Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Listening to Holy Qur'an during labor on its Progress, Maternal and Neonatal outcome11513511810.21608/ejhc.2021.135118ENEl SaidaGouda NasrLecturer of Maternal and Neonatal Health Nursing ,Faculty of Nursing , Fayoum UniversityAyatM. OmarAssist.Prof.of Maternal and Neonatal Health Nursing ,Faculty of Nursing, Fayoum University,SamyaMohamed HegazyLecturer of Pediatric Nursing, Faculty of Nursing, Tanta UniversityJournal Article20210103Background: labor pain one of the most intense forms of pain that can be<br />experienced, leads to fear and anxiety can produce muscle tension, with possibly prolong the<br />first and second stage of labor, to avoid pharmacological or invasive methods of pain relief<br />in labor and implement listening to Holy Qur'an during labor. The aim of this study is to<br />evaluate effect of listening of holy Qur'an during labor on maternal and neonatal outcome.<br />Subjects and methods: Design: This quasi-experimental study was conducted in maternity<br />Unit in El-Nabawy El Mohandes Hospital, Fayoum governorate and in Al-Galaa hospital,<br />Cairo governorate; on 100 full term parturient Muslim women were classified into two<br />groups, intervention (n.50) and control (n.50). The intervention group was listened to Quran<br />recitation by a CD-player through an occlusive headphone. Socio- demographic and obstetric<br />data ,Labor progress and outcome assessment, Visual analog pain severity scale, visual<br />analog scale for anxiety, The Pain Coping Scale were used as research tools. Results: study<br />illustrated that the mean duration of first stage of labor ,mean score of anxiety was<br />significantly lower, Meanwhile mean pain coping score, spontaneous vaginal delivery were<br />significantly higher in Quran group. Conclusion: Listening to Quran during labor, appears to<br />be an effective in reducing anxiety, magnify ability to cope pain, leading to spontaneous<br />vaginal delivery. Recommendations: Quran can enrich the non-pharmacological pain<br />management in labor.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Mindful Parenting Training for Parents with Children Having Attention Deficit Hyperactivity Disorder on Parenting Stress162913511910.21608/ejhc.2021.135119ENRaniaS. ElgendyPsychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, EgyptMaalyI. El MalkyPsychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, EgyptSabahM. EbrahemPsychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, EgyptJournal Article20210103Background: Attention deficit hyperactivity disorder affecting both children and<br />their parents. This study aimed to evaluate the effect of mindful parenting training for<br />parents with children having attention deficit hyperactivity disorder on parenting stress.<br />Quasi-experimental pre-test–post-test control group design has been implemented. A<br />purposive sample has been used to select 100 parents (mothers or fathers) of children with<br />attention deficit hyperactivity disorder. This study has been carried out at the psychiatric<br />outpatient clinic of Menoufia University Hospital at Shebin El-kom District, Menoufia<br />Governorate, Egypt. Three tools were used to gather the data; A structured interviewing<br />questionnaire to assess socio-demographic characteristics of the parents and children<br />characteristics, Parenting Stress Index – Short Form, and Interpersonal mindfulness in<br />parenting scale. The results revealed that there was a highly statistically significant reduction<br />in the total mean score of parenting stress among the study group after the intervention<br />compared to the control group where p value (p = 0.001), and there was a statistical<br />significant improvement in the level of mindfulness in parenting of the study group after the<br />intervention compared to the control group. It was concluded that the mindful parenting<br />training had statistically significant positive effect on reducing parenting stress and<br />improving level of mindfulness of parents with children having attention deficit hyperactivity<br />disorder. Recommendation: mindful parenting training should be incorporated into current<br />treatment guidelines as a psychosocial option for families with attention deficit hyperactivity<br />disorderAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Accuracy of purple line to monitor labour progress: Longitudinal study304413512010.21608/ejhc.2021.135120ENRaniaEid FarragMaternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, EgyptNadiaAbd ElHamed EltohamyMaternal and Newborn Health Nursing, Faculty of Nursing, Helwan University, EgyptJournal Article20210103Background: Precise evaluation of labour progresses can help mothers to be<br />consulted on time and decrease maternal and neonatal morbidities. The purple line is non<br />invasive methods to assess labour progress. The current study aimed to assign appearance<br />percentage of the purple line during the first stage of labour, as well as the accuracy of the<br />purple line to predict labour progress. Design: Longitudinal design was adopted. A purposive<br />sampling method has been employed to recruit 120 labouring women at the obstetric<br />department in El-Nabawy El Mohandes Hospital, Fayoum. Three tools of data collection<br />were used: structure interviewing questionnaire, purple line observation record and<br />partograph. Results: revealed that, the purple line appears among about four fifth of the total<br />sample. A medium positive association was found among the purple line length, dilatations<br />of the cervix and fetal stations. The purple line appearance in the expectation of labour<br />progress had 87.91% sensitivity, 39.53% specificity and 85.25% accuracy. In addition, the<br />purple line was more significantly in a spontaneous labouring woman and no significant<br />association between parity, women age, BMI, fetal birth weight and the existence of the<br />purple lines. Conclusion: The purple line is useful in assisting the health care providers in<br />assessing and determining labour progress and lessen the number of vaginal examinations,<br />particularly at consideration of females who refuse or feel that the examining intrusive.<br />Recommendation: Integration between vaginal examination and purple line to evaluate the<br />labour progress to reduce the vaginal examination rate and its risk. Further research still<br />needed to identify the accuracy of other noninvasive methods to assess the labour progress.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Non Pharmacological Interventions on Pain and Skin Erythema Associated with Cellulitis455313512110.21608/ejhc.2021.135121ENTarekMahmoud Shaker MohameMedical Surgical Nursing, Faculty of Nursing, Mansoura UniversityJournal Article20210103Background: in this study the researcher describes effect of applying non<br />pharmacological interventions including cold application and on pain and skin erythema<br />associated with cellulitis. Purpose: this study aimed to evaluate the effect of non<br />pharmacological interventions on pain and skin erythema associated with cellulitis. Design:<br />Experimental design was utilized in this study, at male and female medical departments in the<br />New General Mansoura hospital, Dakahlia Governorate, Egypt. Subjects: A purposive sample<br />included (64) patients diagnosed of cellulits, admitted to inpatient ward and willing to<br />participate included in the study.Those patients are randomly divided into two equal groups<br />(study& control); study group used non pharmacological intervention for 20 minutes two times<br />per day for 5 consecutive days plus pharmacological treatment, while control group used<br />pharmacological treatment only. Tools: Two tools were used to assess pain and skin erythema<br />associated with celluitis. Visual Analog Scale (VAS), which is utilized to detect pain level.<br />While skin erythema (inflammation regression) was assessed by measuring level of superior<br />edge moved down by labeling superior edge by ink pen before starting study and after<br />completing the study to calculate shrinked area (inflammation regression). Results: There<br />was significant reduction regarding pain level and skin erythema (inflammation) surface area<br />among study group compared to control group. Conclusion/implication for future practice:<br />non pharmacological interventions could be combined with pharmacological treatment to<br />reduce cellulitis pain and skin erythema. Recommendations: educational program to nursing<br />staff about non pharmacological interventions as nurses can aid in pain management after good<br />training by applying non pharmacological interventions for patients who have no<br />contraindications.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of training sessions about Full Outline of Un-Responsiveness scale compared to Glasgow Coma Scale on nurses’ performance, perception and its reliability547213512210.21608/ejhc.2021.135122ENAzzaAbd Elrazek BarakaAssistant Professor of Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Egypt
2. Assistant Professor of Critical Care and Emergency Nursing, College of Nursing, King Saud bin Abdulaziz University for Health Sciences, Al-Ahsa, Saudi Arabia
3. King Abdullah International Medical Research Center, Al-Ahsa, Saudi ArabiaSamahA. ShalabyAssistant Professor of Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, EgyptJournal Article20210103Background: Assessing patients’ level of consciousness in intensive care units<br />(ICUs) through Full Outline of Un-Responsiveness (FOUR) scale versus the Glasgow Coma<br />Scale (GCS) requires critical care nurses’ (CCNs) knowledge and skills to detect deterioration<br />of patients’ level of consciousness. Objectives: To evaluate the effect of implementing<br />training sessions on critical care nurses’ performance and perception regarding FOUR scale<br />compared to GCS and reliability of each one. Research hypotheses: Nurses who attend<br />training sessions will show a significant improvement in performance of FOUR scale<br />compared to GCS. Study design: A pretest posttest study design was used in this study.<br />Method: The study was conducted at seven ICUs at Alexandria Main University Hospital<br />including; Unit I, Unit II, Unit III, Medical, Respiratory, Neurosurgery, and Emergency<br />anesthesia ICUs. Subject: A convenient sampling technique of all CCNs (100) and a<br />purposive sample of adult critically ill patients equivalent to the number of nurses’ sample was<br />used to recruit the participants from previously mentioned CCUs. Results: The implemented<br />training sessions were significantly effective in increasing CCNs’ performance and positive<br />perception of FOUR scale compared to GCS. There was overall higher inter-rater reliability<br />regarding FOUR score than that of GCS score Cohen’s kappa (0.92 versus 0.81) and 83% of<br />nurses agreed that FOUR scale is a preferred scale to assess the depth of coma. Conclusion:<br />training sessions were significantly effective in increasing CCNs’ performance and positive<br />perception regarding FOUR scale compared to GCS. Recommendation: Nursing<br />administrators should provide continuous training sessions. Manual for procedures is advised<br />to be distributed to all CCNs including all methods for assessing patients’ level of<br />consciousness (LOC).Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Nursing Intervention on Severity of Constipation among Elderly People at Sohag Geriatric Club, Egypt738313512310.21608/ejhc.2021.135123ENShimaaHassan Abd El -FatahDepartment of Gerontological Nursing, Faculty of Nursing, Sohag University, Egypt.HebaMohamed FahmyDepartment of Gerontological Nursing, Faculty of Nursing, Assiut University, EgyptWalaaHassan Abd AlfatahDepartment of Community Nursing, Faculty of Nursing, Assiut University, Egypt.Journal Article20210103Background: Constipation is a common digestive problem in elderly people. Study<br />Aim: The aim of this study was to assess the effect of nursing intervention on the severity of<br />constipation among elderly people at Sohag geriatric club. Design: A quasi-experimental<br />research design was utilized. Setting: The study was conducted at Sohag geriatric club.<br />Subjects: The study sample consisted of elderly participants were 244 (male & female) was<br />selected by convenient sample; the nursing intervention was applied on all elders who had<br />constipation (84) after assessment phase. Tools of data collection: two proper tools were<br />used, tool (I): consisted of two parts A) socio-demographic characteristics of older adults e.g.<br />age, sex, education level, part (2): medical and nutritional history. Tool (II): Constipation<br />assessment scale to measure constipation severity. Results: about one third (34.4%) of<br />elderly were having constipation, also the study revealed that, there was highly statistical<br />significant improvement in severity of constipation before and after application the nursing<br />intervention. Conclusion: The study concluded that nursing intervention effective to<br />decrease severity of constipation among elderly with constipation. Recommendation<br />Application of nursing intervention to manage and decrease the severity of constipation<br />among elderly people and importance of implementing periodic health education program for<br />gerontological nurses, other health care providers and caregivers about management and<br />prevention of constipation among elderly people.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Otago Exercise Program (OEP): A Golden Technique on Health Status and Risk of Falls among Older Adults with Chronic Diseases8410413811910.21608/ejhc.2021.138119ENEmanMohamed Ebrahim Abd-ElraziekGeriatric Nursing Department, Faculty of Nursing, Aswan University, Egypt. Currently Faculty of
Nursing, Jazan University, KSASamarAhmed MahmoudLecturer in Community Health Nursing Department, Faculty of Nursing, Aswan University, EgyptShimaaHassan Abd El-FatahLecturer in Gerontological Nursing Department, Faculty of Nursing, Sohag University, EgyptJournal Article20210110Background: Fall is a worldwide health problem, leading cause of disability, resulted<br />from declining physical functionamong elderly people. Otago exercise is a strength and<br />balance program designed to prevent falls and enhance health status among the elderly. Aim:<br />to appraise the effect Otago Exercise Program (OEP) on health status and risk of fall among<br />older adults with chronic disease. Design: A quasi-experimental research design was<br />utilized. Setting: The study was conducted at outpatient clinics at Aswan University<br />Hospital. Sampling: A purposive sample of 48 elderly patients was recruited in this study.<br />Tools of data collection: Three tools were used. Tool I: A structured interview questionnaire<br />sheet includes two parts; part 1.sociodemographiccharacteristics e.g. age, sex, education<br />level, part (2): clinical data includehistory of medical diseases, mobility, activities of daily<br />living and falling. Tool II: The short from 12 health survey (SF-12) to measure health status.<br />Tool III: Timed Up and Go Test (TUGT) to measure risk of fall. Results: There was a<br />statistically significant difference in both health status and risk of fall total scores among<br />studied subjects pre and post OEP.Concerning predictors of health status, it was found that,<br />OEP, arthritis and medication number were statistically significant predictors of health status<br />(ß= 0.624, p= 0.028), (ß= -2.935, p= 0.014) & (ß= -4.453, p=. 0.005) respectively.<br />Meanwhile, fall predictors were OEP (ß=-1.067, p= 0.011), age(ß=0.246, p=<br />0.042),medication number (ß= 6.763, p= 0.005)and frequencies of fall in the past year (ß=<br />2.585, p= 0.010). Conclusion: The study concluded that application of OEP is appropriate<br />way of improving health status and decreasing of risk of falls among older adults with<br />chronic disease. Recommendation: This study recommended implementing OEP as part of<br />routine primary care service provided for older adults.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effects of Home Confinement due to COVID-19 on Physical, Social and Psychological status of Children and Adolescents'10512013812010.21608/ejhc.2021.138120ENKhadigaZ.MoustafaLecturer of Pediatric Nursing, Faculty of Nursing, Zagazig University. Egypt and
Assistant Professor Taif University, Saudi ArabiaBataaM. MohamedLecturer of Pediatric Nursing, Faculty of Nursing, Zagazig University, EgyptAmiraA. El- HoufeyAssistant Professor of Community Health Nursing, Faculty of Nursing, Assiut University, Egypt and
Assistant Professor of Community Health Nursing, Faculty of Nursing, University College of Aldarb, Jazan University, KSAJournal Article20210110Background: The rapid expansion of corona virus (COVID-19) pandemic and inability in<br />most countries to control it in finding out an effective treatment or vaccine to prevent it,<br />resulted in worldwide recourse to committing people to remain at home for a long time, which<br />had many negative effects on individuals in all aspects of health. Aim of the study was to<br />evaluate effects of home confinement during COVID-19 outbreak on the physical, social and<br />psychosocial status of children and adolescents. A descriptive cross sectional design was used<br />in carrying out the present study; the data were collected from a convenient sample of 183<br />children and adolescents' survey, which distributed electronically. The survey targeted the<br />preparatory, secondary schools and university students send online via Egypt and Saudi<br />Arabia portals. A structured questionnaire that consists of personal characteristics of the<br />studied sample; plus effects of home confinement on physical activity; social and<br />psychological status children and adolescent. The results revealed that studied subjects<br />suffered from negative effects on physical, social and psychological status as result of home<br />confinement. This study concluded that home confinement due to COVID-19 which has<br />negative effect on physical status, social relations and worsening in the psychological<br />behaviors of children and adolescents. Therefore, this study recommended to design<br />educational interventions for children and adolescent to enable them to cope and adjust with<br />emergency health hazards.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Educational Intervention on Psychiatric Nurses’ Knowledge Regarding Ethical and Legal Issues for Psychiatric Patients12113913812110.21608/ejhc.2021.138121ENRashaMohammed HussienPsychiatric and mental health Nursing. Faculty of Nursing- Zagazig University, Egypt0000-0002-6050-2841FaridaMahmoud HassonaNursing Administration. Faculty of Nursing- Zagazig University, EgyptJournal Article20210110Background: Nurses’ knowledge of legal and ethical aspects of healthcare is essential for all<br />nursing professionals because nurses are expected to be professionally competent, providing<br />high-quality care in an ethical manner.Aim: To assess the effectsof an educational<br />interventionon psychiatric nurses’ knowledge regarding legal and ethical issues associated<br />with psychiatric patient treatment. Design:A quasi-experimental, single-group, pre-test–post<br />test design was used. Setting:Al-Abbasia Mental Health Hospital in Cairo, Egypt.Sample: A<br />convenience sample of 50 psychiatric nurses was recruited.Methods:Structured,self<br />administered knowledge questionnaire developed by the researchers was used to assess<br />psychiatric nurses’ knowledge levels regarding legal and ethical responsibilities.Results:<br />Nurses’ satisfactory knowledge before the intervention ranged between 4% for legal aspects<br />to 62% for violence and neglect. All areas of knowledge significantly improved after the<br />intervention, with satisfactory knowledge ranging between 76% for definitions to 98% for<br />neglect and unprofessional practices. Overall, only one (2%) nurse had satisfactory total<br />knowledge before the intervention, which increased to 90% after the intervention (p < 0.001).<br />Nurses’ knowledge before the intervention was significantly and positively correlated with<br />their qualifications. After the intervention, knowledge correlated negatively with their age and<br />years of experience.Conclusion:The educational intervention was effective for improving<br />psychiatric nurses’ knowledge of the legal and ethical issues associated with their practice.<br />Recommendations: This educational intervention is recommended for inclusion in the<br />orientation program for the hospital,and in-service education programs should be conducted<br />for nursing staff working in similar settings.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210111Effect of Empowerment program for caregivers on Quality life of children with Cerebral palsy14015513861110.21608/ejhc.2021.138611ENMervatAmin SayedAssistant Professor of Community Health Nursing, Faculty of Nursing, Fayoum UniversityHuwidaHamdy AbdelmonemLecturer of Pediatric Nursing, Faculty of Nursing, Fayoum UniversityFaransaAli AhmedLecturer of Pediatric Nursing, Faculty of Nursing. Assiut UniversityJournal Article20210111Background: Cerebral palsy (CP) is a multi-disorder which disturbs ability of child to<br />move, sustain posture and balance. Quality of life is increasingly recognized as a major<br />factor in determining a child’s health and well-being. There are many ways to enhance the<br />quality of life for children with (CP), such as empowering the caregivers. Aim: to evaluate<br />the effect of empowerment program for caregivers on quality life of children with cerebral<br />palsy. Design: A quasi-experimental research design (one group pre/posttest) was<br />conducted at neurology out- patient clinic of Children Hospital at Ain shams University<br />Hospital. Sample: A purposive sample consisted of 75 children and their caregivers at the<br />previously mentioned setting. Tools: Four tools were used as children and their caregivers’<br />demographic characteristics, activity of daily living, child quality of life inventory and<br />family empowerment scale. Results: revealed that 74.7% of the studied children were<br />partially dependent at total activities, while 50.7% of them were independent at post<br />program, detected through p value difference related to physical, emotional and social function at pre and post program at p < /div><br />value program related school function at p value >0.05. Conclusion: There was high significant<br />difference between mean scores at pre and post empowerment program for caregivers of<br />children with cerebral palsy at p value positive effect on quality life of their children. Recommendation: Preparing continuous<br />empowerment program for caregivers of children suffered from cerebral palsy.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of self-learning package on nurses knowledge and practices regarding patient care undergoing laparoscopic cholecystectomy15617013861210.21608/ejhc.2021.138612ENRashaAwad A’elamgied SalimeLecturer of Adult Health Care Nursing, Faculty of Nursing, Helwan University, EgyptTaghreedTalaat ShakweerAssistant Prof of Adult Health Care Nursing, Faculty of Nursing, Helwan University, EgyptJournal Article20210111Background: Nurses caring for patients undergoing cholecystectomy spend more time<br />with patients than do any other health care providers and patient outcomes are affected by<br />nursing care quality. Thus, improvements in patient safety can be achieved by improving<br />nurses' practice competence. Aim:to assess effects of the self-learning package (SLP) on<br />nurses’ knowledge and practices regarding patient care undergoing laparoscopic<br />cholesectomy.Setting:the study was carried out in saied Galal &Elhussien hospital at the<br />Alazhar University Hospitals. Method: A quasi-experimental research design was utilized to<br />conduct this study using a pretest-posttest and follow up test approach, using two tools to<br />conduct this study (knowledge questionnaire sheet & Observational checklist sheet<br />regarding patient care undergoing laproscopic cholecystectomy. A convenient sample of 60<br />nurses were selected to achieve the aim of the present study. Study results: results of this<br />study revealed that there were highly statistically significant differences with the increase<br />of the total scores of nurses' knowledge and practice pre/post pre/follow up and post/<br />follow up. The study concluded that, there was statistically significant positive effect of<br />SLP on nurses' knowledge and practice. As a result of this study, the study recommended;<br />conduction of further researches in this area in order to enrich, improve, & update nurse's<br />practice. Periodic in-service education program regarding nursing care for patient<br />undergoing laparoscopic cholecystectomy and self-learning package to be performed for<br />patients are recommended.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effectiveness of implementation of evidence-based educational intervention regarding chest tube on clinical patient’s outcomes in cardiothoracic care unit17119213861310.21608/ejhc.2021.138613ENRashaAwad A’elamgied SalimeLecturer of Adult Health Care Nursing, Faculty of Nursing, Helwan University, EgyptWafaaWahdan Abd El-AzizLecturer of Critical Care and Emergency Nursing Department, Faculty of Nursing, Mansoura University, EgyptHebaA. Al-MetyazidyAssistant Prof of Critical Care Nursing, Faculty of Nursing, Tanta University, EgyptSoheirM. WeheidaProf of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptJournal Article20210111Background: Ineffective evacuation of the accumulated intra-thoracic air and/or fluid<br />after cardiothoracic surgery may upsurge postoperative complications, morbidity, and<br />mortality. So, chest drains are a prevalent intervention for patients admitted to acute<br />respiratory or cardiothoracic care areas. Aim: To evaluate the effectiveness of nurses’<br />evidence-based educational intervention regarding the chest tube on clinical patient’s<br />outcomes in intensive cardiothoracic care. Setting: The study was carried out at the<br />cardio-thoracic care unit affiliated to Mansoura University Hospital. Method: A<br />quasi-experimental research design was utilized to conduct this study using a pretest<br />posttest approach. A convenience sample of 55 nurses and 60 patients were selected to<br />achieve the aim of the present study. The results revealed that there were a highly<br />statistically significant differences regarding total mean scores of nurses' knowledge<br />and practice pre and post implementation of evidence-based educational intervention.<br />Also there were an improvement in total mean scores of the patients’ outcomes<br />regarding chest tube. Conclusion: There was a statistical significant improvement in<br />nurses’ total mean knowledge and practice scores post evidence-based educational<br />intervention. Also, there was a statistically significant positive effect of nurses’<br />evidence-based educational intervention regarding the chest tube on clinical patient’s<br />outcomes in intensive cardiothoracic care. Recommendation: The nurses should<br />implement nursing care for patients undergoing cardiothoracic surgery based on<br />evidence based practice. The nurses must enroll into internal and external training<br />programs and attain and participate in conferences to renovate their knowledge and<br />practices regarding EBP about chest tube post cardiothoracic surgeryAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Improve Caregivers' Competency Level Regarding Care of Children Suffering from Hemophilia: An Educational Program19321213879310.21608/ejhc.2021.138793ENAmalGharib SebaqAssistant Professor of Pediatric Nursing, Faculty of Nursing, Benha University, Egypt.SafaaF. DerazAssistant Professor of Pediatric Nursing, Faculty of Nursing, Ain Shams University, Egypt.Journal Article20210112Background: Caregivers are an instrumental partner taking active participation in<br />affecting the nature and direction of care process of hemophilic children. Parental<br />competence and success in facing difficult circumstances may increase parental<br />self-efficacy and serve as a protective factor against negative outcomes for<br />children. Aim: The aim of this study was to evaluate the effect of an educational<br />program on improving caregiver's competence level regarding care of children<br />suffering from hemophilia. Design: A quasi-experimental design was utilized in<br />the current study. Settings: The study was conducted at inpatient pediatric<br />hematology units in Benha and Nile Health Insurance Hospitals. Sample: A<br />purposive sample of 50 caregivers (mainly mothers) accompanying their children<br />were selected from the above mentioned settings. Tools of data collection: Three<br />tools were used: A structured interviewing questionnaire sheet, mothers' reported<br />practices and parenting sense of competence scale. Results: There was a<br />significant increase in mothers' competency level after one and three months of<br />program implementation compared to pre-program. Conclusion: The educational<br />program was an effective method in improving mothers' knowledge, their reported<br />practices, and their competency level regarding care of children suffering from<br />hemophilia. Recommendation: Establish a regularly training program for mothers<br />who have children suffering from hemophilia and were newly diagnosed in order to<br />improve their competency regarding care of their childrenAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301The Effect of Implementing Initial Emergency Care Bundle on Early Outcomes among Acute Ischemic Stroke Patients21323413879510.21608/ejhc.2021.138795ENWafaaWahdan Abd El-Azizlecturers of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, EgyptHebaA. Al-MetyazidyAssistant Prof of Critical Care Nursing, Faculty of Nursing, Tanta University, EgyptHendElsayed MansourAssistant Prof of Critical Care Nursing, Faculty of Nursing, Tanta University, EgyptSoheirM. WeheidaProf of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt
and
