Also, more than half of studied children had severe problems related to cancer and chemotherapy. <strong>Conclusion:</strong> Based on the results of the current study, it can be concluded that, more than half of studied children had high total needs of psychological & social, cognitive & mental, and medical needs and less than two thirds of them had severe problems related to cancer and chemotherapy. Moreover, it was found that three quarters of the studied caregivers had unsatisfactory level of total knowledge about cancer and chemotherapy. In addition, there was highly statistically positive correlation between the needs of the studied children and their problems. Also, there was statistically positive correlation between the knowledge of the studied caregivers and the needs and problems of their children. <strong>Recommendation</strong><strong>:</strong> Further research study is recommended to assess needs and problem of children undergoing chemotherapy and their caregiver.https://ejhc.journals.ekb.eg/article_233229_d16bcf46a604a18de3a2db7a2c6785be.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Prevention of Pre-eclampsia among Pregnant Women in the Second Trimester in Rural Area68069023323010.21608/ejhc.2022.233230ENAsmaaMahmoud Abd El HalimMaster student at faculty of nursing, Ain- shams University-Cairo-Egypt.NadiaHamed FarahatProfessor of Community health Nursing faculty of nursing, Ain- shams UniversitySafinazMohamed SayedLecturer of Community Health Nursing faculty of nursing, Ain- shams UniversityJournal Article20220425<strong>Background</strong>: Early identification of women at risk may help in prevention of preeclampsia and complications of this disease. <strong>Aim of study</strong>: the study aimed to assess prevention of preeclampsia among pregnant women in the second trimester. <strong>Subjects and methods</strong>: Design: Descriptive exploratory research design. Setting: The study was conducted at the selected maternal and child health centers affiliated to the Beni-Suef governorate, El-Wasta center that include 24 MCH centers. <strong>Sample:</strong> Purposive sample of 550 pregnant women was used.<strong> Tools:</strong> Two data collection tools were used to carry out the current study namely; Interviewing questionnaire tool, include Part I: concerned with demographic characteristics of the pregnant women. Part II: Assess pregnant women's knowledge about pre-eclampsia Part III: Assess indicators of pre-eclampsia among pregnant women. Part IV: Assess pregnant women's practices about the prevention of pre-eclampsia and risk factors assessment tool. <strong>Results</strong>: 56.8% of the pregnant women have unsatisfactory total knowledge about preeclampsia. Also, 91.8% of the pregnant women have satisfactory total practices regarding preeclampsia. 83.8% of them had normal body mass index as risk factor of preeclampsia and 98.8% of them had edema in their feet as indicator of preeclampsia. <strong>Conclusion</strong>: More than half of the pregnant women have unsatisfactory total knowledge about preeclampsia. Also, most of the pregnant women have satisfactory total practices regarding preeclampsia. Majority of the pregnant women had normal blood pressure as indicator of preeclampsia. Majority of the pregnant women had normal body mass index as risk factor of preeclampsia. <strong>Recommendations</strong>: Providing sufficient training for women regarding pre-eclampsia to enhance their knowledge, providing sufficient training for women regarding pre-eclampsia to enhance their performance. https://ejhc.journals.ekb.eg/article_233230_d421e34ffc46d11b4c5e9bb1ea0ad323.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Nursing Instructions for Rheumatoid Arthritis self-care on Pain Intensity and Functional Ability among Arthritic Women69170723323910.21608/ejhc.2022.233239ENEmanElsayed HusseinAssistant professor of Medical Surgical Nursing, Faculty of Nursing Zagazig UniversityHebaAl-kotbAssistant professor of Community health nursing department, Faculty of nursing, Suez Canal UniversityAidaMohamed Ibrahimlecturer of Medical- Surgical Nursing, Faculty of Nursing, Zagazig UniversityJournal Article20220425<strong>Background:</strong> Arthritic women is one of the most prevalent chronic conditions and a leading cause of long-term disability, pain, and increased health care utilization.<strong> </strong>Nursing instructions for rheumatoid arthritis self-care is the ability of arthritic women to maintain health, and deal with RA and disability with or without the support of a health-care provide<strong>r</strong><strong> Aim:</strong> To evaluate the effect of nursing instructions for rheumatoid arthritis self-care on pain intensity and functional ability among arthritic women. <strong>Design:</strong> quasi experimental study design with pre nursing instruction, after one month and after three months was utilized to achieve the aim of this study. <strong>Settings:</strong> The present study was conducted at specialized rheumatology unit, in Zagzig university hospital, Sharkeya Governorate, Egypt. <strong>Subjects</strong>: A convenience sample of 80 women had a definite diagnosis of RA at least one year and willing to participated in the study.<strong> Tools</strong>: three tools were used for data collection: women assessment interview schedule<strong>,</strong> women Self-care practices, Numerical analog scale for pain and Functional ability(ADL & IADL) . <strong>Results:</strong> There was a significant improvement in knowledge and self-care practices of women with RA throughout study phases. Consequently, arthritic women improved in functional ability score and reduce in pain intensity after implementation nursing instruction for RA self-care practices. <strong>Conclusion & Recommendations; </strong>nursing instructions for Rheumatoid arthritis self-care help in reducing pain level and improvement in functional ability among women with rheumatoid arthritis. Rheumatoid arthritis self-care result in beneficial effect on disability and pain scores.https://ejhc.journals.ekb.eg/article_233239_4fb4fcbe8b1a86d86527b0766783c7ad.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Relationship between Nursing students' Incivility and Engagement in Faculty of Nursing at El-Fayoum University70871723589610.21608/ejhc.2022.235896ENSaraSayed Mohamed Abd-El BassetDemonstrator of Nursing Administration, Faculty of Nursing – El-Fayoum UniversityMonaMostafa ShazlyProfessor of Nursing Administration, Faculty of Nursing – Ain Shams UniversityAsmaaKamal AhmedAssistant Professor of Nursing Administration, Faculty of Nursing – El-Fayoum UniversityJournal Article20220509<strong>Background: </strong>Student incivility is a very serious problem in higher education and major challenges facing educators. It has impact on the teaching and learning process. <strong>Aim: </strong>This study aimed to assess the relationship between nursing students' incivility and engagement in faculty of nursing.<strong> Subject and Methods: </strong><strong> Research design:</strong> A descriptive, correlational design was used.<strong> Setting: </strong>The study was conducted at Faculty of Nursing, El-Fayoum University. <strong>Subjects: </strong>400 nurse students were included in the study. <strong>Tools of data collection:</strong> Data were collected by using two Tools: incivility in nursing education questionnaire and Classroom survey of student engagement questionnaire. <strong>Results:</strong> More than three quarters of studied nurse students had a high perception level regarding total incivility behavior, also more than half of nurse students had an average level of classroom engagement dimensions. <strong>Conclusion:</strong> There was a highly statistically significant positive correlation between incivility behaviors and classroom engagement dimensions among nurse students. <strong>Recommendations:</strong> The faculty has to develop and implement comprehensive codes of conduct, effective strategies to handle with students' incivility behaviors.https://ejhc.journals.ekb.eg/article_235896_59afa6742e09b0acbd1a19d6d78921fd.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Intrinsic Capacity Factors and Activities of Daily Living among Older Adults Residents of Geriatric Homes71873623346310.21608/ejhc.2022.233463ENManalMohamed MoselhyPhD, Lecturer of Community Health Nursing Department, Faculty of Nursing, Modern University for Technology and InformationHodaSayed MohamedPhD, Lecturer of Family and Community Health Nursing Department, Faculty of Nursing, Badr
UniversityJournal Article20220426Background: The loss of intrinsic capacity (IC) could result in activities of daily living (ADLs) <br />impairment. Consequently, understanding the factors that influence levels and trajectories of overall <br />capacity among older adults is of prime importance. Aim: Assess the relation of activities of daily <br />living with intrinsic capacity and other risk factors among older adults residing at geriatric homes. <br />Methodology: Cross sectional descriptive correlational study, purposive sampling included 148 <br />older adults residing at five geriatric homes. Five tools were used: (1) Older Adults Structured <br />Interviewing Questionnaire regarding demographic characteristics and Health-related factors (2) <br />Short Portable Mental Status Questionnaire, (3) Mini Nutritional Assessment short-form, (4) Short <br />form of the Geriatric Depression Scale, and (5) Katz index of ADL. Results: 43.24% of elders <br />displayed moderate functional impairment (assisted) and 14.87% demonstrated severe impairment <br />ADLs (dependent). Multiple linear regression model revealed significant association between ADL <br />and the IC factors of cognition, mobility (p < 0.000); nutrition (p < 0.030); vision (p < /span><0.015). <br />Furthermore, significant relations were found between ADL and demographic characteristics, age, <br />social interaction (p < /span><0.000), female gender (p < /span><0.026), education (p < /span><0.001). ADLs were also <br />associated with morbidity including stroke, arthritis, and musculoskeletal problems (p < /span><0.000), <br />polypharmacy (p < /span><0.017), and smoking (p < /span><0.000). Conclusions: ADL is affected by several <br />numbers of modifiable and non-modifiable risk factors. The IC appear to be important factors were <br />associated with ADL, exception of the hearing factor and depression among older adults. <br />Recommendation: Intervention strategies including geriatric health programs should be developed <br />by health care professionals including nurses for preventing, or slowing declines in intrinsic <br />capacity.https://ejhc.journals.ekb.eg/article_233463_8beb30fb59c28992d2b68aed4c8b2946.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Mobile-based Mindfulness intervention on stress, pain, and quality of life among patients with Prostate Cancer73774923429910.21608/ejhc.2022.234299ENAmanyGomaaAssistant Professor of Community Health Nursing ,Faculty of Nursing, Fayoum UniversityZainabGazar Alkotb AlagamyAssistant Professor of Community and Geriatric Health Nursing ,Faculty of Nursing, Fayoum UniversityAzizaMohamed KamelLecturer of Medical Surgical NursingFaculty of Nursing, Menoufia UniversityHebaKedees MarzoukLecturer of psychiatric nursing- faculty of nursing Assiut universitySaharHamza TahaLecturer of Medical Surgical NursingFaculty of Nursing , Minia University, EgyptJournal Article20220429Prostate cancer is associated with substantial psychosocial morbidity. Mindfulness-intervention is<br />an effective method for reducing stress among patients with Prostate Cancer. This study aimed to<br />evaluate the Effect of Mobile-based Mindfulness intervention on stress, pain, and quality of life<br />among patients with Prostate Cancer. Design: Quasi-experimental design (pre-posttest). Setting:<br />This study was conducted in the inpatient and outpatient oncology clinic at South Egypt Cancer<br />Institute - Assiut University, Egypt.Sample: A purposive sample of 50 patients in this study.<br />Tools: structured interview questionnaire, medical history, patient knowledge about Prostate<br />Cancer, level of pain, perceived stress scale, quality of life and Mindful attention awareness scale<br />tool. Results: There was a significant difference between pre and post test Mindfulness intervention<br />for knowledge, perceived stress, level of pain, QOL and Mindful attention awareness (P= 0.001**).<br />Conclusion: The Mindfulnessintervention program had a positive effect on patients with Prostate<br />Cancer. There was a statistically significant difference between the pre and post test for knowledge,<br />level of pain, perceived stress scale, quality of life, and attention awareness. Recommendations:<br />use mass media to improve men’s awareness of prostate cancer screeninghttps://ejhc.journals.ekb.eg/article_234299_0df605d9fcac978a1ac3cb8eda2a7439.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Post-Migration Stressors and Mental Well Being among African Refugees in Greater Cairo75076423430110.21608/ejhc.2022.234301ENMennat AllahE MohamedProfessors of Psychiatric Mental Health Nursing, Faculty of Nursing, /6 October UniversitySorayiaR Abd FattahProfessors of Psychiatric Mental Health Nursing, Faculty of Nursing, /6 October UniversityHodaSayed MohamedLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Ain shams UniversityJournal Article20220429Background: Egypt hosts a considerable number of African refugees, especially in greater Cairo <br />and they have several post-migration stressors that may affect their mental well-being. Aim: This <br />study aimed to assess post-migration stressors and mental well-being among African refugees in <br />Greater Cairo. Design: Descriptive exploratory research design was used to achieve the aim of this <br />study. Setting: Four areas of Egyptian Red Crescent Hubs in greater Cairo. Subject: A purposive <br />sample of 360 African refugees. Tools of data collection: Data were collected using; 1) Socio<br />demographic questionnaire to assess socio-demographic data of the studied sample such as sex, age, <br />marital status, level of education, and working status. 2) Post-migration difficulties scale was used <br />to assess post-migration stressors among African refugees understudy and 3) Mental well-being <br />scale was used to assess the mental well-being of African refugees understudy. Results: Results of <br />this study showed that 50.8 of the studied sample had a moderate level of post-migration stressors <br />and 35.3% of them had a severe level of post-migration stressors also, more than three-fifths of <br />studied samples (61.6%) had a moderate level of mental wellbeing and there was a highly <br />statistically significant relationship between levels of post-migration stressors and mental wellbeing <br />of the studied sample. Conclusion: More than half of the African refugees’ understudy had <br />moderate levels of post-migration stressors, and more than two-thirds of them had an average level <br />of mental well-being, also, there was a highly statistically significant relation between post<br />migration stressors of the studied sample and their mental well-being. Recommendation: Utilizing <br />this study finding in designing and implementing counseling programs for African refugees in <br />Egypt to guide them on how to overcome post-migration stressors, consequently affecting their <br />mental well-being. https://ejhc.journals.ekb.eg/article_234301_88cfce2102fc60a4a4b4866fb527aa7a.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Quality of life for adolescent with congenital heart diseases76578723445610.21608/ejhc.2022.234456ENAhmedM. AbdelhamidB.Sc. of Nursing - Faculty of Nursing - Ain Shams University-Cairo-EgyptHalaM. MohamedProfessor of community health Nursing Department - Faculty of Nursing - Ain Shams University-Cairo-Egypt.MervatM. HasanLecturer of community health Nursing Department - Faculty of Nursing - Ain Shams University-Cairo-Egypt.Journal Article20220430Background: Congenital heart disease is the most frequent form of major birth defect <br />in adolescents. Aim: This study aims to assess quality of life for adolescent with congenital <br />heart diseases. Design: A descriptive study. Sampling: A purposive sample comprised of <br />200 Adolescents diagnosed with congenital heart disease. Setting This study was conducted <br />in the outpatient cardiology clinics in Academy of Heart affiliated to Ain shams University <br />Hospitals. Tools of data collection: Tool I: included interviewing questionnaire, consisted of: <br />(I) Sociodemographic data, (II) Past and present Medical history, (III) adolescent’s <br />knowledge regarding CHD, (IV) health needs of adolescents with CHD, (V) Problems of <br />adolescents with CHD, (VI) quality of life for adolescent with CHD adopted from PedsQL™ <br />Cardiac Module. Tool II: Medical Records review of the adolescents Results: This study <br />revealed that the mean age of studied adolescents was 14.85±2.82, about sixty-six percent of <br />them were males, about seventy percent of studied adolescents had satisfactory knowledge <br />about congenital heart disease. About fifty-seven percent of studied adolescents have <br />moderate health problems, and fifty-four percent of them have moderate QOL. Conclusion: <br />Upon the findings of the current study, the studied adolescents had possible needs related to <br />congenital heart disease, also had moderate health problems and moderate total quality of life, <br />which is being affected by their sociodemographic data, their knowledge about the disease, <br />their health needs. There is positive relation between the adolescents’ health Problems and <br />their quality of life. Also, there is positive relation between the adolescents’ socio- <br />demographic data (Age, educational level, residence and financial income) and their <br />knowledge about the congenital heart disease. Recommendation: continuous education for <br />all adolescents with CHD about their disease, how to improve their quality of life and about <br />their needs. Further detailed studies about adolescents with congenital heart disease and their <br />knowledge, needs, problems and quality of life.https://ejhc.journals.ekb.eg/article_234456_d19c1e50ab9f01176f5aeb1f9b5c7919.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Assessment of Mothers' Interpretation and Care of their Infants Crying78879723445910.21608/ejhc.2022.234459ENNayeraA. HelalMaster studentWafaaE. OudaProfessor of Pediatric Nursing, Faculty of Nursing, Ain Shams UniversitySalmaE. HassenProfessor and Head of Pediatric Nursing Department, Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220430Background: Infant crying plays an important in ensuring the survival, <br />health, and development of the child. Aim: This study aims to assess mothers’ <br />interpretation and care of their infants' crying. Research design: A descriptive <br />research design was used. Setting: The study was carried out at Ash-moon Health <br />Office in Menofia Governorate. Subjects: A purposive sample which included 200 <br />mothers who attended in the previously mentioned setting for a six months period <br />for children' care services such as vaccination and receiving artificial milk. Tools: <br />Two tools were used: First tool, pre-designed interview questionnaire sheet: It was <br />used to assess studied mothers' knowledge regarding interpretation of infants' crying. <br />Second tool, observational checklist: It was used to assess reported mothers' practice <br />regarding care of infants' crying. Results: More than one third of infants were on <br />artificial feeding and more than half of mothers visited the health office for <br />receiving industrial milk. Almost three quarter of studied mothers had poor <br />knowledge about interpretation of their infants’ crying and had inadequate total <br />reported practice about care of their infants’ crying. There was positive correlation <br />between mothers’ total knowledge and their total reported practice regarding <br />interpretation and care of their infants' crying. Conclusion: In light of the study <br />results, it can be concluded that, almost three quarter of the studied mothers had <br />poor total knowledge and inadequate total reported practice regarding the <br />interpretation and care of their infants’ crying. Recommendations: Provide nursing <br />education for mothers at Health Offices to improve their knowledge about infant <br />crying, interpretation and maternal care of infant crying.https://ejhc.journals.ekb.eg/article_234459_27d5f5f8f696dd8a0df6d806a5326d4a.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Assessment of Knowledge and Attitude of Maternity Nurses Regarding Cord Blood Collection79880723446010.21608/ejhc.2022.234460ENNehadHassan IbrahimB.C Faculty of Nursing, Ain Shams UniversityNadiaFahmyProfessor of Maternity and Gynecological NursingNadiaAbd EL HameedAssistant Professor of Maternity and Gynecological NursingWalaaFathyLecturer of Maternity and Gynecological Nursing Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220430Background: Cord blood has many benefits in terms of transplantation due to its cell <br />content; moreover, it has some other advantages. Aim: Assess knowledge of maternity <br />nurses regarding cord blood collection and assess the attitude of maternity nurses regarding <br />cord blood collection. Design: A descriptive design utilized in completing this study. <br />Subject: A convenient sample used composed of 250 nurses who worked at Ain Shams <br />University Maternity Hospital. Tools: Interviewing questionnaire sheets to assess <br />demographic characteristics of nurses, related nurse's awareness about cord blood collection <br />and stem cells, and an attitude Likert scale was used to assess nurses' attitudes regarding cord <br />blood collection and stem cells. Results: 63.2% of the studied nurses were had incorrect <br />knowledge related to umbilical cord blood collection and 45.6% of the studied nurses have <br />positive attitude with umbilical cord blood collection. Conclusion: there have been <br />statistically significant differences between genders, age, qualification, and attending training <br />courses related to stem cells. There are highly statistically significant relations between the <br />attitude of studied nurses regarding umbilical cord blood collection and their age, their <br />qualifications and years of experience, and there was a highly significant correlation between <br />total knowledge score of studied nurses & their total attitude score regarding umbilical cord <br />blood collection. Recommendation: Enhance Educational course and continual training <br />about the use of stem cells must be implemented to the nurses and Investigate the nursing <br />concerns regarding their practice of cord blood collection sample techniquehttps://ejhc.journals.ekb.eg/article_234460_911dc7f7883f77df3af962a7839a4cf3.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Girls’ Adjustment with Blindness80881923446210.21608/ejhc.2022.234462ENOmniaRagab MohamedFaculty of Nursing- Ain Shams University-Cairo-Egypt.SehamGuirguis RaghebFaculty of Nursing- Ain Shams University-Cairo-Egypt.WafaaKhalil IbrahimFaculty of Nursing- Ain Shams University-Cairo-Egypt.Journal Article20220430Background:Childhood blindness refers to a group of diseases and conditions <br />occurring in childhood or early adolescence. Blindness is a significant public health problem <br />that affects the health, economic well-being, and productivity of individuals, families, and <br />society as a whole. Aims: the aim of this study was to assess girls' adjustment with blindness. <br />Design: A descriptive design was used to this study. Setting: the study was conducted at two <br />schools for blind girls in Cairo and Mansoura cities, Egypt. Sample: purposive sample (47 in <br />Cairo school and 66 in Mansoura School) were included in the study for a total sample of <br />113 girls. Tools: The data were collected using a structured interviewing questionnaire form. <br />The tool consisted of 8 parts: socio-demographic data for girls, the details of girl’s blindness <br />history, medical history of girls’, menstrual history, assess girl's knowledge of blindness, <br />girl’s health problems, assessment of girl’s practices towards daily living activities& <br />assessment of girl’s adjustment towards blindness. Results: the mean age of the studied <br />girl’s was 14.5±1.8, 46% of the studied girls were blind since birth, that 87.6% of studied <br />girls’ had unsatisfactory level of knowledge regarding blindness, 64.6% of the studied girls <br />had high total adjustment. Conclusion: There was no statistically significant relation <br />between socio-demographic characteristics and level of girls with blindness knowledge. <br />There was statistically significant relation between total adjustment and Daily living <br />activities independence level. There was no statistically significant relation between <br />activities of daily living and level of girls with blindness knowledge. Recommendations: <br />Early detection strategies of cases to avoid vision loss specially that most of causes can be <br />treated, Encourage girls with blindness to participate in social life.https://ejhc.journals.ekb.eg/article_234462_b2371c2512813dc21e1de4fe0d7333d3.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Mothers, Role Regarding Care of their Children Suffering from Osteogenesis Imperfecta82082923446310.21608/ejhc.2022.234463ENNoraMahmoud Ahmed El-MarzkyProfessors of pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.SabahSaad AlsharkawiProfessors of pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.RandaMohamed AdlyProfessors of pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.SalmaElsayed HassanProfessors of pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220430Background: Osteogenesis Imperfecta (OI) known as brittle bone disease, it is a <br />genetic disorder of connective tissue which is characterized by bones that fracture easily <br />from little or no apparent trauma. However, the multiple fractures will lead to progressive <br />bone deformities, short stature and restricted mobility. This study aimed to assess mothers, <br />role regarding care of their children suffering from OI. Research design: A descriptive design <br />was utilized. Setting: The study was conducted at Genetic Department in Children Hospital <br />affiliated to Ain Shams University Hospitals. Subjects consisted of 80 mothers accompanying <br />their children suffering from OI. Tools: Data were collected through using. Tool (1): <br />Interviewing questionnaire tool it was consisted of: Part 1: Characteristics of the study subjects. <br />Part 2: Knowledge of mothers regarding to OI. Tool (2): mothers, reported practices regarding to <br />care of their children suffering from OI. The results of the study revealed that, the mean age of <br />studied mothers was 32.82±5.3 years; the mean age of the studied children was 8.14±5.71years. <br />Majority of studied mothers had negative family history of OI. Also, less than two thirds of them <br />had consanguinity relation. Conclusion: This study concluded that less than half of the studied <br />mothers had satisfactory knowledge and less than half of them had adequate reported practices <br />regarding to care of their children suffering from OI. Recommendation: Educational program <br />intervention should be conducted for mothers of children with OI to raise their level of knowledge <br />and practicesregarding caring of their children with OI.https://ejhc.journals.ekb.eg/article_234463_7df39a2112ea7ccd24de663ebcefd542.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Self-care of Adult Client with Permanent Pacemaker at Home83084223446410.21608/ejhc.2022.234464ENNawalMahmoud SolimanProfessor of Community Health Nursing Faculty of Nursing- Ain Shams University-Cairo-Egypt.HematAbd Elmoneem ElSayiedProfessor of Community Health Nursing Faculty of Nursing- Ain Shams University-Cairo-Egypt.NaglaaAbd El Kareem Hassaneen SolimanM.Sc.N., Community Health Nursing Faculty of Nursing- Ain Shams University-Cairo-Egypt.Journal Article20220430Background: Sudden death is one of the most common reasons of death worldwide which <br />can be prevented by inserting a pacemaker. Studies have proved that 60 percent of all sudden <br />cardiac deaths occur due to arrhythmia. Aim: To assess self-care for adults clients with permanent <br />pacemaker at home. Design: Descriptive analytic design was used. Setting: In cardiac outpatient <br />clinics at El-Demardash Hospital. Sample: It included the total sample size was 74 adult client with <br />apermanent pacemaker were chosen according certain criteria age over 40 years and recent <br />implantation of pacemaker not more than 2years ago. Tool: An interviewing questionnaire designed <br />to collect data about studied sample socio demographic characteristics, and their knowledge about <br />heart, pulse, permenant pacemakers and self-reported practices about pacemaker care at home. <br />Results: Majority of studied sample were their aged 60 or more years, Majority of them were <br />married, illiterate& most of them had incorrect knowledge regarding heart, pulse, artificial <br />permenant pacemakers and unsatisfied total practices score, There were a no statistical significant <br />relation between client's age, level of education & occupation and their total knowledge &self -care <br />of adults clients with permanent pacemaker. Occupation and their total knowledge of adult clients <br />and their self- care, the permanent pacemaker effect on self-care of the adults clients with a <br />permanent pacemaker at home. Conclusion: Study finding showed that the majority of clients <br />hadn't a correct knowledge & poor self-care regarding permanent pacemaker at home. <br />Recommendation: Establish educational program for adult clients with a permanent pacemaker at <br />home to improve their self-care regarding their knowledge and practice of permanent pacemaker at <br />home. A further research on a large sample is recommended to achieve more generalization.https://ejhc.journals.ekb.eg/article_234464_d9c9ab496e15a627b65fd8f20545ccdb.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Perceived Barriers and Nurses Job Satisfaction toward Caring Critically Ill Bariatric Patients.84385623509210.21608/ejhc.2022.235092ENShimmaaMohamed ElsayedLecturer, Critical care, and emergency department, Faculty of Nursing, Damanhour University, Egypt.Journal Article20220506<strong>Background:</strong> Critical care nurses pursue hardly to provide professional care in safely and concerned manner for bariatric critically ill patients who suffer from a variety of complex physiologic complications. Job satisfaction for ICU nurses is a confounding factor because they are high risk for exposure to several occupational hazards, but they are seeking to achieve high-quality care to those patients.<strong> Aim: </strong>This study was intended to explore perceived barriers and job satisfaction for ICU nurses to care for critically ill bariatric patients. <strong>Design: </strong>Descriptive correlational study design was utilized. <strong>Setting(s): </strong>This study was recruited in the intensive care units. <strong>Participants:</strong> A convenience sample of 300 nurses were included. <strong>Tool of data collection:</strong> An electronic form questionnaire was conduct. Two tools for data collection. Tool(I): perceived barriers to care critically ill bariatric patient’s questionnaire sheet. Tool (II): critical care nurses job satisfaction questionnaire. <strong>Results:</strong> More than half of the studied nurses reported that staff shortage was the uppermost rank of the perceived barrier. It was found that most studied nurses (32%) had low job satisfaction, while 16% of them experienced high very job satisfaction. Also, there was high significant negative correlation between the perceived barrier and job satisfaction presented (r= -0.257& p = <0.001). <strong>Conclusions:</strong> Critical care nurses experienced lower job satisfaction toward caring for bariatric patients. Our results call for paying more attention to improving nurses' job satisfaction toward caring bariatric patients by overwhelmed obstacles of perceived barriers. <strong>Recommendations: </strong>Education bariatric caring programs and training courses for critical care nurses about how to identify needs and overcome barriers to care critically ill bariatric patients to help them become more knowledgeable and skilled.https://ejhc.journals.ekb.eg/article_235092_98e8eeb1863337acef17e79366527c4d.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Hemodialysis Long Life Program on the Quality of Life of Patients with End Stage Renal Disease85787123559610.21608/ejhc.2022.235596ENKhairatTayeaB.Sc., Faculty of Nursing- Mansoura University.ManalHusseinProfessor of Medical- Surgical Nursing, faculty of Nursing, Ain Shams UniversityBasmaKhalilAssistant Professor of Medical-Surgical Nursing, Ain Shams UniversitySalwaEl WasifFellow of Internal Medicine and Nephrology, Urology and Nephrology Center- Mansoura University. Faculty of Nursing - Ain Shams University-EgyptJournal Article20220509Background: End Stage Renal Disease (ESRD) is the last stage (5th stage) of CKD. ESRD <br />is irreversible loss of kidney function and associated with severe morbidity, mortality, high cost for <br />management and different impacts on general health and patient quality of life. Aim: This study <br />aimed to assess quality of life (physical, psychological, social and spiritual domains) for patients <br />with ESRD on HD. Design: Descriptive exploratory design was utilized in carrying out this study. <br />Setting: The study was conducted in in hemodialysis unit at Urology and Nephrology center <br />affiliated to Mansoura University. Subjects: A Purposive sample of (60) who are diagnosed with <br />ESRD, on HD and met the inclusion criteria. Tools: I- Patients interviewing questionnaire II- <br />quality of life scale. Results: 45% of the studied patients were at age group between 20-<40 years <br />old and 55% of them were males. There were highly statistically significant positive correlations <br />between physical dimension scale with psychological dimension scale and social dimension scale of <br />the studied patients. Conclusion: more than half of the patients had average physical QOL, three <br />quarters of them had average psychological and social QOL, and all patients had good spiritual <br />QOL. Recommendation: Further research studies are needed to focus on studying factors affecting <br />QOL for patients with ESRD on long HD program and replication of the study on other areas for <br />more generalization.https://ejhc.journals.ekb.eg/article_235596_e52efcdfeaea40d9b5e8e061728f3425.