Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Assessment of Nurses' Performance regarding Trophic Feeding for Preterm Infants at Neonatal Intensive Care Unit11727882810.21608/ejhc.2023.278828ENNaglaaF. GalalDemonstrator of Pediatric Nursing, Faculty of Nursing, El-Fayom UniversityHayamR. TantawiProfessor of Pediatric Nursing, Faculty of Nursing, Ain-Shams UniversityAzzaEl-Sayed Ali HegazyAssist. Prof. of Pediatric Nursing, Faculty of Nursing, El-Fayoum UniversityJournal Article20230106<strong>Background</strong>: Trophic feeding is the practice of feeding minute volume of enteral feeds in
order to stimulate the development of the immature gastrointestinal tract of the preterm
infants with no evidence of any adverse effects following trophic feeding. <strong>Aim of the </strong>
<strong>study: </strong>This study aimed to assess nurses' performance regarding trophic feeding for
preterm infants at Neonatal Intensive Care Units. <strong>Design: </strong>A descriptive design was used to
conduct this study. <strong>Setting: </strong>This study was conducted at Neonatal Intensive Care Unit of
El-Fayoum General Hospital. A convenient sample composed of 65 nurses who were
working at the previously mentioned setting. <strong>Tools: </strong>three tools were used in this study are,
pre-designed interview questionnaire sheet, observational checklists and attitude Likert
type rating scale. <strong>Results: </strong>It was found that, more than two fifth of the studied nurses had
a poor level of knowledge and more than two thirds of them had incompetent level of
practices and more than half had positive attitude regarding trophic feeding. <strong>Conclusion: </strong>
There were highly statistically significant differences with positive correlations between
knowledge, total practices and total attitude of the studied nurses. <strong>Recommendations: </strong>
Setting educational and training programs for neonatal nurses to improve their knowledge
and practices regarding trophic feeding at NICUs.https://ejhc.journals.ekb.eg/article_278828_cd0de07c8748e7504eee9b3a5cca6688.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Supportive Educational Guidelines about Hydatidiform Mole on Women's Knowledge, Satisfaction, Compliance with Treatment and Follow up183327882910.21608/ejhc.2023.278829ENOm HashimMahmoud Mahmoud SaadoonAssistant professor of Woman's Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, Egypt.SamiaI HassanAssistant professor of Woman's Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, Egypt.AfafHassan AhmedAssistant professor of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University, , Egypt.SaharM. YakoutAssistant professor of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University, , Egypt.Journal Article20230106The term "Hydatidiform Mole" refers to a group of abnormal gestations caused by villous
trophoblastic associated with pregnancy. <strong>Aim: </strong>The present study aimed to evaluate the effect of
supportive educational guidelines about hydatidiform mole on women's knowledge, satisfaction,
compliance with treatment and follow up. <strong>Design: </strong>A quasi-experimental pre posttest design was
utilized to achieve the aim of this study<strong>. Setting</strong>: The study was carried out at Hydatidiform Mole
Outpatient Clinic at the Gynecological Hospital in Mansoura University Hospitals, Mansoura City,
Dakahlia Governorate, Egypt. <strong>Subjects: </strong>A convenient sample of sixty women was divided into
intervention and control groups each containing thirty women. <strong>Tools: </strong>A structured interviewing
questionnaire schedule was used to assess socio-demographic women’s characteristics, obstetric
history, knowledge regarding hydatidiform mole, compliance with treatment and follow up as well
as the satisfaction level among the intervention group. <strong>Results: </strong>In terms of general characteristics
and obstetric history, there was no statistically significant difference between the studied groups.
Nonetheless, statistically significant differences in all issues of hydatidiform mole knowledge were
found between the studied groups. Furthermore, highly statistically significant differences were
found among the intervention group regarding satisfaction level about supportive educational
guidelines provided. <strong>Conclusion: </strong>Supportive educational guidelines about hydatidiform mole had a
positive effect on women's knowledge, compliance with treatment and follow-up among the
intervention group compared to control group. In addition, the intervention group was more
satisfied with supportive educational guidelines. <strong>Recommendation: </strong>Applying supportive
educational guidelines about hydatidiform mole should be a one of the routine hospital cares before
and after evacuation.https://ejhc.journals.ekb.eg/article_278829_bf1f75b7b158a6985e2cb05a3c6b390f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Hand Expression and Lactation Support on Self-Efficacy of Primiparous Mothers and Quality of Breast-feeding344427883110.21608/ejhc.2023.278831ENSehamShehata IbrahimAsst. prof of Maternity, Obstetrics and Gynecological Nursing, Faculty of Nursing, Port Said University, EgyptNor El-HodaMohamed El-Sayed El-ShaboryAsst. prof of Maternity, Obstetrics and Gynecological Nursing, Faculty of Nursing, Port Said University, EgyptAzharAbdel– Fatah Mohamed ShehataLecturer of Community Health Nursing, Faculty of Nursing, Zagazig University, Egypt.ShimmaaMansour Moustafa MohamedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Zagazig University, Egypt.ShymaaAbdel-rahman OsmanLecturer of Maternity, Obstetrics, and Gynecological Nursing, Faculty of Nursing - Port said University, Egypt.Journal Article20230106<strong>Background</strong>: Any woman who wants to breastfeed her child may benefit from Hand Expression
and breastmilk storage, until recently, hand expressions with breastfeeding assistance were only
indicated for women, who were at high risk for breastfeeding issues. <strong>Aim</strong>: to evaluate the effect of
hand expression and lactation support on self-efficacy of primiparous mothers and quality of
breastfeeding. <strong>Design: </strong>A quasi-experimental one-group (pre-posttest) research design was utilized.
<strong>Setting</strong>: The study was conducted at the General Health Insurance-affiliated to specialist Hospital
for Obstetrics and Gynecology in Port Said governorate. <strong>Sample</strong>: A total of 100 women who
underwent immediate vaginal or cesarean deliveries at the specialized obstetrics and gynecology
facility during the study period were included in the study population. <strong>Tools: </strong>Three tools were used
for data collection namely, A structured interviewing questionnaire, Breastfeeding Self-Efficacy
Scale- Short Form, and LATCH (latching, audible swallowing sounds, nipple type, comfort, and
holding) score instrument. <strong>Results</strong>: Before and during the testing period, the study sample's overall
self-efficacy& lactation scale had significantly increased. <strong>Conclusion. </strong>The intervention had
successfully achieved its goal of improving overall self-efficacy and overall lactation scales among
the examined sample. <strong>Recommendations</strong>: To enhance or sustain self-efficacy and subsequently
enhance breastfeeding, healthcare providers and lactation consultants should offer lactation support
to the new mothers.https://ejhc.journals.ekb.eg/article_278831_96092de456f8e97406f62c40748bb6fb.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301The Relationship between Organizational Justice and Organizational Commitment among Staff Nurses455827883410.21608/ejhc.2023.278834ENShaimaaAhmed AbdelhaleemB.Sc. in Nursing Administration, Faculty of Nursing, Ain Shams UniversitySamahFaisal FakhryProfessor of Nursing Administration, Faculty of Nursing, Ain Shams UniversityAzzaEl AzabLecturer of Nursing Administration Faculty of Nursing, Ain Shams UniversityJournal Article20230106<strong>Background: </strong>Organizational justice and Organizational commitment are very
significant for ensuring sustained productivity from the employee of an organization.
<strong>Aim of the study: </strong>the study was aimed to finding out the relationship between the
organizational justice and organizational commitment among staff nurses'. This study, in
addition to identifying the different dimensions of organizational justice and discovering
the relationship between these dimensions and organizational commitment, is closely
related to the strength and weakness of justice components. <strong>Setting: </strong>The study was
conducted at El agouza Hospital. <strong>Research design: </strong>a descriptive correlational design.
<strong>Subjects: </strong>(130) staff nurses. <strong>Tools: </strong>the data were collected using two tools self –
administered named organizational justice scale and organizational commitment
questionnaire. <strong>Results: </strong>The study findings revealed positive correlations among the total
scores as well as among certain types of organizational justice and commitment.
<strong>Conclusion: </strong>The study finding indicated that there was a strongly statistically
significant, positive correlation between total organizational justice and total
organizational commitment. Also there were no statistically significant relations
between total organizational justice and total organizational commitment and personal
characteristics. <strong>Recommendations: </strong>The nursing and hospital leaders should foster staff
nurses perception of organizational justice and commitment through a fair distribution of
workload and a clear reward system.https://ejhc.journals.ekb.eg/article_278834_76b99e8ddf4b3d63b6cab62f58665551.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Nursing Educational Guidelines on Knowledge and Practices of Mothers having Children with Systemic Lupus Erythematosus597127883510.21608/ejhc.2023.278835ENSaharSedky FaheimAssistant Professor of Pediatric Nursing, Faculty of Nursing, Beni-Suef University, EgyptAzzaEl-Sayed Ali HegazyAssistant Professor of Pediatric Nursing, Faculty of Nursing, El-Fayoum University, EgyptBataaMahmoud Mohamed IsmailLecturer of Pediatric Nursing, Faculty of Nursing, Zagazig University, EgyptAmiratAli Elsabely MohammedLecturer of Pediatric Nursing, Faculty of Nursing, Zagazig University, EgyptJournal Article20230106<strong>Background: </strong>Children with systemic lupus erythematosus (SLE) are suffering from a lot of health
problems that can be overcomes by nursing educational guidelines that focused on the improvement
of mothers' knowledge level and their practices. <strong>This study aimed </strong>to evaluate the effect of nursing
educational guidelines on knowledge and practices of mothers having children with systemic lupus
erythematosus. <strong>Research design: </strong>A quasi-experimental research design was utilized in this study
with one group pre-posttest. <strong>Sample: </strong>This study was carried out on 80 mothers having children with
systemic lupus erythematosus. <strong>Setting: </strong>The study was conducted at the Inpatient Pediatric
Department, Rheumatology unit, and Rheumatology following-up outpatient clinics of Beni-Suef
and Zagazig University Hospital. <strong>Tools: </strong>Two tools were used: A self-administered questionnaire
and an observational checklist (pre/post and follow-up tests). <strong>Results: </strong>There were statistically
significant differences between total scores of knowledge and practices level pre, post, and at
following up phases of implementing educational guidelines (P=0.001) and there were statistically
negligible relation between knowledge and practices and children's ages and occupational levels.
<strong>Conclusion: </strong>It can be concluded that there was a highly statistically significant difference between
total scores of knowledge and practices level pre, post, and at following up phases of guidelines
implementation. <strong>Recommendation</strong>: There is a need for mothers' and public awareness to educate
people about SLE, its clinical manifestations, diagnosis, treatment, and complications; although it is
not a contagious disease that requires isolation, it may be fatal if neglected.https://ejhc.journals.ekb.eg/article_278835_cf0c6a17a5cfdc22d3de5eff66cb2969.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Knowledge and Adherence to Oral Anticoagulant Therapy in Patients with Atrial Fibrillation728727883810.21608/ejhc.2023.278838ENNahlaMohammed Hashem ElkerdawyDepartment of Medical –Surgical Nursing, Faculty of Nursing - Ain Shams UniversityNeamatallahGomaa AhmedDepartment of Medical –Surgical Nursing, Faculty of Nursing - Ain Shams UniversityAsmaaMohamed KhoraisDepartment of Medical –Surgical Nursing, Faculty of Nursing - Ain Shams UniversityJournal Article20230106<strong>Background: </strong>Atrial fibrillation (AF) is an arrhythmia characterized by abnormal and chaotic electrical pulse
generation observed in the upper heart chambers. This condition is the most common heart rhythm disorder,
with prevalence rates of 2.3‐3.4% in the general population. Atrial fibrillation often leads to the development
of blood clots, heart failure, other cardiovascular complications, hospitalizations, mortality, and overall
increased healthcare expenditures.<strong>Objective: </strong>To assess patients’ knowledge and adherence levels to oral
anticoagulant therapy in patients with atrial fibrillation. <strong>Subjects and Methods: </strong>Setting: This study was
conducted at outpatient cardiac clinics at Elmery hospital in Alexandria University. Subject: The study
included a purposive sample composed of 55 patients with atrial fibrillation on oral anticoagulant therapy.
Data were collected using the following tools: -Tool I: Patient’s interviewing questionnaire. Tool-II Morisky
Medication Adherence Scale (MMAS).<strong>Results: </strong>58.2% of the studied patients age were≥50years. 58.2%
were males and 85.5 of them were married. 61.8% had were illiterate and primary education, 72.7% were an
employee and 65.5% live in rural areas. 65.5% of the studied patients mentioned that they had insufficient
income. 63.6% of the studied patients had unsatisfactory level of knowledge regarding OACs. 50.9% of the
studied patients had high level of adherence, 29.1% of the studied patients had medium level of adherence
while 20% of the studied patients had low level of adherence regarding oral anticoagulant therapy. There was
statistical significance relation between patients' total level of knowledge and their age, education level and
treatment regimen. There was statistical significance relation between patients' total adherence level and their
age, education level, treatment regimen, monthly income and residence. There was a positive relation
between patients' total level of knowledge and their total adherence level. <strong>Conclusion: </strong>Based on the findings
of the current study, it can be concluded that, more than three fifth of the studied patients had unsatisfactory
total knowledge score about OAC, and more than half of them had good adherence levels (63.6%, and 50.9%
respectively). Results highlighted positive significant relations between patients' adherence to OAC and their
level of knowledge.https://ejhc.journals.ekb.eg/article_278838_03cd2f3e89bdf0c9df7ee548e79ef717.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Correlation between Risk of Diabetes and Stress and Cortisone Regimen among Patients with COVID 198810527889010.21608/ejhc.2023.278890ENHendElham MohammedMedical Surgical Nursing, Faculty of Nursing, Minia University, EgyptAmalHashem MohamedCommunity Health Nursing, Faculty of Nursing, Minia University, EgyptAmanyAnter MohamedPsychiatric and Mental Health Nursing, Faculty of Nursing, Minia University, EgyptAzizaIbrahim Abd El KaderMedical Surgical Nursing, Faculty of Nursing, Cairo University, EgyptMishmishaEl Sayed IbrahimMedical Surgical Nursing, Faculty of Nursing, Cairo University, EgyptJournal Article20230107<strong>Background</strong>: One of the most significant epidemics of the century, the COVID-19 virus disease is brought on by severe respiratory syndrome and poses a threat to human health globally. <strong>Study aim: </strong>to investigate the correlation between risk of diabetes and stress and cortisone regimen among patients with COVID 19<strong>. Design</strong>: It made use of a descriptive correlational design. <strong>Setting</strong>: this study was carried out at Minia Cardiothoracic University Hospital<strong> Subjects</strong>: convenient sample of 802 hospitalized patients typical COVID-19.<strong> Data collection tools</strong>: Tool (1) <strong>structured interview questionnaire, it include</strong> (socio-demographic data, medical information, laboratory investigation record and cortisone therapy monitoring).<strong> </strong>Ordinal Scale for Clinical Improvement<strong>, </strong>Type 2 diabetes risk form<strong> </strong>and Perceived Stress Scale<strong>.</strong> <strong>Results</strong> 31.3% of COVID-19 patients have low risk for type 2 diabetes, 7.5% of sample have high risk, and 52.2% of study sample use cortisone<strong> </strong>therapy < 7 days and 47% of patients suffer from severe stress. There was a high positive significant correlation among diabetes risk assessment and duration of cortisone<strong> </strong>use and level of stress. <strong>Conclusions</strong>: The data suggest that the correlation between diabetes occurrence following COVID-19 infection and diabetes risk, stress level, duration of cortisone<strong> </strong>use, and severity of the COVID-19 infection.<strong> Recommendation</strong> All COVID-19 patients should be acquire continuous glucose monitoring or to self-monitor their blood sugar levels frequently. The goal of continued monitoring is to identify pre-diabetic patients early and reduce their risk of acquiring diabetes.https://ejhc.journals.ekb.eg/article_278890_5c58215b2140b2c2797f1f361ea3aa94.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Staff Nurse's Compliance with Patient's Rights during COVID-19 Pandemic as an indicator of educational intervention program effectiveness10611727893110.21608/ejhc.2023.278931ENManalSaleh Moustafa SalehNursing Administration, Faculty of Nursing, Zagazig University. Egypt .
and
Nursing Administration, College of Applied Medical Science, Shaqra University, KSA.SaharAbdel- Latif Abdel- SattarNursing Administration, Faculty of Nursing, Zagazig University. Egypt .WafaaMostafa MohamedNursing Administration, Faculty of Nursing, Zagazig University. Egypt .Journal Article20230107<strong>Background: </strong>The direct impact of the pandemic refers to human life and the functioning of the
healthcare system, hospitals, and outpatient clinics. The Patients' Rights introduces the term of
fundamental rights of patients. <strong>Aim: </strong>To explore staff nurse's compliance with patient's rights during
Covid 19 Pandemic as an indicator of educational intervention program effectiveness. <strong>Subjects and </strong>
<strong>Methods: </strong>A quasi-experimental research design was utilized, including staff nurses (239) who were
worked in the surgical hospital of Zagazig University Hospitals. A self-administered questionnaire
including three scales to assess studied subjects' knowledge, awareness and practice toward patient's
rights during Covid 19 Pandemic pre/post and follow-up assessment. <strong>Results: </strong>total mean
knowledge score, before the program total mean score of staff nurses knowledge was 37.60±2.7
which increased to 75.67±1.92 at the post program phase, and declined to 69.42±3.72at the follow-
up phase. These improvements were statistically significant. Were a statistically highly significant.
Regarding total mean awareness score, before the program total mean score of staff nurses
awareness was14.60±2.7which increased to 29.67±1.92 at the post program phase, and at the
follow-up phase and only 8.8 % of staff nurses had good practices of patient’s right. This increased
to (50.6%) at the post program phase. <strong>Conclusions: </strong>The program had a significant compliance with
patient's rights during Covid pandemic and had a large effect on total knowledge, awareness and
practice of staff nurses post-intervention<strong>. Recommendations: </strong>Regular in-service refresher courses
should be conducted for nurses to fill deficiencies of their knowledge and practice regarding
patient's rights during pandemic and crises, with continuous assessment of their knowledge and
practice.https://ejhc.journals.ekb.eg/article_278931_f8e408c92027dc697dc65164172bd080.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Practicing Management by Walking Around and its Relation to Job Embeddedness and Satisfaction among Nurses11813127969510.21608/ejhc.2023.279695ENNaglaaMohamed ElsayedLecturer of Nursing Administration, Faculty of Nursing, Beni Suef University, EgyptMahdiaMorsy El-ShahatAssistant Professor of Nursing Administration, Faculty of Nursing, Benha University, Egypt.NoraAhmed Abd Allah MohamedAssistant Professor of Nursing Administration, Faculty of Nursing, Benha University, Egypt.Journal Article20230110<strong>Background: </strong>Management by wandering around (MBWA) is a technique that focuses on human
relations, open assessment, and knowledge, which are important for developing work and high
performance. Nurse Manager`s managerial technique largely effects nurses’ job embeddedness and
satisfaction, also motivated and engaged staff to improve patient satisfaction. <strong>Aim: </strong>The study
aimed to assess practicing management by walking around and its relation to nurses' job
embeddedness and satisfaction. <strong>Research Design: </strong>Descriptive correlational research design was
utilized. <strong>Setting</strong>: The study was conducted at Benha University Hospitals in all Medical and
Surgical departments<strong>. Sample</strong>: Convenience sample consisted of 319 nurses who worked in the
previously mentioned setting. <strong>Tools of data collection: </strong>Three tools were used; (I): Management by
Wandering Round Questionnaire, (II): Job Embeddedness Scale. (III): Job Satisfaction Scale.
<strong>Results</strong>: The findings of this study indicated that (59.2%) of nurses reported that practice
management by walking around level was moderate and (65.2%) of studied nurses reported that
they embedded and (53.9%) of studied nurses reported that their job satisfaction level was high<strong>. </strong>
<strong>Conclusion</strong>: There was a positive statistically significant correlation between total management of
walking around practicing and total job embeddedness scores and total job satisfaction. Also, there
was a positive statistically significant correlation between total job embeddedness and total job
satisfaction. <strong>Recommendations: </strong>Hospital administrators need to conduct training programs for
management staff to develop their skills in practicing the management "by walking around'.
Nursing managers need to develop standards for placement nurses in appropriate position based on
their competencies.https://ejhc.journals.ekb.eg/article_279695_9763ae944b90616d3b4989b6b8d6dd9c.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Efficacy of Psychological Interventions in Reducing the Prevalence and Intensity of Depression in Patients with Long-Term Hemodialysis13214327972310.21608/ejhc.2023.279723ENHanaaHamdi ElzeinyAssistant professor of Psychiatric &Mental Health Nursing, Faculty of Nursing/ Zagazig University/EgyptFatmaMahmoud Mohamed El-EmaryAssistant professor of Psychiatric & Mental Health Nursing, Faculty of Nursing/Ain Shams University/Egypt.
and
Associate Professor of Psychiatric &Mental Health Nursing, Faculty of Nursing/Jerash University/Jordan.Journal Article20230110<strong>Background</strong>: People with end‐stage renal disease treated with long- term hemodialysis is frequently affected by<br />major depression, which results in poor patients’outcomes; therefore, psychological interventions are crucial. <strong>Aim </strong><br /><strong>of the study</strong>: This study aimed to investigate the efficacy of psychological interventions in reducing the prevalence<br />and intensity of depression in patients with long -term hemodialysis. <strong>Design</strong>: A one group quasi-experimental<br />design that measures change in depression pre and post psychological interventions. <strong>Setting: </strong>This study was<br />conducted at the hemodialysis unit (HD) in Dyarb Negm Central Hospital in Dyarb Negm City, in the Sharkia<br />Governorate. <strong>Subjects</strong>: A purposive sample of 100 adult patients with End Stage Renal Disease (ESRD) who are<br />on regular hemodialysis therapy in the study setting and have agreed to participate in the study. <strong>Tools</strong>: Patients’<br />baseline demographic and medical data structured interview questionnaire and Beck Depression Inventory. <strong>Results</strong>:<br />The current study findings revealed that all of the studied patients had depression, and the majority suffered from<br />severe depression pre- intervention phase, while the intensity of depression for the majority reduced to a mild level<br />post-intervention phase. <strong>Conclusion</strong>: There were statistically significant differences in depression and its’ intensity<br />pre-and post-psychological interventions. <strong>Recommendation</strong>: The study recommends that all ESRD patients on<br />regular hemodialysis undergo periodic psychological evaluations in order to detect any disturbances early. Further<br />research is proposed to examine the efficacy of such psychological interventions on the quality of life of patients on<br />regular hemodialysis.https://ejhc.journals.ekb.eg/article_279723_5351d15472a5da71a3e5e4d7bdab3c56.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Postoperative Nausea, Vomiting, and Retching in Orthopedic Patients: The Influence of Deep Breathing Exercise14415427972410.21608/ejhc.2023.279724ENNafisaMoustafa Abdallah ElpasionyLecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni-Suef University, Egypt.HanemSaad MahmoudLecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni-Suef University, Egypt.SabahH. El-AmrosyAssistant Professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.WessamFathy Mohamed GabrLecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni-Suef University, Egypt.Journal Article20230110<strong>Background: </strong>Post operative nausea, vomiting, and retching are recurrent symptoms and can
lead to complications ranged from mild e.g. unpleasant sensation, to severe e.g. aspiration and
postpone patients’ discharge. Also, the use of antiemetics accompained by side effects so, we in a
great need for adding a non-pharmacological measure to routine hospital care. <strong>Aim: </strong>Explore the
infleuence of deep breathing exercise on nausea, vomiting, and retching in postoperative orthopedic
patients. <strong>Materials and methods: </strong>A quasi-experimental study was conducted at recovery rooms
and orthopedic wards at Menoufia University Hospital, Egypt. A convenient sample of 84 patients
divided into two groups control and study 42 for each, who were adult, conscious, and under general
anesthesia. Three tools were used for data collection; Tool I patient information form, Tool II
glasgow coma scale, Tool III index of nausea, vomiting, and retching (INVR). <strong>Results: </strong>There was
a statistically significant difference in total scores of INVR between both groups after 6 hours (U
(p1)=400.50* (<0.001*) and 12 hours U(p2)=529.50* (<0.001*). <strong>Conclusions: </strong>It was concluded that
deep breathing exercise decreases nausea, vomiting, and retching among study group patients after
both 6 and 12 hours. <strong>Recommendations: </strong>Deep breathing exercise should be added to routine
hospital post operative care, and further researches on larger sample to explore frequency of
antiemetic drugs use among patients performing postoperative deep breathing exercise.https://ejhc.journals.ekb.eg/article_279724_8034e1faf3d4294d9b5c8968dd3ceedc.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Risk Determinants of Incontinence associated dermatitis among Critically Ill Patients.15517127972510.21608/ejhc.2023.279725ENShimmaaMohamed ElsayedLecturer, Critical care, and emergency nursing department, Faculty of Nursing, Damanhour University, Egypt.Journal Article20230110<strong>Background: </strong>Keeping skin integrity functioning and skin barrier protection is an important aspect
of nursing care. ICU patients are susceptible to various skin complications, such as pressure ulcers
and moisture-related skin damage. <strong>Aim: </strong>This study aimed to pinpoint incontinence-associated
dermatitis (IAD) risk determinants among ICU patients. <strong>Design: </strong>A prospective observational
research design was conducted. <strong>Setting(s): </strong>Data collection was done in two general ICUs.
<strong>Participants: </strong>A convenience sample of 200 intensive care inpatients was involved. <strong>Tools of data </strong>
<strong>collection: </strong>One tool, "Risk Determinants of IAD tool", was used to assess the determinants
contributing to IAD. It consisted of three parts, part I used to assess demographic and clinical data;
part II used to assess ventilation and hemodynamic patient data, and part III used to assess skin
condition. <strong>Results</strong>: About 60.5% had male gender, with a mean age of 49.51 ± 10.54, and about
69.5.% of the overall sample had IAD. Concerning the severity of IAD, 78.4% had a risk for IAD
with no redness and skin intact, 19.4% were categorized as grades I, and 2.2% were categorized as
grade II. <strong>Conclusion: </strong>ICU patients' exposure to several risk factors can damage their skin integrity.
