Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Assessment of Nurses' Performance Regarding Care Of Children Suffering from Burn injuries11418344910.21608/ejhc.2021.183449ENSaharM. AbdelrahmanMaster degree- Teacher in Technical health institute at Embaba Faculty of Nursing - Ain Shams UniversitySafaaSalah IsmaelProfessor of Pediatric Nursing, Dean of Faculty of Nursing - Helwan UniversityHyamRefaat TantawiProfessor of Pediatric Nursing - Faculty of Nursing - Ain Shams UniversityJournal Article20210712This study aimed to assess nurses' performance regarding care of children suffering from burn injuries. <br />Subject and methods: A purposive study was conducted at burn center affiliated to Ain Shams <br />University Hospitals and Embaba Hospital .Sampling: The subjects of this study were composed of 39 <br />nurses were worked in the previously mentioned study setting. Tools: (1): Structured questionnaire sheet. <br />(2): Observational checklists.. Results: More than three quarters of the studied samples were females and <br />had diploma nurses More than one third of them 5-10 years of experience. There were statistically <br />significant relations between nurses' knowledge related to burn throughout the intervention and there <br />were statistically significant relations between nurses' practice related to care of burn throughout the <br />intervention. There was positive correlation between total knowledge of the studied sample and their total <br />practice regarding care of burn throughout the intervention. Conclusion: The study concluded that, more <br />than three quarters of the studied samples were females and had diploma .More than one third of them 5- <br />10 years of experience. There were statistically significant relations between nurses' knowledge related to <br />burn throughout the intervention and there were statistically significant relations between nurses' practice <br />related to care of burn throughout the intervention. There was positive correlation between total <br />knowledge of the studied sample and their total practice regarding care of burn throughout the <br />intervention. Recommendations: The study sample recommended that, there is need for improving the <br />knowledge and practice of nurses' about burn injuries through: developing continuous educational <br />programs including evidence based guidelines based on needs' assessment for nurses to improve their <br />performance and quality of care regarding caring of children suffering from burn injuries, developing & <br />availability of a simplified and comprehensive educational, guidelines and booklet about nursing <br />management for nurses in burn centerAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Assessment of Nurses Performance Regarding Penicillin Administration for Pediatric Patients152618345110.21608/ejhc.2021.183451ENAsmaaNasr El Din MosbehProfessor of Pediatric Nursing, Faculty of Nursing, Ain Shams UniversityHyamRefaat TantawiProfessor of Pediatric Nursing, Vice Dean for Community Service and Environmental Development, Faculty of Nursing, Ain Shams UniversityNashwaSaid Mohamed AliB.Sc., Nursing, (2009), Clinical Instructor at El-Doaa Nursing InstituteJournal Article20210712Background: Pediatric nursing staff have an important role in administrating of penicillin and <br />understanding the effect of penicillin allergy for pediatric patients. Aim of the study: This study <br />aimed to assess the nurses' performance regarding penicillin administration for pediatric patients. <br />Research Design: A descriptive design was used to this study. Setting: the study was conducted at <br />General Outpatient clinics of Children's Hospital Affiliated to Ain Shams University Hospitals and <br />Caridac Clinic. Subjects: A convenience sample was composed of 50 nurses working at the <br />previously mentioned settings regardless their experience, age, gender, and qualification. Tools of <br />data collection: (1) An interview questionnaire sheet to assess nurse knowledge about penicillin <br />administration (2) Observational checklist to assess nurses practice toward penicillin administration. <br />Results: The result found that half of the studied nurses their age were ranging between 20 years to <br />less than 30 years old, with mean age 22.6±1.3, and more than half of studied nurses were females, <br />while the minority of them had unsatisfactory level of knowledge regarding penicillin <br />administration and most of them were incompetent for practices regarding penicillin administration. <br />Conclusion: The study concluded that two thirds of the studied nurses had unsatisfactory total level <br />of knowledge regarding penicillin administration, while more than half of them had incompetent <br />total score of practices regarding penicillin administration, and there were a positive relation <br />between nurses’ knowledge and their practices toward penicillin administration with statistical <br />significant difference. Recommendation: The study recommended that, periodic assessment for <br />nurses performance regarding penicillin administration. Developing educational and orientation <br />program for nurses about penicillin administration to improve their performance regarding penicillin <br />administration. Further studies should be conducted in large sample size in different pediatric places <br />to generalize information and improve nurses' knowledge and practice regarding penicillin <br />administration.