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Influence of Nurses Handover Styles on Selected Patient Safety Indicators84288523659310.21608/ejhc.2022.236593ENWardaElbastawisy Elbastawisy AhmedB.Sc.in Nursing Administration, Nursing Administration-Faculty of Nursing, Ain Shams University-Cairo-Egypt.SamahFaisal FakhryProfessor of Nursing Administration,Nursing Administration-Faculty of Nursing, Ain Shams University-Cairo-Egypt.FawziaMohamed BadranAssistant Professor of Nursing Administration-Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220511Background:An accurate handover of clinical information was of great importance to<br />continuity and safety of care. If clinically relevant information was not shared accurately and<br />in a timely manner it may lead to adverse events, delays in treatment and diagnosis,<br />inappropriate treatment and omission of care. Aims: This study aimed to examine the<br />influence of the three different nurses handover styles on select patient safety indicators.<br />Design: A comparative record-based prospective design was used to carry out this study.<br />Subject and Method: The subjects of this study consist of 130 staff nurses and 6 head<br />nurses at the critical care units of General Mahalla Hospital that affiliated to Ministry of<br />Health Tools Data for this study were collected using three tools, namely, Interview<br />questionnaire for head nurses, an observation checklist (for oral and bedside handover) an<br />audit checklist (for written and bedside handover), and a data abstraction form for the patient<br />safety indicators Results: The staff nurses in the oral group (60%) had adequate application<br />of handover process compared to (87%)of those in the written group and (95.5%) in the<br />bedside group. the most adequate practice of head nurses was in the bedside group (100%)<br />and lowest in the oral group (33.3%). Conclusion: The bedside and written handover styles<br />are better than the oral style in terms of patient safety. Recommendations: The bedside<br />nursing handover style should be the style of choice to be applied whenever possible, Nurses<br />should have regular training in process of handover. Important areas for future research<br />include developing a minimum dataset requirement for handover and the design and<br />development of technological solutions to improve the quality, standardization, and<br />efficiency of handover data.https://ejhc.journals.ekb.eg/article_236593_d62fdde7b1d6052d8c107c1edbe88d6f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601The effect of Mothers’ Nutritional education based on health belief model to prevent stunting among young children88689523659610.21608/ejhc.2022.236596ENRedaElfeshawyLecturer of Pediatric Nursing, Faculty of Nursing, Menoufia UniversityFatmaAhmed El SobkyAssistant professor of Pediatric Nursing, Faculty of Nursing, Benha UniversitySamahAbdallah Mohamed AmerAssisstant professor of pediatric nursing , Faculty of Nursing, Benha UniversityShikhahHussin Ali Alzahrani.Alriyada College for health Science, Jeddah, KSAJournal Article20220511<strong>Background: </strong>Stunting occurs when a child's growth and development are stunted as a result of poor nutrition, recurrent illnesses, and a lack of psychosocial stimulation.<strong> Aim of the study</strong> was to evaluate the effect of Mothers’ Nutritional education based on health belief model to prevent stunting among young children. <strong>Research Design:</strong> A quasi- experimental research design was used<span style="font-family: 'Times New Roman';">.</span> <strong>Setting:</strong> This study was conducted in the outpatient Clinic of Benha University Hospital, Benha Teaching Hospital and Benha Specialized Pediatric Hospital, which Affiliated to the Ministry of Health. <strong>Subjects:</strong> The study subject was consisted of convenience sample of (80) mothers and their children the samples were collected from previous setting. <strong>Tools of data collection: Three tools: </strong>Three tools were utilized, personal characteristics, mothers’ knowledge and practice regarding feeding, and health belief model.<strong> </strong><strong>Results: </strong>the results of the present study revealed that there were highly significant differences in mothers’ knowledge and reported practice and their health belief model.<strong> Conclusion: </strong>Nutritional education based on a health belief model can help to reduce stunting in young children. <strong>Recommendation:</strong> To avoid stunting in children, mothers should be encouraged to participate in ongoing nutritional education programs. https://ejhc.journals.ekb.eg/article_236596_c726a47321bf8dcec4c30ef89d45c7de.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Staff Nurses' Performance Regarding Shift Report89690423659810.21608/ejhc.2022.236598ENAzzaGalal AhmedMSc., Nursing, Department of Nursing Administration, Faculty of Nursing, Ain Shams University-Cairo-Egypt.MonaMostafa ShazlyProfessor of Nursing Administration, Faculty of Nursing, Ain Shams University-Cairo-Egypt.RababMahmoud HassanProfessor of Nursing Administration, Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220512Background: Shift report is crucial in achieving effective, safe, and high quality <br />communication when the responsibility for the patient care is transferred from one nurse to <br />another in effective manner. Aim of study: the study aimed at measuring the effect of shift <br />report training program for nurses on quality of reporting. Subjects and methods: Design: <br />Quasi-experimental research design was used. Setting: The study was conducted at Shoubra <br />General Hospital which affiliated ministry of health hospitals. Subjects: 129 nurses and 50 <br />head nurses were participated in the study. Tools: Three data collection tools were used to <br />carry out this study namely, knowledge questionnaire sheet, Observational check list and <br />Audit sheet. Results: No one of the staff nurses in the study sample had satisfactory total <br />knowledge scores at the pre-intervention phase and 100% of them at the post-intervention <br />and follow up phases. No one of the head nurses in the study sample had adequate total <br />performance scores at the pre-intervention phase and reach 100% at the post- intervention <br />phase, while the follow-up phase showed some declines, down to 70% in total performance <br />scores. Conclusion and recommendations: Nurses' knowledge and performance regarding <br />shift hand over and quality of report was improved after implementing the program. The <br />study recommends Periodic assessment of head nurses and their staff for reporting skills. <br />Regular implementation of training programs regarding shift report.https://ejhc.journals.ekb.eg/article_236598_1530983f44647579ff732c7f3feb367f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Perception of Premarital Screening and Genetic Counseling among Future Couples90592323660010.21608/ejhc.2022.236600ENE. M.HamedNursing specialist in the Neurosurgery Hospital, Faculty of Nursing, Menoufia UniversityD. KH.EshraProfessor at Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia UniversityI. K.AliProfessor at Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia UniversityA. KH.KhalilAssistant Professor at Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia UniversityJournal Article20220512Background: Premarital screening and genetic counseling are important plans and strategies for <br />preventing genetic disorders and congenital anomalies. The nurse has an integral role in providing genetic <br />services that include assessing genetic risk, providing information, discussing available testing options and <br />providing appropriate supportive counseling. Aim: To evaluate the perception of premarital screening and <br />genetic counseling among future couples. Design: A descriptive cross -sectional design was utilized. Setting: <br />The present study was conducted in the Maternal and Child Health center in Shebin El-Kom city. Sample: A <br />convenience sample of three hundred and sixty future couples was used. Instruments: Instrument I: a <br />structured interviewing questionnaire and Instrument II: attitude of the studied future couples regarding <br />premarital screening and genetic counseling. Results: The results of the present study revealed that: <br />Approximately three-quarters of the studied future couples (73.3%) had heard about PMSGC, but <br />approximately two-thirds of the studied future couples (69.40%) had inadequate knowledge about premarital <br />screening and genetic counseling. More than one-half of the studied future couples (50.80%) had a positive <br />perception of premarital screening and genetic counseling. There was a highly statistically significant <br />difference between the total perception of the studied future couples regarding premarital screening and genetic <br />counseling and their demographic characteristic. Conclusion: More than one-half of the studied future couples <br />had a positive perception of premarital screening and genetic counseling. Also, there were highly statistical <br />differences among the total perception of the studied future couples regarding premarital screening and genetic <br />counseling and their demographic characteristics. Recommendations: Increasing knowledge of the community <br />regarding premarital screening and genetic counseling in collaboration with adequate religious support and <br />government policy is recommended. Studying the effect of education programs regarding premarital screening <br />and genetic counseling on university students' knowledge, perception, and attitude is essential.https://ejhc.journals.ekb.eg/article_236600_36af05ef00421557182e812773c51eaa.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Patients with Cancer Colon, Problems and Needs92494223730510.21608/ejhc.2022.237305ENEmanAbd El-Raheem HassaB.Sc. Nursing, Minia UniversityMagdaAbd EL-Sattar AhmedProfessor of Community Health Nursing,ShimaaFathy MikyLecturer of Community Health Nursing-Faculty of Nursing - Ain Shams University.Journal Article20220515Background:Cancer colon is a type of cancer that effect on colon. Chemotherapy is <br />use to kill cancer cells, but can damage normal cells, too, which can cause patients' problems. <br />Gaining a clear understanding of the health needs and concerns of people with cancer of the <br />colon can help identify ways to offer a comprehensive care package, so, this study aimed to <br />assess needs and problems of patients with cancer colon. Design: A descriptive design was <br />used to conduct this study. Subjects & Setting: Subject composed of 130 patients with <br />cancer colon attending Mania Oncology Out Patients Center. Tools: two tools were used to <br />collect necessary data an interviewing questionnaire sheet and physical assessment sheet. <br />Results: Results of study noted that73.1% of studied patients were high economic need and <br />35.4% of them were moderate physical need. While 58% of studied patients had high <br />problems and 27% of them had moderate problems. Also 70% of studied patients suffered <br />from pale skin, 38.5% suffered from nausea, 23.1% of them suffered from vomiting, 55.4% <br />of them suffered from anorexia and 69.4% of them had acute pain. Conclusion: There was <br />positive correlation between needs of cancer colon patients and their problems, while there <br />was negative correlation between physical status of cancer colon patients and their problems <br />and there was negative correlation between physical status them and their total needs. <br />Recommendation: Preparation of educational program for cancer colon patients about needs <br />and problems of patients undergoing cancer treatment.https://ejhc.journals.ekb.eg/article_237305_b375f837873beff68bedd73441c97d08.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Abortion on Health Status of Teenagers Married Women in Rural are94395523730710.21608/ejhc.2022.237307ENEmanHussien MohamedB.Sc.NahlaAhamed Abd El-AzizeProfessor of Community Health Nursing, Faculty of nursing- Ain Shams UniversityMervatMohamed HassanLecturer of Community Health Nursing, Faculty of Nursing- Ain Shams UniversityJournal Article20220515Background: Abortion is a major side effect of teenager's pregnancy . Aim: Assess effect of <br />abortion on health status of teenage married women in rural area. Research Design: <br />Descriptive exploratory Design was used. Setting: The study was conducted at Outpatient <br />clinic in obstetric hospitals in Beni Suief governorate. Sample: A purposive sample of 132 <br />women. Tools of data collection: Part 1: -Socio demographic characteristic . Part 2: Medical <br />History: (Diseases:, past & current). Part 3: Obstetric history. Part 4: Knowledge of Teenage <br />women about . Part5: Health needs after abortion. Part 6: Health problems of Teenage women <br />after abortion . Results: the study findings revealed that 77.3% had unsatisfactory knowledge <br />related to abortion, 81, 8% of teenagers married women had unhealthy practice related to <br />abortion, 81.1% of teenagers married women of teenagers married women complain health <br />problems after abortion, Conclusions: more than one fifth of teenagers married women had <br />satisfactory level of knowledge related to abortion while more than three quarters of them had <br />unsatisfactory knowledge related abortion. Less than one fifth of teenagers married women <br />done practices after abortion. All teenagers married women (100%) need health education <br />about sexual rehabilitation after abortion, health education about medications after abortion. <br />Recommendations: Providing sufficient education for teenage married women's after abortion <br />to enhance their knowledge regarding abortion. Replication of the study on a larger sample and <br />in different geographical areas in Egypt is recommended for generalization of findingshttps://ejhc.journals.ekb.eg/article_237307_4d1012d06f9cda4e235efc8a128fff06.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Assessment of Nurses' Performance Related to Neonatal Pain in Different Nursing Procedures95696923731610.21608/ejhc.2022.237316ENImanIbrahim Abd El-MoniemDepartment of Pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.FatmaMohamed MohamedDepartment of Pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.NourhanMohamed Abd El-MoniemDepartment of Pediatric Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220515Background: neonates at greatest risk of neurodevelopmental impairment as a result <br />of preterm birth and they most likely to be exposed to the greatest number of painful stimuli <br />in the NICU. Aim: The study aims to assess nurses performance related to neonatal pain in <br />different nursing procedures. Design: A descriptive analytical study. Sampling: A purposive <br />sample comprised of all nurses (100) working at NICU. Setting: This study was conducted <br />at NICU at Benha Children Hospital affiliated to Specialized Medical Centers. Tools of data <br />collection: included 2 tools; predesigned questionnaire sheet to assess nurses performance <br />regarding pain management and observational checklist that include 20 practices that the <br />nurse can perform as non pharmacological pain management. Results: This study revealed <br />that the mean age of studied nurses was 32.12± 1.56, and majority of them had mild <br />knowledge about pain management and majority of them had incompetent practices <br />regarding non pharmacological pain management. Conclusion: The current study concluded <br />that The majority of nurses has lack of knowledge and practice regarding pain management <br />in NCUs. Generally, there was a limited use by nurses to relieve neonatal pain. But, Gentle <br />skin to skin touch and modification of environment were the most common non <br />pharmacological measures they already know and actually done Recommendations: The <br />study recommended that periodical in service training programs for nurses working in <br />NICUs about neonatal pain management should be conducted to improve their knowledge <br />and practices in the area, guidelines for neonatal pain management should be followed. So, <br />Pain flow sheet should be included in the neonate's nursing documentation.https://ejhc.journals.ekb.eg/article_237316_66136f690a284f0b2a68520d400f35a9.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Nurses' Performance Regarding the Application of Preventive Measures of Hepatitis C virus Infection among Children Undergoing Hemodialysis97097923731710.21608/ejhc.2022.237317ENWafaaAhmed MohamedB.Sc. (2008), Faculty of Nursing, El minia UniversityRandaMohamed AdlyProfessor of pediatric Nursing- Faculty of nursing, Ain shams University-Cairo-Egypt.SafaaAbdel Fattah AbouZedAssistant Professor of pediatric Nursing- Faculty of nursing, Ain shams University-Cairo-Egypt.Journal Article20220515Background:Hemodialysis, widely used in the clinic, is an effective means for the treatment <br />of end-stage renal disease and prolongs lives of child with uremia. However, due to the long-term <br />blood transfusion therapy, the lower resistances of the body, as well as cross-iatrogenic infection <br />children undergoing hemodialysis were highly vulnerable to viral hepatitis infection. Aim of the <br />study was to assess nurses' performance regarding the application of preventive measures of <br />hepatitis C virus infection among children undergoing hemodialysis. Research design: A <br />descriptive exploratory design was utilized in this study. Settings: This study was conducted at <br />hemodialysis unit in Beni– Suef hospital and Elwasta – Central Hospital. Subject: A convenient <br />sample of all available nurses working at hemodialysis units who provide direct pediatric care and <br />willing to participate in the study. The sample was composed of 55 nurses (50 female &5 male). <br />Tools of data collection: The study tools were included: (1) Pre designed questionnaire sheet which <br />included two parts. The first part to assess characteristics of the studied nurses, second part to assess <br />nurses' knowledge regarding hepatitis C Virus infection in children undergoing hemodialysis (2): <br />Observational check lists to assess the studied nurses' practices regarding prevention of hepatitis C <br />Virus at hemodialysis units. Results: More than half of the studied nurses their ages ranged from <br />30-<35years almost, one third of them had diploma nurse and one third of them had 10-< 15 years <br />of experience, there is a statistically significant relation between the studied nurses' characteristics <br />and their total level of practices regarding preventive measures of HCV undergoing hemodialysis, <br />there is positive correlation between the studied nurses' total level of knowledge and their total level <br />of practices regarding preventive measures of hepatitis C Virus undergoing hemodialysis. <br />Conclusion: More than half of the studied nurses had good level of knowledge regarding <br />preventive measures of hepatitis C Virus infection among children undergoing hemodialysis while, <br />minority of them had poor level of knowledge. Also, it was found that, less than half of the studied <br />nurses had competent level of practices regarding preventive measures of hepatitis C Virus <br />undergoing hemodialysis. Recommendation: Continuous nursing educational intervention and in- <br />service training programs on dialysis units should be well implemented to upgrade the knowledge <br />and skills of practicing nurses regarding preventive measures of hepatitis C Virus undergoing <br />hemodialysis.https://ejhc.journals.ekb.eg/article_237317_9249634cc116fe965843518ffdd3c4ec.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Mother’s Misusing of Antibiotics for their Preschool Children98099123731810.21608/ejhc.2022.237318ENWalaaAbdelsamea MahmoudDepartment of Community Health Nursing Department, Faculty of Nursing Ain Shams University- Cairo-Egypt.SehamGuirguis Ragheb,Department of Community Health Nursing Department, Faculty of Nursing Ain Shams University- Cairo-Egypt.ShimaaFathy MikyDepartment of Community Health Nursing Department, Faculty of Nursing Ain Shams University- Cairo-Egypt.Journal Article20220515Background: Misusing of antibiotics is a vital societal health problem. The preschool <br />children are the possibility of receiving unnecessary antibiotics for any infections, parent's <br />misconceptions about antibiotic usage and resistance persist, considered the crucial <br />community issues that threaten the preschool children. Aims: the aim of this study was to <br />assess mother’s misusing of antibiotics for their preschool children. Design: descriptive <br />design was used to this study. Setting: the study was conducted at Pediatric outpatient clinic <br />affiliated to medical health Center at Qalyub Station. Sample: a purposive sample of 100 <br />mothers attending at pediatric clinics with their preschool children free from chronic <br />diseases. Tools: two tools were used for data collection, first tool structured interviewing <br />questionnaire divided into three parts, socio-demographic data of mothers and children, <br />knowledge regarding antibiotic misusing and reported mother’s practices related to misuses <br />of antibiotics to their children , second tool to assess mother’s attitude related to misuses of <br />antibiotics. Results: the mean age of the studied mother’s was 27.3 ± 5.28 years, More than <br />half of the studied mothers had unsatisfactory level of knowledge regarding using/misuse of <br />antibiotics, More than half of the studied mothers had good practice score and More than half <br />of the studied mothers had positive attitude towards misuse of antibiotics. Conclusion: <br />statistically significant relation between mother’s socio demographic characteristics and their <br />knowledge about misusing of antibiotics, no relation between knowledge levels and practice <br />levels among mothers ,no relation between practice levels and attitude levels among mothers. <br />Recommendations: health education program should be developed for increasing awareness <br />of mothers about improve their knowledge and practice towards the safe use of antibiotics.https://ejhc.journals.ekb.eg/article_237318_66c84e65f2ce4cda56f1bfbf050af1e2.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Iliotibial Band Friction Syndrome: Effect of Home Exercises on Patients` Clinical and Functional Outcomes992100023761610.21608/ejhc.2022.237616ENRashaAli Ahmed AbdelmowlaAssistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, EgyptHananAli Ahmed AbdelmowlaLecturer of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, EgyptEmanMawed FahemLecturer of Medical-Surgical Nursing, Faculty of Nursing, Benisuef University, Benisuef, EgyptJournal Article20220516<strong>Background:</strong> Iliotibial band friction syndrome is a common injury of lateral outer aspect of knee particularly in active people. <strong>Aim:</strong> Examined the effect of home exercises on clinical and functional outcomes of patients with iliotibial band friction syndrome. <strong>Patients and methods:</strong> Research design: Randomized controlled trial which is a true experimental design where patients are randomly allocated to groups. Sample and setting:<strong> </strong>Sixty-two adult patients with iliotibial band friction syndrome for more than 2 weeks attended to orthopedic department and orthopedic outpatients clinic at Assiut University hospitals. A computer based selection program was used to assign patients randomly into 2 equal groups (exercises group n=31) and (control group n=31) with ratio 1:1 assignment. Exercises group participated in home exercises (educational brochure) for stretching iliotibial band and strengthening hip abductors; while control group did not. Patients followed up for 8 weeks. Tools: patients assessment sheet, numeric pain rating scale, lower extremity functional scale and training schedule for exercises group patients (logbook). <strong>Results:</strong> Pain level of exercises group significantly decreased in intermediate (p. value 0.04) and final measurements (p. value 0.001) than control group. The mean scores of lower extremity functional scale for exercises group increased significantly in intermediate (p. value 0.02) and final measurements (p. value < 0.001) than control group < strong>. Conclusion: Home exercises for stretching iliotibial band and strengthening of hip abductors decreased pain and improved lower extremity function.<strong> Recommendation:</strong> Home exercises educational brochure have to be used by rehabilitation nurses as a guide in rehabilitation of patients with iliotibial band friction syndrome.https://ejhc.journals.ekb.eg/article_237616_cefc06c431f5f63102f306eb75bee27d.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Abortion on Health Status of Teenagers Married Women in Rural area1001101323761810.21608/ejhc.2022.237618ENEmanHussien MohamedB.Sc. Faculty of NursingNahlaAhamed Abd El-AzizeProfessor of Community Health Nursing, Faculty of Nursing- Ain Shams UniversityMervatMohamed HassanLecturer of Community Health Nursing, Faculty of Nursing- Ain Shams UniversityJournal Article20220516<strong>Background</strong>: Abortion is a major side effect of teenager's pregnancy . <strong>Aim</strong>: Assess effect of abortion on health status of teenage married women in rural area. <strong>Research Design</strong>: Descriptive exploratory Design was used. <strong>Setting</strong>: The study was conducted at Outpatient clinic in obstetric hospitals in Beni Suief governorate. <strong>Sample</strong>: A purposive sample of 132 women. <strong>Tools of data collection</strong>: <strong>Part 1</strong>: -Socio demographic characteristic .<strong> Part 2</strong>: Medical History: (Diseases:, past & current). <strong>Part 3</strong>: Obstetric history. <strong>Part 4</strong>: Knowledge of Teenage women about . <strong>Part5</strong>: Health needs after abortion. <strong>Part 6</strong>: Health problems of Teenage women after abortion . <strong>Results</strong>: the study findings revealed that 77.3% had unsatisfactory knowledge related to abortion, 81, 8% of teenagers married women had unhealthy practice related to abortion, 81.1% of teenagers married women of teenagers married women complain health problems after abortion, <strong>Conclusions</strong>: more than one fifth of teenagers married women had satisfactory level of knowledge related to abortion while more than three quarters of them had unsatisfactory knowledge related abortion. Less than one fifth of teenagers married women done practices after abortion. All teenagers married women (100%) need health education about sexual rehabilitation after abortion, health education about medications after abortion.<strong> Recommendations</strong>: Providing sufficient education for teenage married women's after abortion to enhance their knowledge regarding abortion. Replication of the study on a larger sample and in different geographical areas in Egypt is recommended for generalization of findings https://ejhc.journals.ekb.eg/article_237618_8f6b65b8dd1416847df1c3c9c60f6c0b.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Relationship between Adolescent’s Life Satisfaction and Academic Achievement in Pediatric Nursing Course1014102223762010.21608/ejhc.2022.237620ENAziz,S.B.Sc. Nursing SciencesIbrahim,I.Professor of Pediatric Nursing, Faculty of Nursing Ain Shams UniversityNsr,A.Professor of Pediatric Nursing, Faculty of Nursing Ain Shams UniversityJournal Article20220516<strong>Aim of the Study:</strong><strong> </strong>The study aimed to assess the relationship between adolescent’s life satisfaction and academic achievement in pediatric nursing course. <strong>Research Design:</strong> A descriptive design was utilized<strong>. Setting: </strong>The study conducted at Benha Technical Health Institute. <strong>Sample:</strong> Convenience sample included (300) 2nd year adolescent students who are studying in the previously mentioned setting. <strong>Tools: </strong>(1) A structured interview questionnaire to assess characteristics of pediatric nursing adolescent students and factors that affect their academic achievement, (2) Students’ Life Satisfaction Scale to measure pediatric nursing adolescent students’ life satisfaction and (3) Score of the studied students in pediatric nursing course to measure their academic achievement. <strong>Results:</strong> It was found that, more than three quarters of the studied students their age was less than 20 years old with mean scores (19.4±0.6) and three-quarters of the studied students have unsatisfactory knowledge regarding factors that affect academic achievement and more than half of them mentioned that institute factors affect negatively on their academic achievement in pediatric nursing course. In addition, less than half of the studied students had average life satisfaction, and fifty of them had very good scores regarding pediatric nursing course. <strong>Conclusion:</strong> There was a statistical significant relationship between adolescent’s life satisfaction and their academic achievement in pediatric nursing course.<strong> Recommendation:</strong> The study recommended to encourage the theoretical and practical utility of an assets approach for understanding life satisfaction in early adolescence, clinical instructors must act as positive role models in academia and clinical practice and encourage adolescents' ability to express their feelings help them develop friendships that provide validation, support, intimacy, and companionship.https://ejhc.journals.ekb.eg/article_237620_eafe712e87c949ee91df41c0d56533f2.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Palliative Care Education on Pediatric Nursing Student’s Performance Regarding Care of Children with Cancer: An End of Life Simulation1023103423771110.21608/ejhc.2022.237711ENAmalA. Abd –El SalamAssistance Professor of Pediatric Nursing /Faculty of Nursing/Benha UniversityYasmineA.- Abd EL-FatahLecturer of Pediatric Nursing /Faculty of Nursing / Benha UniversityEsraaGamal MohammedLecturer of Pediatric Nursing /Faculty of Nursing / Benha UniversityJournal Article20220517Background: Palliative care education and experience are essential to student competence in delivering high-quality palliative nursing care. Simulation has been linked to acquire clinical competency among student’s performance during end-of-life simulations. The aim of this study was to evaluate the effect of palliative care education on pediatric nursing student’s performance regarding care of children with cancer: An end-of-life simulation. Study design was quasi-experimental with pre / post-intervention (Study group and Control group) Sample: Systematic random sample of 226 pediatric nursing students from Pediatric Nursing Department. Tool (1): A structured interviewing questionnaire sheet: It included three parts: Part (I): Concerned with personal characteristics of the studied students. Part (II): Pediatric nursing student's knowledge. Part (III): Palliative care knowledge quiz examination. Tool (2): Likert scale: Attitude of pediatric nursing students toward palliative care for children with cancer. Tool (3): An observational checklists: used to assess student's practices regarding care of children in end life stage. Tool (4): Acceptability Scale for student nurse palliative care simulation. Result: There are a highly statistically significant difference (P-value <0.001) between study and control group at the pre/post implementation of palliative education concerning their total knowledge, attitude and practice score. Conclusion: It concluded that implementation of palliative care education is a highly effective method to improve pediatric nursing student’s knowledge, attitude and practice. Recommendations: Application of standardized simulation concerning palliative care for children with chronic disease for more reality situation and improvement students' quality of palliative care.https://ejhc.journals.ekb.eg/article_237711_20d135589e828640af60edc503f7bb13.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Relationship between Parenting Styles as perceived by adolescents and their Behavioral Problems1044105623771210.21608/ejhc.2022.237712ENAtaaFathi Amin MoustafaTeacher at Secondary Nursing School at Sharkia governorate.AfafMohammed FahmyAssis. Prof. of Psychiatric / Mental Health Nursing Faculty of Nursing, Ain Shams University.FatmaAta Abd El-SalihenAssis. Prof. of Psychiatric / Mental Health Nursing Faculty of Nursing, Ain Shams UniversityJournal Article20220517Background: The term adolescence means ‘growing mature by developing’ and refers to the <br />transition period from childhood to adulthood. The adolescent has certain expectations from the <br />family, self and society. Adolescent’s failure to meet these expectations or adopt to these changes <br />leads to negative behavioral problems. Aim of the study was to assess the relationship between <br />parenting style as perceived by adolescents and their behavioral problems. A descriptive <br />corelational design was used to achieve the aim of this study. Setting: Five Preparatory schools at <br />Kafr Sakr city in El- Sharkia Governorate, which are affiliated to the Ministry of Education. <br />Subject: Simple random sampling of 260 students were selected. Tools of data collection: Two <br />tools were used; the first tool was used to assess perceived parenting styles. The second tool was <br />used to assess behavioral problems among adolescents. Results: There was highly significant <br />negative correlation between parents’ total parenting style pattern and behavioral problems among <br />students. Conclusion: The most commonly perceived parenting styles were acceptance, tolerance, <br />equilibrium, caring and equality were negatively correlated with harassment, rebellion and <br />disobedience, lying, aggression, stealing and truancy. Recommendations: Health education <br />programs for teachers and parents about importance of this period, health risk behaviors and their <br />predictors.https://ejhc.journals.ekb.eg/article_237712_94d9ccd1159eb7a19d7cd5efb518fbf6.