lecturers of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20210112Implementing an initial emergency care bundle for acute stroke patients bridges the gap < /div><br />between evidence-based and clinical practice to improve patients outcomes. Aim: To<br />evaluate the effect of implementing the initial emergency care bundle on early outcomes<br />among acute stroke patients. Setting: This study was conducted at the emergency<br />department and neurocritical care unit at Mansoura University Hospital, Egypt. Method:<br />An experimental research design was utilized in this study. A random sample of 120 adults<br />patient with acute stroke was selected and divided into two equal groups of 60 patients in<br />each group. Two tools were utilized to collect data: Tool (I): Tool I: Stroke patient<br />assessment. Tool II: Stroke patients' outcomes assessment. Results: It was noticed that<br />nearly one-third (30.0%) of patients of the control group were died compared to only<br />11.7% of the study group during 7 days post-admission to the intensive care unit. Also,<br />there were highly statistically significant improvements among patients of both control and<br />study groups regarding patient outcomes which include physiological parameters, pre<br />feeding assessment, hydration status, and activity level on admission, 3 days, and 7 days<br />following implementation of stroke care bundle. Conclusions: Acute stroke patients who<br />received the initial emergency care bundle had a statistically significant reduction in<br />mortality rate, higher independency, and normal pre-feeding assessment compared to those<br />who receive routine care on admission, 3 days, and 7 days post-admission<br />Recommendations: The recent evidence-based practice should be integrated into the<br />management of acute stroke patients to improve the patients' outcomes.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Home Accidents Prevention and First aids Training Program on Elderly Caregivers' Knowledge and Practices23526113979710.21608/ejhc.2021.139797ENSallyMohammed Elsayed IbrahimGerontological Nursing Department, Faculty of Nursing, Mansoura University, EgyptJournal Article20210115Background: Safety is a major concern when providing care for elderly as they are<br />more susceptible to accidents and injuries than younger adults, So most home injuries can<br />be prevented through elderly caregivers training regarding home safety measures and first<br />aids practices. Aim: Evaluate the effect of home accidents prevention and first aids training<br />program on elderly caregivers' knowledge and practices. Design: A Quasi- Experimental<br />design (one group pre/post design) will be used in this study. Setting: The study was carried<br />out at Geriatric Outpatient Clinics in the Specialized Medical Hospital that affiliated to<br />Mansoura University and in General Hospital that affiliated to the Ministry of health at<br />Mansoura City. Subjects: This study was carried out on 50 elderly caregivers whose<br />selected from the previously mentioned setting Tools: Three tools were used in this study;<br />Elderly caregivers' demographic data structured interview schedule, Elderly caregivers'<br />home accidents prevention and first aids knowledge structured interview schedule and<br />Elderly caregivers' first aids practices observational checklist Results: The study revealed<br />that, about half of elderly caregivers fluctuated from 30 to less than 45 years, with the mean<br />age of 39.60 ± 10.95 years and female were constituted four fifth of them. Moreover,<br />significant improvement in elderly caregivers total knowledge scores regarding home<br />accident prevention and first aids and in total practices scores regarding first aids in dealing<br />with both fainting, fracture, bleeding ,wound , electrical accidents ,poisoning, choking, gas<br />suffocation and burn were detected after implementation of the training program (P=0.000).<br />Conclusion: The developed home accidents prevention and first aids training program<br />proved to be effective in improving knowledge and practices of elderly caregivers.<br />Recommendations: The developed home accidents prevention and first aids booklet should<br />be distributed to all elderly caregivers attending geriatric outpatient clinics at Mansoura city<br />through the responsible personal to raise their knowledge and practices.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Emotion-Focused Couple-Based Interventions on Wives Emotional Abuse and Marital Satisfaction26228313979910.21608/ejhc.2021.139799ENSabahH. El-AmrosyAssist.Prof. of Psychiatric and Mental Health Nursing, Faculty of Nursing, Menoufia University, EgyptSabahE. NadyLecturer of Community Health Nursing, Faculty of Nursing, Menoufia University, EgyptKariemaI. EL BerryLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Menoufia University, EgyptJournal Article20210115Background: Emotional abuse is a serious type of abuse and comprises a large part of<br />many couples’ lives. Marital relationship is in every society and is well-known as one of the<br />most important resources in human relationships. Emotional Abuse Behaviors and marital<br />satisfaction among married couples might be affected by an emotionally focused intervention.<br />Emotionally focused intervention for couples gives a chance for wives and husbands to achieve<br />adequate Foresight for their relationship of marriage and emotionally empower them to handle<br />their problems Aim: The study aimed to evaluate the effect of emotion-focused couple-based<br />interventions on the wives’ emotional abuse and marital satisfaction Design: A quasi<br />experimental research design with a pretest-posttest was used to achieve the aim of the study.<br />Setting: This study was conducted at the MCH center at El-Batanoon, Shebin EL-Kom,<br />Menoufia Governorate, Egypt. Sample: sample was 50 couples (100 participants). Data<br />collection: Three tools were used; Structured interview questionnaire, Gottman emotional<br />abuse scale, and marital satisfaction Scale. Results: Revealed that there is a highly statistically<br />significant difference in all marital satisfaction dimensions as emotional satisfaction, sexual<br />satisfaction, general satisfaction, economical, time spending satisfaction, and total marital<br />satisfaction score pre and post the emotionally focused interventions at (p-value = 0.001). Also,<br />there is a highly significant reduction in emotional abuse post the emotionally focused<br />interventions at p = 0.001 Conclusion: according to the results of the study, it was determined<br />that the Emotion-focused couple-based interventions help reduce the wives' emotional abuse<br />and improving marital satisfaction. Recommendations: Based on the findings of the present<br />study, implementation of the Emotion-focused couple-based interventions in the routine<br />treatments of Community Centers help reduce the wives' emotional abuse and improving<br />marital satisfactionAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Holistic Needs for Patients with Cancer and Suggested Nursing Guidelines28430013980110.21608/ejhc.2021.139801ENMahaDesoky Saleh SakrMedical Surgical Nursing, Faculty of Nursing, Zagazig University, Zagazig, EgyptRehabRagab BayomiMedical Surgical Nursing, Faculty of Nursing, Zagazig University, Zagazig, EgyptNadiaMohamed TahaMedical Surgical Nursing, Faculty of Nursing, Zagazig University, Zagazig, EgyptJournal Article20210115Background: Cancer is a significant concern for public health for millions of people<br />worldwide and it claims thousands of lives. Meeting the needs of cancer survivors in the long<br />term has become a significant concern for public health. This study aimed to assess holistic<br />needs for patient with cancer and suggest nursing guidelines. Descriptive design was used on<br />hundred patients with cancer admitted to viruses' outpatient unit, in Zagazig University<br />Hospital before receiving chemotherapy. Patient Interview Questionnaire was used to assess<br />patient condition including sociodemographic data, Patient knowledge about cancer, Needs<br />of patient with cancer by scale based on quality of life. Results: Half of the studied patients<br />had unsatisfactory knowledge about cancer while nearly three-quarters of the studied patients<br />had high needs, the highest needs was for Psychological needs more than four-fifths of the<br />studied sample followed by physical need about three quarter, near three quarter for spiritual<br />needs, and above three fifth for socio-economic needs. Conclusion: There was a statistical<br />significant relation between patients' level of knowledge, total needs and their socio<br />demographic characteristics. In addition there was statistical significant relation between<br />patients' total needs and their level of knowledge. Recommendation: conducting proposed<br />protocol of patient's holistic needs management that's evidenced – based should be<br />implemented and evaluated.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Pregnant Women' Knowledge and Attitude regarding Hepatitis B Virus Infection: a Structured Teaching Program30132414054610.21608/ejhc.2021.140546ENFatmaKamal AliObstetrics and Woman's Health Nursing, Faculty of Nursing, Benha University, EgyptHananAmin AliObstetrics and Woman's Health Nursing, Faculty of Nursing, Benha University, EgyptOlaAbdel-Wahab Afifi ArabyObstetrics and Woman's Health Nursing, Faculty of Nursing, Benha University, EgyptJournal Article20210117Background: Hepatitis B Virus infection is one of the world's most common viral<br />hepatitis and a significant global public health issue with varied prevalence across the world.<br />Aim of the research was to investigate the effectiveness of a structured teaching program on<br />pregnant women' knowledge and attitude regarding hepatitis B virus infection with<br />pregnancy. Design: A quasi-experimental research design was adopted. Setting: the research<br />was performed at an outpatient clinic for obstetrics and gynaecology affiliated to the Benha<br />University Hospital. Sample: A purposive sample of 220 pregnant women were recruited.<br />Tools: three tools were used for data collection; a structured self-administered questionnaire,<br />knowledge assessment sheet and modified likert scale for maternal attitude. Results:<br />illustrated that there was a highly statistically significant improvement in relation to pregnant<br />women’ knowledge and attitude regarding hepatitis B virus infection at post-intervention<br />phase compared to pre-intervention phase (P ≤ 0.001). As well, there were a positive highly<br />statistically significant correlation between total knowledge and total attitude scores at pre<br />intervention and post-intervention phases (P ≤ 0.001). Conclusion: the structured teaching<br />programme had a positive effect on the improvement of pregnant women' knowledge and<br />attitude regarding hepatitis B virus infection with pregnancy. Recommendations:<br />Educational program about hepatitis B virus infection should be a part of antenatal care for<br />every pregnant womanAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Cervical Cancer Relevant Knowledge and Preventive Behavior among Secondary School Females in Port Said City32533914187210.21608/ejhc.2021.141872ENNor El-HodaMohamed El-Sayed El-ShaboryMaternity, Gynecology and obstetrics, Faculty of Nursing, Port Said University, EgyptAzharAbdel–Fatah Mohamed ShehataDepartment of Community Health Nursing, Faculty of Nursing, Zagazig University, Egypt.ShymaaAbdel- Rahman Osman Abdel-HaleemMaternity, Gynecology and obstetrics, Faculty of Nursing, Port Said University, Egypt.Journal Article20210121Background: Cervical cancer remains a major public health problem, classifying<br />as the fourth mostly prevalent etiology of cancer incidence and mortality among<br />females all over the world. It is a preventable problem when applying suitable<br />surveying and prophylactic methods. Then, knowledge and awareness deficit cause<br />preventive methods loss. Objective: The current study aimed to assess cervical<br />cancer relevant knowledge and preventive behavior among secondary school<br />females in Port Said City. Method: A cross-sectional study was conducted in three<br />secondary schools in Port Said city. Participants were 250 female students selected<br />by systematic random sampling techniques. Data collected by questionnaires to<br />determine the knowledge of the adolescent girls on cervical cancer and its<br />prevention. Results: Only 21% of the students reported good knowledge level<br />concerning cervical cancer and 76.8% of the studied sample had inadequate level<br />of knowledge. The present study revealed unsatisfactory preventive behaviors<br />about cervical cancer. Conclusion and recommendation: The present study<br />revealed unsatisfactory cervical cancer and prevention behaviors knowledge as a<br />disease among the female students. Our research recommended that there is a need<br />for educational programs for secondary school females about cervical cancer and<br />prevention behaviorsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Post-Traumatic Stress Disorders and Burnout Syndrome among Community Paramedic Staff34036314187410.21608/ejhc.2021.141874ENDoaaAbd El Salam Amin YacoutAssistant professor, Community Health Nursing, Faculty of Nursing, Damanhour University, EgyptNeamaYousef MohamedAssistant professor, Community Health Nursing, Faculty of Nursing, Alexandria University, EgyptHananHosni El SherbiniAssistant professor, Community Health Nursing, Faculty of Nursing, Alexandria University, EgyptJournal Article20210121Background: Community health nursing specialties is continuously changed and<br />updated according to the community needs, ambulance paramedics staff is one of the<br />specialties in community health nursing, and they play a vital role in emergencies even<br />at home, they play a role in advancing home care which reduces the cost in the health<br />care system, they deal with serious conditions such as pandemic situation as in case of<br />COVID-19 pandemic nowadays. So, this group of staff must be studied to understand<br />the occupational problems that might be facing them and help them to deal with it.<br />Aims of the study: the current study aimed to assess the post-traumatic stress<br />disorders among paramedic staff, and to evaluate the burnout syndrome severity<br />among paramedic staff as a community paramedic. Material and Methods: A<br />descriptive exploratory research design was used. Settings: The study was carried out<br />at once out of the seven regions served by the Egyptian Ambulance Organization<br />(EAO) namely Alexandria region which serves three Egyptian governorates<br />(Alexandria, Matrouh and Beheira governorate). Subjects: All paramedic staff<br />working at the chosen settings and meet the inclusion criteria (68) was recruited in the<br />study. Tools: Data was collected through using three tools “Paramedic Staff Health<br />Profile and Sociodemographic Assessment Tool, Maslach Burnout Inventory – Human<br />Services Survey for Medical Personnel (MBI-HSS) Tool and the Clinician<br />administered Post Traumatic Stress Disorder Scale for DSM-5 (CAPS-5) Past Month<br />Version. Results: The current study indicate that the studied paramedic staff has<br />different degree of burnout syndrome and post-traumatic stress disorder with a<br />significant association with multivariable such as age, marital status level of education,<br />years of experiences, working hours per week, sleeping hours and their evaluation for<br />their health condition. Conclusion and Recommendations: it was concluded that, the<br />paramedic staff burnout inventory scale indicate that around one third of them have<br />high emotional exhaustion level, whereas, more than two fifths of them have low level<br />of personal accomplishment. Around one third have high level of depersonalization.<br />Furthermore, three quarters of the studied paramedic have mild, minimal distress or<br />disruption of activities followed by moderate, distress clearly present but still<br />manageable. It was recommended that, regular screening of paramedic staff should be<br />done for evaluating stress, depression, and anxiety. Proper management must be held at<br />early stage of symptoms of BOS and PTSD. Inservice stress management training<br />especially for invoice community paramedic staff must be executive to raise their<br />awareness regarding the possibility of PTSD and BOS and how to deal with.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Elastic Abdominal Binder on Post Cesarean Pain, Distress, Mobilization and Women’s Satisfaction36438214187510.21608/ejhc.2021.141875ENSamiaI HassanWoman's Health & Midwifery, Nursing Department, Faculty of Nursing, Mansoura University, EgyptNagwaIbrahim El-FeshawyWoman's Health & Midwifery, Nursing Department, Faculty of Nursing, Mansoura University, EgyptAfafHassan AhmedObstetric and Gynecologic Nursing, Faculty of Nursing, Alexandria University, EgyptJournal Article20210121Background: Abdominal binder (AB) is one of the most effective non<br />pharmacological method that decreases many adverse events after cesarean<br />deliveries as pain and distress, it can also improve physical function and increase<br />women's satisfaction. Aim of the study: This study aimed to assess the effect of<br />elastic abdominal binder on post cesarean pain, distress, mobilization and women's<br />satisfaction. Subjects and methods: Randomized Control Trial was utilized<br />comparing two groups of intervention (AB) and control group (a routine hospital<br />care). The study was carried out at New General Mansoura hospital specific at<br />inpatient departments, and operative room, Egypt, from September 2019 to March<br />2020. Data was collected through five tools, A Structured Interview Questionnaire<br />Schedule, the Numerical Rating Scale; Symptom Distress Scale ; 6MWT &women<br />satisfaction likert scale. Results: This study found that there was a highly<br />statistically significant difference about pain score in the 1st 8,24,48 hours after<br />delivery and after one week in the binder group than control group, Also, a highly<br />statistically significant difference in the distress symptoms in the 1st 24 hours and<br />in 48 hours as well as after one week from delivery, the present study reported that<br />there were a highly statistically significant different in the binder group versus the<br />non-binder group related to 6MWT in the 1st 8 hours and on postoperative 24hrs,<br />48hrs&1 week. Also, women in the binder group were satisfied by using it.<br />Conclusion: this study concluded that using AB after CS had a significantly<br />improvement in the post cesarean pain, lowering distress symptoms & foster<br />mobilization. Also, in early initiation of breast feeding. Recommendations:<br />Increase awareness of women health care providers about positive effect of<br />abdominal binder.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Pediatrics Basic Life Support Simulation training: Intern-ship Nursing Students' Performance and Self-Efficacy38340314188110.21608/ejhc.2021.141881ENDoaaBahig Anwr AklLecturer of Pediatric Nursing Department, Faculty of Nursing, Aswan UniversityMahaMahmoud SaadoonLecturer of Pediatric Nursing Department, Faculty of Nursing, Port Said University.ZahraAhmed SayedLecturer of critical Nursing Department, Faculty of Nursing, Aswan UniversityJournal Article20210121Background: Simulation is the imitation of a real-world process over time.<br />Theoretical education is not adequate alone for effective cardiopulmonary<br />resuscitation applying. So that the application must be given in accordance with<br />training and manual guidelines. Aim: to evaluate effectiveness of a simulation<br />based learning on nursing intern-ship students' performance and self-efficacy<br />regarding pediatrics basic life support. Design: quasi-experimental research design<br />was used. Setting: study conducted at Aswan University Hospital Training Center.<br />Study subject: Convenient sample of 100 nursing internship students of Nursing<br />Faculty, Aswan University at academic year 2019-2020 from October 2019 to<br />March2020.Data collection tools were included two basic tools, the first tool was<br />Nursing Internship student’s Performance regarding pediatric basic life support<br />that included socio-demographic characteristics, students ' knowledge, ' practice,<br />and the second tool was self-efficacy assessment. Results revealed marked<br />increase in nurses' total knowledge, practice and self-efficacy after implementation<br />of emergency pediatric basic life support compared to pretest with statistically<br />significant differences. Conclusions: simulation improved nursing student'<br />performance and self-efficacy regarding pediatric basic life support and enhance<br />the simulation integration as active learning methods to improve nursing students '<br />performance. Recommendations: Repeating stimulation based learning training<br />throughout nursing education to increase stimulation practices effectiveness.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301The Relation between Gestational Age and Anthropometric Measurements among Newborns40441714188310.21608/ejhc.2021.141883ENManalMohamed Ahmed AyedPediatric Nursing, Faculty of Nursing, Sohag University, EgyptRaniaMohamed Gad El-BastweseCommunity Health Nursing, Faculty of Nursing, Mansoura University. EgyptThoreaMohamed MahmoudCommunity Health Nursing, Faculty of Nursing, Sohag University, EgyptAminaMohamed ThabetPediatric Nursing, Faculty of Nursing, Sohag University, Sohag, EgyptManalFarouk MohamedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Suez Canal University, EgyptJournal Article20210121Background: Growth monitoring and assessing its parameters have an important<br />role because accurate gestational age and growth measurements are important<br />which reflects standard growth and morbidity, and mortality in newborns is<br />directly, linked with gestational age and anthropometric measurements. This study<br />aimed to investigate the relationship between gestational age and anthropometric<br />measurements among newborns. Design: A cross-sectional study was conducted in<br />the Obstetrics and Gynecology ward at Sohag University Hospital, from Dar El –<br />Salam Abed- Allah Maternal and Child Health Center at Sohag City and Maternal<br />and Child Health Center at Talkha City belonging to Dakhahlia Governorate within<br />six months, including 280 newborns. Tools: A structured questionnaire,<br />anthropometric measurement, and percentile charts from the 10th, 50th, and 90th<br />percentiles were utilized for collecting the data. A positive correlation was found<br />between gestational age and anthropometric variables. Conclusion: A positive<br />correlation between gestational age and anthropometric measurements among<br />newborns, and anthropometric variables can be used as simple tools for predicting<br />gestational ageAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Iron Deficiency Anemia on Academic Performance among Primary School Children41843214188510.21608/ejhc.2021.141885ENManalMohamed Ahmed AyedAssistant Professor at Pediatric Nursing Department, Faculty of Nursing, Sohag University, EgyptAmelAbd Elaziem MohamedLecture of Community Health Nursing Beni- Suef University, EgyptHuwidaHamdy Abd El-MonemLecture of Pediatric Nursing Department, Faculty of Nursing, El-Fayoum University, Egypt.Journal Article20210121Introduction: anemia due to iron deficiency is considered a common global risk<br />between primary school children that have a serious effect on their academic<br />performance. The current study aim was to investigate the effect of iron deficiency<br />anemia on academic performance among primary school children. Design: A<br />descriptive cross-sectional correlational research design was used. Materials and<br />methods: included 720 primary school children who selected randomly from two<br />primary schools at Sohag city in October 2019 aged 6 to 12 years. Tools: A<br />structured questionnaire filled in by the parents and the Raven Standards<br />Progressive Matrices test was used to measure cognitive function and school<br />academic performance. Iron level was determined by measuring hemoglobin and<br />serum ferritin concentrations. Results: In this study most of primary school<br />children 82.0% suffered from intellectual deficit. Academic performance on the<br />Raven Standards Progressive Matrices test was associated significantly with<br />anemia due to iron deficit (p=0.035). A positive significant relationship was found<br />between ferritin values and academic performance between children (p=0.001).<br />Conclusion: anemia due to iron deficiency anemia between children had effect on<br />academic performance impairments. Recommendation: Encourage health<br />educational program for parents about children’s nutritional requirements specially<br />iron requirement and frequent blood testing is required.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Knowledge, Attitude, and Emotional Problems Regarding COVID-19 among Undergraduate Nursing Students43344714188810.21608/ejhc.2021.141888ENSafaaMustafa MohamedLecturer of Psychiatric Nursing, Faculty of Nursing, Sohag University, EgyptEnaceMohamed Abd ElaalLecturer of Medical-Surgical Nursing, Faculty of Nursing, Sohag University, EgyptEmanEzz Elregal Ibrahim EisaAssistant professor of Family and Community Health nursing, Faculty of Nursing, Damietta University, EgyptMonaGamal Abd Elnaser AhmedLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, ZagaZig University, EgyptJournal Article20210121Background: Undergraduate nursing students considered from the most vulnerable<br />group who are at risk for SARS-CoV-2 infection. To protect undergraduate nursing<br />students' healthcare authorities should keep them away from stress and anxiety and<br />improve their knowledge, attitude, and practice towards COVID-19. The study<br />aimed to assess knowledge, attitude, and emotional problems regarding COVID-19<br />among undergraduate nursing students. Methods: Design: A descriptive, web<br />based-cross-sectional study was used. A convenient sample of all 280<br />undergraduate nursing students in the Faculty of Nursing Sohag University was<br />included in the study from 20 June to 2 July 2020. Tools: A self-administered<br />related questionnaire was designed using Google forms regarding the COVID-19<br />related KA, the link of the survey was sent to the respondents via Whatsapp groups<br />and depression, anxiety, and Stress Scale (DASS). Results: The majority of the<br />undergraduate nursing students were knowledgeable about COVID-19 which<br />indicating a high level of knowledge and indicating optimistic attitudes. As regard<br />emotional problems, the result presents that 70 % of the undergraduate nursing<br />students suffered from a moderate level of stress, while only 11 % were normal.<br />Regarding anxiety level, detected that 60 % of the undergraduate nursing students<br />suffered from moderate anxiety, while 18 % of them were normal. Related to<br />depression level, 35 % of undergraduate nursing students suffered from a moderate<br />level of depression. Conclusion: more than two-thirds of undergraduates nursing<br />students suffered from a moderate level of stress, less than two-thirds of them<br />suffered from moderate anxiety, while around one-tenth of them were normal, and<br />more than one third of them suffered from a moderate level of depression.<br />Recommendations: the study suggested the need for additional research on<br />predictive factors affecting people's stress in the era of COVID-19 outbreak and<br />carried out intervention activities through various mediums to help undergraduates<br />nursing students become more knowledgeable during the COVID-19 epidemic.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Health Awareness Package to Avert Helicobacter Pylori Infection among Family Members44847014223310.21608/ejhc.2021.142233ENDoniaAtef IbrahiemLecturer of Community Health Nursing, Faculty of Nursing, Helwan UniversityAmanyMohamed SaadAssistant professor of Community Health Nursing, Faculty of Nursing, Helwan University, Cairo, EgyptJournal Article20210122Helicobacter pylori are common bacteria that cause pain and may lead to ulcers or<br />stomach cancer. The awareness package is a process that educates family members<br />to promote their knowledge and practice towards the prevention of infection.<br />Aim: Evaluate the effect of a health awareness package to avert helicobacter pylori<br />infection among family members. Design: A quasi-experimental design was<br />utilized. Setting: The study was carried out in the internal medicine outpatient<br />clinic at Helwan General Hospital. Sample: A purposive sample includes seventy<br />five family members. Tools: An interview questionnaire was used, it included three<br />parts: Part I. Family member's socio-demographic characteristics. Part II.<br />Knowledge about Helicobacter pylori infection. Part III. Reported practices.<br />Results: Slightly three-quarters of the family members’ had poor knowledge pre<br />package, while more than three- quarters of them had good knowledge after the<br />health awareness package. Also, there was a radical satisfactory improvement<br />among the majority of family members’ total score of reported practices after the<br />health awareness package in the post-test rather than of the pre-test. (P-value =<br />0.000). There was a statistically significant strong direct correlation between total<br />scores of pre and post-knowledge and reported practices of health awareness<br />package (p > 0.001). There were highly statistically significant relationships<br />between family members’ total scores of knowledge and reported practices and<br />socio-demographic characteristics. Conclusion: Utilization of health awareness<br />packages achieving significant improvements in the family members’ knowledge<br />and practice. Also, there was a positive correlation between total scores of<br />knowledge and reported family members’ practices and their socio-demographic<br />characteristics. Recommendations: Healthy hygienic guidelines are needed to<br />avert the incidence of H. Pylori infection and strengthen the knowledge and<br />practices among high-risk populations and low socioeconomic familiesAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301First Line Nurse Managers' Managerial Competency and its Relationship with their Staff Nurses' Work Engagement at Main Mansoura University Hospital.47148514270010.21608/ejhc.2021.142700ENMaysaFekry AhmedNursing Administration, Faculty of Nursing, Mansoura University.AsmaaMoustafa Abd-ElGhaniNursing Administration, Faculty of Nursing, Mansoura University.Journal Article20210124Background: Managing healthcare complexity and challenges requires competent<br />first-line nurse managers to apply their managerial functions, which are called managerial<br />competency that can impact the achievement of hospitals, especially at the unit level. First<br />line nurse managers are the main individual in building, preserving a healthy work setting,<br />and achieving optimal work engagement of their staffا. Aim: The current study aims to<br />investigate first line nurse managers' managerial competency and its relationship with their<br />staff nurses' work engagement at Main Mansoura University Hospital. Design: A descriptive<br />correlational design was utilized setting: The study was carried out at all general medical<br />and surgical units at Main Mansoura University Hospital (MMUH). Subject: The total<br />sample was 110 staff nurses. Tools: Two tools were utilized in this study, First-Line Nurse<br />Managers' Managerial Competency Scale and Utrecht Work Engagement Scale. Results:<br />The major findings of this study indicated that statistical significant positive relation between<br />staff nurses' perception of their first line nurse managers' managerial competency and their<br />work engagement. The highest percent of staff nurses showed moderate level of managerial<br />competency and work engagement. Conclusion: Based on the results of this study, we can<br />conclude that there is a probability of refining the work engagement of staff nurses through<br />improving their first line nurse managers' managerial competency. Recommendations: First<br />line nurse managers should become aware of changing their functions and responsibilities.<br />Top-line managers should support and encourage first-line nurse managers to participate in<br />continuing education programs. To promote staff nurses' work engagement, it is necessary to<br />improve their first line nurse managers’ managerial competencies.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Family Empowerment Nursing Intervention on Caregivers' Strains and Health-Related Quality of Life of Children with Hepatitis C48650014273710.21608/ejhc.2021.142737ENHematMostafa AmerFamily and Community Health Nursing, Faculty of Nursing, Menoufia University, EgyptAlyaaHosam El Din SalamaPediatric Nursing, Faculty of Nursing, Menoufia University, Egypt.RedaA. El FeshawyPediatric Nursing, Faculty of Nursing, Menoufia University, Egypt.SamiaAli El-NagarFamily and Community Health Nursing, Faculty of Nursing, Menoufia University, EgyptJournal Article20210124Background: Hepatitis C virus infection is a community and pediatric problems,<br />needs for supporting their mothers to decrease their strains and powering their children<br />quality of life. Aim: To examine effect of family empowerment nursing intervention on<br />caregivers' strains and health-related quality of life of children with hepatitis C. Design: A<br />quasi-experimental research design. Setting: The study was carried out at outpatient clinics<br />in National Liver Institute at Shebin El-Kom, Menoufia University, Egypt. Sample:<br />Purposive sample composed of 160 caregivers and their children with hepatitis C were<br />recruited. Tools of the study: 1. Structured interviewing questionnaire. 2. Modified Index of<br />Caregivers' Strain 3. Pediatric Quality of Life Inventory Version 4. Results: The main<br />findings of current study showed that at pre family empowerment intervention, most (90%)<br />of family caregivers had suffering from high level of strains while only 10% had low level of<br />strains compared to post family empowerment intervention, there was statistically significant<br />decreased in high level of caregivers' strain. Additionally, there was statistical significance<br />improvement in the quality of life of children having hepatitis C; at post family<br />empowerment intervention compared to pre intervention. Conclusion: Family empowerment<br />intervention was effective in reducing family caregivers' feeling of strain and enhances<br />health related quality of life in children with hepatitis C. Recommendations: The need for<br />establishing health education units in every outpatient clinics to provide therapeutic<br />education to children and their family caregiversAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of an Educational Program for Patients after Retinal Detachment Surgery on their Performance and Postoperative Pain Management50153014345410.21608/ejhc.2021.143454ENHalaAbd El-Salam ShetaAssistant Professor of Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt.NehalM.Abo El-FadlLecturer of Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt.Journal Article20210126Background: Retinal detachment describes an emergency situation in which a thin layer<br />of tissue (the retina) at the back of the eye pulls away from its normal position. Retinal<br />detachment separates the retinal cells from the layer of blood vessels that provides oxygen<br />and nourishment. The longer retinal detachment left untreated, the greater the risk of<br />permanent vision loss in the affected eye. Aim: The study aimed to evaluate the effect of<br />an educational program for patients after retinal detachment surgery on their performance<br />and postoperative pain management. Methods: The following hypotheses were formulated<br />to achieve the study aim. H1: Performance of the study group will be improved post<br />program implementation than the control group. H2: The study group will be able to<br />manage pain post program implementation than the control group. H3: There will be<br />significant correlation between patients’ performance and pain management post program<br />implementation for the study group. A quasi-experimental research design was utilized to<br />conduct the current study in the ophthalmology department at Benha University Hospital.<br />A purposive sample of (100) adult patients post retinal detachment surgery were included<br />in this study. Three tools were used, the patients’ knowledge assessment questionnaire, the<br />patients’ practice observational checklist regarding eye care and visual pain analogue scale<br />to assess pain severity. Results: This study shows that most patients had an unsatisfactory<br />level of total knowledge and inadequate total practice regarding the postoperative pain<br />management after retinal detachment surgery pre-program implementation (68% and<br />76%). This result improved significantly regarding all knowledge and practice elements<br />post-program implementation, where the majority of the patients had a satisfactory level of<br />their total knowledge and adequate total practice (78% and 75%). Conclusion: The<br />majority of the studied patients had an unsatisfactory performance level (knowledge and<br />practice) concerning postoperative pain management after retinal detachment surgery pre<br />program implementation. In contrast, most of the studied patients had statistically<br />significant improvement in their performance post program implementation. Also, there<br />was a significant positive correlation between patients’ performance and pain management<br />post program implementation that supports the research hypotheses. The study<br />recommended continuous in-service training programs and repeating the study on a high<br />probability sample to achieve generalization of the findings.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Self- Care Management Strategy on SelfEfficacy for Patients with Myasthenia Gravis53155314345510.21608/ejhc.2021.143455ENSafaaMohamed HamedLecturer of Medical -Surgical Nursing -Faculty of Nursing - Benha UniversityRawiaAli IbrahimLecturer of Medical -Surgical Nursing -Faculty of Nursing - Benha UniversityJournal Article20210126Myasthenia gravis (MG) is a chronic, auto-immune disease of the neuromuscular<br />junction. The incidence is estimated to be 30 per 1,000,000 people per year<br />worldwide. Aim: the study aimed to evaluate the effect of self- care management<br />strategy on self- efficacy for patients with myasthenia gravis. Design: Quasi<br />experimental design was utilized in this study .Setting :The study was carried out<br />at the neurological departments and neurology outpatient clinic at Benha University<br />Hospital during the period from the beginning of june2019 to the end of june2020.