It can be concluded that increasing age, female gender, sepsis, neurological disorders, a high score
on the perineal assessment scale, fever, hypoalbuminemia, enteral nutrition, wet skin, poor hygiene
practice, and watery diarrhoea are associated risk factors for IAD in patients with a critical illness.
<strong>Recommendation</strong>: Early identification and management of IAD should be early by using
standardized skin protocols and skin assessment tools.https://ejhc.journals.ekb.eg/article_279725_00d14e3eafb8c38c258a4d197ffea493.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effects of school-Based Intervention on Social Phobia and Self-Esteem among Adolescent Girls18119828074610.21608/ejhc.2023.280746ENHanaaHamdy Ali ELzeinyAssistant professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Zagazig UniversityRehabFathy Abdel Hady GhaithAssistant professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Zagazig University,Journal Article20230117<strong>Background:</strong> Adolescence is a period of heightened “roller coaster”, where changes in self-esteem develop gradually in a discontinuous manner that increases the self-consciousness and anxiety over how individuals perceive each other. <strong>Aim:<em> </em></strong>This study aimed to evaluate the effect of school-based intervention on social phobia and self-esteem among adolescent girls. <strong>Design:<em> </em></strong>Quasi-experimental research design was used in this study. <strong>Setting:</strong> This study was conducted at Gamal Abdel Naser governmental secondary school for girls at Zagazig city, Al-Sharkia Governorate. <strong>Subjects:</strong> A purposive sample of 260 students were selected randomly and enrolled in the assessment phase. Then the intervention was carried out on 187 participants based on the assessment phase's result. <strong>Tools: </strong>Three tools were used in this study: Socio-demographic data sheet, Social Phobia Inventory (SPIN) and Rosenberg self-esteem scale (RSES).<strong> Procedure:</strong> A<strong> </strong>school-based intervention program was developed by the researchers and implemented to the experimental group. Participants were divided into six groups; each group consisted of 30-35 girls. The program consisted of 12 sessions and was implemented during school day, twice daily, three times per week, one session for each group every week for three months. Post assessment was carried out through completing SPIN and RSES during the last session. <strong>Results</strong>: More than two thirds of surveyed students<strong> </strong>experienced different levels of social phobia symptoms and about one fourth of them had low and moderate self-esteem levels. After intervention, participant student showed significant reduction in social phobia symptoms and improvement in self-esteem levels. Significant negative correlation was found between social phobia and self-esteem before and after intervention. <strong>Conclusion</strong>: School-based intervention for adolescent girls was effective in reducing social phobia symptoms and improving self-esteem levels. <strong>Recommendations</strong>: There is a great need for continuous follow-up of the participated students in the school-based intervention program to support and boost their coping strategies with anxious- feared social situations as well as their self-esteem.https://ejhc.journals.ekb.eg/article_280746_83039fab846a668212510756ea8f626e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Relationship between Toxic Leadership and Work Outcomes: A Cross-sectional Study19921128073910.21608/ejhc.2023.280739ENAmalDiab Ghanem AtallaAssistant Professor of Nursing Administration, Faculty of Nursing, Alexandria University, EgyptWafaaHassan MostafaLecturer of Nursing Administration, Faculty of Nursing, Damanhour University, EgyptJournal Article20230117<strong>Background: </strong>Leadership has become an essential issue for health care organizations; leader is expected to be the role model of ethical behavior and protagonist of values for their nurses. Absence of ethical behaviors from leaders is known to be very costly for health settings. Toxic leadership behaviors have a negative impact that affect nurses work outcome.<strong> Objective: </strong>To investigate the relationship between toxic leadership and work outcomes.<strong> Setting:</strong><strong> </strong>The study was carried out in all in-patient care units at Shoubrakhit General Hospital.<strong> Subjects: </strong>All target population of staff nurses (n=475) who were working in the previously mentioned settings for not less than six months and available during the time of data collection.<strong> Tools: Tool I</strong>:<strong> </strong>The Toxic Leadership Scale. <strong>Tool II</strong>: Work outcome Scale.<strong> Results: </strong>There was statistically a significant negative correlation between nursing leaders' toxic leadership as perceived by studied nurses and overall work outcomes, where P =0.018.<strong> Conclusion: </strong>The study concluded that there was a statistically significant negative correlation between perceived toxic leadership and work outcomes. <strong>Recommendations: </strong>The health care organizations should establish leadership training programs and workshops to provide nursing leaders and supervisors with the leadership skills and practices that they need to perform their roles in effective manner to enhance work outcomes.https://ejhc.journals.ekb.eg/article_280739_332be5612cbe8c712ed352677da05d81.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Nursing Students` Practice Readiness and Self-Directed Learning: The Mediating Role of Self-Compassion21222428127110.21608/ejhc.2023.281271ENWafaaHassan MostafaLecture of Nursing Administration, Faculty of Nursing, Damanhour UniversitySamiaRoshdy SolimanNursing Administration, Faculty of Nursing, Damanhour UniversityNancySabry EllietheyAssistant professor of Nursing Administration, Faculty of Nursing, Alexandria UniversityJournal Article20230121<strong>Background: </strong>The first priority for nurse educators is getting new nursing graduates ready for the workforce so they may do so safely and independently. self-directed learning is essential in nursing academic institutions because it helps students develop their professional aspirations and clinical experience. Self-compassion enhances mental health as a beneficial factor in practice readiness. <strong>Objective: </strong>To design a structure equation model of practice readiness and self-directed learning: mediating effect of self-compassion.<strong> Setting</strong>: The study was carried out at the Faculty of Nursing, Damanhour University, Egypt.<strong> Subjects</strong>: comprised of 314 nursing students selected randomly in the first semester of the academic year 2022-2023.<strong> Tools: </strong>three tools were used to collect data. Tool I: Readiness for Practice Survey. Tool II: Self Rating Scale of Self-Directed Learning. Tool III: Self-Compassion Scale Short Form (SCS-SF).<strong> Results: </strong>This study revealed that, there was a highly statistical significance positive correlation between readiness for practice and self-compassion where p = 0.000. Also, there was a highly statistical significant positive correlation between readiness for practice and self-directed learning where p= 0.000. Additionally, it can be seen that there was a highly statistical significant positive correlation between self-compassion and self-directed learning where p= 0.029. <strong>Conclusion: </strong>this study explains that Self-Compassion acts as a partial mediating factor to boost the influence of readiness for practice on degree of self-directed learning. <strong>Recommendation</strong>: Incorporating problem-based learning strategies into the nursing curriculum to improve student practice through simulation of practice.<strong> </strong>https://ejhc.journals.ekb.eg/article_281271_ba5ac7b6128816f8e4b376cb963d5ced.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Nursing Intervention Using Reflexology Massage on Muscle Cramps and Fatigue among Adolescents Undergoing Hemodialysis22524528125910.21608/ejhc.2020.281259ENAsmaaSabry Attia HassanDemonstrator in Pediatric Nursing Department, Faculty of Nursing, Mansoura UniversityGawharaGad Soliman EbrahemAssistant Professor of Pediatric Nursing, Faculty of Nursing, Mansoura UniversityOmaymaMustafa Abu SamraLecturer of Pediatric Nursing, Faculty of Nursing, Mansoura UniversityJosephinAtef Abed El-Magid LawendAssistant Professor of Pediatric Nursing, Faculty of Nursing, Mansoura UniversityJournal Article20230121The most popular form of treatment for end-stage renal illness is hemodialysis. Hemodialysis frequently causes muscle cramps and exhaustion, which negatively impact adolescents' activities, relationships, and treatment tolerance. This study aimed to evaluate the effect of nursing intervention using reflexology massage on muscle cramps and fatigue among adolescents undergoing hemodialysis. It employed a quasi-experimental design. The study was conducted at<strong> </strong>Mansoura University Children's Hospital and New General Mansoura Hospital on a purposive sample of 48 adolescents on maintenance hemodialysis.<strong> </strong>A structured questionnaire sheet, cramps questionnaire and visual analog scale and pediatric quality of life inventory-multidimensional fatigue scale were used to collect data. Significant differences were found in muscle cramps and fatigue levels between pretest and post-test (p=0.000 for each). The use of reflexology massage for adolescents undergoing hemodialysis had a positive effect on muscle cramps and fatigue levels. There is a need for courses that give nurses the opportunity to become certified in reflexology, and reflexology massage should be used as the evidence-base for nursing practice with children receiving hemodialysis.https://ejhc.journals.ekb.eg/article_281259_03b828cffc29b446f069dfbea78b255c.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Assessment of Nursing Teachers'''' Emotional Intelligence24625428247310.21608/ejhc.2023.282473ENAbeerElsayed Abd ElkaderDoctorate scholar of nursing administration, Faculty of Nursing – Ain shams universitySamiaMohamed AdamProfessor of Nursing Administration, Faculty of Nursing – Ain shams universityHanaaMohamed AbdrabouAssistant Professor of Nursing Administration, Faculty of Nursing – Ain shams universityJournal Article20230126<strong>Background: </strong>Emotional Intelligence is an array of non- cognitive capabilities, competencies
and skills that influence one''s ability to succeed in coping with environmental demands and
pressures. <strong>Aim of the study</strong>: This study aims to assess nursing teachers'' emotional intelligence.
<strong>Design: </strong>descriptive research design was used. <strong>Setting: </strong>This study conducted at Secondary
Technical Nursing Schools affiliated to the ministry of health at El- Behira Governorate <strong>Subjects: </strong>
Total study subjects included 120 nursing teachers. <strong>Research question: </strong>Is there change in nursing
teachers'' emotional intelligence after implementing the training strategies? <strong>Tool of data collection: </strong>
this study was collected by using Bar-On Emotional Quotient Inventory-Short. <strong>Result: </strong>There was a
statistically significant relation between the educational level and stress management dimension in
the preprogram phase. There were statically significant relations between years of experience and
adaptability dimension, general mood dimension. Moreover, there was a statically significant
relation between years of experience and total emotional intelligence. There is a highly statistically
significant relation between nursing teachers'' experience years and their total emotional level in pre
intervention phase. <strong>Conclusion: </strong>Majority of nursing teachers had low emotional intelligence level
regarding general mood, more than half of them low emotional intelligence level regarding
adaptability and intrapersonal emotional intelligence. <strong>Recommendations: </strong>enhance nursing teachers''
participation in social and cultural activities, conduct training program about emotional intelligence
strategies for nursing teachers in nursing schools.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Caregivers' Awareness toward Health Care of their Patients with Hepatocellular Carcinoma25526928250610.21608/ejhc.2023.282506ENAmalRamadan Abd AL-HafezNursing supervisor of CCU-Ain Shams University specialized HospitalHananIbrahim AhmedProfessor of Community Health Nursing, Faculty of Nursing -Ain Shams University.AsmaaTalaat MohamedLecturer of Community Health Nursing, Faculty of Nursing -Ain Shams UniversityJournal Article20230127<strong>Background: </strong>Caregivers of patient with hepatocellular carcinoma have great burden in
caring their patients and having crucial role for management of their diseases. <strong>Aim</strong>: the current
study aimed to assess caregivers' awareness toward health care of their patients with hepatocellular
carcinoma. <strong>Research Design: </strong>A descriptive design was used. <strong>Sample: </strong>Purposive sample of 130
caregivers of patients with hepatocellular carcinoma <strong>Setting: </strong>The study was conducted at outpatient
clinic in liver tumor clinic in Ain Shams University Specialized Hospital. <strong>Tools: </strong>Two tools were
used for data collection. <strong>First tool: </strong>interviewing questionnaire was divided into three parts:
Demographic data of patients and their caregivers, medical history of patient, caregivers’
knowledge, and reported practices of caregivers. <strong>Second tool </strong>Likert scale to assess attitude of
caregivers. <strong>Results</strong>: 54.6% of the caregivers had satisfactory knowledge, 91.5% of the caregivers
had adequate reported practices, and 73.1% of the caregivers had positive attitude. <strong>Conclusion: </strong>
there is a highly statistically significant relation between caregivers’ total level of knowledge and
their total practices; there is no statistically significant relation between caregivers’ total level of
knowledge and their total attitude. Also, there is a statistically significant relation between
caregivers’ total attitude and their total practices. <strong>Recommendations: </strong>Information related to health
care services should be disseminated for the caregivers and Enhancement of nurses’ role in health
education hepatocellular carcinoma caregivers, encourage patients’ coping strategies to overcome
their condition.https://ejhc.journals.ekb.eg/article_282506_8f04f38156ccec9b1e68b626419500e3.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Nursing Students' perception about the Risk Factors Associated With Early Marriage27027828250910.21608/ejhc.2023.282509ENAmlGomaa ElsayedNursing Master Student, Faculty of Nursing, Ain Shams UniversityNawalMahmoud SolimanProfessor of Community Health Nursing, Faculty of Nursing, Ain Shams UniversityShimaaFathy MekkyLecture of Community Health Nursing, Faculty of Nursing, Ain Shams University.Journal Article20230127<strong>Background: </strong>Despite the alarming trend of increased marriage age in many societies, early
marriage is still a serious issue and a form of violence against girls. <strong>Aim: </strong>Assess nursing students'
perception about the risk factors associated with early marriage. <strong>Setting: </strong>Nasser Institute Nursing
School, Cairo, Egypt. Sample: Purposive sampling was used in this study, it includes (120) students
all presented in Nasser Institute Nursing School Cairo, Egypt, their age under 18 yrs. <strong>Tools: </strong>Self
administered questionnaire: It designed by the investigator in simple Arabic language to collect the
following data: Socio-demographic data of the nursing students, nurses’ knowledge as regard to
early marriage and reproductive health and nursing students' perception of adverse physical,
psychological and social health consequences of early marriage. <strong>Results: </strong>More than half of the
nursing students were between age16-17 years old with mean age 14.6±1.2, as regarding ranking on
the family, about half of them were ranking as a second child. Also, more than half of them were
not working. Regarding social status, more than two thirds of them were not engaged. More than
half of the nursing students were live in a rural area. More than two thirds of the nursing students
were had enough monthly income. More than two thirds of the studied nursing students had
unsatisfied knowledge about early marriage and reproductive health. Also, more than two thirds of
them had negative perception regarding early marriage. <strong>Conclusion: </strong>There was a highly statistically
significant relation between age, occupation and marital status of the nursing students and their
knowledge regarding early marriage. Moreover, there were a highly statistically significant relation
between nursing students' socio-demographic characteristics and their perception regarding early
marriage. There is a positive correlation between knowledge and perception of the nursing students
regarding early marriage. <strong>Recommendations: </strong>Further research studies are needed for ongoing
assessment of students including large sample for generalization of results.https://ejhc.journals.ekb.eg/article_282509_2a8cc39f7c1fbc78580cb96ae7a64b75.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Stigma and its Relation to Self-Concept among Patients with Mental Disorders27929828251010.21608/ejhc.2023.282510ENAsmaaAbd ElRahman RabeaDemonstrator faculty of nursing fayoum universityGhadaMohamed MouradProfessor Psychiatric/Mental Health Nursing, Faculty of Nursing Ain Shams UniversityHodaSayed Mohamedlecturer of Psychiatric/Mental Health Nursing, Faculty of Nursing Ain Shams UniversityJournal Article20230127<strong>Background</strong>: People living with mental illness are facing many problems regarding their
illness and stigma which consequently affect their self-concept. <strong>Aim</strong>: This study aimed to assess the
stigma and its relation to self-concept among patients with mental disorders. <strong>Design</strong>: A descriptive
correlational research design was utilized in this study. <strong>Setting</strong>: This study was carried out in the
outpatient clinic of the mental health hospital, affiliated to AlFayoum University Hospitals...
<strong>Subjects</strong>: This study was conducted on 246 patients with mental disorders. <strong>Sample type: </strong>Purposive
sample was recruited for this study. <strong>Data collection tools</strong>: Data were obtained through three tools; <strong>1) </strong>
Interviewing Questionnaire to assess socio-demographic data and medical history of the patients
with mental illness, <strong>2) </strong>The internalized stigma of mental illness inventory, and <strong>3) </strong>Self–concept
Questionnaire. <strong>Results: </strong>this study revealed that, nearly three quarter of the studied sample (74.8%)
experienced stigma, 46.3% of them had fair self-concept and more than third of them 36.6 had low
self-concept, however there were statistical significance relation between stigma and levels of self–
concept and the most affected domain was self-criticism. <strong>Conclusion: </strong>this study results concluded
that, the majority of the studied sample experienced stigma, and less than half of them had fair self-
concept, more than third of them had low self-concept, and there were statistical significance
relation between stigma and total levels of self–concept. <strong>Recommendations: </strong>There is an urgent
need for developing and implementing strategies to fight stigma associated with mental disorders
which consequently affect their self-concept.https://ejhc.journals.ekb.eg/article_282510_7904e3ebda9c4c849cd2d6434a028790.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Efficacy of Educational Environment on Surdents Satisfaction at. Embaba Technical Institute of Nursing29931328251210.21608/ejhc.2023.282512ENAsmaaMohamed Abo ElnagaB.Sc. In Nursing Faculty of Nursing - Ain Shams University-Cairo-Egypt.MagdaAbdel SattarProfessor of Community Health Nursing, Faculty of Nursing - Ain Shams University-Cairo-Egypt.ShiemaaFathy MikyLecture of Community Health Nursing, Faculty of Nursing - Ain Shams University-Cairo-Egypt.Journal Article20230127<strong>Background: </strong>Educational environment and students’ expectations support the student’s
action and encourage for social interaction, inside and outside the Institute that enhance
interpersonal relationship with teachers and meet the Learning goals, <strong>Aim: </strong>The aim of this study
was to assess the efficacy of educational environment on students’ satisfaction at Embaba Technical
Institute of Nursing. <strong>Design: </strong>A descriptive design was used. <strong>Setting</strong>: This study conducted at
Embaba Technical Institute of Nursing. <strong>Subjects: </strong>Convenient sample used in this study .It was
included (250) undergraduate nursing students in first grades from total number 500 newly nursing
student at the academic year 2019-2020. <strong>Tools of data collection</strong>: Data of this study will be
collected through five main parts as the following : Demographic data ,Nurses student knowledge
and attitude and satisfaction toward educational environment questionnaire , International standard
of the educational environment scale. <strong>. Results: </strong>the result reveals that there was positive highly
correlation between students’ knowledge and students’ attitude, satisfaction and standard.
<strong>Conclusion: </strong>there were more than half of nursing students were positive attitude toward total
educational environment and more than half of nursing students satisfied with total educational
environment. <strong>Recommendations</strong>: Nurse educators should be offered regular institute enhancement
programs to maximize their learning skills and enhance the quality of their clinical learning
experiences through wording of guideline for improvement and enhancement of learning during
clinical practice.https://ejhc.journals.ekb.eg/article_282512_b0ab967f04a3e2eec0688fbf7693cf88.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Electronic Booklet use on Self Care For premenstrual syndrome among Students in Banha University31432828251310.21608/ejhc.2023.282513ENAyaMohammed Abdel MageedB.Sc., Banha University.AzizaTossonProfessor of Maternity & Gynecological Nursing, Faculty of Nursing, Ain Shams University- cairo-egypt.NagiaEzzatLecturer of Maternity & Gynecological Nursing, Faculty of Nursing, Ain Shams University- Cairo-Egypt.Journal Article20230127<strong>Background: </strong>PMS is very common among female university students that may cause in
physical and psychological problems. The most important ways that can help females in self- care to
manage PMS symptoms is to increase full awareness to alleviate PMS. <strong>The study aimed to: </strong>
Evaluate the effect of electronic booklet use on self-care among university students regarding
premenstrual syndrome in Banha University. <strong>Research design: </strong>A Quasi experimental research
design was used to conduct the study. <strong>Setting: </strong>study was conducted at faculty of Education and
faculty of Arts Banha University, <strong>Sample: </strong>A multi stage sample technique was used to recruit
students suffering from PMS according to certain criteria <strong>and o</strong>nly 300 students out of 405 met the
research criteria from the selected faculties. <strong>Tools: 1) </strong>Structured interviewing questionnaire sheet <strong>2) </strong>
questionnaire sheet about premenstrual syndrome experience among study sample <strong>3) </strong>students
Management of premenstrual syndrome. <strong>Results: </strong>Findings of the present study showed that about
66% of the studied females had unhealthy habits pre intervention compared to 10.7% had unhealthy
habits after using electronic booklet. There was highly statistically significant difference between
total physical changes, total behavioral changes, and total psychological changes after using
electronic booklet (p<0.001). <strong>Recommendation: </strong>Health education programs regarding PMS and
other menstrual problems could be included in the curriculum of secondary schools Further study: A
similar study can be replicated on large sample size of populations and wider geographic scope to
emphasize conclusion.https://ejhc.journals.ekb.eg/article_282513_9ce29ec43da7325342483565ba88d94a.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Factors Contribute to Neonatal Nurses Pitfalls during Application of Pulse Oximeter in Neonatal Intensive Care Unit32933928251410.21608/ejhc.2023.282514ENMohamedB.A.B.Sc. Nursing 2010, Faculty of Nursing, Ain Shams UniversityRefaatH.TProfessor of Pediatric Nursing, Faculty of Nursing, Ain Shams UniversityAminM.M.Emetraus Professor of Pediatric Nursing, Faculty of Nursing, Ain Shams UniversityJournal Article20230127<strong>Background: </strong>Pulse oximeter is an essential monitoring and useful tool used in the intensive care
unit although it has some pitfalls in it use. <strong>Aim: </strong>This study aimed to assess the factors contributing to
neonatal nurses pitfalls during apply of pulse oximeter in neonatal intensive care unit. <strong>Design: </strong>A descriptive
design was used in thisstudy. <strong>Setting: </strong>The study was conducted at neonatal intensive care units affiliated to
Ain Shams University Hospitals and Zagazig Universty Hospital. <strong>Subject: </strong>A purposive sample composed
of 80 nurses(50 nurses work at Ain Shams University Hospital and 30 nurses' worke at Zagazig University
Hospital who provid care to neonates with puls oximeter. <strong>Tools of data collection: </strong>Involved A structured
Interview Questionnaire sheet and Observational checklist to assessthe nurses practices used pulse oximeter
in Neonatal intensive care unit. <strong>Results: </strong>revealed that, lessthan half of studied sample had good knowledge
and less than one quarter of them had poor knowledge regarding to care of puls oximeter, while
approximately more than half of studied sample had competent practice regarding to care of pulse oximeter.
Illustrated a positive correlation between total knowledge of the studied neonatal nurses and their total
practice regarding care of pulse oximeter. <strong>Conclusion: </strong>Based on results of the current study, it concluded
that, factors contribute to neonatal nurse's pitfalls during application of pulse oximeter in neonatal intensive
care unit the lack of studied nurse's knowledge about regarding care of pulse oximeter as well as lack of
practice (incompetent) contributes to pitfulls. <strong>Recommendations: </strong>An orientation program should be
prepared to help newly appointed nurses to acquire, develop their knowledge and practice to deal with
neonatal nurse’s care during application of pulse oximetry in neonatal intensive care unithttps://ejhc.journals.ekb.eg/article_282514_2fd6594cda771ea15a02d09f7a1ff6f2.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301COVID-19: Knowledge and Precautionary Measures among Nursing Students34035228251510.21608/ejhc.2023.282515ENEbtesamMohamed MohamedB. Cs in Nursing- Sohag University.HanaaAbdel Hakiem AhmedProfessor of Community Health Nursing, Faculty of Nursing- Ain Shams UniversityWafaaKhalil IbrahimAssistant professor. of Community Health Nursing Faculty of Nursing- Ain Shams UniversityRagaaAbd Allah Ahmedlecturer of Community Health Nursing, Faculty of Nursing- Sohag UniversityJournal Article20230127<strong>Background: </strong>COVID-19 pandemic is considered as the most crucial global health calamity of
the century and the greatest challenge that the humankind faced since the 2nd World War. Egypt is
one of the five African countries with the largest number of cases, with 415,468 confirmed cases of
COVID-19 and 22,460 deaths. <strong><em>Aim: </em></strong>this study aimed to assess the nursing students' knowledge
regarding COVID-19 & precautionary measures regarding COVID-19. <strong><em>Design: A </em></strong>descriptive
analytical study was used. <strong><em>Sample: </em></strong>A stratified simple random sample of 334 nursing students.
<strong><em>Setting: </em></strong>faculty of nursing, Sohag university. <strong><em>Tools: </em></strong>two tools were used for data collection. <strong><em>1</em></strong><strong><em>st </em></strong><strong><em>tool </em></strong>
was electronic questionnaire to assess the nursing students' knowledge regarding COVID-19 &
precautionary measures regarding COVID-19. <strong><em>part Ι: </em></strong>demographic data of nursing students, <strong><em>part ΙΙ: </em></strong>
<strong>(A) </strong>assessment of nursing students' knowledge regarding COVID-19, <strong>(B) </strong>Source of information
regarding COVID-19. <strong><em>part ΙΙΙ: </em></strong>Assessment of nursing student's knowledge regarding precautionary
measures toward COVID-19.<strong><em>2</em></strong><strong><em>ed </em></strong><strong><em>tool </em></strong>was observational checklist for the precautionary measures
implemented by the nursing students. <strong><em>Results</em></strong>: results of this study indicated that 53.9% of them were
male. 67.7% of them were living in rural area.31.1% at first academic year. Total nursing students'
knowledge regarding COVID-19 was 64%, precautionary measures was 95%, and their total practice
was 80%. <strong><em>Conclusion: </em></strong>Slightly less than two-third of nursing students had a satisfactory knowledge
about COVID-19 and majority of them had a satisfactory knowledge about precautionary measures,
also most of them had satisfactory practice related to precautionary measures toward COVID-19, and
there is a highly statistical correlation between total knowledge of nursing students and their total
practice. <strong><em>Recommendation: </em></strong>Instructions about proper use of face mask should be written on the
packages.https://ejhc.journals.ekb.eg/article_282515_24e94cb283b8ea9aeedd4ddc47116b57.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Awareness of Nursing Students Regarding to Breast Cancer at New-valley Government35336528251610.21608/ejhc.2023.282516ENEmanYoussifTeacher in Technical Health Institute at New –Valley governmentHananIbrahim AhmedProf of Community Health Nursing Ain Shams UniversityMonaAbo Bakr Abd - EllatefLecturer of Community Health Nursing Ain Shams UniversityJournal Article20230127<strong>Background: </strong>Breast cancer in women is the most common type of cancer in the world. Risk factor
of breast cancer is increasing with many unhealthy lifestyle factors such as smoking, alcohol, obesity <strong>Aim </strong>
<strong>of the study </strong>The study aimsto assessthe awareness of nursing studentsregarding to breast cancer at New –
valley government. <strong>Research design: </strong>A descriptive research design was utilized. <strong>Setting: </strong>The study was
carried out at two clinical institute of nursing at New - Valley government affiliated to ministry of health.
