Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Relationship between Motivational Factors and Job Autonomy among Staff Nurses11014269310.21608/ejhc.2021.142693ENOmaimaMohamed ShetaNursing Administration Department – Faculty of Nursing, Ain Shams UniversityNemaFathy SaadNursing Administration Department – Faculty of Nursing, Ain Shams UniversityHebaAli HassanNursing Administration Department – Faculty of Nursing, Ain Shams UniversityJournal Article20210124Background motivation improves level of efficiency of employees,<br />leads to stability of work force and builds friendly relationship also the<br />People with more autonomy at work are healthier and less stressed. The<br />study aimed at investigating the relationship between the motivational<br />factors and job autonomy among staff nurses. Subjects and Methods: A<br />descriptive correlational design was used in carrying out this study. Which<br />was conducted at a general hospital in Kafr Elshikh governorate namely Sidy<br />Salem which affiliated to ministry of health. Subjects of the study included<br />150 staff nurses out of 256. The data collection forms consisted of two tools<br />namely motivational factors questionnaire and job autonomy scale. Results:<br />More than one third of staff nurses had high level toward total motivational<br />factor and Slightly more than one third staff nurses had high level toward<br />total job autonomy. Half of staff nurses had the highest level related<br />responsibility of work dimension of motivation More than one third of staff<br />nurses had high level toward total self-autonomy of job autonomy.<br />Conclusion: There was statistically significant positive correlation between<br />motivation factor and job autonomy among staff nurses. Recommendation:<br />Conduct periodical meeting between hospital managers and staff nurses for<br />discussing work problem and develop solutions for each problemAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Resilience Training Based Nursing Intervention: Its effect on Depressive Symptoms, Coping styles and Resilience among Patients with Depression112714354210.21608/ejhc.2021.143542ENLamiaaHassnin EitaPsychiatric and Mental Health Nursing Department, Faculty of Nursing, Menoufia University, EgyptHanaaMohamed AbosheredaPsychiatric and Mental Health Nursing Department, Faculty of Nursing, Menoufia University, EgyptJournal Article20210127Background: Patients with depression often experience a feeling of disconnectedness<br />as a consequence of the symptomatology of the disorder. Resilience may offer the link for<br />those with a mental illness to move from disconnectedness to connectedness. The aim of this<br />study was to evaluate the effect of resilience training based nursing intervention on<br />depressive<br />symptoms,<br />coping<br />styles,<br />and<br />resilience<br />among<br />patients<br />with<br />depression. Design: Quasi-experimental design two groups study and control was used to<br />achieve the aim of this study. Subjects: A purposive sample of 64 patients with depression<br />was selected for this study. Results: there was a negative significant correlation between the<br />total score of depressive symptoms and with both resilience, and adaptive coping styles<br />respectively, pre-intervention. There was also a statistically significant difference in the<br />reduction of both severe and moderate depressive symptoms post-intervention compared to<br />the control group. There was a statistically significant difference in increasing of the mean<br />total score of resilience and adaptive coping post-intervention compared to the control<br />group. Conclusion: Resilience training based nursing intervention was effective in<br />improving depressive symptoms, resilience, and coping styles. Recommendations:<br />resilience training-based nursing intervention should be applied for all depressed patients and<br />other psychiatric disorders to improve their resilience and adaptive coping leading to<br />improvement of symptoms severity in returnAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Relationship Between Sense of Coherence and Social Support and Psychological Well-being Among Patients with Schizophrenia285714412210.21608/ejhc.2021.144122ENRashaMohamed HussienLecturer of Psychiatric and mental health Nursing Faculty of Nursing- Zagazig UniversityMahmoudAbdel Hameed ShahinAssistant Professor of Critical Care Nursing Al-Ghad International Colleges for Applied Medical Sciences, Qassim, KSAManalMohamed ElkayalAssistant Professor of Psychiatric and Mental Health Nursing Faculty of Nursing- Zagazig UniversityJournal Article20210128Background: Schizophrenia is a chronic, persistent, frequently recurrent psychiatric<br />condition that affects early brain development with a heterogeneous genetic and<br />neurobiological history and is expressed as a mixture of psychotic symptoms such as<br />hallucination, delusion, disorganization, and motivational and cognitive dysfunctions . The<br />aim of this study Having a sense of coherence (SOC) and good social support is important<br />for psychological well-being. This study aimed to investigate the nature of SOC and social<br />support and their relationship with psychological well-being among patients with<br />schizophrenia. Methodology: A descriptive cross-sectional research design was used to<br />assess a convenience sample of 148 schizophrenia patients from Zagazig University Hospital.<br />Data were collected using a questionnaire consisting of a sociodemographic datasheet,<br />medical datasheet, SOC scale, multidimensional social support scale, and general health<br />questionnaire (GHQ-12). Results: Significant relationships were found between some<br />medical data and SOC and between social support and psychological well-being. The mean<br />scores for SOC and social support were significantly correlated positively with the GHQ<br />result. Conclusion: The highest percentage of SOC was reported on the comprehensibility<br />subscale, social support was mainly received from others, and low psychological well-being<br />was found to exist particularly for the positive statements. SOC and social support were<br />significant positive predictors of GHQ results. Recommendation: endorsing the application<br />of intervention programs for patients with schizophrenia that enhance SOC to improve their<br />psychological well-being and recovery from diseaseAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Educational Intervention on Secondary School Students’ Knowledge, Practices and Attitudes Regarding COVID-19587414540510.21608/ejhc.2021.145405ENManalMohamed Ahmed AyedAssistant professor of Pediatric Nursing, Faculty of Nursing, Sohag University, EgyptAmelAbd Elaziem MohamedLecturer of Community Health Nursing, Beni- Suef University, EgyptThoreaMohamed MahmoudAssistant professor of Community Health Nursing, Faculty of Nursing, Sohag University, EgyptSehamMohammed AbdElazizLecturer of Pediatric Nursing, Faculty of Nursing, Benha University, EgyptJournal Article20210131Background: Coronavirus pandemic disease 2019 is considered an emerging disease that is<br />highly infectious, caused by coronavirus in December 2019 in Wuhan city, China. Corona virus<br />affected educational process all over the world and led to the schools closures, universities, and<br />colleges, within the middle of March 2020. Aim: Evaluate the effect of educational<br />intervention on secondary school students’ knowledge, practical knowledge and attitudes<br />regarding the COVID-19. Methods: quasi-experimental design was adopted. Purposive<br />sample of 260 students were selected at secondary school students in Sohag City from 20 April<br />to 2 May 2020. The tools utilized in this study consisted of a self-administered questionnaire<br />that contained four parts to assess secondary school students' demographics, knowledge<br />regarding COVID -19, the attitudes toward COVID -19 and reported practice regarding<br />COVID -19 and health education Arabic booklet. The questionnaire was designed using<br />Google forms regarding the COVID-19, and the link of the survey was presented to the<br />respondents via Facebook and WhatsApp groups. Results: A significant difference was found<br />between secondary students' knowledge attitudes, and practices pre and post intervention. Most<br />of students had a poor pretest knowledge and attitude level, which improved after intervention.<br />More than half of them had poor pretest practice levels which improved after educational<br />intervention implementation. Conclusion: It concluded that secondary students' knowledge,<br />attitude, and reported practice improved after exposure to the educational intervention.<br />Educational intervention providing was significantly effective in increasing knowledge level,<br />attitude, and practice among secondary school students regarding COVID-19.<br />Recommendations: Encourage cooperation between educational institutions, medical care<br />providers, and health personnel to educate secondary school students regarding COVID-19.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Nursing Counseling Guided by BETTER Model on Sexuality, Marital Satisfaction and Psychological Status among Breast Cancer Women759514673110.21608/ejhc.2021.146731ENMarwaA. ShahinAssistant professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, EgyptHananAmin Ali GaafarLecturer of Obstetrics and Woman's Health Nursing, Faculty of Nursing, Banha university, EgyptDoaaLotfi Afifi AlqershLecturer of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia university, EgyptJournal Article20210206Background: Breast cancer is one of the main problems related to women's health, and the<br />various forms of treatment can lead to bodily changes and significantly alter women's<br />sexuality and psychological status. Aim: The aim of this study was to evaluate the effect of<br />nursing counseling guided by BETTER model on sexuality, marital Satisfaction and<br />psychological status among breast cancer women. Design: A quasi-experimental research<br />design. Setting: The study was conducted at an Outpatient clinic, Oncology Institute,<br />Menoufia University - Egypt. Sampling: A purposive sample, composed of 87 women was<br />recruited in the study. Tools: Six tools were used for data collection a) A Structured<br />interviewing questionnaire b) Female sexual function index (FSFI) c) Body image scale<br />d) ENRICH marital satisfaction scale E) Tylor anxiety scale (Arabic version) f) Perceived<br />stress scale (PSS). The results: This study showed that there was a highly significant<br />difference at study participants sexuality, marital satisfaction and psychological status pre<br />and post application of nursing counseling guided by BETTER model. Conclusion:<br />Application of nursing counseling guided by BETTER model had high significant impact<br />on improving sexuality, marital satisfaction and psychological status of breast cancer<br />women undergoing treatment. Recommendation: Adopt a BETTER sexual model of<br />counseling for management of sexual dysfunction and psychological problems in breast<br />cancer institutions. Ongoing education for maternity nurses on the impact of breast cancer<br />treatment on women's sexuality and psychological status, as well as strategies to address<br />women's sexual and psychological problems.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effectiveness of Nurse-Led Intervention on Adults' Health Beliefs and Screening Behaviors Toward Colorectal Cancer9611314729610.21608/ejhc.2021.147296ENHanaaE. El SayadLecturer of Medical-Surgical Nursing Department - Lecturer of Family and Community Health Nursing - Faculty of Nursing, Menoufia University – EgyptHananRamzy Ahmed AtallaAssistant Professor of Medical-Surgical NursingHematMostafa AmerLecturer of Medical-Surgical Nursing Department - Lecturer of Family and Community Health Nursing - Faculty of Nursing, Menoufia University – EgyptJournal Article20210208Background: Colorectal cancer is common, the presenting symptoms are non-specific, and<br />the stage of disease at diagnosis is closely related to survival. Regular screening reduces<br />morbidity and mortality from this disease. The Health Belief Model posits that individuals<br />are more likely to engage in preventive health behavior. Aim: to evaluate the effectiveness of<br />nurse-led intervention on adults' health beliefs and screening behaviors toward colorectal<br />cancer. Design: A quasi experimental design. Setting: This study was conducted in<br />outpatients' clinics at Menoufia University hospital, Egypt. Sample: A purposive sample of<br />140 participants who were attended at pre-mentioned settings. Instruments: as following: I.<br />Structured interviewing questionnaire, II: colorectal cancer awareness questionnaire. III:<br />colorectal cancer Self-reported screening behavior questionnaire, IV: colorectal cancer<br />Knowledge questionnaire. V: Health beliefs model questionnaire. Results: the mean age of<br />the studied sample was 54.27± 7.271 and 52.129±6.324 for study and control groups<br />respectively. Regarding to risk factors assessment 55.7% of study group and 65.7% of the<br />control group has Low-fiber, protein-rich, and high fats in their diet. 80.0% of the study<br />group and 84.3% of control group had negative family history for CRC. There was statistical<br />improvement of total awareness score among study group (9.39±4.31) than those in control<br />group (5.02±2.93) at post-intervention. The mean total behavior scores were 7.93±2.11 and<br />5.28±3.28 for study and control group respectively at post-intervention. There were<br />statistical significance differences in total mean score of health belief model variables among<br />study group at post intervention in which p value = .000. Conclusion: Nurse led intervention<br />had positive impact on adult health beliefs, screening behaviors also improving their<br />knowledge and awareness regarding colorectal cancer. Recommendations: Designing<br />effective nursing strategies to address barriers of CRC screening and improve CRC<br />knowledge and awareness, which is critical to achieving greater screening compliance.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Nurses' Willingness to Care of Patients with COVID-19: Impact of Work Motivation Training Program.11413514792510.21608/ejhc.2021.147925ENSohairMabrouk Mohammed Mabrouk AllamDepartment of Nursing Administration, Faculty of Nursing, Menoufia University, Egypt.Journal Article20210211Background: Nursing is a profession requiring prolonged training at the workplace.<br />Nurses’ willingness to care of patients with COVID‐19 plays a considerable role in ensuring<br />the stability of the nursing team and in controlling the pandemic. Work motivation is an<br />effective instrument help nurses to charge up their batteries and increase the willingness to<br />work. Improving staff’s knowledge and maintain satisfactory remuneration systems boost<br />their willingness to work in a hazardous environment. Aim: Investigate the impact of work<br />motivation educational program on the nurses' willingness to care of patients with COVID-<br />19. Design: Quesi -experimental design was used to conduct this study. Setting: The study<br />was conducted in critical care units at University Menoufia Hospital. Subjects: A simple<br />random sample of 126 staff nurses provided direct patient care in Critical Care Units (CCUs).<br />Tools: Three tools were used for data collection; Tool 1: Work Motivation Knowledge<br />Questionnaire, consist of two parts, the first part to collect demographic data, second part;<br />Motivational knowledge Questionnaire. Tool 2: Motivational Level Questionnaire. Tool 3:<br />Factors Influencing Willingness to<br />Care of Patients with COVID-19 questionnaire.<br />Results: There was highly statistical significance difference among studied staff nurses<br />regarding motivation knowledge pre and post the implementation of motivation program and<br />their willingness to care of patients with COVID-19 p ≤ 0.001. There was statistical<br />significant positive correlation between the studied nurses total motivation knowledge and<br />total motivation level mean scores and willingness level to care of patients with COVID-19.<br />Conclusion: In the light of findings of the present study, the current study concluded that<br />improving nurses’ work motivation knowledge is an important strategy to improve their<br />willingness to participate in care of patients with COVID‐19. Recommendations: For<br />nursing managers, improving nurses’ perceived professional benefits is an important strategy<br />to improve their willingness to participate in care of patients with COVID‐19, Integrating<br />crisis management to nurses’ in the early stages of their educational curriculum. All medical<br />supplies should be available, such as personal protective equipment and vaccination to help < /div><br />keep the lives of nurses and patients safe. Raising the awareness of infectious diseases and<br />increased pre‐disaster training during infectious disease outbreaks is equally critical.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Relationship between role strain and workplace support among staff nurse13614814792610.21608/ejhc.2021.147926ENAhmedMohamed HassanNursing Administration Department - Faculty of Nursing Ain Shams UniversityNemaFathyNursing Administration Department - Faculty of Nursing Ain Shams UniversityGalilaAbdelghafarNursing Administration Department - Faculty of Nursing Ain Shams UniversityJournal Article20210211Background: Role strain is one such stressor that has been found to be positively<br />associated with work stress and job burnout. Providing workplace support are most often<br />considered in relation to preventing or alleviating stress and burnout. The aim of the study was to<br />assess the relationship between role strain and workplace support. Research design: a descriptive<br />correlational design. Setting: This study was conducted at critical care units in El Minia General<br />Hospital which affiliated to Ministry of Health and Population at Minia governorate. Subjects<br />and methods: The convenient sampling included all available staff nurse (100) are working in<br />critical units. Tools of data collection: Two tools were used to collect data namely; Role strain<br />scales sheet included demographic characteristics and role strain scale & Work place support<br />survey. Results: There was significant statistical weak negative correlation only between total<br />role strain and coworker support. There was significant statistical weak negative correlation<br />between total workplace support and role conflict. Conclusion: There was significant statistical<br />weak negative correlation between total role strain and total workplace support.<br />Recommendation: Continuous evaluation of nurses' role strain and workplace support. Further<br />researchers, about nurses' role strain with increasing sample size and different settings.<br />Investigation of other factors predicting the level of role strain.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of young rural women’s general characteristics on their knowledge and compliance with healthy practices during postpartum period16517514908210.21608/ejhc.2021.149082ENHananAmin Ali Gaafarlecturer of Obstetrics and Woman Health Nursing, Faculty of Nursing, Benha University, Benha, EgyptAhlamElahmady Mohamed SarhanAssistant Professor of Community Health Nursing, Faculty of Nursing, Benha University, Benha, EgyptHudaAbdalla MoursiLecturer of Community Health Nursing, Faculty of Nursing, Benha University, Benha, EgyptJournal Article20210216The aim of this study was to explore effect of young rural women’s general characteristics on their<br />knowledge and compliance with healthy practices during postpartum period Research design: A<br />descriptive study design was utilized. Setting: This study was conducted in Obstetrics<br />&Gynecological outpatient clinic at Benha University Hospital. Sample: A simple random sample<br />included 183 postpartum women Tools of data collection 1) a structured interviewing sheet to<br />collect data about general characteristics and knowledge of women regarding healthy practices<br />during postpartum period 2) self-reported measures to assess women's compliance with healthy<br />practices during postpartum period .Results: 43.17% of studied women aged from 23 to 25 years<br />with the mean age 22.248 ±1.794. Also 89.86% of studied women had incorrect total knowledge<br />score about postpartum care, 99.28% of them not compliance with health practices about<br />postpartum care. Conclusion: it can be concluded that around the most of studied women had poor<br />knowledge about postpartum care and the majority of them not compliance with health practices<br />about postpartum care. Reveals that, statistically significant relation between general characteristics<br />of young rural women, total knowledge and total practices score toward postpartum care. Also there<br />was a positive highly significant relation between total knowledge score and total practices score.<br />Recommendation: Designing and implementing guidelines, brochure among pregnant women<br />during third trimester and women during postpartum period to raising awareness about the care<br />during postpartum period. Implementing counseling session to enhance women to seek antenatal,<br />labour and postpartum health services.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Covid-19 Educational Bag on Knowledge, Attitude and Precautionary Practices of Institutionalized Elderly Persons17619414944710.21608/ejhc.2021.149447ENNeamitIbrahim Elemam ElashriAssistant. Professor of Gerontological Nursing, Faculty of Nursing, Mansoura University, EgyptHebaAhmed Mohammed ElfadawyLecturer of Gerontological Nursing, Faculty of Nursing, Mansoura University, EgyptRaefaRefaat AlamAssistant. Professor of Gerontological Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20210217Background: The COVID-19 pandemic is affecting the worldwide population drastically. Elderly<br />people face significant risks of having severe illness if they are diseased because of their<br />physiological changes associated with aging and the possible outcome of underlying health statuses.<br />Public awareness about dealing with highly infectious respiratory diseases is extremely important<br />and plays an imperative role in limiting and preventing the widespread of infection, especially in<br />countries with low and middle-income. Aim: Assess the effect of Covid_19 Educational Bag on<br />Knowledge, Attitude and precautionary Practices of institutionalized Elderly persons . Methods: A<br />quasi-experimental study design was used. This study was carried out at El Amal elderly home,<br />affiliated to Mansoura City and Dar El-Walaa affiliated to Meet khamr city-Dakahlia governorate-<br />Egypt. The study involved a convenience sample of 72 elderly persons who are residence at El<br />Amal and El Walaa elderly homes. Data collected over a period of 6 months from first of April<br />2020 till the end of September 2020.Tools: Four tools were used for data collection; Demographic<br />and Clinical Data structured Interview Sheet, and Elder's Covid-19 Knowledge Questionnaire,<br />Elder’s Attitude towards Covid-19 Questionnaire, and Covid-19 Precautionary Practices<br />Checklists .Results: Two thirds of the studied elders were selected from dar El Walaa, nearly one<br />half of the subjects were middle old with a mean of 66.57±4.08 yrs. More than one half of the<br />sample were females. A statistically significant improvement of COVID-19 knowledge, attitude,<br />and precautionary practices of the studied elders immediately after implementation of COVID-19<br />educational bag than before it, and the improvement still apparent across all the studied sample<br />regardless of their demographic characteristics and clinical data. The studied elders COVID-19<br />knowledge levels were positively associated with their attitude and precautionary practice. While no<br />proven relation was found between studied elders COVID-19 attitude and precautionary practices<br />Conclusion: A significant improvement of the studied elders means of score of COVID-19 levels of<br />knowledge, attitudes and precautionary practices immediately, and two months after<br />implementation of COVID-19 educational bag regardless of their demographic characteristics and<br />clinical data. Recommendation: Development of an educational programs targeting vulnerable<br />elderly population institutionalized in elderly homes in various Egypt governorates, designing a<br />long-term plan by healthcare authorities to improve access to education and health services.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Impact of Application of Nursing Guidelines on Health Outcomes for Patients Undergoing Gastrointestinal Endoscopes19520815025910.21608/ejhc.2021.150259ENMariamSabry ShehabLecturer in Medical- Surgical Nursing Faculty of Nursing, Damietta University, EgyptAsmaaAbouda Abdelhamed SoultanLecturer in Medical- Surgical Nursing Faculty of Nursing, Damietta University, EgyptJournal Article20210221Background: Endoscopy is a nonsurgical procedure used to examine a person's digestive tract.<br />Using an endoscope, a flexible tube with a light and camera attached to it, the doctor can view<br />pictures of the digestive tract on a color TV monitor. Aim of this study was to evaluate impact of<br />application of nursing guidelines on health outcomes for patients undergoing gastrointestinal<br />endoscopes. Subjects and methods: A quasi-experimental research design was used. A convenient<br />sample was used; it includes all nursing staff working with patient undergoing GI endoscopy (40<br />nurses) and 240 adult patients. This study conducted at GI endoscopy unit at Al-Azhar University<br />Hospital at new Damietta city. Three tools used for data collection. Tool (1) is a pre/post-patient<br />structured interview. Tool (2) is a pre \ post nurse structured interview. Tool (3) is an observational<br />check list for nurses’ practice. Results, show a significant improvement in the nurses' knowledge<br />and practice scores after nursing guidelines implementation regarding the care of patients with GIT<br />endoscopy at (p- value = 0.00, 0.02 & 0.04) respectively. Positive significant correlation between<br />nurses’ knowledge and practice before and after guidelines implementation in the following items<br />(general preparation - pre-procedure) post procedure items and total practice score. Conclusion,<br />there was significant improvement in nurse's knowledge and practice about care of patients<br />undergoing GI endoscopy after implementation of nursing guidelines. As well as improving patient<br />outcomes. The study recommended that Continuous and adequate education and training of<br />nursing staff working at gastrointestinal endoscopy units with regular and continuous evaluation of<br />nurses' practice.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601The Relationship between Perceived Stress and Coping Strategies among Nurses in the Burn Care Unit at the Main Alexandria University Hospital20922315026010.21608/ejhc.2021.150260ENHebaMohamed AbdelaalLecturer of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, EgyptMervatHawashLecturer of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptEngyAbd Elrhman KhamesLecturer of Medical Surgical Nursing, Faculty of Nursing, Modern University for Information and Technology, Egypt.Journal Article20210221Nurses caring for burn injured patient had high stress levels in the workload and time pressure. The<br />main stressful factors among burn injured patient care are high patients` death, emergency<br />situations, and low supportive relationships. Prolonged stress without effective coping strategies<br />may negatively contribute to the nurses’ quality of life and quality of care delivered. Aim of the<br />study: Assess perceived stress and coping strategies among nurses caring for burn injured patient<br />and to investigate the relationship between perceived stress and coping strategies among those<br />nurses. Design: A descriptive correlational design was utilized for this study. Setting: The study<br />was conducted in burn unit at Main Alexandria University hospital. Subjects: All nurses are<br />working in burn care unit (45 nurse) were included in the study. Tools: Socio-demographic and<br />work characteristics interview schedule, Perceived Stress and Brief Cope Scale. Results: Results of<br />the study revealed that, more than half of the studied nurses had moderate level of perceived stress<br />and rest of them having high level. The majority of the studied nurses had moderate level of<br />problem-focused, emotion focused and dysfunctional coping strategies. A positive statistical<br />significant relationship between nurses' perceived stress and behavioral disengagement & self<br />blame coping strategies and a negative statistical significant relationship between perceived stress<br />and active coping & planning, seeking emotional support and positive reframing coping strategies<br />were found. Conclusion & recommendations: Perceived stress among studied nurses negatively<br />related to problem- focused & emotion- focused coping strategies and positively related to<br />dysfunctional coping strategies. Based on the findings, it is recommended to implement programs to<br />tackle nurses’ stress level and improve their coping skills.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Fear of COVID-19 Pandemic, Obsessive-Compulsive Traits and Sleep Quality among First Academic Year Nursing Students, Alexandria University, Egypt.22424115026110.21608/ejhc.2021.150261ENMonaMetwally ElsayedAssistant Professor of Psychiatric Nursing, and Mental Health, Faculty of Nursing, Alexandria UniversityGhadaAhmed GhaziAssistant Professor of Psychiatric Nursing, and Mental Health, Faculty of Nursing, Alexandria UniversityJournal Article20210221It is now recognized that the uncertainty caused by the international COVID-19 pandemic can lead<br />to excessive, intense, and repeated mental health problems such as obsessive-compulsive traits and<br />disturbed sleep quality. These psychological responses affect the well-being of individuals and can<br />persist long after the outbreak. Health care workers can be viewed as more vulnerable to these<br />psychological consequences, particularity the younger students such as the first academic year<br />nursing students. Thus, the present study aimed to determine and explore the impact of fear of<br />COVID-19 on obsessive-compulsive traits and sleep quality among the first-academic year nursing<br />students. Design: A descriptive correlational design was used in this study. Setting: The study was<br />conducted at the Faculty of Nursing, Alexandria University, Egypt. Subjects: A representative<br />sample of 275 first-year undergraduate students. Tools: Online web-based electronic questionnaires<br />were used including A socio-demographic and Academic Data, FCV-19S, AOCS and ISI. Results:<br />Results of the study revealed that 61.1% of the studied students had a moderate level of fear of<br />COVID-19 pandemic and 8.7% of them had a severe level. As well, 35.3% of those students had a<br />moderate level of obsessive-compulsive (OC) traits and 4.7% of them had a severe level of OC<br />traits. In addition, 14.2% of them had a moderate level of insomnia during COVID-19 pandemic.<br />Regression analysis indicates that fear of COVID-19 pandemic was a predictor of both obsessive<br />compulsive traits (P=0.000) and insomnia severity (P=0.052). Conclusion: level of fear of COVID-<br />19 pandemic can predict the OC traits and insomnia severity levels among studied nursing students.<br />Hence, early detection, picking up and effectively treating students who have intense fears of<br />COVID 19 are emphasized before they evolve to more complex and enduring obsessive-compulsive<br />symptoms. Immediate interventions via multidisciplinary teams, including academic mental health<br />professionals, to the vulnerable group of students are recommended.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Evidence-Based Measures protocol on Nurses' Performance regarding Prevention of Surgical Site Infection24225418124510.21608/ejhc.2021.181245ENNaglaaAbd ElKareem MoghazyLecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Zagazig University, EgyptAidaAhmed MohammedLecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Zagazig University, EgyptMahaDesoky Saleh SakrLecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Zagazig University, EgyptJournal Article20210701Background: Surgical site infection (SSI) is a serious complication of surgical procedures and the most common type of healthcare-associated<br />infections in low- and middle-income countries. Although, SSI prevention is complex and requires the integration of a range of measures<br />before, during, and after surgery; except that up to 60% of these infections are estimated to be largely preventable by using evidence-based<br />guidelines. Hence, as frontline caregivers, nurses can play a golden role in SSI preventing efforts through advancing their knowledge, attitude,<br />and practice in accordance with the latest evidence-based preventive measures of SSI. Study aim: to evaluate the effect of evidence-based<br />measures protocol on nurses' performance regarding prevention of surgical site infection. Study Design: a quasi-experimental<br />design. Setting: General surgery departments and surgical operating theater at Zagazig University Hospitals, Al Sharkia Governorate,<br />Egypt. Subject: A convenience sample of all available nurses (70), who are working at the previously mentioned settings. Tools: A self<br />administered questionnaire to assess nurses' socio-demographic characteristics and knowledge; Likert scale to assess attitudes, and observation<br />checklist to assess nurses' practice of evidence-based SSI preventive measures. Results: There was a lack in nurses' knowledge, positive<br />attitude, and practice about evidence-based preventive measures for SSI in the pre-intervention phase of the evidence-based measures protocol,<br />with mean±SD of 14.6±3.7,17.1 ± 8.5, and 56.7±12.2 respectively, which increased in post phase of the protocol intervention with mean±SD<br />of 20.2±3.9, 20.6±11, and 66.2±10.5 respectively, also there was a highly statistically significant difference and improvement in total nurses'<br />knowledge, attitude and practice post-intervention (p < 0.001), with a percentage of improvement equal 38%, 20.65%, and 16.89% in nurses'<br />knowledge, attitude, and practice respectively. Conclusions: Evidence-based measures protocol implementation had improved nurses'<br />knowledge that in turn had shaped their positive attitude, which results in improving nurses' practice of evidence-based preventive measures of<br />SSI, as each one connected with the other. Recommendations: Evidence-based preventive measures of SSI should be incorporated into<br />comprehensive surgical nursing quality improvement programs to improve patient safety.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Nursing Intervention Guide to Functional Abilities and Range of Motion for Clients with Work-Related Shoulder Impingement Syndrome26527915026610.21608/ejhc.2021.150266ENAmalAhmed KanonaAssistant Professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia UniversitySamahM. Abd ElgapharAssistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Menoufia UniversityNaglaaAbd Elmawgoud AhmedAssistant Professor of Family and Community Health Nursing, Faculty of Nursing, Menoufia University.Journal Article20210221Work-Related shoulder impingement syndrome is categorized by shoulder pain that is exacerbated<br />with arm elevation or overhead activities. Management options for work-related shoulder<br />impingement syndrome include rehabilitation. Therapeutic exercise was the well-investigated form<br />of rehabilitation. The therapeutic exercise programs consisted of stretching and strengthening the<br />rotator cuff and scapular muscles. The aim of this study was to examine the effect of nursing<br />intervention guide to functional abilities and range of motion of clients with work-related shoulder<br />impingement syndrome. Design: A quasi experimental research design was used. The study was<br />conducted in the Physiotherapy Department, Menoufia University Hospital. Sample: A purposive<br />sample of 40 adult clients diagnosed with shoulder impingement syndrome was included and<br />randomly divided into two equal groups; 20 clients for each group. Instruments: Four instruments<br />were utilized for data collection. A structured interview questionnaire, University of California –<br />Los Angeles shoulder scale, Range of motion measurement scale and Oxford scale. Results: the<br />majority of both study and control groups (80.0% and 100.0% respectively) were unable to use there<br />arm pre nursing intervention, while after three months, 75.0% of the study group improved and<br />became able to function normally compared to the control group. There was a significant<br />improvement in the mean range of motions for shoulder among the study group after three months<br />of the exercise program compared to the control group. Conclusion: Implementation of the nursing<br />intervention guide for the study group was effective in improving functional activities and range of<br />motion compared to control group. Recommendation: Nursing intervention guide about the<br />effectiveness of physical activity and exercise should be part of occupational nurses’ role for clients<br />with Work-related shoulder impingement syndrome.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Educational Nursing Intervention: Its Effect on the Nurses’ Performance, Patients’ Daily Living Activities, Needs and Selected Visual Problems of Cataract Surgery28029715026810.21608/ejhc.2021.150268ENWafaaH. AbdullahMedical Surgical Nursing department, Faculty of Nursing, Menoufia University, EgyptAmiraMohamed Abdel AzeemMedical Surgical Nursing Department, Faculty of Nursing, Menoufia University, EgyptAminFaisal EllakwaOphthalmology department, Faculty of Medicine, Menoufia University, EgyptOmimaSaid M. H. ShehataMedical Surgical Nursing Department, Faculty of Nursing, Menoufia University, EgyptJournal Article20210221Cataract is the second cause of visual impairment and the first cause of blindness globally so<br />inadequate nursing intervention lead to serious complications for the patient with cataract surgery.<br />Purpose of the study: to evaluate the effect of educational nursing intervention on the nurses’<br />performance, patients’ daily living activities, needs and selected visual problems of cataract surgery.<br />Setting: The current study was carried out at ophthalmology department and out patients’<br />ophthalamology clinic in Menoufia university hospital and El Ramad hospital in Shebin El-Kom<br />district, Menoufia governorate, Egypt. Subjects: A purposive sample of adult 25 nurses and 100<br />patients was divided into two equal groups (study and control). Tools of the study: Three tools for<br />data collection; two tools for nurses (a self-administered questionnaire (tool I) and an observation<br />checklist for nurses’ performance (tool II) and one tool for patients (an interview questionnaire, tool<br />III). Results: There was a highly statistically significant improvement in total mean score of nurses’<br />knowledge from 27.56±3.11 pre intervention to 41.08±4.09 post intervention and after one week to<br />38.0±3.69 as a follow up. Also, there was a highly statistically significant improvement in the total<br />nurse's performance mean score from 102.84±21.54 pre intervention to 245.44±22.84 post<br />intervention and after one week to 239.84±23.05 as a follow up p < 0.001. Also, there were highly<br />statistically significant improvements in meeting all patients’ daily living activities and needs with<br />minimized visual complications after intervention (p < 0.001). Conclusions: Total good level of<br />knowledge, satisfactory performance of the studied nurses significantly improved after<br />implementing educational nursing intervention with better achievement of patients’ daily living<br />activities and needs with major limitation in visual problems.