<br />Sample :purposive sample of 50 patients. Tools: four tools used to collect the<br />study data .These are structured interview questionnaire to assess patients'<br />knowledge regarding myasthenia gravis, MG Activities of Daily Living Scale,<br />fatigue severity scale and general self-efficacy scale Results :showed that the<br />majority of the study sample were females , married , were living in rural area with<br />family and half of them have secondary education, statistically significant<br />difference in term of increased in mean score of total knowledge among study<br />sample, as well as a decrease in total mean score of MG activity of daily living,<br />besides, lower degree of fatigue and improve level of self –efficacy for MG patient<br />after self –care management strategy implementation .Conclusion :Implementing<br />a self-care management strategy for patients with myasthenia gravis was effective<br />in improving knowledge, MG activity of daily living score, self-efficacy and<br />decrease level of fatigue. Recommendation : Replication of the current study on<br />larger probability sample is recommended to achieve generalizability and broader<br />utilization of the designed programAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Prevalence and Association of Malnutrition with Lifestyle practices of Primary School Children in Assiut City55457514345810.21608/ejhc.2021.143458ENSalwaAli MarzoukPhD, Assistant Professor of Pediatric Nursing Faculty of Nursing, Assiut University, EgyptYoussriaEl-sayedPhD, Assistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University. EgyptMedhatA. SalehPhD, Professor of Public Health and Community Medicine, Faculty of Medicine, Assiut University. EgyptOsamaM. El-AsheerPhD, Assistant Professor of Pediatrics Faculty of Medicine, Assiut University, EgyptThoreaM. MohmoudPhD, Assistant Professor of Community Health Nursing, Faculty of Nursing, Sohag University, EgyptAminaM. MohamedPhD, Assistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University. EgyptJournal Article20210126Coexistence of obesity and underweight in children is a public health challenge,<br />and in order for a child to develop into a healthy adult, he must follow healthy<br />lifestyle practices in all aspects: nutrition, physical activity and recreation. This<br />study aimed to determine prevalence of overweight/obesity, underweight and<br />stunting among primary school children in Assiut city as well as to assess their<br />association with lifestyle practices Subjects and Methods: A descriptive<br />correlational study design conducted in Assiut city. Four schools were randomly<br />selected (two public and two private) and 850 children from the last three grades<br />were included in the study. A self-administered questionnaire was designed to<br />assess personal data, lifestyle practice and anthropometric characteristics. Results:<br />The prevalence of underweight, overweight and stunting of primary school children<br />were 41.2%, 14.4% and 13.8%, respectively. These proportions were high among<br />males versus females without significant difference and were affected significantly<br />by age (p < 0.05). Frequency of meals >3 times, always eating during screening<br />time, irregular physical activity, not eating vegetables or breakfast and consumed<br />snacks regularly were highly significant risk factors for being overweight/obese (P<br /><0.001). Whereas, no association between most life style practices and stunting.<br />Conclusion: The prevalence of stunting and underweight was high among boys,<br />while girls tend to be overweight / obese. These abnormal weight categories<br />(overweight/obesity and underweight) were significantly associated with lifestyle<br />practices of school children. Therefore, there is need to develop behavioral<br />approach policies to motivate children to change their unhealthy behaviors.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Influence of Premarital Counseling Regarding Consanguineous Marriage on Knowledge and Attitude among University Students57658614345910.21608/ejhc.2021.143459ENNagiaShawky Abd El-Samie EbidMaternity Nursing & Gynecology Department, Faculty of Nursing, Ain Shams UniversitySaharMossa SolimanDean Faculty of Nursing, Ain Shams UniversityKamiliaRagab Abo-ShabanaMaternity Nursing & Gynecology Department, Faculty of Nursing, Ain Shams UniversityNevinSamir MetwalyMaternity Nursing & Gynecology Department, Faculty of Nursing, Ain Shams UniversityJournal Article20210126Background: Consanguineous marriage is a tradition habit in Arab countries leading to<br />higher rates of autosomol recessive genetic disorders.<br />Aim of the study: to study the<br />influence of premarital counseling regarding consanguineous marriage on<br />knowledge and<br />attitude among university student<br />s. Methods: A quasi experimental design<br />was used.<br />Setting: The study was conducted in (Faculty of Nursing Ain Shams University) .Sample<br />type: A purposive sample was selected .Sample size: 178 students were included in the<br />study. Tools for data collection: two tools of data collection were used named Arabic<br />structured -administrated questionnaire sheet and Likert attitude scale. Results: the study<br />indicated that three fourth of studied sample had total correct knowledge and positive<br />attitude regarding consanguineous marriage post intervention. Conclusion: improvement<br />of student's knowledge and attitude after counselling sessions.<br />recommendations:<br />integrate premarital counseling concepts regarding consanguineous marriage at<br />undergraduate university education curriculumAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effects of Reflexology on Post-Operative Pain Severity after Laparoscopic Appendectomy for Patients at Surgical Units58760614346010.21608/ejhc.2021.143460ENNehalM.Abo El-FadlLecturer of Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt.Journal Article20210126Background: Reflexology is a type of massage that involves applying different<br />amounts of pressure to the feet, hands, and ears. It is based on a theory that, these<br />body parts are connected to certain organs and body systems. Aim: The study was<br />aimed to evaluate the effect of reflexology on post-operative pain severity after<br />laparoscopic appendectomy for patients at surgical units. Methods: A quasi<br />experimental research design was utilized to conduct this study in the general<br />surgery department at Benha University Hospital. A purposive sample of (60) adult<br />patients post laparoscopic appedectomy were included in this study. Three tools<br />were used; (Tool I) patients’ knowledge assessment questionnaire, (Tool II)<br />patients’ practice observational checklist and (Tool III) visual pain analogue scale<br />to assess pain severity. Results: This study showed that most patients (study group)<br />had an unsatisfactory level of total knowledge and inadequate total practice<br />regarding reflexology technique after laparoscopic appendectomy pre intervention<br />(22% and 2%). This result improved significantly regarding all knowledge and<br />practice elements post intervention, where the majority of patients (study group)<br />had satisfactory level of total knowledge and adequate total practice (82% and<br />95%). Also, there was marked improvement in pain severity among the study<br />group pre and post intervention.While, there was no improvement noticed in the<br />control group regarding their total knowledge, practice, and pain severity pre and<br />post intervention.Conclusion: The current study concluded that, performance of<br />the study group post intervention concerning pain severity has been greatly<br />improved after application of reflexology technique that supports the first and<br />second research hypotheses. Also, there was a significant negative correlation<br />between patients’ performance and pain severity immediate post intervention for<br />the study group that supports the third research hypothesis. The study<br />recommended continuous in-service training programs and repeating the study on<br />a high probability sample to achieve generalization of the findings.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effectiveness of Hoffman's Exercise on the Level of Breastfeeding among Primiparous Women with Inverted Nipple60762414353810.21608/ejhc.2021.143538ENNadiaYoussef Ahmed Abd-EllaLecturer of woman's health and midwifery nursing, Faculty of Nursing, Mansoura University EgyptShaimaaFouad MohammedLecturer of woman's health and midwifery nursing, Faculty of Nursing, Mansoura University EgyptJournal Article20210127Background: Breastfeeding is one of the most natural, beneficial and ideal form<br />for feeding newborns to promote their healthy growth and development as well as<br />for better maternal health. Some mothers facing the problem of nipple inversion<br />depleting them of being able to feed their babies as well as taking its advantages.<br />Aim: this study aimed to evaluate the effectiveness of Hoffman’s exercise on the<br />level of breastfeeding among primiparous women with inverted nipple. Methods:<br />A quasi-experimental research design was conducted at a private antenatal clinic at<br />Mansoura City, Dakahlia Governorate, Egypt. A non-probability purposive sample<br />of 110 pregnant women was allocated either to the control group who received the<br />routine antenatal care or to the intervention group who practiced Hoffman's<br />exercise. Data were collected using a structured interview schedule, LATCH and<br />Likert scales. Results: More than half (58.2%) of the subjects in intervention group < /div><br />had good level of breast feeding compared to 7,3 % in the control group with<br />statistical significant difference among both groups (p < 0.001). Also about 34,5%<br />and 29,1% of the subjects in the intervention group were either strongly satisfied or<br />satisfied respectively compared to only 3,6% and 5,5% of the control group on the<br />same scale. Conclusion: The current study hypotheses were accepted where<br />Hoffman's exercise was an effective intervention for managing inverted nipple,<br />improving level of breastfeeding and is associated with higher satisfaction level<br />with breastfeeding in the intervention group compared to the control group.<br />Recommendations: The current study recommended that, Hoffman’s exercise can<br />be integrated into nursing care practices for managing inverted nipples among<br />primiparous women.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Education program on improving patient reported recovery profile post Hyperthermia Intraperitoneal Chemotherapy for Peritoneal Carcinomatosis62564514429010.21608/ejhc.2021.144290ENAmlSaid TahaAssistant Professor of Medical -Surgical Nursing -Faculty of Nursing - Benha UniversityRashaFathy MohamedLecturer of Medical -Surgical Nursing- Faculty of Nursing- Benha UniversityJournal Article20210128Background; Cytoreductive surgery (CRS) and hyperthermic intraperitoneal<br />chemotherapy (HIPEC) is associated with improved survival for patients with<br />abdominal malignancies with peritoneal dissemination .This study aimed to<br />evaluate the effect of Education program on improving patient reported recovery<br />profile post Hyperthermia Intraperitoneal Chemotherapy for Peritoneal<br />Carcinomatosis .Design: Quasi-experimental design was utilized in this study .<br />Setting :The study was carried out at intensive care unit at the National Cancer<br />Institute (NCI), Cairo University. During the period from the beginning of January<br />2019 till the beginning of January 2020 Sample :Purposive sample of 97 patients<br />Tools :Two tools used to collect the study data .These are structured interview<br />questionnaire to assess patients' knowledge regarding Hyperthermia Intraperitoneal<br />Chemotherapy, and Patient-Reported Recovery Profile Results :Showed that there<br />was statistically significant difference in term of increased knowledge level among<br />study group , as well as a increase in total mean score in patient-reported recovery<br />Profile pre ,immediately and after education program implementation ,shows high<br />statistically significant negative correlation between of length of hospital stay and<br />reported recovery profile immediately post and after program implementation<br />inverse relationship. Conclusion :Implementing a designed education program for<br />patients with Hyperthermia Intraperitoneal Chemotherapy was effective in<br />improving knowledge, and patient-reported recovery. Shows high statistically<br />significant negative correlation between length of hospital stay and reported<br />recovery profile immediately post and after program implementation.<br />Recommendation :additional demographic variables. Manuals, information<br />booklets and self-instruction module should be developed in areas of Hyperthermia<br />Intraperitoneal Chemotherapy managementAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Determinants and Symptoms Severity of Pelvic Organ Prolapse and Its Effect on Physical Activities among the Elderly versus Childbearing Women66468514542110.21608/ejhc.2021.145421ENRokaiaFathi MohammedGerontological Nursing, Faculty of Nursing – Minia UniversityManarD. MohammedCommunity Nursing, Faculty of Nursing – Minia UniversityAmanyHassan Abd El-RahimObstetric Nursing, Faculty of Nursing – Minia UniversityJournal Article20210131Background: Pelvic organ prolapse (POP) is a common reproductive problem affecting more<br />than one-third of women between 20–59 years of age, and more than half of women over 60<br />years worldwide, and negatively affecting their daily physical activities. Aim: To assess<br />determinants and symptoms severity of pelvic organ prolapse and its effect on physical<br />activities among the elderly versus childbearing women. Methodology: A descriptive research<br />design was carried out on a purposive sample of 300 cases (150 for each childbearing and old<br />age women) attended to the outpatient gynecologic clinic of Minia Maternal and Child<br />University Hospital, at Minia governorate, Egypt, over a period of six months from October<br />2019 till March 2020, and met the following inclusion criteria: Females were of childbearing<br />age (≥ 18-49 yrs.), and of old age (≥60 yrs.), diagnosed as pelvic organ prolapse (POP), able to<br />communicate and agree to participate in the study. Tools: Three tools were utilized to collect<br />data. First tool: A Structured questionnaire sheet covered (demographic data, medical and<br />obstetrical history, and self-reported symptoms of POP). Second tool: Severity of POP<br />assessment tool. Third tool: Physical activities assessment scale (ASS). Results: It was found<br />that 50% of the elderly women versus (23%) of the childbearing women had severe symptoms<br />of POP, moreover, (66.7% & 13.3%) of them respectively had greater impairment in their<br />physical activities with a highly statistically significant difference between the two studied<br />groups, and there was a positive correlation between the severity of prolapse symptoms and the<br />degree of physical impairment among both studied groups. Furthermore, multiple linear<br />regression analysis reflected that age, higher parity, vaginal deliveries, level of education, body<br />mass index, duration of prolapse, and chronic constipation were significantly affected the<br />severity of prolapse symptoms among both studied groups. Conclusion: The severity of POP<br />symptoms was higher among the elderly versus childbearing age women which consequently<br />lowering their physical activities. Additionally, (aging, malpractice of pelvic floor exercise,<br />higher parity, vaginal deliveries, overweight, chronic constipation, and heavy lifting) are the<br />commonest leading determinants of POP and are significantly associated with the severity of<br />prolapse symptoms among the studied sample. Recommendations: An urgent need for health<br />educational intervention by health care providers targeting the primary prevention considering<br />the concluded leading determinants of prolapse, as well as secondary prevention for women<br />with mild to moderate degree of genital prolapse at all places especially in the rural<br />communities.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301The effect of Aromatherapy Parent Education in Alleviating Injection Pain Among Children Submitting to Vaccination68670614672810.21608/ejhc.2021.146728ENHendHassan AliFellow of Community Health nursing in Obstetrics and Gynecological hospital-Ain Shams UniversityNouranYousef SalahLecturer of Pediatrics Medicine - faculty of medicine Ain Shams UniversityHodaWahid AmerLecturer of Pediatric nursing- College of Nursing –Misr University for Science and TechnologyHodaRagab MohamedLecturer of Pediatric nursing- Faculty of nursing –Ain Shams UniversityEmanHussein AbdelhalimFellow of Biochemistry in Obstetrics and Gynecological hospital- Ain Shams UniversityJournal Article20210206Background: Aromatherapy parents’ education about pain alleviation during child<br />vaccinations supports family-centered care and has the potency to progress pain care<br />management in children. Aim of the study: evaluate the effect of aromatherapy parent<br />education intervention (massage with lavender oil) in alleviating injection pain among<br />children submitting to vaccination. Subject and methods: Quasi experimental design two<br />groups have been utilized in this study at vaccination clinics in El-Demerdash health<br />office" affiliated to Abbasis zone and Elkhalij Elmasry primary health center in Hadayek<br />Elkobba Zone, governmental medical centers, Ministry of Health and Population, Cairo,<br />Egypt. It included 120 children Submitting to Vaccination selected by purposive sampling<br />technique according to inclusion criteria, and randomly designate into two groups; register<br />either in control (60) or study (60) group. The data was collected by using 1) Structured<br />interviews questionnaire in Arabic to assess personal data characteristic of children and<br />parent; 2) knowledge assessment tool (pre/post) to assess parent’s knowledge regarding<br />aromatherapy treatment and pain management after children vaccination;3) beliefs and<br />attitudes of parent assessment tool;4) procedural pain assessment tools which included two<br />parts, the first portion was Modified Behavioral Pain Scale (MBPS) , developed by<br />(Taddio et al, 1995)and the second portion was Cry duration in seconds. The data was<br />collected between a period of august 2019 and January 2020. Results: A significant<br />improvement was in total knowledge about aroma treatment and pain management after<br />vaccination among children’s parent in posttest as compared to pretest assessment<br />(p < 0.0001). A significant improvement was in total mean scores of MBPS components in<br />study group with lavender oil massage during five minutes after vaccine injection as<br />compared to control group with highly statistically significant (p < 0. 001). A significant<br />improvement was in the total mean cry duration in study group as compared to control<br />group with highly statistically significant (p < 0. 001). Conclusion: Aromatherapy parents’<br />education, leg massage by lavender oil was found efficient in alleviating vaccine injection<br />pain. Recommendation: Applying Aromatherapy Education programs for new parents in<br />all pediatric primary health care centers to increase parents’ awareness about vaccine<br />injection pain alleviation.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Professional Values, Clinical Decision-Making, and Organizational Commitment among Nurses: Analytic Cross-Sectional Study70772114884110.21608/ejhc.2021.148841ENNadiaMohamed El-Sayed GhonemNursing Administration, Faculty of Nursing,- Suez- Canal University.HanaaMohamed AbdrabouNursing Administration, Faculty of Nursing,- Ain Shams UniversityJournal Article20210215Background: Professional values reflect an individual’s belief and loyalty to his/her<br />profession. It has a positive impact on nurses’ practice of patient care. Aim of study: to assess<br />professional values among nurses at Suez-Canal University Hospitals, and to examine its<br />relationships with their decision-making and organizational commitment. Subjects and<br />methods: This analytic cross-sectional study was carried out at Suez Canal University<br />Hospitals. A purposive sampling technique was used (171 nurses). A self- administered<br />questionnaire with scales for nursing Professional Values, Nurse Decision-Making and<br />Organizational Commitment was used in collecting data. The fieldwork was from March to<br />May 2019. Results: Nurses’ age 21-55 years, and 91.8% were females. In total, the mean<br />values out of a maximum of 5 for professional values was 3.47, 2.64 for decision-making, and<br />3.85 for organizational commitment. The scores of professional values and clinical decision<br />making had a strong positive significant correlation (r=0.865). In multivariate analysis, the<br />professional values score was a positive predictor of the decision-making score. Conclusions:<br />The nurses in the study settings have high professional values and organizational commitment,<br />with lower decision-making skills. Professional values is a positive predictor of decision<br />making. Recommendations: It is recommended that hospital administration enhances nurses’<br />abilities in decision-making through staff development programs. A study of the effect of<br />professional values on nurse and patient outcomes is proposed.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Palliative Care Program on Quality of Life for Hepatocellular Carcinoma of Elderly Patients72273415338910.21608/ejhc.2021.153389ENRaefaRefaat AlamAssistant Professor of Gerontological Nursing- Faculty of Nursing -Mansoura University – Egypt.NadiaMohamed Hassan SalehAssistant Professor of Gerontological Nursing- Faculty of Nursing -Mansoura University – Egypt.EmanHassan Mounir RadwanLecturer of Gerontological Nursing- Faculty of Nursing - Mansoura University – EgyptJournal Article20210303Background: Hepatocellular carcinoma (HCC) incidence is growing especially in elderly, and<br />adversely affects quality of life (QOL). The increased access to palliative care services will be<br />helpful for the elderly population. Aim: Determine the effect of palliative care program on the<br />quality of life for hepatocellular carcinoma of elderly Patients. Design: the researcher used quasi-<br />experimental research design. Setting: outpatient clinics at Gastrointestinal Surgery Center (GISC)<br />hepatology unit affiliated to Mansoura University, Dakahlia governorate, Egypt. Subjects: The<br />study subjects included a random purposive sampling of 72 HCC elderly patients of both sex<br />diagnosed at least 6 months. Tools: Data collection is done by two tools namely Patients' interview<br />schedule sheet (elderly Demographic and Health Relevant Characteristics) and Functional<br />Assessment of Cancer Therapy- For elderly patients with Hepatobiliary cancer (FACT-Hep)<br />Version4: Results: the age of the studied participants ranged from 60 to above 70 years. The elderly<br />patient in study group total quality of life scores increased significantly in post one and post three<br />follow up after implementation of palliative care program (P=0.000), while no improvement was<br />observed in the control group. Conclusion: the QOL of elderly patients with HCC is improved by<br />implementation of palliative care program. Recommendation: distribution of developed illustrated<br />palliative care program booklet to all elderly patients and their families at Mansoura University<br />Hospitals and Centers should be doneAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Enteral Feeding Protocol to Improvement Functional Outcome in Stroke Patient73574514944610.21608/ejhc.2021.149446ENEntisar .G. ShabaanDepartment of Medical and Surgical Nursing, Faculty of nursing, Aswan University, Egypt.Ahmad .M. AbdelwarithNeurology department, Faculty of Medicine, Aswan University, Egypt.Thanaa .M. DiabDepartment of Medical and Surgical Nursing, Faculty of nursing, Aswan University, Egypt.Journal Article20210217Background: dysphagia and other swallowing difficulties in stroke patients may lead to<br />malnutrition which will reflect on health status and clinical outcomes including disability, and<br />mortality, especially patients admitted to stroke unit. Aim: determine the effects of enteral feeding<br />protocol as a role to improvement nutritional status in patients with recent stroke and its impact on<br />anthropometric measurements, complications, and functional outcomes. Setting and Subjects: A<br />total of 75 adult patients (26 male and 49 female) and 35 controls admitted to stroke unit and<br />neurology department at Aswan university hospital. Study Design: A quasi-experimental research<br />design was utilized in this study. Tools of data collection: tool l Nutritional status assessment tool<br />and Protocol for the enteral nutrition support in stroke patient, MRS (Modified Rankin scale) and<br />NIHSS (National Institute Health Stroke Scale). Results: Marked improvement with highly<br />significant difference (P<0.001) comparing follow-up with baseline and control group in all<br />symptoms (nausea, vomiting, esophageal reflux and malabsorption). Also significant difference<br />(P<0.001) between groups such as improvement of daily energy and protein intake, weight, BMI,<br />Hemoglobin (Hb), Platelets, lubricating lips and replace tape with follow-up between all groups.<br />MRS and NIHSS significantly improved on follow up. Conclusion: The application of the enteral<br />feeding protocols may result in low incidence of malnutrition, gastrointestinal complications and<br />enhance improvement in patients with recent stroke. Recommendations: Protocol for enteral<br />nutrition in patients with acute stroke and disturbed level of consciousness to improve functional<br />outcome in those patients and shortens hospital stay.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Palliative Care Plan On end-stage renal disease Patients Undergoing Hemodialysis74676014962510.21608/ejhc.2021.149625ENAsmaaAbouda Abdelhamed SoultanMedical Surgical Nursing, Faculty of Nursing, Damietta University, EgyptMariamSabry ShehabMedical Surgical Nursing, Faculty of Nursing, Damietta University, EgyptJournal Article20210218Background: Palliative care is defined as a treatment given to control pain and<br />undesirable symptoms of chronic or serious illnesses where there is no reasonable<br />anticipation of a cure for patients. Determination patient and early referral to<br />palliative care decrease suffering and improve symptom management in these<br />patients; also it can reduce overall health care utilization and costs if initiated early<br />in the disease course. Aim of the study was to evaluate the effect of Palliative Care<br />Plan On end-stage renal disease Patients Undergoing Hemodialysis. Study design:<br />A quasi-experimental design was used in the conduction of this study. Setting:<br />This study was carried out at hemodialysis unit at Alazhar University Hospital at<br />new Damietta city. Subjects: A convenient sample of 35 patients. Tools of Data<br />Collection: The following tools were used to collect the necessary data:1)<br />Structured interview sheet, 2) Self-care questionnaire, 3) Dialysis symptom index,<br />and 4) Palliative care plan. Results: increased total mean score of patients<br />knowledge and practice t ,with highly statistically significant differences at pre vs<br />post test& pre vs follow up test (p <0.01) for both tests. Conclusion: the palliative<br />care plan had positive effect in decreasing and control severity of those symptoms<br />in patients undergoing hemodialysis. Recommendations Dialysis units should<br />equipped by palliative care programs. Set up a counseling room in<br />hemodialysisAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Assessment of implementing the Safety Measures and Prevention to reduce the spread of Coronavirus Disease (COVID-19) pandemic in Egypt76177615072310.21608/ejhc.2021.150723ENEmanSobhy Elsaid HusseinMedical-Surgical Nursing, Faculty of Nursing, Ain Shams University, EgyptFatmaAbdou EltaibMedical-Surgical Nursing, Faculty of Nursing, Ain Shams University, EgyptJournal Article20210222Background: The coronavirus disease (COVID-19) has caused significant mortality, so<br />implementation of universal safety measures and prevention in all countries led to an improvement<br />in social and economic aspects, and long-term health outcomes for many communities. The study<br />aimed to assess the implementation of safety measures and prevention to reduce the spread of<br />coronavirus disease (COVID-19) pandemic in Egypt. Methods: Descriptive design was used; a self<br />administered questionnaire was distributed among adult Egyptians at the various governorates“the<br />Great Cairo, Al-Dakahlia, and Assuit” through social media. Sample: 400 adult respondents<br />who completed the questionnaire were enrolled in the study pertaining to inclusive criteria.<br />Tools: Structured questionnaire included the socio-demographic characteristics of respondents<br />and knowledge assessment sheet about coronavirus disease (COVID-19) pandemic and a self<br />administered structured questionnaire about the safety measures and prevention. Results: The mean<br />age of the respondents was 26.265+10.868; 27.5% of the respondents were living in Cairo and 25%<br />in Giza, respectively; 30% of the respondents had a satisfactory level of knowledge about COVID-<br />19 with social media as their source of information, and 98% of them had a satisfactory level of<br />knowledge about the spread of new Coronavirus disease. The respondents were highly positive<br />about hand washing, wearing medical masks, and home quarantine as safety measures and<br />prevention. Conclusion: The majority of respondents possessed a satisfactory level of knowledge<br />about COVID-19, ways through which the virus spreads, and implementation of the safety measures<br />and prevention to reduce the spread of coronavirus disease (COVID-19) pandemic in Egypt.<br />Recommendations: It is recommended that the study be applied to a larger population, especially<br />with the arrival of the second wave of the virus, and also health awareness be increased about<br />COVID-19 by WHO based in Egypt with the help of multi-social media like twitter or periodical<br />SMS with health instructions from Egyptian Ministry of Health to the population.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Student Health Champions Program about COVID- 19 Safety Precautions on School Members knowledge and Practices77780015316810.21608/ejhc.2021.153168ENDoaaAbd El Salam Amin YacoutAssistant professor, Community Health Nursing, Faculty of Nursing, Damanhour University, EgyptRodainaAhmed MokbelLecturer -Pediatric Nursing - Faculty of Nursing- Damanhour UniversityReemBassiouny Mahmoud El LassyAssistant professor, Community Health Nursing, Faculty of Nursing, Damanhour University, EgyptElhamHassan TawfikAssociate Professor - Community Based Nursing- Faculty of Nursing- The British University in Egypt (BUE)
and
Assistant professor, Community Health Nursing, Faculty of Nursing, Damanhour University, EgyptJournal Article20210302Background: Schools are important environment for promotion of healthy behaviors. COVID 19<br />preventive precautionary behaviors become mandatory worldwide for everyone. School health<br />champion program is considered one way for school students to maintain and sustain their health<br />and wellness knowledge and practices especially now regarding COVID 19 and help to<br />disseminated it to other school members. Aim of study: to evaluate the effect of student health<br />champions program about COVID-19 safety precautions on school members’ knowledge and<br />practices. Study Design: A quasi-experimental one group pretest - posttest research design was<br />used. Study Setting: The current study was held in five preparatory shared-gender public schools<br />allocated in five educational administrations in El- Beheira Governorate, Egypt. Study Subjects:<br />The study included two subjects; 60 Student Health Champions were enrolled in the first semester<br />for 2020-2021 academic year and 40 School Members in the same schools. Data collection tools:<br />Three tools were used to collect the required data :Student Health Champions’ /School Members’<br />COVID-19 Safety Precautions Knowledge Structured Questionnaire, COVID-19 Safety Precautions<br />Practices of Student Health Champions’ /School Members’ Structured Observational Checklist and<br />Student Health Champions’ educational program satisfaction Structured Questionnaire Results:<br />Statistically significant relation was noticed between the students’ knowledge and practices before<br />the program application (r= 0.528, P= 0.000) and between their knowledge and practice scores after<br />the program (r= 0.250, P= 0.054,). Also school members’ knowledge and practices were improved<br />post health champion program (75%, p < 0.001). As regard students’ satisfaction towards COVID-<br />19 school health champion safety precautions program, the majority of them (95%) had general<br />satisfaction regarding the entire implemented program and they recommended other colleagues to<br />participate in such programs in future. Conclusion: The present study demonstrated the<br />effectiveness of the student health champions’ program concept in learning and education delivery<br />to other school members covering all aspects of COVID-19 knowledge and practices, consequently,<br />increasing their knowledge and practices significantly. Recommendations: Disseminate the<br />concept of school health champion in different schools with different topics. Encouraging the mass<br />media to highlight the benefits of the study on motivating school students to participate in volunteer<br />work in order to promote the health of others.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Abdominal Massage on Gastrointestinal Function among Enterally Fed Critically Ill Patients80181315316910.21608/ejhc.2021.153169ENHowydaAhmed MohamedAssistant Professor of Medical Surgical Nursing - Faculty of NursingZeinabHussein BakrLecturer of Medical Surgical Nursing, Faculty of NursingAhmedMohamed NaguibLecturer of Medicine, Faculty of Medical - Ain Shams UniversityJournal Article20210302Background: Critically ill patient need a nursing practice that can enhance getting all benefits of<br />enteralfeeding and improving the gastrointestinal function. Gastrointestinal function was gastric<br />residual volume, abdominal distension, vomiting and constipation. Aim: This study aimed to<br />explore the effect of abdominal massage on gastrointestinal function of enteral-feed critical ill<br />patients. Research Design: A Quasi experimental design was used. Setting: the study was<br />conducted at General Intensive Care Units in El Demerdash Hospital Affiliated from Ain Shams<br />University Hospital. Subjects: A purposive sample of 60 Patients who distributed randomly to<br />equal intervention and control groups from the previous mentioned setting. Results: there were<br />statically significant difference between the study group and control group subjects regarding<br />Gastric Residual Volume (GRV)was statistically significant in the 3rd, 4th, and 5th days indicating<br />higher GRV among control group. The abdominal circumference between the five days was<br />significantly in the two groups. None of patients in the study group were vomited along the study<br />period (5days) in compared to 5% of control patients without statistical significant differences.<br />Conclusions: The abdominal massage was significantly effective in lowering GRV, preventing<br />distension and avoiding vomiting. Recommendations: the current study recommended that this<br />practice can be applied as a caring procedure in the daily ICU care program.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of nurse-led lifestyle intervention protocol on associated symptoms and self-efficacy among patients with systematic lupus erythematosus81483015626610.21608/ejhc.2021.156266ENRashaMohamed ElmetwalyLecturers of Medical surgical nursing, Faculty of Nursing, Ain Shams UniversityAzizaYounis AhmedLecturers of Medical surgical nursing, Faculty of Nursing, Ain Shams UniversityYosreahMohamed MohamedAssistant professor of Medical Surgical Nursing