<strong>Sample: </strong>A total of 200 students representing all scholastic years from the two clinical institute of
nursing. <strong>Data collection tools: </strong>Three tools were used in this study; first tool: self-administrative
questionnaire to assess nursing students' knowledge about breast cancer, second tool: Checklist to assess
their practice level about breast self-examination and third tool: Likert type scale to assess their attitude.
<strong>Results: </strong>this study indicated that, mean age of studied students was 19.1 ± 6.3 years, 63% & 94% of
studied students were female and single, 51% of them had poor level of knowledge about breast
cancer, 66% of them had positive attitude regarding to breast cancer, 32% of them were competent
regarding to breast Self-Examination. <strong>Conclusions: </strong>The current study was concluded that there was highly
significant positive relations between total student's knowledge about breast cancer and their total practice
and attitude. <strong>Recommendations: </strong>The study recommended that provide educational programs through;
Increasing nursing students' knowledge regarding breast cancers, improving nursing students' practice
regarding breast cancers through, and enhancing nursing students' attitude regarding breast cancers. provide
nursing students with curriculum that included BSE and it's importance. Provide sufficient opportunities for
the nursing studentsfor clinical training on BSE.https://ejhc.journals.ekb.eg/article_282516_da403b90d54ae53a81edc507b57a17c8.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Quality of Life among Elderly People with Peptic Ulcer at Geriatric Home36637928251710.21608/ejhc.2023.282517ENFatenKamal AhmedB.Sc. Faculty of Nursing - Ain Shams University.FathiaAhmed MersalProfessor of Community Health Nursing, Faculty of nursing- Ain Shams UniversityWalaaAbdel Kader MohamedLecturer of Community Health Nursing, Faculty of nursing- Ain Shams UniversityJournal Article20230127<strong>Background</strong>: peptic ulcer has a major impact on the health status and continues to be
a considerable cause of morbidity and mortality among elderly people. <strong>The aim </strong>of this study
is to assess quality of life among elderly people with peptic ulcer at geriatric home. <strong>Design: </strong>
descriptive study design was used. <strong>Setting: </strong>The study was conducted at 3 geriatric homes in
the Fayoum Governorate and Cairo Governorate. <strong>Sample: </strong>purposive sample was used; they
were 60 elderly people aged 60 years old and more of both genders. <strong>Tool</strong>: The tool consists
of 4 parts: 1st part, demographic characteristics of elderly people. 2nd part is the medical
history of elderly people related peptic ulcer. 3rd part, elderly people knowledge regarding
peptic ulcer. 4th part, quality of life scale to assess the effect of peptic ulcer on quality of life
among the elderly people. <strong>Results: </strong>The study results showed that 32.2 % of elderly people
were aged 70 to less than 80 years old, 50.8 % of them were female, and 54.2% of elderly
people were widowed. Regarding level of education 44.1%of them had primary education
and 42.4% of them were illiterate, also 83.1 % of elderly people lived in urban areas and
39% of elderly people had a job. Regarding medical history 66.1% of elderly people were
nonsmokers, 55.9%of them suffered from gastric ulcer. Additionally, 39% of them had
family history of peptic ulcer previously, 45 % of them had epigastric pain. In relation to
knowledge 79% of the elderly people had poor knowledge about peptic ulcer, and 91.5% of
them had poor quality of life. <strong>Conclusion: </strong>it was concluded that; there was statistically
significant relation between gender, marital status of the studied elderly people and their total
knowledge about peptic ulcer and there was no statistically significant difference between other
demographic characteristics of the studied elderly people and their quality of life, also there was
statistically insignificant relation difference between total knowledge of the studied elderly
people and their total quality of Life. <strong>Recommendations: </strong>Health educational program
should be developed and implemented for elderly people with peptic ulcer to improve and
update them with the most current information about the disease, practices, and quality of
life.https://ejhc.journals.ekb.eg/article_282517_e47e1c27dd479c52e8e99765d348b64f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Factors Affecting Decisional Involvement among Staff Nurse38039128251810.21608/ejhc.2023.282518ENFatmaM. FetouhB.Sc. In NursingSamahF. FakhryProfessor of Nursing Administration.LailaA. Abd-ElhamidAssist. Prof of Nursing Administration.Journal Article20230127<strong>Background</strong>: Decisional involvement “is the pattern of distribution of authority for
decisions and activities that govern nursing practice policy and the practice environment, Staff
nurse decisional involvement can improve quality of patient care as well as nurses' Job satisfaction.
There is also evidence that decisional involvement improves the nurse work environment ,
commitment, perceived empowerment, self-growth, organizational development ,patient and
organizational outcomes, and employee well-being. <strong>Aim of study: </strong>the study aimed to identify
factors affecting decisional involvement among staff nurses. <strong>Subjects and methods: </strong>A cross-
sectional analytic design was used. The study was conducted in Mobart EL Mahalla Hospital; it is
affiliated to General Authority for Health Insurance, western branch. Simple random sample that
included 150 out of 250 staff nurses. Two data collection tools were used to carry out this study
namely, Decisional involvement scale (DIS) and decisional involvement Factors questionnaire.
<strong>Results: </strong>The highest percentage of staff nurses viewed actual decision-making is made by
administration. While more than three quarter of them viewed that decision making decisions
should tend more towards sharing and nurse led rather than administration. The highest percentage
of staff nurses had high level agreement upon the organizational factors affecting decision
making ,compared with minority of the study participants had agreement regarding the items
personal factors<strong>. Conclusion: </strong>The highest percentage of staff nurses of administration were
actually group that makes units decisions with minimal involvement of nursing. The staff nurses
view of the organizational factors that affecting their involvement in decision making is much
higher in comparison with their view of personal factors. <strong>Recommendation: </strong>The rules and
regulation governing decision making in the hospital and who should be involved should be revised
to give more room to staff nurses' involvement. The decision making in matters closely related to
nursing work should primarily led by nurses, examples are the areas of staffing and recruitment and
quality of nursing support staff. Hospital administrators with help of nurse managers should
conduct periodic assessment of staff nurses' views of actual decisional involvement. Head nurse
and nurse supervisors should periodically involve staff nurses in decision making at the unit level
and for simple matters to foster their abilities and encourage their decisional involvement. Staff
development and training officers in the hospital should provide adequate training in decision
making for staff nurses to enhance their involvement.https://ejhc.journals.ekb.eg/article_282518_47772237448d149fa8e089935d033aa1.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Assessment of Nurses' Performance regarding Developmental Care at Neonatal Intensive Care Units39240128251910.21608/ejhc.2023.282519ENHebaY. RiadDemonstrator of Pediatric Nursing Department, Faculty of Nursing, Al-Fayom UniversityWafaaE. OudaProfessor of Pediatric Nursing, Faculty of Nursing, Ain-Shams UniversityAzzaE.A. HegazyAssist. Prof. of Pediatric Nursing, Faculty of Nursing, El-Fayoum University.SohairM. IsmailLecturer of Pediatric Nursing, Faculty of Nursing, Ain-Shams University.Journal Article20230127<strong>Background: </strong>Developmental care is a professional practice, education and research
opportunity that nurses need to explore, evaluate and refine continuously within the rapidly
changing technological environment of the Neonatal Intensive Care Units. <strong>Aim: </strong>This study aimed
to assess nurses’ performance regarding developmental care at Neonatal Intensive Care Units.
<strong>Research design: </strong>A descriptive design was used. <strong>Setting: </strong>This study was conducted at the
Neonatal Intensive Care Units of El-Fayoum General Hospital. <strong>Sample: </strong>A convenient sample that
composed of 65 nurses who were working at the previously mentioned settings. <strong>Tools: </strong>A pre-
designed questionnaire sheet, observational checklists and attitude-type rating scale to assess
nurses’ performance regarding developmental care at NICUs. <strong>Results: </strong>The majority of the studied
nurses had poor level of knowledge, all of them were having an unsatisfactory level of practice and
the majority of them showed positive attitude regarding developmental care at neonatal intensive
care units. <strong>Conclusion: </strong>Nearly two thirds of the studied nurses had an incompetent level in total
performance regarding developmental care at NICUs. <strong>Recommendations: </strong>Raising awareness about
developmental care and its core measures in the care of neonates at NICUs.https://ejhc.journals.ekb.eg/article_282519_956208fcb3fdb8fd0db5b975ed234ecd.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Health Needs and Problems among Military Personnel with Skin Disease40241428252010.21608/ejhc.2023.282520ENHendShaaban Abdel-GhaffarCap Academy –Kobri Alkobba Armed Forces Medical Complex,SehamGuriguis RaghebProfessor of Community Health Nursing, Faculty of Nursing, ain shams UniversityWafaaKhalil IbrahimAssisstant professor of Community Health Nursing, Faculty of Nursing, ain shams UniversityJournal Article20230127<strong>Background: </strong>Skin diseases is the a major health problems that cause morbidity for military
personnel either at war or during peace times. Skin diseases cause negative psychological and social
impacts on the quality of life of military personnel. <strong>The study aimed to </strong>assess health needs and
problems for military personnel with skin diseases. <strong>Research design: </strong>Descriptive research design
was used to conduct this study. <strong>Setting: </strong>The study was carried out in outpatient dermatological
department at kobri al-kobba medical hospital. <strong>Sample: </strong>purposive sample of soldiers attending
outpatient dermatological department, the total sample included 418 subjects. <strong>Tools: </strong><strong>Tool I</strong>- Self-
administered Questionnaire which covers the following parts: <strong>The 1</strong><strong>st </strong><strong>part: </strong>Socio-demographic
characteristic of military personnel. <strong>The 2</strong><strong>nd </strong><strong>part: </strong>Military personnel knowledge regarding skin
diseases. <strong>The 3</strong><strong>rd </strong><strong>part: </strong>Military personnel health practice regarding skin diseases. <strong>The forth part: </strong>
military personnel health status from medical record. <strong>Tool II: </strong>The Index instrument to measure the
effect of skin disease on military personnel quality of life and health problems related to skin
diseases. <strong>Results: </strong>69.7 % of the military personnel were 21-24 years old, 32.3 % of the studied
military personnel had satisfactory knowledge regarding skin diseases.57.4 % of the studied subject
had unhealthy reported practices regarding skin diseases. 44.5% had moderate impact of military
personnel health and quality of life. <strong>Conclusion: </strong>There was positive statistically significance
Correlation between knowledge and health practice of military personnel. <strong>Recommendation: </strong>
Develop and implement health education program for military personnel to increase their
knowledge about skin diseases and practices should be followed to manage skin diseaseshttps://ejhc.journals.ekb.eg/article_282520_150316200b2e9d2cc9c42dded2693f00.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Prevention of Urogenital Tract Infection among Nursing and Non Nursing Female School Students (Comparative Study)41542928252110.21608/ejhc.2023.282521ENHendGamal AbdallahB.Sc., Banha UniversityNawalMahmoud SolimanProfessor of Community Health Nursing, Faculty of Nursing, Ain ShamsUniversity-Cairo- Egypt.AsmaaTalat MohamedLecturer of Community Health Nursing, Faculty of Nursing, AinShams University-Cairo- Egypt.Journal Article20230127<strong>Background: </strong>Urogenital tract infections (UGTIs) are a universal public health problem,
mainly neglected by many females in adolescence stage. <strong>The study aimed to: </strong>Assess the prevention
of urogenital tract infections among nursing and non nursing female school students. <strong>Research </strong>
<strong>design: </strong>A descriptive design was utilized to achieve the aim of this study. <strong>Setting: </strong>The study was
conducted at the Technical Nursing Institute in Bab El-sharia University Hospital Affiliated to
ElAzhar University, Egypt and secondary school for girls in Bab El-sharia affiliated to Bab Al-
Sharia Educational Administration. <strong>Sample: </strong>A convenience sample of 304 (196 Female nursing
school students and 108 of non nursing school students) enrolled at first and second grade at the
above mentioned setting was involved in this study. <strong>Tools: Self-administered questionnaire: It </strong>
<strong>was included five parts as following: Part (1): </strong>female nursing and non nursing school student’s
demographic data. <strong>Part (2): </strong>female's nursing and non nursing school student’s health history related
to exposure to urogenital tract infections. <strong>Part (3): </strong>females nursing and non nursing school students
Knowledge related to urogenital tract infections. <strong>Part (4): </strong>female nursing and non nursing school
students reported Health practices regarding prevention of UGTIs. <strong>Part (5): </strong>assessing the health
needs and problems of female students during infection with the genitourinary system <strong>Results: </strong>
Findings of the present study showed that 50% of the studied nursing students, had satisfactory level
of total knowledge about urogenital infection, compared with 34.3% of the studied non nursing
students had satisfactory level of total knowledge about urogenital infection. 58.2% of the studied
nursing students had unhealthy practices to prevent urogenital tract infection compared with 61.1%
of the studied non nursing students had unhealthy practices to prevent urogenital tract infection.
<strong>Conclusion </strong>there was a statistically non-significant correlation between total practices and age.
Also, there was a statistically non-significant correlation between total practices and total knowledge
of the studied students (nursing and non- nursing). <strong>Recommendation: </strong>Students counsel about
personal hygiene and importance of menstrual hygiene is recommended. <strong>Further study: </strong>Designing
and implementing workshops about proper hygienic practices, healthy eating habits would be of
great importance to increase students’ awareness and prevention of UGTIhttps://ejhc.journals.ekb.eg/article_282521_16ebec5c19c2387a5643fae39822c317.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Implementing Intrapartum Digital versus Paper Partographs on Maternity Nurses' Performance and Birth Outcomes43044528373410.21608/ejhc.2023.283734ENAshourE.S.Assistant Professors of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, EgyptSamahMohamed ElhomosyAssistant Professors of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, EgyptGehanAhmed Mohmed ElbahlowanAssistant Professor of Obstetrics & Gynecology, Faculty of Nursing, Port said University, Egypt.TahanyEl-Sayed El-Sayed AmrAssistant Professors of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, EgyptJournal Article20230201The <strong>aim </strong>of the study was to investigate the effect of implementing intrapartum digital versus paper<br />Partographs on maternity nurses' performance and birth outcomes. <strong>Method</strong>: the researchers adopted<br />a quasi-experimental methodology. The study was carried out at the University Hospital and Shebin<br />El-Kom Teaching Hospital's labor wards in the Menoufia Governorate of Egypt. A convenience<br />sample of fifty maternity nurses, and a purposive sample of two hundred pregnant women from the<br />study settings were randomly selected. A structured interview questionnaire filled out by the<br />maternity nurses, an observational checklist of maternity nurses' procedures, and a structured<br />interview questionnaire filled out by the women were all used to collect the data. <strong>Results</strong>:<br />Following the intervention, maternity nurses scored higher on both measures of knowledge and use<br />of the digital Partograph than they had previously (75% and 90%, up from 5% and 6%,<br />respectively). While the paper partograph was useful, the digital partograph was more accurate in<br />predicting the chance of inferior maternal outcomes (prolonged labor 3 versus 11, cesarean section 3<br />versus 6, oxytocin augmentation 2 versus 4, and serious maternal morbidity or death 12 versus 22).<br />Furthermore, when compared to the paper Partograph, the digital Partograph outperformed it in<br />predicting the likelihood of poor fetal outcomes (7 versus 13 newborn resuscitations needed and<br />none versus 1). <strong>Conclusion: </strong>As compared to the paper partograph, the digital version is simple to<br />use, well-accepted, inexpensive, less invasive, and helpful in labor management, all of which<br />contribute to a better chance of a safe birth for the mother and a healthy newborn.<br /><strong>Recommendation</strong>: It is suggested that the digital Partograph be incorporated into labor<br />management guidelines to aid in prompt decision-making for urgent obstetric interventions.https://ejhc.journals.ekb.eg/article_283734_dd7c7cfca5ae7b89825a0c335c2c4493.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Early Initiation of Breast Feeding on the Prevention of Postpartum Depression among Puerperal Women: An Interventional Program.44646228387110.21608/ejhc.2023.283871ENTahanyEl-Sayed El-Sayed AmrAssistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, EgyptAtallahAl-eneziPhD, Master in Mental Health Nursing, BSN, Applied Medical Science -Department of Nursing, Shaqraa University KSA.KhadigaAbd-Elgied Gomea HassanPediatric Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt.AmalKhalifa KhalilAssistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt.HayamFathey Ahmed EittahProfessor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt and Professor of Maternal and Newborn Health Nursing, Al-Rayan Colleges- College of Health Science and Nursing,KSA.HowidaAbo El-life Mohamed AwedAssistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt.Journal Article20230202<strong>Background: </strong>Early initiation of breast-feeding produce hormones that improve the mood of the<br />mothers and reducing the risk of depression among them. It is one of the steps introduced by<br />WHO\UNICEF's Baby Friendly Hospital Initiative (BFHI). <strong>Aim of the study: </strong>to evaluate the<br />effect of early initiation of breast-feeding on the prevention of postpartum depression among<br />puerperal women through an interventional program. <strong>Design</strong>: A Quasi-experimental design was<br />utilized. <strong>Setting: </strong>This study conducted at university hospitals in one governorate of Delta region in<br />Egypt. <strong>Sample: </strong>Simple random sample was used in this study. <strong>Three Instruments </strong>were used for<br />data collection, an interviewing questionnaire, Edinburgh Postnatal Depression Scale (EPDS), and<br />Checklist of early initiation of breast-feeding for the Puerperal women. <strong>Results: </strong>There was high<br />(SSD) related to the scores of Edin-burg scale after applying the intervention program about early<br />initiation of breast-feeding. In addition, there was an improvement in the scores of the women<br />during breast feeding steps. <strong>Conclusion: </strong>intervention program about early initiation of breast-<br />feeding succeeded in raising Edinburgh (EPDS) scores of puerperal women and in doing breast-<br />feeding early during early post-partum period. <strong>Recommendations: </strong>Encourage all women to breast<br />feed early as possible after labor, screening all women for postnatal depression and anxiety during<br />post-partum. Future studiesare recommended on a large sample of puerperal women to be able to<br />generalize the study results.https://ejhc.journals.ekb.eg/article_283871_1a8cbf1b834f19f59d501bd8f5e647ed.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301The effect of facilitated tucking position on premature outcomes and pain intensity induced by invasive procedure in premature46347428403310.21608/ejhc.2023.284033ENSamarSalah Eldin Mohamed DiabAssistant professor, of Pediatric Nursing Department, Faculty of Nursing, Menoufia University, EgyptJournal Article20230204<strong>Background: </strong>Premature neonates are vulnerable humans requiring much care and attention.
pain experience in neonatal period leads to short- and long-term complications that could be
prevented by means of neonatal pain relief. <strong>Aim: </strong>To assess the effect of facilitated tucking
position on premature outcomes and pain intensity induced by invasive procedure in premature.
<strong>Methods: </strong>Researcher conducted a quasi-experimental research design at neonatal intensive
care units at Benha Children's Specialized Hospital. A purposive sample of premature neonates
were randomly divided into two groups: control and study, each with 34 premature neonates.
Researcher collected the data through neonatal characteristics, Vital signs sheet, Premature
neonates pain profile, neonatal behavioral state. <strong>Results: </strong>The study revealed that 64.4% and
35.6% of study group had mild and moderate pain, while 48.9% and 8.9% of control group had
moderate and sever pain post invasive procedure. Also, mean of quiet sleep of premature
neonates in study group was 16.03±3.78, while in control group was 7.33±2.92, at <em>p </em>value
0.005**. <strong>Conclusion</strong>: Facilitated tucking position had significantly decreasing the severity of
pain compared to control group. Also, the current results mentioned that, less than two thirds
of study premature neonates had mild pain, while about half of them at control group suffered
from moderate pain. In addition, facilitated tucking position decrease change in heart rate and
oxygen saturation. Moreover, increase time of quiet and active sleep, while decrease time of
active alert and crying among premature neonates <strong>Recommendation</strong>: Facilitated tucking
position should be a part of the routine care for all premature admitted to NICUs. An illustrated
leaflet demonstrating step by step about facilitated tucking position should be available at
neonatal intensive care units. Continuous training program about facilitated tucking position
should implement regularly.https://ejhc.journals.ekb.eg/article_284033_67c78aedaa66e71ad18c24f58ea37c3e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Oral Care Protocol on Oral Health Status among Mechanically Ventilated Patients47548528406910.21608/ejhc.2023.284069ENFatmaAbdelaziz MohammedLecturers of Critical Care and Emergency Nursing, Faculty of Nursing - Cairo UniversityMohamedNaeem BadrLecturers of Critical Care and Emergency Nursing, Faculty of Nursing - Cairo UniversityJournal Article20230204Background: The use of oral hygiene approaches is vital for maintaining the health and comfort of patients. This is especially true for those in intensive care who are intubated and on mechanical ventilation because proper oral hygiene practices greatly reduce the possibility of complications and shorten hospital stays for such patients. Aim: The aim of this study is to evaluate the effect of oral care protocol on oral health status among mechanically ventilated patients. Research Design: A quasi-experimental study with one group pre-test and post-test design was utilized for the current study. Setting: The study was carried out in the intensive care unit at Cairo university hospital. Sample: A purposive sample of (30) male and female patients admitted to the ICU. Tools of data collection: Two tools were utilized to collect data pertinent to the current study: tool (1) patient’s demographic and medical data sheet, tool (2) Beck oral assessment score (BOAS) modified. Results: There is a significant decrease in total mean oral health score post intervention in the 3 days which indicates that there is an improvement in the oral status after oral care, there is a significant decrease in mean oral health score post intervention for all BOAS subscales, the teeth and saliva were the most subscales improved after the intervention. Conclusion: The oral health status of mechanically ventilated patients improved after the intervention of oral care. Recommendations: Applying oral care for mechanically ventilated patients, the oral health condition of intubated patients should be frequently assessed in the ICU utilizing oral assessment tools as a basis for intervention.https://ejhc.journals.ekb.eg/article_284069_045d5b997365009fb1e7b769f19b209f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Progressive Muscle Relaxation Technique on Pain Intensity and FatigueAssociated with Primary Dysmenorrhea among Female Adolescents48650028428410.21608/ejhc.2023.284284ENElSayedaHamdy Nasr AbdelhalimAssistant Professor of Maternity, Obstetrics, and Gynecology Nursing, Faculty of Nursing, Port Said UniversityMarwaYehia Moustafa SweelamLecturer of Maternity and Neonate Health Care Nursing, Faculty of Nursing, Fayoum UniversityAmelAbd Elaziem MohamedAssistant professor of Community Health Nursing Beni- Suef University, EgyptFatmaGomaa Mohamed AmerLecturer of Community Health Nursing, Faculty of Nursing, Ain Shams UniversityNor El-HodaMohamed El-Sayed El- ShaboryAssistant Professor of Maternity, Obstetrics, and Gynecology Nursing, Faculty of Nursing, Port Said UniversityJournal Article20230206Progressive muscle relaxation (PMR) therapy is considered one of the alternative therapies used
for reducing pain intensity and fatigue. Dysmenorrhea is primary or secondary on the base of the absence
or presence of pathology<strong>. The study aimed to </strong>assess the effect of progressive muscle relaxation
technique on pain intensity and fatigue associated with primary dysmenorrhea among female adolescents.