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210712Emotional Regulation and Psychological Well-Being of Newcomer Nursing Students273718345310.21608/ejhc.2021.183453ENHalaAhamed ElsayesPsychiatric Mental Health Nursing, Faculty of Nursing, Tanta University, Egypt,King Abdulaziz Uninversity, JeddahShereenMohamed Abo- ElyzeedPsychiatric Mental Health Nursing, Faculty of Nursing, Tanta University, EgyptJournal Article20210712Background: Emotion regulation is a term used to describe a person's capability to efficiently manage and <br />respond to an emotional experience especially during time of stress. The analysis of how newcomer nursing <br />students regulate their emotions and its' impact on their psychological wellbeing is a crucial important. Aim: <br />assessed difficulties of emotional regulation and psychological well-being of newcomer nursing students, and <br />discovered the relation between them. Setting: Faculty of Nursing, Tanta University in Tanta city, Egypt. <br />Subject: 387 Newcomer nursing students at the first year academically of Faculty of Nursing. Research design: <br />the present study has followed descriptive correlation design. Tools: two tools were used for data collection; tool <br />one was Difficulties in Emotion Regulation Scale. Tool two was Ruff Psychological well- being Scale, in <br />addition to socio-demographic data. Result: the current study showed that the newcomer nursing students had <br />moderate levels of difficulties in emotional regulations and psychological well- being. There was a statically <br />negative correlation between psychological well- being and difficulties of emotions regulation. Conclusion: <br />more difficulties in regulating emotions leads to more decrease in students' psychological well - being. <br />Recommendation: Educational training program should be prepare for learning and training new nursing <br />students strategies to improve their emotional regulations, and well- being.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210713Association between sleep disturbance and physiological parameters of critically ill patients384718380210.21608/ejhc.2021.183802ENAsmaaAtiaa TolbaLecturer of Critical Care and Emergency Nursing - Faculty of Nursing-Assiut University , EgyptMogeddaMohamed MehanyAssistant professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, EgyptMonaAly MohammedAssistant professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, EgyptJournal Article20210713Background Adequate sleep quality is required for maintaining the mental and physical health for <br />patients in critical care units (CCUs). Aim: This study aimed to evaluate the association between <br />sleep disturbance and physiological parameters in critically ill patients. Study design and Methods: <br />A descriptive exploratory study was conducted on purposive sample of 100 critically ill patients in a <br />mixed critical care unit at Assiut University Main Hospital, Egypt. The sleep quality and quantity of <br />each previous night were assessed by using ST Mary’s Hospital Sleep questionnaires which was <br />completed every day in the morning between 7 AM and 9 AM for four consecutive days (the 1st day <br />of admission to CCU concerning the first night of sleep in the CCU and 3 consecutive days). Pulse, <br />respiration, and mean arterial blood pressure were evaluated every two hours daily for four days. <br />Results: The majority of the study sample (98%) complaining from moderated sleep disturbance, <br />which is positively correlated with physiological parameters (heart rate, mean arterial blood <br />pressure and respiration). Conclusion: Poor sleep quality causes significant changes in heart rate, <br />mean arterial blood pressure and respiration among patients in CCUs. Recommendations: These <br />findings suggest the need to educate nurses in critical care units on how to assess sleep and to take <br />measures to maintain adequate sleep and then added these to routine care of patients in CCUsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of health promotion instructions regarding iron deficiency anemia on young pregnant women's knowledge and practice :)A pre and post study)486318380310.21608/ejhc.2021.183803ENNaeimaMohamed Elsayed AhmedAssistant professor of obstetrics and gynecological nursing, faculty of nursing Zagazig universityAzaaMohamed ElsayedLecturer of obstetrics and gynecological nursing, faculty of nursing sohag universityHowidaRagabLecturer of obstetrics and gynecological nursing, faculty of nursing Zagazig universityNabilaSalem MohamedAssistant professor of obstetrics and gynecological nursing, faculty of