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Leadership Competencies, Workplace Civility Climate, and Mental Well-being in El- Azazi Hospital for Mental Health, Egypt29831315027510.21608/ejhc.2021.150275ENWessamAhmed ElsayedDepartment of Nursing Administration – Faculty of Nursing – Mansoura University, EgyptFaridaMahmoud HassonaDepartment of Nursing Administration – Faculty of Nursing – Zagazig University, EgyptShaimaaMohamed NageebDepartment of Mental Health Nursing – Faculty of Nursing – Zagazig University, EgyptBothinaElsayed Said MohamedDepartment of Mental Health Nursing – Faculty of Nursing – Zagazig University, EgyptJournal Article20210221Background: In light of the coronavirus pandemic, a team leader’s ability to attain<br />and maintain healthy workplaces is crucial. Nurse leaders should aim to mitigate workplace<br />anxieties by promoting team cohesiveness, mutual support, and the wellbeing of members.<br />Aim: This study was conducted at the beginning of COVID-19 pandemic to assess the effect<br />of leadership competencies on workplace civility climate and mental well-being at an<br />Egyptian hospital for mental health. Design: Descriptive correlation design was used. Tools:<br />Measures used were leadership competencies, workplace civility climate, and the Warwick-<br />Edinburgh mental wellbeing scale. Results: more than half of the sample were satisfied with<br />leaders’ competencies, three quarter of them rated the workplace environment as respectful,<br />and more than three quarter of them reported moderate or good mental wellbeing.<br />Statistically significant correlations were found between leadership competencies and both<br />workplace civility climate and mental well-being. Conclusion: leaders at El Azazi Hospital<br />were assessed as proficient and providing a positive civility climate, but were not sensitive to<br />the mental wellbeing of staff. Recommendation: Future research to investigate what specific<br />factors affect mental well-being among psychiatric nurses rather than leadership < /div><br />competencies is recommended.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Post-traumatic Stress Symptoms, Fear, and Health-Related Quality of Life among Community Dwelling Older Adults during COVID-19 Pandemic in Alexandria, Egypt31433115253110.21608/ejhc.2021.152531ENMonaMetwally El-SayedAssist. Prof. of Psychiatric Nursing, and Mental Health, Faculty of Nursing, Alexandria University, Egypt.MarwaAbd El-Gawad MousaAssist. Prof. of Psychiatric Nursing, and Mental Health, Faculty of Nursing, Alexandria University, Egypt.ManalMohammed HawashAssist. Prof. of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egypt.HebaAhmed MohsenLecturer of Gerontological Nursing, Faculty of Nursing, Faculty of Nursing, Alexandria University, Egypt.Journal Article20210228<strong>Background:</strong> The outbreak of the COVID-19 pandemic is a public health crisis that largely has affected people worldwide. Since older adults are universally perceived as the most vulnerable group, post-traumatic symptoms and fear produced by this pandemic could have devastating effects on their quality of life. Therefore, this study aimed to assess the prevalence and levels of post-traumatic stress symptoms and fear during COVID-19 pandemic and determine the impact of these psychological symptoms on health-related quality of life among community dwelling older adults. <strong>Methodology:</strong> A descriptive correlational research design was utilized. Participants included a representative sample of 190 community dwelling older adults registered in El-Wafaa club. Online web-based electronic questionnaires were used including Older Adults Socio-Demographic and Clinical Data Questionnaire, PCL-C, FCQ, and SF-12. <strong>Results:</strong> The results of this study revealed that during COVID-19 pandemic 76.9% and 97.4 % of the studied older adults had medium to severe stress and fear levels, respectively. These levels of PTSD symptoms significantly affect their physical and mental health-related quality of life (P≤ 0.01). While fear levels affected mental components only (P≤ 0.01). <strong>Conclusion:</strong> It can be concluded from this study that more than three-quarters of the studied Egyptian community dwelling older-adults suffered from PTSD symptoms levels ranged from medium to severe post-COVID-19 pandemic outbreak. The majority of them suffered from fear of COVID-19 pandemic with the same levels. The PTSD symptoms and fear levels were the best predictors of the mental components of health-related quality of life. <strong>Recommendations:</strong> Nursing interventions with emotional, spiritual, social, and physical components through online videos and Apps platform for phones and tablets should be made available for elderly people were recommendedAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Relationship between Caregiving Burden, knowledge and stigma of Caregivers Caring for Older Adults with Alzheimer disease33234415317110.21608/ejhc.2021.153171ENRaefaRefaat AlamAssistant Professor of Gerontological Nursing- Faculty of Nursing -Mansoura University – Egypt.EmanHassan Mounir RadwanLecturer of Gerontological Nursing- Faculty of Nursing - Mansoura University – EgyptNadiaMohamed Hassan SalehAssistant Professor of Gerontological Nursing- Faculty of Nursing -Mansoura University – Egypt.Journal Article20210302Background: the level of burden is associated with severity of Alzheimer disease, frequency, and<br />intensity of care, and absence of help. In many cases, mostly all members of the family become a<br />stigma victim and could have feelings of shame about the disease. Aim: the aim of the study was to<br />assess relationship between caregiving burden, knowledge and stigma of caregivers caring for older<br />adults with Alzheimer disease. Design: the researchers used a descriptive-correlational cross<br />sectional design to complete the study. Subjects: A convenience sample of 108 family caregivers of<br />the older adults diagnosed with Alzheimer’s disease covered a period of one year (from 1st of May<br />2019 till 1st of June Settings: This study was carried out in the general hospital at patient clinic and<br />Association of Alzheimer Patients at Mansoura city, Dekahlia governorate. Tools: Four tools were<br />used to collect the data namely; Demographic and clinical data structure interview schedule sheet,<br />The Zarit Burden Interview (ZBI), Alzheimer’s Disease Knowledge Scale (ADKS) and The Stigma<br />Impact Scale (SIS): Results: The mean age of caregivers was 44.93 ± 9.135. And more than two-<br />thirds of the study sample were females, while the mean age of elderly was (75.32 ± 5.901). And<br />above half of the study subject were male (69.4%). A strong positive correlation was found between<br />caregiver's burden and stigma. Conclusion: A statistical significance relation was found between<br />all sociodemographic characteristics of family caregivers and each of caregiving burden, stigma,<br />and knowledge. A strong positive correlation was found between caregiver's burden and stigma.<br />Recommendations: Educational program for family caregivers not only about the disease processes,<br />but also the way to manage symptoms, experiences, detect resources that could lower the level of<br />caregiving burden, improve their knowledge and reduce sense of stigmatization.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of effleurage massage versus water immersion with exercise on physiological foot edema among primigravidae34535615985210.21608/ejhc.2021.159852ENAfafHassan Ahmedlecturer of Obstetrics and Gynecologic Nursing Faculty of Nursing, Alexandria University.NematIsmail Abdel Aziz IsmailAssistant professor of Obstetrics and Gynecologic Nursing Faculty of Nursing, Damanhour UniversityNohaMohamed Mahmoud HassanAssistant professor of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University. Egypt.Journal Article20210329Introduction: Leg edema is a prevalent problem during pregnancy causing activity limitations for<br />pregnant women. The study aimed to compare the effect of effleurage foot massage versus water<br />immersion with exercise on physiological foot edema among primigravidae. Study design: A quasi<br />experimental, comparative study was utilized. Setting: study was conducted at the outpatient clinic<br />of antenatal unit at El Shatby Maternity Hospital. Subjects: The subjects of the study included 90<br />primigravida women who attended to antenatal unit. Tools: Three tools were used to collect the<br />data: Tool 1: Pregnant women basic data structured interview schedule, Tool 2: Assessment Chart<br />for Pitting Edema and Tool 3: Anon-elastic tape measure. Results: there was statistically<br />significant decreased in mean circumferences of left and right (Ankle, Instep and MP joint) foot<br />among the massage and immersion groups, compared to the control group immediately and After 5<br />days of intervention. Additionally +3 & +4 degrees of edema didn't observe among the massage and<br />immersion groups, while they were observed among 56.7% and 23.3% respectively of the control<br />group. There was statistically significant improvement in the degree of edema among both massage<br />and immersion groups in favor of the massage group compared to the control group immediately<br />after intervention (p=0.003), and after 5 days of intervention (P <0.001).Conclusion: the effleurage<br />foot massage and water immersion exercise was significantly improved foot edema, when compared<br />to control group. However, the effleurage foot massage was more effective than water immersion<br />exercise in this respect. Recommendations: Effleurage massage and water immersion with exercise<br />should be recommended in hospital protocols for management of physiological foot edema.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of an Ergonomic Ankle Support for Squatting Position on Labor progress and maternal outcome35737015985310.21608/ejhc.2021.159853ENAfafHassan Ahmedlecturer of Obstetrics and Gynecologic Nursing Faculty of Nursing, Alexandria University.TahanyHassan Allamlecturers of Obstetrics and Gynecologic Nursing Faculty of Nursing, Damanhour University.NohaMohamed HassanAssistance professor of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University. EgyptJournal Article20210329Introduction: Postural changes can be one of the simplest ways of promoting labor, as women can<br />use them while remaining in bed, if medically indicated. Aim of the study to evaluate, the effect of<br />an ergonomic ankle support for squatting position on progress of labor and maternal outcome<br />among primiparae women. Design: A quasi-experimental research design was utilized. Subjects: A<br />convenience study subject of (80) women were selected from EL-Shatby Maternity University<br />Hospital. Tools: four tools were used by the researchers to collect the necessary data: Tool I: basic<br />data structured interview schedule, Tool II: Partograph, Tool III: Maternal Outcome Observational<br />Checklist and Tool IV: Cardiotocography (CTG). Results: There was highly a statistically<br />significant differences between both groups (P=0.000) from the 1st to the 6th hour in relation to<br />frequency, duration and intensity of uterine contraction. Mean cervical effacement demonstrated<br />highly statistically significant difference (P=0.000) among the study and the control groups from the<br />1st to the 6th hours. Furthermore, highly a statistically significant difference was found between the<br />study subjects' mean duration of the 1st stage of labor (P<0.000). Conclusion: it can be concluded<br />that assuming squatting position with ergonomic ankle support for during the active phase of labor<br />was more effective in accelerating progress of labor among the study group in terms of: stronger<br />uterine contractions, faster cervical dilatation and effacement, faster fetal head descent and shorter<br />duration of the three stages of labor. Recommendations: Squatting Position with ergonomic ankle<br />support position should be advocated as one of the significant modalities to manage labor pains,<br />Upright positions, especially Squatting Position with ergonomic ankle support position, during the<br />first stage of labor need to be incorporated into antenatal care activities and Laboring women should<br />be encouraged to assume upright (Squatting Position with ergonomic ankle support) position during<br />the first stage of labor to control pain, facilitate labor as well as to promote self-control and attain<br />more satisfactory birthing experience.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Mothers’ Nutritional Knowledge, Attitude, and Practices in Childcare on the Growth of Children37138216100310.21608/ejhc.2021.161003ENManalMohamed Ahmed AyedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, EgyptFaridaKamel Yousef AliAssistant Professor of Family and Community Health Nursing Department, Faculty of Nursing, Suez Canal University, EgyptEmanSayed Masoed SayedAssistant professor of Pediatric Nursing, Faculty of Nursing, Minia University, EgyptJournal Article20210404Well education about nutrition can improve maternal nutritional knowledge and practices<br />significantly, that improve the growth of children. Aim: Assess the effect of mothers’ nutritional<br />knowledge, attitude, and practices in childcare on the growth of children. Subjects and method:<br />Design: An analytical cross-sectional study research design was conducted for 100 mothers and<br />their children aged 6-23 months in Medical Pediatric Out-Patient Clinic in Sohag University<br />Hospital. Tools for data collection: Four tools were used to collect the data in the current study,<br />tool (I): A structured questionnaire that consisted of two parts: part (1): Sociodemographic<br />characteristics of mothers of children, part (2): Demographic characteristics of children, tool (II):<br />Anthropometric measurement tool, and tool (III): Nutrition-related KAP model questionnaires<br />(Module 2: Feeding young children (6–23 months), and tool (IV): Modified Fahmy and ElSherbini<br />scale. Results: it observed that a significant positive relationship was detected between knowledge,<br />attitude, and practices and WFA (r = 0.26, P = 0.0001) and between WFH (r = 0.11, P = 0.02). In<br />the studied young children, it was observed that 54% of young children between 6-8 months<br />consume the recommended and 59% of young children between 9 and 23 months consume more<br />than recommended. Conclusion: Mothers’ nutritional knowledge, attitude, and practices regarding<br />childcare have positively affected the growth of children. Recommendations: Educational<br />programs about balanced nutrition for children aged 6-23 should be taught to all mothers.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Relationship between Organizational Cynicism and Nurses’ Intension for Turnover as Perceived by Nurses38339716326010.21608/ejhc.2021.163260ENNancySabry Hassan El-liethieyNursing administration, Faculty of Nursing, Alexandria University, EgyptAmalDiab Ghanem AtallaNursing administration, Faculty of Nursing, Alexandria University, EgyptJournal Article20210411Background: Organizational cynicism is unfavourable standpoint that is reported to<br />have an impact on nurses’ intention for turnover. Purpose: The aim of this study was to to<br />investigate the relationship between organizational cynicism and nurse’s intension for turnover<br />as perceived by nurses in two governmental health care hospitals at Alexandria governorate.<br />Method: A descriptive correlational design was utilized with convenient sample of nurses (n=<br />534), two tools were used to measure the study variables: Tool I: Organizational cynicism<br />questionnaire. Tool II: Turnover intension Questionnaire. Results: There was statistically<br />significant positive correlation between organizational cynicism and nurses’ intention for<br />turnover. The nurses were perceived moderate organizational cynicism and intension for<br />turnover. The highest mean percent score of organizational cynicism as perceived by the<br />studied nurses was related to cognitive cynicism. Conclusion: the studied nurses perceived<br />moderate level of organizational cynicism as well as intension for turnover. There was<br />statistically significant positive correlation between organizational cynicism and nurses’<br />intention for turnover. Recommendations: Continuous periodic training programs should be<br />given for nurses in different health care units, to increase their awareness about organizational<br />cynicism, conflict management, effective communication with emotional intelligence, and<br />stress management in coping with stressful situationsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Influence of self-compassion, self-efficacy abstinence and suicidal behavior in clients with Substance Use Disorders39841116326110.21608/ejhc.2021.163261ENSamarMabrook Abdelsalm El-NahrawayPsychiatric and Mental Health Nursing, Faculty of Nursing, Tanta UniversityJournal Article20210411Background: Substance Use Disorder destroys economy, health, relationships and<br />career and has several complications including relapse that often remain untreated. The recent<br />massive increase in drug over dose deaths and suicide from Substance Use Disorder highlights<br />the importance of assessing suicide risk in patients receiving poly or mono substances which<br />remains in limbo. Aim: this study aimed to investigate the relation between self-compassion<br />on self-efficacy abstinence and suicidal behavior among patients with Substance Use<br />Disorders. Design and participants: A descriptive correlational design was applied in the<br />present study. This study was conducted at out patient's clinic of The Psychiatric and mental<br />health hospital affiliated to ministry of Health and Population (MOHP). The study subject was<br />composed of a convenience sample of 107 clients. Tools: three tools were used to collect the<br />data for the study: Self-Compassion Scale (SCS), the suicidal behaviors Questionnaire –<br />Revised (SBQ-R) and Alcohol Abstinence Self-efficacy Scale (AASES). Method: The actual<br />study was including interview which lasted between 30 to 45 minutes. Each patient was<br />approached on an individual base and interviewed in privacy by the researcher, signed the<br />informed consent and accomplished the study tools. Results: there was a statistical significant<br />negative correlation between self-compassion and suicidal behavior while a statistical<br />significant positive correlation between self-efficacy and self-compassion was found.<br />Conclusion: Higher levels of self-compassion and self-efficacy may help buffer risk of active<br />suicide among clients with substance use disorders.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Oral Health Promotional Program on Knowledge, Attitudes and Practices Regarding Dental Caries among Primary School Children In Minia City, Egypt41243016326210.21608/ejhc.2021.163262ENAmalH. MohamedCommunity Health Nursing, Faculty of Nursing, Minia University, EgyptEkhlassM. EltomyCommunity Health Nursing, Faculty of Nursing, Minia University, EgyptSanaaM. AhmedPediatric Nursing, Faculty of Nursing, Minia University, Egypt.MonaNagy Mahmoud Hamdipediatric and community dentistry, Faculty of dentistry, Minia universityJournal Article20210411Background: For optimal health and well-being, oral health is a fundamental element.<br />Dental caries is a prevalent disease both from a community and individual health perspectives.<br />Also, families have to deal with a young child suffering from toothache. The basic mission of<br />oral health educators is to improve information and behaviour in the community. Such<br />understanding requires knowledge that represents the human conviction that has been<br />translated into actions. Positive behavior is the outcome of the sustained action. The aim of<br />the study was to evaluate the effect of oral health promotional program on knowledge,<br />attitude and practices regarding dental caries among primary school children in Minia city,<br />Egypt. Design: quasi-experimental pre-post-test method was used. Settings: The research was<br />applied in Saad Zaghlol and Huda Sharawy Primary Schools affiliated to Minia City of Minia<br />Governorate, Egypt. Sample: cluster random sample of 400 participant child who were<br />recruited using multi-stage random sample technique. Tools: I-Socio-Demographic<br />Questionnaire. II-Oral Health Knowledge Questionnaire. III- Dental Behavioral Inventory<br />(HU-DBI) questionnaire at Hiroshima University IV- Questionnaire on Oral Health practice.<br />Results: the present study showed that the oral health promotional program(OHPP) become<br />efficient in enhancing awareness, attitude, and skills toward oral health; as the mean scores of<br />knowledge, attitudes and practices were 7.83 ± .488, 6.63± 1.7 and 9.33±1.1 respectively with<br />highly statistical difference before and after oral health promotion program. High statistically<br />significant difference between children about oral health knowledge, attitudes and practices<br />pre and post the assigned program (P= .000**) were noticed. Conclusion: There was<br />improvement of level of knowledge, positive attitudes and satisfactory practices among<br />the majority of the participants children after implementation of oral health promotion<br />program. Recommendations: Integration of OHPP into the school curriculum for enhancing<br />knowledge, attitude, practices regarding oral health and dental caries prevention. Health care<br />decision makers and authorities should provide continuous support to promote the efficient<br />make use of school teachers for oral health promotion of students.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Foot Reflexology on Hemodialysis School Age Children on Fatigue and Sleep Quality43144716326310.21608/ejhc.2021.163263ENAmal.H. MohamedCommunity Health Nursing, Faculty of Nursing, Minia University, EgyptNagatFarouk AbolwafaPediatric and Neonatal Nursing, Faculty of Nursing, Minia University, EgyptSanaaMahmoud AhmedPediatric and Neonatal Nursing, Faculty of Nursing, Minia University, EgyptJournal Article20210411Background: Hemodialysis clients experience exhaustions for many reasons,<br />including toxic components in the blood stream, fluid - electrolyte disturbances, irregular<br />power consumption, anemia and distress. Even after rest, this feeling of exhaustion continues<br />and it is difficult and sleeplessness is prevented. The aims of this research was to: Evaluate<br />the effect of foot reflexology on hemodialysis school age children on fatigue and sleep < /div><br />quality. Design: To meet the study's objective, quasi-experimental research design was used.<br />Sample: A purposive sample of children on school age on maintenance hemodialysis<br />(n=30), those who received regular hemodialysis more than two times a week within at least<br />three months, had no communication problems and had no other medical conditions, such as<br />juvenile diabetes, cancer. Setting: this study was conducted at pediatric nephrology<br />outpatient clinic in waiting room before the child take hemodialysis session and pediatric<br />hemodialysis center at Minia city General Hospital. Data collection tools: Three tools have<br />been used (1); Pre / post - test questionnaire. (2) The second tool; Pittsburgh Sleep Quality<br />Index. (3) Third tool Inventory symptoms of fatigue. Results: The research findings<br />demonstrates that fifty percent of the participants had excessive fatigue, while the minority<br />had moderate fatigue before intervention and improved to a higher level of study sample,<br />which had moderate fatigue after post - testing. While most of the study samples have sleep < /div><br />disorder before foot reflexology is used in pre - test and in post - test, it was found that after<br />intervention, many of the subjects studied reported fairly good sleep quality. Conclusion:<br />The application of foot reflexology to school - age children with hemodialysis shows an<br />improvement in sleep quality and a decrease in fatigue level. Recommendation:<br />Continuous evaluation of the presence or development of fatigue or sleep problems in<br />patients with hemodialysis. Researchers are also required to compare reflexology with other<br />alternative / complementary therapies (e.g. massage, healing touch, response to relaxation).Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Perinatal Obstetrical and Psychological Outcomes among Pregnant Women with COVID-1944846716326410.21608/ejhc.2021.163264ENAyatM., Omar MasoudMaternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, Egypt.NehmedoEzzat OsmanWoman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Egypt.AmalSarhan Eldesokey GenedyMaternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, Egypt.Journal Article20210411Background: COVID-19 is a highly infectious disease with important indirect<br />implications for the outcomes of maternal and neonatal health. Aim: to assess the perinatal<br />obstetrical and psychological outcomes among pregnant women with COVID-19. Design: A<br />descriptive cross – sectional research design was utilized. Sample: A purposive sample of 53<br />pregnant women who had infected COVID-19. Setting: This study was conducted in four<br />different health setting at two governorates; Mansura and Fayoum Governorate. Tools of data<br />collection: Four tools used to collect data: (I) Structured interview schedule and (II) Pregnancy &<br />Maternal outcome assessment tool. (III) Neonatal outcome assessment tool and lastly (IV)<br />Psychological consequences assessment tools. Results: The results of this study presented that the<br />large proportion of studied women exhibited very sever level of depression, anxiety, and stress,<br />there were statistical significant relation between the complications encountered among studied<br />pregnant women that infected with COVID-19 and the associated risk of pregnancy either during<br />pregnancy, labor or postpartum. Conclusion: Pregnant women with COVID-19 might have an<br />increased risk of adverse obstetrical perinatal outcomes, such as; preterm labor, intrauterine fetal<br />death, stillbirth, increase pregnancy related risk, increase fetal and maternal distress.<br />Recommendations: Raise awareness of pregnant women in general and high-risk groups in<br />particular about COVID-19 and its preventive measures and coping strategies across, activated<br />antenatal class, the internet, media and other massive multimedia authorities concerned.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of changing positions on Lung mechanics of traumatized ventilated patients46848416326510.21608/ejhc.2021.163265ENMervatA. Abd-ElAzizCritical & Emergency Care Nursing, Faculty of Nursing, Assiut University, Assiut, EgyptMogeddaM. MehanyCritical & Emergency Care Nursing, Faculty of Nursing, Assiut University, Assiut, EgyptKhalidMohamed MorsyDepartment of Anesthesia Technology, College of Applied Medical Sciences in Jubail, Imam
Abdulrahman bin FaisalKhaledAbd El Baky AbdelrahmanAnesthesia and intensive care unit, Faculty of Medicine, Assiut University Egypt.Journal Article20210411Background: Positioning is a major pc art of nursing care for critically ill patients.<br />Turning the patients in bed promotes adequate ventilation and stimulates circulation. Aim: To<br />investigate the effect of changing positions on Lung mechanics of traumatized ventilated<br />patients in addition to explore the effect of changing positions on ABG, duration of connection<br />with MV &ICU staying, and the occurrence of complications of traumatized ventilated<br />patients. Study design: Quasi-experimental research design was used to conduct this study.<br />Setting: The study was conducted in trauma ICU at Assiut University hospital. Sample: A<br />purposive sample of 60 traumatized male and female patients. They were matched &<br />randomly assigned into two equal groups of 30 patients in each (control group &intervention<br />group). The Control group has received routine hospital care and the intervention group who<br />were repositioned every 2 hours. Tools: two tools were used for data collection, Tool one:<br />Patient assessment tool, Tool two: patient outcomes assessment tool. Results: it was observed<br />that there was a statistically significant difference between intervention and control groups<br />regarding lung mechanics, ABG (arterial blood gases), and decrease the length of ICU staying<br />(P value < 0.05) especially in the last three days of the study period. Conclusion: changing<br />patients' positions every 2 hours improved patients outcomes related to lung mechanics,<br />oxygenation, and ventilation Recommendation: Early changing positions should be started<br />early as possible for traumatized mechanically ventilated patients.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Application of an Alternate Nostril Breathing Exercise on Fatigue and Quality of Sleep Pattern among Nursing Students48549916326610.21608/ejhc.2021.163266ENSohierWehedaMedical-Surgical Nursing Department, Faculty of Nursing, Alexandria University,
Egypt.HebaElsayed KhatabMedical-Surgical Nursing Department, Faculty of Nursing, Alexandria University,
Egypt.HebaAbdel Mowla Ahmed Abdel MowlaMedical-Surgical Nursing Department, Faculty of Nursing, Alexandria University,
Egypt.Journal Article20210411Background: The higher the energy level, the more efficient body. The more efficient<br />body, the better feel and the more will use talent to produce outstanding results. Breathing<br />exercise is one of the yogic techniques that can produce different physiological responses in<br />healthy individuals. Aim: determine the effect of the application of an alternate nostril<br />breathing exercise on fatigue and sleep quality pattern among nursing students enrolled in the<br />Faculty of Nursing, Alexandria University, Egypt. Design: A quasi-experimental design was<br />used to conduct this study. Subjects: A simple random sample of 100 volunteers of first-year<br />nursing students enrolled in the winter semester of 2019 (males and females). Tools: Two<br />tools were used to collect the necessary data for the present study. The tool I: Alternate<br />nostril breathing assessment and tool II: Iowa Fatigue Scale. Results: indicated that regular<br />practice of alternate nostril breathing increases parasympathetic activity. Participants<br />experienced decrease levels of fatigue and improving the quality of sleep pattern. The<br />majority of participants agreed that work drains their energy every day, that they never have<br />enough time between classes to recover their energy, and that they dread waking up to<br />another day of work. Conclusion: Implementation of alternate nostril breathing exercises<br />helped in decreasing nursing students' fatigue levels before, during, and after their practice.<br />Also, it improved the quality of sleep patterns. Recommendations: Apply the proposed<br />protocol of alternate nostril breathing techniques. The developed colored illustrated booklet<br />regarding the alternate nostril breathing has to be distributed to the newly enrolled nursing<br />students each year. As well as fatigue in nursing students needs further study including the<br />application of the alternate nostril breathing exercises that address chronic and acute fatigue<br />and promote recovery.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601The Relationship between Nursing Students' Engagement and their Satisfaction regarding Bachelor Nursing Program50051316326710.21608/ejhc.2021.163267ENHematAbdel-AzeemNursing Administration Department, Faculty of Nursing, Ain Shams University, Cairo, EgyptDaliaAtefNursing Administration Department, Faculty of Nursing, Ain Shams University, Cairo, EgyptAmeraMostafa AbdallaNursing Administration Department, Faculty of Nursing, Ain Shams University, Cairo, EgyptJournal Article20210411Background: Engagement and satisfaction of higher education is important in the<br />students’ college journey, students' engagement is defined as participation in educationally<br />effective practice both inside and outside the classroom which leads to a significant measurable<br />outcome which is students' satisfaction. Aim of the study: Is to assess the relationship between<br />students' engagement and their satisfaction regarding bachelor nursing program. Research<br />design: A descriptive cross-sectional design was used to carry out this study. Setting: The<br />study was conducted at Faculty of Nursing Ain Shams University. Subjects: 194 nursing<br />students from third and fourth academic years. Tools: Data were collected by using National<br />Survey of Student Engagement (NSSE) and Undergraduate Nursing Students' Academic<br />Satisfaction Scale (UNSASS). Results: Nursing students' had a moderate engagement level<br />considering the level of academic challenge as highest dimension mean and high satisfaction<br />level regarding bachelor nursing program considering the in-class teaching domain as highest<br />domain mean. Conclusion: There was a highly statistically significant relationship between<br />students' engagement and their satisfaction regarding bachelor nursing program.<br />Recommendations: Maintenance of nursing students' engagement and satisfaction through<br />assess nursing students' engagement and satisfaction periodically through conducting regular<br />surveys and used these information as indicators of success to identify areas which need<br />improvement, faculty staff should foster positive relationships through professional role<br />modeling within the learning environment, and allow students to participate in developing<br />faculty mission, philosophy, vision, and goals including personal goals.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Palliative Care Education: Its Effect on Nurses’ Competency during Care of Dying Patients51453216326810.21608/ejhc.2021.163268ENHanaaE. El- SayadMedical Surgical Nursing Department, Faculty of Nursing, Menoufia University EgyptShaimaaA ShaalaMedical Surgical Nursing Department, Faculty of Nursing, Menoufia University EgyptJournal Article20210411Background: Palliative care can play a major role in relieving both physical and mental<br />symptoms of the dying patient. Nurses are the key valuable palliative care team members who<br />are responsible for the dimension of physical, functional, social, and spiritual patients' care.<br />Essential factors affecting a successful implementation of palliative care are nurses'<br />knowledge, attitude and self efficacy for providing care to these patients. Aim of the study:<br />To examine impact of palliative care education on nurses’ competency during care for dying<br />patients. Methods: A quasi-experimental design was utilized. Setting: The study was<br />conducted at oncology institute, general medical and general surgical unit of Menoufia<br />University hospital. Subjects: A convenience sample of 120 nurses (52 from oncology<br />institute, 34 from general medical and 34 general surgical unit) of Menoufia University who<br />agreed to participate in this study were divided alternatively and randomly into two equal<br />groups, 60 for group 1 and 60 for group 2.Tools: four tools were utilized by the researchers.<br />Tool I: Structural interviewing questionnaire, Tool II: Palliative Care Quiz for Nursing, Tool<br />III: The Frommelt Attitudes Toward Care of the Dying scale and Tool IV: The Palliative Care<br />Self-Efficacy Scale. Results: the mean total score of Palliative Care nurses’ knowledge in<br />study group (16.48±1.88)was better than control group (7.23± 2.68), nurses' attitude toward<br />palliative care of study group was 113.50±10.75 as compared to 91.21±12.40of control group < /div><br />and palliative care self-efficacy score of study group was 28.06±7.38 as compared<br />to16.08±4.49 of control group at post-intervention. Conclusion: palliative care educational<br />intervention to nurses can be effective in strengthening their knowledge base, improving<br />attitude and level of self efficacy toward care of dying patient. Recommendations: Education<br />and training programs about palliative care with simple illustrated booklet required for all<br />nursing staff in health care settingAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Health Related Quality of Life among the Patients with Rheumatoid Arthritis53354416473610.21608/ejhc.2021.164736ENSamahSaad SalemMedical-Surgical Nursing Department, Faculty of Nursing, Cairo University, Cairo, Egypt. College of Nursing, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh ,Saudi Arabia.AbeerSelimCollege of Nursing, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh ,Saudi Arabia. and Mansoura University, Faculty of Nursing, Psychiatric and Mental Health Nursing Department, Mansoura, EgyptHindAl GhadeerAllergyology & Immunology, internal medicine department, King Abdulaziz medical city- Riyadh, ministry of national guard health affairs, Kingdom of Saudi Arabia, Riyadh. and King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.HbeebaReda AlshamiriCollege of Nursing, King Saud bin Abdulaziz University for Health Sciences, Riyadh , Saudi Arabia. and King Abdullah International Medical Research Center, Riyadh, Saudi ArabiaJournal Article20210417Background: Rheumatoid Arthritis (RA) is considered a public health problem with increasing<br />global prevalence that reached 14.9 in 2017. In addition to impairment of daily life activities,<br />individuals diagnosed with RA suffer from psychological disorders. Aim: The study aim was to<br />assess the health related quality of life among the patients with rheumatoid arthritis. Methods: A<br />descriptive exploratory design was utilized to conduct the current study. Data was collected from<br />Rheumatology Clinics in King Abdulaziz Medical City in Riyadh, Saudi Arabia over three months<br />using a convenience sample of 300 adult patients attending Rheumatology Clinics diagnosed with<br />RA. A self-report survey was used, and it encompassed a demographic data and World Health<br />Organization Quality of Life (WHOQOL-BRIEF) tool. Results: A total of 300 participants<br />suffering from RA were participated in the study. Quality of life domains four domains along with<br />overall quality of life mean scores were significantly low among the studied participants. Physical<br />health was the lowest (19.89 out of 35 ± 7.04, p = 0.00) among the four domains, followed by<br />psychological (21.22 out of 30 ± 5.73, p = 0.00), then environment (28.19 ± 8.72, p = 0.00) and<br />lastly social relations (12.06 out of 15 ± 7.29, p = 0.00) which was rated as the highest among those<br />domains. Overall quality of life mean score was perceived on low scores by participants (81.36 out<br />of 120 ± 28.80, p = 0.00). Conclusion: Total mean scores of all quality of life domains were<br />significantly rated as low by the studied participants with RA. Physical health was rated as the<br />lowest among the four domains, followed by psychological, then environment and lastly social<br />relations which was rated as the highest among those domains. Extreme of age, being divorced and<br />low income were significantly associated with low rating of quality of life.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of virtual classroom on critical care and emergency nursing students' achievement and learning satisfaction54555416478910.21608/ejhc.2021.164789ENEmanArafa Hassanlecturer of Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, EgyptAzzaAbd Elrazek BarakaAssistant Professor of Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
Assistant Professor of Critical Care and Emergency Nursing, College of Nursing, King Saud bin Abdulaziz University for Health Sciences, Al-Ahsa, Saudi Arabia.