<strong>Design: </strong>A quasi-experimental research design was utilized to achieve the aim of this study. <strong>Setting: </strong>The
study was conducted in two governmental secondary schools in Port Said City. <strong>Subjects</strong>: A purposive
sample consisting of 150 female adolescents was recruited using a multi-stage sample technique in this
study. <strong>Three tools used for data collection </strong>are: <strong>Tool </strong>(<strong>I): </strong>A self-administered questionnaire, <strong>Tool </strong>(<strong>II): </strong>
A modified Behavioral Pain Scale, <strong>Tool </strong>(<strong>III): </strong>A fatigue assessment scale<strong>, and Tool </strong>(<strong>IV): </strong>
Dysmenorrheal duration assessment sheet<strong>. Results</strong>: No statistically significant differences were noticed
between the study and control groups concerning their all demographic characteristics. Results of the
present study revealed that statistically significant differences were detected between the study and
control groups regarding their pain intensity post-intervention. A significant reduction in fatigue scores in
the study group as compared to the control group post-intervention (p-0.0001). <strong>Conclusion: </strong>Progressive
muscle relaxation technique had a positive effect on reducing pain intensity and fatigue among female
adolescents with primary dysmenorrhea. <strong>Recommendations</strong>: Progressive muscle relaxation technique
should be used as a non-pharmacological method because it is a systematic technique to reduce pain
intensity and fatigue among female adolescents with primary dysmenorrhea.https://ejhc.journals.ekb.eg/article_284284_a46526b46a6a957093fe0af1d77728c9.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Guiding Program for Mothers to Enhance Home Care and Children’s Health Outcomes after Cardiac Surgery50151731148110.21608/ejhc.2023.311481ENDaliaEl-Said El-ShiekhLecturer of Pediatric Nursing, Faculty of Nursing, Zagazig University, Egypt.FatenMostafa ElsawahLecturer of Pediatric Nursing, Faculty of Nursing, Zagazig University, Egypt.HebaAbdAlla AbdElnabiLecturer of Pediatric Nursing, Faculty of Nursing, Zagazig University, Egypt.Journal Article20230807<strong>B</strong><strong>ackground:</strong> Serious problems can occur after cardiac surgery, so mothers need more comprehensive home care educational programs to help them recognize complications and care for their children following hospital discharge. The <strong>Aim </strong>of the study was to evaluate the effect of a guiding program for mothers on enhancing home care and the health outcomes of their children after cardiac surgery. A quasi-experimental <strong>design</strong> was used to conduct the present study at the Cardiothoracic Surgery Department and Pediatric Outpatient Clinic at Zagazig University Hospitals. <strong>Subjects:</strong> A sample of 48 mothers and their children scheduled for cardiac surgery at the previous settings. <strong>Tools: </strong>Three tools were used to collect data. A Structured Interview Questionnaire, Reported practice checklist and Children’ assessment sheet. <strong>Results:</strong> Statistically significant differences regarding mothers’ knowledge and reported practice were observed at the post-program and follow-up phases, with a statistically significant strong positive correlation between them. Statistically significant improvements also revealed regarding children’ health outcomes post program. <strong>Conclusion:</strong> The guiding program had a profound effect on enhancing mothers knowledge and practice about home care as well as children’s health outcomes after cardiac surgery. The study <strong>recommended</strong> that educating mothers regarding the care of their children after cardiac surgery should become a routine practice at the cardiothoracic surgery department. Moreover, in service training program for pediatric nurses to improve their performance about care provided to children after cardiac surgery.https://ejhc.journals.ekb.eg/article_311481_a24f30ffefbb2545f2f8ebf297015ca3.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Relationship between Physical Activity and Psychological Status during Covid-19 among Nursing Students at Al Baha University.51853328488010.21608/ejhc.2023.284880ENWaelAlghamdiNursing Department, Faculty of Applied Medical Sciences, Al Baha University, Al-Baha, Saudi Arabia.SabahH. El-AmrosyAssistant Professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt. Currently, the Department of Nursing, Faculty of Applied Medical Sciences, Al Baha University, Saudi ArabiaJournal Article20230210<strong>Background: </strong>Recent research has shown that levels of poor mental health are high during COVID-19-
related social distancing. Social distancing measures may result in people becoming more anxious, angry,
stressed, agitated, and withdrawn. Engaging in physical activity may influence mental health during social
distancing related to COVID-19. A large body of literature exists showing that regular and sustained
participation in physical activity is associated with positive mental health. <strong>The study aimed to </strong>investigate
the relationship between physical activity and psychological status during Covid-19 among nursing students
AlBaha university. <strong>The setting of the study</strong>: The study was conducted at the faculty of applied medical
sciences AlBaha university. <strong>Research Design: </strong>A descriptive co-relational design was used to achieve the
aim of the study. <strong>Data collection</strong>: Three tools were used; Tool (1): Structured Socio-demographic and
clinical characteristics Interview Questionnaire. Tool (II): Depression, Anxiety, and Stress Scale (III): an
adapted version of the short form of the International Physical Activity Questionnaire (IPAQ-SF). <strong>Results: </strong>
The findings of the study revealed that the majority of the participants in the study (62.5%) were from the
fifth level. 50% of them were male and 50% were females. Also illustrated that; Physical exercise and
psychological status were statistically significantly correlated (stress, anxiety, and depression). <strong>Conclusion</strong>:
It was concluded that a negative change in physical activity compared to pre-COVID-19 restrictions was
associated with poorer mental health.https://ejhc.journals.ekb.eg/article_284880_53c357adcf45b4d1107bcfaf569e88e8.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Web-Based education on Mothers' Anxiety regarding Behavioral Changes among their Children with Autism during Covid-19 Lockdown53454728487710.21608/ejhc.2021.284877ENManalMohamed Ahmed AyedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, EgyptEmanAbd-Elaziz MohamedAssistant Professor of Pediatric Nursing, Faculty of Nursing, South-Valley University, EgyptEntisarMohammed Mahmoud Abu SalemAssistant Professor of Psychiatric Mental Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt, Badr University in CairoRedaA. HassanLecturer of Pediatric Nursing, Faculty of Nursing, Menoufia UniversityJournal Article20230210Egyptian mothers with autistic children have experienced psychological harm as a result of the<br />coronavirus pandemic 2019 (COVID-19) lockdown. Social distance prevented mothers with autistic children<br />and their therapists from providing face-to-face assistance, preventing them from taking part in outpatient<br />therapy, and preventing them from remaining at home. <strong>Aim</strong>: The study aimed to evaluate the effect of web-<br />based education on mothers’ anxiety regarding behavioral changes among their children with autism during<br />the Covid-19 lockdown. <strong>Subjects and method: </strong>A purposive sample of 200 women with autistic children<br />living in Sohag City, Egypt, participated in this study using a quasi-experimental research approach. <strong>Five </strong><br /><strong>tools </strong>were used in this study: A self-administered questionnaire, the Adaptive Behavior Assessment System,<br />The ASD Behavior Inventory, The Short Sensor, and Beck Anxiety Inventory (BAI). The link to the survey<br />using the questionnaire, the scale, and the web-based education content was sent to the participants' mothers<br />through Facebook and WhatsApp groups. <strong>Results</strong>: More than one-third of the participants in the study<br />displayed an increase in repeated and constrained behaviors. Before the web-based education, mothers'<br />anxiety was high; after the web-based education, it was low. <strong>Conclusion</strong>: The web-based education has a<br />beneficial impact on lowering mothers' anxiety about behavioral changes in their autistic children during the<br />Covid-19 lockdown. <strong>Recommendations</strong>: By offering mothers psychological assistance, web-based<br />education about the behavioral changes seen in autistic children, COVID-19, and its preventive strategies<br />should be taught to all mothers.https://ejhc.journals.ekb.eg/article_284877_3337125dbeea2e419e9160f2beb73ead.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effectiveness of Intervention Guidelines on Mothers of Children with Attention Deficit Hyperactivity Disorders54856328516410.21608/ejhc.2023.285164ENAmiratAli Elsabely MohammedLecturer of Pediatric Nursing, Faculty of Nursing, Zagazig UniversityAzzaEl-Sayed Ali HegazyAssistant Prof. of Pediatric Nursing, Faculty of Nursing, El-Fayoum UniversityNagiaI. HassanAssistant. Prof. of Psychiatric Nursing and Mental Health, Faculty of Nursing, Damanhour University.SaidaEl-Sayed Hassan El-AzzabAssistant Prof. of Psychiatric and Mental Health Nursing, Faculty of Nursing, Beni-Suef University.EmanAli Abd El-Moaty ShehaAssistant Prof. of Community Health Nursing, Faculty of Nursing, El-Fayoum UniversitySoadAhmedLecturer of Community Health Nursing, Faculty of Nursing, El-Fayoum UniversityJournal Article20230212<strong>Background: </strong>Attention-deficit hyperactivity disorder (ADHD) is one of neurobehavioral conditions
that affect children most frequently. Mothers of children with ADHD frequently experience elevated
stress levels, poor life quality, lower levels of maternal satisfaction, and confusing child behaviors
that make them feel harshly disciplined. <strong>The aim </strong>of this study was to evaluate the effectiveness of
intervention guidelines on mothers of children with attention deficit hyperactivity disorders.
<strong>Subject and Methods: </strong>A quasi-experimental research design with pre-post and follow-up
evaluation for one group was used in this study. <strong>Sample: </strong>This study was carried out on 150 mothers
and their children who have been diagnosed with ADHD. <strong>Settings: </strong>This study conducted at the
child psychiatric outpatient clinics at El-Fayoum & Zagazig University Hospitals, El-Tarbia El-
Fekryia Schools and Development Referral Centers at El-Fayoum City as Sondos Academy, Ibny
and Together Centers. <strong>Tools: </strong>The tools used to collect data are: I. Structured interviewing sheet, II.
Mothers' knowledge questionnaire, and III. A self-reported practices checklists. The intervention
guidelines involved 10 sessions. <strong>Results: </strong>There was highly statistical significant difference
regarding mothers' knowledge and their reported practices before, immediately after, and at
following-up phases of intervention guidelines implementation on children having ADHD.
<strong>Conclusion: </strong>The intervention guidelines were effective in improving mothers' knowledge and
reported practices regarding their children with attention deficit hyperactivity disorders.
<strong>Recommendation: </strong>Continuous training for mothers having children with ADHD. Also, further
studies will be needed to evaluate the effect of intervention guidelines on the mothers' coping,
quality of life (QOL), mothering satisfaction, psychological well-being to enhance their knowledge,
attitudes, and practices in improving their children’s outcomes.https://ejhc.journals.ekb.eg/article_285164_7f79f9f6db32eff5edab6577e00770a6.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Prevalence of Female Genital Mutilation at Beni-Suef Governorate, Egypt56457728561010.21608/ejhc.2023.285610ENFatimaHosny Abd- ElhakamDemonstrator in Maternal & Newborn Health Nursing - Faculty of Nursing, Beni-Suef UniversityRashaEl-sayed IbrahimAssistant Professor of Maternal & Newborn Health Nursing - Faculty of Nursing, Beni-Suef UniversityMomenZakaria MohamedLecturer of Obstetrics & Gynecology - Faculty of Medicine, Beni-Suef UniversityHananElzeblawy HassanAssistant Professor of Maternal & Newborn Health Nursing - Faculty of Nursing, Beni-Suef UniversityJournal Article20230214<strong>Background: </strong>Female genital mutilation/cutting are procedures in which young girls' and
women's external genital organs are manipulated, altered, or removed. Female genital mutilation is
considered to be a kind of gender discrimination against women and girls. <strong>Aim: </strong>The present study
was carried find out about FGM in Beni-Suef Governorate. <strong>Design: </strong>Descriptive Cross-sectional study.
<strong>Setting: </strong>Family Health Centers (FHCs) in different Governorates at Beni-Suef. <strong>Sample: </strong>Convenient
sample. <strong>Tools: </strong>pre-designed structured questionnaire was used to collect data. The questionnaire is
divided into six sections: (I): Socio-demographic and personal data. (II): Knowledge of females
regarding FGM/C. (III): Attitudes of females regarding FGM/C. (IV): Intention to practice FGM/C.
(V): Reasons for practicing FGM/C and reasons for refusing FGM. (VI): Female Sexual Function
Index (FSDI). <strong>Results: </strong>The prevalence of FGM/C was 71.4%. Only 25.7% of females had good
knowledge about FGM/C; 35.5% had an unfavorable attitude towards supporting FGM/C. About
29.7% of participants in the current study are suffering from complications after FGM. There was a
significantly higher Desire, Arousal, Lubrication, orgasm, Satisfaction domain, and Total score
among not circumcised married participants than circumcised ones. However, the Pain domain didn't
differ significantly between circumcised and not circumcised. <strong>Conclusion: </strong>the prevalence of FGM/C
is still higher despite the health consequences of the procedure. There was a significant association
between rural residence, lower mother and father education, marriage, and the presence of
circumcision. <strong>Recommendation: </strong>Continuous educational programs for mothers and health care
providers about FGM are required to increase their awareness.https://ejhc.journals.ekb.eg/article_285610_748f38171df9e6fe5bf04bda9ceb0bdd.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Educational Guidelines on Nurses' Performance regarding Percutaneous Nephrostomy Tube57859328561110.21608/ejhc.2023.285611ENNagwaMohamed HelmyLecturer of Medical-Surgical Nursing Faculty of Nursing Suez Canal UniversityAzzaAnwar AlyAssistant professor of Medical-Surgical Nursing faculty of Nursing Damanhour University, Associate professor of medical surgical nursing Ibnsina national college for Medical studies KSA.RaniaReafaat Abdelkader AtiaPhysiology department Faculty of Medicine Zagazig University and Basic Medical Science Faculty of Applied Medical Science AlBaha UniversityBadriaMahrous Abdel Hameed MohammedLecturer of Medical-Surgical Nursing, Faculty of Nursing, Menoufia University-Egypt; Affiliated to Nursing Department, Faculty of Applied Medical Sciences, Albaha University, Saudi Arabia.ZeinabGamal Mohamed Ellatif AbouelezzFellow Medical-Surgical Nursing, Student Hospital, Mansoura University. Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Misr University for Science and TechnologyJournal Article20230214<strong>Background: </strong>Percutaneous nephrostomy tube (PCN) is a widely utilized interventional procedure
for upper urinary diversion and decompression of the renal collecting system. Caring for patients
with a percutaneous nephrostomy is a critical component of nursing management to minimize
complications and improve the health status of those patients. However, there is inadequate
information for nurses as well as a lack of evidence and guidance <strong><em>(Buachuen S. (2022)</em></strong>. <strong>The </strong>
<strong>study aimed </strong>to investigate the effect of the educational guidelines on nurses' performance
regarding percutaneous nephrostomy tube. <strong>Study design: </strong>A quasi-experimental design was used
to conduct this study (pre/post-test). <strong>Setting</strong>: The research was carried out in the urology
department at Suez Canal University Hospital<strong>. Sample</strong>: A convenient sample of 40 of all
available staff nurses working in the urology department. <strong>Tools of data collection: </strong>One tool was
used for data collection. <strong>Tool I: </strong>"Nurses' Performance Assessment Sheet" which was composed of
three parts; 1. Demographic data for nurses, 2. Nurse`s knowledge questionnaire and 3. Nurses
practice observational checklist. <strong>Results: </strong>The study result revealed that there was a highly
statistically significant positive correlation between total knowledge scores and total practice
scores of the studied nurses' pre and posts educational guidelines implementation regarding
percutaneous nephrostomy tube. <strong>Conclusion</strong>: It was concluded that the educational guidelines had
a positive effect on improving nurses' knowledge and practice regarding percutaneous
nephrostomy tube. <strong>Recommendations</strong>: Ongoing educational programs and in-service training
programs about the percutaneous nephrostomy tube should be provided to nurses to upgrade their
knowledge and skills.https://ejhc.journals.ekb.eg/article_285611_cdb3225d1eac5cd267526f8a203ee90d.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Educational Guidelines on Knowledge, health care practices and Dependency Level for Patients Undergoing Hemodialysis59461028616110.21608/ejhc.2023.286161ENHowaidaKameel ZattonAssist. Prof of Medical Surgical Nursing, Faculty of Nursing, Zagazig University,NadiaMohamed TahaProfessor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University,EmanAli MetwalyAssist. Prof of Medical Surgical Nursing, Faculty of Nursing, Zagazig University.Journal Article20230218<strong>Background: </strong>End Stage Renal Disease (ESRD) is one of the major health<br />problems worldwide. <strong>Aim of the study: </strong>Was to evaluate the effect of educational guidelines<br />on knowledge, practice, and dependency level for Patients with ESRD undergoing<br />hemodialysis. <strong>Subjects and methods</strong>: <strong>Research design</strong>: A pre/posttest quasi experimental<br />design was used to achieve the study aim. <strong>Setting</strong>: The study was established in<br />hemodialysis unit at Zagazig University Hospitals, Egypt. <strong>Subjects</strong>: Purposive sample of 60<br />adult patients with ESRD undergoing hemodialysis. <strong>Data collection tools</strong>: An interviewing<br />questionnaire for patients, patients' health care practices about special care, and Dependency<br />level assessment questionnaire. <strong>Results: </strong>A significant improvement was detected in patients’<br />knowledge and practice post educational guidelines than pre educational guidelines (p<0. 01).<br />Also, 20% of studied patients were dependent in performing daily living activities before<br />educational guidelines; meanwhile they were slightly decreased to 15% after the educational<br />guidelines. <strong>Conclusion</strong>: It can be concluded that, the development of educational guidelines<br />showed a significant effect on improvement patients' knowledge, practices, together with<br />modifying the dependency level. <strong>Recommendation: </strong>Carry out different related educational<br />guidelines and counseling sessions for patients with ESRD regarding proper intervention,<br />healthy lifestyle, and coping strategies.https://ejhc.journals.ekb.eg/article_286161_5a096f4a2124f7f187ad390739796b12.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Early Childhood Psycho-trauma and Psychological Immunity among Children with Nocturnal Enuresis61162328617010.21608/ejhc.2023.286170ENSaidaEl Sayed Hassan Ibrahim El-AzzabAssistant Professor of Psychiatric Mental Health Nursing, Faculty of Nursing, Beni-Suef University, EgyptSaharElsayed Gaber BehilakAssistant Professor of Psychiatric Mental Health Nursing, Faculty of Nursing, Mansoura University, EgyptAbeerTaha AhmedLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Cairo University, Egypt.Journal Article20230218<strong>Background: </strong>Nocturnal enuresis is a frequent urologic pediatric disorder. Early childhood stressors and their
psychological immunity may play a crucial role in the etiology of nocturnal enuresis<strong>. Aim: </strong>To study relationships
between early childhood psycho-trauma and psychological immunity among children with nocturnal enuresis.
<strong>Design: </strong>Descriptive correlational design with quantitative methodology was used<strong>. Sample: </strong>A purposive sampling
technique of two hundred and sixty children with nocturnal enuresis<strong>. Settings: </strong>This study was carried out in the
outpatient clinics of two hospitals; Psychiatry and Addiction Prevention Hospital-Cairo University Hospitals
(Children’s and Adolescents Clinic) and Preventive Medicine Hospital in Abo El-Rish hospital (Nocturnal Enuresis
and Psychiatric Clinic). <strong>Tools: </strong>Personal and clinical data sheet, Childhood Trauma History Questionnaire-Short
Form and Psychological Immunity Scale were utilized<strong>. Results: </strong>The majority of sample had low level of
psychological immunity scores (85.4 and 82.3%) respectively in adaptive confrontation and self-regulation
dimensions. As the majority of sample experienced moderate levels of emotional abuse and neglect (100% and
72.3%) respectively, (76.2%) had moderate levels of physical abuse, while 23.8% were suffering high levels of
physical abuse score. As that, there were significant negative relationship between all dimensions of psychological
immunity and three dimensions of early childhood trauma as emotional, physical and sexual abuse (P-value = 0.004,
0.002 and 0.0001 respectively). <strong>Conclusion: </strong>There were moderate and high levels of early childhood trauma history
among the children with nocturnal enuresis while there were low levels of psychological immunity among those
children. There was a significant negative correlation between the total score of early childhood trauma history and
psychological immunity. <strong>Recommendations: </strong>A nursing intervention program for children with nocturnal enuresis
to enhance their psychological immunity and reduce early child maltreatment levels.https://ejhc.journals.ekb.eg/article_286170_36adcd02f2a62f1d6006f98d700b2d44.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of the Artificial Intelligence Enhancement Program on Head Nurses' Managerial Competencies and Flourishing at Work62464528718810.21608/ejhc.2023.287188ENHindAbdullah MohamedAssistant-Professor of Nursing Administration, Faculty of Nursing, Port Said University, Port Said, EgyptSamiaGamal AwadLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura University, Egypt.NouraElgharib Mohamed Mostafa EldiastyLecturer of Nursing Administration, Faculty of Nursing, Port Said University, Port Said, EgyptHananELsaid ELsabahyAssistant-Professor of Nursing Administration, Faculty of Nursing, Mansoura University, Egypt.Journal Article20230224Background: With the emergence of artificial intelligence (AI), head nurses should use technology<br />in their work to strengthen nursing management skills and practice, as well as to change nurses' <br />jobs, in order to be successful and flourish. Aim: The present research aimed to investigate the <br />effect of the artificial intelligence enhancement program on head nurses' managerial competencies <br />and flourishing at work. Subjects and methods: This research used a quasi-experimental design <br />(pre- and post-intervention) with all head nurses (92) from El Mansoura International Hospital. <br />Data collection tools: The self-administered Artificial Intelligence Knowledge Questionnaire, the <br />General Attitudes towards Artificial Intelligence Scale, the Head Nurses’ Managerial Competencies <br />Questionnaire, and the Flourishing at Work Scale were used. Results: Once compared to the preintervention phase, the post-intervention and follow-up phases had the highest mean scores, with a <br />statistically significant difference for head nurses' knowledge level, attitudes towards artificial <br />intelligence technologies, managerial competencies, and work flourishing. Conclusion: The partial <br />η2 values found for head nurses' knowledge level, attitudes towards artificial intelligence <br />technologies, managerial competencies, and work flourishing (0.856, 0.977, 0.968, and 0.892, <br />respectively) indicated that the program's implementation had a substantial impact.<br />Recommendations: Educational programs can assist nursing managers in developing an <br />understanding of artificial intelligence as well as managerial skills. More studies in this area are also <br />advised. https://ejhc.journals.ekb.eg/article_287188_e5f160679d75a0e901e982924835f11c.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301The Effect of a Learning Strategy on Nurse Students Civility Behavior64665528718910.21608/ejhc.2023.287189ENRania.H. HassanProfessor of Nursing Administration, Faculty of Nursing-Ain Shams University-Cairo-Egypt.Rabab.M.HassanProfessor of Nursing Administration, Faculty of Nursing-Ain Shams University-Cairo-Egypt.Neamaa. F. SaadAssistant Professor of Nursing Administration, Faculty of Nursing-Ain Shams University-CairoEgypt.Journal Article20230224Background: Various learning strategies can enhance nurse students’ communication and social <br />skills improve civil behavior the aim: This study aims at investigate the effect of a learning strategy on <br />nurse students’ civility behavior. Design: one group pretest-posttest was used in carrying out this study.<br />Subjects The subjects consisted of (200) nurse students. Tools of data collection: two tools were used for <br />collecting data, namely first tool, Knowledge questionnaire sheet pre/post-test .Second tool: Incivility in <br />Nursing Education survey. Result: The main results of the study revealed that: slightly more than two fifth <br />of nurse students had un satisfactory knowledge regarding civility before dimensions in preprogram phase, <br />while all nurse students had satisfaction knowledge in post phase and slightly decline at follow up phase <br />with highly statistically significant improvement with all the phases of intervention.. Majority of nurse <br />students had low total perception level at preprogram phase while four fifth of them had high perception at <br />post phase and three quarter of them had high perception level after three months of training intervention <br />with highly statistically significant improvement in total perception level with all the phases of intervention. <br />Improvement in total nurse students’ civility perception during post and follow up phases as compared with <br />preprogram phase. Conclusion: There was highly statistically significant improvement in total nurse <br />students of civility behavior after implementation of a learning strategy. This supported the study hypothesis <br />which stated, nurse students civility behavior will be improved after implementing the training intervention. <br />Recommendations: Continuous training programs or sessions must emphasize on all aspects of nursing <br />civility dimensions. Teaching staff have to enhance student empowerment which may lead students to <br />have increased self-esteem, motivation and become more self-directed. Applied program for all newly <br />nurse students for knowing about civility behavior.https://ejhc.journals.ekb.eg/article_287189_8d895af77ef23b3d3d84d0b686c53633.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Organizational Silence as Perceived by Staff Nurses and its Relation to their Self-Efficacy65666928719010.21608/ejhc.2023.287190ENRabaaEl. AbdouB.Sc. In Nursing.HebaA. HassanAssistant Professor of Nursing AdministrationFawziaM. BadranAssistant professor