Faculty of Nursing, Ain Shams UniversityJournal Article20210313Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease. In addition to various<br />clinical manifestations, it has spiritual, psycho-social and economic consequences. Aim: this study<br />aimed to assess the effect of nurse-led lifestyle intervention protocol on associated symptoms and<br />self-efficacy of patients with systematic lupus erythematosus. Design: A quasi-experimental<br />pre/post-test one-group design. Setting: This study was conducted at Rheumatology unit, affiliated<br />to Ain Shams University Hospitals. Subjects: A purposive non-probability/nonrandomized sample<br />of 100 patients diagnosed with systemic lupus erythematosus. Tools: data were collected using two<br />tools: I. Structured interview questionnaire for patients with systemic lupus erythematosus, II.<br />General Self Efficacy Scale-GSE.III. British Isles Lupus Assessment Group (BILAG) Index.<br />Results: there was a highly statistically significant difference between associated signs and<br />symptoms of SLE pre and post implementation of life- style intervention protocol regarding<br />treatment and self-management of SLE at p value (0.0001), there was a statistically significant<br />difference regarding studied patients’ self-efficacy and patients’ lupus awareness pre and post life<br />style intervention protocol implementation. Conclusion: the implementation of nurse-led lifestyle<br />intervention protocol affected positively the lupus awareness, self-efficacy and improve the<br />associated symptoms for patients with systematic lupus erythematosus. Recommendations:<br />Continuous educational sessions to improve patients’ awareness, self-efficacy and improve the<br />associated symptoms.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Nursing Rehabilitation Program on Dizziness and Imbalance among patients with Peripheral Vestibular disorders83184915831610.21608/ejhc.2021.158316ENHodaAbdou Abd El-Monem El-DeebLecturer of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptJournal Article20210321Background: Dizziness and imbalance are the most common patient’s complaints results from<br />Peripheral Vestibular disorders. Nursing interventions for Peripheral Vestibular disorders (PVD(<br />patients are focus on assessment and prevention of potential problems, patient’s teaching and<br />educating vestibular rehabilitation exercises. Aim of the study was to evaluate the effect of nursing<br />rehabilitation program on dizziness and imbalance among patients with peripheral vestibular<br />disorders. Research design: A quasi experimental research design with a pretest-posttest control<br />group was utilized. Settings: The study was conducted at otolaryngology clinic of the one-day<br />treatment center, Alexandria Main University Hospital, Egypt. Subjects: Purposive samples of 60<br />adult patients were selected according to eligibility criteria. They were divided into two equal<br />groups 30 in each study and control group. Tools of data collection: three tools were used to<br />collect the necessary data namely: Structured interview questionnaire, Dizziness Handicap < /div><br />Inventory Scale and The Activities-specific Balance Confidence (ABC) Scale. Results: the study<br />results revealed that there was a statistically significant difference between the study and control<br />groups in favor of the study group in relation to all items physical, emotional and functional of<br />Dizziness Handicap Inventory subscales at second and third assessment. Regarding levels of<br />physical functioning balance there were statistically significant differences between both groups at<br />the second and third assessment (P=0.005*& 0.001*). Conclusion: nursing rehabilitation program<br />significantly improve dizziness and imbalance in patients with peripheral vestibular disorders.<br />Recommendations: the developed booklet with its straightforward instructions and illustrations<br />should be utilized in hospitals as a teaching aid for patients with peripheral vestibular disorders.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Application of Multiple Services Educational Package Program for Patient with Epilepsy in Out Patient Clinic, Cairo city, Egypt85086815984510.21608/ejhc.2021.159845ENAliaaMohammed Othman El – AfandyCommunity Health Nursing Department, Faculty of Nursing, Helwan University,
Egypt.EnasEbrahiem Elsayed AboelfetohAdult Health Nursing Department Faculty of Nursing, Helwan University, Egypt.Journal Article20210329Background: Epilepsy is one ofthe most common and widespread neurological disorders<br />and affects people of all ages, races, social classes, and geographical locations. Aim: this study<br />aimed to assessthe application of multiple services educational package program for patient with<br />epilepsy in outpatient clinic, Cairo city, Egypt. Research design: A quasi-experimental design<br />was used in this study. Setting: The study was conducted at neurology (epileptic) Out-Patient<br />Clinic affiliated to Ain shams Hospitals, Cairo, Egypt. Subjects: A convenient group that<br />included (200) patients with epilepsy. Tools: A Structured interview Questionnaire tool that<br />cover six parts. Part I: demographic characteristic, part II: patients clinical data, part III: patients<br />knowledge, part IV attitude, part V brief coping and part VI stress management (pre and post).<br />Results: Thisstudy showed statistically significant improvement in patient's knowledge, attitude,<br />brief coping and stress management (21.47± 4.11 to 32.37±7.15) (22.19± 4.89 to 32.05 ± 5.27)<br />(47.24±4.36 to 78.35±7.22) (28.75±.43 to 13.27 ±.83), respectively post program<br />implementation. Conclusion: The currentstudy revealed that the importance of multiple services<br />educational package program for patient with epilepsy to improve their knowledge, coping skills,<br />attitude, and stress management. Recommendation: Continuity of multiple services and<br />educational program for patient with epilepsy in different health care setting.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Teaching Booklet on Compliance to Oral Anticoagulant Drugs among Patients with Deep Venous Thrombosis86988015984610.21608/ejhc.2021.159846ENAttyiatHassan HusseinMedical-Surgical Nursing Dept, Faculty of Nursing, Assiut University, EgyptNeamaMamdouh MostafaMedical-Surgical Nursing Dept, Faculty of Nursing, Assiut University, EgyptMagdaAbdo ThabetMedical-Surgical Nursing Dept, Faculty of Nursing, Assiut University, EgyptJournal Article20210329Background: Treatment for patients with deep venous thrombosis relies on<br />persuading the patient to adhere entirely to the therapeutic plan. Patient education is an<br />important aspect in increasing compliance. Aim: To evaluate the effect of teaching booklet<br />on compliance to oral anticoagulant drugs among patients with deep venous thrombosis.<br />Research design: Quasi-experimental research design. Setting: The study was conducted at<br />vascular surgery department and trauma unit at Assiut University Hospital. Sample: A<br />purposive sample of 60 male and female adult patients. This sample was divided into study<br />and control group (30 patient for each) diagnosed with DVT, their age ranged from18 to 65<br />years. Tools: Tool I: Patient assessment sheet, Tool II: Compliance of patients with<br />medications by using Morisky Medication Adherence Scale. Results: There was a<br />statistically significant difference between study and control group regarding compliance to<br />oral anticoagulant drugs post application of teaching booklet. Conclusion: Teaching booklet<br />was effective in improving patient's compliance to oral anticoagulant drugs, lower incidence<br />of bleeding and recurrence of thrombus among patients with deep venous thrombosis.<br />Recommendations: Teaching booklet for DVT patients to improve adherence to oral<br />anticoagulant should be available in vascular surgery department.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Tele-Nursing (Phone- Based Follow Up) and Educational Package on Life Style and Clinical Status for Diabetic Patients88189115984810.21608/ejhc.2021.159848ENFathyaRady MagboolFellow of Medical-Surgical Nursing, Assuit University Hospitals, EgyptLobnaF.EltoonyInternal Medicine, Faculty of Medicine Assuit University, EgyptGhonaAbd El-Nasser AliMedical-Surgical Nursing, Faculty of Nursing, Sohag University, Egypt.AttyiatHassan HusseinMedical-Surgical Nursing, Faculty of Nursing, Assuit University, Egypt.Journal Article20210329Background: Diabetes mellitus is one of the global health problems. Tele-nursing is<br />the use of technological resources and communication systems in nursing to provide patient<br />care. Aim of the study: to evaluate the effect of tele-nursing (phone- based follow up) and<br />educational package on life style and clinical status for diabetic patients. Research design:<br />Quasi-experimental design. Setting: The study was conducted at endocrine & diabetic unit in<br />Medical Department at Assiut University Hospitals. Sample: A purposive sample of 100<br />male and female adult patients diagnosed with diabetes mellitus, their age ranged from18 to<br />65 years. Tools: tool (I) Patients assessment sheet, it was consisted of three parts: Part I:<br />Demographic data, Part II: Medical data, Part III: Clinical and laboratory data including<br />Body Mass Index (BMI), weight, height, blood pressure, fasting, postprandial blood glucose<br />(PPG), Glycated Hemoglobin (HbA1c). Tool (II): Health promoting life style profile.<br />Results: There was significant difference of life style and clinical data for patients before<br />and after telenursing education. Conclusion: Tele-nursing was effective nursing strategy for<br />improving life style and clinical status for diabetic patients. Recommendations: Tele<br />nursing should be programmed as a part of health plan for patients with diabetes mellitus in<br />different health setting.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of educational training program about polarity management on Nurse Managers' knowledge and Skills89290315984910.21608/ejhc.2021.159849ENFatmaRushdy MohamedNursing Administration Department- Faculty of Nursing- Assiut University- Egypt.NahedShawkat Abo ElmagdNursing Administration Department- Faculty of Nursing- Assiut University- Egypt.YosryiaElsaied YussiefPediatric Nursing Department - Faculty of Nursing- Sohag University- Egypt.Journal Article20210329Background: Most leadership problems involve more complexity than that, where<br />the outcome isn’t predictable, and frequently require the ongoing management of tension<br />between two or more seemingly opposite but nevertheless interdependent values. The<br />leaders should recognize polarities and the value that each pole brings their solutions. Aim:<br />The present study aimed to assess effect of educational training program on nurse<br />managers' knowledge about polarity management at Assuit University Hospital. Subject<br />and methods: A quasi-experimental research design was used to conduct this study. A<br />convenience sampling technique was used to select a group of (50) nurse managers. Two<br />tools were used throughout the study phases. Tool (I): classified into three parts; personal<br />data sheet, Knowledge questionnaire about polarity management, and polarity map < /div><br />application test. Tool (II) : Evaluation of the education training program (opinionnaire<br />sheet) . Results: The majority of nurse managers had lacking in knowledge about polarity<br />management and also had poor skills in polarity management before training. There was a<br />significant improvement in all items and a total score of nurse managers' knowledge and<br />skills of polarity management after implementation of training program than before.<br />Conclusion: Training program was highly effective in improving nurse managers'<br />knowledge and skills in polarity management. Recommendations: Polarity management<br />awareness should be included in the orientation programs for the newly appointed<br />managers, polarity management should be involved in performance appraisal for nursing<br />managers, and the curriculum of nursing administration course in faculties of nursing in<br />Egypt should add topics of polarity management.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Nursing Knowledge and Practices Regarding Delirium as an Under-Recognized Syndrome in Intensive Care Units (ICU psychosis)90492015985010.21608/ejhc.2021.159850ENLamiaaHassnin EitaAss. Prof. of Psychiatric and Mental Health Nursing Department , Faculty of Nursing, Menoufia University, EgyptHebaMohamed AbdelaalLecturer of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, EgyptJournal Article20210329Background: Delirium is an acute and fluctuating change in mental status that<br />characterized by marked disturbance of attention, with associated deficits in memory and<br />orientation, disorganized thinking, perceptual disturbance, anxiety, sleep problems, agitation<br />and motor unrest. The aim of this study was to assess the nurses' knowledge and practices<br />regarding to delirium of critically ill patients in ICU. Design: A descriptive design was used.<br />Subjects: A sample of convenience 64 critical care nurses who were currently available at<br />morning shifts working was recruited for this study. Tool: Delirium awareness and practice<br />in ICUs Questionnaire to measure healthcare professionals’ awareness and practice related to<br />delirium in the ICU. Results: The results revealed that lower significant knowledge score was<br />observed for nurses who were not mentioned the definition of delirium and only one nurse<br />attended training course/lecture about delirium within last year (1.6%), while 98.4% did not<br />attend any training courses/ lecture about delirium last year. Conclusion: Based on this result,<br />it was concluded that delirium was a problem that requires active interventions from the health<br />care providers and it is under-diagnosed syndrome. Recommendations: Condensed training<br />required to optimally manage the condition of delirium is needed for earlier intervention and<br />greater interdisciplinary collaboration and more involvement of psychiatric services are<br />needed.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Preoperative Patient Education on Quality of Recovery for Patient Undergoing lumber discectomy92193716234610.21608/ejhc.2021.162346ENShimaaMohamed Abdou RizkLecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptSamerMahmoud Mohamed AliLecturer of Orthopedic and Trauma, Faculty of Medicine, Mansoura University, EgyptJournal Article20210408Background: Lumbar discectomy is one of the most common operations performed in spinal<br />surgery practice and preoperative patient education (PE) has been used by many hospitals for<br />transaction with patient’s overall satisfaction. The aim of the current study was to evaluate the<br />effect of preoperative patient education on quality of recovery for patient undergoing lumber<br />discectomy. A quasi experimental research design was utilized. Setting, the study was conducted<br />at Orthopedic surgery department at Mansoura University Hospitals, Egypt. A convenience sample<br />consisting of 100 patients who present in hospital during the period of the program. Two tools were<br />used in data collection; tool 1 a structured interviewing questionnaire, part 1: Socio-demographic<br />characteristics of patients, part 2: Patients’ past and present medical, surgical history. part 3<br />patients’ habits. Tool 2: Quality of Recovery Scale. Results revealed that there was statistical<br />difference in mean of all quality of recovery scale domains between the pretest and posttest and a<br />highly statistically significant difference between the pretest and posttest regarding overall quality<br />of recovery scale with (p. value 0.001). Conclusion: Application of Preoperative Patient education<br />program has positive effect on quality of recovery for patients after lumber discectomy.<br />Recommendation; Similar studies are needed to assess the long-term effects of such educational<br />programs and establishment of health care educational center in the orthopedic surgery department.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Storytelling on Preoperative Anxiety and Fear among Children Undergoing Surgery93894716325710.21608/ejhc.2021.163257ENHodaWahid AmerLecturer of Pediatric Nursing, College of Nursing, Misr University for Science & Technology, EgyptHusseinMohamed Magdi Fakhreldin MohamedLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Beni-Suef UniversitySafaaAbdelazem Osman AliAssistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Suez Canal University, EgyptNagwaAhmed Mohamed SouilmAssistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, South Vally University, EgyptDoniaElsaid Fathi ZaghamirLecturer of Pediatric Nursing, Faculty of Nursing, PortSaid University, EgyptJournal Article20210411Background: Children who are faced with surgical operations may experience anxiety, panic and<br />fear before surgery and they are needed to both physical and psychological preparation. Aim of the<br />study: Evaluate the effect of storytelling on preoperative anxiety and fear among children<br />undergoing surgery. Design: Quasi-experimental research design was utilized in the current study.<br />Subjects: 100 children from 4-8 years were equally and randomly assigned into two groups, the<br />first was the control group and the second was storytelling intervention group. Setting: The current<br />study was conducted at the General Pediatric Surgical Unit at Cairo University Specialized Pediatric<br />Hospital (CUSPH). Tools: an Interview Structured Questionnaire was developed by the researchers,<br />State-Trait Anxiety Inventory for Children, and Children's Fear Scale was utilized for collecting the<br />data. Results: Preoperative anxiety scores and fear were lower among children after storytelling<br />intervention than before. Highly statistically significant differences were detected between the total<br />mean score of anxiety scores and fear in the pretest and posttest before surgery (P=0.000).<br />Conclusion: Storytelling method is an effective distraction technique for reducing preoperative<br />anxiety and fear among children undergoing surgery compared to children in the control group who<br />received routine hospital care. Recommendations: Application of the storytelling technique as non-<br />pharmacological management beside routine hospital programs for children undergoing surgery is<br />recommended among nurses who care children in order to reduce preoperative anxiety, panic and<br />fear level.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Telehealth Nursing program Regarding Covid-19 among Pregnant Women97398616520610.21608/ejhc.2021.165206ENHanaaKamal HelmyAssistant Professor at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Beni- Suef University, EgyptFatenSaid Abdelhady GarfLecturer at Community Health Nursing Department, Faculty of Nursing, Beni- Suef University, EgyptRashaEl –Sayed IbrahimLecturer at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Beni- Suef University, EgyptJournal Article20210419Background: A COVID-19 pandemic is emerging infections and a horrible disease has been shown<br />to have a fatal impact on pregnant women and their fetuses. Telehealth nursing program via SMS<br />messages has become vital to ensure safe and effective health for maternal and fetal conditions<br />Aim: The study aimed to evaluate the effect of telehealth nursing program regarding Covid-19<br />among Pregnant Women. Design: A quasi-experimental study design was used. Setting: the study<br />was conducted at Beni-Suef Governorate. Data collected for 6 months from the first of April 2020 till<br />the end of September 2020. Sample: An online snowball sample approach of sixty pregnant women<br />included in the study. Tools: Three tools were used for data collection; demographic and clinical<br />data structured interviewing sheet, knowledge, attitude of pregnant women towards Covid-19<br />questionnaire, and Covid-19 Practice questionnaire. Results: nearly half of the studied women with<br />a mean age of (28.80±5.24), three-quarters of them had a university education. A statistically<br />significant improvement of COVID-19 knowledge, attitude, and practices of the studied women<br />after implementation of COVID-19 educational program via telehealth nursing and SMS messages,<br />and the improvement still apparent across all the studied sample regardless of their demographic<br />characteristics and clinical data. The studied women's COVID-19 knowledge was positively<br />associated with their attitude and practice. A positive relation was found between studied women's<br />COVID-19 attitude and practices Conclusion: Implementation of telehealth nursing program during<br />Covid 19 pandemic showed a positive impact and effective improvement in pregnant knowledge,<br />attitudes, and practices. Recommendation: Application of educational program via telehealth<br />nursing for pregnant women in various antenatal clinics should be conducted, and designing a long<br />term plan by healthcare providers to improve Obstetric conditions and access to education via<br />telehealth nursing after COVID-19.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Olive Oil, Coconut Oil, Breast Milk on Nipple Soreness among Lactating Mothers: Comparative Study98799416520710.21608/ejhc.2021.165207ENRedaM. HablesDepartment of Obstetrics and Gynecology Nursing, Faculty of Nursing, Alexandria University, Egypt and College of
Applied Medical Science , university of Hafr AlbatinEbtsamS. MahrousDepartment of Pediatric Nursing, Faculty of Nursing, Damanhour University, Egypt.Journal Article20210419Introduction: Advantages of breastfeeding are indubitable. But painful, sore nipples are upsetting<br />for the mothers and may lead to stop nursing before the commended time. Aim of the study:<br />explore the effect of olive oil, coconut oil, breast milk on nipple soreness among lactating mothers.<br />Methodology: Experimental study involved 135 postpartum women visited outpatient as<br />postpartum follow up for labor in Itay El-baroud Central Hospital and National Medical Institute of<br />Damanhour City, Egypt. They were randomly categorized into three groups: Group 1 (using Olive<br />oil), group 2 (using Coconut oil) and group 3 (Using breast milk). Nipple trauma score (NTS) was<br />used to assess nipple soreness at 1st, 7th, 14th day post intervention. Results: there was highly<br />significant difference between mean score of olive oil group and coconut oil group at 1st , 7th , 14th<br />with p value <0.01. While, there was slight significant difference at breast milk group at p value<br /><0.05. While, there was highly significant difference between mean scores of three groups at 7th<br />and 14th day with p value <0.01. But, there was no significant difference between three groups at<br />1st day with p value >0.05. Conclusion: According to these findings, the current study detected that<br />olive oil, coconut oil and breast milk had positive effect on management of nipple soreness, breast<br />milk had least effect while olive oil had highest effect.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Upgrading Mothers' Awareness Regarding Cardiovascular Diseases on their self-efficacy to promote their children life style995101016545810.21608/ejhc.2021.165458ENSamyaMohamed Ahmed HegazyLecturer of Pediatric Nursing, Faculty of Nursing, Tanta UniversityBasmaMahmoud Abd Elhamid DawoodLecturer of Pediatric Nursing, Faculty of Nursing, Tanta UniversityJournal Article20210421Background: The progressive atherosclerotic process begins in childhood and develops gradually<br />under the influence of conventional risk factors such as obesity and low levels of physical activity<br />so continuous educational program for their caregivers is important. Aim: to evaluate the effect of<br />upgrading mothers' awareness regarding cardiovascular diseases on their self- efficacy to promote<br />their children life style. Setting: The study was conducted at the pediatric medical department and<br />pediatric outpatient clinic affiliated to Tanta University Hospital, Tanta city, Egypt. Sample: a<br />convenient sample of 60 mothers of school age children who attended the previously mentioned<br />settings. Tools: two tools for data collection Were used: Tool I Structured interview questionnaire,<br />it consisted of three parts. Socio-demographic data of the studied mothers, past and present family<br />history for cardiovascular, diseases. The third part is mothers' knowledge about cardiovascular<br />diseases. Tool II: Mothers' self-efficacy questionnaire. Results: the present study found that 91.67%<br />of mothers had unsatisfactory practices level regarding their children life style before the<br />educational intervention while 80% had satisfactory practices immediately after the educational<br />intervention. Conclusion: there was a significant improvement in mothers' practices regarding their<br />school age children life style Recommendations: educational programs for care giver should be<br />conducted periodically and regularly regarding cardiovascular diseases risk factors among children.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Head Nurses' Leadership Effectiveness, Communication Skills and Mindfulness: It's' Relation to Staff Nurses' Innovative Work Behavior1011103216709810.21608/ejhc.2021.167098ENHematAbdel Azem MostafaNursing Administration, Faculty of Nursing, Ain Shames University.HowidaHassan EL-Sayed MahfouzNursing Administration, Faculty of Nursing, Benha University.Journal Article20210427Background: In today’s quickly evolving environment of healthcare, increase need for effective<br />nurse leader in order to achieve qualified care results, an equally compatible leadership standard in<br />teamwork is fundamental. Mindfulness, with inherent focus on being present and non-judgmental, seems<br />particularly suitable for enhancing leadership qualities and promoting the quality of communication<br />skills, and enhance attractive and supportive work environment that is critical to innovation for staff. The<br />study aimed to: Assess the head nurses' leadership effectiveness, communication skills and mindfulness<br />and assessing its relation to innovative work behaviors among staff nurses. Design: A descriptive<br />correlational design was utilized to conduct this study. Setting: the study was conducted in all units at<br />Benha University Hospitals. Subjects: Consisted of head nurses group: 150 head nurses and their<br />assistance and staff nurses group: A convenient sample of 300 staff nurses. Tools: Four tools were used<br />for data collection; first: Leadership Effectiveness Questionnaire, second: Communication Skills<br />Questionnaire third: Mindfulness Questionnaire, and the fourth tool: Innovative Work Behavior<br />Questionnaire. Results: Showed that the highest percentage (61.5%) of head nurses had good<br />communication skills, also more than half (54.9% & 52.6%) of them had high perception levels toward<br />leadership effectiveness and mindfulness respectively. in addition to about two thirty (72%) of staff<br />nurses had high perceptions level toward innovative work behaviors. Additionally the highest mean<br />percentages (83.81%, 83.33%, and 80.08%) of head nurses were related to relational leadership < /div><br />effectiveness, creating a clear, well-crafted message of communication skills, the acceptance of<br />mindfulness respectively, and the highest mean percentages (84.67% & 82%) of staff nurses were related<br />to idea championing and idea implementation/starting activities of innovative work behaviors<br />respectively. Conclusions: The study concluded that there were highly statistically significant positive<br />correlation among head Nurses' leadership effectiveness, communication skills, mindfulness, and staff<br />Nurses' innovative work behavior. Recommendations: Selection of head nurses to be effective leaders<br />must be based upon combination of many factors such as level of education and management skills not<br />only upon the years of experience, and creating innovation as a job requirement.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Interactive Training Session Regarding Fetal Movements Counting and its Effect on Maternal Outcomes among High-Risk Pregnant Women1033104517029410.21608/ejhc.2021.170294ENAmanyM. AhmedLecturer of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Kafrelsheikh University, EgyptMonaHamdy MostafaLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Cairo University, EgyptRaniaEl-KurdyLecturer of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Egypt.Journal Article20210516Context: Fetal movement counting (FMC) has been proposed as a primary method of fetal<br />surveillance especially for high-risk pregnancy. Aim: This study aimed to examine the effect of<br />interactive training session regarding fetal movements counting on maternal outcomes among high<br />risk pregnant women. Methods: An experimental (pretest-posttest control group) research design<br />was adopted. A simple random sample of 140 high-risk pregnant women was recruited. This study<br />was conducted at the obstetrics and gynecology departments of Mansoura University Hospital,<br />Egypt. Data were collected using two tools: structured interview schedule, and state-trait anxiety<br />inventory. Results: the results revealed that pre-intervention, 100.0% of both the intervention and<br />the control groups have a poor level of knowledge. While post-intervention, 90.0% of the<br />intervention group have a high level of knowledge as compared to 100.0% of the control group have<br />a poor level of knowledge. Regarding compliance to FMC, pre-intervention, 14.3% of the<br />intervention group compared to 15.7% of the control group count their fetal movements. However,<br />post-intervention, 100.0% of the intervention group count their fetal movements compared to 15.7%<br />of the control group. Concerning anxiety, pre-intervention, 51.4% of the intervention group has a<br />high anxiety level compared to 48.6% of the control group. While post-intervention, 87.0% of the<br />intervention group has low anxiety level as compared to 62.9% of the control group that reported<br />high anxiety level. Conclusions: After implementation of the training session, there is a highly<br />statistically significant difference between the intervention and control groups regarding the level of<br />knowledge, the compliance to FMC, and the level of anxiety (p < 0.001). Therefore, conducting<br />such simple and effective training sessions should be encouraged and recommended for high-risk<br />pregnant women.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Impact of Urinary Incontinence on Psychological Well-being and Quality Of Life among Elderly People1046106217048710.21608/ejhc.2021.170487ENRehabElsayed MohammedPsychiatric and Mental Health Nursing Department , Faculty of Nursing, Benha University. EgyptMawahebMahmoud ZakiPsychiatric and Mental Health Nursing Department , Faculty of Nursing, Benha University. EgyptHendAhmed MostafaPsychiatric and Mental Health Nursing Department , Faculty of Nursing, Benha University. EgyptJournal Article20210517Background: Urinary incontinence is a highly prevalent health problem among elderly<br />people with a relevant impact on physical and psychological aspects of life with consequent<br />effect on the quality of life. Aim: Study aimed to assess the impact of urinary incontinence on<br />psychological well-being and quality of life among elderly people. Research design: A<br />descriptive design was utilized to fulfill the aim of this study. Setting: The study was conducted<br />in Urological outpatient clinic at Benha University Hospital at Benha City, Kaluobia<br />Governorate. Sample: The sample of the study was purposive sample of (100) elderly people<br />who are attending at the above mentioned settings. Tools: Tool (I):- A structured interviewing<br />questionnaire sheet which comprised of two parts: part (1) socio-demographic characteristics<br />& part (2) clinical characteristics of the studied sample. Tool (II): Goldberg’s psychological<br />well-being scale, and Tool (III) Incontinence related quality of life scale. Results: Findings<br />showed that nearly two thirds of the studied sample had low level of psychological well-being<br />while, more than two thirds of them had low level of quality of life and also, there was a highly<br />statistically significant positive correlation between total Goldberg’s psychological well-being<br />Scale and total Incontinence-related quality of life scale. Conclusion: Based on the result of<br />this study it was concluded that urinary incontinence is a chronic disease that has a negative<br />impact on psychological well-being of elderly people which subsequently impacts negatively<br />on their quality of life in the form of performing activities of daily living and enjoying their<br />normal life. Recommendation: The study recommended that recurrent assessment for<br />psychological status and all quality of life domains for elderly people should be a part of the<br />routine nursing care.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Infertility Clinic Nurse Communication Skills Training on Women Satisfaction1063107817048310.21608/ejhc.2021.170483ENDoaaLotfi Afifi AlqershMaternal and Newborn Health Nursing Department , Faculty of Nursing , Menofia University, EgyptJournal Article20210517Background: Effective communications skills are necessary in each area of life, but<br />of particular importance in the field of nursing. Communication is the process of transmitting<br />thoughts, feelings, and facts It is an essential element of the nurse-patient relationship.<br />Nurses are core in strengthening the health system through effective communication with<br />women which affects their level satisfaction. Aim: to evaluate the effect of infertility clinic<br />nurse communication skills training on women satisfaction. Methods: Research Design:<br />quasi experimental design (pre-post training). Setting: Private infertility center (Elbasma<br />center). Sample: A purposive sample of all nurses working in the previously mentioned<br />center; 20 nurses evaluated by 200 women were recruited for the study. Instruments: Four<br />instruments were used for data collection a) Two interviewing questionnaires b)<br />Communication skills assessment instrument c) Satisfaction assessment instrument. Results:<br />This study revealed that there was a high significant difference at nurses communication<br />skills and women satisfaction scores pre and post the training program. Conclusion:<br />Communication skills training program had high significant effect on improving total<br />communication skills of nurses and women satisfaction scores. Recommendations: On-<br />going education for infertility clinic nurses regarding communication skills and its positive<br />effect on women satisfaction and replication of the study with large sample size to further<br />settings.