King Abdullah International Medical Research Center, Al-Ahsa, Saudi ArabiaJournal Article20210417Background: Virtual classroom and online learning are generating popularity all over the world as<br />a result of COVID 19 crisis. Virtual classroom is one of the most important applications of<br />information technology that provides the learner with unlimited access to educational materials at<br />any time and from any place. Students were more interested in addressing various motivating and<br />challenging environment and teaching methods to construct a diverse atmosphere. Objective: To<br />evaluate the effect of virtual classroom on critical care and emergency nursing students'<br />achievement and learning satisfaction. Research question: What is the effect of virtual classroom<br />on critical care and emergency nursing students’ achievement and learning satisfaction? Study<br />design: A causal-comparative pretest/ posttest research design was used to conduct this study. The<br />study was conducted at Faculty of Nursing, Alexandria University. Four tools were used in the data<br />collection. Tool I: Students’ readiness to E-learning survey, tool II: predictors of students’<br />satisfaction in e-learning survey, tool III: students’ self-assessment of their learning experiences<br />survey, tool IV: students’ achievement record. Subject: A purposive sample of 345 undergraduate<br />students who accepted to participate in the research and met the inclusion criteria. Results: The<br />virtual classroom had highly statistically significant effect on increasing students’ interaction,<br />learning satisfaction and level of achievement mean score p < 0.001. The ability of self-regulated<br />learning in virtual classroom had a highly significant influence on students' learning satisfaction<br />p=0.04. Conclusion: Virtual classroom was highly statistically significant effective method of<br />learning and improving the studied students’ satisfaction and level of achievement mean score.<br />Recommendation: assess the students’ needs towards virtual classroom for enhancing cooperative<br />learning environment and improving the required equipment and internet availability to the students<br />and staff members.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Buerger- Allen Exercise on Lower Extremities Perfusion among Patients with Type 2 Diabetes Mellitus55557216520510.21608/ejhc.2021.165205ENRehamAdel Ebada El SayedLecturers of Medical-Surgical Nursing,Ain Shams University, Egypt.ShimaaNabil Abd ElsalamAssistant professor of Medical Surgical Nursing Faculty of Nursing, Ain Shams University, Egypt.RashaMohamed ElmetwalyLecturers of Medical-Surgical Nursing,Ain Shams University, Egypt.Journal Article20210419Background: Diabetes mellitus has increased the risk of more complications. One complication that<br />often occurs is peripheral vascular diseases and decreased foot perfusion of patients by causing<br />endothelial and smooth muscle cell dysfunction in peripheral arteries. Buerger’s exercise is a simple<br />intervention for improving the peripheral circulation of patients with Diabetes mellitus. Therefore,<br />Aim of the study was to evaluate the effect of Buerger-Allen Exercise on improving lower<br />extremities perfusion among patients with type 2 Diabetes Mellitus. Study design: A quasi<br />experimental design was utilized to achieve the aim. Setting: This study was conducted at medical<br />words affiliated to Ain Shams University Hospital; Egypt. Sample: A Purposive sample of 70<br />patients. Procedure: data were collected using three tools as follow:1-Structured Interview<br />Questionnaire, 2- patient’s medical history and clinical variables tool and 3- Peripheral Circulation<br />Assessment Tools. Results: there was no statistically significant difference between pre<br />intervention and post 1 mean score in right leg (t= 1.088, p= 0.278), while the score of the left leg<br />showed a statistically significant difference (t= 3.699, p= 0.002). Also, there were a statistically<br />significant differences between post 1 and post 2 after Buerger- Allen exercise implementation<br />mean scores in both legs (t= 2.756, p= 0.007& t= 3.699, p= 0.002), respectively. This shows that<br />Buerger Allen Exercise was effective in improving lower extremities perfusion. The Conclusion:<br />Buerger Allen Exercise implementation is effective method for decreasing capillary refill time,<br />increasing ankle brachial index (ABI) score and improving peripheral pulses, temperature, skin<br />color and sensation post Buerger-Allen exercise implementation, which improving the lower<br />extremities perfusion among patients with type 2 Diabetes Mellitus, which supported our research<br />hypothesis. Recommendation: Encourage health care providers especially nurses to integrate<br />Buerger Allen exercise in the care protocols of patients with DM in different health care settings.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Academic Nursing Students Awareness about Preventive Measures regarding COVID-1957358316652710.21608/ejhc.2021.166527ENRehamEl Ashery Ashery AskerLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Fayoum UniversityHodaAttia Abdel Naby RaslanLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef UniversityMonaEmad Eldien Hussien SabbourLecturer in Community Health Nursing Department, Mansoura University, Faculty of NursingEmanMohammed Ahmed MohammedLecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef UniversityJournal Article20210426Background: Academic nursing students considered from the most groups who are at risk for<br />COVID-19 infection. To protect them should keep them away from infection and improve their<br />knowledge and practice about preventive measures towards COVID-19 by healthcare authorities.<br />The study aimed to compare the preventive measures among academic nursing students' awareness<br />regarding COVID-19. Subjects and Methods: Design: A comparative research design was used for<br />the study. Setting: The study was conducted at the Faculty of Nursing, Beni-Suef and El-Fayoum<br />Universities. Sample: A convenient sample of 660 including all the third academic nursing students'<br />year in the previous setting. Tools: A self-administered questionnaire which consisted of three<br />parts; (1) demographic characteristics of academic nursing students, (2) knowledge and (3)<br />preventive measures regarding the COVID-19. Results: The major source of information among<br />academic nursing students for COVID-19 was social media (70%) in Fayoum group and (74 %) in<br />Beni-Suef group. Most of academic nursing students (95%, 93%) in Beni-Suef group and Fayoum<br />group had satisfactory level of knowledge about COVID- 19. A statistical significant differences<br />were observed in academic nursing students about the preventive measures regarding COVID -19 in<br />almost tested areas (P<0.001). Conclusion: It was found that academic nursing students in both<br />groups had satisfactory knowledge level and good practice of preventive measures regarding<br />COVID-19. Recommendations: Establishing educational program through various media and<br />faculties to help academic nursing students become more knowledgeable during the COVID-19<br />epidemic and its preventive measures.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Correlation between Weight and Body Image among Secondary School Students58459316653010.21608/ejhc.2021.166530ENRedaAbd El Aal Thabet OmarAssistant Professor of Psychiatric Health Nursing, Faculty of Nursing, Assiut University, EgyptHusseinMohamed Magdi Fakhreldin MohamedLecturer of Psychiatric and Mental Health Nursing, Faculty of nursing, Beni-Suef UniversityFatenSaid Abdelhady GarfLecturer of Community Health Nursing, Faculty of Nursing, Beni Suef University, EgyptThoreaMohamed MahmoudAssistant Professor of Community Health Nursing, Faculty of Nursing, Sohag University, EgyptEntisarMohammed Mahmoud Abu SalemLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Beni-Suef University, EgyptJournal Article20210426Background: A negative evaluation of the appearance of one's body is associated with weight and<br />eating disorders which affected secondary school students psychologically and physically. The<br />study aimed to investigate the correlation between weight and body image among secondary school<br />students. Design: A descriptive correlational research design was adopted for this study. Sample: -<br />Multistage random sample included 640 secondary school students were selected randomly.<br />Setting: The study was conducted at four secondary schools in Sohag and Beni-Suef Cities. Tools:<br />Three tools were used to collect data; tool (I): A student demographic data, tool (II):<br />Anthropometric measurement tool and tool (III): A self-reported weight and body image inventory,<br />adapted from The University of Florida Counseling Services. Results: Mean BMI was 25.83 ± 3.33<br />and overweight and obesity was found among more than one third of secondary school students,<br />more than half of them were normal weight, and less than five percent were underweight. Relations<br />between sex and body image attitude: More than one third of them for both sexes were at risk. There<br />was a significant correlation between the self-reported current weight of the secondary school<br />students and dissatisfaction about their body image among males and females (p = 0.005).<br />Conclusion: Both genders from secondary school students responded negatively in relation to<br />weight and body image. There was an association between body image attitudes and weight<br />secondary school students. Recommendations: Establishing health educational program for<br />secondary school students about weight control and eating habits to improve their attitudes towards<br />their bodies.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Job Demands, Job Resources and its Relationship with Job Crafting among Head Nurses59460716709510.21608/ejhc.2021.167095ENMaysaFekry AhmedNursing Administration, Faculty of Nursing, Mansoura UniversityAsmaaMoustafa Abd-ElGhaniNursing Administration, Faculty of Nursing, Mansoura UniversityJournal Article20210427Background: Organizations are continually under stress for existence in the present<br />extremely changed work environment. During these times of continuously and emotionally<br />demanding organizational changes, it is essential for associations to completely use and<br />support nurses to become good crafters in their work to achieve organizational goals. Aim:<br />The current study aims to investigate job demands, job resources and its relationship with job<br />crafting among head nurses. Methods: A descriptive correlational research design was<br />utilized by 140 head nurse working at all inpatient departments at Main Mansoura University<br />Hospital, which affiliated to Mansoura University. Three tools were utilized in this study,<br />Job Demands Scale, Job Resources Scale, and Job Crafting Questionnaire. Results: The<br />results of this study indicated that there was statistical significant positive relation between<br />job crafting with both job demands and job resources. Conclusion: There was statistical<br />significant positive correlation between job crafting and both job demands and job resources.<br />So, from the above we can conclude that head nurses demonstrate job crafting activities to<br />cope with high job demands in the present of adequate job resources. Recommendations:<br />To promote head nurses' job crafting, it is necessary to acknowledge and reward their good<br />performance. Improve head nurses' autonomy is very important to enhance task crafting, as<br />head nurses have the freedom to plan and carry out their daily activities. Administrators<br />should provide flexibility of scheduling and balance between head nurses' family life and the<br />requirement of their work.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Nurse-Led Pulmonary Rehabilitation Program on Dyspnea and Fatigue for Patients with Chronic Obstructive Pulmonary Disease60862916709610.21608/ejhc.2021.167096ENSedikaSadek RamadanMedical-Surgical Nursing, Faculty of Nursing, Helwan University, EgyptSabahNagah Hasan MohamedMedical-Surgical Nursing, Faculty of Nursing, Helwan University, EgyptJournal Article20210427Background: Nurse-led pulmonary rehabilitation program is an evidence-based,<br />comprehensive intervention designed to enhance long-term compliance to health-promotion<br />behaviors, thus improving the physical and psychological condition and quality of life of<br />patients with chronic obstructive pulmonary disease. Aim: This study aimed to evaluate the<br />effect of the nurse-led pulmonary rehabilitation program on dyspnea and fatigue for patients<br />with chronic obstructive pulmonary disease through 1) Assess of patients' health status 2)<br />Develop and implement a nurse-led pulmonary rehabilitation program based on patients'<br />needs.3) Evaluate the effect of nurse-led pulmonary rehabilitation programs on patients'<br />outcomes regarding the severity of dyspnea and fatigue among studied patients. Design: A<br />quasi-experimental research design was utilized for the conduction of this study. Setting:<br />This study was conducted at the chest department and Outpatient clinics at Ain shams<br />University Hospital. Sample: A purposive sample of 86 adult patients diagnosed with<br />chronic obstructive pulmonary disease was selected and randomly divided into two equal<br />groups (study & control groups, 43 for each one). Tools: four tools were used in this study;<br />Patients structured interview questionnaire, Observational Checklist, Medical Research<br />Council Dyspnea Scale, and Fatigue Severity Scale. The findings of this study revealed that<br />majority of the study group in post and follow up had satisfactory level of knowledge,<br />competent level of performance, grade 2 for their level of breathlessness with activity.<br />Meanwhile, they had a decreased level of fatigue severity. The study concluded that there<br />was a highly statistically significant improvement of patient knowledge, practice, as well as,<br />decreasing dyspnea and fatigue severity for the study group in the post and follow-up < /div><br />program implementation. This study recommended that further research studies are needed<br />to develop systemically continuous self-management programs for patients with Chronic<br />Obstructive Pulmonary Disease as ameans for improving the health status of those patients.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Vaginal Cleansing with Povidone Iodine Solution before Cesarean Section on Postoperative Endometritis Infection63064316709710.21608/ejhc.2021.167097ENSafaaSoliman Ahmed MohamedMaternal and Newborn Health Nursing Beni-sueif UniversityAshrafSamir FaheemObstetrics and Gynecology Faculty of Medicine - Beni suef universityHananFawzy Elsayed AliMaternal and Newborn Health Nursing Helwan UniversityJournal Article20210427Background: Cesarean section (CS) continues to be the surgical intervention most often<br />performed in obstetrics, with a daily increasing frequency of use. The risk for all postpartum<br />infections is increased in CS compared to vaginal delivery. Infectious complications developing<br />in the aftermath of CS are one of the main causes of maternal morbidity. So, the aim of this study<br />was to investigate the effect of vaginal cleansing with Povidone Iodine solution before cesarean<br />section on postoperative Endometritis Infection . Design: A quasi- experimental design was<br />utilized in this study. Setting: This study was conducted at the operating room of Obstetrics and<br />Gynecologic Department in Beni-Seuf University Hospital from the period of May 2019 until<br />August 2019. The study Subjects included 200 pregnant women undergoing elective cesarean<br />delivery, who were selected by purposive sampling technique. then divided into control and study<br />group 100 per each group. The study group receive vaginal cleansing before cesarean section by<br />antiseptic iodine solution 10% and standard abdominal scrub. Control group receive standard<br />abdominal scrub only. Tools was used of data collection included; 1st tool: Structured interview<br />questionnaire was designed by the researchers and included demographic characteristics and data<br />related to the participants’ clinical profile 2nd tool: Postpartum follow-up checklist to assess<br />presence or absence of the post CS infectious morbidity such as; endometritis (lower abdomen<br />pain and a smelly vaginal discharge), febrile morbidity, and incisional site infection.3rd tool:<br />Numericаl rating scale (NRЅ). Study results: Shows there was statistically significant<br />difference regards fever and a smelly vaginal discharge among both groups, while there was no<br />statistically significant difference was found regards wound infection and lower abdomen pain.<br />Conclusion: Preoperative vaginal cleansing using antiseptic iodine solution 10% was an effective<br />practice for reducing post cesarean endometritis where overall post cesarean infectious morbidity<br />rate was lower among study group compared to control those exposed to routine care alone;<br />supporting the study hypothesis. Recommendations: Physicians and Nurses should be used<br />antiseptic povidone-Iodine 10% or vaginal cleaning as regular practice before cesarean deliveries.<br />Apply vaginal preparation with anti septic solution before C.S operation for high risk group for<br />infection as premature rupture of membranes, diabetes, and anemia.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Experiences and Challenges among Pediatrics Intensive Care Units Nurses during COVID-19 Crisis64465816844510.21608/ejhc.2021.168445ENDoaaBahig Anwr AklLecturer of Pediatrics Nursing Department, Faculty of Nursing, Aswan UniversityZahraAhmed SayedLecturer of Critical Nursing Department, Faculty of Nursing, Aswan UniversityMahaMahmoud SaadoonLecturer of Pediatrics Nursing Department, Faculty of Nursing, Port Said University.Journal Article20210503Study aim: To identify experiences and challenges among Pediatrics Intensive Care Units nurses<br />during COVID 19 crisis. Study design: the descriptive qualitative design was used. Setting: This<br />study carried out at all Pediatrics Intensive Care Units (PICU) in Port Said hospitals. Study subject:<br />Snowball sampling of (115) Pediatric nursing staff worked In PICU in Port Said hospitals have<br />participated in this study from the beginning of November 2020 to the beginning of February<br />2021.Data collection tools: a semi-structured electronic form applied to Pediatrics nursing staff in<br />PICU. Two tools were used in the study, tool I: Assessment interview questionnaire sheet<br />composed of two parts, socio-demographic data of pediatric ICU nursing staff & nurses’<br />experiences during the COVID 19 crisis. Tool II: Challenges faced pediatrics ICU nursing staff<br />during COVID 19 crisis. Results: Most (87%) of pediatrics ICU nursing staff during the COVID 19<br />crisis faced a high challenges that high percentages (97.1%) of them faced moral challenges<br />followed by social, psychological challenges, challenges related to the nature of the disease,<br />challenges related to staff and resources deficiency then physical challenges (93.9%, 92.2%, 91.3%,<br />90.4%, 88.7%) respectively. The pediatrics nurses 'experiences indicated higher statistical<br />significance regarding means of transportation, providing care for suspected and confirmed patients<br />with p. value challenges that high percentages of them faced moral challenges followed by social, psychological<br />challenges, challenges related to nature of the disease, challenges related to staff and resources<br />deficiency then physical challenges. As well as, nurses 'experiences during COVID19 crisis was<br />indicated higher statistically significant with total challenges regarding means of transportation,<br />providing care for suspected and confirmed patient. Recommendations: Researches should be<br />conducted to enhance knowledge on COVID-19 prevention and management& thus manipulation<br />the challenges, experiences, and troubles faced by nursing staff during crises.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Influence of Training Program Implementation on Nurses' Performance Regarding Neonates Invasive Mechanical Ventilation65967416844610.21608/ejhc.2021.168446ENAminaMohamed ThabetAssistant professor of Pediatric Nursing, Faculty of Nursing, Sohag University, EgyptNoraAbd El Hamid ZakieAssistant professor in Pediatric Nursing, Faculty of Nursing, Assuit University, EgyptZahraAhmed SayedLecturer of Critical Care Nursing Faculty of Nursing, Aswan University, EgyptHudaShawky MahmudLecturer in Pediatric Nursing Department, Faculty of Nursing, Helwan University, EgyptEmanSayed MasoodAssistant Professor of Pediatric Nursing, Faculty of Nursing, El-Minia University, EgyptJournal Article20210503Background: Mechanical ventilation plays an important role in reducing neonatal mortality and<br />morbidity rate. Nurses caring for neonates on ventilator must be competent to provide an effective<br />nursing care for such group of patients, Effective training program for nurses' will increase their<br />quality of nursing care and improving health and wellbeing of neonates undergoing mechanical<br />ventilation. So, the aim of this Study was to evaluate the influence of training program<br />implementation on nurses' performance regarding neonates invasive mechanical ventilation.<br />Research Design: A quasi-experimental design was utilized. Study settings: the study conducted at<br />Neonatal Intensive Care Unit of Assuit University Children Hospital/Egypt. Research Subject:<br />Convenient sample was included 59 nurses from the previously mentioned setting and 59 neonates<br />under invasive mechanical ventilation. Two tools were used for data collection: tool 1;<br />Predesigned questionnaire consisted of three parts: nurses' demographic characteristics,<br />demographic and clinical data of neonates and nurses’ knowledge about mechanical ventilation.<br />Tool two; Observational Checklists were used pre and post program implementation Results:<br />revealed that there was a statistical significant difference between nurses’ performance at pretest<br />and post program regarding the neonates with invasive mechanical ventilation Conclusion:<br />Training program implementation had a significant effect on nurse’s performance regarding the<br />neonates with invasive mechanical ventilation. Recommendation: implementing the training<br />program for improvement nurses' performance regarding the neonates with invasive mechanical<br />ventilation to all nurses in all neonatal intensive care units in Egypt.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Lifestyle Modification through the Application of Academic Advising on Academic Achievement among Nursing Students67569216856310.21608/ejhc.2021.168563ENAbeerEl Said Hassan El SolMedical-Surgical Nursing, Faculty of Nursing, Menoufia University, EgyptAmalAhmed KanonaMedical-Surgical Nursing, Faculty of Nursing, Menoufia University, EgyptNaglaaAbdelmawgoud AhmedFamily and Community Health Nursing Faculty of Nursing, Menoufia University, EgyptAsmaaHamed Abd ElhyMedical-Surgical Nursing, Faculty of Nursing, Menoufia University, EgyptJournal Article20210503Background: Lifestyle modification is the experiences involve changing long<br />standing practices, as physical activity, eating behaviors, sleeping pattern, and smoking, time<br />management, stress management and drug use through academic advising, these experiences<br />use for months or years have been associated with academic outcomes. Aim: to determine<br />the effect of lifestyle modification through the application of academic advising on academic<br />achievement among nursing students. Design: Quasi-experimental design. Subjects: A<br />purposive sample of 129 nursing students from the first year (62 students) and second year<br />(67student). Setting: This study was conducted at the Faculty of Nursing Menoufia<br />University, Shebin ElKom, Egypt. Instrument: Structured self-administered questionnaire<br />consists of eight parts. Results: there were highly statistical improvement of the mean<br />Students' knowledge and practice scores (P=< 0.001) regarding methods of life style<br />modification after intervention, all studied sample failed in their studying year before<br />intervention, while their academic achievement improved P=< 0.001, presence of positive<br />correlation between students' academic achievement and lifestyle modification interventions<br />in pre and post-intervention among the studied group and presence of positive correlation<br />between students' academic achievement and effect of application of academic advising in<br />pre and post-intervention of life style modification. Conclusion: the existing study<br />concluded that; lifestyle modification had a positive effect on students' academic<br />achievement additional the same effect of academic advising. Recommendation: based on<br />the current research findings the researchers recommended that; providing a well-organized,<br />evidence-based academic advising to reinforce the students' healthy lifestyle modification is<br />needed.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Preoperative Anxiety Level and Fear of Covid 19 among Adult Patients undergoing Elective Surgery69370416960010.21608/ejhc.2021.169600ENHodaAttia Abdel Naby RaslanLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef UniversityEntisarMohammed Mahmoud Abu SalemLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Beni-Suef University, EgyptAmalAbdElaalLecturer in Psychiatric Nursing and Mental Health, Faculty of Nursing, South Valley UniversityOmaimaMahmoudDepartment of Psychiatric Mental Health Nursing, Faculty of Nursing, Beni- Suef University, EgyptHananAli Ibrahim AlmanzlawiLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Mansoura UniversityJournal Article20210508Background: adult patient undergoing elective surgery are experienced anxiety and fear before<br />surgery which has been increased during Covid 19 and may be affected them both physical and<br />psychological. So, the aim of the study was to assess the preoperative anxiety level and fear of<br />Covid 19 among adult patients undergoing elective surgery. Design: A descriptive research design.<br />Setting: The study was conducted at surgical adult wards at Beni-Suef University Hospital.<br />Sample: - A total of 220 adult patients aged from 21-60 years. Tools: Data were collected using<br />three tools including: A structured interview questionnaire, fear of COVID-19 Scale (FCV-19S),<br />and Corona Disease Anxiety Scale (CDAS). Results: Adult patients' age ranged from 20 - 53 years,<br />it was observed that majority of adult patients had severe anxiety score and high Mean scores and<br />standard deviations of fear 29.60 ± 5.11. A significant differences was observed between the level<br />of FCV-19S and CDAS scores (p = 0.000 <0.05). Conclusion: Majority of adult patients<br />undergoing elective surgery is experienced high and severe fear and anxiety scores of Covid-19.<br />Recommendations: The preoperative nursing care should be focused on appropriate anxiety<br />minimizing methods such as providing preoperative education, family-centered preparation for<br />surgery, and increasing preoperative information. Additionally, psychological care, providing<br />strategies and medication can be required for surgical patients who develop a high level of<br />preoperative anxiety.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Health Promotional Program on Pregnant Women' Knowledge and Practices regarding Pregnancy Nutritional Problems70571716980610.21608/ejhc.2021.169806ENMonaAbd Elhaleem Ebraheem ElagamyMaternal and Neonatal Health Nursing Department, Faculty of Nursing, Tanta UniversitySafaaEbrahim AhmedObstetrics and Gynecology Nursing Department, Faculty of Nursing, Sohag UniversityAsmaaTalaat MohamedCommunity Health Nursing Department, Faculty of Nursing, Ain Shams UniversityFatmaSabryObstetrics and Gynecology Nursing Department, Faculty of Nursing, Sohag UniversityJournal Article20210510Iron deficiency anemia, underweight, gestational diabetes, overweight, and obesity are one of the<br />main nutritional problems among pregnant women which can associate with significant pregnancy<br />complications. Aim: To evaluate the effect of health promotional program on pregnant women'<br />knowledge and practices regarding pregnancy nutritional problems. Design: Quasi-experimental<br />research design pre-post-test was used in this study. Settings: The study was applied in the antenatal<br />clinics at Sohag and Tanta University Hospitals and maternal and child health centers at Sohag City<br />(Dar E Salam Abdallah health center). Sample: purposive sample of 410 pregnant women was<br />recruited from the previously selected settings. Tools: A structured interviewing questionnaire and<br />pregnant women’s reported practices. Results: The results showed that the most reported source of<br />information among pregnant women on nutrition during pregnancy was health team personal. a<br />highly statistically significant difference found between pregnant women’s knowledge regarding<br />nutritional problems including Iron deficiency anemia, underweight, gestational diabetes,<br />overweight, and obesity at pre and post health promotional programs. pre the health promotional<br />program implementation, more than three-quarters of pregnant women had unsatisfactory total<br />practice scores pre the implementation of the program regarding nutritional problems which<br />improved and become most of them had satisfactory total practice scores post-implementation of the<br />program. Conclusion: The implemented health promotional program had positive effect on<br />improving pregnant women's knowledge and practices regarding the nutritional problems during<br />pregnancy. Recommendation: A health promotional program regarding the nutritional problems<br />should be educated for pregnant women during the antenatal period to prevent complications<br />associated with these problems.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Educational Program about Talent Management for Nursing Managers on Their Job Affiliation and Organizational Excellence71874017048110.21608/ejhc.2021.170481ENHematAbdel Azem MostafaNursing Administration, Faculty of Nursing / Ain Shames University, EgyptHowidaHassan EL-Sayed. MahfouzNursing Administration, Faculty of Nursing / Benha University, EgyptShaimaaMohammed Araby EbraheemNursing Administration, Faculty of Nursing / Benha University, EgyptJournal Article20210517Background: Talent management has been on the agenda of many health care<br />organizations because of the belief in its importance in achieving organizational excellence<br />and make their personnel more affiliated to achieve organizational objectives. Aim: The study<br />aims to evaluate the effect of educational program about talent management for nursing<br />managers on their job affiliation and organizational excellence. Research Design: A quasi<br />experimental research design was utilized to carry out the current study. Setting: The study<br />was conducted in all (48) units at Benha University Hospital Qaluobia Governate, Egypt.<br />Subjects: all (52) nursing managers that include (1) Nursing Director, (3) Supervisors, and<br />(48) head nurses. Tools: Four tools were used in this study; First: Talent Management<br />Knowledge Questionnaire, Second: Talent Management activities Questionnaire, Third: Job<br />Affiliation Questionnaire and the fourth tool: Organizational Excellence Questionnaire.<br />Results: The study findings revealed that there were highly statistical significant improvement<br />in the nursing managers' levels of talent management knowledge and activities, job affiliation<br />and organizational excellence after intervention both immediately post and follow up the<br />program. Conclusion: The study concluded that there were statistically significant positive<br />correlation among nurse managers' talent management knowledge and activities scores with<br />their job affiliation and organizational excellence scores. Recommendation: Establishing<br />bases for recruitment and selection in hospital that rely on the criteria of talents acquisition.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Mentoring Program on Nurses Interns’ knowledge, Attitudes, Safety Practices, and Psychological Readiness Toward COVID-19 Pandemic74175617136110.21608/ejhc.2021.171361ENAzzaIbrahim Abdelkader HabibaAssistant Professor, Medical- Surgical Nursing, Faculty of Nursing, Damanhour University, Egypt.AmelAttia Abd Elghaffar MoustafaLecturer, Community Health Nursing, Faculty of Nursing, Damanhour University, Egypt.AmalAwad Abd El-Nabi MoussaAssistant Professor of Psychiatric Nursing and Mental Health, Faculty of Nursing, Damanhour University, Egypt.Journal Article20210522COVID-19 was and still one of the most serious global health care burden on patients, families, communities<br />as well as health care workers (HCWs). All HCWs including nurses’ interns has more vital role in prevention<br />and caring of this infection. Thus, ongoing training for nurses’ interns under the scope of mentoring is a corner<br />stone in continuing effective and efficient nursing care with high quality. Aim of the Study: to evaluate the<br />effect of mentoring program on nurse interns’ knowledge, attitudes, safety practices, and psychological<br />readiness toward COVID-19 pandemic. Research Design: Quasi experimental one group pre/post test research<br />design was adopted. Setting: The present study was conducted at different training governmental and private<br />hospitals for nurses’ interns. Subjects: A convenient sample of 179 out of 335 nurses interns were enrolled in<br />the study. Tools: Online web-based electronic self- administrated questionnaires were used for data collection;<br />I) Nurses interns’ knowledge regarding COVID-19 structured questionnaire, II) Nurses interns’ attitudes<br />regarding COVID-19 structured questionnaire, III) Nurses interns’ safety practices towards COVID-19<br />observational checklist, and IV) Depression Anxiety Stress Scale (DASS-21)". Results: statistically significant<br />improvement in nurses’ interns’ knowledge, attitudes, safety practices levels and psychological readiness<br />toward COVID-19 after conducting mentorship program. Conclusion: Mentorship program positively affects<br />nurses’ interns’ levels of knowledge, attitudes, and safety practices as well as psychological readiness<br />Recommendation: Incorporates the mentoring program within nurses’ internship training program as a basic<br />tool of training, to provide continuous support and ongoing evaluation of nurses’ interns’ knowledge, attitudes,<br />safety practices and psychological readiness.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Coping Strategy Intervention for Patients Diagnosed with Chronic Prostatitis75777217048410.21608/ejhc.2021.170484ENMayadaTaha Mahmoud SabeaCommunity Health Nursing, Mansoura University, Egypt,RaniaMohamed Gad El-BastweseCommunity Health Nursing, Mansoura University, Egypt,TaghreedTalat ShaqueerMedical-Surgical Nursing, Faculty of Nursing – Helwan University, EgyptJournal Article20210517Background Chronic prostatitis is a common urological diagnosis in men of all ages<br />in Egypt. Chronic prostatitis causes many men significant morbidity, coping strategy play<br />important role to deal the patients diagnosed with chronic prostatitis and to cope with their<br />case. Aim: the study aims to evaluate the effect of coping strategy intervention for patients<br />diagnosed with chronic prostatitis Research design: A quasi-experimental design was used<br />in this study. Setting: This study was conducted at the Urology Outpatient Clinic in Ain<br />Shams University Hospitals. Sample: A purposive sample was used to select 60 of patients<br />diagnosed with chronic prostatitis .Tools :the researchers used two tools I) An interviewing<br />questioner which consists of three parts, I) patients socio-demographic data, II)Assess<br />patient's present medical history, and III) patients' knowledge regarding chronic prostatitis, II)<br />Brief cope scale; standardized tool used for evaluating coping strategy among chronic<br />prostatitis patients, Results: this study showed, highly statistically significant improvement<br />of patients diagnosed with chronic prostatitis knowledge and coping strategy post coping<br />strategy intervention than pre, (4.166±2.262 and 57.533 ± 15.053) , (11.633±2.532 and<br />66.667 ± 6.357)respectively post coping strategy intervention implementation. Conclusion:<br />coping strategy intervention implementation aid the patients diagnosed with chronic<br />prostatitis to cope with chronic disease, also their knowledge regarding chronic prostatitis<br />improved, Recommendations: Providing booklet to patients diagnosed with chronic<br />prostatitis to describe the natural of disease and how to cope with this type of chronic disease;<br />design and hinting poster about coping strategy Intervention regarding prostatitis in Urology<br />outpatient clinic; and further researchers are needed in other setting and implement coping<br />strategy intervention for patients diagnosed with chronic prostatitis.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Online Distance Learning on COVID19 Patients’ Knowledge, Self-monitoring and Self-care at Assiut City77378417048510.21608/ejhc.2021.170485ENWafaaRamadan AhmedMedical-Surgical Nursing, Faculty of Nursing, Assiut University, EgyptGhadaThabet MohammedFellow medical Surgical Nursing, Assiut University Hospitals, EgyptAnaamMohammed HassanFellow medical Surgical Nursing, Assiut University Hospitals, EgyptHadadSalim Aidroos Al HebshiCommunity Health Nursing, Faculty of Nursing, Hadhramout University, YemenAmlA MohammedCommunity and Family Health Nursing, Faculty of Nursing, Assiut University, EgyptJournal Article20210517Background: The COVID-19 is spread by human-to-human through droplets, feco-<br />oral, and direct contact with patients during 2-14 days. Therefore, applying preventive<br />measures to control COVID- 19 infection is the most critical intervention. Aim: To evaluate<br />the effect of online educational program on COVID19 patients' knowledge, self-monitoring,<br />and self-care. Subjects and methods: Design: A quasi-experimental (Pre & Post-test) study<br />was conducted on 112 COVID-19 patients; online pretest during their staying at isolation<br />areas and online posttest one month later after discharge from isolation areas. Setting:<br />Isolation area at Assiut university dorms, in addition to isolation areas in all Assiut university<br />hospitals which include Main University Hospital, Urology University Hospital and Al-<br />Rajhi University Hospital , moreover online posttest from patients' homes .Tools: Three tools<br />were used which conducted by on line way, on-line self-reported COVID -19 knowledge<br />questionnaire, daily self-monitoring form and self-care questionnaire. Results: there was a<br />significant statistical difference between pre, post online education regarding patients’ self-<br />care toward COVID-19 in physical, mental, professional, and social well-being domains with<br />p.value (0.0001, 0.004, 0.0001,and 0.0001) respectively. Also, there was a positive<br />correlation between patients' knowledge and patient self-care post online education.