of Nursing Administration-Cairo-Egypt.Journal Article20230224Background Organizational silence refers to a collective-level phenomenon of saying or <br />doing very little when the organization deals with serious problems. Self-efficacy known as the <br />perception of competence in resolving stressful situations. Organizational silence has great impact <br />on employee behavior and self-efficacy perception is an important factor in predicting an <br />individual's behavior. Aim of study: this study aimed to assess Organizational silence as perceived <br />by nurses and its relation to their self-efficacy. Research design: a descriptive correlational design <br />was used in carrying out this study. Setting: The study was conducted at El-Hamoul General<br />Hospital which affiliated to Kafr EL-Sheikh Governorate Ministry of Health. El-Hamoul General <br />Hospital consists of four buildings, provides care for patients in different medical specialties. Study <br />subjects: The Subjects of this study included 144 staff nurses. Data collection tools: Two tools <br />were used namely organizational silence scale (OSS) and self-efficacy scale (SES). Results: More <br />than half of staff nurses (53%) had high level of organizational silence. Meanwhile, more than one <br />quarter of them (26%) had low level of organizational silence. Hence, (20%) had moderate level of <br />organizational silence. Less than two thirds (62%) of staff nurses had high level of self-efficacy. <br />Meanwhile, (21.2%) had low level of self-efficacy, (16.8%) had moderate level of self-efficacy. <br />Conclusion: There was statistically significant positive correlation between organizational silence <br />and job self-efficacy among staff nurses. Recommendation: Share staff nurses in decision making <br />by maintaining voice mechanisms in use. Update organizational policies to maximize flexibility. https://ejhc.journals.ekb.eg/article_287190_5ce75348c922202875ff93f1486af545.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Factors Influencing Nurses` Performance towards Caring of Pediatric Patients with Respiratory Disorders67068228719110.21608/ejhc.2023.287191ENNouraSaad Elsaid HabibMember in Infection Control Team, Kom Hamada Specialized HospitalRandaMohamed AdlyProfessor of Pediatric Nursing Department Faculty of Nursing-Ain Shams UniversitySalmaElsayed HassanProfessor of Pediatric Nursing Department Faculty of Nursing-Ain Shams UniversityJournal Article20230224Background: Respiratory disorders are the most common causes of illness and hospitalization in children. These illnesses range from mild, non-acute disorders, to acute disorders such as bronchiolitis, to chronic disorders such as asthma. Aim: This study aimed to assess the factors influencing nurses` performance towards caring of pediatric patients with respiratory disorders. Research Design: A descriptive design used to achieve the aim of this study. Subjects: A purposive sample consisted of 151 nurses; 68 nurses from pediatric hospital that affiliated to Ain Shaim University hospitals, and 83 nurses from Damanhur University hospitals, Tools of date collection: A predesigned questionnaire sheet to assess characteristics of the nurses, to assess the nurses knowledge about respiratory disorders in pediatrics, and factors influencing nurses` performance towards caring of pediatric patients with respiratory disorders. In addition, observational checklists, to assess the nurses` practices Results: Two thirds of studied nurses had poor level of knowledge regarding respiratory disorders in pediatrics, and near to two thirds of studied nurses had a competent practice regarding caring for pediatric patients with respiratory disorders. Conclusion: Based on the present study findings it can be concluded that, communication with patient` information factors and organizational factors are more factors that influencing the nurses` performance towards caring pediatric patients with respiratory disorders. Recommendation: Periodical assessment in health care settings for factors that influencing care of pediatric patients with respiratory disorders.https://ejhc.journals.ekb.eg/article_287191_3a5f119a50f7fe0dc31c63188b59f2bf.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Factors Affecting Compliance of Patients with Diabetic Foot Ulcer Undergoing Hyperbaric Oxygen Therapy68370028719210.21608/ejhc.2023.287192ENNeveenShaaban MohamedSpecialized Nurse at Aga Hospital, Faculty of Nursing , Ain Shams UniversityOlaAbdel Aty AhmedProfessor of Medical Surgical Nursing, Faculty of Nursing , Ain Shams UniversityZeinabHussien Bakrssist professor of Medical Surgical Nursing, Faculty of Nursing , Ain Shams UniversityJournal Article20230224Back ground: Diabetes is one of the most common and fastest growing diseases worldwide. Diabetic foot ulcers (DFUs) are a prevalent complication of diabetes mellitus and account for significant morbidity and mortality. Hyperbaric Oxygen Therapy (HBOT) is one of the advanced therapeutic modalities for wound management. Aim: the study aimed to assess factors affecting compliance of patients with diabetic foot ulcer undergoing hyper baric oxygen therapy. Design: descriptive exploratory design was utilized for conduct the current study. Setting: this study was carried out at hyper baric oxygen therapy at Nasser institute for research and treatment. Study subjects: A Purposive sample of 30 Patients with diabetic foot ulcer on hyper baric oxygen therapy. Tools: 1) patient interviewing questionnaire. 2) patient related factors questionnaire.3) Compliance assessment tools. Results: the patient had 50% satisfactory knowledge about diabetes, 93.3% of them the cost of treatment affect the family expenses, 56, 7% of them had severe social dysfunction, 43.3% of the studied patient had severe anxiety, 36. % of them had compliance toward therapy Conclusion: half of studied patients had satisfactory knowledge, highly significant positive correlation among total knowledge & total compliance. Highly significant negative correlation among total social & total compliance, statistically significant relation between total compliance and total social factor, monthly. Statistically significant relations between total compliance anxiety, environment factor and total knowledge, Recommendation: education program for diabetic foot ulcer, hyper baric oxygen therapy to the patient.https://ejhc.journals.ekb.eg/article_287192_4fe37fe284ed0ba3d8ee5ce1cc34736f.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Creativity and Job Stress among Nurse Managers: Moderator Role of Perceived Organizational Support (POS)70171528719410.21608/ejhc.2023.287194ENNemaFathy SaadAssistant professor of Nursing Administration, Faculty of Nursing, -Ain Shams UniversityHanaaMohamed Abd RabouAssistant professor of Nursing Administration, Faculty of Nursing, -Ain Shams UniversityJournal Article20230224Background: Creativity is needed to improve work quality especially in nursing. It is yet associated with challenges and thus needs organizational support. Aims: The study's goal is to investigate the relationships between mangers’ job stress, perceived organizational support (POS), and creativity in nurse managers, as well as the potential moderator role of POS in the association between stress and creativity. Subjects and methods: A stratified proportionate sample of 88 nurse managers was studied in a cross-sectional analytic study at six Ain Shams University Hospitals. A self-administered questionnaire with scores for stress, perceived organizational support (POS), and creativity was used to collect data. Results: Nurse Managers median age was 35 years, mostly females (71.6%) with bachelor’s degree (80.7%). In total, 47.7% had high stress, 61.4% reported high Perceived Organizational Support (POS), 61.4% high creativity. POS scores had significant positive correlations with stress (r=0.403), and creativity (r=0.457). According to the hierarchical regression analysis, creativity and POS are good predictors of stress score. Meanwhile, POS mediates the relationship between stress and creativity. Conclusion and recommendations: Job stress, POS, and creativity are all linked in nurse managers, with POS acting as a moderator in the stress-creativity relationship. The study recommends continuous organizational support for nurse managers to be more creative, along with recognition and rewards for innovative ideas.https://ejhc.journals.ekb.eg/article_287194_b86593ce32da2498abc58f188ec1a31b.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Nurses’ Performance Regarding Care of Patients Post Percutaneous Endoscopic Gastrostomies in Critical Care Unit71672928719510.21608/ejhc.2023.287195ENMustafaMohammed AbdullahB.Sc. in Medical Surgical Nursing,Faculty of Nursing, Ain Shams UniversityHananShehata MohamedProfessor of Medical Surgical Nursing, Faculty of Nursing, Ain Shams UniversityNeamatallahGoma AhmedAssistant prof. of Medical Surgical Nursing,Faculty of Nursing, Ain Shams UniversityRashaMohammed ElmetwalyLecturer of Medical Surgical Nursing. Faculty of Nursing, Ain Shams UniversityJournal Article20230224Background: Percutaneous endoscopic gastrostomy (PEG) is a medical procedure using endoscopic guidance to insert a tube into the patients stomach through the abdominal wall which using as a way to introduce enteral feeding when the oral pathway is not patent. Aim: This study aimed to assess nurses’ performance regarding care of patients post percutaneous endoscopic gastrostomies in critical care unit. Design: A descriptive explorative design was utilized for conduction of this study. Setting: the study was carried out in critical care unit of Ain Shams University Hospital. Study subject: A convenience subject of all available nurse's (N=30). Tools: I - Self – administration questionnaire form which composed of nurses demographic characteristics' and nurses’ knowledge questionnaire regarding care of patients post percutaneous endoscopic gastrostomies in critical care unit, II nurses' practice observational checklist to assess nurses’ performance regarding care of patients post percutaneous endoscopic gastrostomies in critical care unit, Results: This results revealed that, 57% of the studied nurse's had unsatisfactory level of total knowledge about care of patients post PEG in critical care unit and 67% of them had unsatisfactory level of the total practices regarding care of patients post PEG in critical care unit, Conclusion: About more than half of studied nurse's had unsatisfactory level of knowledge and practices regarding care of patients post percutaneous endoscopic gastrostomies in critical care unit. Recommendations: Continuous evaluation of nurses' knowledge and practice is essential to identify their needs in ICU about care of patients post PEG to design nurses’ educational program to improve their performance about care of patients post PEG placement.https://ejhc.journals.ekb.eg/article_287195_202248a9c32cf1d59c5055a1c20d76b6.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Assessment of Staff Nurses’ Performance Related to Patient Safety goals73073728720610.21608/ejhc.2023.287206ENMohammedMohammed HamedMaster’s degree in Nursing administration, Faculty of Nursing Ain Shams UniversitySamahFaisal FakhryProfessor of Nursing Administration, Faculty of Nursing Ain Shams UniversityNemaFathy SaadAssistant Professor of Nursing Administration- Faculty of Nursing Ain Shams UniversityJournal Article20230224Background: Patient safety is a discipline in the healthcare sector that applies safety science methods toward the goal of achieving a trustworthy system of healthcare delivery. Aim of the study: to assess staff nurses’ performance related to international patient safety goals (IPSGs). Subjects and Methods: The study was conducted in medical wards and critical care units of Ain Shams University Hospital. Research design: a descriptive design was used. It included 116 staff nurses. Data were collected using a self-administered questionnaire for knowledge and an observation checklist for practice. Results: Slightly more than one-third of staff nurses had satisfactory knowledge, with no significant difference, only four (3.4%) of the staff nurses had an adequate total practice of IPSGs, with no statistically significant difference Conclusion and Recommendations: knowledge and practices of staff nurses related to patient safety need to be improved. The study recommends intensive training in IPSGs for staff nurses using the” training approach, with periodic refreshing through workshops. Their practices should be closely supervised. Future research on the impact of staff nurses’ training in IPSGs on patients’ safety indicators.https://ejhc.journals.ekb.eg/article_287206_934245510056561194be32e1d2607dde.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Nurses' Performance Regarding Care of Temporary Pacemaker among Critically Ill Patient73874828720710.21608/ejhc.2023.287207ENMohamedSalah MohamedClinical Instructor at Critical Care Nursing Department Faculty of Nursing-El-Fayoum University,OlaAbd El Aty AhmedProfessor of Medical Surgical Nursing, -Faculty of Nursing - Ain Shams UniversityAsmaaAbd Elrahman Abd ElrahmanAssistant Professor of Medical Surgical Nursing -Faculty of Nursing - Ain Shams UniversityJournal Article20230224Background: Temporary Cardiac Pacing is the temporary delivery of electrical impulses, delivered by electrodes contacting the heart muscles, to regulate and automate the beating of the heart. Aim of the study: (1) Assess nurse's level of knowledge regarding management of temporary pacemaker in critically ill patient, (2) Assess nurse's level of practice regarding care of temporary pacemaker in critically ill patient. Research design: A descriptive exploratory research design was utilized to carry out this study. Setting: This study was conducted in three different cardiac care units at Ain shams university hospital affiliated to Ain Shams University. Tools of data collection: (1) Nurses' knowledge regarding care of temporary pacemaker assessment tool, (2) Nurses' observational checklist. Results: It was revealed that (56%) of nurses had an unsatisfactory level of knowledge regarding care of patient with temporary pacemaker, (56%) of nurses had a satisfactory level of practice pre pacemaker insertion procedure, while (56%) of nurses had unsatisfactory level of practice during the temporary pacemaker insertion procedure, and (56%) of nurses had unsatisfactory level of practice post temporary pacemaker insertion procedure. Conclusion: it can be concluded that more than half of nurses had an unsatisfactory level of knowledge regarding care of patient with temporary pacemaker. More than half of nurses had a satisfactory level of practice pre pacemaker insertion procedure. While more than half of nurses had unsatisfactory level of practice during the temporary pacemaker insertion procedure, and more than half of nurses had unsatisfactory level of practice post temporary pacemaker insertion procedure. Recommendation: future studies are recommended for training programs for nurses to improve their knowledge and practice regarding care of patients with temporary pacemaker.https://ejhc.journals.ekb.eg/article_287207_6df92bf9325f602756a0476879dfb91b.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Relationship between Marketing of Nursing Profession and Organizational Commitment among Staff Nurses74976128720810.21608/ejhc.2023.287208ENMarwaMoneir SaeedB.Sc. in Nursing,HematAbd ElazeemProfessor of Nursing Administration, Faculty of Nursing, Ain Shams UniversityFawziaM. M. BadranAssisst Professor of Nursing Administration, Faculty of Nursing, Ain Shams UniversityJournal Article20230224Background: Marketing helps hospital administrators to improve the quality of service provided by nursing staff to their patients and allows hospitals to build a learning culture and enhance the organizational commitment of its nursing staff, when there was lack of knowledge and dissatisfaction toward the organization, the staff tended to perform behaviors that damaging this organization. Aim: This study aimed at assessing the relationship between marketing of nursing profession and organizational commitment among staff nurses. Research design: A descriptive, correlational design was used. Setting: The study was conducted at Shibin Elkanater central hospital. Subjects: 190 staff nurses were included in the study. Tools of data collection: Data were collected by using marketing of nursing profession questionnaire and questionnaire of nursing organizational commitment. Result: more than half of staff nurses had a low perception level of marketing of nursing profession, also more than half of the study participants had low level of organizational commitment. Conclusion: there was highly significant strong positive correlation between total level of marketing of nursing profession and organizational commitment. Recommendations: Managers have to make orientation program for new staff nurses who include their job description, hospital rules, policies, rewards and discipline systems. Provide fair amounts of bonuses and incentives for appreciating positive behaviors of employees.https://ejhc.journals.ekb.eg/article_287208_da61ec313328730eedbc08a454d920d2.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Assessment of Nurses’ Performance Regarding Care of Neonates having Tracheoesophageal Fistula76277628720910.21608/ejhc.2023.287209ENMahaA. Bakhit MahmoudBachelor of NursingEmanA. MohamedProfessor of Pediatric Nursing, Faculty of Nursing, Ain Shams UniversityMonaA. KunswaAssistant Professor of Pediatric Nursing, Faculty of Nursing, Ain Shams UniversityJournal Article20230224Background: Tracheoesophageal fistula is one of the most serious congenital anomalies among neonates and associated with high morbidity and mortality rates so it is require competent and skillful pre & post –operative care. Aim: This study aimed to assess nurses’ performance regarding care of neonates having tracheoesophageal fistula. Research design: A descriptive research design was employed to fulfill the aim of the current study and answered the research question. Setting: This study was conducted at Neonatal intensive care units in children hospital affiliated to Ain Shams University and Sohag University Hospital. Sample: A convenience sample of 70 nurses who were working in the previously mentioned setting. Tools of data collection: A) predesigned questionnaire format. B) Observation check list. Results: Only fifth of the studied nurses had a good level of knowledge and more than two fifths of them had a competent practices regarding care of neonates having tracheoesophageal fistula. Conclusion: More than two fifths of the studied nurses had a poor level of knowledge and more than half of them had incompetent level of practices regarding care of neonates having tracheoesophageal fistula and also, there were a statistical significant relation and positive correlation between total nurses' characteristics and their practices. Recommendations: Periodic assessment of knowledge and practices of all nurses dealing or providing care of neonates having tracheoesophageal fistula. Emphasize the importance of continuous training on appropriate nursing intervention which should be designed according to actual needs of neonates having tracheoesophageal fistula.https://ejhc.journals.ekb.eg/article_287209_35104d322d2c6c07cec8302df4d0f05e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Health Needs and Problems among Clients with Second-Degree Burn during Follow-Up77778928721010.21608/ejhc.2023.287210ENLamiaaFathy MohamedNursing instructor at Ismailia Nursing Secondary SchoolHalaMohamed Mohamed HusseinProfessor of Community Health Nursing, Faculty of Nursing, Ain Shams University.MervatMohamed HassanLecturer of Community Health Nursing, Faculty of Nursing, Ain Shams University.Journal Article20230224Background: Second-degree burn represents an extremely stressful experience for both the burn client as well as their families, second-degree burn profoundly affects the client's physical, psychological, financial situation and family relations. Aim: Assess health needs and problems among clients with second-degree burn during follow-up. Research design: A descriptive design was used. Setting: The study was conducted at the Outpatient Burn & Plastic Clinic at Suez Canal University Hospital at Ismailia Governorate, Egypt. Sample: Purposive sample composed of 150 clients with second-degree burn who attended to the previously mentioned setting. Tool: Data were collected using one tool; A structured Interviewing questionnaire consists of 6 parts; (1) Socio-demographic characteristics of the participants, (2) Burn characteristics, (3) clients’ knowledge, (4) clients’ reported practices related to second-degree burn, (5) Health needs, and (6) Health problems among clients with second-degree burn. Results: The study revealed that 60.7% of clients with second-degree burn had unsatisfactory level of total knowledge regarding burn, and 65.3% of them had incorrect level of total reported practices towards care of burn. Furthermore, there were 71.3% of the studied clients their total physical, psychological, social and financial health needs were not achieved, while, 67.7% of them had physical, psychological, social and financial problems related to their second-degree burn. Conclusion: More than two-thirds of the studied clients their health needs were not achieved, and suffered from health problems related to second-degree burn. There was a highly statistically significant relation between clients’ knowledge, reported practices regarding second-degree burn and their health needs. While, there was a statistically significant relation between clients’ knowledge regarding second-degree burn and their health problems. Additionally, there was a highly statistically significant relation between clients’ reported practices and their health problems. Recommendations: Establishing Health education programs for clients with second-degree burn to improve their level of knowledge and practices regarding burn. Further studies are needed to determine the health needs and problems of clients at different age stages with every degree of burn using large group size, and different settings.https://ejhc.journals.ekb.eg/article_287210_accf9d3062c52698d6ef709ac5bcae85.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Risk factors Assessment of Adults Suffering from Myocardial Infarction79080328721110.21608/ejhc.2023.287211ENIbrahimMohamed IbrahimBSc., in Community Health Nursing,RasmiaAbdel Sattar AliAssistant Professor of Community Health Nursing,MervatMohamed HassanLecturer of Community Health Nursing-Faculty of Nursing - Ain Shams UniversityJournal Article20230224Background: Myocardial infraction (MI) is defined as the necrosis in the myocardium due to the lack of the oxygen supply of heart which cannot be supplied by the coronary artery. The most prominent risk factors for myocardial infarction are older age, actively smoking, high blood pressure, diabetes mellitus, and total cholesterol and high-density lipoprotein levels. Aim of the Study: assess risk factors of myocardial infarction among adults. Design: A descriptive analytical design was used. Subjects and Methods: Setting: The study was conducted in cardiovascular hospital / Ain Shams University Hospitals. Size: the sample composed of 350 myocardial patients according to inclusion criteria. Tools: Tool 1: A Structured Interviewing Questionnaire Sheet that contain four parts; Part I Socio - demographic data of studied patients, past and present medical history of the studied patients, Part III: patient's knowledge about myocardial infarction and Part II: patient's reported practices regarding myocardial infarction and Tool 2: Risk factors assessment sheet. Results: Near to one third of the studied sample had satisfactory knowledge about myocardial infarction and around three quarter of the studied sample have inadequate level of total reported practices regarding myocardial infarction. Around two third of the studied sample have unmodifiable risk factors for myocardial infarction as sex and family history and about one quarter of them reported early menopause as a risk factors for myocardial infarction respectively. Conclusion: There was highly significant positive correlation between participants` knowledge and their practices regarding myocardial infarction. Also, there is statistically significant relation between sample' reported practices regarding myocardial infarction and all MI risk factors. Recommendation: Conducting health education program for patients with myocardial infarction to improve their knowledge and practice regarding their disease through establishment of a web site.https://ejhc.journals.ekb.eg/article_287211_85492f9748bbb63cbbe2b4b5c62137d7.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Video-Assisted Counseling Program on Pregnant Women's Knowledge and Practice towards Congenital Anomalies80481628762810.21608/ejhc.2023.287628ENNaeimaMohamed Elsayed AhmedAssistant Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig UniversityMervatMohammed HassanLecture of Obstetric and Gynecological Nursing South Valley UniversitySalwaEl Saied Mahmoud DawoudNursing fellow (woman's Health and Midwifery Nursing), Students Hospital Mansoura UniversityAzzaMohamed El-Sayed AtwaAssistant professor of Obstetrics and Gynecology Nursing, Faculty of Nursing, Sohag University, EgyptJournal Article20230227Background: The major cause of death in both industrialized and developing nations is congenital <br />abnormalities, which pose a public health risk. Aim: To investigate the effect of video-assisted <br />counseling program on pregnant women's knowledge and practice towards congenital anomalies.<br />Design:Quasi-experimental design (pre-post) was used to achieve the aim of this study. Setting: <br />This study was applied in the antenatal clinic at Zagazig University Hospital. Sample: A <br />purposive sample of 70 pregnant women (one group pretest and posttest) who attending the <br />antenatal clinic and detected fetal anomalies. Four tools were used for data collection: (1) A <br />structured interviewing questionnaire, (2) Pregnant women knowledge assessment sheet, (3)<br />Pregnant women attitude assessment sheet and (4) Pregnant women practice assessment sheet.<br />Results: This study found a highly significant difference between study participants' knowledge, <br />attitudes, and practices about congenital anomalies before and after a video-assisted counseling <br />program. Conclusion: Their knowledge, attitude, and practice have all improved as a result of the <br />implementation of a video-assisted counselling program for pregnant women with congenital <br />anomalies. Recommendation: ongoing counseling programs regarding congenital anomalies <br />during pregnancy to all pregnant women, and replication of the study with a large sample size to<br />further settings.https://ejhc.journals.ekb.eg/article_287628_0ed70e767bda6dcd8a87e7dc0dd7e5df.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301How work-family conflict and emotional intelligence of staff nurses affect their job performance: A correlational study81783228830810.21608/ejhc.2023.288308ENAhmedAbdul-Nabi AmerB.Sc., Nursing Faculty of Nursing - Suez Canal University, EgyptSamiaMohamed AdamProfessor of Nursing Administration Faculty of Nursing Ain-Shams University, EgyptFathyaAbdelrazekAssociate Professor of Nursing Administration, Faculty of Nursing, Suez Canal University, EgyptJournal Article20230302Background: Work-family conflict is one of the human being issues that may be inevitable. The <br />overlapping of home and work roles could interfere with the roles at home or cause problems at <br />work. These conflicts have a negative impact on job performance. Nurses who are proficient in <br />practicing emotional intelligence had a better capacity to handle stress and job performance. Aim:<br />It was to assess work-family conflict and emotional intelligence in relation to job performance of <br />staff nurses. Subjects & Methods: A correlational descriptive design was conducted on staff <br />nurses (270), who answered a questionnaire measuring work-family conflict in addition to <br />emotional intelligence, whereas their job performance was evaluated by their head nurses using an <br />observation checklist. Results: The highest percentages of staff nurses had a moderate level of <br />work-family conflict and a high level of emotional intelligence, and 59.6% of them had a good <br />level of job performance. Job performance had a statistically significant negative correlation with <br />work-family conflict which had a statistically significant positive correlation with emotional <br />intelligence. Conclusion: Job performance is negatively affected by work-family conflict. <br />Emotional intelligence has a larger effect size than work-family conflict on job performance among <br />staff nurses as emotional intelligence has a large effect size on their job performance compared to <br />the moderate effect of work-family conflict. Both of them have a low effect size on each other. <br />Recommendations: Training staff nurses targeting job performance skills improvement besides <br />work-family conflict management and how to use the high level of emotional intelligence ability to <br />improve are recommended. https://ejhc.journals.ekb.eg/article_288308_4bf1720038d8664576c89047c62d5808.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Kangaroo Mother Care Discharge Guide Program on Mothers and Preterm Neonates Outcomes83385328835110.21608/ejhc.2023.288351ENFatmaAhmed Mohammed SabryLecturer of Obstetric and Gynecological Nursing Department, Faculty of Nursing, Sohag University, Egypt.ManalMohamed Ahmed AyedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, Egypt.ManalFarouk MohamedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Suez Canal University, Egypt.LamiaMohamed-Nabil IsmailAssociated Professor of Nursing Education, Faculty of Nursing, Cairo University, Egypt.MonaR. AhmedLecturer of Obstetric and Gynecological Nursing Department, Faculty of Nursing, Assuit University. Egypt.NawalKamal Abd ElkhalekLecturer of Obstetric and Gynecological Nursing Department, Faculty of Nursing, South Valley University, Egypt.Journal Article20230303<strong>Background</strong>: Kangaroo mother care (KMC) is a standardized and protocolized care system for low birth weight, based on skin-to-skin contact between the infant and the mother. The mother's active participation is crucial for effectively implementing kangaroo mother care services to improve physiological stress parameters for neonates. <strong>Aim</strong>: Evaluate the effect of educational discharge guide program for awareness toward kangroo mother care on mothers and preterm neonates’ outcomes. <strong>Design: </strong>Quasi experimental research study design was used. <strong>Setting</strong>: The study was conducted at Postpartum Unit in Women's Health Hospital Assuit University. <strong>Sample</strong>: A purposive sample of 100 mothers of low birth weight neonates. <strong>Tools</strong>: Data collection tools included five tools: structured interviewing questionnaire, mothers’ knowledge assessment questionnaires, attitude assessment questionnaires, mothers’ observational checklist, and physiological stress parameters sheet of preterm neonates. <strong>Results: </strong>The result of this study revealed that there was highly statistical significance difference in the total means score of knowledge, practice and attitude after receiving kangaroo mother care discharge guide program with p-value 0.001.<strong> </strong>Additionally, kangaroo mother care showed more stability in physiological stress parameters among preterm neonates.<strong> Conclusion: </strong>The findings of this study support the research hypotheses that mothers who received KMC discharge guide program showed a positive effect on mother's level of knowledge, attitude, practice and maintaining preterm neonates' physiological stress parameters as compared to before intervention. <strong>Recommendations: </strong>The neonatal nurse's should apply the KMC discharge guide program to enhance mothers` knowledge, attitude and practice to maintain preterm neonates' physiological stress parameters especially after discharge. Also, work with policymakers and health administrators to develop institution-specific guidelines for KMC implementation and standard operating procedures.https://ejhc.journals.ekb.eg/article_288351_a562f49f1c0d162ec87bb09ca2b43423.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Association between Perceived Social Support and Psychosocial Adjustment of Geriatric Cancer Patients Undergoing Chemotherapy: A Cross- Sectional Study85486928951510.21608/ejhc.2023.289515ENBothainaHussein HassanDepartment of Gerontological Nursing, Faculty of Nursing, Alexandria University, Alexandria 21527,
Egypt.