nursing Zagazig universityJournal Article20210713Background: Iron deficiency anemia in pregnancy is a major health problem and one of the leading <br />causes responsible for maternal and perinatal morbidity and mortality. The aim of the present study <br />was to investigate effect of health promotion instructions regarding iron deficiency anemia on <br />young pregnant women's knowledge and practice. Design: Aquasi-experimental design was utilized <br />to fulfill the aim of the study. Sample: A purposive sample composed of 100 young pregnant <br />women. Setting: The present study was conducted at two Maternal and Child Health Centers (Al <br />Nahal Medical Center and Sheba MCH) affiliated with the Zagazig City Ministry of Health and <br />Population. Tools of data collections: Data were collected by using five tools. Tool I: through an <br />interviewing questionnaire form, Tool II: Pregnant women assessment sheet, Tool III: Assessment <br />of women knowledge, Tool IV: Observation checklist and Tool VI Follow up record. Results: after <br />implantation of health promotion instructions the mean hemoglobin level was increase among the <br />study subjects in second and third trimester compared that in first trimester also there is a regress of <br />signs and symptom of anemia in second and third trimester. As well as marked improvement of <br />women total knowledge and practices towards IDA from 55% in pre to 83% in post and 80% in <br />follow up of health promotion instructions. Conclusions: The present study concluded that the <br />implementation of health promotion instructions improve young pregnant women’s dietary <br />knowledge and practice thus it proved to be successful in raising the hemoglobin level. <br />Recommendations: A nutrition education is recommended to enhance the nutritional knowledge of <br />young mothers about iron rich foods, enhancer and inhibitors of iron absorption. Also should be <br />provided with instructional booklets about anemia based on scientific background to improve their <br />knowledge Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Instructional Guidelines on Mothers' Knowledge and Practice regarding Neonatal Care6473185979ENShadiaAbd Elmoniem SyanPediatric Nursing Department, Faculty of Nursing, Sohag UniversityVivianMagdi SamuelNursing Education Department, Faculty of Nursing, Alexandria University, Egypt. Nursing Department, College of
Applied Medical Sciences, King Faisal University, Alhas, Saudi ArabiaMariaBlesilda B. LlagunoxNursing Department, College of Applied Medical Sciences, King Faisal University, Alhasa Saudi ArabiaSaraSayed AbdallaChild and Adolescents health nursing, British University in EgyptJournal Article20210727Background: The newborn’s mother is the key person who takes care and fulfills the needs of the<br />newborn either physiological or psychological. Therefore, it is essential to apply instructional<br />programs that appreciate mothers to have the correct knowledge, home care practice, and attitude to<br />raise their healthy children. Aim: To evaluate the effect of instructional guidelines on mothers'<br />knowledge and practice regarding neonatal care. Subjects and Methods: Design: A quasi<br />experimental research design was used. Setting: The study was conducted in maternal and child<br />health centers at Sohag City (Dar E Salam Abdallah health center). Sample: Α Purposive sample of<br />150 neonates and their mothers. Tool for data collection: A structured interview questionnaire,<br />which included three parts; (I) demographic characteristics; (II) mothers’ knowledge and (III) the<br />reported practice (pre/post) regarding breast feeding, thermal control, skin care, and cord care.<br />Results: The main source of information for mothers was their family. Ther was an improvement of<br />mothers’ knowledge regarding all aspects of care of their neonates before and after implementation<br />of instructional guidelines. there was a statistically significant difference in mothers’ reported care<br />practices of their neonates before and after implementation of the instructional guidelines regarding<br />breastfeeding, kept warm practice, skin care practice, and cord care practices. Conclusion:<br />Instructional guidelines had а positive effect on mothers' knowledge and reported practice regarding<br />neonatal care. Recommendations: Instructional guidelines regarding neonatal care should be<br />educated to mothers during antenatal periodAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Social Empowerment Training and Responsibilities Nursing Intervention on Children with Attention Deficit Hyperactivity Disorder748518598010.21608/ejhc.2021.185980ENAmiraAdel MohammedPediatric Nursing Department, Faculty of Nursing, South Valley University, EgyptDoniaElsaid Fathi ZaghamirPediatric Nursing Department, Faculty of Nursing, PortSaid University, Egypt and Department of pediatric Health