<br />Conclusion: Online distance learning has a great effect on COVID19 patients' knowledge,<br />self-monitoring, and self-care in isolation units. Recommendations: Providing a printed<br />copy of the educational brochure in outpatient clinics for patients and their relativesAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effects of Peer Education on the Knowledge and Practice Regarding Selected First Aid among Engineering Student's at South Valley University78580017085410.21608/ejhc.2021.170854ENWardaRamadan AbouziedLecturer of Critical Care & Emergency Nursing, Faculty of Nursing, South Valley University, Qena, Egypt.FatmaMohamed ElesawyLecturer of Medical Surgical Nursing- Faculty of Nursing- South Valley University, Qena, Egypt.OlaHussein Abo El-maaty MohamedLecturer of Community Health Nursing -Faculty of Nursing- Fayoum University, Egypt.RagaaDahi Mohamed AhmedLecturer of Critical Care & Emergency Nursing, Faculty of Nursing, South Valley University, Qena, Egypt.Journal Article20210519Background: First aid becomes the essential phase and urgent intervention to carry<br />out by general people about the spot of the accident. Peer education has been recognized as a<br />valuable tool to giving training for under graduates in first aid which is essential as a primary<br />response in emergency cases. Aim: Evaluate the effects of peer education on the knowledge<br />and practice regarding selected first aid among engineering students at south valley<br />university. Methods: A quasi experimental design (pre and posttest) was conducted on 160<br />students from the 1st to 4th years in the Faculty of Engineering at South Valley University.<br />Two research tools were used in the study: A self-administered questionnaire concerning the<br />socio-demographic characteristics of the studied student, their knowledge about first aid and<br />student’s performance checklist regarding the first aid measures. Results: After the<br />application of peer education there were statistically significant changes in mean scores of all<br />items as well as the overall score of knowledge and practice (P-Value < 0.001). Conclusion:<br />The application of peer education has been effective in achieving substantial changes in the<br />knowledge and practices of students regarding first aid procedures. Recommendation: The<br />research proposed the use of peer education in teaching first aid for students in other colleges<br />as well as students in the school settingAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Nursing Students Engagement and Motivational Education Environment as A Requirement to Improve Student's Self-Esteem.80181517135510.21608/ejhc.2021.171355ENManalSaleh Moustafa SalehAssistant professor of Nursing Administration, Faculty of Nursing, Zagazig University, Egypt & College of Applied Medical Science, Shaqra University, Riyadh, Saudi Arabia.SaharAbdel- Latif Abdel- SattarLecturer of Nursing Administration, Faculty of Nursing, Zagazig University. EgyptRahmaAbdelgawad ElkalashyAssistant professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, EgyptNevinAdel AmerLecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, EgyptHananElsaid ElsabahyLecturer , Nursing Administration, Faculty of Nursing, Mansoura University, EgyptJournal Article20210522<strong>INTRODUCTION: </strong>Nursing student engagement and educational environment play an important role in students' self-esteem. Therefore, all aspects of an person's life like academic achievement, the success in the job and social and professional development are affected by self-esteem, for that reason, the present study was aimed to investigate nursing student engagement and motivational education environment as requirements to improve Student's Self-Esteem.<strong> </strong><strong>SUBJECT AND METHODS: </strong>A cross-sectional approach was used included 138 undergraduate male and female nursing students from the Shaqra University, (Kingdom of Saudi Arabia). Three electronic tools built-in Google drive to collect data: Student engagement scale, Motivational educational environment questionnaire, and Self-Esteem Scale.<strong> RESULTS: </strong>More than half of the student nurses had a high engagement level in females and males but slightly high in females than males. Educational environment subcategories and show that the total educational environment in the level of motivational environment slightly high in females (93.9%), as compared with males. Self-esteem among it was high level (equal) in female and male.<strong> CONCLUSIONS:</strong> There were positive relationships between the total educational environment, many of their areas, and self-esteem among nursing students so, motivation educational environment were a requirement to improve the level of self-esteem among nursing students. Hence, allowing student choices throughout the classes will provide an ideal learning opportunity as well as foster a sense of "belonging to learning" that is essential to developing learning competence and lifelong dedication (and high-quality nursing staff with high-quality performance).Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Multidimensional Nursing Interventions: It's Effect on Reducing Risk of Infection and Burnout Syndrome among Nurses Caring Covid-19 Patients.81682917205110.21608/ejhc.2021.172051ENAbeerEl- Said Hassan El-SolMedical-Surgical Nursing, Faculty of Nursing, MenoufiaEntsarA. Abd El-SalamGeriatric Nursing, Faculty of Nursing, Menoufia University, Egypt.NiemaAli RiadMedical-Surgical Nursing, Faculty of Nursing, MenoufiaJournal Article20210524Background: Nurses more than other health care workers (HCWs) are susceptible to<br />numerous job-related hazards, as acquiring infection of Covid-19 and burnout syndrome due<br />to their nature of their occupations. Aim of the study: to evaluate the effect of<br />multidimensional nursing interventions on reducing risk of infection and burnout syndrome<br />among nurses caring Covid-19 patients. Design: Quasi Experimental design used to conduct<br />this study. Setting: The current study was carried out at isolation setting for Covid 19-<br />patient (isolation ward and ICU) at Menoufia University Hospital. Subject: a convenience<br />sample of 62 nurses caring Covid-19 patients at intensive care unit and isolation ward was<br />selected. Tools of the study: four tools used to collect the current data: Tool I: A structured<br />interviewing questionnaire about burnout syndrome. Tool II: Questionnaire for assessing<br />Burnout symptoms; Tool III: Questionnaire for Assessment Nurses compliance of prevented<br />measures for Burnout Prevention and Tool IV: Observational checklists for Protection and<br />preventions procedures. The results: after interventions most of studied nurses had good<br />level of knowledge and practices regarding burnout management and infection control<br />procedures; reduction of nurses' burnout symptoms after intervention within the different<br />measurements; additional incidence rate of Covid-19 infection decreased. Conclusion:<br />implementation of multidimensional nursing interventions was successful in reducing<br />burnout symptoms and risk of infection among studied nurses. It was effective to improve<br />nurses' knowledge and practice. Recommendation: establishing educational program or<br />workshop on burnout management for all hospital nurses and nurse supervisors. Perform<br />periodic evaluation of stressors at work place for nurses.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Occupational Health Hazards and the Use of Safety Protective Measures among Municipal Solid Waste Collectors83085317205310.21608/ejhc.2021.172053ENAsmaaElsayed Farid AmrFamily and Community Health Nursing, Faculty of Nursing, Menoufia University, EgyptAfafAbdel Malek HusseinFamily and Community Health Nursing, Faculty of Nursing, Menoufia University, EgyptJournal Article20210524Background: Solid waste collection is a dangerous job that exposes the waste<br />collectors to different occupational health hazards and certain occupation related morbidities.<br />Aim: This study aimed to examine the relationship between exposure to occupational health<br />hazards and the use of safety protective measures among municipal solid waste collectors.<br />Methods: Correlational descriptive study design was used Sample: A convenient sample of<br />140 municipal solid waste collectors were included. Settings: The study was carried out at<br />Local Council of 10 villages followed Birket Elsaba district, Menoufia Governorate, Egypt.<br />Tool: An interviewing questionnaire was used which included five parts: (1) Demographic<br />data. (2) Work related factors. (3) Current health problems. (4) Safety protective measures.<br />(5) Knowledge of the municipal solid waste collectors about occupational health hazards in<br />the work place. Results: The study reported that two thirds of the municipal solid waste<br />collectors were exposed to physical hazards, 63.6% of them were exposed to psychological<br />hazards. 55% were exposed to chemical hazards, 59.3% were exposed to ergonomic hazards<br />while who were exposed to biological and accidental hazards were 60% and 59.3%<br />respectively. Also, It reported that 42.9% of the sample used safety boots, 24.3% of them<br />used gloves. Moreover, 7.1% of the sample used head covers and as same used special<br />uniform. In addition, none of the them used goggles and mask while 18.6% of the them not<br />used any personal protective equipment. Also, it reported that more than three quarters of the<br />study sample washed their hands before eating while 7.1% of the sample change clothes<br />before and after the shifts. So, the present study indicated that there were statistical<br />significance difference between exposure of the study group to occupational health hazards<br />as (physical, chemical, biological, ergonomic, psychological and accidental) hazards and the<br />use of safety protective measures. Conclusions: This study concluded that there were<br />statistical significance difference between exposure of the study group to different<br />occupational health hazards and the use of safety protective measures (p < 0.05).<br />Recommendations: Periodic health education and awareness programs are needed to<br />increase knowledge of municipal solid waste collectors on different occupational health<br />hazards, ergonomic principles and importance of using safety protective measures in the<br />work place.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Social Environment of Elderly Care Homes on their Psychosocial Health85487017205710.21608/ejhc.2021.172057ENEmanShokry Abd AllahCommunity Health Nursing and Gerontological Nursing, Faculty of Nursing Zagazig University, EgyptSabahAbdou Aly HagrassCommunity health nursing, faculty of nursing Zagazig University, EgyptHassanatRamadan Abdel-AzizGerontological nursing, faculty of nursing Zagazig University, Egypt.Journal Article20210524Background: Old age is a period of transition when one has to deal not only with the<br />physical aging, but also with the challenges affecting the mental and social well-being of the<br />elderly. Aim: to assess the effect of social environment of elderly care homes on their<br />psychosocial health in Helwan City. Research design: A descriptive correlational design.<br />Setting: The study was carried out in four governmental elderly care homes in Helwan City.<br />Subjects: One hundred elderly residents. Tool: A structured interview questionnaire<br />consisted of five parts (Demographic characteristics of the elderly and data about the<br />geriatric homes, history of chronic diseases and medication, elderly's satisfaction with<br />geriatric home, elderly social relations in geriatric home, and assessment of psychosocial<br />health of the elderly). Results: Half of the elderly were having fair relationship with their<br />colleagues and family members and two thirds of them were having good relationship with<br />their caregivers. About three quarters of the elderly had accepted psychological and social<br />health. Highly statistically significant positive correlations were found between the scores of<br />elderly psychological health, social health and their social relations scores. Conclusion: The<br />present study revealed that there were highly statically significant positive correlations<br />between the social environment of elderly care homes and their psychosocial health.<br />Recommendations: Continuous assessment of social relations and psychosocial health of<br />elderly residing in care homes. Developing and conducting programs to enhance social<br />relations of elderly residents with specific focus on their psychosocial healthAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effectiveness of Structured Teaching Program on Staff Nurses Knowledge and Preventive Measures Regarding Ovarian Hyperstimulation Syndrome87188417205910.21608/ejhc.2021.172059ENNohaElsayed Mahmoud RadwanLecturer of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Zagzaig University.NouraMohammed Attia AhmedLecturer of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Zagzaig University.Journal Article20210524Background Ovarian hyperstimulation syndrome is a potentially life threatening<br />complication of treatment with ovulation induction medications. Aim of the study was to<br />assess the effectiveness of structured teaching program on staff nurses knowledge and<br />preventive measures regarding Ovarian Hyperstimulation Syndrome. Research design: A<br />quasi-experimental research design with pre/posttests and follow up was used. Setting: the<br />present study was carried out at Gynecology ward and Laparoscopic unite at Zagazig<br />University hospitals. Sampling and Subject: a purposive sample of 50 nurses was recruited<br />for this study. Tools of data collection: Tool I: a structured interview sheet. Tool II:<br />Observational checklist for nurses regarding preventive measures of OHSS. Results; A<br />statistically significant improvements was observed in total level of knowledge score after<br />program implantation compared to its level before intervention, where 90.0 % of the studied<br />nurses had poor knowledge in pretest which declined to 14.0% and 18.0% at immediately<br />post and after one month of interventions respectively. Also statistically significant<br />improvement was revealed in total score of good practice (88.0%) in favor of the post-test<br />compared to (10.0%) in pretest and (78.0%) in follow up phase. Conclusion:<br />Implementation of the structured teaching program was effective in increasing the<br />knowledge level and utilization of preventive measures regarding OHSS. Recommendations:<br />Implementation of structured teaching program with a learning booklet for nurses on other<br />health center for IVF should be conducted in order to increase their level of knowledge and<br />practice regarding Ovarian Hyperstimulation Syndrome.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Tracheostomy Care Guidelines on Internship Nurses Students' Performance and Confidence Level88589917232510.21608/ejhc.2021.172325ENFatmaAbdou EltaibLecturer of Medical-Surgical Nursing, Ain Shams University, Faculty of Nursing, Egypt and Assistant professor of Medical-Surgical Nursing and head of department of Medical-Surgical Nursing Department, Faculty of Nursing, Northern border university, KSALobnaMohammed Mohammed Abu NegmLecturer of Medical Surgical Nursing, Ain Shams University, Faculty of Nursing, Egypt and Assistant professor of Medical Surgical Nursing and head of department of Emergency department, Faculty of Nursing, Northern border university, KSAZeinabHussein BakrLecturer of Medical-Surgical Nursing, Ain Shams University, Faculty of Nursing, EgyptJournal Article20210525Background:Improving tracheostomy care and providing a safe practice is achieved by combining<br />the best experiences, skills, knowledge, providing the best teaching methods and latest advances in<br />its management, and evaluating the outcome. Study Aim: This study aimed to assess and evaluate<br />the effect of tracheostomy care guidelines on internship nurses' students' performance and<br />confidence level. Methods: A quasi-experimental design was used. The study was conducted in<br />Intensive care units affiliated to Al-Ameer Abd Elaziz hospital and Al-Borg Hospital, Arar, Saudi<br />Arabia. The sample consisted of 40 internships nurses' students. Self-administered nurses’<br />knowledge about tracheostomy questionnaire, internship nurses' students' performance<br />observational checklist and confidence level five-point Likert scale. Results: Post-intervention of<br />tracheostomy care guidelines most of the internship nurses' students had good knowledge in<br />tracheostomy care and most of them had a satisfactory level of practices. There were highly<br />statistically significant differences between pre-and post-educational guidelines for internship < /div><br />nurses' students' knowledge, practice, and confidence level regarding tracheostomy<br />care. Conclusion: Educational guidelines were helpful in the improvement of the internship nurses'<br />students’<br />knowledge,<br />practice,<br />and<br />confidence<br />level<br />regarding<br />tracheostomy<br />care Recommendations: Periodic educational training programs for internship nurses' students<br />regarding tracheostomy care which based on the best practice guidelinesAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Work Values and Quality of Work Life on Intention to Stay among Head Nurses working at Oncology Center90091217232610.21608/ejhc.2021.172326ENAwatefHassan KassemAssist prof. and Lecturer in Nursing Administration Department Faculty of Nursing, Mansoura University -EgyptMaysaFekry AhmedAssist prof. and Lecturer in Nursing Administration Department Faculty of Nursing, Mansoura University -EgyptJournal Article20210525Work values play a crucial role in any health care organization as these values form as well as shape<br />the nature of job-related behaviors, can predict outcomes and influencing nurse’s attitudes and<br />responses in the workplace. Health organizations are looking for methods to improve nurse’s<br />intention to stay at work through understanding their work values and improving quality of their<br />work life. Aim: The current study aims to detect the effect of work values and quality of work life<br />on intention to stay among head nurses working at Oncology Center. Methods: The study was<br />conducted at all inpatient units at Oncology Center (OC). The total sample was 110 head nurses.<br />Three tools utilized in this study were Work Values Inventory, Quality of Work Life Questionnaire,<br />and Intent to Stay Scale. Results: Major results of the present study indicated that there was highly<br />statistically significant positive relation between head nurses' intention to stay at work with both<br />work values and quality of their work life. Recommendations: To improve head nurses' intention to<br />stay at work, it is necessary for organization to give more attention and consideration to their work<br />values. Find ways to improve their incentives. Holding regular meetings with the head nurses to<br />listen to and understand the most important work values to them. Supervisor should understand the<br />importance of their support to head nurses, improving their relationship with them and helping them<br />in difficulties to improve quality of work life.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Physical, Psychological, and Sexual Implications of Living with Rheumatoid Arthritis among Women in Reproductive Age91393117280510.21608/ejhc.2021.172805ENZiziFikry Mohamed Abd ElrasolMedical-Surgical Nursing, Faculty of Nursing, Damanhour University, Egypt.AmalAwad Abd El-Nabi MoussaPsychiatric Nursing and Mental Health, Faculty of Nursing, Damanhour University, Egypt.AnwaarAnwar Mohamed TayelGynecological &Obstetric Nursing, Faculty of Nursing, Damanhour University, Egypt.Journal Article20210527<strong>Background</strong><strong>:</strong> Rheumatic arthritis (RA) affect all aspects of patients' life, lead to various degrees of disability, and ultimately has a profound impact on the social, economic, psychological, and sexual aspects of the patient's life. <strong>Aim of the study</strong><strong>:</strong> Identify physical, psychological, and sexual implications of rheumatoid arthritis among women in reproductive age. In addition to investigating the correlations between physical functional disability, psychological problems, and sexual dysfunction. <strong>Settings</strong>: The study was conducted at Rheumatology Clinic at the Main University Hospital of Alexandria. <strong>Subjects:</strong> Purposive sample was chosen from women patients with rheumatoid arthritis to be subjects of this study (n=250). <strong>Tools:</strong> <strong> </strong>Four tools were used to collect data. <strong>Tool I</strong>: Socio-demographic questionnaire. <strong>Tool II</strong>: Stanford Health Assessment Questionnaire Disability Index (HAQ-DI). <strong>Tool III</strong>: Depression Anxiety Stress Scale (DASS)<strong>. Tool IV:</strong> The Sexual Dysfunction Questionnaire (SDQ<strong>)</strong> <strong>Results:</strong><strong> </strong>The majority of the studied women suffer from severe physical disability, extreme level of depression, anxiety and about half of them had an extreme level of stress. Also, the majority of the studied women had a severe level of sexual dysfunction. Also, statistically significant correlations between women's physical disability index, psychological problems, and sexual dysfunction were detected. <strong>Conclusion</strong>: The findings from this study confirm that women patients with RA suffer from multiple negative implications on the physical, psychological and sexual functions. <strong>Recommendations: </strong>Provide ongoing support to the patients from the time of diagnosis throughout their care and management. To help them to manage their pain and disabilities, improve their sexual function, promote their mental health, and optimize psychosocial functioning. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Impact of Critical Thinking and Problem Solving Skills on Academic Achievement among Nursing Students'93294517281510.21608/ejhc.2021.172815ENNadiaMohamed Ali SalehAssistant Prof. of Nursing Administration, Faculty of Nursing, Sohag University, Egypt.GohnaAbd El-Naser AliProf. of Medical Surgical Nursing, Faculty of Nursing, Sohag University, Egypt.MonaGamal Mohamedlecturer of Medical Surgical Nursing, Faculty of Nursing, Sohag University, Egypt.ShimaaHassan Abd El FtahLecturer of Geriatric Nursing, Faculty of Nursing, Sohag University, Egypt.Journal Article20210527<strong>Background:</strong> Nowadays all higher educational institutions should develop and enhance their student's critical thinking and problem solving skills to be sure that its products meet or exceed market requirements. this study <strong>aimed</strong> to determine the impact of critical thinking and problem solving skills on academic achievement among nursing students,<strong> Setting;</strong> Faculty of Nursing Sohag University <strong><em>The subjects</em></strong>: No. = (448) students all 1<sup>st</sup> and 4<sup>th</sup> years, they examined using critical thinking, problem solving questionnaires and students achievement sheets, used descriptive correlational research design. The results revealed that; about <strong>(55.7%)</strong> of 4<sup>th</sup> and <strong>(49%)</strong> of 1<sup>st</sup> years nursing students were females, the 1<sup>st</sup> year nursing students had unsatisfactory critical thinking <strong>(</strong><strong>68.8%</strong>) and problem solving skills (<strong>63.73%</strong>), while the 4<sup>th</sup> year had satisfactory critical thinking <strong>(84.03%</strong><strong>)</strong> and problem solving skills <strong>(78.96%)</strong> with achieved point. The present study <strong>concluded</strong> that, there were positive correlations and statistical significant relation at 1<sup>st</sup> and 4<sup>th</sup> years nursing student's academic achievement with total critical thinking and problem solving skills for different nursing courses. The findings of the present study <strong>recommended </strong>that; critical thinking and problem solving skills measurements and development should be emphasized for undergraduates and postgraduates students and the importance of organized specialized training and workshop for nursing students to improve their critical thinking and problem solving skills. <strong> </strong>Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Kegel Exercise Training Program On Improving Quality Of Life Among Women With Urinary Incontinence94696417282910.21608/ejhc.2021.172829ENEsraaMostafa Abd El-AtyMaternity, Gynecology and Obstetrics Nursing-Faculty of Nursing – Port Said University. EgyptMaiEL-Ghareap HassanFamily and Community Health Nursing- Faculty of Nursing- port said University- EgyptJournal Article20210527<strong>Background: </strong>Urinary incontinence is a prevalent and distressing problem worldwide that had a significant effect on quality of life and restricted daily activities. One of the key techniques used to rehabilitate and strengthen pelvic floor muscles and facilitate urine storage is kegel exercises. <strong>Aim:</strong> to evaluate effect of kegel exercise training program on quality of life among women with urinary incontinence. <strong>Setting:</strong> The research was conducted at outpatient gynecological clinics in two governmental hospitals in Port Said city. <strong>Research design:</strong> Quasi-experimental study design was used. <strong>Sample:</strong> Purposive sample of 403 married women with urinary incontinence who admitted to outpatient gynecological clinics. <strong>Tools of data collection:</strong> Woman’s health assessment sheet and quality of life scale were used to collect the needed data. <strong>Results:</strong> More than half of the studied women (59%) had a mixed type, about one-quarter (24.6%) had urge type, and just 16.4% had urinary incontinence type of stress. More than one-third of women (37.2%) had a full cure, and more than two-thirds of women (62.8%) had improved after three months of the program. In the post-program phase, there were statistically significant improvements in the overall mean quality of life score compared to the pre-program phase. <strong>Conclusion: </strong>The kegel exercise training program has a positive impact on improving quality of life and urinary incontinence among women. <strong>Recommendations:</strong> Apply pelvic muscle exercise guidelines for women with urinary incontinence in all outpatient gynecological clinics.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effectiveness of Psycho-Educational Program to Alleviate Depression, Anxiety, Stress, Pessimism and Provide Optimism for COVID-19 Isolation Nurses96598017365110.21608/ejhc.2021.173651ENSaidaI. El-Azzab1-Department of Psychiatric/Mental Health Nursing, Faculty of Nursing, Beni-Suef University,MonaT. El-NadyDepartment of Psychiatric/Mental Health Nursing, Faculty of Nursing, Cairo University,Journal Article20210531<strong>Background: </strong>Through the coronavirus (COVID-19) pandemic, front-line nurses meet immense mental health challenges. It is actually a global health threat attributed to a negative impact on the mental health and well-being of the people. <strong>Aim: </strong>To study the effectiveness of psycho-educational program to alleviate depression, anxiety, stress, pessimism and provide optimism for COVID-19 isolation nurses.<strong> Design:</strong> A quasi-experimental two-group (randomized control trial) was utilized in this study. <strong>Participants:</strong> A purposive sample of sixty nurses were involved in this study. <strong>Tools:</strong> A constructed interview schedule was utilized to collect data; Depression, Anxiety and Stress Scale-21; and Optimism and Pessimism Scale. The training program consisted of 14 sessions.<strong> Results: </strong>Revealed that<strong> </strong>there were highly statistically significant relations between depression, anxiety, stress, and pessimism pre/post program in “experimental group”. Also, there were statistically significant relations between pessimism and anxiety among the control group pre/post observations. <strong>Conclusion: </strong>The program had a great positive effect on nurses who were caring for patients infected with coronavirus in reduced “levels of stress, anxiety, depression, pessimism and increased level of optimism”. <strong>Recommendations:</strong> The nursing staff must be prepared to challenge any pandemic in the future to alleviate their levels of depression, anxiety, stress pessimism, and provide optimism and feelings of hope.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of family relations and school environment on aggressive behavior of school age students98199717365210.21608/ejhc.2021.173652ENMonaTalat El-NadyAssistant prof. of Psychiatric/Mental Health Nursing, Faculty of Nursing, Cairo UniversityJournal Article20210531<strong>Background:</strong> Family and school conditions have been reliably connected to aggression issues in adolescence. <strong>Aim:</strong> Assessing effect of family relations and school environment on aggressive behavior of school age students, exploring the difference between adolescence aggressive behavior in relation to teaching environment and family relation. <strong>Design: </strong>A descriptive, cross-sectional design was utilized. <strong>Setting:</strong> The study was conducted at two randomly selected preparatory governmental schools affiliated to Al-Sayeda Zeinab educational directorate, Cairo, Egypt. <strong>Sample:</strong> A purposive sample of 180 adolescents in selected preparatory schools was included in the study. <strong>Tools:</strong> Five tools were used, 1) Socio-demographic data sheet for students, 2) Socio-demographic data sheet for parents, 3) Aggressive Behavior Scale, 4) Brief Family Relationship Scale and 5) School Climate Scale. <strong>Results: </strong>Showed that there were “statistical significant differences” between father and mother educational characteristics and methods of home punishment. Also, there was a significant statistical relationship between family relations and aggressive behavior of children. <strong>Conclusion:</strong> A significant statistical relationship between family relations and aggressive behavior of children. Also, a significant statistical relationship was found between school environment and aggressive behavior of children. Also, a significant statistical relationship was revealed between aggressive behavior of children and socio-demographic characteristics of their parents. <strong>Recommendations: </strong>Psycho-educational programs about impulsivity, aggression, family relations will be important to increase students and parents’ awareness about behavioral competencies and challenges. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Emotion Management on Nurses Job Performance during Pandemic COVID-19.998101817365310.21608/ejhc.2021.173653ENWardaElshahat HamedPsychiatric and Mental Health Nursing, Mansoura University.GhadaAbd Elsalam Ahmed EldeebNursing Administration ,Menoufyia University, currently Jazan university.Journal Article20210531Background: During a pandemic, healthcare professionals encounter various health<br />hazards that affect their personal life and workplace. Emotion Management (EM) has a<br />substantial impact on nurses’ performance in the healthcare industry. However, previous<br />research studies reported inconsistent findings regarding how different levels of EM affects<br />nurse performance (NP), particularly during pandemics. The present study contributes to the<br />literature on this contemporary topic by investigating the impact of EM on NP among nurses<br />during COVID-19 crisis. Methods: In a convenience sampling, 110 nurses from Tala<br />General Hospital, Menoufyia governorate completed an online survey assessing EM and NP<br />during COVID-19 climax levels in March and May, 2020. Only nurses who had direct<br />contact with patients diagnosed with COVID-19 were eligible. Catherine managing emotion<br />scale was used in a cross-sectional design to determine participants’ EM. Empirically, NP<br />was measured by the Nurse Performance scale (NPS). Results: The results revealed that<br />highest percentages of study subjects described calmness and peace of mind, happiness, as<br />not felt. Their respective percentages were (81.8%), (90.9%). All of study subjects expressed<br />headache and 90.9% expressed nervous feeling. Two third of them were fatigued, and 90%<br />had restless sleep. 45.5% were moderately suppressing their emotion, while 54.4% were<br />moderately burned out. However the results found that all the participants, 100% had<br />competent job performance. Conclusion: The finding revealed that nurses working in<br />quarantine are risk for burn out, depression, frustration, and manifestation of anxiety.<br />However job performance not affected by their way of managing emotion.<br />Recommendations: Establishing periodical psycho-educational program for nurses and<br />health team to manage the psychological consequences of working with COVID 19 patients.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Family-centered Empowerment Model on Knowledge and Stress Level among Mothers of Children with Glucose-6-Phosphate Dehydrogenase Enzyme Deficiency1019103217365510.21608/ejhc.2021.173655ENGawharaGad Soliman EbrahemPediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt.OmaymaMustafa Abu SamraPediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt.DoaaAbdelgawad SaidPediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt.EbtsamSalah Shalaby SalamaMental Health & Psychiatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt.Journal Article20210531<strong>Background:</strong> Family-centered empowerment model (FCEM) greatly values the motivational, psychological, and functional roles of children and their family members in health promotion. Its main goal is to strengthen the family system to promote children and family health<strong>. Aim: </strong>To investigate the effect of FCEM on knowledge and stress level among mothers of children with glucose-6-phosphate dehydrogenase enzyme deficiency(G6PD).<strong> Study design</strong>: A quasi-experimental design was performed. <strong>Setting:</strong> The study was conducted in hematology outpatient clinic at Mansoura University Children’s Hospital. <strong>Subjects:</strong> a purposive sample composed of 60 mothers and their children who are suffering from G6PD deficiency. <strong>Tools:</strong> Two tools were used for data collection: Glucose-6-Phosphate Dehydrogenase Enzyme Deficiency Knowledge Questionnaire and Arabic version of Perceived Stress Scale. <strong>Results: </strong>There were an improvement in the mean score of mothers' total knowledge with statistically significant difference (P<0.001) in the post intervention phase compared to pre intervention phase. Mean score of mothers' stress level was 26.90 <strong>± </strong>6.26 pre the FCEM implementation and decrease to17.36 <strong>± </strong>2.73 post FCEM with a statistically significant difference. <strong>Conclusion: </strong>Applying FCEM on mothers of children with G6PD deficiency leading to improvement of their knowledge regarding G6PD and reduce their level of stress<strong> Recommendations:</strong> researchers recommended implementing FCEM for all mothers and their children with chronic diseases as a strategy for education and management.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of using Chamomilla Recutita on Management of Radiation Induced Stomatitis in Cancer Patients1033105517473310.21608/ejhc.2021.174733ENSoheirMohamed WeheidaMedical Surgical Nursing, Faculty of Nursing-Alexandria University, EgyptRashaHassan Abass ShadyMedical Surgical Nursing, Faculty of Nursing, -Mansoura University, EgyptAzizaElsaid Abdel AzizTeacher of Medical Surgical Nursing, Technical Institute, Faculty of Nursing- Alexandria University, EgyptHananAbo-Baker MohammedMedical Surgical Nursing, Faculty of Nursing, -Mansoura University, EgyptJournal Article20210602<strong>Background: </strong>Oral Stomatitis is a common inflammatory complication amongst cancer patients enduring radiation therapy. Stomatitis may consequence in discomfort pain and, difficulty in ingestion which may lead to nutritional deficiency. It is a serious side effect, which can consequence in a secondary infection (fungal, viral, or bacterial); it can lead to an interruption in treatment schedule and sometimes even patient drawing from treatment. So, it is important to use chamomilla recutita as preventative measures, and appropriate management measures when stomatitis does occur. <strong>This study aimed</strong> to determine the effect of using Chamomilla Recutita on the management of radiation-induced stomatitis in cancer patients. <strong>Design</strong>: A randomized controlled trial research design was utilized. <strong>Subjects</strong>: 60 adult patients were randomly selected and distributed into two groups equally <strong>(Study groups) </strong>who received routine care and mouthwash with a liquid extracted from Chamomilla Recutita at 1% and <strong>(Control group) </strong>who received routine hospital care only. A daily evaluation was done using the measurement scales of oral toxicities defined by the World Health Organization (WHO). <strong>Results: </strong>A significant difference was found in oral assessments’ scores between the two groups. analysis and comparison of data mean a statistically significant difference between both studied groups as regards the decrease of pain level in the Chamomilla Recutita group faster and better than the other group. There was a statistically significant difference in the change in weight between both studied groups, and that meant that body weight improved much more in the Chamomilla Recutita group than it was in the other one. <strong>Recommendation</strong>:<strong> </strong>It is important to enhance the awareness level among the public, patients, and also the health care providers regarding the importance of performing oral hygiene using Chamomilla Recutita especially during receiving radiotherapy. Regular educational programs to continuously update the nurses knowledge with the advanced and effective practice of oral hygiene, early detection of stomatitis, and proper treatment to avoid or decrease oral infection as well as enforcing adequate nutrition rich in proteins, that promote healing and minimize infection.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Relationship between Post-menopausal women’s knowledge about pelvic organ prolapse and their autonomy preference1056107217473610.21608/ejhc.2021.174736ENShaimaaSamir DawoodDepartment of Gerontological Nursing, Faculty of Nursing / Alexandria University, EgyptAbeerAbd El Galeel Abd El MoneamDepartment of Obstetric and Gynecologic Nursing, Faculty of Nursing / Alexandria University, EgypNaglaaFathy FathallaDepartment of Obstetric and Gynecologic Nursing, Faculty of Nursing / Alexandria University, EgypJournal Article20210602<strong>Background:</strong> Pelvic organ prolapse (POP) is one of the two most common manifestations of pelvic floor dysfunction among postmenopausal women worldwide. The prevalence of POP increases with age, with a peak incidence in women aged 60–69 years. It has a negative effect on postmenopausal women’s quality of life (Qol). Management of pelvic organ prolapse is challenging, it requires skillful health care providers and well-informed elder women. Person-centeredness is a crucial element and an indicator of the quality of care. It is advocated in healthcare policies worldwide. Yet, despite of its importance in person-centered care for prolapse, little is known about the extent to which health services are responsive to women’s needs and their perceived experiences when using the health services for management of prolapse. <strong>Aim of the study: </strong>The present study aimed to explore the relationship between Post-menopausal women’s knowledge about pelvic organ prolapse and their autonomy preference. <strong>Methods</strong> A descriptive correlational research design was utilized in this study. This study was conducted at the outpatient gynecology clinic on El Shatby Maternity University Hospital in Alexandria governorate, Egypt. A convenient sample of 142 post-menopausal women were recruited. Three tools were used for data collection; (1) socio-demographic and clinical data structured interview schedule, (2) Prolapse and Incontinence Knowledge Questionnaire (PIKQ), (3) modified version of autonomy preference index (API). <strong>Results </strong>More than three quarters (78.0%) of the studied women had lack of proficient knowledge about POP, whereas 22.0% had a proficient knowledge (50% and more correct) and although the studied women were highly preferred to participate in decision making concerning their health condition (62.4%±5.9), they had slightly lack of preference for information seeking (45.3±5.1%). The post-menopausal women’s knowledge about Pelvic Organ Prolapse was significantly correlated with their autonomy preference (r=.213, p=.011), as the score of knowledge increased the total autonomy preference score increase. <strong>Conclusion</strong> the post-menopausal women’s knowledge about Pelvic Organ Prolapse was significantly correlated with their autonomy preference. Encourage the healthcare professionals to inform the postmenopausal women about the available treatment options and motivate them to participate actively in making management decisions is recommended.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Computer Mediated Instruction Technique on Knowledge and Practice of Critical Care Nursing Students1073108517474310.21608/ejhc.2021.174743ENAsmaaAhmed Ibrahim MorsyLecturer of Nursing Education, Faculty of Nursing, Alexandria UniversityHamidaAhmed DarwishLecturer of Nursing Education, Faculty of Nursing, Alexandria UniversitySamahAnwar ShalabyAssistant Professor of Critical Nursing , Faculty of Nursing, Alexandria UniversityJournal Article20210602<strong> Background</strong> Computer mediated instruction is a technique that offers a plenty arrangement of apparatuses that can be utilized to help an assortment of learning encounters, so the teacher isn't restricted to one lot of administrations or instruments yet can use a few to set up a learning climate which will best suit their understudies' adapting needs. CMI denotes to combination of email, text, audio or video conferencing, instant messaging, list-servers, bulletin boards, and multi-player video games. <strong>Settings</strong>; this study was carried out at Critical Care and Emergency Nursing Department, Faculty of Nursing- Alexandria University.<strong> Method</strong>: A quasi experimental research design was used to conduct this study “Tool one: Computer Mediated Instruction Critical Nursing Knowledge test” and “Computer Mediated Critical Nursing Practice checklist”. <strong>Results</strong>: There were statistical significant differences between both groups of students in the favor of study group in relation to nursing knowledge and practice also within the study group after the application of CMI (p < .001). <strong>Conclusion:</strong> The current study findings concluded that; critical care nursing students who were subjected to computer mediated instruction technique had better knowledge scores and practice performance than those of the control group. <strong>Recommendations: </strong>it can be recommended that CMI technique should be incorporated in nursing theory and clinical education to improve the level of students’ knowledge and clinical practice.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of High Fidelity Simulation on Nursing Students' Knowledge and Skills Regarding Assessment and Nursing Intervention of Acute Coronary Syndrome1086110117512810.21608/ejhc.2021.175128ENFayzaAhmed AbdouCritical Care Nursing Department, Faculty of Nursing, Assuit UniversitySafaaHassan Zaki AbassNursing administration Department, Faculty of Nursing, Alexandria UniversityJournal Article20210603Background: ACS is a common, life-threatening condition due to decreased blood<br />flow in the coronary arteries. Simulation is one of the approaches that could lead healthcare<br />students to construct their knowledge and skills comprehensively within complex clinical<br />situations. Aim: This study was done to assess the effect of high fidelity simulation on<br />nursing students' knowledge and skills regarding assessment and nursing intervention of<br />acute coronary syndrome (ACS). Hypothesis: nursing students who undergo high fidelity<br />simulation program show improvement in knowledge and skills regarding acute coronary<br />syndrome. Design: quasi experimental research design. Setting: critical care lab in faculty of<br />nursing at Alexandria University hospital. Subject: Convenient sample of approximately<br />forty critical care nursing students. Tools: Two tools were used in this study acute coronary<br />syndrome assessment questioner (tool I), performance checklist about acute coronary<br />syndrome (tool II). Methods: The current study was carried out on four phases; assessment,<br />preparation, implementation and evaluation. Assessment of the baseline nursing students'<br />knowledge and skills were done using (tool I, tool II) before the preparation of teaching<br />program and all nursing students were received the lecture about ACS and scenario case by<br />using human patient simulation. Assessment of nursing students' knowledge and skills was<br />done using (tool I, II) immediately after the implementation of teaching program and<br />scenario case by using human patient simulation. Results: A statistical significant<br />improvement was found between the nursing student knowledge and skills before and<br />immediately after application of teaching program with scenario case by using human patient<br />simulation. Conclusion: The level of nursing students' knowledge and skills were general<br />improved after application of teaching program with simulation learning strategy about ACS.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Orem's Self-Care Behavior Model on Quality of Life of Elderly Patients with Chronic Obstructive Pulmonary Disease1126115117681310.21608/ejhc.2021.176813ENHudaAbdallah MoursiLecturer, Community Health Nursing Department, Faculty of Nursing,