and
Department of Nursing, College of Applied Medical Sciences, King Faisal University, Al-Ahsa 31982,
Saudi Arabia.EmanSamy AbdelAziz ElAlfyCancer Management and Research Department, Medical Research Institute, Alexandria University,
Alexandria 21527, Egypt.EngyAbdelRhman KhamesDepartment of Medical Surgical Nursing, Modern University for Technology and Information, Egypt.NermineM. ElcokanyDepartment of Nursing, College of Applied Medical Sciences, King Faisal University, Al-Ahsa 31982,
Saudi Arabia
and
Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University,
Alexandria 21527, Egypt.ShaimaaSamir DawoodDepartment of Gerontological Nursing, Faculty of Nursing, Alexandria University, Alexandria 21527,
EgyptJournal Article20230309Purpose: The study aimed to investigate the association between perceived social support and <br />psychosocial adjustment of geriatric cancer patients undergoing chemotherapy. Methods: Two hundred <br />geriatric patients provided consent were interviewed and the data collected using the Psychosocial <br />Adjustment to Illness Scale (PAIS), the Multidimensional Scale of Perceived Social Support (MSPSS), <br />In addition to demographic and clinical data. Data was collected from Kasr Al-Aini Center for Oncology <br />and Nuclear Medicine, Cairo, Egypt after the study protocol was approved (Approval No. 10), August <br />2019. Correlations using Pearson and Spearman coefficients as well as binary logistic regression were <br />used using The IBM SPSS software package, version 26. Results: The psychological distress domain <br />was found to have the highest mean score (14.2±4.5) among the psychosocial adjustment domains, <br />whereas extended family relations were found to have the lowest mean score 6.8 ± 2.09. The study also <br />found that there was a significant negative correlation between the overall scores of the psychosocial <br />adjustment scale and the multidimensional scale of perceived social support (p <0.001). Moreover, a <br />significant negative correlation between the overall scores of the Multidimensional Scale of Perceived <br />Social Support and the following sub- domains of the Psychosocial Adjustment Scale: health care <br />orientation, extended family relations, and psychological distress (p <0.001) was detected. Those with <br />high level of perceived social support were 0.044 times more likely to have high psychosocial <br />adjustment compared to those with low level of perceived social support (p<0.001). Females were twice <br />less likely to have high psychosocial adjustments compared to the males. Conclusion: Our findings <br />indicate that there is an association between perceived social support and elderly' psychosocial <br />adjustment. In addition, perceived social support is found to be an independent predictor of psychosocial <br />adjustment. Therefore, establishing or strengthening the existing social structures throughout the <br />treatment journey is recommended for elderly cancer patients. https://ejhc.journals.ekb.eg/article_289515_26988eb7c597fffb8b9f9f486de082e9.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Relaxation Technique on Blood Pressure, Stress and Quality of Life among Hypertensive Females in Damanhour City87088728965310.21608/ejhc.2023.289653ENWalaaEl Shahat El GammalMedical- Surgical Nursing, Faculty of Nursing, Damanhour UniversitMohamedHarfoushCommunity Health Nursing, Faculty of Nursing, Damanhour UniversitySafaaMabrouk El GarhyGerontological Health Nursing, Faculty of Nursing, Damanhour UniversityAzzaIbrahim Abdelkader HabibaMedical- Surgical Nursing, Faculty of Nursing, Damanhour UniversityJournal Article20230310Background: Progressive Muscle Relaxation (PMR) is the simplest and most <br />effective method to decrease muscle tension, reduce the level of stress, anxiety and <br />lower blood pressure. The aim of the study is to evaluate the effect of relaxation <br />technique on blood pressure, stress and quality of life among female patients with <br />hypertension in Damanhur City. Design: Quasi experimental design (two groups) <br />research design was adopted to carry out this study. Setting: This study was conducted <br />in the outpatient clinic at the National Institute of Medicine in Damanhour. Sample: A <br />purposive sample of 60 female patients was included in the study. Tools of data <br />collection: Three tools were used for data collection Tool I: Structured Interview <br />Schedule for female patients' basic data. It consists of three parts. Tool II: Perceived <br />Stress Scale (PSS). Tool III: Quality of Life Scale (WHOQoL-BREF- 26). Result: The <br />systolic blood pressure mean score among the study group was 153.30 ± 6.564 in the <br />initial assessment , and dropped to 126.50 ± 4.883 after 2 weeks of the relaxation <br />techniques and then decreased to 124.63±5.196 after 4 weeks, with a statistically <br />significant difference between them (F=246.49, P=0.000). Conclusion: Based on the <br />results of the present study it can be concluded that progressive muscle relaxation <br />program proved to be significantly effective in decreasing levels of stress and <br />controlling blood pressure level as well as increase the level of quality of life among the <br />study group. Recommendation: Awareness about stress as a risk for hypertension <br />should be done among masses. Measures to mitigate stress should be emphasized in the <br />initiatives for prevention and control of hypertension. Include different relaxation <br />technique in treatment plan of hypertensive patients. Use different instructional/mass <br />media to illustrate risk factors, manifestations and controlling factors of hypertension <br />and stress including relaxation technique. https://ejhc.journals.ekb.eg/article_289653_c54946735da779b542dc32f80765342e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301A Descriptive Comparative Study of Vaginal Infection Control Practices between Rural and Urban Women88890428987410.21608/ejhc.2023.289874ENHebaAtef OsmanLecturer of Woman Health and Obstetrics Nursing, Faculty of Nursing, Minia University, EgyptHananAbd El Monem MohamedLecturer of Woman Health and Obstetrics Nursing, Faculty of Nursing, Minia University, EgyptJournal Article20230311Background: Vaginal infection (VI) is a global health problem for women that requires specific<br />control practices. The aim: The study aimed to compare women from rural and urban areas in <br />Minia governorate in Egypt regarding their vaginal infection control practices. Setting: One public <br />hospital in Minia city and three public health centers in three villages (Bani Ahmed, Tahnashi, and <br />El-Bourjia) in Minia governorate in Egypt. Design: A descriptive comparative research design. <br />Sampling: A convenient sample included 200 women [rural women = 100 and urban women = <br />100] were recruited in the current study. Tools: Two tools were used to collect data, Tool I: <br />Interviewing questionnaire that includes 4 parts. Part 1: Sociodemographic characteristics, Part 2:<br />Reproductive history, Part 3: Characteristics of vaginal discharge and Part 4: Personal hygiene <br />habits. Tool II: Vaginal Infection Control Practices Scale includes 2 parts: Part 1: Vaginal infection <br />control practices. Part 2: Practice during menstruation to avoid lower reproductive tract infection.<br />Results: The percentage of urban women was significantly higher than the percentage of rural <br />women in terms of maintaining high levels of personal hygiene habits. The most distinct difference <br />was the number of showers taken per week. The percentage of urban women was significantly <br />higher than the percentage of rural women in terms of their menstruation hygiene practices. The <br />most distinct difference was the use of sanitary cotton pads. The percentage of urban women was <br />significantly higher than the percentage of rural women in terms of their vaginal infection control <br />practices. The most distinct difference was the use of odors to relieve vaginal odor. Conclusion. <br />There are significant differences between rural and urban women in terms of personal hygiene <br />habits, menstruation hygiene practices, and vaginal infection control practices, favoring urban <br />women. Recommendations: It is recommended that promising educational training programs and <br />/or intervention techniques be designed to develop women’s awareness and knowledge of the <br />importance of their overall hygiene habits, menstruation hygiene practices, and infection control <br />practices for their sexual life and overall health.https://ejhc.journals.ekb.eg/article_289874_35e1e17bf0a552a4dad89cce9d9ecd56.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Relationship between Organization Support and Nursing Staff Burnout in Critical Care Units90591829061310.21608/ejhc.2023.290613ENNadaA. Abdel AzizeSpecialied Nurse, B.sc, Nursing 2010.FatmaA. AbedAssistant Professor of Nursing Administration, Faculty of Nursing, Cairo University, Egypt.SomayaA. BayoumyAssistant Professor of Nursing Administration, Faculty of Nursing, Cairo University, Egypt.Journal Article20230314Background: Healthcare organizations are now challenged to retain nurses’ generation. Acquiring <br />knowledge about the effect of level of perceived organizational support can help organizational leaders <br />to deal effectively with dysfunctional behaviors and nursing staff burnout. Aim: To assess the <br />relationship between organizational support and nursing staff burnout in critical care units. Design:<br />Descriptive correlational design was utilized. Research Question: What is the relationship between<br />organizational support and nursing staff burnout in critical care units? Sample: A convenient sample of<br />200 staff nurses. Tools: Three tools were utilized to collect data; Personal Data Questionnaire,<br />Perceived Organizational Support (POS) and The Maslach Burnout Inventory (MBI). Results: More<br />than half of the studied sample perceived moderate level related to total organizational support. In<br />addition, half of the studied sample had moderate level related to total burnout. Conclusion: there was<br />high significant negative coefficient correlation between total score of organizational support and total<br />score of burnouts in critical care units.https://ejhc.journals.ekb.eg/article_290613_1b46be721a939cbb3fa740d76e4bf7be.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Supine versus Sitting Position on Post-Dural Puncture Headache among Patients Receiving Spinal Anesthesia91993329174810.21608/ejhc.2023.291748ENEngyE. EldoushyAssistant professor of Medical-Surgical Nursing Faculty of Nursing, Menoufia University, EgyptJournal Article20230321<strong><span style="font-size: 10.0pt;">Background: </span></strong><span style="font-size: 10.0pt;">One of the most commonly reported complications associated with spinal anesthesia is post-dural puncture headache, even while, the precise mechanisms causing post-dural puncture headache are still not well known<strong>, </strong>which if left untreated, can lead to severe complications such as subdural hematoma and convulsions. <strong>The aim of the current study was to </strong>evaluate the effect of supine versus sitting position on post-dural puncture headache among patients receiving spinal anesthesia. <strong>Design:</strong> A quasi-experimental research design<strong> Sitting:</strong> The present study was carried out at the Menoufia University Hospital's urology and orthopedic surgery departments, Menoufia Governorate, Egypt. <strong>Subjects:</strong> A purposive sample of 100 adult patients with spinal anesthesia who volunteered to participate in the study and met the inclusion criteria were randomly divided evenly into two study groups<strong>. Tools: </strong>For data gathering, three instruments were utilized in this study are<strong>: 1.Patients' characteristics questionnaire</strong> was used to analyze their sociodemographic<strong> </strong>features, as well as their past, present, and family medical history<strong> 2. Visual Numerical Analogue Scale (VAS)</strong> was adopted for headache Severity evaluation<strong> 3.Headache Impact Index </strong>had been adopted to grade severity of post-dural puncture headache's associated complications<strong>. Results: </strong>There were a statistically significant decrease in post-dural puncture headache's incidence, severity and associated complications among supine position group (study group I) subjects than among sitting position group (study group II) subjects with statistically significant differences existed between the two studied groups. <strong>Conclusion: </strong>Maintaining patients in supine position for the first 72 hours post spinal anesthesia as a management technique significantly improved their post-dural puncture headache's incidence, severity and associated complications. <strong>Recommendations: </strong>Designing a plan of care for post-spinal anesthesia patients should include positioning as a simple management technique that could lead to preferable effects regarding their post-dural puncture headache's incidence, severity and associated complications. Replication of the current study on a larger sample size and for longer follow-up period to allow for results' generalization </span>https://ejhc.journals.ekb.eg/article_291748_d92f808265a90712c0a1d80dd5f2871e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Adolescent’s Dietary Changes and Lifestyle Habits during Covid-19 Pandemic93494729179610.21608/ejhc.2023.291796ENHanaaTharwat Mohamed El-ShahatLecturer of Pediatric Nursing, Faculty of Nursing, Suez Canal University, EgyptRehabHassan KaflAssistant professor of Pediatric Nursing, Faculty of Nursing, Suez Canal University, EgyptManalFarouk MohamedAssistant professor of Pediatric Nursing, Faculty of Nursing, Suez Canal University, EgyptJournal Article20230322Background: COVID-19 pandemic has had a great effect on the adolescents’ dietary and life style habits. <br />Aim: Explore adolescent’ dietary changes and lifestyle habits during COVID-19 pandemic Design: <br />Correlational-descriptive study design. Setting: This study was conducted at Suez Canal University, Faculty <br />of Nursing in Ismailia City. Subjects: A convenient sample (500 students) of first year students of Faculty of <br />Nursing, Suez Canal University for academic year 2021/2022. Tools: The structured questionnaire created in <br />Google Form. Results: There was statistically significant differences regarding mean of mediterranean diet <br />adherence screener scores and dietary habits before and during COVID-19. There were statistically significant <br />differences regarding sleeping hours and electronic devices spent hours, while there were no statistically <br />significant differences regarding smoked cigarettes and sport times. Conclusion: There were statistically <br />significant negative correlations between mediterranean diet adherence screener and body mass index before <br />and during COVID-19. There were statistically significant differences between level of mediterranean diet <br />adherence screener scores and sport times and electronic devices spent hours before COVID-19. Also; there <br />were statistically significant difference between level of mediterranean diet adherence screener scores and <br />sleep hours and electronic devices spent hours during COVID-19. Recommendations: The study, emphasized <br />on the importance of educating the adolescents about healthy diet, adequate sleep hours, practicing exercise <br />and proper use of social media. Also; further studies should be conducted to analyze eating habits and life <br />style to encourage the adoption of healthy diet and life style among adolescentshttps://ejhc.journals.ekb.eg/article_291796_803a7865cd1ee254f61879d3ef3f7e5d.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of an Educational Program on Mothers’ Knowledge, Practice, Empowerment and Satisfaction Regarding Caring of their Children Post Cochlear Implant94897229189210.21608/ejhc.2023.291892ENYasmineAbd EL- Ghany Abd EL-FatahLecturer of Pediatric Nursing /Faculty of Nursing / Benha University/EgyptSamahAbdallah Mohamed AmerAssistant professor of Pediatric Nursing /Faculty of Nursing / Benha University/EgyptHananNabawy ElaasarAssistant professor of Pediatric Nursing /Faculty of Nursing / Benha University/EgyptJournal Article20230323<strong>Background: </strong>Cochlear implants help children with severe hearing loss receive, process,
and interpret sounds. Hearing loss can affect these areas of development. <strong>Aim of the </strong>
<strong>study </strong>was to evaluate the effect of educational program on mothers’ empowerment and
satisfaction regarding caring of children post cochlear implant. <strong>Research Design: </strong>A
quasi- experimental research design was used. <strong>Setting: </strong>This study was conducted in
Department of Cochlear Implants and Audiology in Bahteem Health Insurance Hospital at
Qalyubia governorate affiliated to the ministry of health and population.
<strong>Subjects: </strong>Purposive sample of (80) mothers and their children. The total number of
mothers was divided randomly into two identical groups. <strong>Tools of data collection: </strong>Four
tools were utilized, <strong>Tool (I): </strong>A Structured Interviewing Questionnaire. <strong>Tool (II): </strong>
Pediatric Cochlear implant questionnaire. <strong>Tool (III): </strong>Satisfaction with life scale. <strong>Tool </strong>
<strong>(IV): </strong>Mother’ empowerment scale. <strong>Results: </strong>the results of the present study revealed that
there were highly significant differences in mothers’ knowledge, reported practice and
their satisfaction and empowerment after educational program implementation P
<0.001. <strong>Conclusion: </strong>The study concluded that, educational guidelines significantly
improved mothers’ knowledge, practice, empowerment and satisfaction regarding caring
of their children with cochlear implant. <strong>Recommendation: </strong>Developing and enhancing
educational and awareness program to improve and support mothers’ empowerment and
satisfaction regarding caring of their children with cochlear implanthttps://ejhc.journals.ekb.eg/article_291892_0ff73296ff013a33a84fd2d6fbc79d77.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of an Educational Program about Fall Prevention and Pain Assessment on Nurses' Performance and Critically Ill Patients' Outcome97399229266310.21608/ejhc.2023.292663ENRawiaAli IbrahimAssist. Professor of Medical Surgical Nursing, Faculty of Nursing, Benha University,SabahSaid MohammedAssist. Professor of Medical Surgical Nursing, Faculty of Nursing, Benha University,AmanyAli MahmoudLecturer of Medical Surgical Nursing, Faculty of Nursing, Benha University,Journal Article20230329<strong>Background:</strong> Fall and pain consider a challenge for nurses in intensive care units because information of them is lacking. <strong>Aim of study:</strong> Evaluate the effect of an educational program about fall prevention and pain assessment on nurses' performance and critically ill patients' outcome. <strong>Design</strong>: A quasi experimental - design was used to accomplish the aim of this study. <strong>Setting: </strong>This study was carried out in general intensive care unit at Benha University Hospital. <strong>Sample</strong>: Convenience sample of all available nurses (65 nurses) who are working in ICU & A purposive sample of 60 patients who attended to ICU within 6 months.<strong> Tools</strong>: The following three data collection tools were used (I) Structured Questionnaire for Nurses. (II) Observational checklist regarding fall prevention and pain assessment. (III) Patients’ outcomes assessment sheet. <strong>Results:</strong> The total nurses’ knowledge & practice scores regarding fall prevention and pain assessment post educational program implementation were higher than pre implementation. <strong>Conclusion</strong>: The total nurses’ knowledge and practice pre and post implementation of educational program are significantly positively correlated. In addition, after two weeks, the study group's patient outcomes improved more than those of the control group, with statistically significant differences at (p 0.05).<strong> Recommendation:</strong> A similar study should be replicated on a large sample and other place to generalize the findings.https://ejhc.journals.ekb.eg/article_292663_85d87a3a3aec5a0963d06ff07f20d735.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Buzzy and Watching Cartoons on Venipuncture Pain among Children Undergoing Phlebotomy993100629266510.21608/ejhc.2023.292665ENSanaaMahmoud AhmedPediatric Nursing – Faculty of Nursing, Minia University, Cairo - EgyptAsmaaHamed TawfiquePediatric Nursing – Faculty of Nursing, Minia University, Cairo - EgyptYahiaMohamed SayedPediatric Nursing – Faculty of Nursing, Minia University, Cairo - EgyptJournal Article20230329<strong>Background</strong>: Phlebotomy is among the most traumatic and uncomfortable procedures for children and their families in the emergency department. Buzzy and watching cartoons are effective and inexpensive non pharmacological pain management. <strong>Aim</strong>: To evaluate the effect of buzzy and watching cartoon on venipuncture pain among children undergoing phlebotomy. <strong>Research design:</strong> Quasi-experimental research design was used in current study. <strong>Sample</strong>: A purposive sample of 150 school-age children undergoing phlebotomy. <strong>Setting</strong>: Pediatric emergency units at Minia University Hospital for Obstetrics and Pediatrics <strong>Tools: Tool one:</strong> Structured interview form developed by researcher <strong>Tool two:</strong> Wong Faces Pain Rating Scale. <strong>Results:</strong> Mean scores of the Wong-Baker Facial Pain Rating Scale were significantly decreased in the buzzy group and the watching cartoons group than in the control group.<strong> Conclusion:</strong> It was concluded that buzzy and watching cartoons effectively diminish pain intensity at the venipuncture site among school children during Phlebotomy. The buzzy was more effective in reducing pain than watching cartoon. <strong>Recommendation:</strong> Pediatric health care units should integrate buzzy and watching cartoons to manage needle puncture pain in the routine care for children undergoing venipuncture procedureshttps://ejhc.journals.ekb.eg/article_292665_bc66937e9a4ed7067dd73da538e005e0.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Swallowing Exercise Training on Dysphagia and Quality of Life among Patients Following Cerebrovascular Stroke1007101529299510.21608/ejhc.2023.292995ENDaliaMasoud Elsaid HafezLecturer at Medical Surgical Nursing Department, Faculty of Nursing, Mansoura University, EgyptHananAbo-Baker MohamedAssistant Professor at Medical Surgical Nursing Department, Faculty of Nursing, Mansoura University, EgyptJournal Article20230330 <span class="fontstyle0">Background: </span><span class="fontstyle2">Stroke patient usually exposed to dysphagia, these patients may be recovered within several weeks but prolonged dysphagia can cause severe complications such as malnutrition, pneumonia, and dehydration. Also, it affects patient's quality of life and mental health. So, </span><span class="fontstyle0">the aim </span><span class="fontstyle2">was to evaluate the effect of swallowing exercise training on dysphagia and quality of life among patients following cerebrovascular stroke. </span><span class="fontstyle0">Subjects & Method</span><span class="fontstyle2">, this study was utilized a quasiexperimental research design, conducted at Neurological Department at International General Hospital at Mansoura city, Egypt. Study sample comprised of 60 patients, was classified into 2 equal groups, study group who performed swallowing exercise training, control group who received ordinary routine hospital care. Four tools had been used in this research, Tool I Structured Interviewing Questionnaire; it consisted of two parts; Part I: Demographic Data Sheet, Part II: Medical Health Profile. Tool II Gugging Swallowing Screen Scale. Tool III Functional Oral Intake Scale and Tool IV Quality of Life Scale for stroke patient. </span><span class="fontstyle0">Results</span><span class="fontstyle2">: illustrated that there was highly statistically significant difference in swallowing ability levels and quality of life mean score after implementing swallowing exercise training among patients in study group than control group (p < 0.001). </span><span class="fontstyle0">Conclusion</span><span class="fontstyle2">, Swallowing exercise training had highly statistically significant effective role on improving swallowing ability levels and quality of life for patients following cerebrovascular stroke. </span><span class="fontstyle0">Recommendation</span><span class="fontstyle2">: swallowing exercise is recommended to be used for dysphagic patients following cerebrovascular accident as apart od medical management.</span> https://ejhc.journals.ekb.eg/article_292995_f00ef47dd538913afa2fe77014adf1df.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Epley's Maneuver and Brandt-Daroff Exercises on Decreasing Severity and Recurrence of Benign Paroxysmal Positional Vertigo1016102929300810.21608/ejhc.2023.293008ENHodaAbdou Abd El-M El-Monem El-DeebMedical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt
& Associate professor, Nursing Department, Alriyada College for Health Sciences, Jeddah, Saudi ArabiHamdaAhmed Mohamed EldesokyMedical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt & Nursing Department, College of Nursing ,Najran University , Saudi ArabiNouraMahmoud ElrefaeyMedical Surgical Nursing, Faculty of Nursing, Matrouh University, Egypt.Journal Article20230330<strong>Background</strong> The widely prevalent condition of the inner ear's vestibular system, which is essential for preserving balance, is known as Benign Paroxysmal Positional Vertigo (BPPV). Epley's manoeuvre and Brandt-Daroff exercises are the two extremely often used manoeuvres for the management of posterior canal BPPV. These maneuvers primarily serve to move debris from the canal to the utricle and to alleviate discomfort. <strong>Objective</strong>: To assess the effect of<strong> </strong>Epley's Maneuver and Brandt-Daroff Exercises on decreasing severity and recurrence of benign paroxysmal positional vertigo.<strong> Method</strong>: A quasi-experimental research design with a pretest-posttest control group was used. Otolaryngology clinic of Matrouh General Hospital, Egypt was the study setting. Eighty adults were randomized to the experimental group (n = 40) and the control group (n = 40).<strong> Results</strong>: 80 participants were analyzed; the Epley's maneuver and Brandt-Daroff<strong> </strong>exercises group showed a significantly greater improvement in on the duration and frequency of BPPV, overall vertigo handicap questionaire in the study group at three weeks (p=0.002 <strong>*</strong> ,0.014<strong>*, </strong>0.000 and 95% CI -5.048 to-1.202, -38.464 to-4.486 and -7.741 to -3.209) and at six weeks (p=0.000<strong>*, </strong>0.001<strong>*, </strong>0.000; <strong> </strong>and 95% CI 3.692 to1.658, 31.430 to -8.326 and11.946 to 6.504) respectively.<strong> Conclusions</strong>: Application of Epley's maneuver and Brandt-Daroff<strong> </strong>exercises is feasible and effective in alleviating duration, frequency, and severity of BPPV and its impact on physical activity, emotional wellbeing and social activities.<strong> Recommendations: </strong>To lessen the duration, frequency, and severity of BPPV, Epley's technique and Brandt-Daroff exercises must be incorporated into the therapeutic routine care. https://ejhc.journals.ekb.eg/article_293008_e34478fcc452b2b856bb6cff29ebf491.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Nursing Instructional Program on Neurophysiologic Parameters of Carpal Tunnel Syndrome among Pregnant Women1030104129303810.21608/ejhc.2023.293038ENLawahezM. DwedarLecturer of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Kafrelsheikh University, Egypt.SamahN. A. ElShoraLecturer of Woman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Egypt.AmanyM. AhmedAssistant Professor of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Kafrelsheikh University, Egypt.El- ShaimaaEl-AnsaryLecturer of Woman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Egypt.Journal Article20230330<strong>Background</strong>: Carpal tunnel syndrome has a great impact on the pregnant woman’s daily life. Several non-pharmacological techniques have been used to alleviate these symptoms. <strong>Aim</strong>: The present study aimed to examine the effect of nursing instructional program on neurophysiologic parameters of carpal tunnel syndrome among pregnant women. <strong>Methods</strong>: A quasi-experimental research design was adopted. A convenient sample of 100 pregnant women with carpal tunnel syndrome was enrolled. This study was carried out at the obstetric and gynecological outpatient clinic of Kafrelsheikh general hospital, Kafrelsheikh governorate, Egypt. Three tools were used to collect data: A structured interviewing Questionnaire, Numeric Pain Rating Scale, and Boston Carpal Tunnel Syndrome Questionnaire. <strong>Results</strong>: The mean wrist pain scores at baseline assessment didn't show a significant difference between the control and intervention groups (p>0.05). However, post-intervention, the difference in mean wrist pain scores between the two groups was highly statistically significant (p<0.001). When comparing the symptom severity scale and functional status scale between the two groups, the differences weren't statistically significant at baseline assessment (p>0.05). Post-intervention, the difference in symptom severity scale was highly statistically significant (p<0.001) between both groups while the functional status scale did not show a significant difference (p>0.05). <strong>Conclusion</strong>: The nursing instructional program was successful in improving the neurophysiologic parameters of carpal tunnel syndrome among pregnant women. <strong>Recommendation</strong>: Applying such nursing instructional program should be enforced to decrease suffering among pregnant women with carpal tunnel syndrome. https://ejhc.journals.ekb.eg/article_293038_5610dc8471f16d8fe9043fd87cab17ce.