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Two Different Nursing Techniques on Labor pain, Duration, and Anxiety Level among Primiparous Women1079109017168610.21608/ejhc.2021.171686ENAmanyArafat GodaMaternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt.RedaM. Nabil AboushadyMaternal and Newborn Health Nursing, Faculty of Nursing, Cairo University, Egypt.HananFawzy Abbas SolimanMaternity and Gynecological Nursing, Faculty of Nursing, Ain Shames University, Egypt & Assistant professor at Shaqra University, KSAJournal Article20210523Background: Labor pain is considered as one of the most intense forms of pain. Psychological<br />challenge such as anxiety can contribute towards women’s perception of pain and may affect their<br />labor and birth experience. Aromatherapy is one of modern many non-invasive methods and is the<br />most popular complementary therapy to relieve pain during childbirth. The aim of this study was to<br />evaluate the effect of two different nursing techniques on labor pain, duration, and anxiety level<br />among primiparous women. A Quasi-experimental design was utilized to achieve the aim of the<br />study, conducted at labor and delivery unit at Shaqra Governate general hospital, KSA. Sample: A<br />total of 150 laboring women were recruited (75 for each group). Tools: four tools were used; 1) A<br />structured interviewing questionnaire schedule, 2) Subjective labor pain scale (visual-analogue<br />scale [VAS]), 3)- Partograph and 4)- Spielberger state-trait anxiety questionnaire. Results: There<br />were statistically significant differences between the two groups in labor pain scores at active phase<br />after the intervention at (p < 0.001), and in transitional phase after the intervention at (p = 0.06).<br />There was significant difference toward total labor duration among studied sample. Nearly half<br />(49.3%) of the lavender group were satisfied and referenced it for future pregnancies. Conclusion:<br />Two different nursing techniques were effective methods for reducing pain intensity, duration of<br />labor and anxiety level. It can be clinically recommended as an alternative, safe and affordable<br />method of pain relief during labor. However, lavender aromatherapy is more effective in decreasing<br />pain during labor, and anxiety than breathing technique. Recommendations Educational program<br />facilities and methods about non-pharmacological methods as; lectures, handout, and videos should<br />be developed and become accessible to all pregnant women in the outpatient clinics.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Learning Styles Preferences and Critical Thinking Disposition as A predictor of Student Goal Attainment1091110717679510.21608/ejhc.2021.176795ENRehabMohamed Rashad EbrahimNursing Administration, Faculty of Nursing, Benha University,MonaThabetNursing administration (nursing education), Faculty of Nursing, Minia UniversityJournal Article20210609Nursing profession students have multiple challenges that stimulate them to use different learning<br />styles and acquire more skills as problem solving, decision making, critical thinking and goal<br />attainment. The aim of the study was to investigate the learning style preferences and critical<br />thinking disposition as a predictor of student goal attainment. Design: was a cross sectional<br />correlational design. Setting was Faculty of Nursing at Benha University and Minia University.<br />Subjects: systematic random sample of 30% of total number of students during academic year<br />2020/2021 (sample size=1415). Tools: Three tools were used to collect data for this current study<br />including I- learning styles preferences questionnaire, II-California critical thinking dispositions<br />inventory scale and III- Goal attainment scale. Results: all students of both Faculties of Nursing<br />(Benha and Minia Universities) scored high score for multi-modal learning style, and high score for<br />critical thinking dispositions, as well high level of goal attainment. Conclusion: there were positive<br />correlations between learning styles, critical thinking dispositions, as well goal attainment among<br />nursing students at both study setting. Recommendations: Students should be encouraged to<br />determine their learning style to help them be more critical thinker and have goal attainment skill.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Resilience and Perceived Social support among Family Caregivers of Patients with Schizophrenia1108112217910910.21608/ejhc.2021.179109ENHebaMohamed AbdelaalLecturer of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, EgyptLamiaaHassnin EitaAss. Prof. of Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Menoufia University, EgyptMahmoudMohamed KhedrLecturer of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, EgyptJournal Article20210621Background: Psychological distress and burden among family caregivers of patients with<br />schizophrenia can be mediated by resilience and perceived social support from family members,<br />friends, and other significant caregivers. These are integral to bring positive changes in recovery<br />and adaptation of family caregivers. Those reduce stress characteristics, also improve quality of life<br />and quality of care provided for patients by family caregivers. Aim: This study aimed to determine<br />the relationship between level of resilience and type of perceived social support among family<br />caregivers of patients with schizophrenia. Design: A descriptive correlational design was used in<br />this study. Setting: The study was conducted at Elmaamoura Hospital for Psychiatric Medicine in<br />Alexandria, Egypt. Subjects: Subjects of this study consisted of 200 family caregivers of patients<br />with schizophrenia. Tools: Three tools were used to collect necessary data namely a socio-<br />demographic structured interview schedule, Connor-Davidson Resilience Scale (CD-RISC-10) and<br />the Multidimensional Scale of Perceived Social Support (MSPSS). Results: Among the studied<br />caregivers 76% had low level of resilience and most of the caregivers 82.5% had moderate<br />perceived social support. A statistically significant positive relationship was found between<br />resilience and total score of perceived social support & its three subscales (family social support,<br />important people social support and friends social support). On further analysis using stepwise<br />multiple regression, the study revealed that family social support emerged as the first predictor of<br />resilience. Conclusion: It can be concluded that most of the studied patients had low level of<br />resilience and moderate perceived social support. Moreover, perceived social support is related to<br />and can predict more resilience among family caregivers.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Instructional Guidelines Regarding Minor Discomforts on Reducing Depression, Anxiety, and Stress Level among Primigravida1123113515026310.21608/ejhc.2021.150263ENNourEl Hoda Mostafa MohamedAssistant professor of Obstetrics and Gynecology Nursing, Faculty of Nursing, Sohag University, EgyptSafaaAbdelazem Osman AliAssistant professor of psychiatric and mental health nursing, Faculty of nursing, Suez Canal University, EgyptNagwaAhmed Mohamed SouilmAssistant professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, south valley University, EgyptFatenSaid Abdelhady GarfLecturer of Community Health Nursing, Faculty of Nursing, Beni Suef University, EgyptMonaAbd Elhaleem Ebraheem ElagamyLecturer of Maternal and neonatal health nursing department, Faculty of Nursing, Tanta University, EgyptJournal Article20210221Hormonal changes during pregnancy lead to minor discomforts in all the women's body as nausea,<br />vomiting, constipation, excessive urination, and fatigue cause anxiety for them. Most of their<br />discomforts can be managed by self-care measures or healthful practices ones can do. Aim: This<br />study aimed to evaluate the effect of instructional guidelines regarding minor discomforts on<br />reducing depression, anxiety, and stress level among primigravida. Subjects and method: Study<br />design: A quasi-experimental research design was used on a convenient sample of 150 pregnant<br />women from a population of through 386 women in six-months, from June 2019, until December<br />2019, who attended at the antenatal clinic at Sohag University Hospital, Egypt. Tools of data<br />collection: Two tools were utilized to collect the data in this study: (1) A self-administered<br />questionnaire, (2) Depression, Anxiety, and Stress Scale (DASS). Results: The present study<br />revealed that there were statistically significant differences between primigravida pregnant women's<br />knowledge about minor discomforts and their anxiety levels before and after the implementation of<br />the instructional guideline. Also, pregnant women's anxiety was severe before the implementation<br />of the guideline while these levels become low after guideline implementation. Conclusion: The<br />instructional guidelines were effective in minimizing primigravida pregnant women's anxiety<br />regarding minor discomforts and rising their knowledge about minor discomforts after<br />implementation of the instructional guideline. Recommendations: health educational programs<br />about minor discomforts and their self-care practices should be taught to all pregnant women and<br />psychological support to help them to cope and become more resilient during their pregnancy about<br />minor discomforts.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Interactive Digital-Based Educational Intervention on knowledge, Misconceptions, and Preventive Practices of COVID -19 among Damanhour University Students1136115418187610.21608/ejhc.2021.181876ENAbeerAbd-El AzizMohamed MadianAssistant Professor of Community Health Nursing, Faculty of Nursing, Damanhour UniversitySamihaHamdi SayedLecturer of Community Health Nursing, Faculty of Nursing, Damanhour University and Assistant Professor of Public Health, College of Health Sciences, Saudi Electronic University, Saudi ArabiaJournal Article20210704<strong>Background: </strong>The pandemic of COVID-19 is currently a threat to global health. Prevention and control largely depend on population awareness and behavior. <strong>Aim</strong>: Evaluate the effect of interactive digital-based educational intervention on knowledge, misconceptions, and preventive practices of COVID -19 among Damanhour university students. <strong>Methods</strong>: A randomized controlled educational trial design was employed (pre-post-test/control group). The study was accomplished in four literature faculties in Damanhour University, where 400 students were equally and randomly allocated into intervention and control groups by using multi stage sampling technique. Online structured questionnaire was used contained three tools: students’ knowledge and misconceptions toward COVID-19, students' preventive practices toward COVID-19, and students' satisfaction scale with the educational intervention. <strong>Results:</strong> A statistically significant positive mean change was found for total COVID-19 knowledge and preventive practices scores after one and three months of the educational intervention. A statistically significant negative mean change was observed for the total misconceptions score after one and three months of the educational intervention. COVID-19 preventive practices were found to be positively correlated with total knowledge (r=0.768, P=0.000) while it was negatively correlated with total misconception (r= -0.541, P=0.003) scores. A higher satisfaction with the overall COVID-19 digital-based educational intervention was found among 75.0% of the intervention group. <strong>Conclusion</strong><strong>:</strong><strong> </strong>of the present study support the research hypotheses and the digital-based educational intervention was effective in improving university students’ COVID-19 knowledge and preventive practices and lowering their misconceptions. Henceforth, expanding the experience of digital-based health educational programs about COVID-19 is recommended to improve the community practices and enhance their self-reliance and empowerment to combat the disease<strong>.</strong>Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Forward Action Plan for adherence to Infection Prevention And Control to Health Care Workers During Care For Suspected or Confirmed Covid-19 Patients1155116918618610.21608/ejhc.2021.186186ENManalSaleh Moustafa SalehAssistant professor, Nursing Administration, Faculty of Nursing, Zagazig University, EgyptHananElsaid ElsabahyLecturer , Nursing Administration, Faculty of Nursing, Mansoura University, EgyptAwatefAbdel Hamid MohamedLecturer, Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptZainebNaiem AbdelhamidLecturer, Nursing Administration, Faculty of Nursing, Zagazig University. EgyptJournal Article20210728Background: Healthcare workers are the frontline armies in the fight against the Corona virus<br />disease-2019 (COVID-19) pandemic, and their safety should be an urgent focus in the global<br />response to the pandemic. The study aims to suggests a forward action plan for adherence to<br />infection prevention and control to health care workers during care for suspected or confirmed<br />Covid-19 patients at Hospitals based on gaps, weaknesses, and barriers from health care workers<br />(HCWs) perspective. Design: A cross-sectional study was used. Tools: A validated electronic self-<br />assessment tool built-in Google drive and was distributed to HCWs who have been exposed to the<br />patient(s)with suspected or confirmed COVID-19 in at different Cities (Zagazig city, Mansoura city,<br />and Cairo city) in Egypt. Two tools were used 1) included three sections: personal and job<br />characteristics of HCWs, the COVID-19 infection rate among HCWs, adherence of HCWs to<br />infection prevention and control during health care, and 2) the barriers to applying preventive<br />measures. EQUATOR research checklist (STROBE) were used by the researchers. Results: Around<br />439 HCWs participated in the study; 225 were males and 214 were females. (63.1%) of the<br />respondents were nurses. (59.7%) of the respondents were contacted and 13.2% were infected and<br />COVID-19 test results were positive. Conclusions: Strengths in adherence of HCWs regarding<br />triage, early recognition, and source control, standard precaution for all patients, empiric additional<br />precautions, wearing and removing protective equipment and administrative controls play important<br />role in infection control. However, a number of gaps and weaknesses were revealed in applying<br />preventive measures to control infection with COVID-19.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Influence of Care Protocol on Nurses’ Performance and Clinical Outcomes for Patients with Tube Thoracostomy1170118518765310.21608/ejhc.2021.187653ENDinaMohamed MaaroufLecturer in Critical Care Nursing Department- Faculty of Nursing-Ain Shams UniversityDaliaAli AmeenAssist Professor in Critical Care Nursing
Department - Faculty of Nursing-Ain Shams UniversityJournal Article20210805Background: Tube thoracostomy is a life-saving implementation for patients <br />presenting with pneumothorax, effusions and hemothorax. Aim: This study aimed to evaluate <br />influence of care protocol on nurses’ performance and clinical outcomes for patients with tube <br />thoracostomy. Design: A quasi experimental design. Setting: The study was conducted at chest <br />intensive care unit at Ain Shams University Hospitals. Sample: A convenient sample of all available <br />nurses (30 nurses) from the previous mentioned settings willing to participate in the study and a <br />purposive sample of 50 patients with tube thoracostomy divided into two groups: study & control <br />group (25 patients in each group). Tools of data collection: I-Nurses’ performance assessment <br />tool (demographic characteristics of nurses, nurses’ knowledge questionnaire and nurses’ practice <br />observational checklist) II-Clinical outcomes assessment tool. Results: Concerning nurses’ level <br />of performance (knowledge and practice) regarding tube thoracostomy care pre and post <br />implementation of care protocol, there were statistically significant differences between mean <br />scores of the pre and post-tests. Regarding clinical outcomes for patients with tube <br />thoracostomy, there were statistically significant differences between control group and study group <br />all over the variables of outcomes. Conclusion: Application of care protocol for patient with <br />tube thoracostomy has a positive influence on nurses’ performance; and consequently had a <br />positive influence in refinement the outcomes for patients in the study group rather than the <br />control group with a statistically significant difference. Recommendations: Importance of <br />presence of care protocol related to care of patients with tube thoracostomy and further <br />researches should be done to assess and evaluate the clinical outcomes for patients with tube <br />thoracostomy. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Assertiveness and Self-esteem of Final Year Nursing Students: Effect of Psycho-Educational Nursing Intervention1186120018765410.21608/ejhc.2021.187654ENFatmaMohammed Ibrahim MorsiLecturer of Psychiatric Nursing, Faculty of Nursing - Ain Shams UniversityHanaaEzz-Eldin PrinceLecturer of Psychiatric Nursing, Faculty of Nursing - Ain Shams UniversityJournal Article20210805Background: Nursing students- as the future professionals- who can behave <br />assertively develop self-worth, self-respect, and high self-esteem while communicating <br />professionally and practicing competently. Aim: This study aimed to assess the assertiveness <br />among final year nursing students; assess the self-esteem among final year nursing students; <br />and to assess the effect of psycho-educational nursing intervention implementation on <br />assertiveness and self-esteem of final year nursing students. Design: A quasi-experimental <br />study design on one group pre/post assessment was utilized on 45 final year nursing students <br />who were enrolled in psychiatric/Mental Health Nursing Department, Faculty of Nursing<br />Ain Shams University. Tools of data collection: The data was collected using an interview <br />questionnaire that included three sections as the following: 1) student's demographic <br />characteristics; 2) Rathus Assertiveness Schedule (RAS); and 3) Rosenberg self-esteem <br />scale. Results: the current study revealed that: there were improvement in the studied <br />nursing students` levels of assertiveness and self-esteem post- psycho-educational nursing <br />intervention implementation; there were highly statistically significant differences between <br />assertiveness levels; and self-esteem levels of the studied nursing students pre- and post<br />psycho-educational nursing intervention implementation; as well, there was a highly <br />statistically significant direct correlation between levels self-esteem and assertiveness of the <br />studied students post psycho-educational nursing intervention implementation. Conclusion: <br />The study concluded that, the psycho-educational nursing intervention implementation had <br />positive effect on assertiveness and self-esteem of final year nursing students. <br />Recommendation: incorporating assertiveness training as an eligible training course of the <br />undergraduate nursing programAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Family Involvement in Patient Care on Preventing Intensive Care Units Acquired Weakness1201121618765510.21608/ejhc.2021.187655ENNoraNasr Abd-elsamea Mohamed NasrCritical care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, EgyptSuadElsayed AbdelmotalbCritical care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, EgyptAmerAbdallah Attia Elsaid ElhanafyAnesthesia, Critical care and Emergency Medicine Department, Mansoura University, EgyptJournal Article20210805Background: The Intensive care units acquired weakness detected in 30 to 50% of <br />ICU patients leading to high morbidity and complication, family engaging family in early <br />mobility process that reported benefits including reduced ICU-acquired weakness, improved <br />functional recovery within the hospital, improved walking distance at hospital discharge and <br />reduced hospital length of stay. This study aimed to Determine the effect of family <br />involvement in patient care on preventing intensive care units acquired weakness. Methods: <br />Quasi experimental research was conducted in surgical and general ICUs in the main <br />Mansoura university and emergency hospitals, which included 60 adult newly ICU admitted <br />patients. Tools: Three tools were used to collect the data of this study namely “Intensive care <br />unit acquired weakness assessment”, “Early progressive mobility protocol” and “Patients’ <br />family satisfaction with early mobility protocol involvement”. Results: Only 6.7% of the <br />intervention group had a weakness at the end of the study with no significant difference <br />(0.150) was found in muscle strength from the start and end of the study. While about a third <br />of the control group (26.7%) had a weakness at the end of the study. A statistically <br />significant difference (0.038) in muscle strength was found between intervention and control <br />group. Furthermore, About two-thirds (70%) of patients' family members of the intervention <br />group were satisfied by giving them a role in participation in their patient care. Conclusion: <br />Critically ill patients whose families were involved in their mobility protocol had less <br />intensive care units acquired weakness rates than those who were not. Recommendation: <br />Evaluation of muscle strength should be a routine part of ICU examination. Family centered <br />care concept should be adopted in ICUs by allocating them in daily activities involvement <br />with enough support and cooperationAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Educational Intervention Based on PRECEDE Model on Preventive Behaviors among High-Risk Individuals for Diabetes Type 21217122918766310.21608/ejhc.2021.187663ENRehamEl Ashery Ashery AskerLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Fayoum UniversityManalMansuor MostafaAssistant Professor in Community Health Nursing Department, Faculty of Nursing, Fayoum UniversityManalIbrahem Abd El Fatah YassenLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef UniversityJournal Article20210805Early detection of high-risk factors for diabetes can be prevented by informative programs designed <br />and implemented to decrease the high prevalence and prevent complications. Aim: To determine <br />the effect of educational intervention based on PRECEDE model on preventive behaviors among <br />high-risk individuals for diabetes type 2. Design: Quasi-experimental research design pre-post-test <br />was utilized. Settings: The study was applied in the medical outpatient clinics at El-Fayoum <br />Medical University Hospital. Sample: A purposive sample of 160 individuals diagnosed as high- <br />risk for diabetes type 2. Tools: Four tools were used: (1) Structured interviewing questionnaire, (2) <br />Predisposing, Enabling, and Reinforcing Questionnaire (PRECEDE model questionnaire), (3) High- <br />risk individual's reported practices questionnaire of diabetes preventive behavior, and (4) High-risk <br />individual attitude questionnaire regarding diabetes prevention. Results: Mean score of knowledge, <br />enabling factors and reinforcing factors have been increased with statistical significance <br />immediately and after intervention. High-risk individuals had good practices toward diabetes type 2 <br />preventive measures after three months post-intervention in comparison to the pre-intervention. <br />High-risk individuals had a positive attitude toward diabetes type 2 preventive measures after three <br />months post-intervention in comparison to the pre-intervention implementation. There was a <br />statistically significant relationship between knowledge, enabling, reinforcing factors score and <br />practices scores of diabetes type 2 preventive measures throughout the intervention phases. <br />Conclusion: It was concluded that the PRECEDE model was effective in promoting preventive <br />behaviors among high-risk individuals for diabetes type 2. Recommendation: The educational <br />intervention based on PRECEDE model about preventive behaviors should be integrated into care <br />among high-risk individuals for diabetes type 2.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Instructional Guidelines on Nurses' Knowledge and Practices Regarding Care for Infants with Bronchitis1230123918963910.21608/ejhc.2021.189639ENAmiraAdel MohammedLecturer of Pediatric Nursing, Faculty of Nursing, South Valley University, Qena, EgyptYasmenAdel MohammedLecturer of Pediatric Nursing, Faculty of Nursing, Mirs University for Science and Technology, EgyptJournal Article20210816<strong>Background:</strong> Bronchitis is acute or choric inflammation of the large airway passages and lungs, which increased mortality rate among infant. The study <strong>aimed</strong> to<strong> </strong>evaluate the effect of instructional guidelines on nurses' knowledge and practices regarding care for infants with bronchitis. <strong>Design</strong>: A quasi-experimental design was applied; this study was conducted at inpatient pediatric department at Benha university hospital affiliated to Benha Governorate. <strong>Sample</strong>: A purposive sample of 43 nurses and 36 infants hospitalized with bronchitis. <strong>Tools</strong>: Structured interview questionnaire and follow up observational checklist. <strong>Results</strong>: this study reflects, a highly statistically differences for mean scores pre/post-test for nurses' knowledge and practices regarding care for infants with bronchitis. <strong>Conclusion</strong>: nurses' knowledge and practices regarding care for infants with bronchitis were improved post implementing the instruction guidelines than before. <strong>Recommendation</strong>: Instructions guidelines regarding care of infants with bronchitis should be periodically in pediatric inpatient departments in hospitals.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Peer Learning Model for Critical Thinking and Self-Efficacy in Clinical Practice Education among Nursing Students1240125219187510.21608/ejhc.2021.191875ENRaniaMaher AlhalawanyLecturer in Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, EgyptAssistant Professor in
Health and Rehabilitation Sciences College, Princess Nora Bint Abdulrahman University, KSASamahMohamed ElhomosyAssistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, EgyptNeanaaM., FayedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Menoufia University, EgyptJournal Article20210829Background: Nursing education previously had been focused on traditional learning approaches. <br />However, today, changes and development in information and technology require the foundation of <br />active nursing education. One of these active learning approaches is peer learning. This study <br />aimed to investigate the effect of the peer learning model for critical thinking and self-efficacy in <br />clinical practice education among nursing students. A quasi-experimental research design was <br />implemented. This study was carried out in three different departments; gynecology and Pediatric <br />departments affiliated to University Hospital and Psychiatric Department at Shebin El-Kom <br />Teaching Hospital, Menoufia Governorate, Egypt. A convenient sample of 100 undergraduate <br />nursing students in the academic year 2019-2020 was recruited for this study. They divided <br />randomly into the intervention and comparison groups (each group involves 50 students). <br />Instruments used for data collection were three: instrument 1 was sociodemographic characteristics <br />of students; instrument 2 was the Critical Thinking Motivation Scale, and instrument 3 was the <br />Students' Self-Efficacy scale. The findings indicated that the total mean score of critical thinking <br />and self-efficacy in the intervention group (peer learning group) was higher than in the comparison <br />group (traditional group). The study concluded that applying the peer learning model among nursing <br />students in clinical practice supervision effects on critical thinking skills and self-efficacy to a <br />greater extent than traditional supervision does. So, it is recommended that the peer learning model <br />can be applied during clinical practice for nursing students to enhance critical thinking skills and <br />self-efficacyAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Efficacy of drainage self-care management on mastectomy patients' outcomes1253126719300610.21608/ejhc.2021.193006ENNeimaAli RiadMedical Surgical Nursing Department, Faculty of Nursing, Menoufia University, EgyptSehamMohamed Abd ElalemMedical Surgical Nursing Department, Faculty of Nursing, Menoufia University, EgyptOmimaSaid M.H. ShehataMedical Surgical Nursing Department, Faculty of Nursing, Menoufia University, EgyptOm ElhanaKamel Abo ShehataMedical Surgical Nursing Department, Faculty of Nursing, Menoufia University, EgyptJournal Article20210905Background: Self-management following surgical treatment of breast cancer is an effective way to <br />promote optimal coping and improve health through the participation of patients and their families <br />in the decision making, acquiring knowledge and skills that help them in dealing with their illness. <br />Aim: The aim of our research was to evaluate the efficacy of drainage self-care management on <br />mastectomy patients' outcomes. Design: A quasi-experimental research design was used. Sitting: <br />The study was carried out at the general surgical department in emergency Hospital of Menoufia <br />University Hospital at Shebin El-Kom District, Menoufifia Governorate, Egypt. Sample: the sample <br />size was one hundred and fifty breast cancer patients that were assigned alternatively and randomly <br />into 2 equal groups a study and a control group, each one consisted of seventy-five patients. Tools: <br />Five tools were used; Tool 1: An Interviewing Questionnaire sheet. Tool II: Patient’s knowledge, <br />Tool III: observational checklist. Tool IV: The Cancer Behavioral Inventory-Brief (CBI-B). Tool V: <br />drainage complications assessment. Results: There was a highly statistically significant increase in <br />knowledge and self-efficacy scores, practice level, and decrease in the occurrence of drain <br />complications of a study group than a control group. Conclusions: Self-management of drainage <br />care is one of the key concepts for increasing patient's knowledge, practice, and self-efficacy that <br />help for reducing drain complications. Recommendation: self-management of drainage care after <br />mastectomy should be taken into account when providing nursing care to increase patient's self<br />efficacy and improve outcomes through enhancing patient's knowledge, practice, and role <br />management.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Instructional Guidelines on Knowledge, Practice, and Fatigue Level among Patients with Brain Tumors1268128019338610.21608/ejhc.2021.193386ENHananAli Ibrahim AlmanzlawiLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Mansoura UniversityHanaaFarahat Ibrahim AhmedMedical-Surgical Nursing, Nursing College, Badr University in CairoInasMohamed Mohamed LoftyAssistant professor of Hospital and Nursing Management, Military Medical AcademyManalIbrahem Abd El Fatah YassenLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef UniversityJournal Article20210907Fatigue is recognized as one of the most common and distressing adverse effects of cancer disease <br />and treatment. Educational guidelines are providing general information about fatigue and <br />introducing new concepts regarding energy conservation, self-care, and confrontation techniques. <br />Aim was to evaluate the effect of instructional guidelines on knowledge, practice, and fatigue level <br />among patients with brain tumors. Subjects and method: Design: A quasi-experimental research <br />design was utilized to fulfill the aim of this study. Setting: the research was conducted in the <br />neurosurgery department and neurosurgery outpatient clinic of Fayoum Oncology Center. Subjects: <br />A purposive sample of 50 adult patients was included. Four tools were used: Tool (I) a structured <br />interview questionnaire, Tool (II) adult patients' knowledge regarding brain tumors, Tool (III) adult <br />patients' practice regarding brain tumors (pre/post), and Tool (IV) Fatigue assessment scale. <br />Results: More than half of adult patients were having a family history of cancer. The majority of <br />adult patients reported that the main source of information regarding their knowledge was doctors. <br />There was a positive significant correlation (P=0.005) between adult patients' knowledge scores and <br />their practice post-three months of instructional guidelines implementation. There were highly <br />significant improvements in adult patients' knowledge and practice regarding brain tumors post <br />instructional guidelines implementation (P=0.005). Statistical highly significant differences and <br />reductions were detected between fatigue mean scores pre and post-three-months of instructional <br />guidelines implementation. Conclusion: The instructional guidelines implementation had a highly <br />significant positive effect on reducing fatigue level among adult patients with brain tumors. <br />Recommendations: The instructional guidelines regarding brain tumors should be conducted, <br />discussed, integrated into the rehabilitation programs, and taught to the adult patients using the <br />booklet and illustrated pamphlets for each one to improve their information and reduce their fatigue <br />level and replication of the current study with a larger sample of an adult patient with brain tumors <br />in different settings is required for generalizing the resultsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Clinical Risk Management in Healthcare Organization as Perceived by Staff Nurses1281129819338910.21608/ejhc.2021.193389ENNancySabry EL LeithyLecturers , Nursing Administration ,Faculty of Nursing, Alexandria University, Alexandria, EgyptHebaMohamed Al Anwer AshourLecturers , Nursing Administration ,Faculty of Nursing, Alexandria University, Alexandria, EgyptJournal Article20210907Background: Clinical risk management (CRM) is the cornerstone of the system <br />approach to achieve patient safety, human error management in health care, and reduction of <br />the incidence and impact of preventable adverse events. It is related to risk management of <br />clinical care in healthcare setting. Research objectives: The main purpose of this study is to <br />assess the perception of staff nurses of the clinical risk management in private and <br />governmental hospital. Subjects and Methods: A descriptive research design was used in <br />carrying out this study. It was conducted at two hospitals: private and governmental hospital. <br />Subjects of the study included 300 nurses. The data collection forms consisted of two tools <br />namely, clinical risk management questionnaire and risk program occurrence checklist. <br />Results: The overall study subject had perceived moderate level of CRM (40.54 ± 16.89). <br />However, the studied nurses in the private hospitals had perceived higher level of clinical <br />risk management than nurses in governmental hospital (53.23 ± 15.43, 27.85 ± 3.17) <br />respectively. Conclusion: This study concluded that all the studied staff nurses perceived <br />moderate level of CRM. However, there was a significant difference according to hospital <br />ownership, as the governmental hospital perceived lower level of CRM and risk management <br />program than those in private hospital. Recommendation: Developing training programs for <br />nurses to improve their knowledge and skills of CRMAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Job Stress and Presenteeism Prevalence among Nursing Staff during the Outbreak of Pandemic Coronavirus Disease 20191299131619630310.21608/ejhc.2021.196303ENLobnaKhamis MohamedAssistant Professor of Nursing Administration, Faculty of Nursing, Tanta University, Egypt.ShereenRagab DorghamAssistant Professor of Nursing Administration, Faculty of Nursing, Tanta University, Egypt and Nursing Education