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Mother’s Awareness about Zero Dose of Hepatitis B Vaccination for their New Born Baby at Birth1057107023771410.21608/ejhc.2022.237714ENKarimaAhmed MetawllyB.Sc. in Nursing, Faculty of Nursing - Ain Shams UniversityHematAbd El Moneem ElsayiedProfessor of Community Health Nursing, Faculty of Nursing - Ain Shams UniversityWafaaKhalil IbrahimLecturer of Community Health Nursing - Faculty of Nursing - Ain Shams UniversityJournal Article20220517Background: Hepatitis B virus (HBV) infection is a potentially life threatening liver infection. It <br />is a major global public health problem and known to cause chronic hepatitis with high risk of mortality <br />resulting from hepatic cirrhosis and cancer. Objective: The study aimed to assess mother’s awareness <br />about zero dose of Hepatitis B vaccination for their new born baby at birth. Study Design: A descriptive <br />research design was used in this study to meet the aim of the study. Setting: The present study was <br />conducted at Maternal and Child Health Center in ElQanater, Qaluia Governorate. The study involved <br />224 mother’s attending the previous setting in child bearing period, infected or free from hepatitis B <br />infection through two days per week Tools for data collection: Two tools were used to collect the <br />necessary data: Tool I: An interviewing Questionnaire included the following parts; Part 1 : Socio- <br />demographic data of the studied mother. Part 2: Mother's knowledge assessment questionnaire the <br />mother’s knowledge about (a) Hepatitis B virus infections, (b) zero dose of Hepatitis B, mothers practices <br />regarding vaccinated against hepatitis. Part 3: Mothers practices regarding screening for Hepatitis B <br />during antenatal period, Tool II: Vaccination examination attitude scale of studied mothers. Results: <br />Based on the results and research question of the present study it can be concluded that; more than half of <br />the studied mothers had average level of knowledge about zero doses vaccination and hepatitis B <br />infection, more than one third of them had good knowledge. While, less than quarter of them had poor <br />level of knowledge. Also, it was found that there was more than half of the studied mothers had negative <br />attitude regarding zero dose of hepatitis B virus vaccination. While, less than half of them had positive <br />attitude. Conclusion: The study showed that, there was highly significant positive correlation between <br />total mother`s knowledge about zero dose of hepatitis B virus infections and their practice. While there <br />was significant positive correlation between total mother`s knowledge and their attitude. Also there was <br />significant positive correlation between total mother`s practice and their attitude. Recommendation: <br />Emphasizes the need to enhance the public health education efforts to improve hepatitis B knowledge <br />among women in reproductive age. Increase awareness regard the benefits of hepatitis B vaccine, <br />concerns about vaccine safety for newborn were prevalent.https://ejhc.journals.ekb.eg/article_237714_0397688514b6f86ef1bb526f700040dd.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Nurses’ Performance Regarding Hygienic Measures for Bedridden Patients: Suggested Guideline1071108623771510.21608/ejhc.2022.237715ENShimaaMohamed BadryClinical Instructor, Faculty of Nursing, Sohag University, Faculty of Nursing, Ain Shams UniversityManalHussein NasrProfessor of Medical Surgical Nursing, Faculty of Nursing, Ain Shams UniversityDaliaAbdallah AbdelatiefAssistant Professor of Medical Surgical Nursing, Faculty of Nursing, Ain Shams UniversityArzakMohamed KhalifaLecturer of Medical Surgical Nursing, Faculty of Nursing, Ain Shams UniversityJournal Article20220517Background: Bedridden patient is liable to serious life-threatening complications that results<br />in a high morbidity and mortality. Hygienic care measures is very important during initial period to<br />achieve best possible outcome and have good prognosis for the bedridden patients. Nursing istaff<br />imust iunderstand ithe iimmediate and long-term imanagement iof bedridden patients ito iprovide<br />isafe iand icompetent icare ifor ithese ipatients. Aim: This study aimed to assess nurses’<br />performance regarding hygienic measures for bedridden patients. Design : A descriptive<br />exploratory design was utilized for the conduction of this study. Setting : the study was carried in<br />internal medical and orthopedic units at Sohag Educational Hospital, which is affiliated to the<br />general organization of the Ministry of Health and Population. Study sample: A convenience<br />sample of all the available staff nurses (50) who working in the internal medical and orthopedic<br />units. Tools: three tools; ' knowledge administered questionnaire, nurses’ practice observational<br />checklist and nurses' attitude questionnaire. Results: the results of this study showed that, 76% of<br />the studied nurses had unsatisfactory total level of knowledge, 82% of studied subjects had<br />unsatisfactory total level of practice and 54% had negative attitude regarding hygienic measures for<br />bedridden patients. Conclusion: The current study concluded that, the studied nurses had<br />unsatisfactory level of knowledge, practice and atitude among nurses under study. Also, there is<br />statistically significance difference relation between nurses' knowledge, practice, attitude and their<br />demographic characteristics. In addition to, there was a significant strong positive correlation<br />between total knowledge and practice of the study nurses and there was positive correlation between<br />total knowledge and total attitude and also between total practice and total attitude.<br />Recommendations: On-going and regular in-service educational programs regarding evidence-<br />based guidelines have to include the care of bedridden patients with the hygienic measures.https://ejhc.journals.ekb.eg/article_237715_ed28314928ba7562defee22b93fa8ae3.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Sexual Counseling Based on Better Model on Sexual Function of Pregnant Women1087110223811310.21608/ejhc.2022.238113ENShaimaaFouad MohammedWoman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, EgyptEl-ShaimaaEl-AnsaryWoman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, EgyptJournal Article20220518Background: Pregnancy is one of the important factors affecting sexual function. Female <br />sexual dysfunction is an important public health issue. Aim: This study aimed to assess the effect of <br />sexual counseling based on BETTER model on sexual function of pregnant women. Design: A <br />quasi-experimental design was used in this study. Setting: This study was carried out at the <br />antenatal outpatient clinics of Mansoura University Hospitals, Egypt. Study subjects: A non- <br />probability purposive sample of 80 pregnant women was assigned either to the control group who <br />received routine antenatal care or the intervention group who received sexual counseling based on <br />the BETTER model (n=40 per group). Tools: Two tools were used, a structured interview schedule <br />to cover data related to women's general characteristics & obstetric history and the FSFI to assess <br />the sexual function of pregnant women. Results: The present study results showed that there was a <br />highly statistically significant increase in total female sexual function index score at post- <br />intervention and follow-up evaluation in the intervention compared to the control group (p < 0.001). <br />There was a significant association between the sexual function of the pregnant women and their <br />age & educational level in both groups post-intervention (p < 0.05), there was a statistically <br />significant association between the sexual function and gestational age & parity in both groups (p <br /><0.05). Conclusion: The current study hypothesis was accepted where sexual counseling based on <br />BETTER model was effective in increasing pregnant women's sexual function at post-intervention <br />and follow-up evaluation in the intervention group compared to the control group. <br />Recommendation: The current study recommended adopting the BETTER sexual model of <br />counseling for the management of sexual dysfunction of women in maternity hospitals.https://ejhc.journals.ekb.eg/article_238113_a86a429afd08050293c98079f9ff0274.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Evaluation of A Nurse-led Training Program on Administering a Recurrent Large-Volume Cleansing Enema in Hepatic Encephalopathic Patients1103111623855610.21608/ejhc.2022.238556ENMohamedG. ElbqryLecturer of Medical Surgical Nursing, Faculty of Nursing, Suez Canal University, Egypt.BassamSalamaLecturer of Infectious and Endemic Diseases, Faculty of Medicine, Suez Canal University, Egypt.FatmaM. ElmansyLecturer of Medical Surgical Nursing, Faculty of Nursing, Suez Canal University, Egypt.Journal Article20220521<strong>Background:</strong> Hepatic encephalopathy is a reversible condition characterized by neuropsychiatric disturbances due to progressive liver dysfunction that has significant morbidity and mortality rates. Administering a recurrent large-volume cleansing enema is one of the main effective collaborative care treatments that can reduce hospital stays. <strong>Aim:</strong> This study aimed to evaluate the effectiveness of a nurse-led training program on administering a recurrent large-volume cleansing enema in hepatic encephalopathic patients. <strong>Methods:</strong> A quasi-experimental design (pretest, posttest, and follow-up) was used in this study. <strong>Setting:</strong> The study was conducted at two intensive care units (hepatic and intermediate) affiliated with the Suez Canal University Hospital. <strong>Participants: </strong>A convenient sample of sixty-one nurses were recruited from the selected units. <strong>Data collection tools: </strong>Two tools were used to collect the data. The interviewing questionnaire assessed nurses’ knowledge and the observational checklist assessed nurses’ practice regarding the administering a recurrent large-volume cleansing enema and the assessment of consciousness. <strong>Results:</strong> There was an improvement in nurses’ level of knowledge following the program. The satisfactory level of knowledge differed significantly at the pre-program (11.4%), post-program (93.4%), and follow-up (83.6%) phases. In addition, the satisfactory level of practice differed significantly at the pre-program (25.6%), post-program (99.1%) and follow-up (92.2%) phases. The total level of knowledge and practice scores also significantly positively correlated across the study phases. <strong>Conclusion:</strong> The nurse-led training program significantly enhanced the nurses’ knowledge and practice scores regarding the administering a recurrent large-volume cleansing enema. <strong>Recommendation:</strong> Considering the current findings, several recommendations may be put forth. First, it is necessary to implement nurse-led training programs in a wider setting at hospitals to promote the efficacy of nursing care. Hepatic care units must also be provided with more Arabic copies of training programs to supply nurses with an understandable guide.https://ejhc.journals.ekb.eg/article_238556_f9af3a5538995270d36c1761fe2ec362.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Social Support and Childhood Maltreatment among Patients with Schizophrenia at El-Azazi Hospital for Mental Health1117113423856110.21608/ejhc.2022.238561ENManalMohamed ElKayalAssistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Zagazig UniversityHanemAhmed AbdElkhalek AhmedAssistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Zagazig UniversitySafaaMohamed MetwallyAssistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Zagazig UniversityJournal Article20220522<strong>Background</strong>: Schizophrenia is a complex psychiatric illness, representing the eighth leading cause of disability among patients. The affected persons suffer from marked impairments in social and occupational functions. It represents 7.4% of all disabilities resulted from psychiatric disorders and substance use disorders worldwide.<strong>The aim of the study </strong>was to<strong> </strong>determine the relationship between social support and childhood maltreatment<strong> </strong>among patients with schizophrenia.<strong> Subjects and Methods: Research design</strong><strong>:</strong> A correlational descriptive study design was utilized in this study.<strong> Setting</strong><strong>:</strong> This study was carried out at El-Azazi Hospital for Mental Health in Abo-Hamad City,Sharqia Governorate<strong>. Subjects:</strong> A purposive sample of patients diagnosed with schizophrenia (102) from both genders present at the previously mentioned hospital at the time of the study was recruited. <strong>Tools of data collection</strong>: Four tools were utilized in this study: Socio-demographic data sheet, Positive and Negative Syndrome Scale (PANSS), Childhood Traumatic Questionnaire (CTQ) and The Multidimensional Scale of Perceived Social Support (MSPSS<strong>)</strong>. <strong>Results: </strong>the current study results revealed that the highest percentage of perceived social support among studied patients was from significant others, followed by family and friends. The majority of patients had moderate to severe level of positive symptoms. Emotional neglect was the most prevalent type of childhood maltreatment among the studied patients.Total CTQ was positively correlated with total positive and total psychological symptom scale; however it was negatively correlated with the total negative symptom scale. Total social support was negatively correlated with the total general psychological scale and total CTQ. <strong>Conclusion</strong>: The level of social support was low among studied patients. Social support was negatively correlated with the general psychological scale and CTQ. <strong>Recommendations:</strong> A training program for nurses about the importance of social support to mentally ill patients and their families during difficult times is recommended. https://ejhc.journals.ekb.eg/article_238561_d1a8d7bc71cd2695d3f35137f50a44a8.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Biosychosocial and Educational Needs of Patients with Burn Injuries1135114723910110.21608/ejhc.2022.239101ENHanaaSeliman ZakeriaB.sc. Nursing Science, Faculty of Nursing, Damanhur UniversityKameliaFouad AbdallaProfessor of Medical Surgical Nursing, Faculty of Nursing Ain Shams University-Cairo-Egypt.DinaMohamed MaaroufLecturer of Critical Care Nursing, Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220524Background:Burn injuries are considered worldwide one of the leading causes of injury’ <br />morbidity and mortality. Burn affect patient’s physically, psychologically and socially. Aim: This <br />study aimed to assess biopsychosocial & educational needs of patients with burn injuries Design: A <br />descriptive exploratory study was utilized to conduct the study. Setting: This study was conducted <br />at inpatient burn care unit at Kafr El-Dwwar General Hospital. Sample: A convenience sample of <br />all available adult patients (n=104) from both gender with 2nd and 3rd degree burns, Tools: four tools <br />used to collect data 1: Patients interview questionnaire. II: physical needs assessment sheet. III: <br />Psychological needs assessment sheet &.IV: Social needs assessment sheet. Results: the study <br />results showed that, 37.5% of the studied patients their age ranged between 20-<30, 71.2% of them <br />had unsatisfactory level of knowledge, 68.3 % of the them had high total physical need level, 69.2% <br />of them had high total psychological need level & 72% of them had high total social need level. <br />Also, there was highly significant correlation between the studied patients’ total knowledge level <br />and their physical, psychological and social needs levels at p value <0.01**.Conclusion: Based on <br />findings of the current study, it can be concluded that: Less than three quarters of the studied sample <br />had got total unsatisfactory level of knowledge regarding burn injury and its management which <br />reflecting their high educational need level. Also, more than two thirds of them had high total <br />physical & psychological needs levels and less than three quarters of them had high total social need <br />level. Additionally, there were highly significant correlation between patients’ total physical, <br />psychological and social needs levels. Also, there were highly significant correlation between <br />patients’ knowledge total need level and their physical, psychological and social total needs levels. <br />Recommendation: Based on the results of the current research, Future research study should be <br />done to implement and investigate the effect of the suggested program based on the studied <br />biopsychosocial needs of patients with burn injuries on decreasing the incidence of morbidity & <br />mortality among such group of patients.https://ejhc.journals.ekb.eg/article_239101_743adc6905b87c6e7e3bd6d079b8035a.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Cryotherapy on Recovery Outcomes among Patients Undergoing Surgical Rhinoplasty1148116923910210.21608/ejhc.2022.239102ENEmanS. Salah El-DinB.Sc. Nursing Sciences Faculty of Nursing, Menoufia UniversitySamahM. Abd El-GhaffarProfessor of Medical Surgical Nursing Faculty of Nursing, Menoufia UniversityMohammedA. MegahedProfessor of Plastic and burn surgery Faculty of Medicine, Menoufia UniversityOmimaSaid M. H. ShehataAssistant Professor of Medical Surgical Nursing Faculty of Nursing, Menoufia UniversityJournal Article20220524Background: Surgical rhinoplasty has many complications such as intraoperative <br />bleeding, eyelid edema and ecchymosis, Post-operative pain and theses complication can lead to Post- <br />surgical rhinoplasty dissatisfaction syndrome. Purpose: to examine the effect of cryotherapy on <br />recovery outcomes among patients undergoing surgical rhinoplasty. Design: A quasi experimental research <br />design was utilized. Setting: The study was conducted in the Plastic and Burn Surgery Department at <br />Menoufia University Hospital (Emergency Hospital), Menoufia governorate, Egypt. Sample: A <br />consecutive sample of 60 adult patients of both sexes who undergoing surgical rhinoplasty and <br />fulfills the inclusion criteria was selected and assigned randomly into study and control group, 30 <br />patients for each. Instruments of the study: five instruments were utilized in data collection; 1) A <br />Structured Interviewing Questionnaire, 2) Intra-operative surgical field bleeding grading scale, 3) <br />Visual Analogue Pain Scale, 4) The modifified “Surgeon Periorbital Rating of Edema and <br />Ecchymosis” questionnaire, 5) The Short Assessment of Patient Satisfaction. Results: The findings <br />revealed that the study group achieved statistically significant improvement than control group <br />regarding all the recovery outcomes after implementation of cryotherapy. Conclusion: <br />Implementing the cryotherapy as perioperative nursing intervention among patients undergoing <br />surgical rhinoplasty is effective as it reduces the intraoperative bleeding, reduces the postoperative <br />pain, reduces the postoperative periorbital edema and ecchymosis as well as has a significant <br />improvement of patient's satisfaction.https://ejhc.journals.ekb.eg/article_239102_1a56d79593b2fb535a0172dd34cc630f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Health Awareness Regarding Occupational Hazards among Workers in Sewage Treatment Plant1170117923910310.21608/ejhc.2022.239103ENEmanH. MohammedB.Sc., in Nursing Sciences, 2011HananIbrahim AhmedProfessor of Nursing Community, Faculty of Nursing, Ain Shams University-Cairo-Egypt.OmaimaMohamed EsmatProfessor of Nursing Community, Faculty of Nursing, Ain Shams University-Cairo-Egypt.MonaAbo Bakr Abd El LatefAssistant Professor of Nursing Community, Faculty of Nursing, Ain Shams UniversityJournal Article20220524Background: Sewage treatment plants are associated with various health hazards. Aim: this <br />study aimed to assess health awareness regarding occupational hazards among workers in sewage <br />treatment plant. Research design: descriptive research design was used. Setting: the study was <br />conducted at the Belqas Sewage Treatment Plant in Shoubra District. Sampling: a convenience <br />sample was used and 100 workers were included in the study. Tools of data collection: two tools <br />were used, first tool: a structured interviewing questionnaire about socio-demographic <br />characteristic, previous medical and surgical history, health status of workers and knowledge of <br />workers about work environment, occupational hazards, methods of prevention and first aid. <br />Second tool: performance sheet about safety measures and first aid. Result: revealed that 89% of <br />workers had total poor level of knowledge, 3% of them had good level of knowledge and 8%of <br />them had average level of knowledge . Also,90% of workers had total unsatisfactory performance. <br />Conclusion: there was a strong statistically significant relation between the total knowledge score <br />and the total performance score (P<0.005**). Recommendations: regular implementation of health <br />education &training programs for workers about environmental safety, health hazards and problems <br />related to sewage treatment plant and first aid. Proper use and maintenance of personal protective <br />equipment.https://ejhc.journals.ekb.eg/article_239103_55dfbf63803b576784c2e96386d8a304.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Health Education On Mothers’ Knowledge and Practices of Children Under-Five-Year Regarding Immunization in Rural Area1180120123936410.21608/ejhc.2022.239364ENHalaHassan Saied KhalilAssistant Prof. of Community Health Nursing, Faculty of Nursing Fayoum University,WafaaHassan AlseratyProfessor of Pediatric Nursing at faculty of nursing, Tanta University, Egypt and currently at Dawadmi Applied Medical Science College, Shaqra University, KSANadiaAhmed El-adhamAssistant Prof. of Community Health Nursing, Faculty of Nursing Fayoum University,Journal Article20220525<strong>Background:</strong> Immunization is when a child is made immune or resistant to an infectious disease by administering a vaccine. These vaccines help to stimulate the body's immune system to protect the children against subsequent diseases. This study aims to evaluates effect of health education for Mothers’ of Children Under-Five-Year regarding Immunization in Rural Area. <strong>Design</strong>: The quasi-experimental test design was employed<strong>. Sample</strong>: A purposive sample included 70 mothers had children with age under five years and more attended the routine immunization. <strong>S</strong><strong>etting</strong>: The research was carried out at the Sanors district of El-Fayoum City's Maternal–Child Health Centers (MCH) (rural area).<strong> Two tools for data collection:</strong><strong> </strong><strong>Tool I</strong> Demographic structured interview sheet<strong> Tool 11</strong>: Mother knowledge and practices about immunization of children under five years (pre-post format). <strong>Results: </strong>the mother’s knowledge and practices increased after applying health education, Post-health education mothers had 75.7% good experience than (28.6%) pre-health education for mothers. In addition, found significant between pre-health education and post for reported immunization practices. <strong>Conclusion</strong>: The study found that mothers' knowledge and practices improved more in the post-health education than in the pre- health education phase, with a statistically significant difference. <strong>Recommendations</strong>: In MCH center, mothers should be provided with health information and immunization booklets that the benefits of immunization, side effects, home care, obligate vaccination plans, and a non-obligatory vaccine schedule.https://ejhc.journals.ekb.eg/article_239364_d6e42a5d0ac830a39a5a3a208279737e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Factors Affecting Successful In Vitro Fertilization Process1202121224071110.21608/ejhc.2022.240711ENWalaaF. Abd-ElhadyB.Sc.in Nursing (2014-2015)MonaEl SheikhProfessor of Maternity & Gynecological Nursing-Cairo-Egypt. Faculty of Nursing, Ain Shams University-Cairo-Egypt.AmiraM. AttyaLecturer of Maternity & Gynecological Nursing-Cairo-Egypt. Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220601Back ground: infertility poses a substantial public health problem for women of reproductive age, <br />globally. Infertility can be overcome with a variety of emerging assisted reproductive technologies <br />(ARTs). Aim: The aim of this study was to assess the factors affecting Successful in Vitro <br />Fertilization Process. Design: Descriptive study was used in this study. Sample All women admitted <br />to IVF process unit at maternity hospital in last two years 500 women and took 125 women in six months. <br />Setting: This study was conducted in the in vitro fertilization unit at Ain Shams University <br />Maternity Hospital. Data collection: include: 4 Tools:tool1 Structured interviewing questionnaire; <br />Tool2 infertility factors assessment sheets,Tool3 State trait anxiety inventory scale Tool4 likert <br />scale assessment sheet of attitude of couple. . Results This study showed that there was statistical <br />significant relation between the two study groups regarding factors affecting successful IVF process <br />(Age), while there was highly statistical significant relation between the two study groups regarding <br />their income and BMI. The study revealed that there was no statistical significant relation between <br />the two study groups regarding factors affecting successful IVF process regarding attitude, anxiety, <br />medical, gynecological, obstetric and environmental factors. Conclusion: the current study <br />concluded that there was a statistically significant relation between the two study groups regarding <br />their( age ,income, BMI)as the factors affecting successful IVF process. Furthermore, more than <br />half of the unsuccessful group had moderate anxiety level, and uncertain attitude regard IVF process. <br />Recommendations: Increase awareness of newly married couples about reproductive health. <br />Design an education program about the IVF process and study its effect on women’s anxiety levels.https://ejhc.journals.ekb.eg/article_240711_0827ed2eb4bcce5aec9dd4a9608489ee.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Factors Affecting Hydration Status among Critically Ill Patients1213122524085410.21608/ejhc.2022.240854ENSamarSamir AfifiClinical Instructor at Faculty of Nursing, Modern University for Technology and InformationOlaAbd Elaty AhmedProfessor of Medical-Surgical Nursing, Ain Shams University-Cairo-EgyptAsmaaAbd Elrahman Abd ElrahmanAssistant Professor of Medical Surgical Nursing, Ain Shams University-Cairo-Egypt.ShimaaNabil Abd ElsalamAssistant Professor of Medical Surgical Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220601Background: Hydration is a complex physiological condition that includes total body <br />water, its distribution, and the concentration of the major electrolytes. Hydration status is <br />linked with health, wellness, and performance, it can be evaluated by water intake and urine <br />output. Aim of study: (1): Assess critically ill patient's hydration status (2): Assess the <br />factors affecting hydration status among critically ill patient. Research design: A descriptive <br />exploratory research design was utilized. Subjects: A convenient samples of 100 patients <br />were included in the current study. Setting: This study was carried out at the Intensive Care <br />Units of Elzaitoun specialized Hospitals. Tools of data collection: (1): Patient’s hydration <br />status physical assessment tool, (2): Factors affecting hydration status of critically ill <br />patient’s assessment tool. Results: revealed that half (51%) of the studied patients suffering <br />from fluid volume deficit (dehydration), and one third (33%) of the patients had fluid volume <br />excess (overhydration) and less than one fifth (16%) of the studied patients were euhydrated. <br />There is a significant relation between patient’s hydration status and age, history of ischemic <br />heart disease, vital signs, conscious level, cumulative fluid balance, diuretics, betablockers, <br />anticonverting enzyme (ACEI) medications at p. value < 0.001. Conclusion: It can be <br />concluded that there were many factors affecting patients' hydration status such as: antibiotic, <br />antacid, calcium channel blockers, beta blockers, diuretic medications, level of <br />consciousness, respiratory infection, smoking, overweight, vomiting, fever, and impaired <br />skin integrity Recommendation: Future studies are recommended to evaluate patients’ <br />hydration status and factors affecting hydration among critically ill patients and regular <br />follow up for all patients with hydration alterations to evaluate their health conditions and to <br />detect complications early.https://ejhc.journals.ekb.eg/article_240854_3495925c0a91d803d7295b8d0323d18e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601The Relationship between Quality of Work Life and Organizational Citizenship Behavior among Staff Nurses1226123924085710.21608/ejhc.2022.240857ENSallyRamadan OsmanB.Sc Nursing, Faculty of Nursing-Ain Shams University-Cairo-egypt.HebaAli OmarAssistant Professor of Nursing Administration -Faculty of Nursing-Ain Shams University-Cairo-egypt.SamahMohammed ElsayedAssistant Professor of Nursing Administration -Faculty of Nursing-Ain Shams University-Cairo-egypt.Journal Article20220601Background: quality of working life as the greater context for various factors in the <br />workplace, such as job satisfaction and citizenship behavior, may offer opportunity for more <br />cost-effective interventions in the workplace. Aim: This study aimed to identifying the <br />relationship between quality of work life and organizational citizenship behavior among staff <br />nurses. Research design: A descriptive correlational design was used to carry out this study. <br />Setting: The study was conducted at Bahteem Central Hospital. Subjects: A convenience <br />sampling technique of all available (90) staff nurses. Tools: Data were collected by using <br />Quality of nursing work life questionnaire and organizational citizenship behavior scale. <br />Results: the study result demonstrated that, two third (66.75) of staff nurses had high <br />perception level toward quality of work life. While one third (33.25%) of staff nurses had <br />low perception level regarding quality of work life. While that slightly less than two third <br />(62%) of staff nurses had high agreement level regarding Organizational citizenship behavior. <br />Conclusion:T here were statistically significant positive correlations between quality of <br />work life and organizational citizenship Behaviors among staff nurses. Recommendations: <br />Provide orientation for newly staff regarding rules, regulations and policies of hospital. <br />Investigating the relationship between workplace deviance behaviors and quality of work life.https://ejhc.journals.ekb.eg/article_240857_eac0d586b73f5eb28bfa9d15885b2558.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Psychosocial Adjustment of School Age Children with Type I Diabetes Mellitus1240125724086010.21608/ejhc.2022.240860ENRahmaMagdy MohamedPsychiatric Mental Health Nursing Department, Faculty of Nursing, Ain Shams University- Cairo-EgyptRaniaAbdel Hamid ZakiPsychiatric Mental Health Nursing Department, Faculty of Nursing, Ain Shams University- Cairo-EgyptShimaaSaied AdamPsychiatric Mental Health Nursing Department, Faculty of Nursing, Ain Shams University- Cairo-EgyptJournal Article20220601Background: Children with type 1 diabetes mellitus need to form psychosocial <br />adjustment in order to deal with the complex and demanding daily treatment regime and to <br />prevent overwhelming psychological problems, for the diabetic children the diagnosis of <br />T1DM is usually accompanied by a mild psychological crisis, these crises are usually <br />predictors of a subsequent anxiety and/or depression event, and a lower self-esteem. Aim: To <br />assess the psychosocial adjustment of school age children with type I of diabetes mellitus. <br />Methods: A descriptive study design was used at pediatric hospital affiliated to Ain Shams <br />University (Out-patient Diabetic Clinic). Sample: A convenient sample of 150 children <br />suffering from type 1 diabetes mellitus from both sex, at age group 6 > 12 years. Tools: First <br />tool: Interviewing questionnaire, Second tool: A semi-structured questionnaire for <br />psychological and social problems of school age children with type1diabetes mellitus and <br />Third tool: Psychosocial Adjustment Pattern scale for School Age Children with <br />type1Diabetes mellitus scale. Results: Findings of the present study showed that more than <br />half of the studied children had satisfactory total level of knowledge compared to less than <br />half of them had unsatisfactory level of knowledge regarding their disease. Moreover, more <br />than half of them suffer from psychological problems compared with more than two fifth of <br />them without psychological problems. Nearly three fifth of them had a moderate level of <br />total adaptation compared to nearly one quarter of them had a high level of total adaptation. <br />Conclusion: the study concluded that most of the studied school age children suffered from <br />psychological problems related to type 1of diabetes mellitus ,the study also revealed that all <br />the studied children had social issues due to type 1 of diabetes mellitus, there was positive <br />correlation between children's psychosocial problems and their total negative & positive <br />adjustment pattern. Recommendations Counseling intervention for school age children at <br />outpatient clinic to illuminate their psychosocial problems regarding diabetes and promote to <br />their psychosocial adjustment regarding their illness.https://ejhc.journals.ekb.eg/article_240860_dafdfe0c7556ac7807a6030074b11e2a.