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Maternity-Led Pro-Fertility Lifestyle Intervention on Health-Promoting Behaviors of Women undergoing Infertility Treatment1042105629304110.21608/ejhc.2023.293041ENAyatM. Omar MasoudAssistant Professor of Maternity and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, EgyptAsmaaMohamed Ahmed Madkourlecturer of Community Health Nursing, Faculty of Nursing, Sohag University, Egypt.MohamedYahya Abdelrhmanlecturer of Obstetric and Gynecological, Faculty of Medicine, Sohag University, Egypt.MervatGaber ZaghloulAssistant Professor of Maternity, Obstetrics and Gynecological Nursing, Faculty of Nursing, Portsaid University, Egypt.OmimaMostafa Abd Elzaherlecturer of Community Health Nursing, Faculty of Nursing, Sohag University, Egypt.AmalAhmed AbdelhafezAssistant Professor of Obstetric and Gynecological Nursing, Faculty of Nursing, Minia University, Egypt.Journal Article20230330Background: Improving infertile couples' lifestyles resulted in improved performance, higher quality of life, and lower health-care costs. Aim of the study: Assess the effects of a maternity-led pro-fertility promoting lifestyle intervention on the improvements of health-promoting behaviors of women undergoing infertility treatment. Design: A quasi-experimental one-group (pre-test and post-test) research design was adopted which was conducted in the Gynecological outpatient clinic at the private Ajyal hospital in Sohag, Egypt. Sample: A purposive sample of 94 infertile women were recruited for this study. Tools: Two tools were used: Tool(1) A scheduled interview questionnaire.Tool(2) Health-Promoting Lifestyle Profile [HPLP II] (Adult Version). Results : The total mean score of the health-promoting lifestyle profile domains, including health responsibility, physical activity, nutrition, spiritual growth, personal relationships, and stress management, were significantly improved in post-intervention study participants' women compared to pre-intervention study participants' women (p . 0.001) Conclusion: A maternity-led pro-fertility-promoting lifestyle intervention was found to be successful in altering lifestyle risk factors for infertility and enhancing the effectiveness of infertility therapy by boosting pregnancy rates and correcting risk factors. Recommendations: The maternity-led pro-fertility lifestyle intervention must be clinically applicable and integrated into routine practise for infertile patients. Prioritize a healthy lifestyle above ART by adopting a pro-fertility health-promoting lifestyle.https://ejhc.journals.ekb.eg/article_293041_79fef5ed2641a52adf7bee122d73b632.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Online Education on Mothers' Knowledge and Practice regarding Caring for Children with Phenylketonuria1057106829313110.21608/ejhc.2023.293131ENNagwaRamadan Esmail MagorLecturer of Pediatric Nursing, Faculty of Nursing, Tanta University, EgyptSilviaFarouk ShalabyAssistant professor of Public Health and Community Medicine, Faculty of Medicine, Cairo UniversityYasmenAdel MohammedLecturer of Pediatric Nursing, Faculty of Nursing, Mirs University for Science and Technology, EgyptRashaSaeed Abdelsamea AttiaLecturer of Pediatric Nursing, Faculty of Nursing, Damietta UniversityManalMohamed Ahmed AyedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, EgyptJournal Article20230331<strong>Background</strong>: Phenylalanine hydroxylase activity is deficient in phenylketonuria. Phenylketonuria is an inherited metabolic disease of protein metabolism. <strong>Aim:</strong> The study aimed to determine the effect of online education on mothers' knowledge and practice regarding caring for children with phenylketonuria. <strong>Design</strong>: A quasi-experimental research design was used in this study (pre/post-test). <strong>Setting</strong>: The research was carried out in a genetic counselling clinic in a basic health care facility affiliated with the Ministry of Health in Sohag City. <strong>Sample</strong>: A non-probability purposive sampling technique included 50 mothers and their children with Phenylketonuria. <strong>Tools</strong>: Two tools were used: Tool (I) Self-administering questionnaire included Part (1): Demographic data of the mothers and their children, Part (2): Children's medical history, and Part (3): Mothers' knowledge about phenylketonuria, and Tool (II): Mothers' reported practice about phenylketonuria. <strong>Results</strong>: The study indicated that there was a statistically significant improvement in mothers' knowledge and reported practices regarding caring for children with phenylketonuria post- online education than pre- online education. A statistically significant correlation was observed between mothers' knowledge and reported practices<strong> </strong>post- online education<strong>. Conclusion</strong>: The study results concluded that online education had positive effects on improving mothers' knowledge and practice in caring for their children with phenylketonuria.<strong> Recommendations</strong>: Online education for mothers regarding caring for children with phenylketonuria is recommended to increase their knowledge and reported practices. https://ejhc.journals.ekb.eg/article_293131_a1bbf046a74c778530c8ec07814921be.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Physiotherapy with A Digital Electronic Acupunctoscope on Preventing The Intensive Care Unit-Acquired Muscle Weakness1069108629326410.21608/ejhc.2023.293264ENGhadaShalaby Khalaf MahranAssistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.AsmaaAly MahgoubAssistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.BedourAdel Mohamed IbrahimLecturer of Medical Surgical Nursing, Faculty of Nursing, Minia University, Egypt.AsmaaAtiaa TolbaLecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, EgyptJournal Article20230401<strong>Background: </strong>Intensive care unit-acquired muscle weakness (ICU-AMW) is one of the recurrent complications of bed rest among patients in the intensive care units (ICUs). The digital electronic acupunctoscope<strong> </strong>neuromuscular stimulation can be utilized as an alternative physiotherapy option to mobilize critical ill patients passively in early rehabilitation program. <strong>The study aim:</strong> This study aimed to assess the effect of physiotherapy with a digital electronic acupunctoscope on preventing the intensive care unit-acquired muscle weakness and improving limbs muscles strength.<strong> </strong> <strong>Research Design</strong><strong> and setting: </strong>From March to September 2022, this prospective, non-randomized controlled trial was done in two critical care units. <strong>Sampling: </strong>60 patients were split evenly between the control and intervention groups, with 30 patients in each. <strong>Study tools: </strong>Four tools were used in this study<strong>; </strong>patient characteristics, the Medical Research Council (MRC) Scale, the Sedation Agitation Scale (SAS), and the duration of mechanical ventilation (MV) and the length of stay in ICU. <strong>Results: </strong>The MRC mean score of the upper and lower limbs of the intervention group significantly improved in comparison to the control group on the seventh day with p<0.001. Incidence of ICU-AMW, the duration of MV and ICU length of stay were significantly lower in the intervention group versus in control group with p<0.001.<strong>Conclusion</strong>: The continuous application of digital electronic acupunctoscope<strong> </strong>neuromuscular stimulation sessions for patient in ICUs can effectively enhance muscle strength; prevent the occurrence of ICU-AMW. Therefore, the future studies should concentrate on the effect of digital electronic acupunctoscope<strong> </strong>neuromuscular stimulation on respiratory muscles.https://ejhc.journals.ekb.eg/article_293264_3a8266795966b8ca214d213ad06ed91d.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Empowerment Program for Mothers to Improve the Quality of Life of Their Children undergoing Hemodialysis on Arteriovenous Fistula Care1087110229349610.21608/ejhc.2023.293496ENHowaydaMohammed AliLecturer of Pediatric Nursing, Faculty of Nursing, Minia University, EgyptAtiatOsmanLecturer of Pediatric Nursing, Faculty of Nursing, South Valley University, EgyptNagatFarouk AbolwafaAssistant Professor of Pediatric Nursing, Faculty of Nursing, Minia University, EgyptJournal Article20230402 <span class="fontstyle0">Background: </span><span class="fontstyle2">Children who receive hemodialysis can experience difficulties that might lower their quality of life and that of their mothers. Thus, empowering initiatives based on educational assessment needs will aid in enhancing mothers' knowledge, practice, and the quality of life for their offspring. Because of this, </span><span class="fontstyle0">the aim of actual study is to</span><span class="fontstyle2">: evaluate the effect of empowerment program on mothers to improve quality of life of their children undergoing hemodialysis on arteriovenous fistula care. </span><span class="fontstyle0">Design: </span><span class="fontstyle2">A quasi-experimental research design. </span><span class="fontstyle0">Setting: </span><span class="fontstyle2">this study was conducted in the Pediatric hemodialysis unit at Minia University Hospital for Obstetric and Pediatrics (MUHOP) and Minia General Hospital. </span><span class="fontstyle0">Sample: </span><span class="fontstyle2">A purposeful sample of 60 mothers and their children. </span><span class="fontstyle0">Data collection tools</span><span class="fontstyle2">: </span><span class="fontstyle0">four tools have been used (1) </span><span class="fontstyle2">a structured interview questionnaire sheet (</span><span class="fontstyle0">2) </span><span class="fontstyle2">mothers’ knowledge assessment sheet, </span><span class="fontstyle0">(3) </span><span class="fontstyle2">observational checklists and </span><span class="fontstyle0">(4) </span><span class="fontstyle2">the Core Ped QoL questionnaire , version4. </span><span class="fontstyle0">Results: </span><span class="fontstyle2">These findings showed that the mean score of all mother's knowledge, practices, and children's physical and psychosocial dimensions, as well as the total mean score of children's quality of life in the post-empowerment program were higher than these in the pre-empowerment program, with a highly statistically significant difference. </span><span class="fontstyle0">Conclusion: </span><span class="fontstyle2">There was an improvement in mothers' knowledge and practice. Also, children QOL was improved and increased after implementation of empowerment program than before. </span><span class="fontstyle0">Recommendation: </span><span class="fontstyle2">Providing continuous empowerment program for HD children and their mothers and psychosocial and spiritual support for children and families to improve the children's quality of life.</span> https://ejhc.journals.ekb.eg/article_293496_1b69a55fa0abdb81d32fef5cc3d0ee9e.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Electronic Learning Package Application on Nurses’ Knowledge and Practice Regarding Post Cardio Pulmonary Resuscitation for Critically Ill Neonates1103112129394110.21608/ejhc.2023.293941ENRawiaAbd Elghany MohamedAssisstant Professor of Pediatric Nursing, Faculty of Nursing, Benha University, Egypt.Ghada.A.HassanAssisstant Professor of Pediatric Nursing, Faculty of Nursing,Menufia University,Egypt.HananElsayed MetwallyLecturer of Pediatric Nursing, Faculty of Nursing, Benha University, Egypt.Journal Article20230404<strong>Context:</strong> Successful resuscitation from cardiac arrest results in effective post–cardiac arrest care, which can evolve in the days to weeks after return of sustained circulation. So, electronic learning has grown tremendously and integrated into nursing education and training. <strong>Aim: </strong>Evaluate the effect of electronic learning package application on nurses’ knowledge and practice regarding post cardio pulmonary resuscitation for critically ill neonates. <strong>Methods: </strong>A quasi-experimental research design was used to conduct the study.<strong> Setting: </strong>The study was conducted at Neonatal Intensive Care Units of Benha University Hospital at Benha city.<strong> Sampling: </strong>A convenient sample of (70) nurses working at the above-mentioned settings were included in this study regardless of their personal characteristics. <strong>Tools of data collection: </strong>Two tools used<strong>, </strong>Tool 1: A structured interviewing questionnaire designed to assess nurses’ personal characteristics, personal data of the studied neonates, and nurses' knowledge regarding post cardio pulmonary resuscitation for critically ill neonates. Tool 2: An observation checklist to assess nurses' practice regarding post cardio pulmonary resuscitation for critically ill neonates. <strong>Results:</strong> There was a statistical significant positive correlation between total knowledge scores and total practice scores of the studied nurses post electronic learning package application. <strong>Conclusion:</strong> It can be concluded that, electronic learning package application had a positive effect on improvement of nurses' knowledge and practice level, which indicates that, the electronic learning package application is greatly effective. <strong>Recommendation:<em> </em></strong>The study recommended that, An update electronic learning and training programs should be periodically conducted with numerous teaching methods for staff nurses in NICUs to improve their performance regarding post Cardio Pulmonary<strong> </strong>resuscitation.https://ejhc.journals.ekb.eg/article_293941_e8081cdfe7d9b30788f8b29dab437d29.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301 Effect of Jacobson's Relaxation Technique versus Warm Compresses on Pain Intensity, Fatigue and Quality of Life among Nursing Students with Primary Dysmenorrhea 1122113729421810.21608/ejhc.2023.294218ENHananIbrahim IbrahimAssistant Professor of Obstetric & Gynecologic Nursing, Faculty of Nursing, Damanhour University, EgyptHananAbd-ElrahmanKandeelAssistant Professor of Obstetric & Gynecologic Nursing, Faculty of Nursing, Alexandria University, EgyptShaimaaMohamed AminLecturer of Community Health Nursing, Faculty of Nursing, Damanhour University, EgyptVioletNicola GhattasAssistant Professor of Obstetric & Gynecologic Nursing, Faculty of Nursing, Damanhour University, EgyptJournal Article20230406 <span class="fontstyle0">Background: </span><span class="fontstyle2">The quality of life for females who experience primary dysmenorrhea, which causes spasmodic cramping in the lower abdomen, back, or inner thighs, may be negatively impacted. Therefore, non-pharmacological methods such as Jacobson's relaxation technique and warm compresses can be safe and effective treatment for primary dysmenorrhea, as they reduce women's menstrual pain and </span><span class="fontstyle2">improve their quality </span><span class="fontstyle2">of life. </span><span class="fontstyle0">Aim of the study: </span><span class="fontstyle2">to investigate the effect of Jacobson's relaxation technique versus warm compresses on pain intensity, fatigue and quality of life among nursing students with primary dysmenorrheal </span><span class="fontstyle0">Design</span><span class="fontstyle2">: A quasi-experimental, comparative research design</span><span class="fontstyle2">. </span><span class="fontstyle0">Sample</span><span class="fontstyle2">: A convenient sample of 100 female students with primary dysmenorrhea. </span><span class="fontstyle0">Setting: </span><span class="fontstyle2">This study was carried out at the Faculty of Nursing, Damanhour University in El-Beheira Governorate, Egypt, from the beginning of March 2022 till the end of June 2022.</span><span class="fontstyle0">Data Collection Tools</span><span class="fontstyle2">: four tools were utilized, tool one: basic data structured interview schedule, which included socio-demographic and clinical data as well as menstrual history and dietary habits; tool two: Visual Analog Scale (VAS);tool three: Fatigue Severity Scale (FSS) and tool four: 36-Item Short Form Survey (SF-36).</span><span class="fontstyle0">Results</span><span class="fontstyle2">: after intervention, severe pain was declined (2%) among the Jacobson's relaxation technique group, but it remained the same among the warm compresses group. in contrast, fatigue was diminished (78%) among the latter group, while it was dropped (52%) among the former group. In addition; the warm compresses group obtained significantly better total score of quality of life than the Jacobson's relaxation technique group in terms of general health (P=0.000), energy/fatigue (P=0.043) and emotional well-being (P=0.046) </span><span class="fontstyle0">Conclusion: : </span><span class="fontstyle2">it was concluded from this study that although Jacobson's relaxation technique was a little bit more effective in relieving menstrual pain than warm compresses, the latter was more effective in relieving fatigue and improving quality of life than the former. .</span><span class="fontstyle0">Recommendations: </span><span class="fontstyle2">Health teaching classes for adolescent should be conducted to teach them about the benefits of Jacobson's relaxation technique and warm compresses in decreasing menstrual pain</span> https://ejhc.journals.ekb.eg/article_294218_ea8738ed1eeba8c2b9fa159ed7677b93.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Female Genital Mutilation as Perceived by Old and Young Egyptian Women: A Comparative Study1138115729531310.21608/ejhc.2023.295313ENManalMohamed ElsawyLecturer of Community Health Nursing, Faculty of Nursing, Cairo University, EgyptNabilaAbdelkader AbdeldaiemLecturer of Community Health Nursing, Faculty of Nursing, Cairo University, EgyptEbtesamMo'awad El-Sayed EbiedProfessor of Gerontological Nursing, Faculty of Nursing, Cairo University, EgyptKhadraaMohamed MousaLecturer of Community Health Nursing, Faculty of Nursing, Cairo University, EgyptJournal Article20230415 <span class="fontstyle0">Background: </span><span class="fontstyle2">Female genital mutilation is a persistent issue of global concern that carries various health risks for women and girls. Female genital mutilation is a traditional harmful practice that has been prevalent for many years; despite of continuous efforts, the decline of the practice is unsatisfactory. </span><span class="fontstyle0">Aim: </span><span class="fontstyle2">To assess the difference between old and young women’s knowledge, attitude, and beliefs toward female genital mutilation. </span><span class="fontstyle0">Design: </span><span class="fontstyle2">A descriptive-comparative research design was utilized. </span><span class="fontstyle0">Setting: </span><span class="fontstyle2">The study was conducted at the Barnasht family health center in Elaiaat district, Giza Governorate. </span><span class="fontstyle0">Sample: </span><span class="fontstyle2">A convenience sample of 588 old and young women over a period of three months. </span><span class="fontstyle0">Tools for data collection</span><span class="fontstyle2">: </span><span class="fontstyle0">Tool I</span><span class="fontstyle2">: A structured interviewing knowledge questionnaire that consists of two sections: (1): Demographic characteristics of young and old women; (2): Knowledge regarding female genital mutilation. </span><span class="fontstyle0">Tool II</span><span class="fontstyle2">: Beliefs assessment questionnaires. </span><span class="fontstyle0">Tool III </span><span class="fontstyle2">: Attitude scale toward female genital mutilation. </span><span class="fontstyle0">Results: </span><span class="fontstyle2">The majority of the young and older women had a poor level of knowledge, while the minority of them had a fair level of knowledge regarding female genital mutilation. Moreover, nearly three-quarters of the young women had a positive attitude, while more than half of the older women had a negative attitude toward female genital mutilation. The majority of young women had negative beliefs, while the majority of older women had positive beliefs about female genital mutilation. </span><span class="fontstyle0">Conclusion: </span><span class="fontstyle2">A highly statistically significant difference was found between young and old women’s total knowledge, attitude, and beliefs. </span><span class="fontstyle0">Recommendations: </span><span class="fontstyle2">It is advised that, raise awareness of the families and young women regarding the complications and consequences of Female Genital Mutilation. Child rights should be empowered among national media, especially regarding Female Genital Mutilation.</span> https://ejhc.journals.ekb.eg/article_295313_6defe75432daa590a3641f6c74a2c5d9.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of transcutaneous electrical nerve stimulation on renal tissue perfusion and hemodynamic stability for patients with hypovolemic shock: A randomized controlled trial1158116829538310.21608/ejhc.2023.295383ENAsmaaAly MahgoubAssistant professor, Critical care and emergency nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt.SanaaSaber MohamedLecturer, Critical care and emergency nursing Department. Faculty of Nursing, Sohag University, Sohag, Egypt.GhadaShalby MahranAssistant professor, Critical care and emergency nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt.ManalMohamed Abdel-NaeemAssistant professor, Critical care and emergency nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt.MostafaSamy AbasAssociate professor, Anesthesia and intensive care Department, Faculty of medicine, Assiut University, Assiut, Egypt.AlaaS. Abd-ElkaderLecture, Clinical pathology Department, Faculty of medicine, Assiut University, Assiut, Egypt.AlaaAli M. ElzohryConsultant of Anesthesia, King Saud University (KSMC), KSAAhmedTalaat Ahmed AliLecturer, Anesthesia and intensive care department, Faculty of medicine, Assiut University, Assiut, Egypt.Journal Article20230415 <span class="fontstyle0">Background: </span><span class="fontstyle2">Transcutaneous electrical nerve stimulation (TENS) is widely practiced method to increase blood flow in clinical practice as some authors have observed that, in addition to its analgesic effects, TENS can alter skin temperature and increase blood flow. </span><span class="fontstyle0">Objective: </span><span class="fontstyle2">Was to evaluate the effect of transcutaneous electrical nerve stimulation application on the renal tissue perfusion and hemodynamic stability for patients with hypovolemic shock. </span><span class="fontstyle0">Methods: </span><span class="fontstyle2">A prospective, single-blind, randomized, controlled trial was conducted as patients were randomized into two groups (active TENS (intervention group) and sham TENS (control group). Active TENS group received resuscitation protocol and transcutaneous electrical nerve stimulation while sham TENS group received resuscitation protocol only. Data was collected from ICU. Improvement of renal tissue perfusion was considered the primary outcome and secondary outcomes was improvement of hemodynamic parameters. </span><span class="fontstyle0">Results: </span><span class="fontstyle2">TENS application had caused a highly statistical significant change in serum creatinine and NGAL test (74.43 ± 7.16 in intervention group versus 114.48 ± 13.6 2 in control group) and (7.35 ± 0.7716 in intervention group versus 20.76 ± 2.11 in control group (P = 0.007 & P= 0.000) respectively. There was highly statistical significant difference before treatment and after treatment regarding urea, creatinine and NGAL test in the control group (P= 0.002 & P= 0.006& P= 0.000) respectively and there was highly statistical significant difference before treatment and after treatment in TENS group regarding to serum creatinine (P= 0.003). </span><span class="fontstyle0">Conclusion: </span><span class="fontstyle2">Application of transcutaneous electrical nerve stimulation had significant improvement for renal tissue perfusion and hemodynamic parameters</span><span class="fontstyle2">. </span><span class="fontstyle0">Recommendation: </span><span class="fontstyle2">TENS should be included as one of the ICU therapeutic modalities to improve patient's outcomes.</span> https://ejhc.journals.ekb.eg/article_295383_b8b6627c3b2110bc5f9390bbc918f528.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Preventive health program regarding knowledge and practice of street cleaners about occupational health hazards in Sohag city1169118529709610.21608/ejhc.2023.297096ENAsmaaM. MadkourLecture, Community Health Nursing, Faculty of Nursing, Sohag University.Thorea.A. MahmoudAssistant Professor of family and Community Health Nursing-Faculty of Nursing- Sohag University, EgyptOmimaM. Abd- ElzaherLecture, Community Health Nursing, Faculty of Nursing, Sohag UniversityJournal Article20230501Back ground: Street cleaners play important roles in environmental health by keeping roads clean; nonetheless, these workers confront several hazards. The majority of these dangers are avoidable. Aim of the study: Preventive health program regarding knowledge and practice of street cleaners about occupational health hazards in Sohag city. Subjects and Methods: A quiz -experimental research design was utilized in this study. The study was conducted in Sohag Local Council at Sohag city Sample: Total coverage 208 street cleaner workers in Sohag Local Council Convenient sample was used for workers. The total number was 208 workers: Two tools were used in this study; the first tool was a structure interview questionnaire sheet about Socio-demographic characteristics and worker's knowledge about occupational hazards, prevention of health hazards. The second tool was observational checklist was used to evaluate protective measures of street cleaner workers. Results: the majority of the street cleanes were poor knowledge and practice about occupational hazards and prevention of health hazards before implement of the program. respectively. However, there was significant improvement in knowledge and practice of the street cleaners after implementation of the program. The total of knowledge and practice were statistically significant (p<0.001). Conclusion: The implemented program about prevention of occupational hazards had a good impact on street cleaners' knowledge and practice. Recommendations: personal protective devices should be available for all street sweeper workers.https://ejhc.journals.ekb.eg/article_297096_5ad7e8407fc227eb0d49b6fc04d658ec.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Healthy Work Environment, Occupational Burnout, and Psychological Wellbeing among Staff Nurses: A Comparative Study1186119829709910.21608/ejhc.2023.297099ENNoraElsayed Mohammed KhalilLecturer of Nursing Administration, Faculty of Nursing - Cairo University, EgyptBasmaMohamed OsmanLecturer of Community Health Nursing, Faculty of Nursing - Cairo University, Egypt.ShymaaAly HamedLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing - Cairo University, EgyptJournal Article20230501Background: Healthcare organizations are social systems that established to maintain the patients’<br />safety and their emotional, spiritual, and physical needs. Aim: to explore the relationship between<br />the healthy work environments, burn out, and psychological well-being among staff nurses at<br />governmental and private hospital. Design: A Comparative- correlational research design was<br />utilized. Setting: the study was conducted in the governmental and private hospital. Sample: A<br />convenience sample of staff nurses 85 out (117) in government & 73 out (80) at private hospital).<br />Tools. Three tools were used: healthy work environment questionnaire, Maslach burnout inventory,<br />and Psychological Well-Being Manifestation Measurement Scale. The results: the study results<br />revealed that 61.2% of the staff nurses in a governmental hospital had a moderate level of healthy<br />work environment compared to 68.5% of the staff nurses in private hospital who had higher levels<br />of a healthy work environment. 89.4% & 93.2% of the staff nurses in governmental and private<br />hospital respectively experienced a moderate level of occupational burnout. There was a highly<br />statistically positive significant relationship between total score of healthy work environment and<br />total score of psychological wellbeing among the staff nurses in governmental and private hospital.<br />Recommendation: Both the governmental and the private hospital should step forward to draft<br />policies for prevention, early detection and management of occupational burnout among staff nurses.<br />Also, Developing and implementing continuous program for staff nurses to enhance, maintaining<br />healthy work environment, and enhancing psychological wellbeing is recommendedhttps://ejhc.journals.ekb.eg/article_297099_d3900e16673a90b57fcb5d1c7e310999.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effectiveness of Thumb Manual Pressure on Pain, Bruising and Satisfaction Associated with Anticoagulant Subcutaneous Injection.1199121129730710.21608/ejhc.2023.297307ENNouraMahmoud Mohammad ElrefaeyLecturer of Medical-Surgical Nursing, Faculty of Nursing- Matrouh UniversityLailaA. HamedAssistant professor of Medical-Surgical Nursing, Faculty of Nursing - Zagazig University.SuzanMohamed ElsayedLecturer of Medical-Surgical Nursing, Faculty of Nursing - Zagazig UniversityJournal Article20230502Anticoagulant medications help prevent thromboembolisms, and improve health. The most
common negative consequences of anticoagulant injection are pain, bruising that affect
negatively on patient satisfaction. Non pharmacological methods to decrease such consequences
had a great attention. <strong>Aim of the study: </strong>Explore the effectiveness of thumb manual pressure
application on anticoagulant subcutaneous injection pain, bruising, and satisfaction experienced
compared to routine SCI. <strong>Study design: </strong>A quasi-experimental nonequivalent one-group self-
controlled design was used. <strong>Setting: </strong>the study applied in the orthopedic Surgery department at
New-surgery hospital of Zagazig University hospitals. <strong>Subjects: </strong>a convenience sample of a
single group from both males and females. It included 88 participants. <strong>Tools: </strong>Four tools were
used in this study. The same participants were both in control and intervention. The same nurse
applied a subcutaneous injection into the upper outer Lt arm followed by thumb pressure for 10
seconds as an intervention group. Whereas, the routine SCI in the upper outer Rt arm was
injected in the same patient by the same nurse and considered as a control group. Pain level,
bruising and patient satisfaction were assessed. <strong>Results: </strong>there was a statistical significance
difference in the pain level, bruising and satisfaction, explored via less pain intensity, minor
bruising and high satisfaction level where thumb manual pressure applied over the left arm SC
anticoagulant injection. <strong>Conclusion</strong>: manual pressure application is a more effective method in
reducing pain, bruising and increasing satisfaction level due to subcutaneous injection. Thus