Benha University, EgyptSamahSaid SabryAssistant Professor, Community Health Nursing Department, Faculty of Nursing,
Benha University, EgyptAminaAbdelrazek MahmoudAssistant Professor of Community Health Nursing, Faculty of Nursing, Benha University, Egypt.Journal Article20210609<strong>Background:</strong> Chronic Obstructive Pulmonary Disease (COPD) is a global health concern. It is a leading cause of morbidity and mortality worldwide. By 2030 it is predicted to become the third leading cause of death and the sixth cause of disability worldwide. <strong>Aim:</strong> The study aimed to evaluate the effect of Orem's self-care behavior on quality of life of elderly patients with chronic obstructive pulmonary disease in Benha City. <strong>Methods:</strong> Quasi-experimental (pre/post-test) design was utilized in this study. The study was conducted at Outpatient Clinics of Chest Hospital in Benha City, Egypt on a purposive sample of 100 elderly patients with chronic obstructive pulmonary disease. A self-administered questionnaire, an observational checklist for elderly patients practicing regarding COPD, Quality of Life Scale (QOLS) and COPD Self-Care Behavior Scale (COPDSC) were used to collect the data. <strong>Results:</strong> 55% of the studied elderly patients had good total knowledge score post model implementation, 81% of the studied elderly patients were satisfactory practices post model implementation, 72% of the studied elderly patients had good total quality of life scores post model implementation, also there were improvement in self-care behavior post model implementation p < 0001. <strong>Conclusions:</strong> This study concluded the positive effects of Orem's self-care behavior on elderly patient's knowledge, practices and their quality of life regarding chronic obstructive pulmonary disease. The study recommended that continuous self -care behavior program for the elderly patients with chronic obstructive pulmonary disease to increase their knowledge and improve their behaviors and their practices.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Assessment of Pregnant Women knowledge and attitude towards Umbilical Cord Banking and Stem Cell.1152116417681810.21608/ejhc.2021.176818ENRedaM.Nabil AboushadyMaternal and Newborn Health Nursing, Faculty of Nursing- Cairo University, Egypt.AmalMohamed ElhuseinDepartment of Pediatric Nursing, Faculty of Applied Medical Sciences, University of Bisha, Saudia Arabia & Department of pediatric Nursing, Faculty of Nursing Sciences, University of Khartoum, Sudan.AmalRoshdi AhmedMaternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, EgyptAmanyArafat GodaMaternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, EgyptJournal Article20210609<strong>Background</strong>: Nowadays, the collection of stem cells from the blood of the umbilical cord is one of the most important topics of health sciences and new technology. However, cord blood is now considered a rich source of adult stem cells that can be used to treat many conditions and diseases. It is still a controversial topic. The current study <strong>aims</strong> to assess pregnant women's knowledge and attitude toward umbilical cord banking and stem cell. <strong>Research design: </strong>Descriptive exploratory research design was adopted to achieve the aim of the study. <strong>Setting:</strong> The study was conducted at the obstetrics &gynecology outpatient clinic at Beni-Suef University hospital in Egypt. <strong>Subjects:</strong> A convenient sample of 200 pregnant women was recruited. <strong>Tools of data collection:</strong> three tools were used for this study (<strong>1</strong>) Maternal structured interviewing questionnaire and (<strong>2</strong>) knowledge assessment questionnaire and (3) attitude assessment questionnaire. <strong>Results:</strong> It was found that 42.5% had an average level of knowledge regarding cord blood banking and stem cell with the negative attitude (67%) with no statistically significant difference (p >0.05). Besides, the sources of information were social media followed by nurses/ midwives. <strong>Conclusion:</strong> The present study concluded that despite nearly half of the pregnant women had average level knowledge but the majority of them had a negative attitude toward umbilical cord blood banking and stem cell. <strong>Recommendations:</strong> adequately planned in-service training programs related to cord blood collection and stem cells established to distribute among the pregnant women who attending the antenatal clinics.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Moodle Based Learning on Maternity Nursing Students' Knowledge and Skills Regarding Fundal Assessment During Puerperium1165118017682010.21608/ejhc.2021.176820ENNaglaaZaki Hassan RomaObstetric & Gynecological Nursing, Faculty of Nursing, Alexandria UniversityNeamaSaad MahmoudObstetric & Gynecological Nursing, Faculty of Nursing, Alexandria UniversityYasmeenMohamed ShehataNursing Education, Faculty of Nursing, Alexandria UniversityJournal Article20210609<strong>Background</strong>: Most postpartum complications are considered preventable if postpartum observation and examination is conducted effectively. Around 216 women died worldwide from 100,000 women due to postpartum complications. Thus, <strong>Aim</strong> of this research was to investigate effect of Moodle based learning on maternity nursing students' knowledge and skills regarding fundal assessment during puerperium. A Quasi- experimental research design was used. A simple random sample of 80 maternity nursing students was randomly divided into two equal group, namely; Moodle group and traditional group. The study was conducted at Obstetric and Gynecological Nursing clinical training laboratory and information technology laboratory at the Faculty of Nursing, Alexandria University and El-Shatby Maternity University Hospital. <strong>Tools</strong>: three tools were used: (1) Maternity nursing students' knowledge regarding fundal assessment during puerperium questionnaire, (2) Maternity nursing students' skills regarding fundal assessment during puerperium observational checklist and (3) Maternity nursing students’ satisfaction about using Moodle based learning in performing fundal assessment during puerperium. <strong>Results</strong>: revealed a statistically significant difference between the study subjects regarding Moodle group in relation to their knowledge and skills immediately, two weeks and two months after teaching sessions. The study concluded that students using Moodle based learning had better knowledge and skills retention than those of the traditional group at all three time periods. It was recommended that replication of the same study in different Egyptian faculties of nursing to introduce the concept of Moodle based learning and explore its importance for undergraduate and postgraduate nursing students. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601The Effect of Objective Structure Clinical Examination (OSCE) on Nursing Students' Emotional Intelligence and Feedback Seeking Behaviors1181119817682610.21608/ejhc.2021.176826ENMonaThabetNursing Administration Department, Faculty Of Nursing, Minia UniversityHendElham MohammedMedical Surgical Nursing Department, Faculty Of Nursing, Minia UniversityManarD. MohammedCommunity Health Nursing, Faculty Of Nursing, Minia UniversityJournal Article20210609<strong>Background</strong>: Using OSCE can help educators to evaluate students' competency, based on objective testing as well as it is foster students to develop many skills as problem solving, decision making, emotional intelligence, feedback seeking behaviors, emotional stability, and clinical judgment. The <strong>aim</strong> of the current study was to investigate the effect of OSCE on nursing students' emotional intelligence and feedback seeking behavior. <strong>Research design</strong> was a descriptive correlational design. <strong>Setting</strong> was Faculty of Nursing at Minia University. <strong>Subjects</strong>: included all first year and fourth year nursing students in the academic year 2018-2019 (N =717). <strong>Tools</strong>: Three tools were utilized to collect pertinent data for this current study. <strong>Results</strong>: the fourth year students had high score for OSCE feedback, EI, FSB than the first years who had moderate score. <strong>Conclusion</strong>: the current study concluded that the fourth year students had high score regarding their OSCE feedback, EI, and FSB than the first year. Also, there were positive correlations between the using of OSCE and students high level of EI as well as high level of FSB. <strong>Recommendation</strong>: encourage the use of OSCE to improve students' ability clinically, emotionally and cognitively.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Teeth Problem in Primary School Children: It's Relation to School Absenteeism and Academic Achievement1199120817749110.21608/ejhc.2021.177491ENElhamHassan 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, EgyptShadiaAbd Elmoniem SyanPediatric Nursing Department, Faculty of Nursing, Sohag UniversitySamarAhmed MahmoudCommunity Health Nursing Department, Faculty of Nursing, Aswan University, Egypt. Currently, Faculty of Applied
Medical Science, Albaha University, KSARashaShawky ElashryPediatric Nursing Department, Faculty of Nursing, Tanta UniversityJournal Article20210613Teeth problems affect primary school children physically and psychologically and it harms their<br />general health, nutrition, growth, and body weight. Also, it causes learning problems, affecting their<br />academic performance and absence from school. Aim: To measure the effect of teeth problems on<br />school absenteeism and academic achievement among primary school children. Materials and<br />methods: Design: A descriptive cross-sectional correlational research design was used. Sample:<br />included 576 primary school children who were selected randomly from two primary schools in<br />Sohag city. Tools: A structured interview questionnaire was completed by the parents included five<br />parts regarding 1) demographic characteristics of parents, 2) demographic characteristics of<br />children; 3) question related to school absenteeism, 4) question related to school academic<br />achievement, 5) question regarding homework completion, and The Decayed, Missing, Filled<br />(DMF) index was used to collect data. Results: There was a significant relationship between school<br />absenteeism and DMFT score (P = 0.001). There was a significant relation between school<br />academic achievement in academic year subjects and DMFT score (P = 0.007). There was a<br />significant relationship between homework completion and DMFT score (P = 0.002). Conclusion:<br />Teeth problems had a bad effect on absenteeism and academic achievement among primary school<br />children. Recommendation: Establishing a health education program for parents about their<br />children's teeth problems and frequent periodic teeth checkup is required.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601The Impact of Reminiscence Program on Depressive Symptoms, Loneliness & Quality of Life among Elderly People, Egypt1208122217796810.21608/ejhc.2021.177968ENMarwaAbd El-fatah Ali El-slamoniPsychiatric & Mental Health Nursing, Faculty of Nursing, Zagazig University, EgyptNashwaAhmed Hussien Abdel KarimPsychiatric & Mental Health Nursing, Faculty of Nursing, Zagazig University, EgyptJournal Article20210616Background: The proportion of the elderly population is increasing with<br />continuous medical progress worldwide. Elderly people often suffer both physiological and<br />psychological illness. Reminiscence program is useful to reduce some psychological problem<br />and assist the elderly to adapt aging process consequences. This study aims to assess the<br />impact of reminiscence program on depressive symptoms, feeling of loneliness and quality<br />of life among elderly people in Egypt. Subjects: study was carried out on 45 institutionalized<br />elderly to assess the tools used clarity and applicability. Setting: Our study was conducted at<br />Dar El-mohafza geriatric home at El-Sharkia governorate. Tools for data collection: A<br />structured questionnaire include: personal data, geriatric depression scale, loneliness scale<br />and quality of life scale was used. Results: Our results revealed that the mean depression<br />score decreased from a pre-intervention level to a post-intervention level and this<br />improvement was highly statistically significant. Also, we observed a statistically<br />insignificant correlation between participants’ scores of<br />depressive symptoms and<br />loneliness score after intervention. Conclusion: Our study concluded that application of<br />reminiscence program for elderly had a positive impact on reducing the depressive<br />symptoms and loneliness level and consequently improving the quality of life among elderly.<br />Recommendation: We recommend that elderly people should be involved in varied<br />reminiscence activities in different caring homes.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Utilization of Nursing Guideline and Videos Assisted Teaching for Alleviation of Minor Ailments Among Primigravida Mothers1223123917796910.21608/ejhc.2021.177969ENNouraMohammed Attia AhmedLecturers of Obstetrics and Gynecological Nursing, Faculty of nursing, zagazig UniversityEmanAhmed Gouda AhmedLecturers of Obstetrics and Gynecological Nursing, Faculty of nursing, zagazig UniversityJournal Article20210616Background: Minor ailments/disorders are only minor as much as they are not life<br />threatening. As soon as a women become pregnant and experience that fatigue of early<br />pregnancy coupled with nausea and vomiting. A minor ailment may escalate and become a<br />serious complication of pregnancy. They are heart burn, excessive salivation, pica,<br />constipation, back ache, cramps, frequency of micturition, leucorrhea, fainting and insomnia.<br />Aims of this study are to: evaluate the effect of utilization of nursing guideline and assisted<br />teaching videos on knowledge& self-care reported practice for alleviation of minor ailments<br />among primigravida mothers through the following; assessing the knowledge and self-care<br />practice of them& designing and implementing these guideline and teaching videos<br />according to women’ needs and finally evaluating the impact of these on knowledge and<br />personal - care practice regarding management of minor discomfort. Subjects and Methods:<br />Research design: quasi- experimental design was used to the current research. Setting: The<br />study was conducted at Obstetric Outpatient clinics at zagazig University Hospital, Subjects:<br />a total of 100 primigravida mothers were recruited in the study. Tools of data collection:<br />Three tools were used for data collection; structured interviewing questionnaire, knowledge<br />assessment questionnaire & self-care reported practice assessment questionnaire .Results:<br />results indicated that the score of mothers’ knowledge and practice before and after the<br />program implementation was satisfactory with statistically significant differences.<br />Conclusion: The study concluded that, the knowledge & self-reported practice level of the<br />pregnant mothers under the study were significant improved regarding the management of<br />minor discomforts by using standard nursing guideline& video assisted teaching.<br />Recommendations: based on the findings of this research the following recommendations<br />are suggested: awareness campaigns & developing and implementing in the department of<br />obstetrics & gynecology to support pregnant women in order to alleviate minor discomfort<br />during pregnancy.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Shared Governance as A Pathway to Organizational Excellence: A Suggested Strategy for Selected University Hospital1240125717797210.21608/ejhc.2021.177972ENRashaIbrahem El-Sayed AlyAssistant Professor, Nursing administration, faculty of nursing, Port-Said University, EgyptNadiaMohamed El-Sayed GhoniemAssistant Professor Nursing administration, faculty of nursing, Suez-Canal University, EgyptJournal Article20210616Background- Applying a shared governance strategy could develop collaboration<br />between health care personnel, increase their confidence; develop their personal and professional<br />skills; and increase their professional profile and accountability. Purpose– developing a<br />suggested shared governance strategy for Suez Canal University hospital, Egypt: through,<br />measuring shared governance among health care personnel at the hospital, analyzing the shared<br />governance,<br />and<br />developing<br />and<br />validating<br />a<br />shared<br />governance<br />strategy.<br />Design/methodology/approach– a methodological design was utilized to conduct the study. the<br />study sample was composed of 825 health care personnel with different categories (Physicians,<br />Accountants, Nurses, Pharmacists, Dieticians, and Social workers). Index of Professional<br />Governance was used and a suggested shared governance strategy was developed and validated.<br />The fieldwork lasted from April to October 2019. Findings– The study revealed that health care<br />personnel' ages ranged between 30 and 40 years, median 35.0, Their median years of total and<br />hospital experience were 11.0 years. 71.5% of them reported that hospital governance has done<br />primarily by hospital management with some staff input. As well, the highest percentages of them<br />reported the same results regarding all shared governance dimensions. The shared governance<br />among health care personnel at Suez Canal University hospitals was generally low, the hospital<br />had the dominant in total scores of governance 96.6% and all shared governance dimensions.<br />Originality/value– Despite the vast number of published researches that dealt with Shared<br />governance as a decentralized approach that gives nurses greater authority and control over their<br />practice, there is a limited focus in studying shared governance among healthcare personnel as a<br />whole, especially the university hospitals, which represent scientific models in providing ideal<br />care. Recommendations, it is a priority for university hospitals to enhance the application of the<br />suggested shared governance strategy or a suitable governance model that focuses on strong<br />leadership and a sound shared governance infrastructure; for allowing a professional practice<br />environment.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601The Relationship between Sense of Coherence, Resourcefulness and Functional Health Status of Geriatric Patients with Diabetes Mellitus.1258127517797610.21608/ejhc.2021.177976ENWafaaSamy Abd El -Sattar Omar MadianAssistant Lecturer Gerontological Nursing, Faculty of Nursing, Damnhour UniversityRashaAhmed FouadProfessor Gerontological Nursing, Faculty of Nursing, Alexandria UniversityMahaMohammed Abd El MoniemAssistant Professor Gerontological Nursing, Faculty of Nursing, Alexandria UniversityJournal Article20210616Background: T2DM is a public health problem that is widespread, serious, and growing<br />among elderly people with a major impact on their health and well-being. Sense of coherence<br />(SOC) and resourcefulness are important resources that may empower the person and give a<br />greater capacity to manage different life challenges including the burden of such chronic disease<br />in a health-promoting manner. Aim: Determine the relationship between sense of coherence,<br />resourcefulness and functional health status of geriatric patients with diabetes mellitus.<br />Setting: Five outpatient clinics at The Main University Hospital in Alexandria, namely<br />geriatric medicine clinic, general medical clinic, diabetes clinic, cardiovascular clinic and<br />nephrology clinic. Alexandria, Egypt. Subjects: 120 geriatric patients who are 60 years old<br />and above, diagnosed with T2DM and have no or mild cognitive impairment. Tools: Five<br />tools were used to collect data, short portable mental status questionnaire, socio-demographic<br />and clinical data of geriatric patients with diabetes mellitus structured interview schedule,<br />sense of coherence scale, resourcefulness scale and the Dartmouth Primary Care Cooperative<br />Information Project/World Organization of National Colleges, Academies, and Academic<br />Associations of General Practice/Family Physicians (COOP/WONCA) charts. Results: The<br />result revealed that there is a statistically significant relationship between SOC, overall<br />resourcefulness and all the functional health status scores of the study older adults as higher<br />levels of SOC and resourcefulness were associated with better functional health status among<br />the study participants. Conclusion: a statistically significant relationship between SOC,<br />overall resourcefulness and all the functional health status scores of the study older adults as<br />higher levels of SOC and resourcefulness were associated with better functional health status<br />among the study participants. Recommendations: Develop in-service training programs<br />for nurses and health care providers (HCPs) at different health care settings on how to assess<br />SOC and resourcefulness skills and orienting them with the role of such concepts on health<br />and well being of older adults and different ways for promoting them.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601The Effect of Problem Based Learning VS Traditional Method on Innovation Skills among Students of Nursing Administration Course1276129717913310.21608/ejhc.2021.179133ENMonaThabetNursing Administration (Nursing Education), Faculty of Nursing, Minia UniversityHebaDakrory Ali El-SaidNursing Administration, Faculty of Nursing, Minia UniversityEmanAly Abd-ElhamidNursing Administration, Faculty of Nursing, Minia UniversityJournal Article20210621Background: Problem-based learning in educational practice that thoroughly had<br />impact on all education levels due to the integration of acquired knowledge across disciplines<br />in which it helps students to acquire knowledge and skills. The aims of the study were to<br />determine the effect of problem based learning VS traditional method on innovation skills<br />among nursing administration course students; and to identify the relationship between<br />nursing administration course students' performance in problem-based learning and their<br />innovation skills. Research design: a quasi- experimental research design. Setting: Faculty<br />of Nursing, Minia University. Subjects: comprised of all 4th year (first subgroup of first term)<br />during (2019-2020) who registered in Nursing Administration clinical course, total numbers<br />(108) divided with systematic random sample into two equal groups as (54) for each group.<br />Results: the students' total means score of innovation skills and all of its dimensions were<br />higher in posttest than pretest among study group with significant difference; while no<br />significant difference between pretest and posttest among control group. The innovation<br />skills positively correlated to students' performance in problem based learning in first<br />scenario and this correlation increased positively in second and third scenario Conclusion:<br />The implementation of problem- based learning strategy among study group in nursing<br />administration course help nursing students of fourth year to acquire innovation skills rather<br />than the use of traditional method among control group. Recommendation: there is a need<br />for implementing Problem –based learning as a dominant teaching strategy in nursing field<br />for all academic years.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Nursing Intervention Guided by PRECEDE Model on Knowledge and Practice of Preventive Behavior of High-Risk Pregnant Women regarding Preeclampsia1298131417913410.21608/ejhc.2021.179134ENMonaAbd Elhaleem Ebraheem ElagamyMaternal and Neonatal Health Nursing Department, Faculty of Nursing, Tanta UniversityMonaEmad Eldien Hussien SabbourCommunity Health Nursing Department, Faculty of Nursing, Mansoura UniversityFaridaKamel Yousef AliAssistant Professor of Family and Community Health Nursing Department, Faculty of Nursing, Suez Canal UniversitySafaaEbrahim AhmedObstetrics and Gynecology Nursing Department, Faculty of Nursing, Sohag UniversityMarwaA. ShahinMaternal and Newborn Health Nursing, Faculty of Nursing, Menoufia UniversityJournal Article20210621Background: Preeclampsia during pregnancy is considered one of the major obstetrical<br />problems in developing countries that cause maternal mortality and preterm birth throughout the<br />world. Aim: To evaluate the effect of nursing intervention guided by PRECEDE model on<br />knowledge and practice of preventive behavior of high-risk pregnant women regarding<br />preeclampsia. Subjects and method: Design: Quasi-experimental research design pre-post-test<br />was utilized in this research. Settings: The study was applied in the antenatal outpatient clinics at<br />Tanta and Sohag University Hospitals. Sample: A purposive sample of 120 high-risk pregnant<br />women was recruited from the selected settings. Tools: Four tools were used: (1) Structured<br />interviewing questionnaire, (2) Predisposing, Enabling, and Reinforcing Questionnaire<br />(PRECEDE model questionnaire), (3) Pregnant women’s reported practices of preeclampsia<br />preventive behavior tool and (4) Pregnant women attitude questionnaire regarding preeclampsia<br />prevention. Results: Mean score of knowledge, enabling factors and reinforcing factors have been<br />increased with statistical significance immediately and after one month of nursing intervention<br />implementation. Pregnant women had good practices toward preeclampsia preventive measures<br />one-month post-intervention in comparison to the pre-intervention implementation. Pregnant<br />women had a positive attitude toward preeclampsia preventive measures one-month post-<br />intervention in comparison to the pre-intervention implementation. There was a statistically<br />significant relationship between knowledge, enabling, reinforcing factors score and practices<br />scores of preeclampsia preventive measures throughout the intervention phases. Conclusion: It<br />was concluded that implementing nursing intervention guided by PRECEDE model in high-risk<br />pregnant women was effective in improving knowledge and practice regarding the prevention of<br />preeclampsia. Recommendation: The nursing intervention guided by PRECEDE model<br />regarding preeclampsia prevention should be integrated into the antenatal care for pregnant<br />women in the study setting. Replication of the current study on a larger probability sample is<br />recommended to achieve generalizability.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of An Educational Guidelines on Compliance level Regarding Standard Precautions Measures among the Operating Room Nurses1315133217945910.21608/ejhc.2021.179459ENEnasEbrahiem Elsayed AboelfetohLecturer in Adult Health Nursing Department Faculty of Nursing, Helwan University, EgyptTaghreedTalaat ShakweerAssistant professor in Adult Health Nursing Department Faculty of Nursing, Helwan University, EgyptJournal Article20210622Background: The Operating Room (OR) is considered one of the high-risk areas in<br />hospital that encounter high rate of infection and mortality. Standard precautions considered as<br />barriers and work practice controls established to prevent sharp injuries and blood exposure. Aim:<br />This study aims to assess the effect of an educational guideline on compliance level regarding<br />standard precautions measures among the operating room nurses. Research design: A quasi-<br />experimental design was used in this study. Setting: The present study was conducted at the<br />operating room unit at El-Hussein University Hospital. Subjects: A convenience sample of all<br />available nurses (40) who are working in operating room unit at El-Hussein University Hospital<br />and accept to be in the study was selected as a study sample. Data collection tools: Nurses'<br />structured self-administered questionnaire, nurses' compliance self-reported scale and nurses'<br />practices observational checklist. Results: Regarding the total level of knowledge and practices<br />regarding to infection control among operating room nurses the present study reported that all of<br />the study nurses had unsatisfactory level of total knowledge and practices at pre educational<br />guidelines implementation phase, while this level was improved at post and follow up phases.<br />Regarding the total compliance level with standard precautions, the present study revealed that all<br />of the study nurses had low level of total compliance pre educational guidelines implementation<br />phase, while compliance level was improved at post and follow up phases. Regarding correlation<br />between total level of knowledge, practice and compliance with standard precautions measures<br />post educational guidelines implementation, the present study showed that there was highly<br />positive correlation between total level of knowledge, practices and compliance with standard<br />precautions measures among the operating room nurses post educational guidelines<br />implementation. Conclusion: This study concluded that the educational guidelines for nurses’ in<br />the operating room was effective in improving their compliance level (knowledge, practices and<br />self-reported compliance) regarding standard precaution measures, so the study results supporting<br />the hypothesis of the present study. Recommendation: The importance of periodic in-service<br />training program for nurses in OR regarding compliance standard precautions of infection control<br />for continues updating their knowledge and focusing on areas of non-compliance and close<br />supervision is needed to ensure that quality of care is provided by nurses while compliance<br />standard precautions of infection control.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effectiveness of Comprehensive Intervention Package on pregnant Women's Perception regarding Selected Aspects of Safe Motherhood1348136918037110.21608/ejhc.2021.180371ENAmalTalaat Abd El-Wahed El SarkawyAssistant Professor of Maternity and Gynecological Health Nursing, Faculty of Nursing, Ain Shams University, EgyptOlaAbdel-Wahab Afifi ArabyLecturer of Obstetrics and Woman's Health Nursing, Faculty of Nursing, Benha University, EgyptFatmaKamal AliLecturer of Obstetrics and Woman's Health Nursing, Faculty of Nursing, Benha University, EgyptJournal Article20210627Background: knowledge and attitude about safe motherhood practices could help not only to reduce<br />pregnancy related health risks but also helps in improving maternal and child health. Aim: of this research was to<br />evaluate the effectiveness of comprehensive intervention package on pregnant women's perception regarding<br />selected aspects of safe motherhood. Design: A quasi- experimental design was utilized. Sample: A purposive<br />sample of (154 pregnant women) (One Group Pre-test Post-test design). Setting: The research was carried out in<br />obstetrics & gynecology outpatient clinic at Benha university hospital. Tools: Data were collected through three<br />main tools: A self-administered questionnaire to assess women's socio-demographic characteristics and obstetrical<br />history, maternal knowledge questionnaire, modified likert scale to assess women's attitude. Results: showed that<br />the mean age of studied sample 22.9±6.87 years. There was improvement with a highly statistically significant<br />difference observed in women's knowledge and attitude regarding all aspect of safe motherhood at post-intervention<br />phase compared with pre- intervention phase (p < 0.001). A highly statistically significant positive correlation<br />between total knowledge and total attitude regarding safe motherhood at pre-intervention phase (P≤ 0.001). While,<br />there was a significant positive correlation between total knowledge and total attitude regarding safe motherhood at<br />post-intervention phase (P≤ 0.05). Conclusion: The research concluded that research hypothesis is supported and<br />the implementation of comprehensive intervention package succeeded in and had a considerable improvement in<br />the knowledge and attitude regarding different aspects of safe motherhood among pregnant women.<br />Recommendation: Applying educational intervention to improve women's perception about safe motherhood<br />practices in different maternity health services to prevent further maternal and fetal mortality and morbidityAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Workplace Violence against Staff Nurses at Governmental Hospitals: A Comparative Study1370138218329110.21608/ejhc.2021.183291ENRashaKamal SweelamLecturer of Psychiatric Nursing, Faculty of Nursing, Menoufia University, EgyptHudaMohammed BakeerAssistant professor of Nursing Administration, Faculty of Nursing, Menoufia University, EgyptHanaaE. BayomyAssistant Professor of Public Health & Community Medicine, Faculty of Medicine, Benha University, EgyptJournal Article20210711Workplace Violence towards nursing staff has negative effects on their safety and quality of patient <br />care delivered. Aim: This study aimed to examine the phenomena of workplace violence against <br />staff nurses at Shebin Elkom city in Egypt and Arar city in Saudi Arabia. Methods: Descriptive <br />comparative study was employed in conducting this study. Sample: a convenience sample of 438 <br />staff nurses (236 from Shebin Elkom city and 202 from Arar city) was participated in this study. <br />Setting: The study was carried out at three governmental hospitals at Shebin Elkom city, Egypt, and <br />three hospitals at Arar city, Northern Border Region, Saudi Arabia that were chosen randomly. Tool <br />A modified version of the workplace violence in the health sector questionnaire developed by <br />International Labor Organization, International Council of Nurses, World Health Organization and <br />Public Service International (2003) was used. Results: Exposure to workplace violence was more <br />likely in Egyptian nurses at Shebin Elkom city than Saudi nurses at Arar city. (83.47% vs. 65.35%; <br />P<0.001). The sources of violence were patients, patient’s relatives/visitors, and co-workers among <br />Egyptian nurses at Shebin Elkom city, while work supervisors were more likely among Saudi nurses <br />at Arar city. The causes of practicing workplace violence as reported more by Egyptian nurses at <br />Shebin Elkom city were weak hospital security, shortage of nurses, and an increased workload <br />while coming to work late and delay in investigations of incidents were the most reported by Saudi <br />nurses at Arar city. The response to violence was more likely by telling the person to stop, pretend it <br />never happened, tried to defend oneself, telling a colleague, or telling friends/family in Egyptian <br />nurses compared to Saudi nurses. Similarly, two third of Egyptian nurses reported taking no action <br />compared to 45.54% of Saudi nurses. Egyptian nurses at Shebin Elkom city reported violent acts <br />more. Conclusion: Workplace violence against nurses is an issue that has to be addressed in both <br />Egyptian nurses at Shebin Elkom and Saudi nurses at Arar city. Nurses at Shebin Elkom city, Egypt, <br />were more likely exposed to violence than those at Arar city, Saudi Arabia. Recommendation: <br />There is an urgent need for developing strict policies and procedures concerning workplace violence <br />incidence to protect health care workers against violence.