Nursing, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia.MohammedSaad Abo ElsoudCommunity and Family Health Nursing Department, Faculty of Nursing, Suez Canal UniversityManal MohamedAhmed AyedSohag university, faculty of nursing,egypt0000-0003-0922-5823Journal Article20210727Background: Attention deficit hyperactivity disorder (ADHD) is considered common childhood<br />neurodevelopmental disorder that has been increased in number among children in the last several<br />years, it causes psychosocial functioning difficulties and leading to feelings of inferiority. Aim: To<br />evaluate the effect of social empowerment training and responsibilities (STAR) nursing intervention<br />on children with attention deficit hyperactivity disorder. Subjects and method: Design: A quasi<br />experimental research design was used. Setting: The study was conducted at two primary schools in<br />Sohag City. Subjects: A purposive cluster random sample of 50 children with ADHD who were<br />selected and equally divided into study & control groups, (25) children in each one, were recruited<br />using multi-stage random sample technique. Tools were used to collect data included: (I) a child's<br />demographic datasheet, (II): Think about It! Quiz. Results: the study revealed as athletic<br />competence that more than three-quarters of the study group and in the control group did not do<br />very well at all kinds of sports, regarding conduct/morality majority of them in the groups were did<br />not behave very well most of the time. As regards peer acceptance, majority of children were not<br />having a lot of children. Concerning physical appearance, majority of children in the study and<br />control group children respectively with their physical appearance is different. In addition, more<br />than half of the study and control group children do very well in their classwork concerning<br />scholastic competence. There was an improvement in self-concept post-social empowerment<br />training and responsibilities program implementation. Conclusion: The results of the current study<br />concluded that social empowerment training and responsibilities programs affect children with<br />ADHD positively and improve their self-concept. Recommendations: Future researches are<br />required to develop and refine interventions through applying social empowerment training and<br />responsibilities nursing intervention for children with ADHD to improve their self-conceptAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of an Educational Program through a Lecture versus Multimedia Methods on PediatricNurses’ Knowledge and Attitude regardingAcutePain Manageme8610118598510.21608/ejhc.2021.185985ENAminaMohamed ThabetAssistant professors of Pediatric Nursing, Faculty of Nursing, Sohag University, EgyptDoaaBahig AnwrLecturer of Pediatric Nursing, Faculty of Nursing, Aswan University, EgyptZahraAhmed SayedLecturer of Critical Care Nursing Faculty of Nursing, Aswan University, EgyptManalMohamed Ahmed AyedAssistant professors of Pediatric Nursing, Faculty of Nursing, Sohag University, Egypt0000-0003-0922-5823Journal Article20210727Background: Lack of proper understanding of important pediatric acute pain management concepts<br />can lead to under-treatment of pediatric pain and ultimately impact the quality of child care. Today's<br />multimedia training methods are considered important and necessary for continuous and lifelong<br />education. Aim: to evaluate the effect of an educational program through a lecture versus<br />multimedia methods on pediatric nurses’ knowledge and attitude regarding acute pain management.<br />Subjects and Methods: Design: A quasi-experimental design is used in this study. Setting: The<br />study was conducted in pediatric wards in Sohag, Egypt. Sample: A convenient sample included 45<br />pediatric nurses are randomly divided into two groups. The tool used for data collection consists<br />of two parts: Part I deals with the demographic characteristics of nurses as designed by the<br />researchers. Part II is based on the pediatric nurses’ knowledge and attitudes survey (PNKAS) on<br />pain; it was designed by Manworren (2001). Results:The study showedthat the multimedia group < /div><br />showed an improvement in their knowledge compared to the lecture group, the majority of them<br />after program implementation was satisfactory level regarding the knowledge and attitude on pain<br />management with highly significant differences ((p <0.001). The pediatric nurses’ total knowledge<br />means scores showed improvement in the multimedia group compared to the lecture group < /div><br />immediately, one week, and one month after program implementation. A significant improvement is<br />observed in pediatric nurses' knowledge retention one month after educational program<br />implementation. Conclusion: Both lecture and multimedia methods of education improved the level<br />of knowledge and attitude of pediatric nurses in pediatric acute pain management by the PNKAS<br />scale. However, the nurses’ level of knowledge and attitude in the multimedia group was higher<br />than that in the lecture group. Recommendations: Future multimedia studies should examine the<br />pediatric nurses’ improvement in their knowledge, attitudes and practices as well as retention of<br />knowledge over an extended period.