using such non-pharmacological methods was effectivehttps://ejhc.journals.ekb.eg/article_297307_4ce6e5fc0f9969ae9f59464477ff0265.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301The Effect of Nursing Rehabilitation Program on Quality of Life for Patients with Vertebral Disc in Beni-suef City1212124529793510.21608/ejhc.2023.297935ENEmanSaeed AhmedDemonstrator at community health nursing, Faculty of Nursing, Beni Suef UniversityAmlAbd El - Haziem MohamedAssistant Professor of Community Health Nursing, Faculty of Nursing, Beni Suef UniversityEmanMohamed Al SherbenyAssistant Professor of Community Health Nursing, Faculty of Nursing, Beni Suef UniversityLailaAwadeen AliAssistant Professor of Community Health Nursing, Faculty of Nursing, Beni Suef UniversityJournal Article20230506Background: Intervertebral disc disease is a common chronic condition characterized by the breakdown (degeneration) of one or more of the discs. Chronic low back pain, which is the primary symptom of spinal degenerative illnesses and has a major negative impact on a patient's health-related quality of life (HRQoL), has become more common. Aim: The study aimed to evaluate the effect of a nursing rehabilitation program on the quality of life for patients with the vertebral disk. Design: A quasi-experimental design was applied in this study. Sample: convenience sample was equal to 120 vertebral disk patients. Setting: The outpatient physiotherapy and orthopedic clinics of University Hospital (Beni-Suef, Egypt). Tools: Five tools were used, first tool: was socio-demographic characteristics. Second tool: is the patient's knowledge. Third tool: Numerical pain rating scale. Fourth tool: WHOQOL. Fifth tool: Perceived stress scale. Result: The study showed that 75.8% of studied patients had a good level of knowledge post-program, 0% of studied patients had severe pain post-program, 66.7% of studied patients had a high level of quality of life post-program, and 0.0% of studied patient had a high level of stress at post-program. Conclusion: there was a highly significant positive correlation between knowledge and quality of life of studied patients and also there was a significant negative correlation between their knowledge and stress and pain scores. Recommendation: Conduct research to evaluate the effect of the rehabilitation program on specific types of vertebral disc disease as lumbar disc herniation is recommended.https://ejhc.journals.ekb.eg/article_297935_f7eb20449908859f9fc22de3aa324d95.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Electronic Health Records Training Program Via Using Advanced Mobile Devices on Career Success among Intern-Nurses1246126429954110.21608/ejhc.2023.299541ENHowidaHassan EL-Sayed MahfouzAssistant Professor, Nursing Administration, Faculty of Nursing, Benha University, EgyptManalMohamed BakrAssistant Professor, Nursing Administration, Faculty of Nursing, Menoufia University, EgyptMervatAbd Elmonem Aref(Lecturer, Nursing Administration, Faculty of Nursing, Damnhour University, EgyptJournal Article20230519<strong>Background:</strong> The nursing job market is undergoing a digital revolution, and those with the necessary digital experiences and possess a technology-driven skills will be better positioned to advance in their careers. <strong>The study aimed to </strong>assess the effect of electronic health records (EHRs) training program via using advanced mobile devices<strong> </strong>(AMDs) on career success among intern-nurses. <strong>Design:</strong> A Quasi experimental research design was utilized to conduct this study. <strong>Setting:</strong> The study was conducted in medical and surgical clinical departments at Benha University Hospital were intern-nurses trained. <strong>Subjects:</strong> Purposive sample consisted of 60 internــnurses chosen randomly. <strong>Tools:</strong> To achieve the aim of the cuurent study the following three tools were used; I) Electronic health records EHRs knowledge questionnaire, II) Technological skills observational checklist and III) Career success questionnaire. <strong>Result:</strong> The study result revealed that 78.3% of study participants had inadequate knowledge related to EHRs in the preprogram phase, which it improved to be 90% & 80% of them had adequate knowledge at immediate post program and follow up program respectively, additionally, 58.3% of intern-nurses had low technological skills at pre-program, which it improved to 76.6% and 83.3% of study subjcts had high technological skills in the post program and follow up phases respectively, also 85% & 83.3% of study participants had high level regarding career success in post program and follow up phases respectively compared to 18.3% of them at pre-program phase. <strong>Conclusion:</strong> The study concluded that there were high significant statistical positive correlations between the study participants' total knowledge and total technological skills toward EHRs and career success throughout program phases. <strong>Recommendation:</strong> The administrations of health care organizations need to take essential actions to build the appropriate information communication technology ICT infrastructure that needed for the use of EHRs applications in the clinical setting and the progressive implementation of EHRs software program system in the general hospitals.https://ejhc.journals.ekb.eg/article_299541_46dfcac638283453ee4a1b84f301aee1.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Educational Program on Mothers’ Knowledge, Stress and Fear of Hypoglycemia and their children Glycemic Control1282129629969210.21608/ejhc.2023.299692ENNagatFarouk AbolwafaAssistant professor of Pediatric Nursing, Faculty of Nursing, Minia University, EgyptSafaaMohammed ZakiAssistant professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Minia University, Egypt,HowaydaMohammed AliLecture of Pediatric Nursing, Faculty of Nursing, Minia University, EgyptJournal Article20230520<strong>Background: </strong>Type I diabetes (T1D) is a chronic condition that impacts all part of a patient's life. As a result, stress and fear of hypoglycemia (FOH) can have a severe impact on a patient's mental, physical, and psychological health. <strong>Aim: </strong>was to evaluate<strong> </strong>effect of educational program on mothers’ knowledge, stress and fear of hypoglycemia and their children glycemic control<strong> Research design: </strong>A quasi- experimental research<strong> </strong>design was used in this study<strong>. Sample and Setting: </strong>was conducted on one hundred mothers who have been selected for the program (pre and post) in pediatric department at General and Health Insurance Hospitals. <strong>Tools of data collection: </strong>four tools for data collection were used tool (1) An interviewing questionnaire sheet, (2) Pediatric Inventory for Parents (PIP), (3) The Hypoglycemia Fear Survey–Parent (HFS-P) (4) Glycemic control. <strong>Results </strong>of this study showed that the mean age of mothers was 33.5 ± 20.1, and noticeable improvement in the mothers' knowledge about T1D in post-test than in pre-test, the total mean scores of Pediatric Inventory for Parents (PIP) and The Hypoglycemia Fear Survey–Parent (HFS-P) were alleviated in post-test than in pre-test. while Glycemic control of school age children were better controlled in post-test at 3 and 6 months than in pre-test. So, <strong>this study concluded that</strong> improving mother’s knowledge about T1D, alleviating mothers stress, fear of hypoglycemia,<strong> </strong>after education program and the children’s glycemic control improved after health education program. <strong>This research recommended that</strong> Future studies are needed to create and improve interventions through educational programs in alleviating stress, fear of hypoglycemia for mothers taking care of children with T1D.https://ejhc.journals.ekb.eg/article_299692_7e7317e5329dd41cc64636e258f28016.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Foot Reflexology Massage on Pain and Anxiety Levels regarding Insulin Injection among Diabetic Children1297131230028010.21608/ejhc.2023.300280ENNagwaRamadan Esmail MagorLecturer of pediatric nursing, Faculty of Nursing, Tanta University, EgyptOhoudYoussef El-SheikhAssistant Professor of Pediatric Nursing, Faculty of Nursing, Mansoura University, EgyptManalFarouk MohamedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Suez Canal University,ManalMohamed Ahmed AyedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, EgyptJournal Article20230524<strong>Background</strong>: Anxiety and pain from insulin injections are frequent side effects. Therefore, controlling injection pain aids in reducing anxiety and subsequent health care avoidance behaviors. Foot reflexology massage appears to be useful in decreasing pain and stress as a complementary care that is becoming widely accepted and popular. <strong>Aim</strong>: This study aimed to evaluate the effect of foot reflexology massage on pain and anxiety levels regarding insulin injection among diabetic children. <strong>Design</strong><strong>: </strong>A quasi-experimental research design was used to conduct this study.<strong> Setting:</strong> The study was carried out at Pediatric Endocrine Department at Mansoura University Hospital<strong> Subjects and method:</strong> A purposive sample of 100 diabetic children who receiving insulin injection were recruited in this study; the studied children were assigned into two groups, with 50 children in each group (the study and control groups). <strong>Tools: </strong>Three tools were used to collect data: <strong>Tool (1):</strong> A structured interviewing questionnaire. <strong>Tool (II)</strong>: Numeric Pain Rating Scale (NPRS), and <strong>Tool (III): </strong>State-Trait Anxiety Inventory for Children (STAIC). <strong>Results:</strong> The present study revealed that more than half of diabetic<strong> </strong>children in the study group had mild pain compared to only (8%) in the control group after insulin injection. Moreover, there were highly statistical significant differences post foot reflexology massage among the studied diabetic<strong> </strong>children regarding anxiety level<strong><em> </em></strong>on STAIC between the study and control groups. <strong>Conclusion</strong>: Foot reflexology massage has an effect on pain and anxiety reduction regarding insulin injection among diabetic children. <strong>Recommendation</strong>: Foot reflexology massage could be applied as a non-pharmacological method and complementary therapy along with routine care to manage insulin injection pain and anxiety among diabetic children.https://ejhc.journals.ekb.eg/article_300280_9e86656b741073c71ffcd8de68f3a3bc.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Nursing Educational Sessions about Fever on Knowledge and Practices of Mothers at Pediatric Surgical Unit1313132730108810.21608/ejhc.2023.301088ENNadiaKasem AlaswadLecturer of Pediatric Nursing, Pediatric Nursing Department, Faculty of Nursing, Cairo University.Journal Article20230530<strong>Background: </strong>elevation of body temperature is common in postoperative children as an inflammatory reaction to surgical incision<strong> </strong>prompts the mothers need for support by proper knowledge and practice. <strong>Aim</strong> the aim was to evaluate the effect of nursing educational sessions about fever on the knowledge and practices of mothers at the pediatric surgical unit. <strong>Design</strong> one group pre-posttest quasi-experimental research design <strong>Sample</strong>: A convenience sample of 100 mothers of children admitted to the pediatric surgical unit in Cairo University Specialized Pediatric Hospital for 6 months. <strong>Setting</strong>: the study conducted at Cairo University Specialized Pediatric Hospital (CUSPH) in the right side of pediatric surgical unit on the fourth floor. <strong>Tools</strong>: Structured interview questionnaire, observational checklists for axillary temperature, and cold compressors developed by the researcher.<strong> Results</strong>: there were a statistically significance difference between the total mean scores of mothers' knowledge and practice before and after the educational sessions and at the time of discharge. Also, there was a statistically significant correlation between mothers' knowledge and level of education and place of residence in addition to significant statistical correlation between mothers' axillary temperature practice and level of education. <strong>Conclusion</strong>: the current study concluded that mothers who receive nursing educational sessions about fever have a higher mean score of knowledge and practice than before. <strong>Recommendations</strong>: emphasize the importance of education provided for mothers including knowledge and practice to improve their knowledge and performance regarding fever care.https://ejhc.journals.ekb.eg/article_301088_9aa8d5e92c6b16d3a0cc537d11c86a59.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Nursing Educational Guidelines to Enhance Competency- Based Practice among Nurses as Genetic Counselors1328133930714910.21608/ejhc.2023.307149ENHayamAhmed MohamedAssistant Professor, Medical-Surgical Nursing, Benha University, Faculty of Nursing, Egypt.NohaAhmed MohamedProfessor, Community Health Nursing, Beni-Suef University, Faculty of Nursing, Egypt.SamahELSayed GhonaemAssistant Professor, Medical-Surgical Nursing, Benha University, Faculty of Nursing, Egypt.SameerHamdy HafezAssistant Professor, Community Health Nursing, Beni-Suef University, Faculty of Nursing, Egypt.Journal Article20230710<strong>Background</strong>: The present study aimed to evaluate the efficacy of nursing educational guidelines to enhance competency-based practice among nurses as genetic counselors. <strong>Research design</strong>: A quasi-experimental design was used. <strong>Setting: </strong>data were collected from the oncology and outpatient departments at Benha university Hospital, Qaluobia governorate, Egypt. <strong>Subjects:</strong> Convenient sample of all available nurses (50) who were working in the oncology and outpatient departments during the data collection period.<strong> Tools of data collection: </strong>Three tools were utilized to collect data. 1) Structured questionnaires composed of 2 parts: Demographic characteristics and Nurse’s Knowledge regarding basics of genetics and genomic, 2) Nurses' attitude toward genetic counseling. 3) Check list to assess competency-based practice among nurses as genetic counselors. <strong>Results: </strong>20% of the studied nurses had satisfactory level of knowledge pre educational guidelines which changed to 94% post guidelines (P<0.05). There were marked improvement in all items of nurses' competency-based practice post educational guidelines with highly statistical difference (P= 0.000). There were 56% of the studied nurses had positive attitude towards importance of genetic counseling post guidelines implementation compared to 14% pre guidelines implementation (P<0.05). <strong>Conclusion: </strong>the nursing educational guidelines had significant efficacy on improving the studied nurses’ knowledge, practice and attitude regarding basics of genetics and genomic.<strong> Recommendations:</strong> Incorporate the genetic course into the nursing curriculum and conduct continuous educational interventions to improve the competencies in genetics and genomics among nurses with different degrees and areas of practice<strong>. </strong>https://ejhc.journals.ekb.eg/article_307149_ce12d53f33586caf2f79f3b65c39e9b4.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Blended Training on Nurses’ Performance Regarding Controlling Catheter Associated Urinary Tract Infection1340135030715610.21608/ejhc.2023.307156ENMarwaMohammad Abd ElbakyAssistant Professor in Medical-Surgical Nursing Department, (Critical Care Nursing), Faculty of Nursing, Minia University, Minia, Egypt.AsmaaA. A. MohammedLecturer in Medical-Surgical Nursing Department, (Critical Care Nursing), Faculty of Nursing, Minia University, Minia, Egypt.GehanA.Gamal – EldeenAssistant Professor in Medical-Surgical Nursing Department, (Adult Medical-Surgical Nursing), Faculty of Nursing, Minia University, Minia, Egypt.LobnaM. GamalAssistant Professor in Medical-Surgical Nursing Department, Faculty of Nursing, Minia University, Minia, Egypt.Journal Article20230710<strong>Background: </strong>Catheter Associated Urinary tract infection (CAUTI) is one of the most common complications among intensive care patients. Blended learning is a new effective modality applied to improve nurse’s performance in critical care units. <strong>Aim:</strong> the study aims to evaluate the effect of blended training on nurses’ performance regarding controlling CAUTI. <strong>Design:</strong> The current research design was a quasi-experimental. <strong>Setting:</strong> The research was performed at Minia University Hospitals in the following intensive care units (ICUs): (Trauma, Stroke, Cardiology, Chest, Urology, and Medical ICUs). <strong>Subjects:</strong> Purposive sample involved 80 nurses recruited to work in the previously mentioned units. <strong>Results</strong>: According to the current study, 63.8% of the samples were female and 88.8% of them were between the ages of 20 and 25 years old. Before the blended training was implemented, only 25% of the nurses had satisfactory level of Knowledge about catheter care; after the training, that number had risen to 95%. In terms of practice post implementing the blended training, about 93.8% of nurses reported satisfactory levels regarding catheter care, compared to 22.5% before the implementation of the blended training. <strong>Conclusion</strong><strong>:</strong> Blended training improved the critical care nurses' performance regarding controlling of catheter associated urinary tract infection. <strong>Recommendations: </strong>Repeating the study on a larger sample and use blended learning for upgrading nurses’ performance.https://ejhc.journals.ekb.eg/article_307156_66be9e927b729179f2f6e8e50dfc5937.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Online Teaching Instructions on Compliance among Patients Receiving Immunosuppressive Therapy1351136330930110.21608/ejhc.2023.309301ENShaimaaRaafat Ali Abdel-HaleemLecturers of Medical Surgical Nursing -Faculty of nursing-Cairo UniversityMervatMamdouh Abu ZeadLecturers of Medical Surgical Nursing -Faculty of nursing-Cairo UniversityJournal Article20230722Patients receiving immunosuppressive therapy face many challenges. Medication compliance (adherence) is an important part of the treatment for those patients' well-being. A high level of compliance to medication regimens can have profound impacts on patients' quality and length of lives, their health outcomes, and overall health care costs.<strong> </strong>Patients undergoing immunosuppressant therapy were specifically selected to be given online education to protect them from exposure to infection in light of the Corona pandemic. <strong>Aim of the study:</strong> To examine the effect of online teaching instructions on compliance among patients receiving immunosuppressive therapy.<strong> Research design:</strong> Pre-posttest quasi-experimental design was utilized.<strong> Setting:</strong> The study was conducted through online contact (Whats App.).<strong> Sample:</strong> A convenient sample of 30 male and female patients diagnosed with systemic lupus and multiple sclerosis receiving immunosuppressive therapy. <strong>Tools</strong>: Data collection tools included a) Personal and Medical data forms and b) Patient Compliance Rating Scale.<strong> Results: </strong>The study revealed a significant difference between pre and post- instructions. Patients demonstrated a high score level of compliance after applying the online teaching instructions. <strong>Conclusion:</strong> Providing teaching instructions were very important for improving compliance to the therapeutic regimen. The study concluded that the implementation of the online instructional teaching significantly showed an improvement on the level of compliance among the studied group<strong> Recommendations:</strong> Improving adherence to the immunosuppressive therapy regimen is necessary for a better prognosis. Developing an instructional program based on issues related to patients' regimens and personal perceptions is highly recommended.https://ejhc.journals.ekb.eg/article_309301_b587ac80a9e5d464556cb19e062aa0ef.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Effect of Educational Program Utilizing Audio and Braille Text on Knowledge and Practice of Visually Impaired Adolescent Girls Regarding Reproductive Health 1364137830930210.21608/ejhc.2023.309302ENRehabFouad Abd ElkodoosLecturer of Community Health Nursing, Faculty of Nursing, Cairo UniversityAmalAhmed Abdel HafezAssistant Professor of Woman Health and Obstetric Nursing, Faculty of Nursing, Minia UniversityBasmaMohamed OsmanLecturer of Community Health Nursing, Faculty of Nursing, Cairo UniversityJournal Article20230722<strong>Background: </strong>Reproductive health of adolescent girls is a top priority in global programs. People with disability need access to health information and services across the life course for the same reasons as people without disability. <strong>Aim:</strong> To evaluate the effect of educational program utilizing audio and braille text on knowledge and practice of visually impaired adolescent girls regarding reproductive health.<strong> Methods:</strong> A quasi-experimental design (one group pre-posttest) was utilized. <strong>Sample</strong>: A purposive sample of ninety visually impaired adolescent girls between the ages of 11 and 18, who were willing to participate in the study, was recruited for the purpose of the current study.<strong> Three tools were used for data collection</strong>: Tool I, Visually Impaired Adolescent Girls Structured interview questionnaire. Tool II<strong>, </strong>visually impaired adolescent girls' knowledge assessment questionnaire related to reproductive health. Tool III,<strong> </strong>visually impaired adolescent girls' reported practices related to reproductive health. <strong>Results</strong>: After implementation of the educational program, all the studied visually impaired girls (100%) and (96.7%) of them had a satisfactory level of knowledge regarding reproductive health immediate posttest and follow-up respectively, compared to (41.1%) only in the pretest. Regarding the total practice scores, 31.1% of the girls only demonstrated appropriate practices in the pretest, increased to 94.4% in the immediate posttest and reached to 100% in the follow-up. A statistically significant relation was found between the levels of knowledge and practice during the pretest, immediate posttest, and follow-up with (p=0.0001). <strong>Conclusion:</strong> The educational program significantly improved the knowledge and practices among the visually impaired girls regarding reproductive health. <strong>Recommendations: </strong>Similar educational programs should be implemented in visually impaired students’ schools to enhance their knowledge and practices that related to reproductive health. Encourage collaboration between school nurses, and parents to provide comprehensive support for visually impaired girls in addressing their unique reproductive health needs.<strong><em> </em></strong>https://ejhc.journals.ekb.eg/article_309302_c537f8fef6cd2dbdb488a48adecfd0ad.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Knowledge, Attitude and Compliance with Precautionary Measures of Covid-19 among Medical and Non-Medical University Students in Egypt: A Comparative Cross-Sectional Study1379139431474910.21608/ejhc.2023.314749ENAsmaaMohammed Saad KhaledLecturer of Community Health Nursing Department, Faculty of Nursing, Alexandria University, EgyptRashaAly YakoutAssist Professor of Medical- Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.EshrakSalama HashemLecturer of Medical- Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.Journal Article20230827<strong>Background:</strong> The coronavirus disease 2019 (COVID-19) is a public health emergency of international concern, it has no actual treatment, nevertheless early recognition of the disease symptoms, and looking for supportive care and the preventive measures will help to lessen the virus spread. <strong>Aim of the study:</strong> This study aimed to assess knowledge, attitude, and compliance with precautionary measures toward COVID-19 among medical and non-medical University students in Alexandria. <strong>Study design:</strong> An online cross-sectional exploratory survey research design. <strong>Setting:</strong> This study was conducted in eight faculties affiliated to Alexandria University. <strong>Subjects:</strong> Convenient sample of 1600 University students, 800 from medical and 800 from non – medical Faculties. <strong>Tools:</strong> Students socio -demographic characteristics and “COVID-19 Survey Structured Questionnaire” to assess students’ knowledge, attitude, and precautionary preventive measures regarding COVID-19. <strong>Results:</strong> The results of this study showed that majority of the university students in both groups had good knowledge about COVID-19 from different sources, while the total attitude score of both study group students was statistically significant, on the other hand, the majority of<strong> </strong>nursing students had satisfactory performance Meanwhile, more than half only of the other students of both groups had satisfactory performance. <strong>Conclusion:</strong> The study concluded that university students in our survey had good knowledge about COVID-19, medical students who were enrolled to the faculty of Nursing, Pharmacy and Dentistry had a positive attitude regarding COVID -19 compared to nonmedical students who enrolled to faculty of Commerce and Art had negative attitude. <strong>Recommendations:</strong> It is essential to raise awareness among university students about Covid-19 by community mobilization campaigns to boost the community awareness about COVID-19 to maintain students ‘positive attitude.https://ejhc.journals.ekb.eg/article_314749_460db97821ad98dcfc31816ecf506682.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Critical and Medical-Surgical Nurses' Adherence to Professional Nursing Code of Ethics and Quality of Nursing Care Satisfaction1395140431475810.21608/ejhc.2023.314758ENNagahAbd El-Fattah Mohamed AlyDepartment of Nursing Administration, Faculty of Nursing, Matrouh University, EgyptSafaaM. El-ShanawanyDepartment of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Alexandria University, EgyptMahaGhanemDepartment of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Alexandria University, EgyptMaysaAbdalla ELbiaaDepartment of Critical Care and Emergency Nursing, Faculty of Nursing, Matrouh University, EgyptHanaAbass Ahmed MohamedDepartment of Medical-Surgical Nursing, Faculty of Nursing, Matrouh University, EgyptWaelM. LotfyDepartment of Community Health Nursing, Faculty of Nursing, Matrouh University, EgyptJournal Article20230827<strong>Background: </strong>Nursing code of ethics is an essential part of nursing professional practice. Nurses' adherence to a code of ethics is an important pillar of improving their performance, providing good nursing care and achieving patient satisfaction. <strong>This study </strong>aimed to<strong> </strong>examine relationship between nurses' adherence to an Egyptian professional nursing code of ethical practice and patient satisfaction with quality of nursing care in critical and medical-surgical care units. <strong>Subjects and Method: Study design: </strong>A cross-sectional descriptive correlational study.<strong> Setting</strong>: Critical and medical-surgical care units in Alexandria Main University Hospital.<strong> Subjects:</strong> The study was implemented on 400 nurses and 400 patients. <strong> Study tools:</strong> Data were collected using an observational checklist of nurses' adherence to the Egyptian code of ethical practice and a patient satisfaction questionnaire. <strong>Results:</strong> The nurses' adherence to the code of ethical practice and patient satisfaction with quality of nursing care were found to be below a satisfactory level in critical (48.5%, 43.0, respectively) and medical-surgical care units (46.5%, 37.5%, respectively). There was no significant difference between critical and medical-surgical care units in mean scores of humanity and patient right respect and provision of nursing practice (p > .05). However, nurses in critical care units had better adherence to the ethics code compared to nurses in medical-surgical care units. Commitment of nurses to the code of ethical practice had a positive significant effect on patient satisfaction with quality of nursing care. <strong>Conclusions:</strong> An unsatisfactory level of nurses' adherence to the Egyptian code of ethics was the predictive factor of patient dissatisfaction in the study units. This could be contributed to some management and organizational factors that faced nurses during implementing their roles. <strong>Recommendations:</strong> Healthcare organizations should continuously help nurses update their ethical practices and adherence to the nursing code of ethical practice in their workplacehttps://ejhc.journals.ekb.eg/article_314758_8580fd046208c9198e58838fd135f4d4.pdfAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954614120230301Acceptance of COVID-19 Vaccine among Pregnant Women: A Comparative Study1405141933067810.21608/ejhc.2023.330678ENNagwaIbrahim El-FeshawyLecturer of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Mansoura University.MervatGaber ZaghloulMaternity, Obstetrics and gynecology Nursing, Faculty of Nursing ,Portsaid University.HebaMohamed ElsayedPhD Pediatric Nursing, Medical Affairs Department, Damietta University.AidaSanad AlqarniAssistant Professor of Medical &surgical nursing, College of Nursing- Abha, King Khalid University, Saudi Arabia.HananAwad M ElmashadAssisstant Professor of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Mansoura University. & Assisstant Professor of Maternity and Pediatric Nursing, College of Nursing- Abha, King Khalid University, Saudi Arabia.Journal Article20231217<strong>Background: </strong>COVID-19 vaccination is a critical intervention to restrict spread and reduce adverse outcomes of the pandemic especially among vulnerable population including pregnant women. Understanding the COVID-19 vaccine acceptance is critical to manage reasons of refusal and increase vaccine uptake. <strong>Aim: </strong>to compare the acceptance of COVID -19 vaccine among Egyptian and Saudi Arabian pregnant women. <strong>Design:</strong> A descriptive comparative study design. <strong>Settings:</strong> This study included two settings: antenatal clinics at the Obstetric and Gynecological center, Mansoura university hospital, Egypt and Shamsan health care center, Abha city, Saudi Arabia. <strong>Subjects: </strong>A purposive sample consisted of 520 pregnant women (260 from each country). <strong>Tools:</strong> A structured interview questionnaire<strong> </strong>included four parts: socio-demographic characteristics, Obstetric and medical data, women's acceptance regarding COVID -19 vaccine and level of trust toward COVID-19 vaccine. <strong>Results: </strong>Majority of the Egyptian and Saudi women were aware of COVID-19 Vaccine types. About two-thirds of the Saudi women accepted to take the vaccine compared to more than half of the Egyptian women. More than two thirds of the Egyptian women were strongly certain regarding Sinopharm, while the majority of Saudi women were strongly certain toward Pfizer vaccine. In addition, more than half of the Saudi women preferred to take the vaccine during pregnancy, but the Egyptian women preferred to take after delivery. <strong>Conclusion:</strong> Majority of women in both countries were aware of different vaccine types, but level of acceptance to take the vaccine during pregnancy was higher among Saudi than Egyptian women. <strong>Recommendations: </strong>Educational sessions regarding COVID-19 vaccination should be planned and targeting pregnant women to improve their acceptance and increase vaccine uptake.https://ejhc.journals.ekb.eg/article_330678_fef431f77c19a2345f9ba67c581092b4.pdf