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601The Relationship between COVID-19 associated Social Stigma and Health Seeking Behaviors among Older Adults1258127224134410.21608/ejhc.2022.241344ENRehamMagdy Mohammed Abd ElsalamAssistant Professor Gerontological Nursing, Faculty of Nursing, Alexandria UniversitySamiaEl Husseini Abd El Mageed El KholyAssistant Professor Gerontological Nursing, Faculty of Nursing, Alexandria UniversitySaharMohammed Abd El- Hamid El-SakkarClinical Instructor Community health Nursing, Faculty of Nursing, DamanhurJournal Article20220602Abstract: Some words (e.g., suspect case, isolation...) and languages used in discussions about COVID-19 might have a <br />undesirable connotation for certain people, stimulating stigmatizing attitudes. COVID-19 social stigma can erode social <br />cohesion and lead to older adults' social isolation. It has the potential to deter older individuals from seeking medical help <br />right away and from adopting healthy habits. Aim: Determine the relationship between COVID-19 associated social stigma <br />and health seeking behaviors among older adults. Design: the study followed a descriptive correlational research design. <br />Setting: Farouk hospital outpatient clinics, affiliated to the Ministry of Health, Alexandria Governorate, Egypt. Subjects: <br />Convenience sample of 170 older adults were recruited. Tools: Three tools were used for data collection: 1) Older adults' <br />socio-demographic and health profile structured interview schedule, 2) COVID-19 associated social stigma among older <br />adults structured interview schedule 3) Older adults' health seeking behaviors structured interview schedule. Results: the <br />present study result revealed that the study subjects reported slightly low mean percent score of total COVID-19 associated <br />social stigma, 45.77 ±15.86 with the highest mean percent score of stigmatized attitude towards treatment of COVID-19, <br />55.40 ±14.23. At the same time, the study subjects reported considerable high mean percent score of total health seeking <br />behaviors, 71.73 ±9.22. Conclusion: Despite the present study revealed no statistically significant correlation between <br />total mean percent score of COVID-19 associated social stigma and total mean percent score of health seeking behaviors <br />among older adults, social stigma specifically related to the treatment of COVID-19 was negatively correlated with health <br />seeking behaviors. On the other hand, a significant positive correlation was found between social stigma toward COVID- <br />19 patient and health seeking behaviors. Recommendations: Gerontological nurses should assist older adults in <br />understanding the COVID-19 disease and taking effective and practical steps to protect themselves by seeking medical <br />help. Gerontological nurses should also speak out against negative stereotypes and disseminate accurate information about <br />the disease from credible, official sources.https://ejhc.journals.ekb.eg/article_241344_0868e578027fbe83c8e3d9086e2abe8b.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Structured Educational Package on Primary School Teachers' knowledge and Practice regarding First Aid Management among School Children1273128524209510.21608/ejhc.2022.242095ENHananElsayed Awad NegmLecturer of Community Health Nursing Department, Faculty of Nursing, Port-Said UniversityAfafAbdallah Mohammed MossadAssistant Professor in Community Health Nursing, Faculty of Nursing, Port-Said University. Assistant Professor in Public Health, Faculty of Public Health, Saudi-Electronic University (SEU). KSAAmelAbd Elaziem MohamedAssistant Professor of Community Health Nursing, Faculty of Nursing, Beni- Suef UniversityMarwanAbdulmalik EssaPediatric Resident, Azizia children hospital, Saudi Arabia.AlharethAlsharifPediatric Resident, Aziza children hospital, Saudi Arabia.NagwaMahmoud M SalemAssistant Professor of Community Health Nursing, Faculty of Nursing, Mansoura UniversityJournal Article20220606Children spend the majority of their time at school, where they are exposed to a variety of small injuries, all of which have an impact on their current and future health. Before professional medical assistance is available, first aid is used to treat any accident or illness. The teacher is the most important person who can attend to minor injuries in the classroom by having a thorough understanding of first aid. Aim to evaluate the effect of structured educational package on primary school teachers' knowledge and practice regarding first aid management among school children. Subjects and method: Design: A quasi-experimental research design was utilized to achieve the aim of this study. Setting: the research was conducted in five primary schools in Beni- Suef City. Subjects: By applying the non-probability purposive sampling technique, 200 primary school teachers were selected for the study from the previously selected settings. Tools: A self- administered questionnaire was used in this study; it includes three parts: Primary school teachers' demographic data, primary school teachers' first aids knowledge, and primary school teachers' first aids reported practices. Results: The study results revealed that the mean post-test knowledge score regarding first aid management was significantly higher than that of the mean pretest knowledge score; the mean post-test reported practices score was significantly higher than the mean pretest practical knowledge score. There was a positive correlation (P=0.005) between primary school teachers ' knowledge and their practice scores post- structured educational package implementation regarding first aid management. Conclusion: The study concluded that the first-aid structured educational package implementation for primary school teachers had a positive effect on improving their knowledge and practice. Recommendation: Implementation of the structured educational package is highly recommended for all primary school teachers to improve their first-aid knowledge and reported practices. Further research should be conducted to evaluate the impact of such a structured educational package on school health safety and child health.https://ejhc.journals.ekb.eg/article_242095_b07162b2073ce5800687d47784bdff0d.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601The Effect of Dialectical Behavior Therapy - Based Intervention on the Psychological Impacts of Covid-19 among Internship Nursing Students1286130724210510.21608/ejhc.2022.242105ENSafaaDiab Abd El-WahabAssistant Professor of Psychiatric-Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.ShereenRoushdy HashemLecturer of Psychiatric-Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.SafaaIbrahem ShattlaAssistant Professor of Psychiatric-Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.Journal Article20220606Background: Internship nursing student's mental health was typically poor during the epidemic, <br />particularly anxiety, depression, and post-traumatic stress disorders which should be handled with <br />assistance and intervention. This study was aimed to evaluate the effect of Dialectical behavior <br />therapy - based intervention on the psychological impacts of Covid-19 among internship nursing <br />students. Method: A total of 260 Internship Nursing Students (Study group) were received a <br />dialectical behavior therapy intervention session for four weeks. This group was compared with 260 <br />Internship Nursing Students (Control group) without (DBT) intervention sessions. Tool one A <br />structured Interviewing Questionnaire, Tool two: Zung Self-Rating Anxiety Scale, Tool three: Zung <br />Self-Rating Depression Scale, and Tool four: The Impact of Event Scale (IES) were used in this <br />study. This study was carried out at the Faculty of Nursing, Menoufia University. A quasi - <br />experimental research design two groups (Study and control group) was utilized. Results: There <br />were no significant differences in total score of anxiety, depression, and post-traumatic stress <br />subscales between the study and control group before the (DBT) intervention sessions while after <br />the (DBT) intervention sessions the study group's anxiety, depression, and post-traumatic stress total <br />scores were significantly lower than the control group. Conclusion: During the epidemic prevention <br />and control, dialectical behavior therapy can successfully decrease the anxiety, depression, and post- <br />traumatic stress of the Internship Nursing students. Recommendations: DBT therapy may be <br />implemented in the future in school psychological counselling to help college students cope with <br />unpleasant emotions. Furthermore, it can aid in the regulation of emotions and better satisfy the <br />psychological demands of medical and nursing students as well as college psychological <br />counselling development needshttps://ejhc.journals.ekb.eg/article_242105_2e20942b393ceef75b4e0eef2fc6590f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Educational Program on Symptom Burden, Body Image Dissatisfaction and Psychological Distress among Patients with Multiple Myeloma1308132324260910.21608/ejhc.2022.242609ENArzakMohamed KhalifaLecturer of Medical Surgical Nursing, Faculty of Nursing Ain Shams UniversityAsmaaMohamed KhalifaLecturer Psychiatric Nursing and Mental Health Faculty of Nursing Ain Shams UniversitySayedAhmed ElwakeelProfessor of Clinical Psychology Fayoum UniversityJournal Article20220607Background: Multiple myeloma (MM) is incurable plasma cells malignancy <br />characterized by bone destruction, end organ failure and immunodeficiency. Cancer-related <br />fatigue and insomnia are common distressing symptom and affect patient’s mood and <br />psychological status. Aim: This study aimed to evaluate the effect of educational program on <br />symptom burden, body image dissatisfaction and psychological distress among patients with <br />multiple myeloma. Study design: A quasi experimental design was used to achieve the aim of <br />the study. Subject: A purposive sample consisted of 60 patients with multiple myeloma. The <br />patients were divided into two groups study and control groups. Setting: this study was <br />conducted at hematology outpatient clinic at Ain Shams university hospital. Data collection <br />tools: 1) Patient's demographic characteristics tool, 2) Patient's clinical data tool, 3) knowledge <br />assessment questionnaire, 4) Symptom burden assessment tool, 5) body image assessment scale <br />and 5) psychological distress assessment tool. Results: there were no statistically significant <br />difference (P>0.05) between study and control groups regarding pain, fatigue, insomnia, body <br />image dissatisfaction, anxiety and depression before the educational program implementation. <br />While, there were statistically significant differences (P<0.001) between them post and follow <br />implementation of educational program. Conclusion: Implementation of educational program <br />has statistically significant positive effect on symptom burden, body image dissatisfaction and <br />psychological distress among patients with multiple myeloma Recommendations: Further <br />researches are recommended regarding symptoms management among patients with multiple <br />myeloma to evaluate its effect on patients' outcomes.https://ejhc.journals.ekb.eg/article_242609_9dd9917bc6dfb0d2ddd90b8f3ba634dd.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Work Environment Problems of Hospital Nurses and its Relation to their Professional Commitment1324133924346910.21608/ejhc.2022.243469ENHanaaE. SabraAssistant professor of Nursing Administration Department, Faculty of Nursing, South Valley University, Quena, EgyptOmimaM. Abd ElzaherLecturer of Community Health Nursing Department, Faculty of Nursing, Sohag University, EgyptAsmaa.M AhmedLecturer of Nursing Administration Department, Faculty of Nursing, South Valley University, Quena, EgyptJournal Article20220612Nursing is an essential component in the functionality of the health system. Nurse's shortage is<br />recognized as worldwide issue. So, understanding the problems that faces them and overcome these<br />problems is crucial in retaining them. Aim: To identify the most important work environment<br />problems (WEPs) of hospital nurses and its relation to their professional commitment. Setting: The<br />study was carried out in ICUs, medical, special medical, surgical, and obstetrics and gynecological<br />units in Qena General Hospital. Subjects: A convenience sample of 245 nurses who worked at the<br />previously mentioned setting. Tools: Three tools were used for data collection; WEPs questionnaire,<br />professional commitment scale and socio demographic characteristics of studied nurses. Results:<br />Showed that the highest mean score in WEPs was related to lack of material and moral incentives<br />(28.89 ± 7.41) while lowest was related to Poor physical environment and support services (11.36 ±<br />3.22).There were a statistically significance negative correlations between work environment<br />problems and professional commitment of hospital nurses. Conclusion: WEPs of hospital nurses<br />have a strong impact on their professional commitment. Recommendations: Improving the image<br />of nursing in the media for the purpose of awareness and to clarify the role of nursing and its<br />importance in the medical field. Nursing managers must provide support for nurses and spread the<br />organizational culture that encourages cooperation, participation and teamwork,https://ejhc.journals.ekb.eg/article_243469_9f9e086d230ffe9773b62982e73f5f70.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Educational Program on Parents' Caring for their Children with Attention Deficit Hyperactivity Disorder1340135724347110.21608/ejhc.2022.243471ENSaharSedky FaheimDepartment of Pediatrics Nursing, Beni-Suef University, Beni-Suef, EgyptSaraSayed AbdallaDepartment of Child and Adolescents Health Nursing, British University,in EgyptDoaaBahig Anwr AklDepartment of Pediatrics Nursing, Aswan University, Tingar, EgyptJournal Article20220612Aim: To evaluate the effect of educational programs on parents caring for their children with <br />attention deficit hyperactivity disorder. Design: A quasi-experimental design was utilized. Setting: <br />The study was conducted at the child psychiatric unit and pediatric outpatient clinics at Beni-Suef <br />University Hospital. Sample: purposive sample 100 of parents and their children from the <br />previously mentioned setting. The following study tools were used (pre/posttests): 1) A structured <br />interviewing questionnaire to assess their knowledge as regards attention deficit hyperactivity <br />disorder. 2) An observational checklist to evaluate studied parents' practices such as hygiene, <br />elimination, nutrition, wearing clothes, control of tantrums, control of hyperactivity, making school <br />tasks, and interacting with friends & classmates. Results: The parents' age ranged between 25 < and <br />30 years with a mean age of 28.44±3.86years and 45%of them had a Secondary degree. There was a <br />highly statistically significant difference (P<0.001), regarding their knowledge and practices before, <br />immediately after, and at follow-up guideline implementation toward children with attention deficit <br />hyperactivity disorder. Conclusion: The present study concluded that the educational guideline had <br />a positive effect on mothers' knowledge and practice regarding neonates and young children with <br />attention deficit hyperactivity disorder. Recommendations: Provide continuous education, training, <br />and early intervention to avoid further complications and handicaps. Further studies should be <br />carried out on a large number of such groups of studies for evidence of the results and <br />generalization.https://ejhc.journals.ekb.eg/article_243471_bd30820ed23808906ace3fdf3b426430.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Nurse Interns' Perception Regarding Patients' Rights and Advocacy1370138124348810.21608/ejhc.2022.243488ENSamarHussein Abdel-FattahNursing Administration DepartmentMonaMostafa ShazlyProfessor of Nursing AdministrationNemaFathi SaadAssist professor of Nursing Administration-Faculty of Nursing -Ain Shams UniversityJournal Article20220612Background: Although respecting patient rights is crucial in the provision of quality <br />care, patient rights and advocacy are often missed in nursing practice. Study aim: to assess <br />the nurse interns' perception regarding patients' rights and advocacy.Research design: <br />Adescriptive design was used. Subjects: study was conducted in the four Ain Shams <br />University Hospitals on 111 nurse interns. Methods: A self-administered questionnaire with <br />2 tools for patient bill of rights and patient advocacy was used in data collection. The <br />fieldwork lasted from February to April 2021. Results: Nurse interns’ age ranged between <br />21 and 27 years, median 23.0 years, with almost equal gender distribution. Overall, 66.7% of <br />the nurse interns had high perception of patient rights, and 80.2% had high perception of <br />patient advocacy rights. A significant positive correlation was found between the scores of <br />perceptions of patient rights and of advocacy (r=0.565). Female gender and awareness of the <br />patient right bill were positive predictors of the patient right perception score, while for the <br />advocacy score, female gender, family size, and previous training were positive predictors <br />and age and night shift work were negative predictors. Conclusion : Nurse interns' <br />perception of patient rights is suboptimal, while their perception of advocacy is higher, and <br />both are positively correlated. Recommendations :Nursing internship program shouid give <br />more emphasis to the area of patient rights and advocacy. The hospital administration should <br />foster staff awareness of patient rights. Further research is proposed to explore the barriers <br />that prevent nurses from advocating patients.<br /> https://ejhc.journals.ekb.eg/article_243488_c0ac9b53f1e3eece8105185dd17f38a6.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Psychoeducational and Rehabilitation Intervention guideline for Late-Life Anxiety and Depression among the Older Adults at Geriatric Home1382139524349110.21608/ejhc.2022.243491ENWafaaOsman Abd El-FatahAssistant Professor of Psychiatric/Mental Health Nursing, Faculty of Nursing Helwan University, EgyptHaithamOsama ElborieLecturer of psychiatric medicine, Faculty of medicine – Helwan University, EgyptOmaimaEzzat MahmoudAssistant Professor of Psychiatric/Mental Health Nursing, Faculty of Nursing Beni-Suef University, EgyptJournal Article20220612The Aim: of the study is to evaluate the effect of psychoeducational and <br />rehabilitation interventions guideline for late-life anxiety and depression among older adults <br />in geriatric homes. Design: a quasi-experimental research design was performed Subject: a <br />convenient sample consisting of 20 Older Adults. Setting: This study was conducted at Om- <br />Kolsom geriatric home in Helwan city, Egypt in May 2021. Tools: for Data analysis include <br />1-Socio-demographic Questionnaire 2- Geriatric Depression Scale 3- Hamilton Anxiety <br />Rating Scale. Results:There is a statistically significant improvement in depression and <br />anxiety symptoms among the elderly who have been studied, and in total depression and <br />anxiety levels in the post-intervention study compared with pre-intervention. Conclusion: <br />At a geriatric home, psychoeducational and rehabilitation interventions guideline are <br />effective in reducing symptoms of depression and anxiety among the elderly. <br />Recommendations: Improving the quality of life for the Older Adults by using stress <br />management techniques such as breathing exercises, mindfulness stress reduction, and <br />relaxation techniques.https://ejhc.journals.ekb.eg/article_243491_5d692d939b39862fa92c13e801194aa4.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Background Alfa Brain Music Waves on Nursing Students’ brain functions’ and Learning Style1396140524351610.21608/ejhc.2022.243516ENAsmaaAhmed Ibrahim MorsyLecturer of Nursing Education, Faculty of Nursing, Alexandria UniversityYasmeen MohamedMohamed ShehataLecturer of Nursing Education, Faculty of Nursing, Alexandria UniversityJournal Article20220613 <strong>Background</strong>: Music is known to have positive effects on humans, enhances learning and aids the healing process. <strong>Aim: </strong>determine the effects of background Alfa brain music on students’ cognition and learning style<strong>. Design:</strong> A quasi experimental research design was used to conduct this study.<strong> Setting</strong>; this study was carried out at Nursing Education Department, Faculty of Nursing- Alexandria University. <strong>Subject</strong>: The subject of this study comprised of 160 nursing students who were registered in “Scientific Thinking course" during the first semester of the academic year (2021-2022). The subjects were assigned randomly into two equal groups; study and control, 80 students for each. <strong>Tools: </strong>two tools were used for data collection; Tool I: Visual, Aural, Reading/Writing and Kinesthetic (VARK) inventory, Tool II: Alert Scale of Cognitive Style. <strong>Results</strong>: It was observed that there were statistically significant differences between study and control groups and within the study group in the favor of study group after the application regarding VARK and brain hemispheres as p=0.001. <strong>Conclusion: </strong>Alfa brain music had positive impact on students' learning as it improves the usage of both brain hemisphere and engaging students with different learning styles. <strong>Recommendation</strong>: it can be recommended that teacher should use Alfa music during lectures and sections with different specialties and try to use other types of music with its specified purpose. https://ejhc.journals.ekb.eg/article_243516_08b28e3c9325c6f996be2dd61615b91f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Relation between Health Care Organizational Culture and Workplace Violence1406141924409810.21608/ejhc.2022.244098ENDoaaH. EL-shafeyNurse specialist, Damanhour Dental Center, Ministry of Health and PopulationNashwaM. EldeepLecturer of Nursing Administration, Faculty of Nursing, Damanhour University.ElhamY. El HanafyAssistant Professor of Nursing Administration, Faculty of Nursing, Damanhour UniversityJournal Article20220615Background: Healthcare organizational culture is influenced by its ability to <br />manage human resources, satisfy patients and constructive culture encouraging positive <br />interpersonal relationships as well as value self-actualization and achievement-oriented, <br />the nurses are three times more likely to be assaulted than any other professional group, <br />the organization can try to minimize the chances of a workplace violence incident. Aim <br />of the study: To explore the relationship between Health Care Organizational Culture <br />and Workplace Violence at Hosh Issa Central hospital, El-Beheira Governorate. <br />Research design: A descriptive correlational research design was used in this study. <br />Setting: All inpatient care units (n=11) at Hosh Issa Central Hospital, El-Beheira <br />Governorate with bed capacity192 beds. Subject: All head nurses and their assistants <br />(n=22), and all staff nurses (n=267). Tools: Two tools were utilized: Tool I: <br />Organizational Culture Questionnaire. Tool II: Workplace Violence Assessment <br />Questionnaire. Results: There was a positive correlation between total workplace <br />violence assessment and total aspects of workplace violence total consequence of <br />workplace violence & total health care organization culture & internal focus and external <br />focus (p=0.006& p=0.000& p=0.000& p=0.002& p=0.007). A positive correlation <br />between total consequence of workplace violence and total health care organization <br />culture & internal focus and external focus (p=0.000& p=0.001& p=0.004). Conclusion <br />and Recommendation: There was a positive correlation between the total consequence <br />of workplace violence and total health care organization culture & internal focus and <br />external focus. Hospital administrators should make a collaborative and constructive <br />culture among healthcare staff. Develop a strategic plan to enhance organizational culture <br />and organizational trust in public healthcare settings.https://ejhc.journals.ekb.eg/article_244098_b1efde4f6c05c942c86e1a60786b004d.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601The effect of the staff development program on nursing evidence-based performance regarding Covid -19 pandemic in the obstetrics - gynaecology and paediatrics departments1420143924427210.21608/ejhc.2022.244272ENHowaidaAmin Hassan Fahmy ElsabaaDepartment of Maternity, Obstetrics and Gynaecology Nursing, Faculty of Nursing, Port Said University, EgyptAzzaMohamed FathyDepartment of Pediatric Nursing, Faculty of Nursing, Port Said University, EgyptTakwaRashwan Mohamed Abd-El HadyLecturer of Nursing Administration- Faculty of Nursing-Port Said UniversityMirfatMohamed Labib El-KashifDepartment of Maternity, Obstetrics and Gynaecology Nursing, Faculty of Nursing, Port Said University, EgyptJournal Article20220615Background: COVID-19 pandemic constituted significant challenges in obstetric and pediatric <br />health care services. Maternity and paediatrics staff are at high risk of occupational exposure to <br />Covid-19, predominantly among pregnant women and children often asymptomatic for Covid-19 so <br />that infections may go unrecognized. Staff development programs regarding infection prevention <br />and control using nursing evidence-based practice regarding the covid -19 pandemic in the <br />obstetrics - gynaecology and paediatrics wards were part of the needed response. Aim: Evaluate the <br />effect of the staff development program on Nursing Evidence-Based performance regarding the <br />Covid -19 pandemic in the obstetrics, gynaecology and paediatrics departements. Methodology: A <br />quasi-experimental method and an interventional pre and post-test were used to study a sample of <br />112 nurses. A purposive sample technique was used to choose the sample from the obstetrics- <br />gynaecology and paediatrics departements using 4 tools to collect the data Results: The findings <br />revealed a marked improvement in nurses' Knowledge of COVID-19 post-implementation of the <br />program compared to pre-intervention. 79.5 % of the studied sample have good Knowledge <br />regarding Covid-19 post implementation of the program, compared to 38.4 % pre-implementation. <br />Also, 26.0% of them carried out the practice needed for Covid-19 most of the time post-program <br />compared to 4.5% post program, and 28.0 % of the studied sample had a positive attitude regarding <br />Covid-19 post implementation program, compared to 17.0 pre-implementation. Moreover, 91% of <br />them were satisfied with the program compared to 9% dissatisfied. Conclusion: Translating <br />evidence into practice during a Covid-19 pandemic to establishing a staff development program is <br />the best possible provision of healthcare and guarantees preventive measures for the healthcare <br />providers and is critical in facing Covid-19 and working in the complete chain of health <br />care.Recommendations: A staff development program related to Covid-19 must be periodically held <br />for maternity and pediatric health staff.https://ejhc.journals.ekb.eg/article_244272_58f4deca01da8bde8b5477908802b0c3.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Evidence-Based Protocol: Effect on Foot Care Self-Efficacy among Diabetic Patients during COVID 19 Pandemic1440145924498010.21608/ejhc.2022.244980ENLobnaMohamed Mohamed Abu NegmLecturer of Medical-Surgical Nursing, Faculty of Nursing, Ain Shams University, EgyptAssistant professor of Medical-Surgical Nursing, Faculty of Nursing, Northern border university, KSA.EbtesamAbbas Hassan ElsayedLecturer of Community Health Nursing, Faculty of Nursing, Ain Shams University, EgyptAssistant professor in Public Health Department, College of Health Sciences, Saudi Electronic University, Saudi ArabiaRedaMohamed El-Sayed RamadanAssistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Ain Shams University, Egypt.Assistant Professor of Medical-Surgical Nursing, Faculty of Applied Medical Science, Shaqra University, KSAJournal Article20220619Background: Diabetes Mellitus (DM) is considered one of Egypt's most common and costly<br />chronic conditions. Foot ulceration is a major complication of diabetes that is associated with high<br />morbidity and mortality. The COVID-19 outbreak had a serious and disruptive effect on delivering<br />hospital care for those with Diabetic Foot Ulcers (DFUs). The COVID-19 pandemic has created<br />havoc in diabetes management; during this COVID-19 pandemic, interventions to enhance self<br />efficacy; for better diabetes management, reducing diabetes complications, especially diabetic foot,<br />or prolonging their onset are the need of the hour. The usage of telemedicine in the prevention of<br />disease and injuries and for the continuing education of diabetic patients enables nurses to increase<br />contact time with patients and individuals to take the onus of their disease through increased self<br />efficacy. Study Aim: This study aimed to evaluate the effect of evidence-based foot care protocol<br />on foot care self-efficacy among diabetic patients during the Covid-19 pandemic. Methods: A<br />quasi-experimental research (pre/post-test) design was used; The research was carried out at the Ain<br />Shams University Hospitals' diabetes outpatient clinic in Cairo, Egypt. A purposive sample of 140<br />adult patients was recruited for the study. Patient's assessment and clinical data sheet, Diabetic<br />patient's knowledge questionnaire, and Foot care self-efficacy questionnaire were used for data<br />collection. Results: A statistically significant difference was found between pre/post<br />implementation of evidence-based foot care protocol regarding patients' knowledge and self<br />efficacy. Conclusion: evidence-based foot care protocol was helpful in the improvement of diabetic<br />patients' knowledge and their foot care self-efficacy during the Covid-19 pandemic through online<br />teaching (Zoom) and WhatsApp applications. Recommendations: Continuous training and<br />educational programs must be designed for diabetic patients through online teaching to get updated<br />knowledge and practice to enhance foot care self-efficacy, especially during the COVID-19<br />pandemic.https://ejhc.journals.ekb.eg/article_244980_f8a8a46f65d5d4ccbcf01ebdce795f47.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220620Effect of Non-invasive Respiratory Support Care Bundle on Preterm Infants' Nasal Injury and Pain Response1460147724510410.21608/ejhc.2022.245104ENRehabAbd El Aziz El Sayed Abd El AzizPediatric Nursing, Faculty of Nursing, Mansoura University-EgyptMagdaM. MohsenCommunity Health Nursing, Faculty of Nursing, Menoufia University – EgyptAzzaMohamed Fathy Attia(Pediatric Nursing, Faculty of Nursing, Port-Said University – EgyptJournal Article20220620Background: The respiratory support devices can save the lives of preterm and full term neonates <br />with respiratory insufficiency. Wide and early usage of non-invasive respiratory supports (NIRS) <br />has significantly reduced the necessity for endotracheal intubation, on the other hand, NIRS has <br />been linked to nasal damage. The aim of the study was to examine the effect of implement non<br />invasive respiratory support care bundle on preterm infants' nasal injury and pain response. Method: <br />Design: A quasi experimental research design was utilized (Study-control). Setting: The study was <br />carried out in the level (II) of neonatal intensive care unit (NICU) at Al-Nasr Specialized Hospital <br />for Children in cooperation with Cleopatra Hospitals Group and El Salam Port Said Hospital in <br />cooperation with El Salam International Hospital, Port Said Governorate, Egypt. Sample: It <br />composed of 98 preterm infants. Tools: -I: Structured Questionnaire that includes; characteristics of <br />preterm infants and clinical data of preterm infants. II: Nasal injury Likert Scale, III: Preterm Infant <br />Pain Profile (PIPP) Likert Scale. Results; approximately one third (26.5%) of preterm infants in <br />study group have no nasal injury post intervention compared with minority (10.2%) of preterm <br />infants in control group with statistical difference (p 0.048). Also, none of preterm infants in study <br />group have severe nasal injury compared with minority(8.2%) of preterm infant in control group, <br />with highly statistical difference between both groups (p < 0.001). More than one third (34.7%) of the <br />study group's preterm infants have no – minimal pain level post intervention compared with <br />minority (14.3%) in control group with statistical difference (p 0.044). Also, their strong <br />association with highly statistical difference between nasal injury stages and pain levels in both <br />groups (p < 0.001). Conclusion: The implementation of non-invasive respiratory support care bundle <br />affect positively in decreasing preterm infants' nasal injury rate and their pain response in NICU. <br />Implications for Practice: Further implementation of non-invasive respiratory support care bundle <br />on large sample of preterm infants with non-invasive respiratory support and at another different <br />settings. Future research about the application of mask versus nasal prongs should be examined.https://ejhc.journals.ekb.eg/article_245104_095ba01043c2b85d4f073f250b68c394.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601The Relationship between Nursing Staff's Change Fatigue, Psychological Resilience, and Job Satisfaction at Mansoura University Hospital1478149324510510.21608/ejhc.2022.245105ENEmanSameh Abd ELhayLecturer, Department of Psychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura University,Abdel-HadyEl-GilanyProf. Department of Public Health, Faculty of Medicine, Mansoura University, EgyptIslamSameh Abd- ELhayLecturer, Department of Nursing Administration, Faculty of Nursing, Mansoura University, EgyptJournal Article20220620Change fatigue is an overwhelming emotion of stress, tiredness, and burnout caused by feelings of <br />ambivalence and impotence in the workplace. In addition to personal stress, change fatigue may <br />negatively affect nurses' job satisfaction and psychological resilience and increased the turnover of <br />nurses. Aim: Explore the relationship between change fatigue, psychological resilience, and job <br />satisfaction of nursing staff at Mansoura university hospital. Subjects& Methods: a correlation <br />descriptive design was applied, and conducted among 187 nursing staff working at Mansoura <br />University Hospitals. Data were collected from nursing staff by using three tools via Google form: <br />(a) Change Fatigue scale, (b) Connor-Davidson Resilience scale, and (c) McCloskey/Mueller <br />Satisfaction Scale. Results: reveals that there is a correlation between change fatigue, job <br />satisfaction, and psychological resilience. Change fatigue had a statistically significant negative <br />correlated with psychological resilience. There is a statistically significant positive correlation was <br />present between sub-scales of job satisfaction and staff nurses' place of work, nurses who had <br />diplomas, and those aged more than 45 years. A statistically significant difference was present <br />between staff nurses' who work at (Urology center), nurses’ experience (6-10 years), and <br />psychological resilience domain. Conclusion: Nursing Staff's offered important insight into the <br />effect of change fatigue on their psychological resilience and job satisfaction. Nursing staff are <br />negatively influenced by change fatigue and positively influenced by resilience. <br />Recommendations: This work was recommended that using measures to reduce change fatigue in <br />nursing staff, which can improve nurse job satisfaction and workplace conditions. Offering <br />psychological resilience training programs and a comprehensive approach to change fatigue <br />management may counter-act these negative effects of change fatigue.https://ejhc.journals.ekb.eg/article_245105_0f8a285642786f83c590423371aa1b4d.