<br /> Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Educational Nursing Program for Improving Nonmedical Students' Awareness toward Endometriosis at Zagazig University10211518704010.21608/ejhc.2021.187040ENEmanAhmed Gouda AhmedLecturers of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Zagzaig UniversityNohaElsayed Mahmoud RadwanLecturers of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Zagzaig UniversityJournal Article20210802Background: Endometriosis is a gynecological disorder identified by the presence of ectopic <br />endometrial tissue outside the uterus. Largely, it affects reproductive-aged women and it is a major <br />cause of infertility and chronic pelvic pain. Aim of the study was to evaluate the impact of <br />educational nursing program on improving nonmedical students' awareness toward endometriosis at <br />Zagazig University. Research design: A quasi- experimental design with pre/posttest and follow up <br />was used in the current research. Setting: The study was conducted in two nonmedical faculties at <br />Zagazig University. Subjects: 200 university non-medical female students were included in the <br />study from the previously mentioned settings. Tools of data collection: Two tools were applied in <br />the current study; Tool I: a structured interview questionnaire. Tool II: assessment of nonmedical <br />students' awareness about Endometriosis (Pre/Post and follow up test). Results: A statistically <br />significant improvements was observed in total level of awareness mean score after program <br />implantation compared to its level before intervention, where it was 18.095±5.36 for the studied <br />students in pretest which improved to 89.51±30.07and 74.77±35.88 at posttest and after one month <br />of interventions respectively. Conclusion: Implementation of the educational nursing program had <br />highly statistically significant effect on improving nonmedical students' awareness toward <br />endometriosis at Zagazig University. Recommendations: Implementation of the educational <br />nursing program with a learning booklet for nonmedical university female' students in various <br />institutions should be conducted in order to increase their level of awareness related to <br />endometriosisAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of What Sapp Educational Program Reminder on Pregnant Women’s Knowledge , Attitude and Practice Regarding COVID -19 pandemic11613018820710.21608/ejhc.2021.188207ENFatmaAhmed Mohammed SabryLecturer of Obstetric and Gynecological Nursing Department, Faculty of Nursing, Sohag UniversityAmalAhmed Abdelhafez MohamedAssistant professor of Obstetric and Gynecological Nursing Department, Faculty of Nursing, Minia University.NaglaaMohammed Amein GhanemAssistant professor of Community Health Nursing Department, Faculty of Nursing, Minia University.NaglaaSaad Abd El-atyAssistant professor of Community Health Nursing Department, Faculty of Nursing, Assiut UniversityNadiaHussein AhmedAssistant professor of Obstetric and Gynecological Department, Faculty of Nursing, Assuit UniversityJournal Article20210808Background: Pregnant women is one of the most group who are at high risk for COVID-19 <br />infection. To protect them should keep them away from exposure for infection and enhance their <br />knowledge, attitude and practice about preventive measures towards COVID-19 pandemic. Aim of <br />the Study: To evaluate the effect of whatsApp educational program reminder on pregnant women’s <br />knowledge, attitude and practice regarding COVID -19 pandemic. Research Design: Quasi <br />experimental one group pre, post-test research design was conducted in this study. Setting: The <br />present study was started at the Antenatal Outpatient Clinic at Sohag University Hospital , Sohag <br />General Hospital and (MCH) Maternal and child health center (Dar Salama Abdallah) to choose <br />sample and take their telephone numbers, then complete the study and following women through <br />whatsApp. Subjects: A convenient sample from 100 pregnant women was enrolled in the study. <br />Tools: First tool: structured interview questionnaire, second tool: knowledge assessment sheet, third <br />tool: attitude assessment sheet and fourth tool: practice assessment sheet regarding COVID -19 , <br />The questionnaire was designed through Google forms regarding the COVID-19, and the link of the <br />survey was presented to the women by WhatsApp groups. Results: A statistically significant <br />improvement in pregnant women’s knowledge, attitudes and practices levels toward COVID-19 <br />after conducting whatsApp educational program reminder. Conclusion: WhatsApp educational <br />program reminder positively affects pregnant women’ levels of knowledge, attitudes and practices. <br />Recommendation: Incorporates the educational program within outpatient clinics, providing a <br />printed copy of the educational brochure in outpatient clinics for other pregnant women and their <br />relatives.