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Cognitive Behavioral Therapy on Depression, Anxiety, Stress, Achievement, and Coping Strategy among Young Female Students with Primary Dysmenorrhea1383139518441610.21608/ejhc.2021.184416ENSamiaI HassanWoman's Health & Midwifery, Nursing Department, Faculty of Nursing, Mansoura University, EgyptAhlamMohammed Ibrahim GoudaWoman's Health & Midwifery, Nursing Department, Faculty of Nursing, Mansoura University, EgyptAhmedHashem El-MonshedPsychiatric and Mental health Nursing Department, Faculty of Nursing, Mansoura University, EgyptNadiaYoussef Abd-EllaWoman's Health & Midwifery, Nursing Department, Faculty of Nursing, Mansoura University, EgyptJournal Article20210715Aim: This study aimed to explore the effect of cognitive behavioral therapy on <br />depression, anxiety, stress, achievement, and coping strategy among young female <br />students with primary dysmenorrhea. Materials and method: Design: Quasi<br />experimental (pre-post) research design was used. Setting: The study was conducted <br />at the Technical Nursing Institute- Mansoura University from November 2020 to <br />January 2021. Participants: Purposive sampling as used to divide 116 young <br />female nursing students into two groups (intervention arm and non-intervention <br />arm), who completed the study after implementing a cognitive behavioral therapy <br />program with 12 weekly sessions on the intervention arm. Tools: Four tools were <br />used for data collection Interview Questionnaire Schedule, Depression Anxiety <br />Stress Scales (DASS), Numerical pain scale and coping mechanism scale. Results: <br />Post intervention, there were statistically significant differences between the two <br />arms regarding depression (P = 0.009), anxiety (P = 0.044), stress (P = 0.003), and <br />coping strategies including ignoring pain (P ≤ 0.001), physical exercise (P ≤ <br />0.001), using home remedies (P = 0.047), and hot application (P = 0.013), between <br />the two arms. Conclusion: Cognitive behavior therapy had a positive effect on pain <br />intensity, poor concentration, and restriction in physical activities, social withdrawal, <br />mood swing and academic achievement. Moreover, there was a significant change in <br />depression, anxiety, stress, and coping mechanism with primary dysmenorrhea. <br />Recommendations: Stress on the importance of cognitive behavior therapy sessions <br />had a positive effect on psychological status and educational sessions, for young <br />female nursing students, can be an efficient method to increase awareness and <br />prevent delays in diagnosis<br /> Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of nursing program regarding lifestyle modification on selected outcomes among women with endometriosis1396141018441710.21608/ejhc.2021.184417ENHanaaKamal HelmyAssociate professor Department of Obstetrics and Gynecology Ain-Shams UniversityElshourbagyM., MD., MRCOGAssociate professor Department of Obstetrics and Gynecology Ain-Shams UniversityHusseinMohamed Magdi Fakhreldin MohamedLecturer of Psychiatric/Mental Health Nursing, Faculty of Nursing, Beni-Suef UniversityRashaEl -Sayed IbrahimLecturer at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Beni- Suef UniversityJournal Article20210715Endometriosis is one of the most common benign gynecological disorders that affects <br />approximately 5-15% of women within their reproductive age. Endometriosis-related pain and <br />fatigue are common and adversely impact several areas of many women's lives. Aim: The study <br />aimed to investigate the effect of nursing program regarding lifestyle modification on selected <br />outcomes among women with endometriosis Design: A quasi-experimental study design control, <br />and study group was used. Setting: The study was conducted at the outpatient gynecological <br />department at Beni-Suef University Hospital. Data collected for 9 months from the beginning first <br />September 2019 to the end of May 2020. Sample: A purposive sample approach of 60 women was <br />included in the study. Tools: Five tools were used for data collection, Sociodemographic <br />characteristics, Self-care practice, Endometriosis health profile questionnaire, Hamilton Rating <br />Scale for depression, and Hamilton Anxiety Rating Scale. A procedure was carried out through four <br />phases as initial assessment, planning, implementation, and evaluation phase. Results: There were <br />statistically significant differences between pre- and post-program implementation in study group <br />regarding all selected outcomes: knowledge (f:0.169, p:0.001), practice (f:3.058, p:0.017), fatigue <br />(f:4.887, p:0.001), pain (f:5.58, p:0.002), and depression (f:2.257, p:0.040). moreover, there were <br />significant statistical differences for all items in the study group regarding lifestyle modification. <br />Conclusion: The implementation of nursing programs regarding lifestyle modifications such as <br />(healthy dietary habits, physical activity, and stress management) for women with endometriosis has <br />shown improvement in their knowledge and reduce endometriosis-related symptoms (depression, <br />anxiety, fatigue, and pain). Recommendation: Nursing programs regarding lifestyle modifications <br />should be applied for all women with endometriosis, and online easily accessible nursing programs <br />regarding lifestyle are also needed, with further research on their utilization and usefulness Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Enhancing Pediatric Nurses' Performance Regarding Selected Non-Pharmacological Techniques to Alleviate Pain in Neonates: An Educational Program1411142918753510.21608/ejhc.2021.187535ENSamahEl Awady BassamPediatric Nursing Department, Faculty of Nursing, Zagazig University, EgyptAmalGharib SabaqPediatric Nursing Department, Faculty of Nursing, Benha University, EgyptJournal Article20210804Background: Non-pharmacologic interventions have been recommended to relief pain in neonates <br />during procedures related to the acute pain of mild to moderate intensity. They have proven the <br />efficiency and present low risks to neonates, as well as low operating cost concerning intensive care. <br />Aim of the study was to assess the effect of an educational program on enhancing pediatric nurses' <br />performance regarding selected non-pharmacological techniques to alleviate pain in neonates. <br />Research design: Quasi-experimental research design was utilized in the present study. The study <br />was carried out at the neonatal intensive care unit affiliated to Zagazig University Children's <br />Hospital. All available nurses (no=44), were included in this study. Two tools were used for data <br />collection 1) Structured interview questionnaire sheet, and 2) Observational checklist. Results: It <br />was revealed that the highest percentage of nurses and all of them had an unsatisfactory and <br />inadequate level of knowledge and practice regarding selected non-pharmacological techniques to <br />alleviate pain in neonates before the implementation of the program (79.5% &100%, respectively). <br />Meanwhile, after the implementation of the program, about two third and slightly less than half of <br />nurses had satisfactory and adequate levels of knowledge and practice (68.2% & 47. 7%, <br />respectively), with a statistically significance difference (p=0.000). Conclusion: Implementing the <br />educational program had a significant positive effect on improving pediatric nurses' performance <br />regarding selected non-pharmacological techniques to alleviate pain in neonates. <br />Recommendations: Encouraging more periodical continuing in service education for pediatric <br />nurses that empowering more successive utilization of non-pharmacological methods in clinical care <br />with the need of follow up.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Asynchronous Mobile Health Nursing Intervention on Medications Adherence and Quality of Life among Patients with Psoriasis1430144418910110.21608/ejhc.2021.189101ENNeimaAli RiadMedical Surgical Nursing Department
Faculty of Nursing, Menoufia University, Shebin El Kom, EgyptAminaIbrahim Badawy OthmanMedical Surgical Nursing Department
Faculty of Nursing, Menoufia University, Shebin El Kom, EgyptShreenHussein DeebMedical Surgical Nursing Department
Faculty of Nursing, Menoufia University, Shebin El Kom, EgyptSamahE. MasryMedical Surgical Nursing Department
Faculty of Nursing, Menoufia University, Shebin El Kom, EgyptJournal Article20210814Telehealth refers to the usage of any electronic materials in the form of voice, images, documents,<br />etc. The aim: to examine the effect of asynchronous mobile health nursing intervention on<br />medications adherence and quality of life among patients with psoriasis. Design: A quasi<br />experimental research design. Subjects: A purposive sample including 60 patients who were<br />admitted to the dermatology outpatient clinics, were divided randomly into the study and control<br />group of 30 patients in each. Setting: This research was conducted at a university hospital<br />dermatology clinic. Instruments of the study: (I): Structured interview questionnaire. (II):<br />Modified 12-Item Medication Adherence Scale. (III): Dermatology Life Quality Index. Results:<br />The mean of knowledge score, adherence level was increased, and improve quality of life index<br />increased significantly throughout the phases of the intervention among study group subjects with<br />statistically significant differences existed between them. Conclusion: Using (mobile health) in<br />education about psoriasis and its management significantly improving total knowledge score,<br />medications adherence improved the quality of life. Recommendations: designing different mobile<br />patient engagement applications to provide a simple way for follow-up, and education. Replication<br />of the study using a large number of subjects, and longer follow-up time to permit a chance for<br />results generalization.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Influence of Counseling Intervention on Enhancement of Awareness and Reducing Burdens among Caregivers of Patients with Alzheimer1445146319040710.21608/ejhc.2021.190407ENRaniaA. ZakiAssistant Professor of Psychiatric Mental Health Nursing, Faculty of Nursing-Ain Shams universityMonaMohamed Abd El-MaksoudAssistant Professor of Community Health Nursing, Faculty of Nursing- Helwan UniversityShimaaSaied AdamLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing -Ain Shams universityJournal Article20210821Background: Alzheimer’s disease is a social care problem and is one of the main <br />causes of disability in later life. Caring for a patient with Alzheimer’s disease is associated <br />with much of the burden on family members Aim of the study This study aimed to <br />investigate the influence of counseling intervention on enhancement of awareness and <br />reducing burdens among caregivers of patients with Alzheimer. Design: A quasi- <br />experimental design was used to conduct the study. Setting: This study was conducted at <br />Out-Patient Clinic of geriatric medical unit Centre in affiliated to Ain shams university <br />hospitals. A purposive sample was obtained included 50 caregivers accompanying their <br />Alzheimer's patient. The data was collected by using three tools: First tool: interviewing <br />questionnaire to assess socio-demographic data of caregivers and clinical history of patients. <br />Second tool: Caregivers' awareness regarding Alzheimer disease to assess the caregivers' <br />knowledge, attitude, and reported practices regarding Alzheimer disease. Third tool: <br />caregivers' burden scale to assess the level of burden among caregivers. Results: The study <br />results revealed that there was a highly statistically significant improvement of caregivers' <br />awareness, reported practices, and total scores of the caregivers’ burdens towards caring for <br />their patients with Alzheimer after implementation of the intervention (p < 0.001). As well <br />there was a highly statistically significant correlation between caregivers' burden and their <br />knowledge, attitudes, and reported practices toward their patients with Alzheimer (p < 0.001). <br />Conclusion: It was concluded that the application of counseling intervention improved <br />caregivers' awareness through enhancing their knowledge, attitudes, and reported practices <br />and reducing their burdens toward their patients with Alzheimer disease. Recommendations: <br />Further studies should be done for family caregivers in their early caring process to optimize <br />their well-being through nursing intervention programme on reducing the degree of burden <br />with improving their ability for solving the problem.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Pattern of parental Emotional Abuse Among Adolescent Nursing Schools Students1464147419075610.21608/ejhc.2021.190756ENAsmaaHamed TawfikLecturer of Pediatric Nursing, Faculty of Nursing, Minia University, Egypt.RashaMamdouh AbdelmonemLecturer of Psychiatric Nursing, Faculty of Nursing, Minia University Egypt.AmlSayed AliAssistant Professor of Pediatric Nursing, Faculty of Nursing, Minia University. Egypt.Journal Article20210822Background: Child emotional abuse is a global problem and a persistent phenomenon globally, and <br />a significant child rights issue. The study aimed to investigate the different patterns of parental <br />emotional abuse among adolescent nursing schools students. Research design: A descriptive <br />research design was utilized. Setting: This study was conducted in secondary nursing schools in the <br />Minia district. Subjects: A convenient sample of all students in the previous mentioned setting. <br />Tool of data collection: A structured interviewing questionnaire which included two parts: Part <br />one: demographic data of the studied students and Part two: Emotional Abuse Questionnaire. <br />Results: the majority of the studied adolescent nursing students were exposed to verbal abuse, over <br />controlling and emotional rejection. Near three-quarters of them were exposed to over expectation, <br />two-thirds of them had been emotionally abused, and more than half had to terrorize. Conclusion: <br />Two-thirds of the studied adolescent nursing students had emotional abuse, and one-third were <br />sometimes exposed to it. Also, females have more exposure to emotional abuse than male <br />adolescent nursing students. Recommendation: Comprehensive parental training and family <br />support programs should be developed to reduce emotional abuseAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Thinking Maps versus Traditional Lectures on the Academic Self-Efficacy, Achievement, and Satisfaction of Undergraduate Maternity Nursing Students1475149019076410.21608/ejhc.2021.190764ENNadiaYoussef Abd-EllahLecturers of Woman’s Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, EgyptRaniaEl-KurdyLecturers of Woman’s Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, EgyptEmanA. FadelAssistant Professor of Woman’s Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, EgyptJournal Article20210822Background: The enhancement of critical and creative thinking denotes an essential objective of <br />higher educational institutions. Creative thinking inquiries by students may be integrated with <br />thinking maps. Aim: To investigate the effects of thinking maps versus traditional lectures on the <br />academic self-efficacy, achievement, and satisfaction of undergraduate maternity nursing students. <br />Design: A randomized controlled trial was performed on 176 students registered in maternity and <br />gynecological nursing course at the Faculty of Nursing in Mansoura University, Egypt. Sampling: <br />A simple random sample was utilized. Participating students were randomly assigned into two equal <br />groups, with eighty-eight students in each group. The intervention group was instructed through <br />thinking maps, and the control group was taught via traditional lectures. Results: The group <br />instructed through thinking maps exhibited a higher level of academic self-efficacy, a higher <br />academic achievement score, and more satisfaction than the traditional lecture group. The statistical <br />differences between the groups were highly significant. Conclusion: The study hypotheses were <br />accepted, indicating that thinking maps are effective as teaching strategies and exert significant <br />positive effects on the academic self-efficacy, achievement, and satisfaction experienced by <br />undergraduate maternity nursing students. This study recommended that thinking maps should be <br />applied in other educational courses to enhance the self-efficacy, academic achievement, and <br />satisfaction of studentsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Assessment of Nurses’ Safety Practices in relation to Intravenous Iron Administration for Patients Undergoing Hemodialysis.1491150119102910.21608/ejhc.2021.191029ENNouraMahmoud Elrefaeylecturer; Medical-Surgical Nursing, Faculty of Nursing, Matrouh University, Egypt.WafaaHassan Ali AwadLecturer; Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University. Alexandria, Egypt.ThorayaMohamed AbdelazizAssistant Professor; Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.Journal Article20210824Iron deficiency is the most common cause of hypo-responsiveness to erythropoiesis-stimulating <br />agents (ESAs) in end-stage renal disease (ESRD) patients, and is a commonly encountered <br />reversible cause of chronic kidney disease (CKD) related anemia. In addition to the typical causes <br />of iron deficiency, patients on hemodialysis experience routine iron loss due to the dialysis <br />treatment (retention of blood in dialyzer and blood lines), frequent blood draws for laboratory <br />testing, surgical procedures, accidental blood loss (vascular access), and gastrointestinal blood loss. <br />Thus, Intravenous (IV) iron is a standard treatment for patients undergoing hemodialysis. <br />Researches display IV iron more efficacious for restoring iron status compared to oral iron <br />supplements. In this respect; it should be transmitted judiciously by hemodialysis nursing staff <br />following restricted safety practices throughout the whole procedure phases: before, during and after <br />IV iron administration due to its reported serious adverse events risk. The study aimed to assess the <br />nurses’ safety practices concerning intravenous iron administration for patients undergoing <br />hemodialysis. Material and method: Data were collected using one tool, “The Hemodialysis <br />Nurses’ Intravenous Iron Administration Safety Practices Observational Checklist”. A convenient <br />sample of all (50) nurses who were available at the time of the study at the selected hemodialysis <br />unit, at Alexandria Main University Hospital, Alexandria, Egypt; was included in the study. Results: <br />the current study revealed that the studied hemodialysis nurses (100%) had unsatisfactory level of <br />practice. Moreover, no statistical significance relation was declared between nurses’ socio- <br />demographic characteristics and their safety practices throughout IV iron administration procedure. <br />Conclusion: The current study hemodialysis nurses’ safety practices level of performance <br />concerning safe administration of intravenous iron; were noticeably unsatisfactory. <br />Recommendations: Updating hemodialysis nurses’ knowledge and practices is mandatory through <br />providing in- service continuing evidence-based practices training programs; emphasizing on the <br />significance of safety IV iron administration practicesAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Nurses' Practice of Documentation in Critical Care Units: An observation from Egypt1502151319187310.21608/ejhc.2021.191873ENHendElsayed Mansourlecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20210829Background: Critical care nurses' are involved in many activities in critical care units from patient <br />admission to discharge. Each nursing activities should be completely and accurately documented. <br />Aim: This study aimed to assess critical care nurses’ practice of documentation in the critical care <br />units. Setting: The study was carried out in three critical care units affiliated to a university hospital <br />in Egypt. Method: A descriptive research design was utilized to conduct this study. Tool of the <br />study: One tool was developed by the researcher after strength review of the relevant literature to <br />assess critical care nurses’ practice regarding the documentation and consisted of two parts as <br />follows: Part I: Nurses' socio-demographic characteristics, Part II: Critical Care Nurses’ <br />Observational Checklist regarding Documentation: This tool was used to assess critical care <br />nurses’ practice in critical care units during providing care for patients. Results: Revealed that most <br />nursing interventions were either not or incompletely document and there were highly statistically <br />significant p < 0.001 were found between documentation of nursing intervention in relation to routine <br />care, changing position, range of motion exercises, and endotracheal tube care. Conclusion: The <br />results of this study revealed that the practice of critical care nurses’ on nursing documentation were <br />either not or incompletely document. Poor documentation may threaten the safety of patient care <br />and needs urgent improvement. Recommendations: Improving nursing documentation in the <br />critical care units through nursing practice supervision, evidence based practice, staff development <br />and provide continuing training programs for nurses', and the handover should take place in the <br />intensive care unit by educating critical care nurses’ to use the handovers checklists to improve the <br />handover process.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Knowledge, Practices and Attitudes Regarding Vitamin D Insufficiency among Health Care Workers' Women with COVID-191514153519187410.21608/ejhc.2021.191874ENHendHassan AliFellow of Community Health Nursing in Obstetrics and Gynecology Hospital. Ain Shams UniversityRehabM. AbdelrahmanAssistant Professor of Obstetrics and Gynecology. Faculty of Medicine. Ain Shams University.EmanH. A. HemidaFellow of Biochemistry in Obstetrics and Gynecology Hospital Ain Shams University.SabahAbdo Abd El-HaleemAssistant Consultant of Community Health Nursing in Obstetrics and Gynecology Hospital. Ain Shams University.Journal Article20210829Background: Vitamin D insufficiency is a common health issue widespread throughout the world;<br />however, there are numerous groups that are on the highest risk of insufficiency. The insufficiency<br />of vitamin D is the grand restrainable and preventable challenge throughout the world. COVID-19<br />outbreak is a significant health issue and has a universal attention with extant the pandemic of<br />COVID-19 and the growing cases infected by it. Health care workers' women have the superior risk<br />of exposure for COVID-19 among the population cannot be overlooked. Aim: Assessing knowledge<br />practices, and attitudes, regarding vitamin D insufficiency amongst health care workers' women<br />with COVID-19, in obstetrics and gynecological hospital Ain shams university. Explore the relation<br />between serum vitamin D level of health care workers' women and severity of COVID-19<br />symptoms. Methods: A Descriptive-analysis study was proceeded at COVID -19 outpatient clinic<br />at maternity and gynecological hospital, Ain Shams University, from onset of February to the<br />ending of April 2021. A purposive sample of 68 health care workers' women with confirmed<br />COVID-19. Data were gathered through four main tools. The first, structured interviews<br />questionnaire which consisted of two parts, the first was to assessing demographic and clinical<br />features of the studied health care workers' women with COVID-19. The second part was the<br />laboratory analysis of serum levels of 25-hydroxy vitamin D using the electrochemiluminesence<br />immunoassay technique on Cobas e411 immunoassay analyzer-Hitachi Ltd- Japan. The second, a<br />self-administered google form online questionnaire was utilized to evaluate confirmed COVID-19<br />health care workers' women knowledge, regarding vitamin D. The third: A self-reported practices<br />google form online questionnaire was utilized to evaluate confirmed COVID-19 health care<br />workers' women practices for vitamin D ingestion and habitual sun exposure, The fourth: A self-<br />administered google form online questionnaire was utilized to assessing confirmed COVID-19<br />health care workers' women attitude on behalf of vitamin D insufficiency. Results: Demonstrated<br />that the confirmed COVID- 19 health care workers women’ mean age’ was 40.9± 8.7years.<br />Whereas (7%) of studied participants were had vitamin D sufficiency, (78%) had vitamin D<br />insufficiency and (15%) had vitamin D deficiency with total mean ± SD (16.8 ± 8.9). Whilst mean ±<br />SD of the total vitamin D knowledge scores was (49.8 ± 16.1) and (23.5%) of studied participants<br />had sufficient<br />knowledge and (76.5%) had insufficient knowledge. While (25%) of studied<br />participants<br />had adequate practice, (75%) had inadequate practice. Moreover (51.5%) of studied<br />participants<br />had positive attitude, and (48.5%) had negative attitude. A statistically significant<br />relationship < /div><br />between majority COVID-19 symptoms in<br />confirmed COVID-19 health care workers’<br />women and their vitamin D level. Conclusion: The<br />study displayed that mostly of health care<br />workers' women with COVID-19, had insufficient knowledge regarding to vitamin D, had<br />inadequate habitual sun exposure practices and vitamin D ingestion, and nearly half of health care<br />workers' women with COVID-19 had negative attitude toward vitamin D. Virtually, insufficiency of<br />vitamin D in study participants could be a risk factor of COVID-19 infection.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Correlation Between Emotional Intelligence and Job Burnout Among Nurses Caring For Geriatric Patients1536154919219310.21608/ejhc.2021.192193ENMagdaA. ElmarakbyB.Sc. NursingHodaA. El GuindyAssistant Professor of Nursing Administration, Vice dean of education and students’ affairs, Faculty of Nursing Beni- Suef UniversitySherenEl Sayed ShriefAssistant Professor of Medical Surgical Nursing, & Head of department, Faculty of Nursing, Beni-Suef UniversityMagdaAttia Abd-Elkawy ElmarakbyMaster’s student at faculty of nursing, Beni-suef university, Alexandria, Egypt.Journal Article20210831Background: Emotional Intelligence (EI) is the ability to recognize, understand, and control one's<br />own emotions in order to reduce stress, communicate effectively, sympathize with others, overcome<br />obstacles, and diffuse conflict. Job burnout, on the other hand, is a state in which a person is<br />physically and intellectually overworked, as well as having emotional components that lead to<br />sadness at work. Aim of the study: Assessment<br />of Correlation between Emotional Intelligence and<br />Job Burnout among Nurses Caring for Geriatric Patients in Beni-Suef University Hospital through<br />the following objectives:<br />1. Assessing Emotional Intelligence level among Nurses Caring for Geriatric Patients in Beni-Suef<br />University Hospital<br />2. Assessing Job Burnout level among Nurses Caring for Geriatric Patients in Beni-Suef University<br />Hospital<br />3. Explore correlation<br />between Emotional Intelligence and Job Burnout among Nurses Caring for<br />Geriatric Patients in Beni-Suef University Hospital<br />Methods: Design: descriptive correlation was used. Sample: A convenience sample of 140 nurses<br />working at Beni-Suef university hospital. Setting: this study was conducted at Beni-Suef university<br />hospital, at all departments for long term geriatric patients Tools: two main tools were used to<br />conduct this study Tool I: Emotional Intelligence scale which consists of two parts: part (1) nursing<br />demographic data and job characteristic, part (2) Emotional intelligence scale. Tool II: Job Burnout<br />Questionnaire. Results: less than fifth of the nurses in the study sample (18.6%) had high total EI, it<br />ranged between 15.7% for sociability and 18.6% for wellbeing. And the nurses' study sample was<br />almost equally split between low (50.7%) and moderate\High (49.3%) total burnout. Conclusion:<br />there was a statistically significant negative correlation between burnout scores and emotional<br />intelligence scores. Recommendations: Programs of In-service training for nurses on EI skills are<br />recommended. Periodic screening of emotional distress, exhaustion,<br />decrease job satisfaction,<br />professional inefficiency, and social negative effectsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Helfer Skin Tap Technique on Reducing Pain levels Among Newborn Receiving Hepatitis B - vaccine1550156119300710.21608/ejhc.2021.193007ENShaimaShaban MohamedLecturer of Pediatric Nursing, Minia University, EgyptHebaBoshra ShehataLecturer of Pediatric Nursing, South Valley University, EgyptNagatFarouk AbolwafaLecturer of Pediatric Nursing, Minia University, EgyptJournal Article20210905Background: The neonatal reactions to painful procedures are equal to but stronger than adult <br />reactions, especially for an invasive procedure. Helfer skin tapping technique is an important <br />intervention to be practiced by nurses and parents for effective pain management in children. Aim: <br />To evaluate the effect of Helfer skin tap technique on reducing pain levels among newborns <br />receiving the Hepatitis B- vaccine. Research design: Two groups post test quasi-experimental <br />research design (control and study groups) was used in this study. Sample: A purposeful sample of <br />80 newborns was divided into two equal groups control and study group. Setting: The current study <br />was conducted in the delivery unit at Minia General Hospital. Tools: Part 1: Personal <br />characteristics of the newborn such as age/hours after birth, sex, and type of delivery. Part Ⅱ<br />: <br />Neonatal Infant Pain Scale (NIPS) for assessing pain level in newborns during and immediately <br />after administration of hepatitis B-vaccine: Results: There was a reduction in the total mean scores <br />of pain level in the study group were 2.0 and 1.7during and immediately after intramuscular <br />injection of hepatitis B- vaccine respectively, while in control group means were 2.6 and 3.4 <br />respectively with statistically significant differences. But no statistically significant differences <br />between total pain level and the newborns’ age, sex, and mode of delivery. Conclusion: The <br />current study concluded that applying Helfer skin tapping technique is more effective for pain <br />reduction among newborns receiving the hepatitis B -vaccine with statistically significant <br />diffrences. There were no statistically significant differences between the level of pain and the <br />newborn’s demographic characteristics. Recommendations: Training programs on applying Helfer <br />skin tap technique during vaccination of newborn infants should be conducted for nurses in the <br />hospital setting as well as in immunization centers to reduce pain.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Occupational Health Risks of Barbers: Knowledge, Practices, and Self-Reported Symptoms1562158219965710.21608/ejhc.2021.199657ENSamiaFarouk MahmoudCommunity Health Nursing, Faculty of Nursing, Zagazig UniversityLailaAwadin Ali HassanCommunity Health Nursing, Faculty of Nursing, Beni Sweif UniversityJournal Article20211015Background: Barbers have been associated with a variety of self-reported symptoms, <br />including respiratory, allergy, and musculoskeletal problems. The current study aims to <br />investigate the workplace environmental condition, knowledge, and practices concerning <br />hazardous work exposure and recognize the potential occupational health complications and their <br />associated variables occupational health risks of barbers’ knowledge, practices, and self-reported <br />symptoms. Methods: A descriptive, cross-sectional study including a random sampling <br />technique of 150 barbers was conducted at Diarb-Negm Center. A self-administered <br />questionnaire was used to record socio-demographic characteristics, knowledge, description of <br />environmental conditions, self-reported health symptoms in the last six months and an <br />observational checklist to assess safe work practices of barbers. Results: Barbers having a <br />history of HCV and HBV infections were 8.7% and 1.3%, respectively. Moreover, 61.3% of <br />barbers have good knowledge. As well, 74.7% of barbers have correct practices. Additionally, <br />the most reported musculoskeletal complaints were shoulder arm pain (96.7%), and a respiratory <br />problem was cough (86.7 %). Furthermore, a significant association was detected between <br />respiratory issues, skin allergy and musculoskeletal symptoms with working hours per day and <br />years of experience. Conclusion: A minority of barbers have a history of both HCV and HBV <br />infections. Additionally, proper environmental conditions, knowledge, and safe practices of the <br />studied barbers were insufficient. Moreover, barbers self-reported symptom was high in <br />musculoskeletal complaints. Recommendations: Egyptian barbers should get pre-employment <br />health education, and barbershops should be inspected regularlyAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Knowledge and Experience of Sexual Harassment among Zagazig University Female Students1583160420060010.21608/ejhc.2021.200600ENSamiaFarouk MahmoudCommunity Health Nursing, Faculty of Nursing, Zagazig UniversityLailaAwadin Ali HassanCommunity Health Nursing, Faculty of Nursing, Beni Sweif UniversityJournal Article20211021Background: Sexual harassment is an alarming trend that has increased in recent <br />years in Egypt.The aim of this research was to evaluate the level of knowledge and <br />experience of sexual harassment among Zagazig University female students. Subjects and <br />Methods: A descriptive cross-sectional study was carried out. Setting: The research was <br />conducted in the College of Commerce, veterinary College and the College of Nursing, <br />Zagazig University/Egypt. Simple random sample of 968 students was surveyed between <br />beginnings of October 2020 to end of February 2021. The study tools were Tool I. A self- <br />administered questionnaire, it was used to record socio-demographic characteristics, <br />questions to assess the prevalence of past exposures to sexual harassment and their <br />frequencies, moreover, items covering all forms of sexual harassment, location, whom to <br />blame for harassment, impacts, response to sexual harassment, reasons for not asking help <br />from the police force and causes for harassing a female. Tool II. Questions intended to assess <br />females’ awareness about sexual harassment. Results: The prevalence of sexual harassment <br />among students was 87.7% and they were exposed to all different forms of harassment, <br />staring or leering 439 (51.7%) having the highest form. Transports have the highest location <br />553(65.1%) and the highest impact of sexual harassment was feeling stressed and confused <br />464 (54.7%). As well, the major harassment response chosen was keeping silence 500 <br />(51.7%). Furthermore, the reasons for harassing a female were weakness of religious faith <br />658 (68.0%). Additionally, 69.7% of subjects are having poor knowledge level on definition, <br />forms, and correct dealing measures with the offender doing harassment and laws in Egypt. <br />Conclusion: The prevalence of sexual harassment among students was high. Additionally, <br />the prevalence of knowledge among subjects was very low regarding SH. Recommendations. <br />The researchers recommend that Egypt support anti-harassment awareness program aimed at <br />female university students in particular, as well as remedial actions and legislation against <br />sexual harassment.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Structured Teaching Program among Patients with Lower Limb Fracture regarding Self-Care of Casted Limb1605161520993710.21608/ejhc.2021.209937ENHebaMohammed Mahmoud ElhapashyMedical-Surgical Nursing Department, Faculty of Nursing, Mansoura UniversityShymaaElsayed Mosaad MohammedMedical-Surgical Nursing Department, Faculty of Nursing, Mansoura UniversityWafaaMohamed Elsayed AhmedLecturer in Medical-Surgical Nursing, Misr University of Science and technologyHanaaFarahat Ibrahim AhmedLecturer in Medical-Surgical Nursing, Faculty of Nursing, Badr University in CairoJournal Article20211220Casted limb' patients who are suffering from complications as a result of knowledge deficiency and <br />usually suffer from physical, social, psychological, and economic impairment. Empowering patients <br />with sufficient knowledge and skill in caring for themselves preventing complications, and <br />improving bone healing through providing a structured teaching program. Aim: To determine the <br />effect of a structured teaching program among patients with lower limb fracture regarding self-care <br />of the casted limb. Subjects and method: Design: A quasi-experimental research design was <br />utilized to achieve this study aim. Setting: The study was conducted in the Orthopedic Department <br />at Mansoura University Hospital. Subjects: A convenient sample of 60 patients with lower limb <br />fracture was included in the study from the previously mentioned setting. Tools for data collection: <br />It included: Tool I: Structured interviewing questionnaire which consisted of four parts; Part I: <br />Demographic data, Part II: Patients’ medical history, Part III: Patients’ knowledge regarding self<br />care of the casted limb, and Part IV: Self-care practices. Results: a statistically significant <br />difference with the improvement of the level of knowledge pre- and post-structured teaching <br />program about self-care of the casted limb. There were significant associations between patients' <br />knowledge regarding self-care of casted limbs and their demographic characteristics. Conclusion: <br />There was a satisfactory level of knowledge post structured teaching program among patients with <br />lower limb fracture regarding self-care of the casted limb. A structured teaching program had a <br />positive effect on changes and improving patients' knowledge. Recommendations: Structured <br />teaching program should be conducted frequently for patients with lower limb fractures regarding <br />self-care of the casted limb.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Nurse-Led Intervention on Anxiety and Fatigue among Patients undergoing Cardiac Catheterization1616162521277110.21608/ejhc.2021.212771ENAmiraMohammed Ali HassanLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Suez Canal UniversityHebaMohammed Mahmoud ElhapashyMedical-Surgical Nursing Department, Faculty of Nursing, Mansoura UniversityDenaEltabey Sobh SobehAssist Professor of Medical-Surgical Nursing Department, Faculty of Nursing, Port Said UniversityShymaaElsayed Mosaad MohammedMedical-Surgical Nursing Department, Faculty of Nursing, Mansoura UniversityJournal Article20220104Background: Nurses are qualified to provide effective nursing interventions in the management of <br />patients undergoing cardiac catheterization; nurses-led interventions for patients undergoing cardiac <br />catheterization have many advantages as reducing anxiety and fatigue. Aim: To evaluate effect of <br />the nurse-led intervention on anxiety and fatigue among patients undergoing cardiac catheterization. <br />Design: A quasi-experimental research design was used in this study. Sample: A convenient <br />sample of 100 patients was undergoing cardiac catheterization that randomly was divided into two <br />groups. Setting: This study was conducted at catheterization unit at Mansoura University Hospital.<br />Tools: the used tools were: (I) an interview structured questionnaire, (II) Spielberger’s State <br />Anxiety Inventory (SSAI), and (III) Fatigue assessment scale. Results: The results of this study <br />revealed that there were significant differences in anxiety and fatigue level among patients <br />undergoing cardiac catheterization in the control group compared with study group after the nurse<br />led intervention at (P < .001). Conclusion: The current study concluded that nurse-led intervention <br />had highly statistically significant positive on reducing anxiety and fatigue level among the studied <br />patients undergoing cardiac catheterization in study group than control group < /span>. Recommendations: <br />Replication of the current study with a larger sample of patients undergoing cardiac catheterization <br />in different settings is required for generalizing the results Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Nurses Perception toward Predictors of Violence Behavior among Psychiatric Patients in Workplace1626163921591010.21608/ejhc.2021.215910ENSalwaAhmed TohamyB. Sc., nursing,