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Assessment of the Nursing Practice in COVID-19 Vaccination1494150624510610.21608/ejhc.2022.245106ENLobnaMohamed Abu NegmLecturer of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University, EgyptEmanSobhy El Said HusseinAssistant professor of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University, EgyptJournal Article20220620Background: Coronavirus vaccines may protect people from getting infected with coronavirus or<br />developing severe symptoms by motivating the immune system to produce antibodies. Nurses<br />manage everything involved in the vaccination process pre, during, and post-administration. Study<br />Aim: This study aimed to assess nursing practice in COVID-19 vaccination. Methods: Descriptive<br />design was used; the study was conducted on outpatients at Ain Shams University Hospital in Cairo,<br />Egypt. Simple Random sampling of adult participants was enrolled in the study with inclusive<br />criteria, which included patients able to read and write and able to use social media, two different<br />web designed questionnaires on Google forms used to assess socio-demographic characteristics of<br />the participants, health history, sides effects related to COVID-19 vaccine and assess nursing<br />practice for people undergoing COVID-19 vaccination. Results: It showed a mean age of 47.19 ±<br />14.82 years, more than half of them were males (59.8%), and 48.2% were suffering from fever,<br />headache (44.2%), ortho pain (37.8%), and pain on site of injection (43.5%) respectively.<br />Concerning nursing care for participants before vaccination, 98.8 % of nurses took personal data.<br />Most of them (85.5%) asked about chronic diseases regarding vaccination. Near two-thirds of them<br />(70.2%) asked about using medication for chronic disease or allergy (55.2%) and were given<br />instructions about the current effect of the vaccine (46.5%). The majority (96.25%) were not given<br />instructions about the vaccination. While after vaccination, nearly two-fifths were instructed on the<br />side effect (38.5%) and how to deal with side effects (42.2%), respectively. In comparison, the<br />majority of the 98.8% and 93.75% did not take vital signs and observed the allergic effect.<br />Conclusion: COVID-19 vaccination's most common negative effects were fever, headache, ortho<br />pain, and pain at the injection site. More than half of the participants were taken analgesics after<br />vaccination and before vaccination. The majority of nurses were taken personal data. Regarding<br />vaccination, the majority of nurses asked about chronic diseases. Near two-thirds of them and<br />46.5% asked about using medication for chronic disease and allergy, and the majority of them did<br />not take vital signs and were not observed for the allergic effect. Recommendations: Periodic<br />educational programs for nurses regarding nursing intervention (pre, during, post) COVID-19<br />vaccines. Further nursing studies on the COVID-19 vaccine to better understand the nursing<br />management of COVID-19 vaccine side effects.https://ejhc.journals.ekb.eg/article_245106_1f6ce636ea2f9cab1bb2ed8f843ee753.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Immersive Virtual Reality during Arteriovenous Fistula Puncture on Pain Intensity among Children Undergoing Hemodialysis in El Beheira Governorate1507152224561610.21608/ejhc.2022.245616ENRodainaAhmed MokbelLecturer-Pediatric Nursing-Faculty of Nursing- Damanhour University, EgyptEbtsamSalah Yonis MahrousLecturer-Pediatric Nursing-Faculty of Nursing- Damanhour University, EgyptSamihaHamdi SayedAssistant Professor-Community Health Nursing-Faculty of Nursing-Damanhour University, Egypt Department of Public Health, College of Health Sciences, Saudi Electronic University, Saudi ArabiaNaglaaKamel AbdAllh HusseinAssistant Professor-Community Health Nursing-Faculty of Nursing-Damanhour University, Egypt Department of Nursing, Faculty of Applied Medical Sciences, Al Baha University, Saudi ArabiaJournal Article20220622Background: Pain is an inherently human experience with the Arteriovenous Fistula <br />Puncture, especially among children. Thus, it becomes of utmost importance to devote modern <br />technologies to lessen this annoying sensation aside from the suffering from the disease itself. <br />Thereof, this study aimed to evaluate the effect of immersive virtual reality intervention during <br />arteriovenous fistula puncture on pain intensity among children undergoing hemodialysis in El <br />Beheira Governorate, Egypt. Methods: A non-randomized controlled trial was executed in eight <br />governmental hemodialysis units (that were assigned to receive pediatric cases), representing eight <br />administrative districts. All the available children who fulfilled the inclusion criteria were <br />incorporated in the study (36 children). Five tools were used: Socio-demographic and Medical <br />History Structured Interview Schedule, Physiological Pain Indicators, Numerical Pain Rating Scale, <br />Procedural Behavior Rating Scale and the Gold-Rizzo Immersion and Presence Inventory. Results: <br />The Analysis of Covariance test (ANCOVA) proved a large effect size of virtual reality intervention <br />on all pain measures (η2≥0.06). A statistically significant improvements in the mean scores of all <br />the physiological pain measures was found after virtual reality intervention as compared to baseline <br />(P0=<0.05) and standard care (P2<0.05). Most of the studied children reported either mild (58.3%) <br />or moderate (27.8%) pain with no severe pain after virtual reality intervention with a statistically <br />significant mean difference compared to the baseline (p0<0.001) and standard care (p < /span>2<0.001). A <br />significant difference was proved between the virtual reality intervention and standard care <br />concerning the observed pain behaviors during the procedure (p < /span>2<0.001). A high level of immersion <br />with the virtual reality intervention was revealed among the studied children with a mean percent <br />score of 90.97 ± 7.23. Conclusion & recommendations: Virtual Reality intervention proved to be <br />efficient in lessening pain intensity among children undergoing hemodialysis. Thereof, it is <br />recommended to be incorporated in the routine care of pediatric hemodialysis units.https://ejhc.journals.ekb.eg/article_245616_a092a0fb8d559bb5fbaf02268dccbc63.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Cynical Distrust, Alexithymia, and Quality of Sleep among Patients with Inflammatory Bowel Diseases: A Descriptive Correlational Study1523154224571910.21608/ejhc.2022.245719ENMahmoudAbdelwahab KhedrLecturer of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, Egypt.ShaheraShehata HarbyLecturer of Medical surgical Nursing, Faculty of Nursing, Alexandria University, Egypt.ShaimaaMohamed NageebLecturer of Psychiatric Nursing and Mental Health, Faculty of Nursing, Zagazig University, Egypt.EmanAbdeen AliLecturer of Medical surgical Nursing, Faculty of Nursing, Alexandria University, Egypt.Journal Article20220623Background: Inflammatory bowel diseases as ulcerative colitis and Crohn's disease <br />negatively affects many aspects of the patient's life, including psychological patterns, emotional <br />reactions, and sleep quality. The study was aimed to: determine the relationship between cynical <br />distrust, alexithymia, and quality of sleep among patients with inflammatory bowel diseases. Design: <br />This study employed a descriptive correlational design. Setting: It was held at Alexandria's main <br />University hospital's Gastrointestinal Tract (GIT) department. A purposive sample of 100 patients <br />with the diagnosis of IBD (50 patient with Crohn's Disease & 50 patient with ulcerative colitis. <br />Methods: Data were collected using four different tools: Socio-demographic & Clinical data <br />structured interview schedule, Cynical Distrust Scale, Toronto Alexithymia Scale and the Pittsburgh <br />Sleep Quality Index. Results: The current study finding revealed that 86.4% of patients with <br />Crohn's disease, and 87.5% of patients with ulcerative colitis who had high cynical distrust <br />demonstrated alexithymia. In addition, 95.5% of patients with Crohn's disease, and 87.5% of <br />patients with ulcerative colitis who had high cynical distrust display poor sleep quality. Conclusion: <br />The current study established a statistically significant positive correlation between cynical distrust, <br />alexithymia, and poor sleep quality among patients with inflammatory bowel disorders. <br />Recommendation: Counseling for adequate sleep and emotional expressiveness can positively <br />impact the phase of the disease. Additionally, assessing and intervening sleep and emotional <br />disruptions in patients with inflammatory bowel diseases can aid in optimizing medicinal care and <br />maintaining illness remission, as well as potentially modify disease prognosis.https://ejhc.journals.ekb.eg/article_245719_0a1efe6e13919f51ce320ec00b2ea725.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601The Relationship Between Nurses’ Perception of Ethical Work Climate And Moral Distress at Kafr El-Dawar General Hospital1543156024643010.21608/ejhc.2022.246430ENGehadMohamed Salem MohamedDepartment of Nursing Administration, Faculty of Nursing, Damanhour University.NeamatMohamed El-sayedProfessor of Nursing Administration, Faculty of Nursing, Damanhour UniversityWafaaHassan MostafaLecturer of Nursing Administration, Faculty of Nursing, Damanhour UniversityJournal Article20220627Background: The ethical work climate was defined as " a type of work climate that is best <br />understood as a group of prescriptive climates reflecting the organizational procedures, policies, and <br />practices with moral consequences.", while the moral distress was defined as "" a broad concept that <br />discusses a range of experiences of morally constrained individuals and can be understood as a <br />response to the individual, institutional, or social constraints". Aim: To identify the relationship <br />between staff nurses' perception of ethical work climate and moral distress at Kafr El-Dawar <br />General Hospital. Methods: A descriptive, correlation research design. Setting: at Kafr Al-Dawar <br />General Hospital, in all inpatient care units (N=12) and intensive care units (N=8). Subject all staff <br />nurses (289 nurses). Tools: two tools were used, Tool (I): Hospital ethical climate survey and Tool <br />(II): Moral distress scale. Conclusion: The present study revealed that there was statistically <br />significant relationship between total ethical work climate and total moral distress. <br />Recommendations: Nursing managers need to present continuous professional strategies and <br />interventions for managing staff nurses’ moral stress and ethical problems in order to foster and <br />enhance supportive work environment, improve job satisfaction, and limit https://ejhc.journals.ekb.eg/article_246430_4c52e5220c34af834252b40e5bdcb0ff.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Instructional Guidelines on Mothers' Knowledge and practices regarding Early Stunting Detection among Children under five years1561157624643110.21608/ejhc.2022.246431ENGhadaSobhy Hassanlecturer of community health nursing,Faculty of nursing,Ain Shams University-Cairo-EgyptHebaIbrahim Mohamedlecturer of pediatric nursing,Faculty of Nursing, Kafrelsheikh University,AmanyLotfy Ahmedlecturer of community health nursing, Faculty of Nursing, Kafrelsheikh University-Egypt.Journal Article20220627Background: Stunting has a negative impact on a child's health, making them more <br />susceptible to disease and infection, as well as their mental and physical development, making <br />stunted youngsters less likely to reach their full height and cognitive capacity as adults. Aim: The <br />study aimed to evaluate the effect of instructional guidelines on mothers' Knowledge and <br />practices regarding early stunting detection among Children under five years. Setting: Maternal <br />and Child Health Center at Kafrelsheik city. Sample: A purposive sample included 163 mothers <br />combined with their children. Methods: Quasi-experimental design was used. Tools: First tool: <br />Structured interviewing questionnaire was used Part I: used to assess demographic characteristics <br />of mothers part II: Used to assess the mother's knowledge about stunting and knowledge about <br />proper nutritional Second tool: observational checklist for assessing mothers ' practices toward <br />growth monitoring. Results: The current study showed statistically significant differences <br />between the mothers' total knowledge and their practices regarding early stunting detection <br />among their children under five years pre/post instructional guidelines. Conclusion: The <br />Guidelines were effective for the studied sample regarding early stunting detection a significant <br />improvement was observed in the mean score and level of knowledge and practice among the <br />studied sample in post guidelines in comparison to that in pre-guidelines. Recommendation: <br />Conducting educational program to increase mothers’ knowledge about nutritional stunting, <br />monitoring growth & development of the child, and the benefits of early detection in treatment <br />through mass media.https://ejhc.journals.ekb.eg/article_246431_18dd592565e3fc8e765239bb7c9118d9.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Food handlers' knowledge, attitude, and practices about safe and hygienic food in Egyptian government hospitals1577158524662010.21608/ejhc.2022.246620ENAteyaMegahed IbrahimLecturer of Family and Community Health Nursing, Faculty of Nursing, Port Said UniversityDenaEltabey SobehAssistant Professor of Medical Surgical Nursing, Faculty of Nursing, Port Said University.FatmaEl-emam HafezAssistant Professor of Family and Community Health Nursing, Faculty of Nursing, Mansoura University.Journal Article20220628Objective: to evaluate the food handlers' knowledge, attitude, and practices about safe and hygienic food <br />in Egyptian government hospitals. Design and sample: Across sectional descriptive study was used. The <br />study was carried in the governmental hospitals which affiliated to Daqahlia Governorate, Egypt, <br />involving 542 food handlers. A modified questionnaire for Knowledge, attitude and practice of the food <br />handlers was used. Results: 57.9 % of the studied participants aged between 18-28 years and 58.3 % are <br />female, 41% of the studied participants worked as sanitation worker and 45.6 % of them had basic <br />education. Besides, all demographic parameters of the study participants were statistically significantly <br />associated with total knowledge, total attitude, and total practice scores. Conclusion: The overall food <br />handler knowledge, attitude, and practices are less than half of what they should be.https://ejhc.journals.ekb.eg/article_246620_2edd4b54c1d4596a50261eeb9a27e2af.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Orientation Program on Undergraduate Nursing Student's Performance regarding Blood Donation1586160024731810.21608/ejhc.2022.247318ENHebaAbd El Reheem Abd El Reheem Abd El ReheemLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Port Said UniversityEmanFadl Abd ElkhalikAssistant professor at Medical-Surgical Nursing Department, Faculty of Nursing, Minia University, EgyptAsmaaDaifallah Mehany MohamedLecturer at Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef University.BedourAdel Mohamed IbrahimLecturer at Medical-Surgical Nursing Department, Faculty of Nursing, Minia University, EgyptWafaaMohamed Elsayed AhmedLecturer of Medical-Surgical Nursing, Misr University of Science and technologyJournal Article20220702Background: Despite the growing demand for blood and its products, some people, particularly the <br />youth, are reluctant to donate blood. Aim: To evaluate the effect of the orientation program on <br />undergraduate nursing students' performance regarding blood donation. Subjects and method: <br />Design: A quasi-experimental research design was used to achieve the aim of this study. Setting: <br />The study was conducted at the Faculty of Nursing, Minia University, Egypt on the undergraduate <br />nursing students. Subjects: The sample consisted of convenient 900 undergraduate nursing students <br />selected from the previous setting. Tool: A self-administered related questionnaire was designed <br />using an electronic survey (Google form) which included four parts: Part I: undergraduate nursing <br />students' demographic characteristics, Part 2: undergraduate nursing students' knowledge regarding <br />blood donation, Part 3: undergraduate nursing students' attitudes regarding blood donation, Part 4: <br />undergraduate nursing students' practices regarding blood donation. The link to the survey was sent <br />to the respondents via WhatsApp groups. Results: The study result revealed that more than one<br />third of studied undergraduate nursing students had a poor level of knowledge, and more than half <br />of them had an inadequate level of practice about blood donation before the implementation of the <br />program. The majority of students had a good level of knowledge and most of them had a <br />satisfactory level of practice after implementing the program. There was a highly statistically <br />significant difference and improvement in undergraduate nursing students' knowledge, attitude, and <br />practice after program implementation than pre-implementation. Conclusion: The findings of the <br />study concluded that orientation program had positive effects on improving undergraduate nursing <br />students' performance regarding blood donation. Recommendations: The study recommended <br />organized blood donation orientation program are required to increase undergraduate nursing <br />students' knowledge, attitudes, and practices toward blood donations. https://ejhc.journals.ekb.eg/article_247318_55fd6406304964107512410210245a18.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Correlation between Organizational Cynicism and Counterproductive Work Behaviors among Nurses1601161424731910.21608/ejhc.2022.247319ENMohamedSaad Saleh AliLecturer, Nursing Administration, Faculty of Nursing, Alexandria University, Egypt.AhmedAbdelwahab Ibrahim ElsayedLecturer, Nursing Administration, Faculty of Nursing, Alexandria University, Egypt.Journal Article20220702Background: The incidence of counterproductive behaviors among nurses in the workplace is <br />another drastic phenomenon that is high among nurses who experience organizational cynicism <br />feelings. Purpose : to identify the correlation between organizational cynicism and <br />counterproductive work behaviors among nurses. Methods: This is a descriptive correlational <br />study. The stratified random sampling technique used in this study . A total of 550 nurses were <br />recruited from one University Hospital and one private hospital in Egypt. Data were collected using <br />two self-administered questionnaires namely: Organizational cynicism scale (OCS): It is five <br />point Likert scale used to measure organizational cynicism.It consists of three dimensions <br />containing (14) items as the following; cognitive cynicism (5 items), affective cynicism (5 items), <br />and behavioral cynicism (4 items). Responses ranged from 1 (completely disagree) to 5 (completely <br />agree), and the mean score ranges from 1 to 5. Higher scores indicate higher levels of cynicism. <br />Counterproductive Behaviors Scale (CBS): It is used to measure the incidence of <br />counterproductive behaviors in workplace. It includes 23 items classified into five categories of <br />counterproductive behaviors as the following; abuses against others (9 items), interference at work <br />(3 items), sabotage (3 items), thefts (4 items), and avoiding work (4items). It is a 5 point Likert scale <br />in which responses ranged from 1 (never) to 5 (every day). Results: The mean percentage score of <br />organizational cynicism and counterproductive work behaviors were 90.18 ± 3.57, and 79.03 ± 1.99, <br />respectively. Multivariate regression model revealed that organizational cynicism accounted for <br />40.2% of the variances in the incidence of counterproductive work behaviors. Conclusion: <br />organizational cynicism is a significant antecedent for the incidence of counterproductive work <br />behaviors among nurses. Implications to Nursing Management: Different strategies such as career <br />development and advancement; considering nurses career goals and objectives; keep promises <br />toward nurses; putting sound reward and punishment system; and make sure that policies, and goals, <br />and practices are in alignment are helpful to prevent organizational cynicism and eradicate <br />counterproductive work behaviorshttps://ejhc.journals.ekb.eg/article_247319_5055d3628e0a5bb0cc6c9ea9974377dc.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601COVID -19 Pandemic Induced Anxiety, Knowledge, and Preventive Measures Practices among Non-medical Healthcare Workers in Quarantine Hospitals1625164324764410.21608/ejhc.2022.247644ENSamiaAli El-NagarFamily and Community Health Nursing, Faculty of Nursing, Menoufia University, EgyptAmalA. El-AbbassyFamily and Community Health Nursing, Faculty of Nursing, Menoufia University, EgyptMerfat.M. AtiaPsychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.NehadBadr Abdelaty ElsaidPublic Health and Community Medicine, Faculty of Medicine, Menoufia University, Egypt.LobnaE. SallamPsychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.ElhamS.ElzyenFamily and Community Health Nursing, Faculty of Nursing, Menoufia University, EgyptJournal Article20220703Background: Healthcare workers are the most vulnerable to COVID-19 because of the <br />nature of their work, which exposes them to COVID-19-infected people on a daily basis. Because <br />anxiety affects everyone, whether they are frontline health workers or hospital administrative and <br />support staff. The aim of this study was to assess COVID- 19 pandemic induced anxiety, <br />knowledge, and preventive measures practices among non-medical healthcare workers in quarantine <br />hospitals. Methods:-Cross-sectional descriptive design was used to attain the aim of the study. <br />Setting: This study was carried out at four quarantine hospitals in Shebin El-Kom and Elshohadaa <br />city, Menoufia Governorate, Egypt. Three out of four quarantine hospitals were selected from <br />Shebin El-Kom city, and one out of two quarantine hospitals were selected from Elshohadaa city, <br />using a simple random sample technique. Subjects: A simple random sample of 340 non-medical <br />healthcare workers from quarantine hospitals was chosen from four different profession categories <br />including patient affairs office, security officer, receptionists, and accountants. Tools for data <br />collection: A constructed interview questionnaire involved socio-demographic information; <br />COVID-19 pandemic induced anxiety scale, COVID-19 pandemic knowledge questionnaire and <br />preventive measures practices toward COVID-19 pandemic questionnaire. Results:-The current <br />study's findings found that 51.8% of the studied non-medical healthcare workers had COVID-19 <br />pandemic induced anxiety, 62.4% had better knowledge about COVID-19 pandemic, and more than <br />half (58.8%) had good preventive measures practices about COVID-19 pandemic. Furthermore, <br />there was a significant positive correlation between non-medical healthcare workers knowledge and <br />preventive measures practices, while there was no significant correlation between anxiety and <br />COVID-19 pandemic knowledge and preventive measures practices among non-medical healthcare <br />workers. Conclusion: COVID-19 pandemic induced anxiety was experienced by more than half of <br />the non-medical healthcare workers in the study. Good preventive measures practices were <br />associated with increased knowledge toward COVID-19 pandemic. All non-medical healthcare <br />workers in health facilities should receive educational as well as psychological intervention to raise <br />their awareness of COVID-19 pandemic and assist them in overcoming anxiety.https://ejhc.journals.ekb.eg/article_247644_a1b30e8b9ade7ba4ac63f2aa743e21a8.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of an Orientation Program Regarding Utilization of Tele-Maternity Care on Pregnant Women’s Awareness, Attitude and Willingness during COVID-19 Pandemic1657166924814610.21608/ejhc.2022.248146ENAyatM. OmarAssist.Prof.of Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum UniversityRasmiaAbd El Sattar AliAssist.Prof.of Family & Community Health Nursing, Faculty of Nursing, Ain Shams University, EgyptEl SaidaGouda NasrLecturer in Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, EgyptHanemAwad MekhamierAssist.Prof.of Family & Community Health Nursing, Faculty of Nursing, Damietta Universities, Egypt.AmalSarhan Eldesokey GenedyLecturer in Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, EgyptJournal Article20220705Background: Tele-maternity represents one approach to optimize care and mitigating risk <br />for exposure for prenatal women in the setting of the COVID-19 and has become crucial to confirm <br />the safety and effective delivery. Aim: This study aimed to evaluate the effect of an orientation <br />program about utilization of tele-maternity care on pregnant women’ awareness, attitude and <br />willingness during COVID-19 Pandemic .Design: A quasi-experimental pre and post-test one-group <br />only design was utilized for this study. Setting: This study was carried out at Al-hadeka maternity <br />and child health Centre (MCH) in Al-Fayoum governorate, Egypt. Sample: A convenient sample of <br />300 pregnant women was enrolled during the study period from March 2021 to the end of August <br />2021. Tool of data collection: A structured interviewing questionnaire composed of six parts to <br />collect the following data: socio-demographic data, obstetrics & technology profile data, women’s <br />awareness, attitude, and willingness regarding tele-maternity care. Results: Findings of this study <br />revealed that there were highly statistically significant differences with an improvement in total <br />score of pregnant women’s awareness, attitude, and willingness towards tele-maternity care post- <br />intervention as compared with pre-intervention (P-value < 0.0001), in addition, there was a positive <br />correlation between the studied women's level of awareness with their attitude and willingness <br />towards tel-maternity care. Conclusion: The tele-maternity orientation program was effective in <br />raising and significantly improving pregnant women's level of awareness, attitude, and willingness <br />towards tele-maternity care. Recommendations: Extra continuing training programs on all updated <br />tele-maternity services should be implemented, as well as additional researches be conducted on a <br />large sample of women during their perinatal period at diverse health care settings.https://ejhc.journals.ekb.eg/article_248146_357bd8f47a0b0ffab044b090e1e8a68e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Simulation-Based Education during COVID-19 Pandemic: Effect on Communication Skills and Clinical Competence of Maternity Nursing Students1670168224967910.21608/ejhc.2022.249679ENDalalKhalil EshraProfessor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufyia University, EgyptDoaaLotfi Afifi AlqershLecturer of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufyia University, EgyptAmera BekhatrohRashedAssistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufyia University, Egypt0000-0003-0603-6947Journal Article20220718Background: Simulation is a teaching strategy that may help the nursing educators prepare <br />the future nurses to practice in a real environment. It is a teaching strategy that provides students <br />with artificial representation of a complex real-life for enabling them to learn in a safe environment. <br />Based on its degree of realism; it ranges from low to high fidelity. Simulation played a critical role <br />during COVID-19 pandemic. With resources limitation, presented safety concerns and the need for <br />social distancing, simulation became a vital tool that provided solutions to challenges faced by <br />students and staff during clinical training. Purpose: assess the effect of simulation-based education <br />during COVID-19 on communication skills and clinical competence of maternity nursing students. <br />Methods: A quasi-experimental design (study & control group) was used. Sample: A purposive <br />sample was used in conducting the study. Sample size: was 100 students from third academic year <br />students at Faculty of Nursing, Menoufia University. Instruments: three instruments were used for <br />data collection (1) Semi-structured interviewing questionnaire, (2) Communication skills <br />measurement tool and (3) Clinical competence measurement tool. Results: communication skills <br />and clinical competence scores of the study group were higher than the control group after the <br />intervention. Conclusion: The current study findings supported the study hypothesis.https://ejhc.journals.ekb.eg/article_249679_3f4d04ebde5437969952a56fdbc8c4df.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Dissociative Experiences and its relation to Violence among Port Said Faculty of Nursing Students1683169525232510.21608/ejhc.2022.252325ENAbeerElsayed Mohamed BermaAssistant-Professor of Psychiatric Nursing and Mental Health, Faculty of Nursing, Port Said University, Port Said, Egypt.AfafAbdallah Mohammed MossadAssistant Professor of Community Health Nursing Faculty of Nursing, Port Said University, Egypt, Assistant professor of Public Health ,SEU. KSAHalaMosaad NosierLecturer of Psychiatric Nursing and Mental Health, Faculty of Nursing, Port Said University, EgyptJournal Article20220731Background: Dissociation, intense grief, anger, and survivor’s guilt are common responses <br />as people split off mentally, physically, and emotionally from the source of the violence. Violence <br />and dissociation in a cross-cultural perspective examines the psychological, sociological, political, <br />economic, and cultural aspects of violence and its consequences on people around the world. Aim: <br />Current study aimed to investigate the relation between dissociative experiences and violence, <br />among student nurses. Materials and method: A descriptive correlational research design was <br />utilized, as all students’ nurses who enroll in the first, second and third levels at Port Said Faculty of <br />Nursing, Egypt (460 students) were participated in the study. Tools of data collection: Included <br />socio-demographic characteristics of the studied subjects, dissociative experience scale and violence <br />scale. Results: student nurses had high level of dissociative experiences, and more than half of <br />student nurses had moderate violence, with a higher mean score for indirect violence. Conclusion: <br />the study finding concluded that a <br />statistically significant positive correlation was detected <br />between overall violence & dissociative experiences, also a statistically significant positive <br />correlation was detected between the indirect, physical violence and dissociative experiences. <br />Recommendations: recommendations for clinical applications include routine screening of <br />offenders among adolescents to detect the dissociative symptoms early and adequate consideration <br />should be given to detect the dissociation disorders in the development process and implement <br />violence prevention and management programs.https://ejhc.journals.ekb.eg/article_252325_be0160419760bce29d0d7170491f130a.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effectiveness of Coping Strategies Intervention on Quality of Life for Mothers having Children with Down Syndrome1696171425372210.21608/ejhc.2022.253722ENSehamMohammed ElmwafieAssistant Professor of Pediatric nursing, Faculty of Nursing, Beni-Suef UniversityAmanyIbrahim Abdalla IbrahimLecturer of Pediatric Nursing, Faculty of Nursing, Fayoum University, EgyptHuwidaHamdy Abd ElmonemAssistant Professor of Pediatric Nursing, Faculty of Nursing, Fayoum University, EgyptMervatAmin SayedAssistant Professor of Community Health Nursing, Faculty of Nursing, Fayoum UniversitySoadAhmedLecturer of Community Health Nursing, Faculty of Nursing, Fayoum UniversityJournal Article20220808<strong>Background:</strong> Caring child with Down Syndrome (DS) requires special challenges, and mothers can go through a period of difficulty adapting. So, coping strategies with positive attitudes are considered effective in improving quality of life for mothers and their children. <strong><em>Aim</em></strong>: The study aimed to evaluate the effectiveness of coping strategies intervention on quality of life for mothers having children with Down Syndrome. <strong>Method:</strong> A quasi-experimental research design (one group pre/posttest) was used. <strong>Setting:</strong> This study was conducted at the Genes Clinics of DS in the Specialized Clinics of Pediatric Hospital affiliated to Ain Shams University. <strong>Sample:</strong> A purposive sample consisted of (75) mothers and their children with down syndrome recruited from the above-mentioned setting. <strong>Tools:</strong> Five tools were used pre /post intervention to collect data; A structured interviewing questionnaire to assess mothers’ knowledge related to DS;<strong> </strong>Self-reliance assessment<strong> </strong>to assess level of independence of DS children regarding daily living activities as reported by their mothers; Needs’ scale to assess cognitive, economical, psychological, social, and physical needs experienced by the mothers;<strong> </strong>Coping patterns scale to assess the mothers' coping patterns toward their DS children, and Family quality of life scale to assess health related Quality of Life (QoL) for mothers of children with down syndrome. <strong><em>Results:</em></strong> There was a highly statistically significant improvement was observed between the studied mothers’ knowledge, QoL, needs, and coping patterns pre and post intervention program, where p < 0.001, also there was a positive correlation between total self-reliance of the studied children and total mothers’ needs, quality of life and coping at pre and post intervention program (p=< 0.001). <strong><em>Conclusion: </em></strong>Implementation of coping strategies intervention had a positive effect on the improvement of mothers’ knowledge, level of needs, coping patterns and quality of life. <strong><em>Recommendations:</em></strong> Conducting frequent educational program focused on encouraging mothers to cope effectively with their children with DS. https://ejhc.journals.ekb.eg/article_253722_c96dca38b19a2ee369c831391a14c8cc.