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Antenatal Nursing Interventions on Knowledge, Attitudes and Coping Strategies of Pregnant Women who Detected Fetal Anomalies regarding Congenital Anomalies13114518821510.21608/ejhc.2021.188215ENHanaaKamal HelmyMaternal and Neonatal Health Nursing Department, Faculty of Nursing, Beni- Suef University, EgyptSomaIbrahim Ali IbrahimPsychiatric Nursing and Mental Health, Faculty of Nursing, PortSaid UniversityOmaimaEzzat MahmoudPsychiatric Mental Health Nursing, Faculty of Nursing, Beni- Suef UniversityAmanyArafat GodaMaternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef UniversityJournal Article20210808Background: Congenital anomalies represent a public health concern and the leading cause of <br />mortality in developed and developing countries. Approximately 50% of all congenital anomalies <br />cannot be linked to a specific cause. This study aimed to evaluate the effect of antenatal nursing <br />interventions on knowledge, attitudes, and coping strategies of pregnant women who detected fetal <br />anomalies regarding congenital anomalies. Subjects and Methods: Design: A quasi-experimental <br />design was utilized in this study. Setting: This study was conducted at the antenatal clinic at Beni<br />Suef University Hospital. Sample: A total of 75 pregnant women attending the antenatal clinic and <br />detected fetal anomalies. Four tools were used for data collection: (1) A structured interviewing <br />questionnaire, (2) Assessment of pregnant women knowledge about the congenital anomalies, (3) <br />Attitude scale this tool evaluating attitudes of pregnant women towards how detected fetal <br />congenital anomalies, and (4) Parental Coping Strategies Inventory (PCSI). Results: The mean age <br />of the participating women were 25.9±5.4 years. After the program, the participating women's <br />knowledge of congenital anomalies regarding types, risk factors, and prevention have raised <br />(p < 0.05), and the attitudes towards having a child with anomaly were improved, chances of <br />rehabilitation from 0.40±0.49 to 0.77±0.42, and leading a normal life from 0.64±0.48 to 0.89±0.31 <br />(p < 0.05). A statistically significant improvement was found between the knowledge, attitude, and <br />the Coping Strategies Inventory of the studied pregnant women as pre/ immediate post one month of <br />antenatal nursing intervention (p < 0.05). Conclusion: Implementation of antenatal nursing <br />intervention for pregnant women regarding congenital anomalies had a positive effect on improving <br />their knowledge and attitude. Recommendations: Healthcare providers should encourage mothers <br />to use coping strategies that are likely to be more effective. Further studies should focus on the <br />quality of life and the coping strategies used by women with children who have congenital <br />anomalies. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Nurse Manager's Leadership Practices and its Relation to Staff Nurses Motivation and Intention to Leave14616018964510.21608/ejhc.2021.189645ENAmalHebashy ElewaAssistant professor, Nursing Administration Department, Faculty of Nursing Cairo University,
EgyptJournal Article20210816Background: Staff nurses are the most strategic human resource in healthcare <br />organizations. Therefore, administrators struggle to enhance nurse manager's leadership <br />practices to promote employee motivation and retention. Aim: to assess nurse manager's <br />leadership practices and its relation to staff nurses motivation and intention to leave. Research <br />Design: A descriptive correlational design was utilized to achieve the aim of the present study. <br />Sample: A convenient sample (n=142) of staff nurses who agreed to participate in the study <br />were included. Setting: The study was conducted at a University hospital at Cairo Tool: three <br />questionnaires were used,1- leadership practices questionnaire 2- motivation questionnaire 3- <br />Intention to leave questionnaire Results: the majority of staff nurses' highly perceived their <br />nurse managers leadership practices, around half of them had moderate motivation level and <br />around two-thirds of them had high to moderate intention to leave level. There was a highly <br />positive statistically significant correlation between staff nurses' perception of nurse managers' <br />leadership practices, and staff nurses' motivation and intention to leave. Conclusion: the study <br />finding revealed that there was a highly positive statistically significant correlation between <br />staff nurses' perception of nurse managers' leadership practices and their motivation and <br />intention to leave. Recommendations: Administrators should develop nursing education <br />programs to prepare the new and inexperienced nurse managers' leadership practices to fit <br />different positions and they should enhance leadership practices that support the development <br />of a healthy work environment through which they will achieve a high motivation level and <br />improve staff retention welling. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Nutritional Guidance on Parents' Awareness and Nutritional Status of Children Undergoing Hemodialysis16117818964710.21608/ejhc.2021.189647ENNeanaaM. FayedAssistant professor, Pediatric Nursing, Faculty of Nursing, Menoufia UniversityHananT. ElbahnasawyProfessor, Pediatric Nursing, Faculty of Nursing, Menoufia University.LobnaA. SeliemBSC. of Nursing Sciences, Faculty of Nursing - Menoufia UniversityFatmaA. Abd ElrazekAssistant professor, Pediatric Nursing, Faculty of Nursing, Menoufia UniversityJournal Article20210816Background: Chronic kidney disease is a progressive deterioration of kidney functions <br />which associated with metabolism, fluids and electrolytes disturbances. In addition, <br />impairment of growth and development. Purpose: it was to examine the effect of nutritional <br />guidance on parents’ awareness and nutritional status of children undergoing hemodialysis. <br />A Quasi-experimental design was utilized. Setting: Pediatric Hemodialysis Unit, EL<br />Menoufia University Hospital in Shebein El-kom city. Sample: purposive sample of 30 <br />children and their parents were included in the study. Instruments for data collection:three <br />instruments were used, instrument one; A structured interview questionnaire developed by <br />the investigators to collect data regarding the study consists of 2 parts: 1st part: socio <br />demographic data of children, 2nd part: Parents' knowledge toward chronic kidney disease; <br />instrument two was anthropometric measures and 24 hours dietary recall; instrument three <br />was a structured interview questionnaire to assess parents awareness about nutritional <br />requirements of their children. The results of this study showed that, more than half of <br />children were under weight, around two thirds of children achieved normal weight on follow <br />up test. The study concluded that implementation of nutritional guidance improved parents’ <br />awareness about adequate nutrition for their children and improved nutritional status of <br />children undergoing hemodialysis on post and follow up tests than on pretest. Therefore, it <br />was recommended that regular nutritional assessment of children should be maintained <br />throughout their hemodialysis period and nurses should provide nutritional education for <br />their mothers. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Disaster Management Educational Intervention: A Key to Reduce Internship Nursing Students' COVID 19 Fear17919518965310.21608/ejhc.2021.189653ENShimaaEbrahim ElshallLecturer of Nursing Administration, Faculty of Nursing, Menoufia University, EgyptWafaaMohamed ShokryAssistant Professor of Nursing Administration, Faculty of Nursing, Menoufia University, EgyptJournal Article20210816Background: COVID-19 as a disaster is attacking the world as we are in a war that <br />produced a larger number of deaths and patients. Health care providers including internship <br />nursing students are considered our soldiers in that war, so they shouldn't be afraid when <br />facing any disaster. Purpose: This study aimed to evaluate the effectiveness of disaster <br />management educational intervention on internship nursing students’ COVID - 19 Fear. <br />Methods: Quasi-Experimental pre-test and post-test designs were conducted using one <br />group. A convenience sample (N = 110) of internship nursing students who trained at <br />Menoufia University hospitals and Shebin Elkom teaching hospital. Three instruments were <br />applied, which were a Self-administered questionnaire to assess nursing intern students’ <br />knowledge, Self-reported questionnaire to assess intern students’ practices regarding disaster <br />management, and COVID-19 Fear scale to assess internship nursing students’ fear. Results: <br />This study revealed that internship nursing students’ COVID-19 fear at the post- and follow<br />up intervention was reduced. Also, there was a highly significant difference in the internship <br />nursing students' COVID-19 fear level between pre- and post-intervention and between pre<br />intervention and follow-up intervention at p≤ 0.001. Conclusions: The effectiveness of <br />disaster management educational intervention had been achieved in reducing internship <br />nursing students’ COVID-19 fear. So, intern students should be trained and equipped to deal <br />with disaster management. Recommendation: The undergraduate and postgraduate nursing <br />curriculum should include the discipline of disaster management and continuous, and <br />recurrent disaster management training programs are conducted during undergraduate or <br />graduate education to reduce COVID-19 fear.