Faculty of Nursing – Ain Shams UniversityAfafMohamed FahmyAssistant Professor of Psychiatric Mental Health Nursing,
Faculty of Nursing – Ain Shams UniversityHanaaEzz Eldin PrinceLecturer of Psychiatric
Mental Health Nursing
Faculty of Nursing – Ain Shams UniversityJournal Article20220127Violence in psychiatric settings is complex work place problem. This study aimed to assess<br />nurses' perception toward predictors of violence behaviour among psychiatric patients in work <br />place. Descriptive design was used to achieve the aim of this study. This study setting: was <br />conducted at psychiatric departments in (EL-Abbassia) mental health hospital of Psychiatry in <br />Cairo. Subject: A convenient sample of 100 nurse's from700 nurses who were working in the <br />previously mentioned setting. Tools: Data were collected using (1) interviewing sheet containing <br />(a) Socio-demographic sheet for personal characteristics and (b) Nurses' awareness of signs of <br />violence in psychiatric patients most susceptible to violence. (2) Questionnaire to assess nurse's <br />awareness to ward predictors of aggressive patients. Results: The present study revealed that one <br />hundred of nurses were male's. More than one third of nurses were more than10 years of <br />experience. The majority of nurses were had training courses about violence and forecast the signs <br />of violence that will start to appear on a patient. While nurses' awareness of signs of violence in <br />psychiatric patients most susceptible to violence were more than two third. A positive relation <br />between nurse's knowledge and experience toward predictors of violence behaviour among <br />psychiatric patient in work place. Conclusion: This study has contributed to the knowledge based <br />on assessment for nurses Perception toward Predictors of Violence behaviour among Psychiatric <br />Patients in Workplace. There is more than one half of nurses’ awareness of signs of violence in <br />psychiatric patients most susceptible to violence. The study recommended replication of the <br />current study on large sample and different hospitals settings to be able to generalize the results. <br />Further study is recommended to identify effectiveness of nursing intervention to increase nurse <br />awareness of work place violence. Educational training program for psychiatric nurses to improve <br />their communication skills to manage work place violence in their health care setting. <br />Psychological supportive nurse's session to help psychiatric nurse's manage their Psychological <br />problems. Development of interventions to psychiatric nurse's to prevent and respond to patient <br />violence, as well as support nurse working with violent patients. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Safety Nursing Practices for Fall Control for Patients Post Internal Fixation Surgeries of the Lower Limb1640165721904910.21608/ejhc.2021.219049ENSoheirMohamed WeheidaProfessor of Medical Surgical Nursing, Medical Surgical Nursing Department, Faculty of Nursing, Alexandria UniversityEssamMohamed Kamel ELAbasiProfessor of orthopedic and traumatology Orthopedic and Traumatology Department Faculty of Medicine, Alexandria UniversityWalaaWagiehNursing Instructor Medical Surgical Nursing, Medical Surgical Nursing Department, Faculty of Nursing, Damanhur UniversityHebaMohamed MohamedLecturer of Medical Surgical Nursing, Medical Surgical Nursing Department, Faculty of Nursing, Alexandria UniversityJournal Article20220212Fall control is a vital component for patient safety goal for both hospitals and long term care <br />facilities. Fall post internal fixation surgeries can result in negative outcomes among patients and <br />healthcare providers. Aim: the aim of this study is to assess safety nursing practices for fall control <br />for patients post internal fixation surgeries of the lower limb. Study design: a descriptive research <br />design. Subject: all available nurses (80 nurses) involved in providing direct care for patients post <br />internal fixation surgery at El-Hadara Orthopedic and Traumatology University Hospital and <br />Damanhur National Medical Institute Hospital. Tool: safety nursing practices for fall control for <br />patients post internal fixation surgeries of the lower limb: observational checklist. Results: this <br />study showed that 90% of nurses had unsatisfactory level of practice regarding fall control post <br />internal fixation surgeries. Moreover, it reveals that there is a positive statistical significant <br />relationship between the safe nurses’ practices and their level of education. Conclusion: this study <br />concluded that the majority of nurses had unsatisfactory practices regarding environmental safety, <br />safe use of mobility aids for walking and safe exercises. Recommendation: In-service education <br />program for nurses about fall control and update procedure manual to be available in each <br />orthopedic unit.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601The Impact of Educational Program on Stress and Coping Strategies among Mothers Caring for Down Syndrome Children1658166922137510.21608/ejhc.2021.221375ENRehabHanie ElkazazAss. Prof. of Pediatric Nursing, Faculty of Nursing, port Said UniversityFatmaMohamed MohamedAss. Prof. of Nursing, Faculty of Nursing, Ain Shams UniversityHalaMousadlecturer of psychiatric Nursing and Mental Health, Faculty of Nursing, port Said UniversityLnasAbd Elsattar Ebiedlecturer of psychiatric Nursing and Mental Health, Faculty of Nursing, port Said UniversityJournal Article20220222<strong>Background:</strong> Down syndrome is a chromosomal abnormality linked to mental retardation. It does not only impede the development of the affected child but also poses a psychological threat to all other family members, particularly mothers. <strong>Aim:</strong> The study aimed to determine The Impact of Educational Program on Stress and Coping Strategies among Mothers Caring for Down Syndrome Children. <strong>Design: </strong>A quasi experimental design was used to conduct evaluate the Impact of Educational Program on Stress and Coping Strategies among Mothers Caring for Down Syndrome Children <strong>Settings:</strong> The study was conducted at Pediatric unit at outpatient unit affiliated to Ain shams University &Child Psychiatry Outpatient Clinic , The genetic counseling center affiliated to Ministry of Health Port –University <strong>..</strong><strong> </strong><strong>Sample:</strong> A convenient sample of a total of fifty mothers and their children with Down syndrome aged 4-12 years participated in this study.. <strong>Tools of data collection:</strong> Three tools were utilized to collect data for this study; A structured Interviewing questionnaire sheet, psychological Stress Scale and Cope strategies scale regarding nursing care provided for children with DS. <strong>Results:</strong> nurses' knowledge regarding DS was unsatisfactory on pre intervention program phase, while there is a significant statistical difference pre and post intervention program implementation. There is a positive relation between mothers' knowledge, practice and pre and post program implementation. <strong>Conclusion:</strong> The implementation of coping strategies training program for mothers of DS children lowered their levels of psychological stress. , the studied mothers had a competence practice level in caring for children with Down syndrome. <strong>Recommendation</strong>: Enhancing mothers' understanding for value of educational program on the reducing stress of their children.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Sexual Function and Depression among Reproductive Age Women with Hyperthyroidism1670167922251310.21608/ejhc.2021.222513ENDoaaMostafa Ramadan SheashaaPhD in Woman’s health & Midwifery nursing , clinical instructor, faculty of nursing, Damietta universityBasamaWageah Mohamed ElrefayPhD in Woman’s health & Midwifery nursing, faculty of nursing ,Mansoura universityAminaAbdelrazik Ahmed EldeebPhD in Woman’s health & Midwifery nursing, faculty of nursing ,Mansoura universityHebaMohamed Mohamed GameePhD in Medical surgical nursing , clinical instructor, faculty of nursing,Damietta universityEmanHessin Yousef HeggyLecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20220301<strong>Background:</strong> Thyroid disease and sexual dysfunction are common conditions that can have a harmful effect on Sexual function and depression among reproductive age women. Recent reports have documented an increased prevalence of sexual dysfunction among patients with thyroid disorders. <strong>Aim of Study</strong>: Assessing sexual function and depression among reproductive age women with hyperthyroidism. <strong>Methods</strong>: A total of 44 women with clinical hyperthyroidism and 44 age-matched healthy women controls were included in the study. <strong>Design</strong>: A comparative descriptive design was utilized. <strong>Setting</strong>: The study was conducted at surgical wards and outpatient clinic at Mansoura university hospital and Alazhar university hospital New Damietta. <strong>Tools</strong>: Three data collection tools were used: <strong>Tool 1, </strong>socio-demographic questionnaires, <strong>Tool II</strong> A Female Sexual Function Index (FSFI) questionnaire for sexual status ,<strong>Tool III,</strong> the Beck Depression Inventory (BDI) for psychiatric assessment. <strong>Results: </strong>The mean total FSFI scores were (23.54±10.76) in the hyperthyroidic group and (31.16 ± 11.65) in the control group (P < 0.000). Desire (P < 0.030), arousal (P < 0.000), lubrication (P < 0.002), orgasm (P < 0.000), satisfaction (P < 0.001), and pain (P < 0.006) domain scores were also significantly lower in women with hyperthyroidism. The mean scores of BDI for hyperthyroidic patients was significantly greater than the score for the control group (P <0.000).<strong>Conclusion: </strong>The hyperthyroidic women had sexual dysfunction and depressive symptoms compared to age matched women in the control group. There were a strong association between clinical hyperthyroidism and female sexual dysfunction. Increases depressive symptoms also were associated with hyperthyroidism and female sexual dysfunction. <strong>Recommendation:</strong> Availability of a simple and guided instruction booklet for all women with hyperthyroidism to provide all the necessary information, in particular for sexual dysfunction and depression.<br /><strong>Background:</strong> Thyroid disease and sexual dysfunction are common conditions that can have a harmful effect on Sexual function and depression among reproductive age women. Recent reports have documented an increased prevalence of sexual dysfunction among patients with thyroid disorders. <strong>Aim of Study</strong>: Assessing sexual function and depression among reproductive age women with hyperthyroidism. <strong>Methods</strong>: A total of 44 women with clinical hyperthyroidism and 44 age-matched healthy women controls were included in the study. <strong>Design</strong>: A comparative descriptive design was utilized. <strong>Setting</strong>: The study was conducted at surgical wards and outpatient clinic at Mansoura university hospital and Alazhar university hospital New Damietta. <strong>Tools</strong>: Three data collection tools were used: <strong>Tool 1, </strong>socio-demographic questionnaires, <strong>Tool II</strong> A Female Sexual Function Index (FSFI) questionnaire for sexual status ,<strong>Tool III,</strong> the Beck Depression Inventory (BDI) for psychiatric assessment. <strong>Results: </strong>The mean total FSFI scores were (23.54±10.76) in the hyperthyroidic group and (31.16 ± 11.65) in the control group (P < 0.000). Desire (P < 0.030), arousal (P < 0.000), lubrication (P < 0.002), orgasm (P < 0.000), satisfaction (P < 0.001), and pain (P < 0.006) domain scores were also significantly lower in women with hyperthyroidism. The mean scores of BDI for hyperthyroidic patients was significantly greater than the score for the control group (P <0.000).<strong>Conclusion: </strong>The hyperthyroidic women had sexual dysfunction and depressive symptoms compared to age matched women in the control group. There were a strong association between clinical hyperthyroidism and female sexual dysfunction. Increases depressive symptoms also were associated with hyperthyroidism and female sexual dysfunction. <strong>Recommendation:</strong> Availability of a simple and guided instruction booklet for all women with hyperthyroidism to provide all the necessary information, in particular for sexual dysfunction and depression.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Professional Quality of Life and Mental Health Outcomes of Emergency Nurses in Egypt During the COVID-19 Pandemic1680169322492810.21608/ejhc.2021.224928ENRaniaRabie El-EtrebyAssistant professor, Psychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura University, Egypt.MostafaMohamed ZanatyLecturer, Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt.AzzaIbrahim AbdelraofLecturer, Psychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura University, Egypt.Journal Article20220315The coronavirus disease (COVID-19) epidemic resulted in both physical and mental health <br />problems. Aim: To determine the emergency nurses’ professional quality of life and mental health <br />outcomes during the COVID-19 epidemic. Method: The present study utilized a descriptive cross<br />sectional research design. The subjects consisted of 171 emergency nurses who were selected <br />according to inclusion and exclusion criteria. The study was carried out in Egypt's emergency <br />departments affiliated with Mansoura University Hospitals (Mansoura Emergency Hospital, <br />Gastrointestinal Surgery Center, and Oncology Center). Tools of data collection included the <br />demographic interview sheet, the professional quality of life scale version 5, the general anxiety <br />disorder 7, and the patient health questionnaire. Results: There is a significant relationship between <br />professional quality of life, anxiety, and depression among the studied nurses. Conclusion: There is <br />a moderate level of compassion fatigue, burnout, anxiety, and depression among nurses.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Benson Relaxation Technique on Sleep Quality and Fatigue for Multiple Sclerosis Patients1694170422626710.21608/ejhc.2021.226267ENNaglaHamdi Kamal KhalilAssistant professor of medical surgical nursing, Faculty of nursing, Alexandria University, Egypt.FatmaMohmmed AbouelalaLecturer of medical surgical nursing, Faculty of nursing, Kafrelsheikh University, Egypt.AmalHemed HamadLecturer of medical surgical nursing, Faculty of nursing, Zagazig University, Egypt.FatmaMohamed ElesawyLecturer of medical surgical nursing, Faculty of nursing, South Valley University, Egypt.Journal Article20220321Background: Multiple sclerosis patients generally suffer from fatigue and sleep disturbances, <br />which can impede their daily activities. The Benson relaxation technique is one of the <br />complementary therapies that have been shown to provide benefits including improved sleep and <br />decreasing fatigue level. Aims: To evaluate the effect of the Benson relaxation technique on sleep <br />quality and fatigue for patients with multiple sclerosis. Setting: The study was carried out at the <br />multiple sclerosis outpatient clinic in Zagazig University Hospital, Egypt. Design: A quiz <br />experimental study was conducted. Subject: A purposive sample of 40 patients with multiple <br />sclerosis, both sex with the patients' Expanded Disability Status Scale score ≤ 5.0. Tools of data <br />collection included: Four tools were included Demographics and medical-related questionnaire, <br />Fatigue Severity Scale was used to measure fatigue, Modified Fatigue Impact Scale was used to <br />measure fatigue impact on daily activities, and the Pittsburgh Sleep Quality Index was used for <br />measuring the sleep quality. Results: There was a significant statistically difference in sleep quality, <br />fatigue total mean scores before and after the practice of Benson relaxation technique (p < 0.001). <br />Also, there was a significant statistically positive correlation between the fatigue severity scores and <br />modified fatigue impact scores before and after the practice of Benson relaxation technique. <br />Conclusion: The practice of Benson relaxation technique is effective in decreasing fatigue and <br />improving sleep quality for patients with multiple sclerosis. Recommendation: Applying Benson <br />relaxation technique to therapeutic routine management of multiple sclerosis patients. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Relationship Between Emotional Intelligence and Coping Patterns with Stres among Nurses during COVID-19 Pandemic1705171922800010.21608/ejhc.2021.228000ENHodaSayed MohamedLecturer of Psychiatric / Mental Health NursingAzza.M.KhaledLecturer of Nursing AdministrationJournal Article20220330Background: The coronavirus disease (COVID-19) outbreak poses huge stress for nurses and<br />emotional intelligence (EI) is a prerequisite for adaptive coping with stressors during this Pandemic.<br />Aim: This study aimed to assess the relationship between emotional intelligence and coping pattern<br />with stress among nurses during the COVID-19 Pandemic. Design: A descriptive, correlational<br />research design was utilized in this stud. Setting: This study was conducted at different units and<br />departments in Ain shams University Hospital. Subjects: 241 nurses were included in the study.<br />Tools of data collection: The data was collected using: 1) Sociodemographic data questionnaire 2)<br />Schutte Self-Report Emotional Intelligence Test to assess the emotional intelligence of nurses<br />during covid 19 pandemic; 3) The Brief COPE scale to assess adaptive and maladaptive coping<br />patterns with stress during covid 19 pandemic. Results: The current study results showed that<br />72.2% of the nurses in this study have low levels of emotional intelligence and that the highest<br />mean of the studied sample was self-awareness, social skills, empathy, managing emotions,<br />optimism, and utilization of other emotion subscales (27.1 ± 17.04, 26.1 ± 2.04, 15. 3 ± 12.04, 15.<br />3 ± 12.04,15.0 ± 2.05 and 6.1 ± 2.03) prospectively. The highest mean score was for maladaptive<br />coping and there were statistically significant differences between levels of coping and level of<br />emotional intelligence of studied nurses. Conclusion: the current study concluded that nearly<br />three-quarters of the nurses in this study have low levels of emotional intelligence and had<br />maladaptive coping patterns with stress during covid 19 pandemic and there were statistically<br />significant differences between levels of coping of the studied sample and their level of emotional<br />intelligence. Recommendations: Designing and implementing an emotional intelligence training<br />program to empower the nurses to the conscious use of EI resources and use adaptive coping<br />strategies during the time of pandemic and the years that will followAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601The Impact of Alexithymia and Perceived Social Support on Suicidal Probability of Drug Abusers' Patients.1718173822881210.21608/ejhc.2021.228812ENSafiaRagab El SebaieLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Zagazig University, EgyptAzzaElsayed AbdelfatahLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Zagazig University, EgyptJournal Article20220403<strong>Background</strong>: Alexithymia can cause emotional disturbances and dysregulation, which increases the risk of addictive behaviors and suicidal thoughts in drug abuse patients, which in turn exacerbates emotional dysregulation, and creates a vicious cycle that is difficult to break. Perceived social support can reduce the incidence of suicidal ideation and increase personal self-esteem through the use of social support. Aim of study:<strong> </strong>to explore the impact of alexithymia and perceived social support on suicidal probability among drug abusers' patients. <strong>Subjects and Methods</strong> : The study was conducted at addiction clinic in the outpatient clinics of Zagazig university hospitals using descriptive correlational design on137 drug abusers' patients .Data were collected using A structured interview questionnaire<strong>,</strong> Drug Use Disorder Identification Test, Toronto Alexithymia Scale ,Suicide Probability Scale and Scale of Perceived Social Support<strong>. Results:</strong> 82.5% of drug abuse patients had alexithymia, 69.3%had moderate level of suicidal risk, 97.8%had drug related problems, and 82.5% were drug dependent. Suicidal probability increased with alexithymia (p=0.014), lower perceived social support (p=0.0001), drug –related problems (p=0.005) and drug dependents (p=0.0001). Treatment duration is positive correlated with suicidal risk (r=0.341), while negative correlated with perceived social support (r=-0.209). Period of addiction is positive correlated with alexithymia (r=0.179).Multivariate analysis<strong> </strong>explained drug abuse and alexithymia (DDF) dimension were positive predictors of suicide probability .Conversely, perceived social support and alexithymia (EOT) dimension were negative predictors.<strong> Conclusion</strong>: The majority of the patients have alexithymia and are drug addicts, with a moderate level of suicidal risk and perceived social support. Suicidal risk is associated with drug abuse and alexithymic patients, but not with perceived social support.<strong> Recommendations</strong>: A psychological intervention program to improve emotional awareness and perceived social support is recommended to prevent drug abuse and suicidal probability. As well, emotion-focused intervention strategies for patients to reduce alexithymia.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Instructional Guidelines on Nurses' Performance regarding Care of High Risk Neonates Undergoing Extubation of Mechanical Ventilator1739175623429810.21608/ejhc.2021.234298ENMonaAli KunswaAssistant Professor of Pediatric Nursing, Faculty of Nursing, Ain Shams University, Cairo, EgyptHodaRagab MohamedLecturer of Pediatric Nursing, Faculty of Nursing, Ain Shams University, Cairo, EgyptJournal Article20220429Background: Extubation transfers breathing responsibility from the ventilator to the patient. Neonatal <br />nurses play an important role in weaning and extubation of mechanical ventilation. The current study <br />aimed to evaluate the effect of instructional guidelines on nurses' performance regarding care of high risk <br />neonates undergoing extubation of mechanical ventilator. Design: A quasi experimental design was <br />utilized. Settings: The current study was conducted at Neonatal Intensive Care Units (NICUs) at <br />Pediatric Hospital and Maternity & Gynecological Hospital affiliated to Ain Shams University Hospitals. <br />Subjects: A convenience sample of 50 nurses working in NICUs and all high risk neonates (30) admitted <br />to NICU and extubated from mechanical ventilation during the data collection period. Tools: A pre- <br />designed questionnaire and Observation checklists were used to collect data in this study. Results: The <br />current study findings revealed that, after application of instructional guidelines and booklet <br />dissemination, the studied nurses showed highly statistically significant improvement in their satisfactory <br />knowledge and competent practices (p < 0.01). Conclusion: Application of instructional guidelines had a <br />highly statistically significant effect on the studied nurses' knowledge and practices regarding care of <br />high risk neonates undergoing extubation of mechanical ventilator. Recommendations: Training <br />program should be conducted for all nurses working in NICUs about care of high risk neonates <br />undergoing extubation of mechanical ventilator.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Correlation Between Bullying and Social Anxiety Among Burn Survival School-Age Children1757177323627310.21608/ejhc.2021.236273ENNeamatMohamed AliLecturer of psychiatric Mental Health Nursing, Faculty of Nursing, Ain Shams UniversityRasmiaAbd El Sattar AliAssistant professor of Community Health Nursing, Faculty of Nursing, Ain Shams UniversityJournal Article20220510<strong>Background: </strong>Burn survival children were more likely to experience bullying particularly in school due to their visible scar. Frequent exposure to bullying might lead to avoidance, social fear, and social anxiety. <strong>Aim: </strong>The current study aimed to assess the correlation between bullying and social anxiety among burn survival school-age children. <strong>Methods: </strong>A descriptive correlational design was used in this study. <strong>Setting:</strong> The current study was conducted in pediatric plastic outpatient clinics, plastic surgery department, at Ain shams university hospitals. <strong>Subjects:</strong> A purposive sample of 96 school-age children was obtained in this study. <strong>Tools for data collection</strong> included: <strong>1) </strong>Children’s Interviewing Questionnaire, <strong>2)</strong> The Child’s and Adolescent Bullying Scale (CABS), <strong>3)</strong> Liebowitz Social Anxiety Scale (LSAS), and <strong>4)</strong> Effects of bullying behavior on the student’s scale. <strong>Results: </strong>This study showed that the majority of burns survival school-age children understudy had the highest experience of exposure to bullying problems involved (verbal bullying, disability bullying, and physical bullying) with a mean score of 91.3%, 90.8, % and 89.6% respectively. It also shows that nearly half of children under study had a moderate level of social fear and anxiety representing 48%, This study also illustrated that more than two-thirds of children under study suffer from severe psychological and academic effects of bullying, representing 71.9%, 69%. Moreover, the present study indicated that there is a strong positive correlation between social fear and anxiety and types of bullying behavior among burn survival school-age children under study (p < 0.001**). <strong>Conclusions: </strong>Burn survival children are exposed to different types of bullying, mostly verbal bullying, disability bullying, and physical bullying. Moreover, exposure to bullying behaviors among burn survival school-age children leads to social avoidance, fear, and anxiety. In addition, exposure to bullying behaviors leads to physical, social, and academic adverse effects among burning survival school-age children. <strong>Recommendations: </strong>This study recommends developing and implementing a psychoeducational counseling program to improve coping and psychosocial recovery and approaches to handle bullying behaviors among school-age children with burn scars. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Blended Learning and Social Media Learning on the Academic Success and Motivation among Undergraduate Nursing Students1774178623810910.21608/ejhc.2021.238109ENShadiaAbd Elmoniem SyanPediatric Nursing Department, Faculty of Nursing, Sohag UniversityFatmaMohamed El SwerkyFamily & Community Health Nursing Department, Faculty of Nursing, Port Said UniversityWafaaHamed Kamal ElshafieCommunity Health Nursing Department, Faculty of Nursing, Mansoura UniversityNagatSalah Shalaby SalamaMaternity, Gynecology and Obstetrics Nursing, Faculty of Nursing, Port Said UniversityManalMohamed Ahmed AyedPediatric Nursing Department, Faculty of Nursing, Sohag University, EgyptBoshraMostafa Younes AbdelfatahLecturer of Nursing administration, Faculty of Nursing, Aswan UniversityFathiaEl-Sayed El-GhadbanPediatric Nursing Department, Faculty of Nursing, Fayoum University, EgyptJournal Article20220518Blended learning is a teaching style that combines two or more complementary approaches to teach <br />the same subject, by using a combination of lecture, activity, discussion, and/or web-based modules <br />in the classroom. Aim: To investigate the effect of blended learning and social media learning on <br />academic success and motivation among undergraduate nursing students. Design: A quasi- <br />experimental study design was used to achieve the aim of this study. Setting: The study was <br />conducted at the Faculty of Nursing, Sohag University, Egypt. Sample: A convenient sample of all <br />available third-year undergraduate nursing students (330) from the previously mentioned study <br />setting in the 2020/2021 academic year. Students were included in this study were from bothgender <br />and willing to participate in the study. The study sample of the research was divided into three <br />groups; the control group taught by using the face to face learning (110 students), study group-1 <br />exposed to social media learning, and study group-2 exposed to a blended learning model. Tools for <br />data collection: A self-administered structured questionnaire to assess demographic characteristics <br />and learning needs, and Academic success test (AST), and a motivation scale for learning science <br />(MSFLS). Results: A highly significant difference between the student's blended learning, social <br />media-supported learning, and face-to-face learning regarding their students' academic success and <br />motivation mean scores post-test. Conclusions: Blended learning highly significantly improved <br />undergraduate nursing students' both academic success and motivation than face-to-face or social <br />media learning. Recommendations: Blended learning can be used to facilitate education among <br />undergraduate nursing students; more research is done to determine the effectiveness and durability rate <br />of the information of these methods.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Adopting One of Coping Strategies on Overcoming Stress Associated with Nursing Students’ Clinical Training during COVID-191787179824407510.21608/ejhc.2021.244075ENMonaMohamed MayhobAssociate Professor of Adult Health Nursing
Faculty of Nursing- British University in EgyptSafaaHashimProfessor of Obstetrics and Gynecology
Faculty of Nursing- British University in EgyptJournal Article20220614The COVID-19 pandemic is considered a major challenge and source for stress among health team members specially the nurses as well as nursing students. The entire health care system is fighting for survival from the pandemic. Nurses are the front line fighters in the healthcare system. Nursing students are the future nurses and they may become the baton holders of healthcare in the near future. <strong>This study aimed to</strong> evaluate effect of adopting one of coping strategies on overcoming stress associated with nursing students’ clinical training during COVID-19. <strong>Method</strong>: A quasi-experimental research design was utilized by the investigators to conduct this study. A convenient sampling technique was used to carry out this study. The number of participants was 90. <strong>Data collection tools:</strong> Three tools were used in this study: <strong>First Tool; Students’ Demographic Data Assessment Tool; </strong>this tool<strong> </strong>was used to assess students’ demographic characteristics as gender, age, residency, student’s financial independent status, and their interest to study nursing<strong>. Second Tool; </strong>Perceived Stress Scale (PSS) was used for measuring the perception of stress during clinical training. <strong>Third Tool; Coping Behaviour Inventory Tool</strong>; this tool was used to identify coping strategies utilized by the nursing students. <strong>Results</strong>: Stated that, there was highly statistically significant difference in perceived stress level among the studied nursing students before and after adopting one coping strategy at P < 0.001. <strong>Conclusion: </strong>This study concluded that, adopting one coping strategy had statistically significant effect on reducing perceived stress level of nursing students during clinical training. <strong>Recommendation: </strong>This study recommended the importance of adopting one coping strategy to be utilized by the nursing students to reduce their stress during clinical training. <strong> </strong>Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Problem-Based Learning on Decision-Making Skills among the Undergraduate Nursing Students1799181424662110.21608/ejhc.2021.246621ENHodaA. El-GuindyAssistant professor at Nursing Administration Department, Faculty of Nursing, Beni-Suef UniversityBoshraMostafa Younes AbdelfatahLecturer of Nursing administration, Faculty of Nursing, Aswan UniversityFatenAhmed Mohammed Abd El SalamLecturer of Nursing Administration, Faculty of Nursing, Mansoura UniversityNagwaGouda Ahmed Abd-ElmoghithAssistant Professor of Nursing Administration, Faculty of Nursing, Kafrelsheikh UniversityJournal Article20220628Background: Making a decision is a behavior that occurs when a person chooses and implements a <br />course of action from a set of options to address a specific situation or problem. As a result, <br />educators should employ new teaching methods such as problem-based learning )PBL) to help <br />students improve their problem-solving and decision-making skills. Aim: To evaluate the effect of <br />problem-based learning on decision-making skills among undergraduate nursing students. Subjects <br />and method: Design: To achieve the study's aim, a quasi-experimental research design was used. <br />Setting: the study was conducted in the Faculty of Nursing, Beni-Suef University. Subjects: based <br />on a convenient sampling of all 356 available undergraduate nursing students in the fourth academic <br />year were selected from previous setting that were divided into two groups "study contained 178 <br />and control contained 178 students" in 2020/2021 academic year. Three tools were used: (I) <br />Problem-based Skills Evaluation Sheet, (II) Nursing Students’ Decision Making Skills Scale, Tool <br />(III): Student's Feedback Questionnaire. Results: The study's findings revealed that there were no <br />statistically significant differences between the study and control groups before intervention. It was <br />observed that 63% of the studied undergraduate nursing students were searched for alternative <br />options compared to 43% in the control group, 66% were canvassing of objectives and values <br />compared to 46% in the control group, 59% were evaluated and re-evaluated of consequences <br />compared to 43% in the control group, and 67% were search for information and unbiased <br />assimilation of new information compared to 41% in the control group. The mean scores of <br />decision-making skills in the study group students increased after applying PBL than before <br />application with a statistically significant difference (p =< .001). Conclusion: The findings of the <br />study concluded that problem-based learning has a positive role in improving undergraduate nursing <br />students' decision-making skills. Recommendations: Encourage application of problem-based <br />learning in education among undergraduate nursing students that help improve their decision<br />making skills.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Relationship between Workplace Violence, Work Engagement and Staff Nurses’ Intention to Leave Nursing Profession1815182725372010.21608/ejhc.2021.253720ENHodaA. El-GuindyAssistant Professor of Nursing Administration, Faculty of Nursing, Beni-Suef University, Egypt.SomayaAhmed BayoumyAssistant Professor of Nursing Administration, Faculty of Nursing, Cairo University, Egypt. Badr University in CairoRadyMubarak AhmedLecturer of Nursing Administration, Faculty of Nursing, Beni-Suef University, EgyptJournal Article20220808<strong>Background:</strong> Nursing shortage is a global concern that requires urgent strategies to retain staff nurses. Workplace violence and work engagement are critical determinants of staff nurses’ intention to leave their profession. <strong>Aim: </strong>the current study aimed to<strong> </strong>investigate the relationship < strong> between workplace violence, work engagement, and staff nurses’ intention to leave the nursing profession. <strong>Research Design </strong>A descriptive correlational design was used. <strong>Setting</strong>: the current study was conducted in different departments at <strong>Beni-Suef University Hospital.</strong> <strong>Subjects and Methods: </strong>A purposive sample of 135 staff nurses from the study setting. <strong>Tools</strong>: three tools were used;1- types of workplace violence questionnaire, 2-Utrecht Work Engagement Scale (UWES), and 3- staff nurses’ intention to leave nursing profession questionnaire. <strong>Results:</strong> More than half of staff nurses were exposed to a high level of violence and had a lower level of work engagement (51.1% and 56%) respectively. About two third of staff nurses (64.4%) had a high level of intention to leave their profession. There was a statistically significant negative correlation between workplace violence and work engagement (<strong>P</strong>=0.001), while there was a statistically significant positive correlation between workplace violence and intention to leave (<strong>P</strong>=0.003). Also, there was statistically significant negative correlation between work engagement and intention to leave (<strong>P</strong>=0.004). <strong>Conclusion: </strong>Workplace violence and work engagement could affect staff nurses’ intention to leave both the hospital and the profession. <strong>Recommendations: </strong>Nurse Managers should pay great attention to influence the work place violence, work engagement on staff nurses’ intention to leave. Prevention of violence must be an inseparable part of the organization culture and organization climate. Involvement of staff nurses in organizational affaires to enhance their engagement.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Nursing Intervention for Mothers regarding Sleeping Problems among their Children with Attention Deficit Hyperactive Disorder1828184326020210.21608/ejhc.2021.260202ENHananAbdallah MohammedLecturer of Pediatric Nursing, Faculty of Nursing, El- Fayoum UniversityHodaAhmed MahmoudLecturer of Pediatric Nursing, Faculty of Nursing, Cairo UniversityJournal Article20220918Background: Sleeping problems represented highly common phenomena that interfere with <br />daily child and family functioning in children with Attention Deficit Hyperactive Disorder <br />(ADHD). Aim: To evaluate the effect of nursing intervention for mothers regarding sleeping <br />problems among their children with ADHD. Method: a quasi-experimental design was utilized. <br />A purposive sample of 60 mothers and their children suffering from ADHD were involved in the <br />study. The study was conducted at, the Pediatric Psychiatric outpatient clinic in the Preventive <br />Medicine Hospital which affiliated to Cairo University Hospitals. The following tools were <br />utilized for data collection (pre, post, and follow-up). Tool 1) Interviewing questionnaire that <br />included demographic data, mothers' knowledge regarding ADHD and sleeping problems among <br />their children with ADHD. Tool 2) Mothers' reported practices related to sleeping problems <br />among their children with ADHD. Tool 3) Children's Sleep Habits scale was adopted from <br />Owens, Spirito and McGuinn (2000) to assess children's sleeping problems. Results: Less <br />than three-quarters of school age children with ADHD were males and more than half of them <br />had no family history of ADHD. A highly statistically significant difference was found between <br />pre, post and follow up after 6 months of nursing intervention regarding the total mean scores of <br />mothers' knowledge, reported practices and their children's sleeping problems. Conclusion: The <br />study concluded that, the nursing intervention had highly statistically significant effect on <br />improving mothers' knowledge and reported practices regarding the care of sleeping problems in <br />their children with ADHD and minimizing sleeping problems among their children. <br />Recommendation: The study recommended that, continuous guidance and support should be <br />provided to mothers regarding the care of sleeping problems among their children with ADHD.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Lifestyle Risk Factors and Occurrence of Primary Dysmenorrhea among Adolescents: Suggested Guidelines1844186126954710.21608/ejhc.2021.269547ENSaharMansour IbrahimLecturer of Maternal & Newborn Health Nursing, Faculty of Nursing, Cairo University, EgyptRedaM. Nabil AboushadyAssistant professor of Maternal & Newborn Health Nursing, Faculty of Nursing, Cairo University, EgyptDaliaMohamed Abdelkhalik KishkLecturer of Community Health Nursing, Faculty of Nursing, Mansoura University, EgyptNabilaAbdelkader AbdeldaiemLecturer of Community Health Nursing, Faculty of Nursing, Cairo University, EgyptJournal Article20221113<strong>Background</strong><strong><em>: </em></strong>Primary dysmenorrhea (PD), a painful menstrual flow without any pelvic disease, is<br />characterized by spasmodic discomfort that is primarily felt in the lower abdomen. Major<br />contributing factors that up the severity of primary dysmenorrhea are lifestyle choices. <strong>Aim: </strong>It was<br />3 folds: (1) assess the occurrence of primary dysmenorrhea among adolescents, (2) explore the<br />effects of specific lifestyle variables on the occurrence and severity of primary dysmenorrhea, and<br />(3) design suggested guidelines to avoid occurrence of primary dysmenorrhea. <strong>Design: </strong>A cross<br />sectional study was utilized. <strong>Sample: </strong>a convenience sample of 200 adolescents was recruited<strong>. </strong><br /><strong>Setting: </strong>Faculty Of Nursing, Mansoura University Egypt, <strong>Tools: </strong>Three tools were utilized to<br />collect data; 1) Interviewing Questionnaire schedule, 2) dysmenorrhea assessment scale and 3)<br />Lifestyle risk factors assessment questionnaire. <strong>Results</strong>: the mean age of adolescent was 21.3±1.34<br />years with 91% of them had primary dysmenorrhea. There was statistical significant relation<br />between occurrence of primary dysmenorrhea and academic level, age at menarche, daily<br />activities, skipping breakfast, type of food, amount of fast food, drink caffeine, number of cups of<br />water per day, physical activities (p<0.05). <strong>Conclusion</strong>: Primary dysmenorrhea is found to be<br />highly prevalent among adolescent. There was a correlation between life style risk factors and the<br />occurrence of primary dysmenorrhea among adolescent as daily activities, skipping breakfast, type<br />of food, number of fast food, drink caffeine, number of cups of water per day, physical activities<br />(p<0.05). <strong>Recommendations</strong>: Ongoing health education programs must be offered by nurses to<br />adolescents that will consequently enhance their knowledge and practices that reduce the<br />occurrence of primary dysmenorrhea and improve their health status.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effectiveness of Oral Stimulation Intervention on Premature Infants' Oral Feeding at Neonatal Intensive Care Unit1863187128012010.21608/ejhc.2021.280120ENFatmaMohamed AminAssistant Professor of Pediatric Nursing Department, Faculty of Nursing, Mansoura University, EgyptWafaaHassan AlseratyProfessor of Pediatric Nursing Department, faculty of nursing, Tanta University, Egypt, and also affiliated to