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Olive Oil Topical Application on Pressure Ulcer Among Patients in Intensive Care Unit1715172525450710.21608/ejhc.2022.254507ENGehanAbd Elfattah Atia ElasragAssistant professor of Medical Surgical Nursing Menoufia University, EgyptAssistant Professor Department of Nursing, College of Applied Medical Sciences, Jouf University, Sakākā, Jouf, Saudi ArabiaSamiraE. AboalizmAssistant professor of Medical Surgical Nursing Menoufia University, EgyptAzizaYouniss Ahmed ElghietyLecturer in Medical Surgical Nursing Ain Shams University, EygptJournal Article20220813Background: Bedsores are injuries to skin and underlying tissues caused by prolonged pressure. <br />Detecting pressure ulcers is an important nurse diagnostic service for patients in the intensive care <br />unit. Aim: Explore the effect of olive oil topical application on pressure ulcer development <br />prevention among patients at intensive care unit. Methodology: design: An experimental research <br />design was utilized. Setting: Intensive care units at Menoufia University Hospital Subject: <br />Purposive sample of patients at control and study group 50 patients for each. Tools: four <br />instruments were used, 1st tool: Predesigned questionnaire which contained two parts, 2nd tool: <br />BRADEN SCALE and 3rd tool: European Pressure Ulcer Advisory Panel (EPUAP) and 4 th tool: <br />The Pressure Ulcer Scale for Healing (PUSH) Results: presented that 56% and 18% of control <br />group had moderate risk and high risk for pressure ulcer, while 54% and 20% of studygroup had <br />moderate and high risk. Also, 48% and 34% of control group suffered fromgrade II and III, while <br />46% and 38% of study group suffered from grade II and gradeI, with slight significant difference at <br />p value <0.05*. Conclusions: olive oil had positive effect on the recovery process of pressure ulcer. <br />Also, had positive effect on reduction of ulcer area. Furthermore, mean score of PUSH tool <br />decreased at study group than control group. Recommendation: the application of olive oil is <br />recommended for healing grade one pressure ulcers. https://ejhc.journals.ekb.eg/article_254507_8612df759c3da49e6828ac8235c19553.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Educational Program on Self-efficacy and Peristomal Skin Complications for Patients with Permanent Colostomy1726173825481710.21608/ejhc.2022.254817ENFatmaMohamed ElesawyLecturer of Medical Surgical Nursing- Faculty of Nursing- South Valley University, Qena, Egypt.SafaaHussein Mohamed AbdelrhmanLecturer of medical surgical nursing, Faculty of nursing, Zagazig University, Egypt.AmalHemed HamadLecturer of medical surgical nursing, Faculty of nursing, Zagazig University, Egypt.Journal Article20220815Background: ostomy is a life-altering event. New colostomy patients encounter many obstacles as <br />they learn to live with their stoma. Studies have showed that ostomy patients who receive training <br />are better able to live with their condition, and see an improvement in their physical and <br />psychological well-being Aim of the study: The aim of the study was to evaluate the effect of <br />educational program on self-efficacy and peristomal skin complications for patients with permanent <br />colostomy. Research design: Quasi-Experimental design was utilized in this study. Setting: The <br />study was conducted in surgical outpatient clinic at Zagazig University Hospitals. Sample: A <br />purposive sample included 60 patients with permanent colostomy. Tools: Four tools were <br />developed to collect data; patient interview questionnaire, self-reported practice, peristomal skin <br />assessment scale and Stoma Self-Efficacy Scale. Results: There was a statistically significant <br />improvement of patients’ knowledge and practice and self-efficacy as well as decrease severity of <br />peristomal skin complication between pre, post and post three months after implementing the <br />educational program Conclusion: The study concluded that the educational program is effective in <br />improving colostomy patients’ knowledge and practices, their self-efficacy. Recommendations: <br />Colostomy patients should receive a planned educational program before their discharge. https://ejhc.journals.ekb.eg/article_254817_4967d1f6dd4ead3e679a43b9c8b5220f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effects of Educational Program on Maternity Nurses’ Knowledge and Practice Regarding Obstetric Triage1739175425482210.21608/ejhc.2022.254822ENNaglaaFathy AhmedLecturer of woman Health and obstetrics Nursing, Faculty of Nursing, Minia University, EgyptWalaaHamza IbrahimAssistant Professor of Maternity & Newborn Health Nursing, Faculty of Nursing, Assiut University, Egypt.Journal Article20220815Background: The triage nurse is typically the first person a patient encounters when seeking <br />care in the obstetric department. Nurses’ knowledge about triage is a key in triage decision-making. <br />Aim: identify the effect of educational program on maternity nurses’ knowledge and practice <br />regarding Maternal Fetal Triage Index (MFTI) as an obstetric triage scale. Methods: This study <br />employed a quasi-experimental research design. The Minia University Hospital for Obstetrics and <br />Pediatrics (MUHOP) hosted the experiment. About 70 maternity nurses were part of the convenient <br />sample. Two tools were used: a structured interview questionnaire with two components (personal <br />data and knowledge evaluation sheet) and an observational checklist for practices sheet. An <br />educational program was implemented for maternity nurses about obstetric triage. Results: About <br />54.3% of studied nurses have age group from 25-35 years, 32.9% work at labor ward, and 64.3% of <br />them obtain their knowledge from nurses’ work. There is a highly statistically significant difference <br />between pre &post-test regarding total knowledge and practices of studied maternity nurses <br />regarding obstetric triage p-value 0.001 for both. Conclusion: The knowledge of maternity nurses <br />about obstetric triage improved between the pretest and post-test as evidenced by the pretest and <br />posttest knowledge scores. Recommendations: provide a continuous education and training <br />program to maternity nurses’ on obstetric triage.https://ejhc.journals.ekb.eg/article_254822_169e4ea8c7ef58a4d4cd1aaf63c5ed57.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Awareness of Blind Adolescent Girls' Students Regarding Primary Dysmenorrhea: Outcomes of Audio Peer Educational Guidelines1755177225581010.21608/ejhc.2022.255810ENSaharSedky FaheimAssistant Professor of Pediatric Nursing, Faculty of Nursing, Beni-Suef University, EgyptSafaaS. AhmedAssistant Professor of Maternal & Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, EgyptAzzaEl-Sayed Ali HegazyAssistant Professor of Pediatric Nursing, Faculty of Nursing, El-Fayoum University, EgyptSaharAbdelrady ElkheshenAssistant Professor of Obstetrics and Gynecological, Faculty of Nursing, Misr University for Science & TechnologyEmanM KhalilLecturer of Obstetrics and Gynecological, Faculty of Medicine, Beni-Suef University, EgyptFawziaNabeel Mohammed Abd-ElmageedLecturer of Pediatric Nursing, Faculty of Nursing, Zagazig University, EgyptJournal Article20220822Background: Primary dysmenorrhea is a common problem among adolescent girls which <br />can have negative effects on their daily activities. Aim: To evaluate the effect of audio peer <br />educational guidelines on awareness of blind adolescent girls' students regarding primary <br />dysmenorrhea. Subjects and Methods: A quasi-experimental design was utilized in this study that <br />was conducted at Al-Noor and Al-Amal Schools for the Blind, preparatory and secondary in Beni- <br />Suef City. A purposive sample of 150 blind adolescent girls' students from the previously <br />mentioned settings was used in this study. Three tools were used (pre/posttests): 1) Students’ <br />interviewing questionnaire to assess their knowledge about primary dysmenorrhea, 2) An <br />observational checklist to evaluate students' girls' reported practices regarding primary <br />dysmenorrhea, and 3) Blind students’ satisfaction level questionnaire to appraise satisfaction level <br />on audio peer educational guidelines using among blind adolescent girls. Results: There were <br />significant differences regarding knowledge and their reported practices about primary <br />dysmenorrhea between pre, one month post, and follow-up phases of educational guidelines. <br />Conclusion: The present study concluded that the educational guidelines had a positive effect on <br />improving awareness of blind adolescent girls-students regarding primary dysmenorrhea. <br />Recommendations: Integrating the topic of menstruation, menstrual hygiene, and menstrual sickness <br />management into the course contents of the blind school's objectives.https://ejhc.journals.ekb.eg/article_255810_2f4af791705d979005fbcf6d1cd13762.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Educational Session on Knowledge, Self-Care Practices and Perception Regarding Gestational Weight Gain among Advanced Age Pregnant Women1773178525866010.21608/ejhc.2022.258660ENFatmaAboulkhair FaragPhD, RN, Assistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Fayoum University- EgyptPhD, RN, Assistant Professor of Maternal and Meonatal Health Nursing, School of Nursing, Bader University in Cairo- EgyptAmanyArafat GodaPhD, RN, Assistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University- Egypt b. Assistant
Professor of Maternal and Neonatal Health Nursing, School of Nursing, Bader University in Cairo- EgyptHodaSayed MohamedPhD, RN, Lecturer Family and Community Health Nursing, School of Nursing, Bader University in Cairo -EgyptAbeerNaser El DinPhD, RN, Lecturer, Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University- EgyptJournal Article20220908Pregnant women at an advanced age 35 year or more are exposed to an increased risk of excessive <br />or insufficient Gestational Weight Gain (GWG), which may exacerbate pregnancy outcomes, which <br />represent a double burden of risk along with the risk of pregnancy at an advanced age, which leads <br />to maternal, fetal, and neonatal risks. Many advanced age gravidas have poor knowledge, self-care <br />practices as well as poor perception about gestational weight gain, their consequences and <br />management strategies. Educational interventions seem to be the most appropriate and beneficial <br />choice for these women to prevent being overweight or underweight during pregnancy. Aim: the <br />aim of the current study was to assess effect of an educational session on improving pregnant <br />women’s knowledge, self-care practices and perception regarding GWG among advanced age <br />pregnant women. Methods: A quasi experimental design was used to conduct the study. Sample: A <br />total of 75 advanced age pregnant who attended maternal and child health center at (Badr City) were <br />recruited. Data was collected by a structured self-administered questionnaire, gestational weight <br />gain knowledge and self-care practices questionnaire (pre/posttest) and women perception scale. <br />Result: There were a significant improvement in the total knowledge, self-care practices and <br />perception score after educational session (P = 0.000) as (62.7%) of the participants had poor <br />knowledge pretest compared to (81.3%) had good knowledge posttest. Also, there was significant <br />differences in total self practice score before and after the session (p=0.000). More than two third <br />(70.7%) had poor self-care practices pretest compared to (78.7%) had good self-care practices post<br />test. In addition to there was significant differences in total perception score before and after the <br />session (p < 0.001). About (74.7%) had negative perception pre teaching session compared to <br />(90.7%) had positive perception post intervention Conclusion: The educational session has an <br />impact on improving advanced age pregnant women’s knowledge, selfcare practices and perception <br />about proper weight gain during pregnancy. And the inclusion of programs to control GWG in <br />antenatal care is very important, especially with advanced age pregnancy. Recommendation: <br />Counseling on maternal diet and exercise programs should be included in antenatal care guidelines <br />especially with advanced age pregnancy https://ejhc.journals.ekb.eg/article_258660_71479e4920bf45aebe545a2e59c7901e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Caregiving Burden and Psycho-Educational Needs among Families of Patients with Psychotic Disorders1786180226089210.21608/ejhc.2022.260892ENMohamedAhmed Ahmed Abou KahlaAssistant Lecturer of Psychiatric Nursing and Mental Health, Faculty of Nursing, Damanhour University.SanaaAbd El-Aziz ImamProfessor of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria UniversityMarwaAbd El-Gawad Ahmed MousaAssistant Professor of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria UniversityAmalAwad Abd El-Nabi MoussaAssistant Professor of Psychiatric Nursing and Mental Health, Faculty of Nursing, Damanhour UniversityJournal Article20220923Background: Family caregiving causes stress, depression and financial difficulties. <br />Therefore, caregivers require emotional support and psycho-education to effectively provide care <br />and support to their relatives with mental disorders. Aim of the study: Assess the caregiving burden <br />and psycho-educational needs among families of patients with psychotic disorders. Research <br />Design: A descriptive design was used in the present study. Setting: The study was conducted in <br />the outpatient clinic of El-Maamoura Hospital for Psychiatric Medicine. Subjects: A convenient <br />sample of 150 family caregivers of patients with psychotic disorders was recruited. Tools: Three <br />tools were used to collect the data (Caregiver Burden Inventory, The Educational Needs <br />Questionnaire, and Family Caregivers Socio-Demographic and Clinical Data Structured Interview <br />Schedule). Results: The majority of caregivers (93.3%) had a risk of burnout and near to two thirds <br />of caregivers (64.0%) showed high interest in the educational needs. Conclusion: Caring for a <br />patient with psychotic disorder within a family can put a great burden on whoever is providing the <br />care to the extent of exposing them to the risk of burnout. In response, the need for psycho- <br />education is expected and highly expressed by the caregivers, especially in the areas of coping with <br />stress, patient’s social functioning, patient’s symptoms and the resources available to help and <br />support them. Recommendations: A routine assessment of the psycho-educational needs and <br />caregiving burden of families' caregiver must be carefully considered while developing family- <br />centered interventions.https://ejhc.journals.ekb.eg/article_260892_6c9d4e8e9f4b78bd906dc376dcb7e5ea.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Relationship between adolescents’ perception of inter-parental conflict, the feeling of emotional security in their family, and academic achievement1803181626089310.21608/ejhc.2022.260893ENNaglaaFathi Mohamed ElattarAssistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Benha University, EgyptRaniaA.ZakiAssistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Ain shams University, EgyptShaimaaMohamed Nageeb MohamedLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Zagazig University. EgyptJournal Article20220923Background: Inter-parental conflict affects adolescent behavior and has severe <br />consequences for the emotional security and academic performance of adolescents. Aim: <br />This research paper aims to explore the relationship between emotional security and the <br />perception of adolescents’ inter-parental conflict and their academic achievement. Design: <br />The study adopted the descriptive correlational design. Setting: Two schools for girls (El- <br />Obour Secondary School for Girls and Asmaa Bent Abi Bakr Secondary School for Girls) <br />are the only two governmental secondary schools in El-Obour city. Sample: A simple <br />random sample (N=283) was taken from the above setting. Tools: Data collection depended <br />on four tools: The first was a two-part structured interview questionnaire: Part I covered the <br />students’ socio-demographic data, whereas part II comprised the family’s socio-demographic <br />data. The second tool was the Children’s Perception of Inter Parental Conflict (CPIC) Scale, <br />the third tool was the security in the Family System Scale (SIFS), and the fourth tool was the <br />Academic Achievement Scale. Results: Less than half of the studied students had a moderate <br />perception of inter-parental conflict, more than one-quarter had a low level of security in <br />family, and more than half had an unsatisfactory level of academic achievement. Conclusion: <br />Inter-parental conflict positively correlated with psychological well-being and academic <br />achievement among students. Recommendation: Conducting periodical workshops for <br />school students to help express their emotions and intervention programs for students and <br />parents to enable them to be more adaptivehttps://ejhc.journals.ekb.eg/article_260893_961e51241cdf59780c3076c3c8c82c25.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Skin-to-Skin Contact between Mothers and Newborns at Birth on Temperature, Oxygen Saturation, and Initiation of Breast Feeding1831184226476610.21608/ejhc.2022.264766ENNagatFarouk AbolwafaAssistant Professor of Pediatric Nursing, Faculty of Nursing, Minia Universities, EgyptHebaBoshra ShehataLecturer of Pediatric Nursing, South Valley University, EgyptHowaydaMohammed AliLecturer of Pediatric Nursing, Faculty of Nursing, Minia Universities, EgyptJournal Article20221010Background: Immediately after birth, the newborn should be placed in Skin-to-Skin Contact <br />(SSC) with their mothers for at least an hour, and mothers should be assisted to initiate <br />breastfeeding their newborns within the first half-hour. Objective is to explore the effect of skin-to<br />skin contact between mothers and newborns at birth on temperature, oxygen saturation, and <br />initiation of breast feeding. Method: A quasi-experimental design was utilized on the current study. <br />Sample and setting: 300 mothers and their newborns were included as purposive sample in the <br />delivery room at Minia University Hospital for Obstetrics and Pediatrics and Minia General <br />Hospital. They divided randomly into two groups 150 for skin-to-skin contact (the study group) and <br />150 for the routine care (the control group). Tools: Data collection requires only one tool including <br />four parts formed up a structured interview questionnaire: Part (1), assessed the personal and <br />obstetric data of the mothers' Part (2) assessed the newborns data. Part (3) assessed the newborns <br />auxiliary temperature, oxygen saturation, time of initiating breast feeding and duration of the first <br />breast fed lastly Part (4) assessed the LATCH breastfeeding assessment tool.Results: There was <br />increase in axillary temperature stability, increase oxygen saturation SO2 more than 90% among <br />newborns after birth, decreasing mean time to initiate breast feeding and increasing mean duration <br />of the first breast fed among the skin-to-skin contact group than the routine care group. Conclusion: <br />early skin-to-skin contact immediately after newborns birth led to auxiliary temperature <br />stabilization, increase oxygen saturation more than 90%, early successful initiation of breast feeding <br />and increasing the duration of the first breastfed.Recommendations: Continuous educational and <br />training program concerning benefits and practice of SSC among health personnel is necessary. All <br />stable newborns born at term via normal delivery should practice skin-to-skin contact soon after <br />birth for at least the first primary hours of life with continual observation of mothers and newborns <br />during early SSC. https://ejhc.journals.ekb.eg/article_264766_925a8d6b51cc4d140afe66f81771a465.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of an Evidence-Based Program on Infants’ PURPLE Crying and Shaken Baby Syndrome among Nurses1644165627692110.21608/ejhc.2022.276921ENMahaHosny ElshaterLecturer of Pediatric Nursing, Faculty of Nursing, Alexandria University, EgyptNoraAbd Elhamid ZakiAssistant professor in Pediatric Nursing, Faculty of Nursing, Assiut University, EgyptAminaMohamed ThabetAssistant professor of Pediatric Nursing, Faculty of Nursing, Sohag University, EgyptAmiraHassan AbdalfatahLecturer of Pediatric Nursing, Faculty of Nursing, Assiut University, EgyptJournal Article20221229<strong>Background: </strong>Shaken baby syndrome (SBS) is the most common cause of death or serious
neurological injury resulting in life-long disability among infants and young children less than 5
years of age. <strong>The study aimed to </strong>evaluate the effect of an evidence-based prevention program for
nurses on the period of PURPLE crying in infants and shaken baby syndrome. <strong>Study design: </strong>
A quasi-experimental (pre-post-test) research design was used to achieve the aim of this study.
<strong>Sample: </strong>A convenient sample was selected of 100 pediatric nurses from (PICU &NICU) and
outpatient pediatric clinic in Assiut University Children's Hospital.. <strong>Tools: </strong>Three tools were used to
collect the needed data. Tool one: It was composed of three parts: Part one: Personal data of studied
nurses. Part two: Shaken infant syndrome knowledge assessment questionnaire. Part three: It was
included a nurse's knowledge assessment questionnaire on the PURPLE Crying Period. Tool Two:
Nurses' thoughts and attitudes about shaken baby syndrome hazards. Tool Three: Scale of Infant
Crying Knowledge. <strong>Results: </strong>65 % of nurses had a satisfactory level of knowledge about the period
of PURPLE crying in infants which increases to 96% post-test. in the pre-test, 73% of nurses had
appropriate beliefs and attitudes regarding shaken baby syndrome hazard while in the post-test most
of the nurses (89%) had appropriate believes and attitudes with a highly statistically significant
difference between the nurses believes and attitudes in pre and posttest (<em>P</em>=0.004). <strong>Conclusion: </strong>
Implementation of an Evidence-Based prevention program had a positive effect on understanding
the period of PURPLE crying in infants which reduced the hazards of Shaken Baby Syndrome in
infants. <strong>Recommendations: </strong>Nurses should teach parents and give them a booklet about the period
of PURPLE crying and practices to prevent hazards of shaken baby syndrome on the infants
discharge from PICU or NICU.https://ejhc.journals.ekb.eg/article_276921_48c82161895fa6fd263faf42af9d892b.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Risk Perception, Academic Performance, and Knowledge of the COVID-19 Pandemic among Nursing Students1843185327029910.21608/ejhc.2022.270299ENSamiaEaid ElgazzarAssistant Professor, Department of Medical-Surgical Nursing, College of Nursing, Qassim University, Saudi Arabia
Assistant Professor, Department of Medical-Surgical Nursing, Faculty of Nursing, Port-Said University, EgyptJournal Article20221117<strong>Background: </strong>Global education systems are faced with a challenge from COVID-19. <strong>Aim: </strong><br />This study aimed to examine risk perception, academic performance, and knowledge of the covid-<br />19 pandemic among nursing students. <strong>Methods: </strong>From March 5 to April 20, 2020, a cross-sectional<br />descriptive study design was conducted in the nursing college of Qassim University. The study was<br />conducted with a purposive sample using a self-administered online survey made available on<br />specific social platforms. The total enrollment in this study was 190 nursing students. <strong>Results: </strong>The<br />results showed that most students had good knowledge of COVID, 53.7% of them had high<br />perceptions of their academic achievement, and 51.6% of them had moderate perceptions of the risk<br />of COVID. Furthermore, the highly knowledgeable student nurses had a mediocre academic record<br />(r =0.377, p=0.001). Additionally, pupils who performed better academically also displayed lower<br />risk perception (r= -0.216, p=0.003). <strong>Conclusions: </strong>Our research indicated that Saudi Arabia's future<br />frontline healthcare workers, nursing students, demonstrated a high degree of understanding, risk<br />perception, and academic achievement toward COVID-19. When employing suitable preventative<br />measures to stop the spread of the disease, it is also crucial to update the student's knowledge of the<br />diagnosis and case treatment of COVID-19. <strong>Recommendations </strong>that conducting in-service training<br />courses on COVID-19 is essential for enhancing academic performancehttps://ejhc.journals.ekb.eg/article_270299_79e9379ca63d0e0d231545f2c26f1422.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Tele Nursing on Health Outcomes of Children with Rheumatic Arthritis and Satisfaction of Their Caregivers during Covid-19 Pandemic1855187327042810.21608/ejhc.2022.270428ENHematMostafa AmerAssistant professor of Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt.ElhamS. ElzyenLecturer of Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt.DoaaA. ZayedLecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt.AlyaaH.SalamaLecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt.Journal Article20221119Rheumatoid arthritis (RA) is autoimmune illness which mostly affects the joints. Access to care and<br />rheumatic arthritis outcomes and satisfaction may be improved by utilizing the tele-nursing<br />especially during the outbreak of COVID-19. <strong>Aim</strong>: To investigate the effect of tele nursing on<br />health outcomes of children with rheumatic arthritis and satisfaction of their caregivers during<br />Covid 19 pandemic. <strong>Design</strong>: A quasi experimental research design. <strong>Setting</strong>: Three out patients’<br />clinics of rheumatology were selected from; Menoufia University hospital, Teaching hospital and<br />school health insurance clinics. <strong>Subjects</strong>: A purposive sample of 120 students were selected and<br />divided equally to study and control group. <strong>Instruments: </strong>Data was collected using The Arabic form<br />of The Juvenile Arthritis Multidimensional Assessment Report & Client Satisfaction Questionnaire-<br /><br /><strong>Results</strong>:The health outcomes of children with RA, including functional abilities, pain intensity,<br /><br />joint pain and swelling, joint stiffness, medication adherence, disease status and disease course, and<br />general well-being, showed statistically significant differences between the study group and control<br />group following the intervention. Moreover, there was a significance improvement in the levels of<br />the quality of life (physical and psychological) on post intervention among study group than control<br />group. Additionally, for the study group, there was a statistically significant improvement in the<br />caregivers' satisfaction with the health services they received. <strong>Conclusion</strong>: Tele-nursing<br />intervention is a significant method of health care delivery and has a positive impact on health<br />outcomes of children with RA and increases the caregivers' satisfaction especially after arising the<br />era of COVID 19 Pandemic. <strong>Recommendations</strong>: High-quality researches incorporating other<br />undiscovered health outcomes and satisfaction are required to establish the benefit of tele-nursing in<br />enhancing patient care.https://ejhc.journals.ekb.eg/article_270428_f90a9805ff7e96d89dacf835f27dff11.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Risk Perceptions for COVID-19 among Individuals with Chronic Diseases Pre- Post COVID -19 Vaccination Announcement1874188527042310.21608/ejhc.2022.270423ENSoheirMohamed WeheidaProfessor of Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt,AbeerArafa GomaaLecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.HebaGebrilLecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.MervatAbd Elhamid HawashLecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.HebaMohamed MohamedLecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.Journal Article20221118<strong>Introduction</strong>: According to the World Health Organization (WHO), coronavirus disease (COVID-<br />19) had become the global concern as public health emergency. Cases are increasing as alarming<br />rate. WHO also reported that prognosis of COVID-19 remains mostly unknown. <strong>Aim: </strong>This study<br />aimed to assess risk perceptions for Covid-19 among individuals with chronic diseases pre- post<br />COVID -19 Vaccination Announcement. <strong>Research design: </strong>exploratory comparative research<br />design was employed to achieve the study objectives. <strong>Setting</strong>: The study was conducted at cardiac<br />and diabetic outpatient clinics at Alexandria Main University Hospital, Egypt. <strong>Subjects</strong>: The study<br />included random sample of 80 adult patients from both genders diagnosed as cardiovascular<br />disorders, Diabetes Meletus, or both, who are admitted to the above-mentioned settings were<br />included in the study. <strong>Tools</strong>: two tools were used for data collection; tool I- Patient <strong>Demographic </strong><br /><strong>characteristics </strong>and clinical data, tool II- perception of COVID 19 risk. <strong>Results</strong>: this study shows<br />that the highest percentage of studied patients had high risk perception pre-post vaccination<br />announcement. Also results revealed that more than half of studied patients agree with such<br />statement " If the individual receive the vaccine, he leaves the precautionary measures and live a<br />normal life" pre - post vaccination announcement. <strong>Conclusion</strong>: This study concluded that the<br />highest percentage of studied patients had high risk perception pre COVID-19 vaccination<br />announcement while all studied patients had high risk perception post vaccination announcement.<br /><strong>Recommendations</strong>: Replication of the study on large probability sampling is require.https://ejhc.journals.ekb.eg/article_270423_f28ae5af8ae21771eef730d048ac857c.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601The Relationship between Selfie and Happiness among Male and Female Nursing Students1886189427143110.21608/ejhc.2022.271431ENShymaaAly HamedLecturer of Psychiatric Mental Health Nursing Department, Faculty of nursing, Cairo university, EgyptSamahOsman AliLecturer of Psychiatric Mental Health Nursing Department, Faculty of nursing, Cairo university, EgyptAlshymaaMohamed Abdel TawabLecturer of Psychiatric Mental Health Nursing Department, Faculty of nursing, Cairo university, EgyptJournal Article20221127Selfies have become an addiction among college students, who spend a lot of time and money
uploading and sharing them on social media.The aim is to investigate the relationship between selfie
and happiness among male and female nursing students. Adescriptive, correlational and cross
sectional design was utilized in this study. A convenience sample of 480 nursing students was
utilized in this study. Three tools were used; a personal data sheet, the Selfitis Behavior Scale, and
the Oxford Happiness questionnaire.The Findings revealed that, 60.5% of nursing students were
female, and 67.4% of the studied sample had a moderate level of selfie-taking behavior.Moreover,
our findings demonstrated a statistically significant positive correlation between overall selfie-
taking activity and level of happiness scale. the research findings conclude that, the prevalence of
selfie-taking behavior is moderate level among nursing students, in today's electronic age, photo
sharing and selfie behavior are among the most essential activities people enjoy, particularly
students. Design psychoeducational programs for university students to enhance adolescents' self-
identity and increase awareness about selfie practice and its negative consequences are
recommended .https://ejhc.journals.ekb.eg/article_271431_f66c5c6fd7b7b5a74654f1c7e5d1ad73.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Online Education on Reducing Post Caesarian Section Pain and Anxiety among Pregnant Women1895190527180910.21608/ejhc.2022.271809ENHowaidaAmin Hassan Fahmy ElsabaMaternity, Obstetric, and Gynecological Nursing Department, Faculty of Nursing, Port Said University, EgyptAmanyArafat GodaAssistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University- Egypt. PhD, RN, Assistant Professor of Maternal and Neonatal Health Nursing, School of Nursing, Bader University in CairoMonaMohamed Abd ElHamid YounesLecturer of Community Health Nursing, Faculty of Nursing, Port Said University, EgyptAlmandouhH. BosilahAssistant Professor of Obstetrics and Gynecological Department, Faculty of Medicine, Damietta University, EgyptYousifA.Assistant professor of Woman's Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura UniversityJournal Article20221129<strong>Background</strong>: Cesarean section is accompanied by persistent postoperative pain and anxiety.