Department, College of Nursing, Imam Abdulrahman Bin Faisal University, KSAWalaaMostafa EidLecturer of Nursing Administration, Faculty of Nursing, Tanta University, EgyptJournal Article20210926Background: Job stress and presenteeism are perplexing issues in the nursing profession during<br />the crisis of COVID-19 pandemic that must receive increasing attention. Aim: It aimed to assess the<br />job stress and presenteeismprevalence, as well as verify the association between two concepts among<br />nursing staff during the outbreak of coronavirus disease 2019. Design: It utilized a descriptive,<br />correlational design. Setting: It was conducted in the Main Tanta University and Emergency<br />Hospitals. Subjects: All nursing staff (503), who had a Diploma, Bachelor of Sciences, or Master of<br />Sciences in nursing. Tools:The questionnaire involved nursing staff’s demographic data, the adapted<br />Extended Nursing Stress Scale, the Presenteeism Prevalence Questionnaire, and the Stanford<br />Presenteeism Scale.Results: The organizational factors were the dominant reasons for presenteeism<br />among nursing staff rather than the personal factors. Workload, inadequate emotional preparation,<br />death and dying, and conflict with supervisors were the most prominent factors for causing stress.<br />Furthermore, there was a positive correlation between job stress factors and nursing staff’s perception<br />of presenteeism. Conclusion: Presenteeism behavior is evidence for organizational risk-taking<br />behavior with diverse implications in the nursing profession, in which the nursing staff perceived a<br />high level of job stress associated with a high prevalence of presenteeism behavior during the<br />coronavirus pandemic. Recommendations: Develop a policy and practices with more guidelines to<br />avoid the vagueness regarding what nursing staff should do while sick. Moreover, promoting the<br />coping strategies and conflict resolution for managing job stress among nursing staff to reduce<br />presenteeism behavior.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Health Care Workers Compliance with Preventive Measures for Covid-19 in Intensive Care Units1317132619788410.21608/ejhc.2021.197884ENMonaAly MohammedAssistant professor of critical care and emergency Nursing department Faculty of nursing Assuit University, EgyptAsmaaAly MahgoubAssistant professor of critical care and emergency Nursing department Faculty of nursing Assuit University, EgyptMarzokaAbd El-AzizProfessor of Pediatric Nursing, Faculty of Nursing, Assiut University, EgyptMonaAbd Elaziem AhmedProfessor of Pediatric Nursing, Faculty of Nursing, Assiut University, EgyptJournal Article20211003Background: Healthcare workers are at the forefront of COVID-19 intervention. Unfortunately,<br />due to highly infected patients with novelty of the virus and the unequipped of hospital to deal with<br />the sudden influx of situations. Aim: to describes the health care workers compliance with<br />preventive measures for covid-19 in ICUs. Setting: The study was carried out on intensive care<br />units (trauma=19, chest=15, general =12, post-operative=12 obstetric=22 ICUs). All health care<br />workers received a cumulative training of standard and additional precautions at health care facility.<br />Method: A prospective cross-sectional study design was conducted among 80 HCWs with COVID-<br />19 infection at Assuit University Hospitals within one year. Two tools were utilized to collect data;<br />Each participant was contacted individually by the researchers; the questionnaire was distributed to<br />the participants. Data were collected using a self-administered, valid, structured questionnaire.<br />Results: The high percent of healthcare workers (82.5%) always use alcohol-based hand rub or soap < /div><br />and water after touching a patient, (70%) follow recommended hand hygiene practices, (91.3%) had<br />cough and 68 (85 %) had sore throat. Conclusion and Recommendations: The incidence of<br />infection increase, while HCWs followed infection prevention and control measures. Thus vaccinate<br />all health care workers are recommended. In addition, high-risk HCWs could be assigned duties<br />away.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Toolkit Teaching Strategy on Pediatric Nursing Students' Practical Skills Regarding Neonatal Resuscitation1327134419846410.21608/ejhc.2021.198464ENRehabIbrahim Mostafa RadwanAssistant professor, Pediatric Nursing, Faculty of Nursing, Damanhour UniversityAbeerAbd El-Razik Ahmed MohammedAssistant professor, Pediatric Nursing, Faculty of Nursing, Alexandria UniversityZohourIbrahim RashwanLecturer of Pediatric Nursing, Faculty of Nursing, Alexandria University
Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain.NohaMohamed ArafaLecturer of Pediatric Nursing, Faculty of Nursing, Alexandria UniversityJournal Article20211006<strong>Background:</strong> Effective learner-centric innovative teaching strategies are currently being used to encourage active students' participation, enhance creative thinking and improve their problem-solving abilities.<strong> </strong>Toolkit strategy is one of these teaching strategies, which involves an integration of diversity teaching methods that improve undergraduate nursing students’ learning capabilities and their confidence in the clinical setting. <strong>Aim: </strong>The aim of this study was to determine the effect of toolkit teaching strategy on pediatric nursing students’ practical skills regarding neonatal resuscitation. <strong>Setting:</strong> The study was carried out in Pediatric Nursing Labs at the Faculty of Nursing, Damanhour University. <strong>Subjects:</strong> The subjects of the present study comprised of "70" students divided randomly into "study and control" groups 35 students per group. <strong>Tools:</strong> Two tools were used, namely, Neonatal Resuscitation Practical Skills Observational Checklist and Pediatric Nursing Students’ Satisfaction Assessment Scale. <strong>Results: </strong>The study revealed a statistically significant difference between the study and control groups in relation to their practical skills in the performance of neonatal resuscitation procedure immediately after the conduction of teaching (P<0.000*). Moreover, all students in the study group were highly satisfied after performing the procedure using toolkit strategy. Meanwhile, less than half of the students in the control group (42.9%) were highly satisfied with the traditional method of practical training and the difference was statistically significant (P< 0.000*). <strong>Conclusion:</strong> It can be concluded that applying toolkit teaching strategy as a method of teaching has a positive effect on the practical skills of nursing students. Additionally, it improves their satisfaction level with the teaching process. <strong>Recommendation:</strong> The main recommendation of the current study was to apply toolkit teaching strategy as an innovative method of teaching in all academic nursing departments which possess practical skills in their academia courses at the Faculty of Nursing, Alexandria University and Damanhour University.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Factors Associated with Transmission of COVID-19 Infection among Nursing Staff in Kafr Eldawar Fever Hospital 20211345136119847510.21608/ejhc.2021.198475ENWalaaEl Shahat Ahmed El GammalLecturer of Medical- Surgical Nursing, Faculty of Nursing, Damanhour University.MaysaSaber Mohamed IsmailAssociated Professor of Pediatric Nursing, Faculty of Nursing, Damanhour University.AzzaIbrahim Abdelkader HabibaAssistant Professor of Medical- Surgical Nursing, Faculty of Nursing, Damanhour UniversityJournal Article20211006<strong>Background</strong>: COVID-19 seriousness may result from its pandemic infection from human-to-human transmission and evidence of transmission from animal to human as well. Mainly COVID-19 is transmitted by respiratory droplets while aerosol transmission can occur in specific situation mainly in crowded poor ventilated spaces. This transmission affects individual, health care workers (HCWs), health institutions and the whole community <strong>Aim of the Study:</strong> to identify factors associated with transmission of COVID-19 infection among nursing staff in Fever hospital, Kafr Eldawar, 2021. <strong>Research Design:</strong> Cross sectional research design was used. <strong>Setting: </strong>The present study was conducted at This study was conducted in Kafr Eldawar Fever hospital. <strong>Subject</strong>s: A convenient sample of 104 nurses out of total number of hospital nursing staff (who are on duty, accessible at the time of the study and agreed to participate in the study) is 169 nurses in all hospital units. <strong>Tools</strong>: one tool was developed by the researchers in the form of self-administered questionnaires “factors associated with COVID-19 infection”. It consisted of four parts, part I: socio-occupational data,<strong> </strong>part II:" Factors predisposing nursing staff to COVID-19", part III: "Adherence to infection prevention and control (IPC) measures information" and part IV: " Nursing staff opinions". <strong>Results</strong>: Majority of nurses were directly assigned beds to patients diagnosed with COVID-19, more than two thirds of them worked in a COVID-19 isolation ward and were touching their cheeks, nose, or mouth at work. <strong>Conclusion</strong>: There is significant relation between Participation in in-service training program related to dealing with COVID-19 infection and previous COVID-19 infection and factors predisposing one to COVID-19. <strong>Recommendation: </strong>Well-established hospital information systems (MIS), personal digital assistant (PDA) systems, and a local intranet to avoid unnecessary contact with COVID-19 infection. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Metacognitive Ability and Academic Self-Efficacy: Their Relations to Role Transition as Perceived by Nursing students1362137919847810.21608/ejhc.2021.198478ENZienabIbrahim Ismail IbrahimLecturer and Assistant professor of Nursing Administration, Faculty of Nursing, Benha University.RehabMohamed Rashad EbrahimLecturer and Assistant professor of Nursing Administration, Faculty of Nursing, Benha University.Journal Article20211006<strong>Background</strong>: Nursing students are challenged to think and impart in ways that will prepare them for practical work in a complex healthcare environment, Metacognition ability refers to an individual’s knowledge of his thinking allowing them to design their thinking properly. In addition, high self-efficacy enhances students' accomplishment and personal well-being since student with high assurance in their capabilities approach difficult tasks as challenges to be mastered. <strong>Aim</strong>: To explore metacognitive ability and academic self-efficacy and their relation to role transition as perceived by nursing students. <strong>Design:</strong> Descriptive correlation design was utilized. <strong>Setting</strong>: The study was conducted at Faculty of nursing, Benha University. <strong>Subjects</strong>: A convenient sample of 4<sup>th</sup> year nursing students who enrolled in nursing administration department in the first term of academic year 2020/2021, the final number of sample size was 214. <strong>Tools</strong>: Three tools were used for data collection as follows; Metacognitive ability scale, Academic self-efficacy scale and Modified Perceptions of role transition questionnaire. <strong>Results:</strong> Two thirds of nursing students have high level of metacognitive abilities, more than half of them have high level of academic self-efficacy and more than two fifth perceived role transition moderately. <strong>Conclusion</strong>: There was a highly statistically significant correlation between metacognitive ability and academic self-efficacy, and a highly statistically significant positive correlation between academic self-efficacy and role-transition. <strong>Recommendations</strong>: Implementing learning strategies that promote nursing students' development of metacognitive abilities, studying the impact of academic self-efficacy and meta-cognitive ability on clinical decision-making ability among nursing students. And providing an orientation program for nursing students about role transition.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Knowledge, Practices, and Quality of Life of Elderly Patients with Peptic Ulcer Disease at Zagazig University Hospitals1380139919913710.21608/ejhc.2021.199137ENEmanShokry Abd AllahProfessor of Community and Gerontological Nursing, Faculty of Nursing, Zagazig University, Egypt.RedaEl Sayed El BadawyAssistant Professor of Community Health Nursing, Faculty of Nursing, Zagazig University, Egypt.HassanatRamadan Abdel-AzizLecturer of Gerontological Nursing, Faculty of Nursing, Zagazig University, Egypt.Journal Article20211011<strong>Background:</strong> Peptic ulcer disease (PUD)<strong> </strong>is one of the common gastrointestinal disorders and health challenges that resulted in a significant burden on elderly people. <strong>Aim: </strong>To assess knowledge, practices, and quality of life of elderly patients with PUD.<strong> Design: </strong>A Cross-sectional descriptive study design. <strong>Setting: </strong>Gastroenterology outpatient clinic at Zagazig University Hospitals. <strong>Subjects</strong>: A purposive sample<strong> </strong>included 150 elderly patients with PUD. <strong>Four tools of data collection: I)</strong> An interview questionnaire consisted of two parts about demographic characteristics and medical history of the studied elderly.<strong> II) </strong>Knowledge about PUD scale. <strong>III) </strong>Practices regarding PUD scale. <strong>IV) </strong>The WHO Quality of Life (QOL) Instrument-Short Form. <strong>Results: </strong>The study revealed that 51% of the studied elderly had satisfactory knowledge about PUD and 85% of them had satisfactory practices regarding PUD. Regarding the total QOL score, 83.3% of the studied elderly had poor QOL. Also, the study revealed that there was a significant negative correlation between the total score of elderly QOL and their total knowledge score about PUD (r = -0.168). <strong>Conclusion: </strong>The study concluded that half of the studied elderly had satisfactory knowledge about PUD and the majority of them had satisfactory practices regarding PUD. Also, the majority of the elderly patients had poor QOL and there was a significant negative correlation between QOL of the elderly and their knowledge about PUD. <strong>Recommendation: </strong>Developing and implementing appropriate and effective health education programs for elderly patients with PUD to increase their knowledge about PUD and to improve their quality of life.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Cognitive Behavior Therapy to Control Internet Addiction among Nursing Institute Students in Beni-Suef University, Egypt1400140920256810.21608/ejhc.2021.202568ENNohaAhmed MohamedAssistant professor at department of Community Health Nursing Faculty of Nursing, Beni-Suef University, EgyptHayamAhmed MohamedAssistant professor at Medical Surgical Nursing Department, Faculty of Nursing, Benha University, EgyptSameerHamdy HafezLecturer at Community Health Nursing, Faculty of Nursing Beni-Suef University, EgyptJournal Article20211101<strong>Background: </strong>Addiction to the internet has become a social and public health issue, particularly among teenagers and adults. <strong>The study aimed</strong> to evaluate the effect of cognitive behavior therapy to control the internet addiction among nursing institute students in Beni-Suef University. <strong>A quasi experimental research design</strong> was used.<strong> The setting and sample:</strong> 40 students of the first year at nursing institute in Beni-Suef University who were diagnosed with internet addiction were included in the study. <strong>Tools</strong>: data were collected using an interviewing questionnaire composed of four parts; Part I: demographic data and pattern of internet use, Part II: Internet Addiction Diagnostic Questionnaire, Part III: negative consequences associated with internet addiction' questionnaire, Part IV: knowledge' questionnaire about internet addiction. <strong>The results; </strong>the present study findings indicated that after implementing the cognitive behavior therapy, the mean score of internet addiction among the studied sample was significantly decreased from 6.1±0.8 to 3.1±.1.2 (P=.00001). The results also added that the mean score of negative consequences was significantly decreased (P<0.05).<strong> </strong><strong>Conclusion:</strong> The present study findings showed that the cognitive behavior therapy had significant impact on reducing the mean score of internet addiction and mean hours of internet use among nursing institute students, and was an effective strategy to reduce the negative consequences.<strong> Recommendations</strong>: Further studies aimed at improving students' awareness of internet addiction, and empowering them with the knowledge and skills they need to successfully avoid this problem.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Foot Massage on Fatigue and Incisional Pain among Post Caesarean Women1410141820500410.21608/ejhc.2021.205004ENHayamFathey Ahmed EittahAssistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, EgyptFatmaSaber Nady MohammedLecturer of Maternity and Newborn Health Nursing, Beni-Suef University/ EgyptNagatSalah Shalaby SalamaAssistance professor of maternity, gynecology and obstetrics nursing, Faculty of nursing, Port Said University/ EgyptNohaHassan AbdElfattah MohamedLecturer of Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Beni-Suef University/ EgyptJournal Article20211115<strong>Background</strong>: Cesarean section is accompanied by persistent post-operative pain. Alternative techniques such as acupressure and massage therapy are fairly efficient for minimizing post-cesarean pain and reducing fatigue levels in some trials. Foot massage appears to be effective, affordable, low-risk, adaptable, and simple to use. <strong>Aim: </strong> To determine the effect of foot massage on fatigue level and incisional pain among post-cesarean women.<strong>Subjects and Methods: Design</strong>: A quasi-experimental design was utilized to conduct this study.<strong> Setting:</strong> The study was conducted at obstetrics department in Beni-Seuif university hospital/ Egypt. <strong>Subject</strong>: A purposive sampling technique was employed to choose a sample of 100 post-cesarean women who were then randomly assigned into two groups, with 50 post-cesarean women in each group (the intervention and control groups).<strong> Tools: </strong><em>Three tools were used </em>(I) a structured interview questionnaire, (II) a fatigue assessment scale, and (III) Visual Analogue Scale. <strong>Results</strong>: The current study revealed that the majority of intervention group experienced mild pain during the posttest when compared to the control group. Additionally there was highly statistical significant differences regarding to the scores of fatigue and pain in the intervention group as compared to control group pain ( P= <0.05.<strong> Conclusion:</strong> Foot massage was useful in reducing fatigue level and incisional pain among post-cesarean women. <strong>Recommendations</strong>: Post cesarean women should be provided with a simple and applicable strategy to reduce fatigue levels and control pain.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Instructional Guidelines on Pregnant Women' Knowledge and Practice regarding Complementary Therapies1419143420720310.21608/ejhc.2021.207203ENHalaHassan Saied KhalilCommunity Health Nursing, Faculty of Nursing, Fayoum University, EgyptNagatSalah Shalaby SalamaMaternity, Gynecology and Obstetrics Nursing, Faculty of Nursing, Port Said University/ EgyptBasmaAbdelhamed DeyabHealth Education & Behavioral Sciences, Al-Baha University, Applied Medical Science College, Public Health DepartmentNahedAbd Elazeem Abd Elsalam FathlaCommunity Health Nursing, Faculty of Nursing, Port Said University, Egypt.NahlaAli Maher NashaatCommunity Health Nursing Department, Faculty of Nursing, Alexandria University.Journal Article20211201Complementary therapies (CT) are used by millions of people. Such therapies are used to treat a <br />wide range of medical conditions, but they are especially common during pregnancy. Aim: To <br />determine the effect of instructional guidelines on pregnant women' knowledge and practice <br />regarding complementary therapies. Subjects and methods: Design: A quasi-experimental <br />research design was used to achieve the study's aim. Setting: The study was conducted in Antenatal <br />Outpatient Clinic at Obstetrics and Gynecology Hospital at Port Said City. Subjects: A total of 100 <br />pregnant women were selected from previous settings based on the non-probability purposive <br />sampling technique is used. Tools: Tool I: A structured interview questionnaire; it consisted of two <br />parts; (1) Demographic characteristics, (2): Obstetric history, Tool II: Pregnant women’s knowledge <br />regarding complementary therapy, and Tool III: Pregnant women' self-reported practices regarding <br />complementary therapy. Results: Regarding the source of information about complementary <br />therapies, it was revealed that only less than one-third received knowledge about complementary <br />therapies from their peer groups. The results revealed that post instructional guidelines knowledge <br />and practice regarding complementary therapies was improved and statistically significantly higher <br />than pre- instructional guidelines implementation among pregnant women. Conclusion: The results <br />of the current study concluded that the instructional guidelines had a positive effect in improving <br />pregnant women's knowledge and practice regarding complementary therapies. Recommendations: <br />Maternity and community health nurses should play a role in providing frequent training and <br />workshops to pregnant women in antenatal clinics about the importance of complementary <br />therapiesAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Ketogenic Diet: Golden Intervention for Breast Cancer Patients with Type II Diabetes Mellitus an Intervention Study, Mansoura, Egypt1435144620996710.21608/ejhc.2021.209967ENAmlAhmed Mohammed ELmetwalyMedical Surgical Nursing, Medical Surgical Nursing Department, Faculty of Nursing, Mansoura University, Egypt.EntisarGaad El Moula ShaabanMedical Surgical Nursing, Medical Surgical Nursing Department, Faculty of Nursing, Aswan University, Egypt.AteyaMegahed IbrahimPhD, Family and Community health Nursing department, Faculty of Nursing, Port Said University, EgyptSafaaSalem Salem ShetawyClinical Nutritionist, Cardiovascular/Respiratory Disorder and Geriatrics Department, Faculty of physical therapy, Cairo
University, Egypt.EmanMahmoud Hafez MohamedMedical Surgical Nursing, Medical Surgical Nursing Department, Faculty of Nursing, Aswan University, Egypt.Journal Article20211220Ketogenic diets (KDs) have increased popularity among patients and researchers comparable due to <br />their putative anti-tumor mechanisms plus its effect in reducing body weight in obese patients, and <br />improving glycemic& lipid metabolism of diabetic patients. Aim: The study aimed to evaluate the <br />effect of ketogenic diet on blood glucose level, body mass index and quality of life among breast <br />cancer patients with type 2 diabetes mellitus. Design: A quasi-experimental research design was <br />utilized. Setting: The study was conducted at inpatient department at oncology center Mansoura <br />University, and follows those patients at outpatient clinics. Subjects: A purposive sample of 26 type <br />2 diabetes mellitus breast cancer obese patients was enrolled in this study. Tools: Two tools were <br />used. Tool I: Structured interview questionnaire. Tool II: SF-8 Questionnaire. Results: The mean <br />and SD of body mass index, hemoglobin A1C and fasting blood sugar of females’ patients were <br />34.78±7.176, 8.94±1.156 and 223.50±41.84 respectively, before starting Ketogenic diet, which <br />changed with significant difference to become 32.76±6.841, 7.33±0.686 and 135.00±29.28 <br />respectively, after applying Ketogenic diet. Conclusion: The data presented in the present study <br />showed that a ketogenic diet can help as a natural therapy for significant weight reduction in obese <br />patients, glycemic control and improving quality of life for type 2 diabetic breast cancer patients. <br />Recommendation: This study recommended that Ketogenic diet should be incorporated in the <br />dietary regimen for patients suffering from obesity, breast cancer and type 2 diabetes. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Assessment of Compliance for Postoperative Patients with Bariatric Surgery1447146220997210.21608/ejhc.2021.209972ENAhmedElsayed IbrahiemAssistant lecturer of Medical Surgical Nursing, Faculty of Medicine, Ain Shams UniversitySalwaSamir AhmedProfessor of Medical Surgical Nursing, Faculty of Medicine, Ain Shams UniversityAsmaaAbdel Rahman Abdel RahmanAssistant Professor of Medical Surgical Nursing,Faculty of Medicine, Ain Shams UniversityAmrHamed AfifiFaculty of Nursing, Ain Shams University, Lecturer of General Surgery, Faculty of Medicine, Ain Shams UniversityJournal Article20211220Background: Obesity remains a continuing global health concern that associated <br />with increased risk of numerous chronic diseases. Bariatric surgery is indicated as a strategic <br />alternative for rapid weight loss, remission or improvement of co-morbidities. Aim: This <br />study aimed to assess compliance for postoperative patients with bariatric surgery. Design: A <br />descriptive study design was utilized to achieve the aim of this study. Setting: The study was <br />conducted in bariatric surgery outpatient clinic and bariatric surgery department at El- <br />Demerdash Hospital of Ain Shams University. Subject: A purposive sample of 104 patients <br />with postoperative bariatric surgery who are selected according to certain inclusion criteria. <br />Tools of data collection: (1) Postoperative bariatric surgery patients' interview questionnaire. <br />(2) Patients' compliance assessment questionnaire. Results: The results of this study showed <br />that 80 percent of the studied patients had poor level of compliance postoperative bariatric <br />surgery. Conclusion: The current study concluded that most of the studied patients had poor <br />level of compliance postoperative bariatric surgery. Recommendations: The current study <br />recommended that, developing of guidelines protocol regarding patients' compliance <br />post- <br />operative bariatric surgery to maintain health and improve patients' outcomes.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Knowledge, Believes and Behaviors toward Preconception Care among Women at Childbearing period: Suggested Plan of Action1463147421559910.21608/ejhc.2021.215599ENRedaM. Nabil AboushadyAssistant professor of maternal & Newborn Health Nursing, Faculty of Nursing, Cairo UniversityMonaAbd El-kareem HegazyLecturer in community Health Nursing, Faculty of Nursing, Cairo University.MonaM Ebrahim Abd ElnabiLecturer of maternal & Newborn Health Nursing, Faculty of Nursing, Cairo University, Egypt.Journal Article20220124Background: Preconception care is a set of interventional care that aims to identify and modify medical, behavioral, psychosocial and social risks for the better maternal and childbirth outcome. Aim: the current study was conducted to appraise knowledge, believes and behaviors toward preconception care among women at childbearing period and design suggested plan of action. Design: a descriptive exploratory research design was adopted. Sample: A purposive sample of 300 participants was recruited in the research through a period of four months. Setting: Outpatient clinics at Maternity hospital, El Galaa teaching hospital. Tools: Four tools were used; 1) - Structured interviewing questionnaire, 2)-Preconception knowledge tool, 3)- Likert belief scale regarding preconception care and 4)- Self-reported behavior regarding preconception care. Results: the mean age of the study sample was 24.30 ±4.56 years with the ranged from 18-34 years. Fifty four percent of the study sample had average knowledge score with mean total knowledge was 46.6 ±4.7 and 79% of them had moderate preconception health beliefs. While, 64% of the study sample had not acceptable preconception health behavior. Conclusion: Women in childbearing period have average knowledge and beliefs towards preconception care. However, they have not acceptable preconception health behavior. Recommendation: Apply health education program to all reproductive women who attend outpatient clinics.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Physical and Psychosocial Adaptation Strategies for Patients with Multiple Sclerosis1457149021590810.21608/ejhc.2021.215908ENHamdaAhmed EldesokyLecturer, Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptNagiaI. HassanAssistant Professor, Psychiatric Nursing and Mental Health, Faculty of Nursing, Damanhour University, EgyptMonaAbdelmoksoud AmerLecturer, Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptHebaMahmoud MahmoudLecturer, Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptJournal Article20220127<strong>Background:</strong><strong> </strong>Multiple sclerosis (MS) is one of the most serious autoimmune neurological diseases. It can restrict the patient's functional abilities, social relationship, life pattern, occupational maintenance and wellbeing. <strong>Aim:</strong><strong> </strong>This study aims to determine the physical and psychosocial adaptation strategies used by patients with multiple sclerosis. <strong>Research</strong><strong> </strong><strong>design: </strong><strong> </strong>A cross sectional descriptive design was adopted to carry out this study. <strong>Settings: </strong>The study was conducted at neuropsychiatric outpatient clinic of Al Hadara Alexandria University Hospital<strong>. Subjects: </strong>A purposive sample of 110 patients admitted to the above mentioned setting and diagnosed with multiple sclerosis was recruited in this study. <strong>Tools:</strong><strong> </strong>Four tools were used for data collection namely: Patients' demographic characteristics and clinical data sheet, Multiple Sclerosis Patients’ Physical and Psychosocial Assessment Structured Interview Schedule, Physical Adaptation Strategies Structured Interview Schedule of Patients with Multiple Sclerosis and Psychosocial Adjustment to Illness Scale–Self- Report (PAIS- SR). <strong>Results:</strong> The study results revealed that sensory and motor symptoms scores was the highest mean of all physical disturbances parameters. More than half of the patients had high psychological and social disturbance. Physical, psychological, social disturbance score was negatively correlated with the total physical, psychosocial adaptation strategies score. <strong>Conclusion: </strong>MS has a negative impact not only on the physical activities, but also on the psychological, social and financial aspects of life. <strong>Recommendations: </strong>The developed booklet with its simple instructions and illustrations should be utilized in hospitals as a teaching aid for patient with MS. Periodic training program should be carried out for nurses working in the MS unit about health education and rehabilitation programs.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Quality of Life of Patients pre/post Pacemaker Implantation1491150222034810.21608/ejhc.2021.220348ENSoheirMohammed WeheidaProfessor, Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.HebaGebrilLecturer, Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.HebaMohamed MohamedLecturer, Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.YasminFathyLecturer, Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.Journal Article20220218Assessing the quality of life for patients pre<strong>/</strong> post pacemaker implantation can help nurses better understand how disease and treatment affect patients’ lives. <strong>Aim: </strong>The aim of this study was to compare the quality of life of patients pre/post permanent cardiac pacemaker implantation. <strong>Design: </strong>A descriptive comparative study was utilized for conducting the study. <strong>Setting: </strong>This study was conducted at the cardio electrophysiology unit at Alexandria Main University Hospital, Alexandria, Egypt. <strong>Subjects:</strong> purposive sample comprised sixty patients undergoing permanent cardiac pacemaker implantation.<strong> Tools: </strong>two tools were used; Tool I: Patients’ socio-demographic and clinical data structured interview schedule. Tool II: Euro Quality of life -5 Dimensions (EQ-5D) structured interview schedule. <strong>Results: </strong>There were highly statistically significant differences between the pre and post assessments of the studied patients' quality of life one and three months post permanent pacemaker implantation (P< 0.001). Also, highly statistically significant differences were found between pre /post assessment of the studied patients regarding the Euro Quality of life Visual Analogue scale one and three months post permanent pacemaker implantation (P<0.001). <strong>Conclusion</strong>: Based on the findings of the present study, it can be concluded that highly statistically significant differences were observed between the pre / post assessment of the studied patients regarding their quality of life after one and three months' post-permanent pacemaker implantation. However, the patient's QOL significantly declined after three months of implantation compared to one month. <strong>Recommendations</strong>: Nurses should attend updated conferences and in service training programs/or workshops about post permanent pacemaker implantation instructions to be learned to their patients through videos, and printed materials. Replication of the study on large probability sampling should be conducted.