Dawadmi Applied Medical Science College, Shaqra University, KSA,JosephinA. LawendAssistant Professor of Pediatric Nursing Department, Faculty of Nursing, Mansoura University, EgyptA.MEitaLecturer of Pediatric Medicine Department, Faculty of Medicine, Mansoura University, EgyptKhadigaZain Alabdeen Moustafa MohammedLecturer of pediatric nursing Department, Faculty of Nursing, Zagazig University, EgyptJournal Article20230113<strong>Background: </strong>The process of oral feeding for premature infant is challenging because of their poor oral motor abilities, immature oral-motor control, poor coordination of suck, swallow, and breathing. Consequently the majority of premature infants are unable to start bottle or breast feeding immediately after birth. <strong>Aim:</strong> evaluate the effectiveness of oral stimulation intervention on premature infants' oral feeding<strong> </strong>at neonatal intensive care unit.<strong> </strong><strong>Methods:</strong> Quasi-experimental research design<strong> </strong>was utilized. <strong>Setting:</strong> This study was carried out in neonatal intensive care unit at Mansoura University Children Hospital. A purposive sample of premature infants which were randomly classified to the study & the control group (20 in each group).<strong> Tools: </strong>One tool was utilized to collect the data, <strong><em>part I</em></strong><strong>: </strong>Characteristics of premature infants.<strong><em> Part II:</em></strong> Feeding Readiness scale<strong> and </strong><strong><em>Part III</em></strong><strong><em>:</em></strong> Quality of Nippling Scale.<strong> </strong><strong> </strong><strong>Results:</strong> The present study showed that 60% of the study group was alert and had good tone and rooting, while 35% of the control group was drowsy, with some rooting and adequate tone. Also, 40% of the study group was Nipples with a strong coordinated suck during the feed, while 35% of the control group was Nipples with consistent suck but has difficulty coordinating swallow.<strong> </strong><strong>Conclusion:</strong> Premature infants who received oral stimulation intervention exhibited an improvement in oral feeding compared to premature infants who did not receive it.<strong> Recommendations:</strong> Educational programs are recommended to improve neonatal nurses' knowledge and practices about oral stimulation intervention for premature infants.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Online Training Program: Its Effect on Fear and Coping Strategies among Nurse Interns' during COVID 19 Pandemic1872188728065310.21608/ejhc.2021.280653ENHebaAli HassanAssistant Professor of Nursing Administration, Faculty of Nursing, Ain Shams University, Egypt.AmiraAhmed NawalLecturer of Psychiatric/Mental Health Nursing, Faculty of Nursing, Ain Shams University, Egypt.FatmaAta Abd El-SalihenAssistant Professor of Psychiatric/Mental Health Nursing, Faculty of Nursing, Ain Shams University, Egypt0000-0002-6537-8958Journal Article20230116Background: COVID-19 pandemic is attacking the world as in a war that produced a larger number of deaths and patients. Health care providers including nurse interns are considered soldiers in that war, so they shouldn't be afraid when facing any pandemic. Aim: This study aims to evaluate the effect of online training program on fear and coping strategies among Nurse interns' during COVID-19 pandemic Methods: A quasi-experimental one-group pretest-posttest design was conducted in this study. Subjects: A convenience sample 170 of nurse interns' who trained at Ain shams University hospitals. Tools: Data for this study were collected by using three tools, namely: nurse interns' knowledge, practice, and attitude concerning COVID-19, multidimensional fear of COVID-19 scale and Coping strategies scale. Results: This study revealed that nurse interns' knowledge, practice, and attitude regard COVID-19 at the post- and follow- up intervention was improved. Also, the nurse interns' COVID-19 fear at the post- and follow- up intervention was reduced. Hence, their coping strategies at the post- and follow- up intervention was improved. Conclusion: there was positive strong statistically significant correlation between knowledge, practice, attitude, total fear of COVID 19 and coping strategies scores after training program, and the effectiveness of COVID 19 training program had been achieved in reducing nurse interns' COVID-19 fear and improve knowledge, practice, attitude, and coping strategies. Recommendations: Continuous and recurrent training programs be conducted during internship training to reduce COVID-19 fear and how to cope effectively.<br /><br />Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Transcatheter Aortic Valve Replacement: Interventional Program on Nurses’ Knowledge and Practice1888189828373510.21608/ejhc.2021.283735ENDaliaAli AmeenAssist Professor in Critical Care Nursing Department -Faculty of Nursing-Ain Shams UniversityDinaMohamed MaaroufLecturer in Medical surgical Nursing Department -Faculty of Nursing-Ain Shams UniversityAymanMuhammad Kamel SenosyLecturer in Medical surgical Nursing Department -Faculty of Nursing-Ain Shams UniversitySamarFaltas Marzouk FaltasAssist Professor in Critical Care Nursing Department -Faculty of Nursing-Ain Shams UniversityJournal Article20230201<strong>Background: </strong>Transcatheter aortic valve replacement (TAVR) is a minimally invasive heart procedure to<br />replace a thickened aortic valve that not fully opens (aortic valve stenosis). Nurses have a holistic view<br />point on patient care and can play a key role in the prevention of complications by using a guidelines of care<br />that is based upon the different educational needs of nurses and considers other relevant factors, as well as<br />addressing the immediate concerns of the patients and helping them cope successfully with their condition<br /><strong>Aim: </strong>The aim of this study is to evaluate the effect of interventional program on nurses’ knowledge and<br />practice toward care of patients undergoing Transcatheter Aortic Valve Replacement (TAVR). <strong>Design: </strong>A<br />quasi experimental design. <strong>Setting: </strong>The study was conducted at cardiac catheterization units affiliated to<br />Ain Shams University Hospitals Cairo. Egypt. <strong>Subjects: </strong>A convenient sample of all available nurses (30) from<br />the previous mentioned settings willing to participate in the study. <strong>Tools of data collection: </strong>Tool (I) Nurses<br />self-administered structured knowledge questionnaire. It involved two parts: Part (A): Nurses’ demographic<br />characteristics and Part (B): Transcatheter Aortic Valve Replacement knowledge questionnaire. Tool (II) Nurses’<br />practice observational checklist. <strong>Results: </strong>there were a statistically significant differences between mean scores<br />of total knowledge, practice and demographic characteristics pre and post interventional program implementation<br />regarding care of patients undergoing Transcatheter Aortic Valve Replacement also a positive correlation<br />between total knowledge, practice post program implementation have found . <strong>Conclusion: </strong>Implementation<br />of interventional program for nurses caring of patients undergoing Transcatheter Aortic Valve Replacement<br />(TAVR) had a positive effect on improving their knowledge and practical Level. <strong>Recommendations: </strong><br />Availability of nursing interventional booklet regarding care of patients undergoing Transcatheter Aortic<br />Valve Replacement is essential in all cardiac catheterization lab as well as a Transcatheter Aortic Valve<br />Replacement (TAVR) care training program should be provided for nurses.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Ethical Leadership Educational Program for Head Nurses and its Influence on Staff Nurses Organizational Pride1899191428683110.21608/ejhc.2021.286831ENEhsanSaad Soliman SaadAssistant Professor of Nursing Administration, Faculty of Nursing, Benha University, Egypt.AmalAhmed EbrahemLecturer of Nursing Administration, Faculty of Nursing, October 6 University, Egypt.ShaimaaHassan MekawyLecturer of Nursing Administration, Faculty of Nursing, Cairo University, Egypt.Journal Article20230221Background: Ethical leadership lead to positive effects such as increased organizational pride among <br />staff nurses who work with ethical leaders so they do their best to ensure the success of their healthcare <br />organizations. Aim: Assess ethical leadership educational program for head nurses and its influence on <br />staff nurses' organizational pride. Research Design: A quasi-experimental research design was utilized<br />in this study. Setting: The study was conducted in inpatient units at Benha University hospitals. Sample: <br />included all available (35) head nurses, as well as a simple random sample (320) out from (1600) staff <br />nurses. Tools of data collection: Three tools were utilized for data collection namely; Ethical <br />Leadership scale, Ethical Leadership knowledge and organizational Pride questionnaire. Results: <br />Minority 66% of head nurses had good knowledge level at the preprogram phase while it increased to <br />82.5% & 79.3% at post program and follow up phases, respectively, while only 21% of them had high <br />ethical leadership skills level at preprogram phase, which increased to most of them 87% & 83% at post <br />program and follow phases respectively. Also, while 11% of staff nurses had a high organizational pride <br />level at preprogram phase, it was increased to most of them 70%&69.5% at the post program phase and <br />follow phase, respectively. Conclusion: There was a highly positive statistical significant correlation <br />between head nurses' ethical leadership knowledge, skills and staff nurses' organizational pride at post <br />and follow up program phases. Recommendations: Hospital administration should conduct the ethical <br />leadership educational program for different levels of nurse managers to promote the ethical leadership <br />in their organizationAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effects of Supportive Care Bundle on Sleep Variables and Physiological Paramaters of Premature Infants and their Maternal Self-efficacy1915193330261510.21608/ejhc.2021.302615ENAzzaAbdalsemia ElewaAssistant Professor of Pediatric Nursing, Faculty of Nursing, Helwan University, EgyptFatmaMohamed AminAssistant Professor of Pediatric Nursing, Faculty of Nursing Mansoura University, EgyptManalMohamed Ahmed AyedAssistant Professor of Pediatric Nursing, Facult1y of Nursing, Sohag University, EgyptJournal Article20230607<strong>Background:</strong> Premature infants are prone to suffer multisystem complications,<strong> </strong>supportive care bundle is a set of nursing intervention used to improve quality of sleep and physiological parameters of premature infant, which can be affective by environmental stress in neonatal intensive care unit. <strong>Aim: </strong>This study aimed to evaluate the effects of supportive care bundle on sleep variables and physiological parameters of premature infants and their maternal self-efficacy. <strong>Design:</strong> A quasi-experimental research design was used for this study. <strong>Setting:</strong> This study was carried out at the neonatal intensive care unit in Sayed Galal Hospital, affiliated to Al-Azhar University. <strong>Sample:</strong> A purposive sample composed of 64 premature infants and their mothers after fulfilling the inclusion criteria. The sample was divided into two equal groups, the study and the control groups (32 each)<strong>.</strong><strong> </strong><strong>Tools: </strong> Four tools were used in this study: <strong>Tool one:</strong> A structured interviewing questionnaire, it included three parts: a) Characteristics of premature infants and medical history. b) Characteristics of the mothers. c) Questionnaire to assess the mothers' knowledge. <strong>Tool two:</strong> Observational checklist to assess the premature infants’ sleep variables.<strong> Tool three:</strong> Physiological parameters assessment of the premature infants by assessing the respiratory rate, heart rate, axillary temperature and oxygen saturation level. <strong>Tool four:</strong> Perceived maternal parenting self-efficacy questionnaire. <strong>Results:</strong> The present study revealed that, after intervention, 65.6% of premature infants in the study group had deep sleep compared with 9.4% in the control group. There was an improvement in the physiological parameters of the premature infants after intervention in the study group compared with the control group. There was a highly statistically significant difference between both groups at post intervention (X<sup>2</sup>=29.067 at P<0.001). <strong>Conclusion:</strong> The present study concluded that, the implementation of supportive care bundle improves sleep variables and physiological parameters of premature infants, as well as increases mothers’ level of knowledge and their self-efficacy scores in the study group than the control group. <strong>Recommendations: </strong>There is a need to implement strategies of supportive care in NICUs to provide more appropriate premature infant’s sleep state and keep stable physiological parameters. Develop an infant care education program for mothers about care of premature infants to improve their knowledge and self-efficacy.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Frailty among Community-Dwelling Older Adults: Prevalence and Associated Factors1934195330278410.21608/ejhc.2021.302784ENDoaaMohamed Zein El-AbdeenGerontological Nursing Department, Faculty of Nursing - Mansoura UniversitySoadHassan AbdElhameedGerontological Nursing Department, Faculty of Nursing - Mansoura UniversitySagedaMagdy AliGerontological Nursing Department, Faculty of Nursing - Mansoura UniversityJournal Article20230608<strong>Background</strong>: Frailty is a highly prevalent health problem in older adults that negatively impact health-related outcomes. The importance of studying frailty comes from the fact that it is merely associated with aging but not an inevitable process.<strong> Aim</strong>: To assess the prevalence of frailty and its associated factors among community-dwelling older adults.<strong> Method</strong>: A community-based cross-sectional study was used with a cluster sampling technique targeting 300 older adults in six urban and rural regions affiliated with the Dakahlia governorate. Data was collected using, Mini-mental State Examination, demographic and health-related data structured interview questionnaire, Katz and Akpom scale, Lawton and Brody scale, the Mini Nutritional Assessment questionnaire, and Frailty was measured using the survey of Health, and Aging, and Retirement in Europe of The Frailty Indicator.<strong> Results</strong>: The prevalence of frailty was 64.7% among the studied older adults. Age, current work, comorbidity, polypharmacy, dependence on the instrumental activity of daily living, and malnutrition were significant independent predictors for frailty (β 0.136, -0.148, 0.117, 0.118, -0.209, and 0.401 respectively), p < 0.05for all. <strong>Conclusion</strong>: Frailty was highly prevalent among community dwellers in Egypt's urban and rural regions. Female gender, widowhood, illiteracy, living arrangements, previous hospitalization, drug compliance, periodic checkup, engagement in social practices, and smoking. Moreover, Older adults' age, work status, income, comorbidities, polypharmacy, functional status, and nutritional status were found as the main factors associated with frailty. <strong>Recommendations</strong>: Assessment of associated risk factors of frailty in older adults should be done through community-based healthcare programs for early diagnosis and management.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Pediatric Nurses' Perception Regarding the Relation between Patient Safety Culture and Work Environment1954196330329210.21608/ejhc.2021.303292ENShimmaaMansour Moustafa MohamedAssistant professor of Pediatric Nursing, Faculty of Nursing, Zagazig University, Egypt.Journal Article20230612<strong>Background:</strong> While many studies have been conducted on the relationship between work environment and patient safety in healthcare organizations, very few have focused specifically on pediatric care providers. <strong>Aim:</strong> to assess the pediatric nurses' perception regarding the relation between patient safety culture and work environment. <strong>Design:</strong> A descriptive study was utilized. <strong>Sample:</strong> A sixty-five pediatric nurses working in pediatric units at Zagazig University hospitals were included in the study. <strong>Tool:</strong> A structured questionnaire that included demographic data and the Safety Attitudes Questionnaire (SAQ) 2014 - 2017. <strong>Results:</strong> Revealed a significant correlation between emotional exhaustion and all safety dimensions, while perceptions of management were found to be correlated with working conditions, job satisfaction, safety climate, and teamwork climate. <strong>Conclusion:</strong> Work environment variables such as teamwork climate, job satisfaction, stress recognition, perceptions of management, working conditions, and emotional exhaustion affecting patient safety culture in pediatric units and require prioritizing interventions and hospital management procedures. <strong>Recommendation:</strong> Extending the study to other hospitals and different geographic locations could enhance the generalizability of the study results.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Training Program for Nurses to Enhance Competence Level Regarding COVID 19 Prevention1964197830704210.21608/ejhc.2021.307042ENWafaaGomaa AbdallahLecturer of Maternal and Neonatal Health Nursing, Faculty of Nursing, Ain Shams University.WalaaAbdEl-kader MohamedLecturer of Family and Community Health Nursing, Faculty of Nursing, Ain Shams University.GhadaSobhy HassanLecturer of Family and Community Health Nursing, Faculty of Nursing, Ain Shams University.Journal Article20230709COVID 19 is an emerging respiratory disease caused by a novel coronavirus. Globally spread of Covid-19 had a momentous consequence on people of all nations, races, and socio-economic groups. Competency is the state of possessing qualities and abilities that are required for a particular role or task. Training programs equip nurses with specialized knowledge and competency to better manage infectious diseases in a competent level in order to support the response to the epidemic.<strong> Aim: </strong>the study aimed to evaluate the effect of training program for nurses to enhance competence level regarding COVID 19 prevention. <strong>Setting:</strong> the study conducted at outpatient clinic (antenatal, gynecological and family planning units) at Ain Shams Maternity University Hospital<em>.</em><em><br /></em><strong>Sample</strong>:<em> </em>A<strong><em> </em></strong>convenient<strong><em> </em></strong>sample included one hundred forty nurses. <strong>Method</strong>:<em> </em>A<strong> </strong>quasi<strong> </strong>experimental<strong> </strong>design<strong> </strong>was used. <strong>Tools</strong><strong>: </strong>two<strong> </strong>tools were used. <strong>First tool</strong>: Self-administered questionnaire<strong>,</strong><br /><strong>second tool</strong>: Observational<strong> </strong>checklist<strong> </strong>sheet was used to assess nurses’ performance regarding Protective Measures and Compliance with Standard Precautions. <strong>The result of the study</strong> shows that Pre-program knowledge scores for nurses were lower (32.9%), but they improved to (90.0%) in the post-program with a statistically significant improvement. In addition, pre-program incompetent practise was higher (84.3%) than post-program incompetent practice, with highly statistically significant differences (P - value.0001).<strong> Conclusion</strong>: Applying a COVID-19 training programme to nurses was successfully effective in improving their knowledge and practices for covid19 prevention.<strong> Accordingly, the following recommendation is proposed:</strong><strong><em> </em></strong>Apply training programs for whole nursing staff to enhance their competency level regarding covid19 prevention.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Electronic-Based Instructions Guide on Supporting Mothers of Preterm Infants Regarding Safe Breastfeeding during Covid-19 Pandemic1979199731604310.21608/ejhc.2021.316043ENBothaynaN. SadekAssistant Professor of Pediatric Nursing, Faculty of Nursing, Ain Shams University, EgyptZainabAttia AbdallaLecturer of Community Health Nursing, Faculty of Nursing, Modern University of Technology and Information, Egypt.SabahAbdo Abdel HaleemAssistant Consultant of Community Health Nursing, Obstetric & Gynecological Hospital, Ain Shams University, Egypt.EmanA. AliAssistant Professor of Pediatric Nursing, Faculty of Nursing, Ain Shams University, EgyptJournal Article20230905<strong>Background: </strong>Breastfeeding is the best choice for preterm infant feeding. Supporting mothers during Covid-19 requires innovative electronic methods for delivery of health education and protective measures for safe breastfeeding. <strong>Aim of the study</strong> to evaluate the effect of an electronic-based instruction guide for supporting mothers regarding safe breastfeeding of their preterm infants during Covid-19 pandemic based on mothers’ breastfeeding perception, self-efficacy, safety measures practices, breastfeeding technique, and attitude. <strong>Design</strong>: A quasi-experimental research design was conducted on 100 participating mothers of preterm infants.<strong> Settings</strong>: The study was<em> </em>carried out at neonatal care unit and breastfeeding clinic in obstetric and gynecological hospital affiliated to Ain Shams University. <strong>Tools</strong>: Data was collected using 1) An Interview Questionnaire Format to assess mothers’ demographic characteristics and their breastfeeding perception; 2) Breastfeeding Self-Efficacy Scale-Short Form; 3)<strong> </strong>Observational checklist of Safety Measures Practices of<strong> B</strong>reastfeeding, 4) The Bristol Breastfeeding Assessment Tool and 5) The Iowa Infant Feeding Attitude Scale. <strong>The Results </strong>highlighted most of mothers were improved their mean scores of breastfeeding perception, self-efficacy, safety measures practices, breastfeeding technique, and attitude with statistically significant differences pre, post applying electronic-based instruction guide (t-test =34.887, 17.388, 42.52, 4.172 and 17.886 respectively at P- value= <0.001). The results also revealed a positive correlation between mother’s self-efficacy with their attitude post applying electronic-based instruction guide (r = 0.642 at P- value= <0. 01). <strong>Conclusion</strong>: the electronic-based instruction guide had a significant positive change in mothers’ breastfeeding perception, self-efficacy, safety measures practices, breastfeeding technique, and attitude regarding safe breastfeeding of their preterm infants during Covid-19 pandemic. <strong>Recommendation</strong>: Adopting electronic-based instruction as a method for supporting breastfeeding mothers of preterm infants during Covid-19.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Pregnant Women’s Knowledge, Practice and Attitude toward COVID-19: Instructional Organized Sessions via Mobil-Based Application1998201231844110.21608/ejhc.2021.318441ENRedaMohamed-Nabil AboushadyAssistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Cairo University, EgyptMervatGaber ZaghloulAssistant professor of Obstetrics and Gynecology Nursing, Faculty of Nursing, Port-Said UniversityLamiaMohamed-Nabil IsmailAssociated Professor of Nursing Education, Faculty of Nursing, Cairo University, EgyptWalaaMahmoud Abdel-RahmanLecture of Maternal and Newborn Health Nursing, Faculty of Nursing, Cairo University, EgyptJournal Article20230923The coronavirus COVID-19 pandemic is the global health crisis of our time and the greatest challenge we have faced since World War II. Pregnant women are considered to be a high-risk group for severe acute respiratory syndrome coronavirus infection, and the potential adverse effects of the virus on maternal and perinatal outcomes are of concern. One of best ways to avoid these potential adverse effects is to provide the women with knowledge to improve awareness. Mobile application is the brightest hope to provide accurate practical knowledge by nurses who have a key role in the management of pregnant women during pandemic crisis. <strong>A</strong><strong>im</strong><strong>: </strong>evaluate the effect of the instructional organized sessions via a mobile-based application on pregnant women's knowledge, practice, and attitude toward COVID-19. <strong>Research design:</strong> A quasi-experimental study design was utilized. <strong>Setting:</strong> antenatal outpatient’s clinics, obstetrics, and gynecological hospital, at El-Manial Maternity Hospital – El Kaser Aliniy, Cairo University, Egypt.<strong> Methods: </strong>A convenience sample of 200 pregnant women regardless the gestational age was recruited for the study. <strong>Tools</strong>: Data collection tools included five tools: Maternal Structured Interview questionnaire; Knowledge, practices, and attitude assessment questionnaires about COVID-19 and pregnant women’s satisfaction regarding instructional method. <strong>Results: </strong>The result of the study revealed that there were statistically differences in the total mean score of knowledge, practice and attitude after receiving instructional organized sessions via Mobile-based application compared to before intervention. <strong>Conclusion:</strong> The findings of the study support the research hypotheses that pregnant women who received instructional organized sessions via Mobile-based application showed a positive effect on level of knowledge, practice and attitude as compared to before intervention. <strong>Recommendations: </strong>Government agencies in the healthcare sector should reinforce more effective primary preventive measures and policies by developing mobile-based applications to provide quality and safety information that can help in flattening the curve of this pandemic.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Effect of Media Use on Aggressive Behavior and Family Relation among School Age Children2013202532117010.21608/ejhc.2021.321170ENOmniaMohammed Abd ElmonemLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing-Cairo UniversityNadiaKasem AlaswadLecturer of Pediatric Nursing, Faculty of Nursing-Cairo UniversitySamahOsman AliLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing-Cairo UniversityJournal Article20231012Children today live in a media-rich society. Media is useful in education, science, arts, sports, and culture. Kids and teens spend a lot of time watching TV, films, videogames, and online. Media violence threatens public health and increases real-world violence and aggression. Family closeness declines significantly on a personal level. <strong>Aim, </strong>this study aimed to identify the effect of media use on aggressive behavior and family relation among school age children ,<strong> Design</strong> A descriptive correlational design was utilized in this study <strong>, Sample,</strong> A convenient sample of 100 caregivers who have a child 7 years and older<strong>. Setting,</strong> the study was conducted at Cairo University Specialized Pediatric Hospitals CUSPH outpatient clinics<strong>. Tools of data collection,</strong> data was collected through using (4) tools Socio-demographic data sheet, Aggressive behavior scale adopted from Parry Buss (1992), The media viewing questionnaire that was designed by (Yonus, 2016), Social media impact on family relationship scale. <strong>Results</strong> showed that 45% and 46% of the studied children their ages ranged between 6- 10 and 11-15 years old respectively. The verbal aggressive behavior is the most prevalent type of aggression among studied children where the mean was 18.61±5.22. 80% of studied children moderately accepted use of media. More over 63% of them has average degree of social media impact on family relationship <strong>Conclusion;</strong> the majority of children under investigation exhibited a moderate level of acceptance towards media usage. Also the verbal aggressive behavior is the most prevalent type of aggression among studied children. Furthermore, there were statistical significant relationships between media viewing, aggressive behavior, social media impact on family relationship in studied children. <strong>Recommendation; </strong>Collaborate with healthcare specialists, including pediatricians, psychologists, psychiatric and pediatric nurses and other relevant practitioners, in order to effectively address concerns connected to media and its impact.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Perceiving Psychological Empowerment and Its Relationship to Clinical Competence and Professional Values among Nursing Intern Students2026205032882610.21608/ejhc.2021.328826ENGehanMohamed Abd El-Hamed DiabNursing Administration, Faculty of Nursing, Menoufia University, and Benha University.RehabMohamed Rashad EbrahimNursing Administration, Faculty of Nursing, Menoufia University, and Benha University.Journal Article20231205<strong>Background</strong>: Nursing is a profession requiring prolonged training and a formal qualification. Therefore, nurse interns are expected to display competent and skillful behaviors in alignment with their profession. <strong>Aim</strong>: This study aimed to investigate the relationships between psychological empowerment, clinical competence and professional value among nursing intern students. <strong>Research design: </strong>A cross-sectional descriptive design was utilized. <strong>Subjects: </strong>a sample of 289 nursing intern students affiliated with the government and private Hospitals during the academic year 2019/2020. Data were collected from June to Augustus. <strong>Tools: </strong>Self- administered questionnaire which consisted of four tools: Personal and job characteristics of the participants, psychological empowerment scale, clinical competence scale and professional value scale. <strong>Results: </strong>Two-third of nursing intern students perceived psychological empowerment as a good level in both training hospitals and the total mean score of the psychological empowerment variable was 42.69±3.045 The highest mean scores for the "Meaning" dimension and "Impact" dimension was the lowest mean score of all psychological empowerment dimensions. More than half of the nursing intern students had a high level of total clinical competency in both training hospitals. The highest mean score of clinical competence was related to work role while the lowest mean score was related to ensuring quality subscale. The highest percent of the studied nursing intern students had a good perception level toward total professional values in the Governmental hospital and Private hospitals and the total mean score was (89.98±8.567), (94.31±6.939) respectively. <strong>Conclusions</strong>: There was a statistically significant positive correlation between the total psychological empowerment score, clinical competence, and professional values scores among nursing intern students. <strong>Recommendations: </strong>It is recommended to nursing colleges should provide a good relationship between faculty and training hospital staff and preparation of nursing intern students through a well-organized program, especially the part of the clinical experience. And continuous supervision and appraisal interviews should be conducted with nursing intern students through daily, weekly discussions and at the end of clinical experience by her immediate supervisor to discuss her performance to learn more, develop her knowledge and skills.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612220210601Assessment and Management of Biopsychosocial and Educational Needs: Developing and Implementing Educational Guidelines for patients with Multiple Sclerosis2051207232889010.21608/ejhc.2021.328890ENMonaNdar EbraheimAssistant professor and in medical surgical nursing department, faculty of nursing, Ain Shams UniversityZainabMohammed IbrahimLecturer in psychiatric nursing, faculty of nursing, Modern UniversityJournal Article20231205<strong>Background : </strong>Multiple Sclerosis (MS) is a chronic illness that causes physical, cognitive, and psychosocial problems. Patients should be educated in conjunction with biopsychosocial evaluation and management. <strong>The objective of this work</strong> was to assess the effect of implementing educational guidelines on meeting biopsychosocial and educational needs of patients with multiple sclerosis. <strong>Research design:</strong> A quasi-experimental design (pre-post and study-control group) study was utilized to meet the objective of this study and investigate study hypothesis. <strong>Setting:</strong> At MS outpatient clinic affiliated to Ain Shams University Hospital, Cairo, Egypt. <strong>Subjects:</strong> For this investigation, a sample of eighty adult patients was selected from the previously described settings, and 40 patients were randomly allocated to each of the two equal groups (the study and the control). <strong>Results:</strong> There was a significant increase of total satisfactory level of knowledge at post-implementation phases among study group at p≤ 0.001 as compared to control group participants. There was a highly significant reduction of overall physical symptom alteration among study category as compared to control one patients post implementation at p <0.001. Significant improvement of the level of dependency among study group as compared to control group after educational implementation at p =0.005. Also, there were significant reductions among study group subjects in comparison to controls regarding total mean scores of depressive, anxiety, and stress symptoms at post implementation (p= 0.009, 0.024 & 0.027 respectively). Moreover, the findings revealed significant reduction regarding total mean scores of social alterations among study group as compared to controls at post implementation phase at p=0.039. <strong>Conclusion:</strong> the educational guidelines were effective in improving knowledge, self-care practices, physical alterations, level of dependence, psychosocial alterations among study group in comparison to controls after its implementation.<strong> Recommendation.</strong> dissemination of study Arabic booklet suggested to developed and available for all cases with MS.