<strong>Aim: </strong>To determine the effect of online education on reducing post-caesarian section 'pain and
anxiety among pregnant women. <strong>Design</strong>: A quasi-experimental design was used to accomplish this
study (pre/post-test). <strong>Setting: </strong>The study was conducted at the antenatal outpatient clinic in
Mansoura University Hospital. <strong>Subject</strong>: A purposive sampling technique was used to select a
sample of 100 pregnant women who were enrolled in the previously selected setting. <strong>Tools: </strong><em>Three </em>
<em>tools were used </em>(I) an Online-administered questionnaire, which covered two parts personal data
and current obstetric history, (II) A numerical pain rating scale, and (III) a State-Trait Anxiety
Inventory. <strong>Results</strong>: The current study found that pregnant women who received online education
experienced lower mean pain scores post-online education than those pre-online education (P= 0.05).
This difference was highly statistically significant. Additionally, the study found that anxiety levels
among expectant women were significantly different post-online education compared to pre-online
education (P= 0.001). Pre and post-education, there was a significant positive relationship between
the pregnant women's state anxiety levels and pain intensity. <strong>Conclusion</strong>: Online education on has a
positive effect on reducing post-caesarian section 'pain and anxiety among pregnant women.
<strong>Recommendations</strong>: Providing online education for pregnant women is recommended to improve
their knowledge and reported practices which are reflected in pain and anxiety levels reduction.https://ejhc.journals.ekb.eg/article_271809_077b0c20a56e4d53e9e1ecd7ebf52fa8.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of counselling-based program on technical nursing students’ perception regarding reproductive health1906192227261210.21608/ejhc.2022.272612ENNageyaEzzat SaidLecturer of Maternity & Neonatal Nursing, Faculty of Nursing, Ain Shams University.WafaaGomaaLecturer of Maternity & Neonatal Nursing, Faculty of Nursing, Ain Shams University.Journal Article20221204<strong>Background</strong>: Premarital counseling (PMC) is vital element in health sector strategies for helping<br />couples to learn skills about better understanding of marriage, improving social relationship as well<br />as health of both couples and their coming children, educating university students about premarital<br />issues is a key event needed for reducing the high health hazards in the society. <strong>Aim: </strong>evaluate the<br />effectiveness of counselling-based program on females’ knowledge and attitude regarding<br />reproductive health. <strong><em>Methods: </em></strong>a quasi-experimental (pre-posttest,) design was used. The study was<br />conducted at technical institute of nursing of Ain shams University. A purposive sample of 245<br />female students were included in the study. <strong>Data </strong>were collected through two tools. A structured<br />interviewing questionnaire is divided into two parts to include sociodemographic data, students’<br />knowledge regarding premarital counselling and reproductive health, And Female students’ attitude<br />regarding PMC Likert scale <strong><em>Results: </em></strong>It revealed 60% of them age ranged from 16 to 17 years<br />reveals that <strong>73.5% </strong>of female student have positive attitude regarding their premarital care post<br />program implementation. <strong>While 41.2% </strong>of female student have negative attitude regarding their<br />premarital care pre-program implementation <strong><em>Conclusion</em></strong><strong>: </strong>there was a highly statistically significant<br />improvement in knowledge scores as well as positive attitude scores among female students<br />regarding premarital counselling after implementing counselling-based program, also the current<br />study revealed statistical significance difference between total score of knowledge and total score of<br />attitudes with positive correlation between the post intervention. The study <strong>recommended </strong><br />Premarital counseling should be added into the nursing curriculum to prepare students for marriagehttps://ejhc.journals.ekb.eg/article_272612_00a24e287d20cef74a8ba6bded8220bb.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of virtual reality and chewing mint gum on labor pain intensity and anxiety level: A Comparative Study1923193527388910.21608/ejhc.2022.273889ENHanaaKamal HelmyAssistant Professor of Maternal & Newborn Health Nursing, Faculty of Nursing, Beni- Suef University, EgyptZeinabA. BaraiaLecturer of Maternity, Obstetrics and Gynecological Nursing, Faculty of Nursing, Suez Canal University, EgyptHagarKamal MasoudLecturer of Maternal & Newborn Health Nursing. Beni-sueif University, EgyptSafaaSoliman AhmedAssistant Professor of Maternal & Newborn Health Nursing, Faculty of Nursing, Beni- Suef University, EgyptJournal Article20221212<strong>Background: </strong>Due to the debilitating effects of severe labor pains, its management
continues to be an essential subject that needs much attention. Application of a non-
pharmacologic solution could have a significant impact on nursing practice to reduce labor
pain and anxiety. <strong>Aims: </strong>To compare the effect of virtual reality and chewing mint gum on
labor pain intensity and anxiety level. <strong>Methods: </strong>This is a single-blind, three-group clinical
trial study on 300 mothers affiliated to Beni Suef University Hospitals and Elnada maternity
and Plastic surgery hospital for natural childbirth during the year 2021 -2022. Subjects: were
randomly divided into three groups of chewing gum, virtual reality, and control using six
blocks. Group one (Chewing gum interventions), group two (virtual reality) where dilatation
for 20 min were performed twice in 4–5 cm and 7–8 cm. Group three is the control group,
where nurses performed the routine hospital care only. Tools: included A structured
interviewing Questionnaire, Numerical rating scale, Visual anxiety scale or Observational
scale of behavioral distress and mothers` satisfaction Questionnaire. <strong>Results: </strong>There was
differences in pain intensity and anxiety level before and after the intervention. There was
significant difference between pre-intervention pain intensity and anxiety level scores among
the three studied groups, but there was a significant difference between pain intensity and
anxiety level scores immediately and after 30 min post the intervention implementation.
<strong>Conclusion: </strong>The results of this study displayed that virtual reality and chewing mint gum as
an intervention decrease pain intensity and anxiety level during the first stage of labor.
<strong>Recommendations: </strong>for further research include a larger sample, long-term retention, and
opinions pregnant women.https://ejhc.journals.ekb.eg/article_273889_bf1b2346cd18d4cf430054d8a13c5e9f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Coping Obstacles among Patients with Type 2 Diabetes: A Cross-Sectional Study1936195227862410.21608/ejhc.2022.278624ENFatmaMohmmed AbouelalaLecturer of medical-surgical nursing, Faculty of Nursing, Kafrelsheikh university.NadiaAhmed El_AdhamAssistant Professor of Community Health Nursing, Faculty of Nursing, Fayoum University, Egypt.NesreenYones MohamedLecturer of medical-surgical nursing, Faculty of Nursing, Kafrelsheikh university.OlaHussein Abo El - Maaty MohamedLecturer of Community Health Nursing Fayoum University, Egypt.AbeerM. El-Maghawry EldeebAssistant Prof. of Family &Community Health Nursing, Faculty of Nursing, Damietta University, Egypt.Journal Article20230105<strong>Background: </strong>Management of diabetes requires a complex treatment plan and lifestyle
changes to enhance patient adherence toward treatment. However, in patients with type-2 diabetes,
living with the disease faces various obstacles. If these obstacles are not recognized, non-
compliance with recommended self-care treatments and complications may occur as a result. <strong>Aim: </strong>
To determine the coping obstacles among type 2 diabetic patients. <strong>Methods: </strong>A cross-sectional
research design was conducted at diabetic outpatient clinics affiliated to El Mahalla El Kubra
general hospital. Sample: A purposive sample of 570 patients were included and data collected by
interviewing questionnaire to assess socio-demographic, clinical data and diabetes obstacles
questionnaire for 5 months from beginning of October 2021 to end of February 2022. <strong>Results: </strong>The
studied subjects had obstacles with medications subscales, self-monitoring, and knowledge &
believe, diagnosis, life style and coping subscales with mean score 5.17± 6.09, 3.53± 3.47, 5.03±
4.76, 4.38± 5.18, 3.44± 5.66 and 4.14± 3.69 respectively. On the other side, the studied subjects
didn’t experience obstacles in receiving guidance or supporting and relationship with health care
sub-scales with mean scores -5.08± 7.10 and -2.73± 6.02 respectively. <strong>Conclusion: </strong>There are
several obstacles faced by patients with type 2 diabetes, the total mean scores of the obstacles were
influenced by educational level, occupational status, smoking habit, follow-up, practicing exercises,
dietary compliance, diabetes complications, and duration of disease. <strong>Recommendation: </strong>Expanding
in the application of the educational programs for diabetic patients which include health information
and practical skills to cope with their disease and lifestyle changes.https://ejhc.journals.ekb.eg/article_278624_d4b738a383a0fa0639bd04bf23ad552b.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Factors Associated with Health Care Providers' Adherence to COVID-19 Guidelines at Hemodialysis Units1953197127889710.21608/ejhc.2022.278897ENNaglaaAbd Allah Abd El HafeezAssess. Prof. of Medical-Surgical Nursing. Faculty of Nursing. Alexandria University, Egypt.EmadAbd El Gawad Ali RabieLecturer of Medical-Surgical Nursing. Faculty of Nursing, Alexandria University, Egypt.MarwaKhalil HafezAssess. Prof. of Medical-Surgical Nursing. Faculty of Nursing. Alexandria University, Egypt.Journal Article20230107coronavirus disease {COVID-19} appeared in 2019 and significantly disrupted many areas of life
such as healthcare. Health care providers (HCPs), especially nurses and physicians, were on the
front lines of fighting the pandemic, making it crucial to follow the recommended safety guidelines.
However, many HCPs and hemodialysis (HD) patients were infected by the coronavirus, increasing
concerns regarding factors associated with HCPs<strong>' </strong>adherence level to COVID-19
guidelines. <strong>Objective: </strong>The purpose of this study was to identify factors associated with health care
providers' adherence to COVID-19 guidelines at hemodialysis units. <strong>Setting: </strong>The study was
conducted at the HD units of the Main University Hospital and the Fever Hospital affiliated with the
Ministry of Health, Alexandria, Egypt. <strong>Materials and Method: </strong>A descriptive research design was
utilized. (60) health care providers showing up at the previously mentioned setting were recruited
for the study. Health care providers (HCPs) knowledge of the COVID-19 guidelines structured
interview questionnaire, health care providers' adherence to COVID-19 guidelines observational
checklist, and factors associated with health care providers' adherence to COVID-19 guidelines
structured interview questionnaire were utilized for data collection. <strong>Results: </strong>Showed most HCPs
had unsatisfactory levels of knowledge and adherence toward COVID-19 prevention guidelines
(61.7%, 55.0 %) respectively. Moreover, environmental factors were the most factors facing HCPs
in their work with an overall percentage score of 78.75 ± 21.50. Also, a highly statistically
significant relation was found between HCPs’ adherence to COVID-19 guidelines and associated
factors such as organizational, environmental as well as individual factors (p = 0.008, 0.005, 0.014)
respectively. <strong>Conclusion: </strong>Most of the studied HCPs had poor knowledge levels and unsatisfactory
adherence levels toward COVID-19 guidelines, also the studied HCPs had identified and ranked the
obstacles facing them as environmental, organizational, and individual factors.https://ejhc.journals.ekb.eg/article_278897_7bc99cfd1f0a2576aff9821db434c51b.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of kangaroo Care on Pain Response in Premature Infants during Blood Sampling1972198427930110.21608/ejhc.2022.279301ENFatmaMohamed AminAssistant Professor of Pediatric Nursing Department, Faculty of Nursing, Mansoura University, EgyptA.MEitaLecturer of Pediatric Medicine Department, Faculty of Medicine Mansoura University, EgyptManalMohamed Ahmed AyedAssistant Professor of Pediatric Nursing Department, Faculty of Nursing, Sohag University, EgyptKhadigaZain Alabdeen Moustafa MohammedLecturer of pediatric nursing, Faculty of Nursing, Zagazig University EgyptJournal Article20230109<strong>Background: </strong>Kangaroo care helps reduce pain in newborns, especially those associated with a
variety of procedures that are part of routine medical and nursing care for premature infants. <strong>Aim: </strong>
This study aimed to evaluate the effect of kangaroo care on pain response in premature infants
during blood sampling. <strong>Research design: </strong>A quasi-experimental study design was used to achieve
the aim of this study. <strong>Setting: </strong>This study was conducted in a neonatal intensive care unit. <strong>Sample: </strong>
The study included a purposive sample of premature infants, which were divided randomly into two
groups (45 in each group).<strong>Tool: </strong>one tool was used; 1st <strong>part</strong>; Characteristics of premature infants
and 2nd <strong>part; </strong>Premature Infant Pain Profile (PIPP). <strong>Results: </strong>Studied premature infants' total score
of pain reflect significant differences compared to a control group. Kangaroo care was effective in
reducing pain scores in premature infants before, during, and after blood sampling, with
significantly reducing pain severity in premature infants compared to the control group. <strong>Conclusion: </strong>
Premature infants who received Kangaroo care exhibited less pain scores during blood sampling
compared to premature infants who did not receive it. <strong>Recommendations: </strong>Kangaroo care should be
used as a part of the routine care to reduce pain during painful procedures in premature infants
admitted in neonatal intensive care unit.https://ejhc.journals.ekb.eg/article_279301_0ef6852bd30d0836c01e665d933989c3.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601ABO Blood Grouping Association to Risk and Severity of Symptoms Among Post COVID-19 Infection Patients1985199528011910.21608/ejhc.2022.280119ENNafisaMoustafa Abdallah ElpasionyLecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni-Suef University, EgyptFatenSaid Abdelhady GarfLecturer of Community health nursing, Faculty of Nursing, Beni-Suef University, EgyptHudaRady SobhLecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20230113<strong>Background: </strong>Since the COVID-19 outbreak<strong> </strong>the researches have been focused only on the infection spread prevention and treatment. Right now, there is no biomarker available that can expect people who are at high risk of susceptibility and symptoms severity of COVID-19 infection. Recent studies indicate that a persons’ vulnerability and severity of COVID-19 infection may be significantly influenced by their ABO blood group. <strong>Aim: </strong>To explore the association between ABO blood grouping and both risk and severity of symptoms among post COVID-19 infection patients. <strong>Methods: </strong>A<strong> </strong>retrospective observational research design was used. A convenient 500 post COVID-19 infection individuals from Beni-Suef University hospital were participated in the study. Tool I patient characteristics and tool II COVID-19 related data were used for data collection. <strong>Results: </strong>The findings<strong> </strong>illustrated that 16.2% exposed to severe COVID-19 symptoms, blood group A represents the highest frequency 34.8% among other blood groups while blood group O depicts the lowest frequency 17.2%. Moreover, severity risk for blood group B individuals was significantly higher than blood group A individuals (OR= 1.795, 95% C.I = 1.027– 3.137). In addition, a statistically significant correlation was found between increased age and severity of symptoms “moderate and severe” (c<sup>2</sup> = 41.626, p < 0.001). <strong>Conclusion and recommendations: </strong>As blood group A showed the highest frequency,<strong> </strong>following safety precautions is critical for those people, and in the event of a COVID-19 infection, strict treatment, thorough observation, and monitoring are required. Further researches about adding further doses of vaccination for blood group A individuals.https://ejhc.journals.ekb.eg/article_280119_a4f7ca49af3e298f12b111d7084c374f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Social Media-Based Educational Guidelines on Knowledge and Practice among Women undergoing Hysterectomy1996200628280210.21608/ejhc.2022.282802ENWafaaKamel Sadek Abd El RahmanNursing fellow (woman's Health and Midwifery Nursing), students Hospital Mansoura UniversityNawalKamal Abd ElkhalekLecturer of Obstetrics and Gynecological Nursing, Faculty of Nursing, South Valley UniversityMervatAbd El Kader Ahmed Mohamed RahmaAssistant Professor of Community Health Nursing Department, Faculty of Nursing, Beni Suef UniversityAmanyA. AhmedAssistant professor of obstetrics, Gynecological and reproductive health Nursing, Sohag & Matrouh UniversityJournal Article20230129<strong>Background</strong>: The care of the women undergoing hysterectomy should meet their needs, and this<br />must involve their families. However, care such as the provision of sound information, emotional<br />support, and advice, is often missed. <strong>Aim: </strong>To determine the effect of social media-based educational<br />guidelines on knowledge and practice among women undergoing hysterectomy. <strong>Methods: Subjects </strong><br /><strong>and method</strong>: <strong>Design</strong>: Quasi-experimental research design was utilized to achieve the aim of this study.<br /><strong>Settings</strong>: The study was conducted at Mansoura City in Egypt. <strong>Sample</strong>: A purposive sample of 300<br />women having a hysterectomy was obtained from social media such as Facebook and WhatsApp groups,<br />2021 which the online Google form spreadsheet was opened from the beginning of June 2021 to the end<br />of June 2021 it was closed. <strong>Two tools used in data collection</strong>: (I): A self-administered questionnaire<br />(pre and post-test format) to assess women's demographic characteristics, obstetric, and medical<br />histories; women's knowledge about hysterectomy (pre and post-test format); and (II): women's practice<br />about hysterectomy (pre and posttest format). <strong>Results: </strong>The present study revealed that there were highly<br />statistically significant differences between women's knowledge and practice regarding hysterectomy<br />pre and post-social media-based educational guidelines implementation. <strong>Conclusion: </strong>the study<br />concluded that a social media-based educational guideline has significant improvements in women's<br />knowledge and practice about hysterectomy. <strong>Recommendations: </strong>The social media-based based<br />educational guidelines should be applied to all women undergoing hysterectomy as a new teaching<br />method for proving health care.https://ejhc.journals.ekb.eg/article_282802_b08ea163b7f9c36b7d03dda28101f46b.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Educational Instructions on Pregnant Women's Knowledge and Practice regarding Iron Deficiency Anemia2007202028280610.21608/ejhc.2022.282806ENWafaaKamel Sadek Abd El Rahman,Nursing fellow (woman's Health and Midwifery Nursing), students Hospital Mansoura University.AmanyA. AhmedAssistant professor of obstetrics, Gynecological and reproductive health Nursing, Sohag & Matrouh UniversityAzzaMohamed El-Sayed AtwaAssistant professor of Obstetrics and Gynecology Nursing, Faculty of Nursing, Sohag University, Egypt.Journal Article20230129Iron deficiency anemia in pregnancy is a major health problem. All pregnant women are at risk for
becoming anemic that is because the iron need for the mother and fetus gradually increases during
pregnancy and reaches its highest level at the end of the pregnancy<strong>. Aim: </strong>To investigate the effect
of educational instructions on pregnant women's knowledge and practice regarding iron deficiency
anemia<strong>. Subjects and method: Design: </strong>A quasi-experimental research design was used to achieve
this study. <strong>Setting: </strong>The study was applied in antenatal outpatient clinics at Mansoura University
Hospitals. <strong>Subjects</strong>: A purposive sample of 300 pregnant women involved in the study from the
previously selected settings. <strong>Three Tools were used for data collection </strong>1) a structured
interviewing questionnaire, 2) a pregnant women's reported practices tool, and 3) a hemoglobin
level assessment sheet. <strong>Results</strong>: A statistically significant difference was detected between pregnant
women's level of knowledge and practice regarding iron deficiency anemia and Hemoglobin (Hb)
value after educational instructions intervention. The hemoglobin level mean was increased among
the studied pregnant women after educational instructions intervention<strong>. Conclusion: </strong>Educational
instruction intervention has a positive effect on enhancing pregnant women's knowledge and
practice regarding iron deficiency anemia and hemoglobin level<strong>. Recommendations: </strong>Educational
instruction intervention is recommended in various maternity healthcare settings. Educational
booklets should be provided about foods with a high concentration of iron to reduce iron deficiency
anemia in pregnant womenhttps://ejhc.journals.ekb.eg/article_282806_b42c30d572689451669b17fde748d2b8.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Implementation of PLISSIT model on Female Sexual Dysfunction and Sexual Quality of life among Married Circumcised Women at Minia Governorate, Egypt2021204328339510.21608/ejhc.2022.283395ENMonaAhmed Abd-ElhamedLecturer of Woman Health and Obstetric Nursing, Faculty of Nursing -Minia University.SamarElrefaey Elrefaey AbazaLecturer of Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University.RedaTaha Ahmed Abou- ElazabLecturer of Mental Health and Psychiatric Nursing, Faculty of Nursing, Port Said University.SehamShehata MostafaLecturer of Maternity and Newborn Health Nursing, Faculty of Nursing - Menoufia University.Journal Article20230131<strong>Background: </strong>Even though a person's sexual well-being is an indicator of general health. Still
largely ignored in Eastern societies like those of Egypt, and particularly Upper Egypt, female
circumcision is one of the most frequent health issues that have a considerable detrimental influence
on a woman's sexual function.<strong> Aim of the study: </strong>to evaluate the effect of PLISSIT model on
female sexual dysfunction and sexual quality of life among married circumcised women at Minia
governorate. <strong>Subjects and Methods: </strong>Quasi- experimental design (pre-post study) was conducted at
outpatient obstetrics and Gynecology clinics at Minia university hospital for maternity and children<strong>. </strong>
A purposive sample of One hundred and twenty five married circumcised women was included in
this study. <strong>Data was collected </strong>through three main tools structured interviewing questionnaire,
Female Sexual Function Index and Female Sexual Quality of Life Questionnaire In addition to, a
supportive material (guidelines) was distributed to the studied women. <strong>Results</strong>: The current study
clarified that, the mean age of circumcised women was 27.6 ±3.5years, there was a highly
statistically significance difference related to the Female sexual function International Index of
Erectile Function and Female sexual quality of life scores at pre-post intervention and follow up of
the intervention(PLISSIT model) at (P-Value <0.001). <strong>Conclusion: </strong>Implementation of sexual
guidance premised on PLISSIT model had a significant effect in improving the sexual function and
sexual quality of life among circumcised women. <strong>Recommendation: </strong>More research is required to
fully understand how female genital mutilation affects women's physical, mental, and social health.
In addition, Verification of the PLISSIT model on a variety of women complaining of dysfunction
in outpatient clinics and educational guidelines should include information on how to handle
circumcision-related sexual difficulties.https://ejhc.journals.ekb.eg/article_283395_9a154c19a6a91641c072b5d92d77be0e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Educational Guidelines on Patients’ Knowledge and Practices regarding Complications Post Bone Marrow Transplantation2044205828369210.21608/ejhc.2022.283692ENAmanyEl-berdanAssistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Port-Said UniversitySaraTalat Ramadan Sayed AhmedFellow of Medical-Surgical Nursing, Student Hospital, Mansoura University, EgyptSamiaEaid ElgazzarAssistant Professor, Department of Medical-Surgical Nursing, Faculty of Nursing, Port-Said University, EgyptSuzanMohamed ElsayedLecturer of Medical-Surgical Nursing, Faculty of Nursing, Zagazig University EgyptJournal Article20230201<strong>Background: </strong>Educational guidelines after bone marrow transplantation provide patients with sufficient
knowledge and practices to reduce expected complications. <strong>Aim: </strong>This study aimed to determine the
effect of educational guidelines on patients’ knowledge and practices regarding complications post-bone
marrow transplantation. <strong>Research design: </strong>A quasi-experimental design was utilized to achieve the aim of
this study. <strong>Setting: </strong>The study was conducted at Oncology Center affiliated with Mansoura University,
Egypt. <strong>Subject: </strong>A convenient sample that included (50)patients post bone marrow transplantation. <strong>Tools</strong>:
(I) Patient’s assessment sheet, (II) Patient’s knowledge, and III: Patient’s reported practices (pre and post).