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Pictorial Information Booklet on Mothers’ Care of Their Children with Leukemia1503151322137610.21608/ejhc.2021.221376ENHanan MohamedMohamed TorkAssistant Professor of Pediatric Nursing, Faculty of Nursing, Zagazig UnivrersityFathiaAhmed MersalProfessor of Community Health Nursing, Faculty of Nursing, Ain Shams UnivrersityJournal Article20220222Background: The improvement of health literacy in general is a major concern worledwide. We <br />assumed that mothers of children who are recieving treatment for leukaemia experience practical <br />challenges in caring for their children. Treatment adherence and improved health outcomes for <br />children with Leukemia require easily understandable of caregivers for health information. <br />Objective: To evaluate the effect of pictorial information booklet on mothers’ care of their children <br />with Leukemia in Cairo, Egypt. Methods: Design of this study was A quantitative, quasi<br />experimental pre-posttest group design. The samplewere 65 mothers who had children with <br />leukemia in Cairo, Egypt. A pectorial information booklet was given, and in the post-test period the <br />same structured knowledge questionnaire was used. Practice was assessed using the interview <br />method by direct observation. Results: The findings revealed that 78.5% of mothers had <br />unsatisfactory knowledge regarding leukemia pre education program while 86.2% of them had <br />satisfactory knowledge regarding leukemia post education program with highly statistically <br />significant differences between pre and post education program using pictorial information booklet <br />(p < 0.000). Approxmitly 76.9% of mothers had adequate total practice regarding Leukemia post <br />education program with highly statistically significant differences between pre and post education <br />program using pictorial information booklet (p < 0.000). Conclusion: Based on the study findings, it <br />can be concluded that the pectorial information booklet effectively improved mothers' knowledge <br />and practices regarding care of their children with leukemia. Recommendations: It is <br />recommended that future studies investigate mothers improvement in knowledge and practices as <br />well as retention of knowledge over an extended period of time. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effectiveness of Web-Based Psychoeducational Interventions on Adolescents' Knowledge and Future Anxiety during Covid-19 Outbreak1514152922137710.21608/ejhc.2021.221377ENRashaShawky ElashryLecturer of Pediatric Nursing, Faculty of Nursing, Tanta University, EgyptEbtsamAbd Elmoim MohamedLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Minia University, Egypt.EslamMohamed Ahmed GadoLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Tanta University, EgyptJournal Article20220222<strong>Background:</strong> Adolescents' opportunities for social progress have been negatively impacted by the COVID-19 epidemic. Education ,physical and general wellbeing are negativelyaffected . Action must be taken immediately to lessen the long-term effects of the epidemic and safeguard adolescents' futures. <strong>The aim of the study:</strong> To evaluate the effectiveness of web-based psychoeducational interventions on adolescents' knowledge and future anxiety during Covid-19 outbreak. <strong>Subjects and Method:</strong> A quasi-experimental research design was used in this study. A purposive sample of 52 adolescents from Tanta city in Algharbia Governorate was included in the study. This study was an online study that used Google forms.<strong>Tools</strong>:Three tools were utilized: Tool I: Adolescents' knowledge regarding covid-19questionnaire , Tool II: Perceived Stress Scale – 10, and Tool III: Future anxiety scale. <strong>Results:</strong> The majority of the studied adolescents had poor knowledge levels regarding COVID-19 pre the psychoeducational interventions, while all the studied adolescents had good knowledge post the psychoeducational interventions.There was a decrease in the the studied adolescents' perceived stress and future anxiety levels during COVID-19 post the psychoeducational interventions.And also, a moderate negative correlation between the studied adolescents' knowledge, their perceived stress and future anxiety post the psychoeducational interventions <strong>Conclusion:</strong> The present study highlighted that web-based psychoeducational interventions effectively increased adolescents' knowledge regarding Covid- 19 and decreased their stress and future anxiety levels. <strong>Recommendation:</strong> Further research design is needed to determine the psychological wellbeing of adolescents during COVID- 19 as well as reinforce the appropriate measures to maintain their mental health. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Life Review Intervention on Psychosocial Outcomes Among Older Adults1530154822244110.21608/ejhc.2021.222441ENAsmaaHafez Afefe BarakatAssistant Professor Psychiatric/Mental Health Nursing Department Faculty of Nursing/Ain Shams University, EgyptRasmiaAbd El-Sattar AliAssistant Professor of Family and Community Health Nursing Department Faculty of Nursing/Ain Shams University, EgyptHodaSayed MohamedLecturer of Psychiatric/Mental Health Nursing Department Faculty of Nursing/Ain Shams University, EgyptJournal Article20220301Background: life review is a mental process in which older adults recall and evaluate life <br />experiences and can help them to find meaning in one’s accomplishment, positive outcome of the <br />life review process leads to the development of psychosocial wellbeing. Aim: This study aimed to <br />determine the effect of life review intervention on the psychosocial outcomes among older adults. <br />Setting: The study was conducted in five residential homes representing five sectors in Greater <br />Cairo east, west, middle, south, and north. Subjects: a purposive sample of 60 older adults from the <br />mentioned setting. Tools: Three questionnaires were used: 1) An interview questionnaire to assess <br />demographic characteristics and physical health assessment among subjects 2) Psychological <br />outcomes that measured by Ego-integrity Scale, a meaning in life Questionnaire, Accepting the Past <br />Scale and Flourishing Scale, 3) Social outcomes which measured by social participation Scale. <br />Results: The study results showed that there were significant differences between the 1st and the 2nd <br />assessment in the three scales of the psychological outcomes; the mean scores of ego-integrity, <br />meaning of life, accepting the past were changed from 39.30, 35.55, 61.48 to 49.714, 51.79, 80.626 <br />respectively at p <br />participation scale after the life review intervention; the mean score changed from 30.99 to 39.75 at <br />p Conclusion: The implementation of life review intervention sessions had a positive effect <br />on the improvement of psychosocial outcomes for older adults in which they submitted higher <br />scores on psychosocial scales after the life review intervention. Recommendation: the current <br />study recommended that psychiatric/ Mental <br />Health and Community Health Nursing should provide <br />training for formal and informal caregivers <br />of older adults to apply life review as a part of older <br />adults’ management protocol.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Passive and Active Stretching Exercises on Controlling Leg Cramps for Patients undergoing Hemodialysis1549156223128610.21608/ejhc.2021.231286ENFatmaMohmmed AbouelalaLecturer of medical surgical nursing, Faculty of nursing, Kafrelsheikh University, EgyptNermenAbdelftah MohamedLecturer of medical surgical nursing, Faculty of nursing, Kafrelsheikh University, EgyptNaglaHamdi Kamal KhalilAssistant professor of medical surgical nursing, Faculty of nursing, Alexandria University, Egypt.WalaaEl Shahat Ahmed El GammalLecturer of medical surgical nursing, Faculty of nursing, Damnhour University, EgyptJournal Article20220416Background: One of the most prevalent physical symptoms among patients undergoing <br />hemodialysis is muscle cramping. Active and passive stretching exercises may be helpful in <br />alleviating leg muscles cramps for those patients. Study aims to: Evaluate the effect of practice <br />passive and active stretching exercises on controlling muscle cramps for patients on hemodialysis. <br />Subjects and method: Quasi experimental pretest-posttest research design was employed. Setting: <br />It was conducted at hemodialysis unit at Kafrelsheikh general hospital, one of the hospitals of <br />Ministry of health, Kafrelsheikh governorate, Egypt. Subjects: A purposive sample of 50 <br />hemodialysis patients divided equally into study group who practice stretching exercises and control <br />group who received ordinary hospital care. Tools: two tools were used. Tool (I) "Structured <br />Interview questionnaire" It was created by the researchers to collect data about demographic and <br />clinical data. Tool (II) "Muscle cramps questionnaire chart": it used to assess the intensity level of <br />muscle cramp for patients on hemodialysis. Results: There was statistically significant reduced in <br />the muscle cramps intensity level of the study group after practice stretching exercises (p= <br /><0.001*). Conclusion: Active and passive stretching exercises have positive effect on reducing <br />level of leg muscle cramps among hemodialysis patients. Recommendation: Enroll Intradialytic <br />stretching exercises with routine nursing care for hemodialysis patients.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Relationship between Exposure to Domestic Violence and Depression among Women with Infertility1563157523177910.21608/ejhc.2021.231779ENNeamatMohamed AliLecturer of psychiatric Mental Health Nursing, Faculty of Nursing, Ain Shams UniversityHanaaEzz Eldin PrinceLecturer of psychiatric Mental Health Nursing, Faculty of Nursing, Ain Shams UniversityJournal Article20220418Background: Infertile women show a higher level of distress, sense of loss of identity, anxiety, <br />feeling of self-defectiveness, and incompetence due to exposure to domestic violence associated <br />with their inability to bear children which may lead to the development of depression. Aim: The <br />current study aimed to examine the relationship between exposure to domestic violence and <br />depression among women with infertility. Design: A descriptive-analytical design was used in this <br />study. Subjects: A purposive sample consisted of 86 women with infertility who were exposed to <br />domestic violence. Setting: The current study was conducted at gynecology outpatient clinics, an In <br />vitro fertilization (IVF) unit, obstetric, and gynecology hospital, affiliated with Ain Shams <br />University hospitals. Tools of data collection: The data was collected using; 1) Infertile Women <br />Interviewing Questionnaire, 2) Infertile Women Exposure to Violence Scale (IWEVS) 3) Beck <br />Depression Inventory. Results: The current study showed that the highest percentage of infertile <br />women understudy subjected to more than one type of violence involve domestic violence, <br />punishment, social pressure, exposure to traditional practice, and social exclusion, representing <br />37.21±4.69, 25.26±4.03, 22.66±3.52, 11.92±3.00, and 9.05+2.48 respectively. Also, 40.7% of <br />infertile women who were exposed to domestic violence had a mild level of depression and 30.2% <br />of them had borderline clinical depression. Conclusions: Women with infertility experience <br />different types of violence involving domestic violence, punishment, social pressure, exposure to <br />traditional practice, and social exclusion, and more than one-third of them had a mild level of <br />depression. Moreover, there was a highly statistically significant correlation between exposure to <br />domestic violence and levels of depression among infertile women under study. <br />Recommendations: This study recommended that a counseling clinic should be established for <br />infertile women and their partners to improve their coping with stressors associated with infertility <br />and apply an educational interventional program for the prevention of domestic violence, and <br />depression among them.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Assessment of Nurse Interns̛ Knowledge and Practice &Attitude regarding Occupational Health Hazards1576159023445710.21608/ejhc.2021.234457ENHebaNasser RayanNursing Administration Department-Faculty of Nursing-Ain Shams University-Cairo-Egypt.SamiaMohamed AbdallahNursing Administration Department-Faculty of Nursing-Ain Shams University-Cairo-Egypt.HanaaMohamed AbdrabouNursing Administration Department-Faculty of Nursing-Ain Shams University-Cairo-Egypt.Journal Article20220430Background: The occupational hazards and injuries in the nursing are higher than <br />average compared with all occupations. In the medical profession, nurses constitute the <br />largest group of healthcare workers, and experience a higher rate of workplace hazards <br />exposure than other health care workers. The aim of thisstudy:was to assessing nurse <br />interns' knowledge and practice &attitude regarding occupational health hazards.Design: A <br />descriptive research design.Setting:The study was conducted at four hospitals affiliated to <br />Ain Shams University. Subject:The subjects of this study included 91 nurse interns.Tools of <br />data collection: Data were collected by using three tools namely: Self - administered <br />Questionnaire, Observation Checklist, and attitude scale. Results: Physical hazards were at a <br />first rank level of hazards which more than two fifth of nurse interns were exposed to <br />physical hazards as perceived by them, while chemical hazards was at the last rank level of <br />hazards which lowest percentage of nurse interns were exposed to. Minority of nurse interns <br />had satisfactory practice level regarding occupational health hazards. Score ofnurse interns' <br />attitude towards protection from hazards was generally low. Conclusion: There was a <br />positive statistically significance correlations between total practice score and total attitude <br />score regarding occupational health hazards among nurse interns. Recommendations: <br />providing training program about occupational hazards and especially about protective <br />measures, perform regularly routine check-ups of nurse interns to ensure occupational health, <br />and further future must be made to investigate the relation between perception of <br />occupational hazards and nurses’ safety practices.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Brain Gym Training on Intelligence, Knowledge and Information Retention among Children with Developmental Disabilities1591160323855210.21608/ejhc.2021.238552ENFatmaMohamed El SwerkyLecturer of Family & Community Health Nursing Department, Faculty of Nursing, Port Said UniversityAmelAbd Elaziem MohamedCommunity Health Nursing, Faculty of Nursing, Beni- Suef UniversityHananAbdallah MohammedLecturer of Pediatric Nursing, Faculty of Nursing, Fayoum UniversityManalMohamed Ahmed AyedPediatric Nursing Department, Faculty of Nursing, Sohag University, EgyptWaelAlghamdiAssistant Professor of Rehabilitation, Faculty of Applied Medical Sciences, AL Baha University, Saudi ArabiaHananElsayed Awad NegmLecturer of Community Health Nursing Department, Faculty of Nursing, Port-Said UniversitySamarAhmed MahmoudCommunity Health Nursing Department, Faculty of Nursing, Aswan University, Egypt. Currently, Faculty of Applied
Medical Science, Al Baha University, KSAJournal Article20220521Background: Brain Gym is a simple and pleasant movement, consisting of 26 simple movements <br />that are believed to enhance academic and behavioral performance by activating both hemispheres <br />of the brain through neurological re-patterning to promote whole-brain learning. Aim: To evaluate <br />the effect of brain gym training on intelligence, knowledge, and information retention among <br />children with developmental disabilities. Method: A quasi-experimental research design was used <br />to achieve this study. Settings: The study was conducted in integration classes at ten primary <br />schools in Sohag City. Subjects: A purposive sample of 100 students with developmental <br />disabilities as (autism and Attention Deficit Hyperactivity Disorder) was involved in this study were <br />randomly assigned and divided into two equal groups of 50 students in each group. Group (I) was <br />called the study group that was exposed to brain gym training and Group (II) was the control group. <br />Tools for data collection: Tool I Howard Gardner Multiple Intelligence Test and Tool II: <br />Achievement Retention Test. Results: The present study revealed that there were statistically <br />significant differences between study and control groups and within study group before and after the <br />application of brain gym technique with improvement after the application regarding all types of <br />intelligence and achievement retention test total score. Conclusion: Brain gym training had a higher <br />intelligence, knowledge, and information retention score in the study group than those of the control <br />group. Recommendations: The brain gym technique should be incorporatedin nursing theory and <br />clinical education to improve the level of students’ knowledge and retention.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Aquatic Therapy -Based Exercises on Motor Outcomes among Children Suffering from Spastic Hemiplegia1604161323855410.21608/ejhc.2021.238554ENEmanA. AliAssistant professor of Pediatric Nursing, Faculty of Nursing, Ain shams UniversityRadiaAbdel SattarLecturer of Pediatric Nursing, Faculty of Nursing, Ain shams UniversityHudaShawky MahmudLecturer of Pediatric Nursing, Faculty of Nursing, Helwan UniversityJournal Article20220521Spastic hemiplegia is a type of spastic cerebral palsy that affects one side of the body due<br />to damage to the part of the brain controlling movement. Children with spastic hemiplegia have<br />limited activities of daily living, such as dressing, feeding, and functional mobility, due to problems<br />with hand function Aim of the study was to measure the effect of aquatic therapy-based exercises<br />on motor outcomes among children suffering from spastic hemiplegia. A Quasi-experimental design<br />was utilized in this study. The setting was the Physiotherapy unit in Children's Hospital affiliated to<br />Ain Shams University Hospitals. Sample: A purposive sample consisted of 60 children with spastic<br />hemiplegia aged from 6 to 12 years was included in the study. Tools:1- A structured Interviewing<br />Questionnaire Sheet,2- Modified A shworth Scale,3- Range of Motion scale,4- Peabody<br />Developmental Motor Scale. Results: It was found that before aquatic therapy-based exercises the<br />mean muscle tone was 1.5±0.6 in the study group while after intervention it become 2.4±0.9 with a<br />percentage change of 50% (0%-200%) with a highly statistically significant difference between the<br />study and control groups (p value = < 0.001). Hand strength was improved in the study group more<br />than in the control group (56.6% vs 40% respectively), the highest improvement was in holding<br />objects with hands, followed by the ability to grasp objects. Conclusion: Evidence of reduction of<br />spasticity in children with spastic hemiplegia after 12 weeks of aquatic therapy-based<br />exercise. Recommendation: Replication of the study on large samples of children with spastic<br />hemiplegia in different places in Egypt.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Psycho- social Program to Overcome Psychosocial Problems among Patients with Acne Vulgaris1614162724210710.21608/ejhc.2021.242107ENEmanNabawy Abo ZeidLecturer in psychiatric and Mental Health Nursing Department, Faculty of Nursing, Benha University, Egypt.FatenMohamed Ahmed WafaAssistant professor in Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Benha University, Egypt.FathyeaSaid Sayed IbrahimAssistant professor in Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Benha University, Egypt.Journal Article20220606Background: Acne vulgaris remains the most commonly skin disease treated by physicians with <br />prevalence reaching up to 80% during adolescence. There is no single disease which causes more <br />psychic trauma, more general insecurity and feelings of inferiority and greater sums of psychic <br />assessment than does acne vulgaris .The aim of study was to assess the effect of psycho-social <br />program on psycho social problems among patients with acne vulgaris. Methods: A quasi - <br />experimental design was utilized to achieve the aim of study. The study was conducted at the <br />outpatient clinic of the Dermatological Hospital in Benha City. The target of this study consisted of <br />50 patients with acne vulgaris who were staying in the above mentioned setting. Three tools were <br />used for data collection: -A Semi Structured Interview Questionnaire, Social Phobia and acne <br />vulgaris Depression Checklist. Results: The main findings of the study were: nearly half of the <br />studied patients have no social phobia post program and more than half of them have moderate <br />degree of depression post program. There are highly statistically significant differences between <br />total social phobia and acne degree post program and there are statistically significant differences <br />between total depression and acne degree post program. Conclusion Based on the findings of the <br />present study, it was concluded that the psycho- social program had a positive effect to overcome <br />psychosocial problems among patients with acne vulgaris. Recommendations: Expand public <br />awareness through mass media about stages of acne vulgaris and the effect of being emotionally <br />stable on mental health and all life aspects.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Bite-Sized Teaching Sessions on Mothers’ Care of Their Children with Methylmalonic Acidemia1628163924348510.21608/ejhc.2021.243485ENRehabHanie ElkazazAss. Professor of pediatric Nursing, Faculty of Nursing, port said university, Cairo, EgyptHodaWaheedAss. Professor of pediatric nursing, Faculty of nursing Modern University, Cairo, EgyptFatmaMohamed MohamedAss. Professor of pediatric nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt.Journal Article20220612Background: Methylmalonic acidemia (MMA) is a metabolic disease in which proper dietary <br />treatment may benefit pediatric patients' growth and development. Aim: Effect of Bite-Sized <br />Teaching Sessions on Mothers’ Care of Their Children with Methylmalonic Acidemia. Design: A <br />quasi experimental design was used. Setting: This study was conducted at the Specialized Genetic <br />Outpatient Clinic at Children's Hospital affiliated with Ain Shams University Hospitals. Subjects: A <br />conveinience sample consisting of 50 mothers accompanying their children with Methylmalonic <br />acidemia. Tools: Tools of data collection included a structured interview questionnaire &Mothers <br />reported practice checklist related to the care of their children with methylmalonic acidemia. Results: <br />The results showed highly statistical significant improvement in the studied mothers' knowledge and <br />reported practice regarding the care of their children with methylmalonic acidemia .Conclusion: <br />Bite-Sized Teaching Sessions implementation had statistical significant positive effect on improving <br />mothers' knowledge & reported practice regarding caring of children with methylmalonic acidemia. <br />Recommendation: Continuous Bite-Sized Teaching Sessions should be provided for all mothers <br />caring of children with methylmalonic acidemia Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Utilizing Smartphone Apps in Improving Pregnant Women’s Knowledge and Practices towards Pandemic COVID-19 Precautionary Measures1654166625611110.21608/ejhc.2021.256111ENSuzanEl-Said MansourWoman's Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, Egypt.AdelAl Al-Wehedy IbrahimPublic Health & Community Medicine Department, Faculty of Medicine, Mansoura University, Egypt.NagwaIbrahim El-FeshawyWoman's Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, Egypt.Journal Article20220816The current study aimed to evaluate the effect of utilizing smartphone apps in improving pregnant <br />women’s knowledge and practices towards pandemic COVID-19 precautionary measures. <br />Materials and method: A quasi-experimental pre-posttest design was used. The study was <br />conducted at antenatal clinics in Mansoura University Hospital, Egypt. Purposive sample technique <br />was applied and included fifty-seven high-risk pregnant women. Data was collected through a <br />structured interview questionnaire, an online electronic survey on the Google platform to assess the <br />level of knowledge and practices regarding covid-19 precautionary measures, and the Satisfaction <br />Likert scale. Results: There was a statistically significant improvement among the pregnant women <br />regarding covid-19 knowledge in favor of post-intervention (P<0.001) as the percentage of good <br />levels increased from 19.3 before intervention to 77.2% after the intervention. Likewise, there was a <br />significantly (P<0.001) higher average practical score after the intervention, and a good practice <br />level significantly (P<0.001) improved from 12.3% before intervention to 89.5% after the <br />intervention. It was evident that there was a significant, mild, positive correlation between the <br />knowledge score of the studied women after intervention and their scores of reported practical <br />preventive measures (r=+0.274, P0.039). Moreover, the satisfaction level of studied women <br />regarding the method and content was high ranging from 91.2% to 96.5% and 84.2% to 94.7% <br />respectively. Conclusion: It was evident that utilizing smartphone apps was effective and had <br />significantly improved knowledge level and practices average score among pregnant women toward <br />COVID-19 protective measures. Recommendations: Utilizing modern technologies such as <br />smartphone apps should be launched to solve the challenges posed by the COVID-19 crisis and <br />bring innovative solutions to the problems associated with this major disruption, as well as an <br />attempt to stem contagion and effectively increase awareness, especially during the COVID -19 <br />outbreak and Quarantine.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Health Preventive Program toward COVID-19 on Knowledge, Perceptions, and Practices among Older Adults1667168822251910.21608/ejhc.2020.222519ENZakiaT. Toama.Professor Community Health Nursing Department, Faculty of Nursing, Alexandria UniversityOlaGouda Mohamed ElshiekhLecturer of Gerontological Nursing, Faculty of Nursing, Damanhour UniversityOlaEzzat Eltohamy MohamedLecturer of Gerontological Nursing, Faculty of Nursing, Damanhour UniversityNermeenMahmoud Abd El-AzizAssistant Professor of Gerontological Nursing, Faculty of Nursing, Assuit UniverstyJournal Article20220302Background: Older adults are more vulnerable to COVID-19 disease due to their reduced <br />immunity and comorbidity. Awareness of dealing with extremely infectious respiratory diseases <br />plays an important role in limiting the spread of the infection. Aim of the study: Is to investigate <br />the effect of applying health preventive program toward COVID-19 on knowledge, perceptions and <br />practice among older adults in Damanhur city. Subjects & method: 120 older adult from social and <br />silver club affiliated in Damanhur city. Research design: A quasi experimental Tool I: Older <br />adults' health status and, socio – demographic characteristics, Tool II: Knowledge questionnaire <br />about COVID-19 among older adults, & Tool III: perceptions of the older adults about COVID-19. <br />In addition to, Tool IV: practices of the participants related to COVID-19. Data were analyzed <br />using percentages & ANOVA with repeated measures, Friedman test and Student t-test. Results: <br />Statistically significant improvement of COVID-19 Knowledge, Perceptions, and Practices <br />immediately after the program implementation and the improvement still apparent across all the <br />studied subjects regardless of their demographic characteristics and clinical data. Conclusion: It <br />was concluded that older adult’s knowledge, perceptions, and <br />practice toward COVID-19 was <br />greatly enhanced by applying the health preventive program. <br />Additionally, improve the older <br />people’s perception of their own vulnerability to COVID-19 and <br />the effectiveness continuation for <br />COVID-19 related application of preventive measures. Recommendation: Development of health <br />preventive programs targeting older adults, designing guidelines by healthcare authorities to <br />improve access for education and health services.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Efficacy of COVID-19 Prevention Educational Program on Nurses’ knowledge and Practices at Hemodialysis Unit1689170317946010.21608/ejhc.2021.179460ENNafisaMoustafa ElpasionyLecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni-Suef UniversityMarwaFathallah MostafaAssist. Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura UniversityWessamFathy GabrLecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni-Suef UniversityJournal Article20210622Background: COVID -19 infection, the current pandemic, is a global emergency in<br />more than 150 countries. Health care professionals are struggling to prevent the transmission<br />of this highly contagious disease. Although there are numerous publications relating to<br />dialysis and COVID-19, many are in the form of preliminary reports. Aim: The current study<br />aimed to assess the efficacy of the COVID-19 prevention educational program on nurses’<br />knowledge and practices at hemodialysis unit. Method: A quasi-experimental pre/post-<br />intervention design was used with a convenience sample of 30 nurses working in the<br />Hemodialysis Unit at Mansoura University Hospital. The data were collected by using three<br />tools: COVID_19 infection structured questionnaire, nurses' practices observational checklist,<br />and COVID-19 infection control perceived barriers. Results: Statistically significant<br />differences were noted in the total mean scores of nurses' knowledge and practices regarding<br />the prevention of COVID-19 infection before and after the educational program.<br />Overcrowded at a hemodialysis unit and insufficient supplies for implementation of infection<br />control practices have been mentioned as perceived barriers by the majority (93.3%) of our<br />participant nurses. Conclusion and Recommendations: Educational program had a positive<br />effect in improving nurses' knowledge and practices toward the prevention of COVID-19<br />infection, and this will be positively reflected on patients' outcomes. Hence, it is<br />recommended to provide the nurses more organizing continuous educational programs with<br />continuous follow-up to keep them competent and up-to-date.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Quality of life for Preschool Children Suffering from Hearing Impairment in Rural Area1718173125666210.21608/ejhc.2021.256662ENHebaSaid Mohamed KhawwasB.Sc. of Nursing, Year 2010 Ain Shams University, Faculty of Nursing-Cairo-Egypt.FatenKhirat ElgendyProfessor of Community Nursing, Ain Shams University, Faculty of Nursing-Cairo-Egypt.MervetMohamed HassanLecturer of Community Nursing, Ain Shams University, Faculty of Nursing-Cairo-Egypt.Journal Article20220828Background: Preschool children hearing impairment is considered one of the most prevalent <br />global health concerns. Early identification and intervention of hearing impairment may have <br />lifelong effects on the child’s life. Aim of the study: to assess quality of life for Preschool Children <br />Suffering from hearing Impairment. Design: A descriptive design was utilized in this study. Setting: <br />The study was carried at outpatient audio clinics of Elmenofeya University Hospital, Health <br />insurance clinics, special speech clinics and audio clinic. Sample: Purposive sample used in this <br />study. They were 308 students; 161 male and 147female.predetremind inclusion criteria (The age <br />from 3 < 6 years (pre-school age), Free from any other health problem. Study tool: The data for this <br />study were collected by using two tools: Tool I: structured interview questionnaire: it consisted of <br />Part 1: socio-demographic characteristics for children. Part 2: socio-demographic characteristics of <br />mothers. Part 3: Past and present medical history of the children. Part 4: knowledge of mothers <br />about hearing impairment. Tool II: Practice of mothers regarding hearing impairment. Tool III: <br />Assessment of the quality of life of preschool children with hearing impairment. Results: it was <br />found near to half of the preschool children was aged from 5 to 6 years, more than half of them were <br />male, more than half of them were going to nursery, more than one third of children's mothers were <br />Secondary education, near to half of them reported that the cause of the hearing impairment was <br />Inflammation in the middle ear, more than half of the preschool children used Medical hearing aids, <br />majority of the preschool children had speech problem, more than half of them had Consanguinity <br />between parents, more than half of the mothers had unsatisfactory knowledge about hearing <br />impairment, that only less than One-third of the mothers had good practice that improve the <br />communication skills and their behavior, near to half of the preschool children had average quality <br />of life. Conclusion: There was significant relation between health problems of preschool children <br />with hearing impairment and their quality of life, also there was significant relation between socio- <br />demographic characteristics and health problems of preschool children with hearing impairment. <br />Recommendation: health education program to increase the mother’s knowledge, improve their <br />practice, and teach them the importance of early treatment and language training.