<strong>Results</strong>: This study revealed that there was a statistically significant improvement in patients' knowledge
and reported practices respectively pre and post-educational guidelines. There was a positive correlation
between knowledge and practice at pre, post, and follow-up implementation of the educational guidelines
regarding complications post bone marrow transplantation. <strong>Conclusion: </strong>The current study concluded that
educational guidelines regarding complications post-bone marrow transplantation have a positive effect
on improving patients' knowledge and reported practices. <strong>Recommendation: </strong>Provide continuous
educational guidelines regarding complications post-bone marrow transplantation.https://ejhc.journals.ekb.eg/article_283692_486470de3fbc5157211ba17875bac3c2.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Gerontological Nursing Students' Perception and Stress of Online Learning during COVID-19 Pandemic2059207928487610.21608/ejhc.2022.284876ENSageda MagdyAliGerontological Nursing- Faculty of Nursing- Mansoura University- EgyptSallyMohammed ElsayedGerontological Nursing- Faculty of Nursing- Mansoura University- EgyptAbdel-HadyEl-GilanyPublic Health- Faculty of Medicine- Mansoura University- EgyptAzizaMahmoud BoughdadyGerontological Nursing- Faculty of Nursing- Mansoura University- EgyptJournal Article20230210<strong>Background</strong>: The educational system has been extremely affected by COVID-19 pandemic;<br />it forced the shutdown of the institutions of higher education, which adversely affected student,<br />teaching and learning across the world. <strong>Aim: </strong>determine gerontological nursing students' perception<br />and stress of online learning during COVID-19 pandemic<strong>. Design: </strong>A cross-sectional study was<br />utilized. <strong>Setting: </strong>Faculty of Nursing, Mansoura University, Egypt. <strong>Subjects: </strong>All undergraduate<br />fourth level students registered in gerontological nursing course in the 2nd semester during the<br />academic year 2020/ 2021. <strong>Tools</strong>: The researchers developed an electronic self-administered<br />questionnaire that conducted on the Google Forms platform it composed of three tools; Nursing<br />Students' Demographic Data and Academic Performance Structured Questionnaire, Nursing<br />Students' perception towards online learning and, Perceived Stress Scale. <strong>Results</strong>: Regarding<br />students experience with online learning 59.6% had previous experience, 74.7% use smart phones<br />and 57.7% were satisfied of online learning. 78% reported that online learning should be continued<br />during this pandemic. In addition, a strong negative correlation was found between online learning<br />perception and academic stress among the studied students. <strong>Conclusion</strong>: More than half of<br />gerontological nursing students had moderate level of stress and positive perception towards online<br />learning. Level of stress and perception towards online learning may depend on several factors<br />including, sex, GPA, father and mother's education level, and family income. <strong>Recommendations: </strong><br />Training programs should be conducted to nursing students about using online learning platforms to<br />improve their self-confidence in using it.https://ejhc.journals.ekb.eg/article_284876_4223bc6ce66dd7d618d2288a80591f1f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effectiveness of Art Therapy on Aggressive Behavior and Self-Esteem Among Children with Learning Disorders2080209628487810.21608/ejhc.2022.284878ENFatenHasan AlamAssistant Professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt. Currently, Associate professor in Ibn Sina National College for Medical Studies, Saudi Arabia.MerfatM. AtiaAssistant Professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.RedaA. HassanLecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University, EgyptNagwaI. RashedLecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University, EgyptFatma .A, Abd ElrazekAssistant Professor of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt.Journal Article20230210Children with learning disorders are often apathetic, inattentive, and have low self-esteem;<br />additionally, aggressive behavior is still a common occurrence that can impair their social,<br />emotional, psychological, behavioral, and intellectual development. The current study aimed to<br />investigate the effect of art therapy on aggressive behavior and self-esteem among children with<br />learning disorders. <strong>Methods: </strong>A quasi-experimental (one group pretest -posttest design) was utilized<br />in this study. The study was conducted at Shebin Elkom, Menoufia Governate. The selected centers<br />(Al Basma Association center and Ebny center for children with special needs) are both centers for<br />children with disabilities. <strong>Sample: </strong>A purposive sample of 60 children who attended previously<br />selected centers for treatment and follow-up. Data were gathered by the following tools (1) The<br />Modified Overt Aggression Scale (MOAS), (2) The child Rosenberg Self-Esteem Scale (CRSES),in<br />addition to demographic characteristics as child age, gender, academic level, parent age, and<br />education level. <strong>Results: </strong>Following art therapy, the majority of the children of learning disorder<br />(85%) displayed little aggressiveness. In addition, 61% of children show normal self-esteem post<br />intervention, and there was a statistically significant difference in self-esteem before and after art<br />therapy. <strong>Conclusion</strong>: Art therapy reduces aggressive behavior and increases self-esteem in children<br />with learning disorders. <strong>Recommendation: </strong>Rehabilitation pediatric nurses and parents of children<br />with learning disorders should receive in-service training on the value of art therapy and how to use<br />it to reduce violent behavior and enhance children’s self-esteemhttps://ejhc.journals.ekb.eg/article_284878_93495e94bb65aa85f6068269a38a4ace.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Workplace Spirituality and its Influence on Staff Nurses’ Motivation and Team Effectiveness2097210828616710.21608/ejhc.2022.286167ENDaliaA. KhalaafLecturer of Nursing Administration, Faculty of Nursing, Ain Shams University. Egypt.SamahM. ElsayedAssistant Professor of Nursing Administration, Faculty of Nursing, Ain Shams University. Egypt.EhsanSaad Soliman SaadAssistant Professor of Nursing Administration, Faculty of Nursing, Benha University, Egypt.Journal Article20230218<strong>Background</strong>: Workplace spirituality gain positive benefits by developing a humanisticenvironment<br />that has a positive influence on staff nurses’ motivation and team effectiveness for effective nursing<br />care outcomes. <strong>Aim of this study</strong>: to assess workplace spirituality and its influence on staff nurses’<br />motivation and team effectiveness. <strong>Research Design: </strong>A descriptive correlational research design<br />was utilized to conduct this study. <strong>Setting</strong>: This study was conducted at all inpatient units at Benha<br />University Hospitals. <strong>Subjects</strong>: Consisted of 314 staff nurses out from 1461 staff nurses based on a<br />simple random sample. <strong>Tools of data collection: </strong>Three tools were used for data collection;<br />workplace spirituality questionnaire, staff nurses’ motivation questionnaire and team effectiveness<br />questionnaire. <strong>Results: </strong>Slightly more than two thirds (67.6%) of studied staff nurses had moderate<br />level of workplace spirituality and more than half (56.4%) of them had high level of motivation also<br />more than half (54.1%) of them had high level of teamwork effectiveness. <strong>Conclusion: </strong>There was a<br />highly statistical significant positive correlation between total workplace spirituality level and total<br />staff nurses' motivation level; also there was a highly statistically significant positive correlation<br />between total workplace spirituality level and total teamwork effectiveness level.<br /><strong>Recommendations: </strong>Hospital administrators could maintain workplace spirituality (supportive<br />environment), team effectiveness by motivating staff nurses. Periodic assess staff nurses needs and<br />active listening to them from their supervisors. Staff nurses roles and responsibilities of their work<br />should be clear at the beginning to promote teamwork effectiveness.https://ejhc.journals.ekb.eg/article_286167_bb64f62e7ed41a52424e543477d98538.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Nursing Intervention on Improving Coping Strategies Regarding Menopausal Symptoms and Sexual Dysfunction2109212728834910.21608/ejhc.2022.288349ENNouraMohammed Attia AhmedLecturers of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Zagazaig University.NohaElsayed Mahmoud RadwanLecturers of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Zagazaig University.Journal Article20230303<strong>Background</strong>: One of the most important occurrences in a woman's life is menopause. Due to its effects on the emotional, physical, and psychological health of menopausal women and their families, it is crucial to emphasize menopausal symptoms, sexual dysfunction, and its coping mechanisms.<strong><em> </em></strong><strong>Aim </strong>of this study was<strong> </strong>to assess the effect of nursing intervention on improving coping strategies regarding menopausal symptoms and sexual dysfunction.<strong> </strong><strong>Research design: </strong>A quasi-experimental research design with pretest and posttest was used. <strong>Setting</strong>: the present study was carried out at gynecological outpatient clinics at Zagazig University Hospitals in Sharqia Governorate, Egypt.<strong> Sampling and Subject:</strong> A purposive sample of 100 women was recruited for this study. <strong>Tools of data collection</strong>: Four tools were applied in the current study; <strong>Tool I:</strong> A structured interview sheet,<strong> Tool II:</strong> Assessment of menopausal symptoms sheet<strong>,</strong><strong> Tool III:</strong> Female Sexual Function Index (FSFI) and <strong>Tool IV:</strong> Coping strategies questionnaire toward menopausal symptoms.<strong><em> </em></strong><strong>Results;</strong> revealed a highly statistical significant improvement at score mean in somatic, psychological, urogenital and total menopausal symptoms mean score (p = 0.0001). Also a high statistical significant improvement in all domain of FDFI (p = 0.0001). Self-coping strategies (20.0%) were the most common coping strategies used against menopausal manifestation followed by medical coping strategies (17.0%) and alternative coping strategies (15.0%) among participants.<strong> Conclusion</strong> Implementation of the nursing intervention had highly statistically significant effect on improving copying strategies regarding to menopausal symptoms and sexual dysfunction. <strong>Recommendations:</strong> Implementation of nursing program with a learning booklet for nurses should be conducted in order to increase their level of knowledge and practice related to all types of copying strategies for menopausal symptoms and sexual dysfunction. https://ejhc.journals.ekb.eg/article_288349_de78c3c50dac9ca897b12b897cf8429a.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Auditory versus Olfactory Stimulation Interventions on Preterm Infants' Pain Response during Venipuncture2128214530906610.21608/ejhc.2022.309066ENSamarMahmoud Mohamed El-HadaryLecturer of Pediatric Nursing -Faculty of Nursing - Cairo UniversityHendWageh AbozedLecturer of Pediatric Nursing - Faculty of Nursing - Mansoura UniversityNadiaKasem AlaswadLecturer of Pediatric Nursing -Faculty of Nursing - Cairo UniversityJournal Article20230720<strong>Background and Aim:</strong> Preterm infants' pain is prevalent in the Neonatal Intensive Care Units (NICUs), with numerous invasive procedures happening daily. Repeated and untreated pain have both short- and long-term sequelae. Therefore, the aim of this study was to investigate the effect of auditory versus olfactory stimulation interventions on preterm infants' pain response during venipuncture. <strong>Method:</strong> A quasi-experimental comparative research design was utilized. A purposive sample of 90 preterm infants was elected from the NICU at Mansoura University Children Hospital. Preterm infants were divided equally into three groups: auditory, olfactory and control groups. A Preterm Infant Assessment Tool, Premature Infant Pain Profile (PIPP), and Neonatal Infant Pain Scale (NIPS) were used for data collection. <strong>Results:</strong> There was a statistical significant difference between the control, music, and lavender groups concerning their PIPP total mean scores before and after venipuncture and their NIPS total mean scores during venipuncture (<em>p</em> < 0.001). <strong>Conclusion:</strong> Preterm infants in the music and lavender groups had a considerable reduction in their pain response compared to the control group during venipuncture. <strong>Recommendations:</strong> Auditory and olfactory stimulation interventions are recommended as simple, safe and low-cost non-pharmacological methods that facilitate positive effects for preterm infants during painful procedures at NICUs<strong>.</strong>https://ejhc.journals.ekb.eg/article_309066_724f99ec5d692cd040564b9bd1a0acb5.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Mobile-based learning Intervention on Clinical Competence of the Internship Nursing Students during The COVID-19 Pandemic2146215430930510.21608/ejhc.2022.309305ENBahiaGlalal Abd El-Razik SiamAssistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Port Said University, Egypt.AmoraOmar Ibrahim ElmowafyLecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt.SohaKamel Mosbah MahmoudAssistant professor of Community Health Nursing, Benha University, EgyptShimaaMohamed Abdou RizkAssistant Professor Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20230722<strong>Background</strong>: Clinical competency of internship nursing students is a vital element for hospitals' survival to ensure the quality of care provided and patients’ satisfaction. COVID-19 pandemic had great effect on students learning process all over the world. The Aim of the current study was to evaluate the effect of a mobile-based learning intervention on the clinical competence of the internship-nursing students during the COVID-19 pandemic. A Quasi-experimental research design was applied. A convenient sample of all available internship-nursing students who were training at five hospitals in Mansoura city, Egypt were included (248). The Clinical competence Questionnaire (CCQ) was used to evaluate the clinical competence. Results revealed that there was marked increase in total competence rate of the studied internship-nursing students; high competence rate represents 96.8% in post-test instead of 56.9% in pre-test. Conclusion: During COVID-19 Pandemic, the mobile-based learning intervention had a high positive effect on the clinical competence of the internship-nursing students. The results of the study recommended including the distant learning methods in the learning process of the nursing students.https://ejhc.journals.ekb.eg/article_309305_b8736e21656da397b0f5c094a2d0ed53.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Impact of Covid-19 on the Stress level and Functionality of Autistic Children and their Parents: A Cross Sectional Study2155216431146910.21608/ejhc.2022.311469ENShimmaaMansour Moustafa MohammedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Zagazig, University, EgyptGihanMohamed Mohamed SalemLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing. Benha University, EgyptJournal Article20230807<strong>Background</strong>: The COVID-19 pandemic has an impact on everyone, but autistic children and their parents are particularly vulnerable. Parenting became even more challenging with the decreased access to schools, support systems, and intervening services. Researchers must thoroughly examine the problems and needs of diverse families in their home countries, in order to recommend the most likely interventions. The aim of this study to explore the impact of COVID-19 pandemic on autistic children and their parents' stress level and functionality. <strong>Methods</strong>: A descriptive cross-sectional study was conducted on purposive sampling of 80 autistic children and parents who used to get therapeutic services for their autistic children at three centres, in Zagazig city, Egypt. The collected data took place between June 2021 and September 2021 and included the characteristics of the autistic children and their parents, the impact of the pandemic on children and their parents’ stress and functionality. <strong>Results:</strong> The study found that more than half (52.5%) of studied parents had severe distress, 47.5% of them had severe Parent-child dysfunctional interaction, and more than two thirds (70%) of them had difficulty with child, and more than two thirds (68.8% and 71.3%), respectively, the pandemic had a negative impact on their learning and personal development. <strong>Conclusion:</strong><strong> </strong>The COVID-19 pandemic had a major negative impact on the stress level and functioning abilities of autistic children and their parents. The paucity of resources, particularly therapeutic ones, made the challenges parents and children faced in providing for them worse.https://ejhc.journals.ekb.eg/article_311469_32f1ccd4af03b9c1ce11c4287797fb71.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Clinical Outcomes of Implementing Two Management Protocols for Acute Respiratory Distress Patients with COVID-19: A Randomized Controlled Trial2165217731174910.21608/ejhc.2022.311749ENAhmedTalaat AhmedLecturer, Anesthesia and intensive care department, Faculty of Medicine, Assiut University, Assiut, Egypt,AsmaaAtiaa TolbaLecturer, Critical Care and emergency nursing department, Faculty of Nursing, Assiut University, Assiut, Egypt,AymanAbdel Khalek Abou GlalaLecturer, Anesthesia and intensive care department, Faculty of Medicine, Assiut University, Assiut, Egypt,AmalIsmael AbdelhafezAssistant professor, Critical care and emergency nursing department, Faculty of Nursing, Assiut University, Assiut, Egypt,AmalAbdelnasser MohamedLecturer, Medical surgical nursing (critical care nursing) Department, Faculty of nursing, Badr University, Assiut, Egypt,ZienabAbdellateif MohamedProfessor, Medical surgical nursing department, Faculty of nursing, Badr University, Assiut, Egypt,AsmaaAly MahgoubAssistant professor, Critical Care and emergency nursing department, Faculty of Nursing, Assiut University, Assiut, Egypt.Journal Article20230808<strong>Background:</strong> Acute respiratory distress syndrome (ARDS) patients with COVID-19 require sedation or neuromuscular blocking agents to facilitate mechanical ventilation. <strong>Aim:</strong> to assess the effect of two management protocols on the clinical outcomes of ARDS patients with COVID-19. <strong>Research </strong><strong>d</strong><strong>esign: </strong>This randomized controlled trial included 80 patients with COVID-19 admitted in intensive care units of main hospital Assiut University in Egypt. <strong>Sample</strong>: A purposive sample was collected according to inclusion criteria. <strong>Tools</strong>: four tools were included in this study. <strong>Methods:</strong> ICU nurses and the researchers evaluated the clinical outcomes of administer sedatives versus muscle relaxant protocols among ARDS patients with COVID-19. Propanol and midazolam were used in the – sedatives protocol, and cisatracurium was used in the muscle relaxant protocol. The clinical outcome measures were oxygenation parameters, lung mechanics, tissue perfusion parameters, organ failure, success of weaning, and survival in 28 days. <strong>Results:</strong> More than two-thirds (67.5 %) of the sedation group were successfully weaned from mechanical ventilation from the first trial, while more than half (57.5 %) of the muscle relaxant group needed another trial for weaning, with a statistically significant difference between both groups. The mean duration of mechanical ventilation was not significantly between the muscle relaxant group (9.24± 5.66) and the sedation group (8.27 ± 3.91). <strong>Conclusion: </strong>Severe ARDS patients with COVID-19 who underwent the sedation protocol were successfully weaned from mechanical ventilation from the first attempt, compared to those who used muscle relaxants. Morality rate was significantly reduced by sedation compared to using muscle relaxant.https://ejhc.journals.ekb.eg/article_311749_9bdd8eae8d1f5af597f020692c4e66f0.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Effect of Family Centered Empowerment Program on Self Efficacy, Depression and Quality of Life in Geriatric Patients with Ischemic Stroke: A Quasi-experimental Study2178219631904410.21608/ejhc.2022.319044ENDoaaAbd Elhameed Abd ElmawlaAssist Professor of Gerontological Nursing- Faculty of Nursing- Mansoura University- EgyptAzizaMahmoud BoughdadyAssist Professor of Gerontological Nursing- Faculty of Nursing- Mansoura University- EgyptSagedaMagdy AliLecturer of Gerontological Nursing- Faculty of Nursing- Mansoura University- EgyptJournal Article20230929<strong>Background: </strong>Elderly stroke survivors face great challenges namely living with disabilities which require long term support. In such situation, family involvement in care process is inevitable. Family centered empowerment program enhance patients’ motivation to achieve optimum outcomes. <strong>Aim:</strong> This research aimed to determine the effect of family centered empowerment program on self efficacy, depression and quality of life in geriatric patients with ischemic stroke. <strong>Design:</strong> A Quasi-experimental research design was used. <strong>Setting:</strong> The study was conducted in the rehabilitation department at Mansoura University Hospital. <strong>Subjects:</strong> A total of 108 geriatric patients with ischemic stroke were included in the study and randomly assigned to two equal groups; the intervention group received the family centered empowerment program plus the routine care in the rehabilitation department, and the control group received only the routine care provided in the study setting. <strong>Tools:</strong> The data were collected through demographic and health related characteristics interview sheet, stroke self efficacy questionnaire, stroke-related knowledge, geriatric depression scale and stroke impact scale. <strong>Results:</strong> Study findings showed that the study outcomes including self efficacy, stroke-related knowledge, post stroke depression and quality of life were significantly better in the intervention group compared with the control group (<em>p</em><0.001). <strong>Conclusion:</strong> Implementation of the intervention based on family centered empowerment model is an effective strategy in improving self efficacy, depression level and quality of life among geriatric patients with ischemic stroke by giving them necessary information about caring principles with family involvement in care process. For such patients, this model is recommended to use in the educational program.https://ejhc.journals.ekb.eg/article_319044_12a418d6d46fef7e38033a5502cccb1b.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Nursing Students' Perception of Distance Education and its Relation with Perceived Academic Stress and Emotional Intelligence during COVID-192197221232117510.21608/ejhc.2022.321175ENSabahSaleh HassanAssistant professor of Psychiatric and Mental Health Nursing, Faculty of Nursing Minia University, Egypt.AmalHashem MohammedAssistant professor of Community Health Nursing, Faculty of Nursing, Minia University, EgyptAmanyAnter MohamedAssistant professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Minia University. Egypt.Journal Article20231012<strong>Background</strong>: COVID-19 is pandemic disease, so the worldwide governments switched to distance education to limit its spread. The abrupt transition from the classical classroom to the virtual one is upsetting the students and nursing instructors.<strong> Aim</strong>: To assess nursing students' perception <strong>of</strong> distance education and its relation with perceived academic stress and emotional intelligence during COVID-19. <strong>Design:</strong> Descriptive correlational design was utilized in this research. <strong>Sample:</strong> Simple random sample from all the four years nursing students, the total student’s number was (845) students. <strong>Setting: </strong>This research was performed in the Faculty of Nursing at Minia University. <strong>Tools</strong>: Four tools were used in this research involved. Demographic data questionnaire,<strong> </strong>distance education perception scale, perceived academic stress scale and emotional intelligence scale.<strong> Results</strong>: The research result reveals that mean age of the students was19.4±2.7 years old, 76.5% of students are females. 52.3% had negative perception and 47.7% of students had positive perception toward distance education. While 57% of students suffer from high academic stress and 66.5% of students showed moderate emotional intelligence. <strong>Conclusion: </strong>more than fifty percent of the students suffer from high academic stress. Also,<strong> </strong>there was statistically significant relation between student’s demographic characteristics and their perception towards distance education, perceived academic stress and emotional intelligence scale<strong> Recommendations:</strong> Introducing novel developments to distance learning methodologies in the learning programs as well as during students training on the utilization of the electronic library to get the best outcomes.https://ejhc.journals.ekb.eg/article_321175_dd858ea4087a283dfefd44170b3f85fa.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601The Impact of Educational Guidelines on Anxiety and Depression among Epileptic Patients2213222532740710.21608/ejhc.2022.327407ENOmaimaEzzat MahmoudAssistant prof. of Psychiatric Mental Health Nursing Department, Beni-Suef University, EgyptSamahMohamed EL Sayed Sayed AhmedLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing _ Damietta UniversitySafaaMustafa MohamedLecturer of Psychiatric Nursing Department, Faculty of Nursing, Sohag University, EgyptJournal Article20231125<strong>Background:</strong><strong> </strong>Epilepsy is a common neurological condition associated with recurrent and unpredictable seizures associated with significant psychological and social consequences. Epileptic patients are more vulnerable to psychiatric illnesses: rates of psychiatric illness are 9% higher among epileptic patients than in the general population and rates of depression, are 22% higher. <strong>This study aimed to</strong> evaluate the impact of educational guidelines on anxiety and depression among epileptic patients. <strong>Method: Design:</strong> A quasi-experimental research design was used to accomplish this study. <strong>Setting</strong>: The study was carried out at the Outpatient Neurology Unit at Sohag University<strong> </strong>Hospital. Egypt. <strong>Subjects</strong>: A sample<strong> </strong>of 150 epileptic patients who were attending the previously selected setting within six months. A convenience sampling technique was adopted to recruit samples. <strong>Tools:</strong> Data was collected by using three tools; <strong>Structured interview </strong>questionnaire, GAD-7 (General Anxiety Disorder-7), and Neurological Disorder Depression Inventory for Epilepsy (NDDI – E). <strong>Results</strong>: There were statistically significant improvements in anxiety and depression among epileptic patients pre & post-training instructional guidelines (P<0.001). <strong>Conclusion</strong>: The present study concluded that the educational guidelines implementation had a positive effect on improving anxiety and depression among epileptic patients. <strong>Also, </strong>findings revealed anxiety was more than depression among epileptic patients<strong>. Recommendations</strong>: More attention should be paid to incorporating anxiety and depression screening and treatment into existing epilepsy programs and to revising treatment guidelines for epileptic patients. There is a need for developing comprehensive simple Arabic printed educational materials such as (booklets, pamphlets, and posters) for epileptic patients that can improve anxiety and depression. Replication of the current study with a larger sample of patients in different settings is required to generalize the results.https://ejhc.journals.ekb.eg/article_327407_9586cd354a7498ac685af5eb266fbd53.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601The Relation between Job Demands, Stress and Burnout among Nursing Staff regarding their Knowledge about Climate Changes2226224233405810.21608/ejhc.2022.334058ENAbeerAbdallah AliNursing Administration, Faculty of Nursing- Minia University, EgyptAdelAli AbdelwahabCommunity Health Nursing, Faculty of Nursing- Minia University, Egypt.AfafSoliman AhmedNursing Administration, Faculty of Nursing- Cairo University, Egypt.Journal Article20240103<strong>Background:</strong> Numerous reasons, including growing diseases, technology advancements, and epidemiological changes, have contributed to the recent increased the demand for healthcare services. The health care demands are always changing, and staff nurses' everyday job is greatly impacted by legislative actions, system changes, and reduced funding. <strong>Aim</strong>: This research aimed to assess the relation between job demands, stress and burnout among nursing staff regarding their knowledge about climate changes. <strong>Design:</strong> Descriptive correlative design was adopted to achieve the current study aim. <strong>Setting:</strong> the research carried out in two hospitals and four MCHs Centers located at Minia City – Minia Governorate, Egypt. <strong>Subjects:</strong> Convenience sample including all nurses (n=392) who share in data collection and who were on duty employed in afforded work settings. <strong>Research Tools</strong>: Four tools were utilized for data collection;<strong> </strong>I. Nurses<strong> </strong>Knowledge about Climate Changes, II. Copenhagen Psychosocial Questionnaire, III. The Perceived Stress Scale and IV. Maslach Burnout Inventory-Human Services Survey. <strong>Results:</strong> more than fifty percent of nurses had "fair" level of total knowledge about climate changes as well as most of them had "high" grade regarding their job demands. Also, more than half of the nurses perceived "moderate" work stress level, while above fifty percent expressed "high" level of burnout. Statistically significant positive correlations were existed between the degree of job demands, work stress and burnout, while no statistical relation were found between total knowledge about climate changes and any of other study variables. <strong>Conclusion: </strong>Nursing staff frequently overwhelming with excessive job demands. <strong>Recommendations:</strong> Activities reducing stress and burnout should be carried out by nursing staff. Nurses should participate in seminars and in-service training about climate change.https://ejhc.journals.ekb.eg/article_334058_392e0f24dc4a9ceb090cd0c5ac0d59dc.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Impact of Awareness Program on Pain, Fatigue, and Shoulders Function among Patients Post Humeral Fracture Surgery2243225933889710.21608/ejhc.2022.338897ENSamiaAli Ali ElsaadanyLecturer in the Medical-Surgical Nursing Department, Faculty of Nursing, Mansoura UniversityMoniraSamir Abdelhady MohamedAssistant professor in the Medical-Surgical Nursing Department, Faculty of Nursing, Damietta UniversityRehamEl Ashery Ashery AskerAssistant professor in the Medical Surgical Nursing Department, Faculty of Nursing, Fayoum UniversityJournal Article20240128<strong>Background</strong>: Proximal humeral fractures are the third most common fractures, following hip and distal radius fractures. Patients suffering fractures in overwhelmed hospitals have serious difficulties restoring their pre-fracture function. <strong>Aim</strong>: To investigate the impact of an awareness program on pain, fatigue, and shoulder function among patients post-humeral fracture surgery. <strong>Research design</strong>: A quasi-experimental research design was used to achieve the aim of this study. <strong>Setting</strong>: The study was conducted in the orthopedic outpatient clinic at Mansoura University Hospital. <strong>Sample</strong>: A convenient sample of 100 patients collected during six months aged (20-65) years old and from both sexes with proximal humeral fractures were included in the current study within six months. <strong>Tools</strong>: I: Structured interview questionnaire, II: Visual Analogue Scale, Tool III, Fatigue assessment scale, and IV: Shoulder function index.<strong> Results</strong>: There was a statistically significant difference in the total mean score of the knowledge, practices, pain, fatigue, and shoulder function after the awareness program application among patients post-humeral fracture surgery. <strong>Conclusion</strong>: The application of an awareness program has a positive effect on enhancing knowledge and practices, and reducing pain and fatigue. Also, improving shoulder function among patients post humeral fracture surgery<strong>. Recommendations</strong>: Awareness programs are recommended to be an integral part of the preoperative nursing teaching for patients undergoing humeral fracture surgery.https://ejhc.journals.ekb.eg/article_338897_e486644630f10807baf522fe851d3a68.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954613220220601Coping Patterns and Quality of Life among Children with Multiple Sclerosis Disease: Educational Intervention Based on Health Belief Model2260227834270410.21608/ejhc.2022.342704ENEmanA. AliAssistant Professor of Pediatric Nursing, Faculty of Nursing, Ain Shams University.HendMohamed Elsayed Afefy)Fellow of Community Health Nursing, Ain Shams Specialized Hospital, Ain Shams University.ZainabAttia AbdallahLecturer of Community Health Nursing, Faculty of Nursing, Modern University for Technology and Information (MTI).Journal Article20240222<strong>Background:</strong> Multiple Sclerosis (MS) is a chronic disease occurred in the central nervous system which may be developed under 18 years old. Children with MS have lower Quality of Life (QoL) compared with other chronically ill patients. Health Belief Model (HBM) used to perceive and predict promotion for coping patterns and QoL practices.<strong> Aim:</strong> The aim was to evaluate the effect of implementing educational intervention program, which based on HBM regarding coping patterns and QoL among children with MS disease.<strong> </strong><strong>Research design</strong><strong>:</strong> A quasi-experimental design was utilized. <strong>Sampling:</strong> A purposive sample involved 50 children suffering from MS. <strong>Setting:</strong> MS outpatient clinics in Medical Psychiatric Center, Ain Shams University Hospital. <strong>Tools:</strong> Data collected through using the following tools (pre/post) including an interviewing questionnaire, Jalowiec and Power’s Coping Scale, Stress Tolerance Test, and Pediatrics Quality of Life Inventory Fourth Version (PedsQL4.0<strong>) </strong>for MS. <strong>Results:</strong> After implementing the educational intervention program based on HBM, most of the studied children had satisfactory level of knowledge regarding MS disease, as well most of them had positive total coping patterns. In addition, the majority of children had high stress tolerance and good total QoL. <strong>Conclusion:</strong> Educational intervention program based on HBM had a positive effect on children with MS disease in relation to improving their knowledge, enhancing coping patterns and improving stress tolerance and promoting their QoL. There were positive correlations between the total levels of studied children knowledge, coping patterns, stress tolerance and QoL pre and post the program. <strong>Recommendations:</strong> Further studies needed to assess factors affecting QoL among children with MS, and using health belief model in planning of health-centered interventions based on empowerment of children with MS in self-care activities.https://ejhc.journals.ekb.eg/article_342704_46335a7489e7216269fb55475381b35b.pdf