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Health Education Program for Improving Quality of Life of Older Adults Suffering from Chronic Constipation1732174825666310.21608/ejhc.2021.256663ENSabahAbdel Mobdy RadwanFaculty of Nursing, Ain Shams University-Cairo-Egypt.MagdaAbd-EL-Sattar AhmedFaculty of Nursing, Ain Shams University-Cairo-Egypt.NadiaHamed FarahatFaculty of Nursing, Ain Shams University-Cairo-Egypt.AzzaSaied Ahmed ZaiedFaculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220828Background: Chronic constipation is a major global health problem affecting millions of people, <br />particularly in the older adults with significant impact on their quality of life and health expenses. Aim: <br />the aim of the present study is to evaluate the outcomes of health education program on improving <br />quality of life of older adults suffering from chronic constipation. Study Design: A quasi-experimental <br />design was utilized. Setting: This study was conducted in geriatric homes situated within Cairo <br />Governorate which comprises twenty districts. Sampling: A multistage random sample technique chosen <br />25% from the total districts and purposive sample of 58 older adults with chronic constipation were <br />included, male and female aged ≥ 60 years old in this study. Tools: Three tools were used for data <br />collection. First Tool: An interviewing questionnaire for older adults with chronic constipation including <br />six parts: Rome III Diagnostic Criteria for Assessment Chronic Constipation and Mini Mental status test <br />were used as initial measure to screen participants for inclusion criteria, socio-demographic <br />characteristics, past and present medical history, assessment of older adults awareness regarding chronic <br />constipation, Patient Assessment of Constipation Symptoms (PAC-SYM), and Patient Assessment of <br />Constipation Quality of Life (PAC-QOL). Second Tool: lifestyle practices questionnaire for older adults <br />with chronic constipation include two parts; Bristol Stool Form Scale (BSF) and Aspects of Lifestyle <br />Health Practices. Third tool: Observation Check List for assessment geriatric home environment. <br />Results: The study revealed that more than three quarters of the older adults had satisfactory level of <br />awareness about chronic constipation post program implementation. The Total Score of PAC-SYM and <br />subscale (Abdominal, Rectal and Stool symptoms) reached highly statistically significance difference. <br />The Total Score of the PAC-QOL and subscale (Physical discomfort, Psychosocial discomfort, Worries <br />& concerns, and Satisfaction) reached highly statistically significance between score pre/post <br />implementation of the health educational program.Conclusion:The health education program reported <br />remarkable improvement in older adult’s awareness, decreased the severity of constipation symptoms, <br />improved discomfort able subscales of quality of life and raised satisfaction subscales through lifestyles <br />practices modifications post health education program. Recommendations: Raising public awareness <br />through educational campaigns and mass media about healthy lifestyle for older adults in the geriatric <br />homes to improve their quality of life toward chronic constipation.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Nutritional Guidance on Parents' Awareness and Nutritional Status of Children Undergoing Hemodialysis1749176225666410.21608/ejhc.2021.256664ENNeanaaM. FayedAssistant professor, Pediatric Nursing, Faculty of Nursing, Menoufia University.HananT. ElbahnasawyProfessor, Pediatric Nursing, Faculty of Nursing, Menoufia UniversityLobnaA. SeliemBSC. of Nursing Sciences3 Faculty of Nursing - Menoufia UniversityFatmaA. Abd ElrazekAssistant professor, Pediatric Nursing, Faculty of Nursing, Menoufia University.Journal Article20220828Background: Chronic kidney disease is a progressive deterioration of kidney <br />functions which associated with metabolism, fluids and electrolytes disturbances. In <br />addition, impairment of growth and development. Purpose: it was to examine the effect of <br />nutritional guidance on parents’ awareness and nutritional status of children undergoing <br />hemodialysis. A Quasi-experimental design was utilized. Setting: Pediatric Hemodialysis <br />Unit, EL-Menoufia University Hospital in Shebein El-kom city. Sample: purposive <br />sample of 30 children and their parents were included in the study. Instruments for data <br />collection:three instruments were used, instrument one; A structured interview <br />questionnaire developed by the investigators to collect data regarding the study consists of <br />2 parts: 1st part: socio demographic data of children, 2nd part: Parents' knowledge toward <br />chronic kidney disease; instrument two was anthropometric measures and 24 hours dietary <br />recall; instrument three was a structured interview questionnaire to assess parents <br />awareness about nutritional requirements of their children. The results of this study <br />showed that, more than half of children were under weight, around two thirds of children <br />achieved normal weight on follow up test. The study concluded that implementation of <br />nutritional guidance improved parents’ awareness about adequate nutrition for their <br />children and improved nutritional status of children undergoing hemodialysis on post and <br />follow up tests than on pretest. Therefore, it was recommended that regular nutritional <br />assessment of children should be maintained throughout their hemodialysis period and <br />nurses should provide nutritional education for their mothers.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Communication Skills Training Program and its Effect on Head Nurses' Assertiveness and Self-Esteem1763177425784010.21608/ejhc.2021.257840ENAzzaEl-said MohammedProfessor of Nursing Administration Faculty of Nursing, Ain Shams University-Cairo-EgyptMonaM. ShazlyProfessor of Nursing Administration Faculty of Nursing, Ain Shams University-Cairo-EgyptHematA. MostafaAssistant Professor of Nursing Administration. Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20220904Background: Communication is a basic function of human beings, of vital importance to <br />developing interpersonal relationships, and for groups, organizations, and society to function well. <br />Aim: The study aims to assess the communication skills training program effect on head nurses' <br />assertiveness and self-esteem. Setting: The study was conducted at Nasser Institute Hospital for <br />Research and Treatment. Design: A one group pretest- posttest quasi-experimental study design was <br />used to carry out the study. Subjects: 50 head nurses. Tools: The data of this study were collected <br />through three tools namely: a knowledge questionnaire, an Assertiveness Assessment Scale and <br />Sorensen Self-esteem Scale. Results: findings revealed that, (46%) of head nurses had satisfactory <br />total knowledge of communication, (70%) from head nurses had high assertiveness at the pretest <br />and improved at posttest and follow up phases reaching (94%), (34%) of head nurses had high self- <br />esteem at pretest; it improved to 78% at posttest and slightly decreased to 76% at follow up <br />(p < 0.001). Conclusion: The results of the study lead to the conclusion that a high percentage of the <br />head nurses in the study setting have unsatisfactory knowledge of communication skills in its <br />various domains and have low self-esteem, but have high level of assertiveness. The implementation <br />of the training program in communication is effective in improving their knowledge, self-esteem, as <br />well as their assertiveness. This improvement is lasting for at least three months. <br />Recommendations: the study recommends application of developed program to all head nurses in <br />the study setting and in similar ones. Such training programs should adopt the adult learning <br />approaches, with more focus on applied knowledge and practical skills. Workshops and seminars <br />dealing with communication should be regularly conducted to improve head nurses’ assertiveness <br />and self-esteem. Orientation and preparatory programs for newly appointed head nurses should be <br />organized and tailored to their identified needs to be able to fulfill their new role; the attendance of <br />such programs should be a pre-requisite for promotion to such job positions.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Stigma and Shame among Substance Abuser Women1775178425784310.21608/ejhc.2021.257843ENSamahFathy MohamedPsychiatric/ Mental Health Nursing, Faculty of Nursing, Ain Shams University, Egypt.GhadaMohamed MouradPsychiatric/ Mental Health Nursing, Faculty of Nursing, Ain Shams University, Egypt.RaniaAbed El Hamid ZakiPsychiatric/ Mental Health Nursing, Faculty of Nursing, Ain Shams University, Egypt.Journal Article20220904Background: Women who use drugs have to face very hazardous consequences, self- <br />stigma, internalize shame and stigmas of society as compared to men’s. They have less social <br />support; are more influenced in issues relating to drug use and recovery by their parental role and <br />through their partners; and are at a greater risk of exposure to violence and blood-borne infections. <br />Aim: to assess the level of self stigma and shame among substance abuser women. Study design: <br />a descriptive exploratory study design was used. Setting: this study was conducted at inpatient <br />department for substance abusers women in Abbasiya for Mental health Hospital- Cairo city. <br />Subject: convenient sample of 30 substance abuser women. Data collection tools: 1) Socio- <br />demographic questionnaire for women. 2)Substance Abuse Self Stigma Scale, SASSS. 3) The <br />Internalized Shame Scale, ISS. Results: the result of this study revealed that half of the studied <br />substance abuser women had “high” level of self-stigma, less than half of them recorded <br />“average” level, and the less of them had “low” level of self stigma related to substance abuse. <br />Also, half of the studied substance abuser women had “average” level of shame, less than half <br />recorded “high” level, and the less of them had “low” level of internalized shame related to <br />substance abuse. Conclusion: the study concluded that, there were highly statistically significant <br />positive correlations between total level of self-stigma and internalized shame among studied <br />substance abuser women. Recommendations: A hotline must be available to solve immediate <br />problems of substance abuser women with self stigma and shame. Expand primary health care <br />services in community services frequently used by substance abuser women.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Women Perception Related To Genital Tract Infections1785179725784410.21608/ejhc.2021.257844ENSamahMohamed AbdallahB.Sc. community health nursingNadiaHamed FarahatProfessor of Community Health Nursing, Faculty of nursing- Ain Shams UniversityAsmaaTalaat MohamedLecturer of Community Health Nursing, Faculty of nursing- Ain Shams. UniversityJournal Article20220904Background: Genital tract infections are a global health problem for women at reproductive <br />age. These infections threat the women’s health and cause of reproductive morbidity due to lack of <br />perception about these infections. Aim: Assessing women’s perception related to genital tract <br />infections. Research Design: A descriptive design was used. Setting: The study was conducted at 3 <br />MCH centers at Al-wasta city, Bani- suef Governorate, Egypt. Sample: A purposive sample of 389 <br />women. Tools of data collection: Two tools were used first, self-administered questionnaire tool <br />composed of four parts to assess women's knowledge and practices, Second tool perception scale to <br />assess women's perception Results: The study finding revealed that the mean ages of women at <br />reproductive age group were 29.67 ± 5.42 years and more than three quarter of them had genital <br />tract infections. The present study revealed that, less than two thirds of women had unsatisfactory <br />knowledge related to genital tract infections. Also; less than half of women with genital tract <br />infections reported healthy practices and the total perception of women were less than half had <br />positive perception toward genital tract infection. Conclusion: Finding showed that, highly <br />statistically significant relation between total knowledge with age, education level, occupation and <br />place of residence (p-value <0.001**). A highly statistically significant relation between total <br />knowledge and total practices (p-value <0.001**). Recommendations: Develop and implement <br />educational program for women about genital tract infections to increase their awareness at MCH <br />centers, Replication of the study on a larger sample and in different geographical areas in Egypt is <br />recommended for generalization of findings.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Lived Experience of Recovered COVID-19 Nursing Intern Students: A Qualitative Study1798180926088310.21608/ejhc.2021.260883ENMohamedGamal MostafaLecturer of Nursing Administration, Faculty of Nursing - Cairo University, EgyptMervatMamdouh Abu ZeadLecturer of Medical , surgical Nursing, Faculty of Nursing - Cairo University, EgyptJournal Article20220923Background: Since its inception, Corona virus disease (COVID-19) has severely overburdened <br />hospitals and all healthcare workers. One of the important key people were the nurses who did their <br />best to provide nursing care for COVID-19 patients over extended hours. Due to the increased need <br />for nursing staff, nursing intern students were deployed to help. The aim of the current study was to <br />explore the lived experience of recovered COVID-19 nursing intern students. Materials and <br />Methods: This phenomenological qualitative study was carried out in Cairo-Egypt. A purposive <br />sample of 15 nursing intern students was recruited who worked at Internal medicine hospital <br />(isolation hospital), which is affiliated to Cairo University hospitals. Data was collected through a <br />semi-structured individual interview using a video recording zoom meeting. The technique of <br />Colaizzi’s data analysis was used to extract, organize and analyze the data. Results: Five themes <br />emerged from the data analysis as follows: response toward working with COVID-19 patients; <br />readiness and preparation; challenges of the disease process; support system and coping; and post <br />recovery state. Conclusion: Findings of the current study provide information about the challenges <br />confronted by the participants and highlight support needs. Continuous education and training <br />should be provided to assure that intern students are confident in taking care of patients during a <br />pandemic. Also, the government should consider including intern students in the labor law to ensure <br />adequate health care coverage for them.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Junior Nursing Students’ Attitude towards the Profession during Covid-19 Pandemic1810181826618310.21608/ejhc.2021.266183ENAbeerAbdallah Ali Hassanlecturer of Nursing administration, Faculty of Nursing- Minia University, Egypt.EssamAhmed Abdelhakam Ahmedlecturer of Nursing administration, Faculty of Nursing- Minia University, Egypt.Journal Article20221018Background: Attitude is very important concept in nursing due to high ambiguities and role<br />conflicts within that profession. The globally widespread outbreak of COVID-19 pandemic all over<br />the world affected all races and socioeconomic classes with its unprecedented negative effect on the<br />usual way of living. This survey study aimed to identify junior nursing students’ attitude toward the<br />profession during COVID-19 pandemic. Methods: Utilizing a quantitative cross-sectional design<br />through an electronic survey form developed by the investigators in two parts on personal profile<br />items and the attitude toward nursing profession scale was carried out for collecting data using total<br />enumeration as sampling technique; all students enrolled in the 1st and 2nd academic levels at the<br />Faculty of Nursing – Minia University during the Academic year 2020/2021 (n= 1406) were<br />involved in the survey with voluntary and anonymous participation. Results: The study findings<br />revealed that most of the students had a positive attitude toward nursing profession (97.3%) while<br />only (2.7%) had a negative attitude with total mean score of the attitude level was 161.3 ± 19.2.<br />Significant differences in overall attitude of the participated students in relation to their personal<br />profile were favored to females, rural resided and second academic level students. Conclusion: The<br />attitude of the junior nursing students during COVID-19 pandemic appeared to be positive towards<br />their future profession. Against the investigators’ expectations, findings indicated that 2nd year<br />students exhibited more positive attitude toward the nursing profession during COVID-19 pandemic<br />than 1 st. year students. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Community knowledge toward risk prediction of colorectal cancer1819182927180610.21608/ejhc.2021.271806ENShereenAhmed Ahmed QalawaMedical-surgical Nursing Department, College of Nursing, Qassim University, KSA
and
Medical-Surgical Nursing Department, Faculty of Nursing, Port-Said University, EgyptJournal Article20221129<strong>Background: </strong>Colorectal cancer (CRC) is considered as a significant worldwide health<br />problem1 and there is strong suggestion that screening can reduce CRC mortality rate. Thus, the<br />effectiveness of awareness toward screening may be encouraged screening performance and<br />screening intensity to those at highest risk. <strong>Aim: </strong>to find out community knowledge toward risk<br />prediction of colorectal cancer at port-said city, Egypt. <strong>Subject and methods: </strong>A descriptive cross-<br />sectional study was carried out using A purposive sampling on 220 female from age more than 20<br />year at outpatient clinics from governmental hospitals (Alsalam general ,Port-fouad general hospital<br />Algawhara hospital at Port-Said city, Egypt responded to the self-administered online survey .<br />Statistical tools such as frequency, percentage, were used for the descriptive analysis. <strong>Results: </strong><br />There are a statistically significant relation was found between participant’s intentions to be<br />screened for colorectal cancer with their socio-demographic characteristics mainly in the items<br />related to level of education and their occupation with ps= (0.015, 0.005) respectively .<br /><strong>Recommendations: </strong>The community need for receive regular; periodic in-service preventive<br />program contains early signs, risk factors, and screening methods of colorectal cancer. There is an<br />evident necessitate for designed modules, workshops, social media regarding preventive strategies<br />of colorectal cancer and screening. Further studies are needed to study barriers of colorectal cancer<br />screening on the large sample and wide geographical areas.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Tele-Rehabilitation Program for older adults Post COVID-191830184527476010.21608/ejhc.2021.274760ENFerialFouad MelikaAssistant Professor of Community Health Nursing, Faculty of Nursing-Ain Shams University EgyptFatmaGomaa Mohamed AmerLecturer of Community Health Nursing, Faculty of Nursing-Ain Shams University EgyptJournal Article20221218<strong>Background: </strong>Tele-rehabilitation" means delivery of rehabilitation care services via a number of
technologies to older adults Post COVID which characterized with lung impairment, decrease
activities of daily living, risk of depression, anxiety, and poor quality of life. <strong>Aim: </strong>The study <strong>aimed </strong>
<strong>to </strong>evaluate the effectiveness of tele-rehabilitation program for older adults post COVID-19<strong>. Study </strong>
<strong>design: </strong>A quasi-experimental design was used to conduct this study. <strong>Subject: </strong>A purposeful sample
consisting of 112 older adult posts COVID-19. <strong>Setting: </strong>This study was conducted in the Ain Shams
University Specialized Hospital El Obour, Egypt. <strong>Tools: </strong>Self-reported electronic questionnaire was
designed in Arabic language to collect data through Microsoft form which consisted of 5parts to
assess demographic data, activities of daily living, quality of life, depression, and anxiety level.
<strong>Results:</strong>41.1% of the studied sample ranged between 65: ˂ 70 years, 93.8% of them suffered of
comorbidity, 87.5% suffered of breathlessness, 50.9% were dependent, 63.4% experienced poor
quality of life, 18.8% of them suffered from severe depression and 22.3% severe anxiety,
preprogram intervention which significantly improved post program implementation. Also, there
were positive correlation between rehabilitative care practices post COVID-19 and activities of
daily living, and quality of life while negative correlation with depression and anxiety level with p
value < .001. <strong>Conclusion: </strong>The study proved that the tele- rehabilitation program for older adult post
COVID-19 was effective to optimize functioning of activities of daily living and which lead to
improve independence level, and maximize quality of life, further, to relieve anxiety and depression.
Significantly with p value ˂ 0. 001. <strong>Recommendation</strong>: Further research to identify obstacles that
have been associated with applications of tele-communication technology, more home-based
programs, and enhancing the resilience of older adults to cope with stresses of COVID-19.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effects of Nepotism on Nursing Staff Job Satisfaction, Organizational Commitment and Intention to Quit.1846185527478110.21608/ejhc.2021.274781ENHebaAbdelghany MohamedLecturer of Nursing Administration Department Assuit UniversityKarimaHosny Abdel-HafezAssistant Prof. Nursing Administration Department, Assuit University.Journal Article20221218<strong>Background</strong>: Nepotism (favoritism) considered as unprofessional behaviors in work life
among nursing staff, which is still exists and continues. <strong>Aims: </strong>Evaluate the effects of nepotism on
nursing staff job satisfaction, organizational commitment and intention to quit. <strong>Subject</strong>: all
available nursing staff (n=1647) at Main Assiut University hospital (MAUH). <strong>Deign: </strong>Descriptive
correlation<strong>, Study tools: </strong>Two tools were used, tool I: included personal characteristics sheet, tool II:
included 4 parts; 1st part: measuring nepotism perception (n=37), 2nd part: effect of nepotism on
individual job satisfaction (n=5), 3rd part: effect of nepotism on organizational commitment (n=8),
4th part: effect of nepotism on intention to quit (n=5) among nursing staff. <strong>Results: </strong>the majority of
the nurse managers (83.5 %) had low level of nepotism perception, while the majority of staff
nurses had a high level (88.2%). There was a highly significant positive correlation of nepotism
with intention to quit, and there was a highly significant negative correlation with job satisfaction
and organizational commitment. <strong>Conclusion: </strong>The findings of the study indicated that, nepotism had
highly statistically adverse effects on almost all dimensions of the current study (nepotism paralyzed
individual job satisfaction, and leading to intention to quit among nursing staff. <strong>Recommendation: </strong>
The management of the hospital should pay attention to the workplace conditions, nepotism, and
organizational commitment, additional research to teach managers how to cultivate inventiveness
and creativity in order to perform at their best, rather than employing nepotism.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Health Needs and Problems among Clients with Second-Degree Burn during Follow-Up1856186827554710.21608/ejhc.2021.275547ENLamiaaFathy MohamedNursing instructor at Ismailia Nursing Secondary School.HalaMohamed Mohamed HusseinProfessor of Community Health Nursing, Faculty of Nursing, Ain Shams University.MervatMohamed HassanLecturer of Community Health Nursing, Faculty of Nursing, Ain Shams UniversityJournal Article20221222<strong>Background: S</strong>econd-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. <strong>Aim: </strong>Assess health needs and problems
among clients with second-degree burn during follow-up. <strong>Research design: </strong>A descriptive design
was used. <strong>Setting: </strong>The study was conducted at the Outpatient Burn & Plastic Clinic at Suez Canal
University Hospital at Ismailia Governorate, Egypt. <strong>Sample</strong>: Purposive sample composed of 150
clients with second-degree burn who attended to the previously mentioned setting. <strong>Tool: </strong>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. <strong>Results: </strong>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. <strong>Conclusion: </strong>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. <strong>Recommendations: </strong>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 settingsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Educational Program on Compassion Fatigue and Compassion Satisfaction Among Psychiatric Nurses1869188727574310.21608/ejhc.2021.275743ENSafaaMohamed MetwalyAssistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Zagazig University,HalaAhmed ElsayesAssistant Professor of Psychiatry and Mental Health Nursing, Faculty of Nursing - Tanta UniversityJournal Article20221224<strong>Background</strong>: Compassion fatigue among nurses has a negative influence on them and the quality of care they
provide. <strong>The aim </strong>of this study was to evaluate the effect of an educational program on compassion fatigue and
compassion satisfaction among psychiatric nurses. <strong>Subjects and Methods: Research design: </strong>A Quazi
experimental design (single group pre-post-test) was utilized in this study. <strong>Subjects: </strong>A purposeful sample of
105 psychiatric nurses was included in this study. <strong>Setting: </strong>This study was carried out at El-Azazi Mental Health
Hospital in Abo Hamad City, Elsharkia Governorate, Egypt. <strong>Tools of data collection: </strong>Nurse’s Interviewing
Questionnaire sheet and Professional Quality of Life Scale were used to collect data for this study. <strong>Results: </strong>The
percent of nurses experiencing high level of compassion satisfaction have been increased from (58.1%) at
pre-program to (85.7%) at post program period. While, burnout score has been decreased from 70.5% at
pre-program to 34.3% at post program period among studied nurses. As well as secondary traumatic stress
score have been decreased from 73.3% at pre-program to 61.9% at post program period among studied nurses.
<strong>Conclusion: </strong>The educational program was effective in reducing the level of burnout and secondary traumatic
stress (compassion fatigue) and enhancing the level of compassion satisfaction among studied psychiatric
nurses. <strong>Recommendations: </strong>Providing psychosocial counseling for psychiatric nurses experiencing compassion
fatigue (CF) can increase their abilities to understand the ways compassion fatigue affects various dimensions of
their lives, so they can be better equipped to develop and refine internal coping skills which help them in
managing the difficult nature of their job.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Aspects Allied with Quality of Life among El-Beheira Governorate Post-Mastectomy Women: A Mobile-Based Health Education1888190627878310.21608/ejhc.2021.278783ENHendAbo Elsoud AhmedAssistant professor of Nursing Education, Faculty of Nursing, Damanhour University, EgyptLucyAhmed AbuElElaAssistant professor of Nursing Education, Faculty of Nursing, Damanhour University, EgyptFathiaKhamis KassemAssistant professor of Community Health Nursing, Faculty of Nursing, Alexandria University, EgyptMahaMahmoud AbdelazizAssistant professor of Community Health Nursing, Faculty of Nursing, Zagazig University, EgyptJournal Article20230105<strong>Background</strong>: Women’s health is mostly affected by their quality of life; when it comes to breast cancer in particular, the loss of a breast traumatically affects a women’s quality of life<strong>. </strong>Health education and community health support are aids to improve these group health as well as their quality of life.<strong> The aims of this study </strong>are to determine aspects allied with quality of life among El-Beheira Governorate post-mastectomy women and assess the levels of women’s satisfaction regarding mobile-based health education.<strong> Research design: </strong>a descriptive research design was used.<strong> Settings: </strong>This study was carried out in Damanhour Oncology Center (DOC)<strong>.</strong><strong> Subjects: </strong>this study was carried out on a convenient sample of 200 women<strong>. Data collection tools: </strong>data were collected using two tools: the women’s structured interview questionnaire sheet and the Quality-of-Life Assessment Instrument (WHOQOL-100).<strong> Results: </strong>More than half of the studied women (56.0%) had poor quality of life, and the physical domain received the lowest percent score (45.24±16.07) followed by the spiritual domain (47.28±18.70). <strong>Conclusion:</strong> the study concluded that the Quality of life of post-mastectomy women on hormonal therapy may be positively affected in the domains of environment, and level of independence. Otherwise, it may be affected negatively in physical and spiritual health domains. Women were satisfied by the mobile-based health education delivered to them. <strong>Recommendations:</strong> Mobile-based health education must be intensified to raise public awareness and raise their QoL. Health education interventions to improve the quality of life of post-mastectomy women should be focused on the physical and spiritual health domains.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Comparison Study between Traditional, Online and Hybrid Teaching Strategies among Obstetrics Nursing Students Regarding to Perception, Satisfaction, Academic Stress, and Self-efficacy during the Epidemic Covid- 191907192728339710.21608/ejhc.2021.283397ENMonaAhmed Abd-ElhamedLecturer of Woman Health and Obstetric Nursing, Faculty of Nursing -Minia UniversitySamarElrefaey AbazaLecturer of Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University.RedaTaha Ahmed Abou- ElazabLecturer of Mental Health and Psychiatric Nursing, Faculty of Nursing, Port Said University.SehamShehata MostafaLecturer of Maternity and Newborn Health Nursing, Faculty of Nursing - Menoufia University.Journal Article20230131<strong>Background</strong>: Rapid changes occurred all around the globe because of the pandemic crisis. As a
result of "covid19," the educational sector had also suffered, and a widespread use of digital tools
had accelerated. <strong>Aim of this study: </strong>to Compare the effect of Online, Traditional and Hybrid
Teaching strategies among Obstetrics nursing students on their Perception, Satisfaction, Academic
Stress, and Self-efficacy during the Epidemic Covid- 19. <strong>Subjects and Methods: </strong>Comparative
descriptive research design was conducted at Faculty of Nursing -Minia University<strong>. Sample: </strong>A
randomized sample of six hundred students was included in this study. <strong>Data were collected </strong>through
five main tools: Tool I: Interviewing assessment, Tool II: Online learning perception, Tool III:
Students' Satisfaction, Tool IV: Academic Stress Scale (ASS) and Tool V: Self-Efficacy scale.
<strong>Results</strong>: The study revealed that the mean age of study students was 21.1 ± 2.5 years, 54.8% of
them were females. (58.5%) of traditional group had poor perceptions about quality of technology
and effectiveness of online teaching method,74.0% of the traditional teaching group had satisfactory
satisfaction with their teaching methods, 80.5% of the online teaching group students had high
stress level related to academic expectation, faculty work, and examination, and students’ academic
self-perception with statistically significant differences (P-Value < 0.001). <strong>Conclusion: </strong>This study
found that most of the students were satisfied with the traditional teaching method, academic stress
was present across all three groups (traditional, online, and hybrid), and the greatest levels of stress
were found among obstetrics nursing students who had taken the course via the online method with
low total perceptions and self-efficacy. <strong>Recommendations: </strong>Faculties should prioritize hybrid
learning that focuses on raising students' success and accommodates their unique learning styles.
Both educators and students would benefit much from specialized training programs in the use of
computers and internet and the management of the faculties should make concerted efforts to
facilitate this development providing educators with the resources they need to reduce student stress
in the classroom via the use of hybrid learning and other strategies. Additional research on the
connection between hybrid learning and academic success may be conducted.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612120210301Effect of Evidence Based Guidelines on Nurses' Performance Regarding Pandemic COVID-19 in Isolation Units1928194528831410.21608/ejhc.2020.288314ENMonaAbdullah MohammedMedical Surgical Nursing, Faculty of Nursing, Zagazig University ,EgyptMagdaKamal El-ShishtawyMedical Surgical Nursing, Faculty of Nursing, Zagazig University ,EgyptSamahMahmoud MohamedMedical Surgical Nursing, Faculty of Nursing, Zagazig University ,EgyptJournal Article20230302Healthcare workers (HCWs) are on the front line of defense against the coronavirus disease 2019 (COVID19) pandemic. Inadequate knowledge and negative attitudes among HCWs can directly affect practices, leading <br />to delayed diagnosis, poor infection control practices, and the spread of disease. Knowledge, attitude, and <br />practice (KAP) is necessary for better management of COVID-19. Aim: This study aimed to evaluate the effect <br />of evidence based guidelines on nurses' performance regarding pandemic COVID -19 in Isolation Units. <br />Design: A quasi experimental design was used. Setting:This study was conducted in Isolation Units at <br />internal medicine Hospital with Agar, Internal Medicine Hospital, and Cardiothoracic Hospital attached to <br />Zagazig University Hospitals in Sharkia Governorate, Egypt. Sample: A purposive sample of 50 nurses.<br />Tools:1) Self-Administered questionnaire for nurses to assess nurses' demographic characteristics, and nurses' <br />knowledge regarding COVID-19 disease (Pre/ Post test), 2) Nurses' practices regarding COVID-19 <br />(Pre/Posttest), and 3) Nurses' attitude Likert Scale towards COVID-19 (Pre/Posttest) Results: Most (96.0%) of <br />the studied nurses had adequate self-reported practices towards preventive measures against COVID19 after the intervention, compared to less than two-thirds (60.0%) had reported total inadequate <br />practices in the pretest itself. There was a highly statistically significant positive correlation between <br />nurses' total knowledge, practices and their attitudes towards COVID-19 before and after the <br />intervention (P<0.01). Conclusion: the implementation of evidence-based guidelines regarding COVID19 had a statistically significant effect in improving knowledge, practices and attitudes of nurses. <br />Additionally, there was a highly statistically significant positive correlation between nurses' <br />knowledge, practices, and their attitudes towards COVID-19 before and after the intervention, <br />supporting the proposed hypotheses. Recommendations: The illustrated developed booklet should be <br />accessible to all nurses caring for people with COVID-19 to use as a reference guide in their practice.