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Relationship between Reality Shock and Career Resilience among Nursing Intern’s Students21422518965610.21608/ejhc.2021.189656ENAmiraAbd Elmenem IbrahimNursing Administration, Faculty of Nursing, Mansoura University, Egypt.WafaaFathi SleemNursing Administration, Faculty of Nursing, Mansoura University, Egypt.Journal Article20210816<strong>Background:</strong> The internship year is a highly stressful period for nursing students because they face many challenges in clinical settings as the gap between theoretical and practical knowledge, have to deal with sophisticated and specialized patients, lack of support from health care providers. All of these factors leading to reality shock experience for them. <strong>Aim:</strong> The study aimed to investigate the relationship between reality shock and career resilience among nursing interns students. <strong>Design:</strong><strong> </strong>Descriptive correlational research design was designed. <strong>Subjects and methods</strong>: <strong>Study sample:</strong> convenient sample composed of 206 nursing intern's students <strong>setting:</strong> Mansoura university hospital during the academic year 2020-2021. <strong>Tool: </strong>The tools used to collect data for this study were self-administered questionnaire which divided into two tools. <strong>Tool (1):</strong> consisted of two parts: part one: personal and job characteristics for the participants. Part two: reality shock questionnaire. <strong>Tool (2):</strong> career resilience questionnaire. <strong>Results:</strong> two thirds of nursing interns students perceived career resilience as moderate and the total mean score was 111.37±13.87. The highest percent of the studied nursing interns students had a moderate level toward reality shock with total mean score 41.66±6.18.<strong>Conclusion:</strong> There was statistical positive correlation between reality shock and career resilience. As well, there is significant correlation between reality shock and four domains of career resilience (belief in oneself, own success ethic ,self-reliance ,receptivity to change).<strong>Recommendations:</strong> It is recommended that nursing managers should maintain close supervision that provides nursing intern's students for at least 3 months , Nursing faculty should conduct periodic evaluation and feedback of the content and length of training, Providing undergraduate student with the information and realistic situations to avoid reality shock.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Training Strategies: Effect on the Nurse Interns' Medication Administration Safety22623918965710.21608/ejhc.2021.189657ENAsmaaSaber AhmedDepartment of Nursing Administration– Faculty of Nursing, Ain Shams University – EgyptHarisaElshimyDepartment of Nursing Administration– Faculty of Nursing, Ain Shams University – EgyptSamahFaisal FakhryDepartment of Nursing Administration– Faculty of Nursing, Ain Shams University – EgyptJournal Article20210816<strong>Background:</strong> Medication administration is an important part of delivering quality nursing care. The nurse intern should follow the specific guidelines to enhance their medication administration safety.<strong> Aim:</strong> The study aims to assess the effect of training strategies on the nurse intern's medication administration safety. The research hypothesis was that the implementation of the training strategies affect on the nurse intern's medication administration safety. <strong>Subjects and methods</strong>: The study was conducted at Ain Shams University Hospitals using a pre-experimental one group pretest, posttest design on 90 nurse intern. Three tools were used in data collection, namely medication administration knowledge questionnaire, an observational checklist for safety performance, and an attitude rating scale.<strong> Results</strong>: The results revealed that none of the interns had satisfactory knowledge in pretest; this significantly improved after implementation of guidelines (52.2%) also in follow up phase (58.9%). The pre-intervention adequate practice was 28.9%; it significantly improved to 100.0% at the post phase, and slightly declined to 97.0% at the follow-up phase. For attitude, it was positive among 75.6% of interns at the pre phase, and significantly increased to 96.0% at post phase, and to 100.0% at follow up phase. In multivariate analysis, the guidelines were the main independent positive predictor of nurse interns’ knowledge, attitude, and practice scores. <strong>Conclusion:</strong> The implementation of the training strategies led to significant improvements in nurse interns’ knowledge, practice and attitude, which leads to accepting the predetermined study hypothesis. <strong>Recommendations:</strong> The developed guidelines should be implemented in nursing internship orientation programs. These programs should give more emphasis to medication administration knowledge and practice with more focus on identified gaps and deficiencies. Further research is proposed to investigate the effects of different training styles, and the distractions and barriers that may increase nurse intern’s risk of committing medication administration errors.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Home Safety Precautions the Week after Administration of Chemotherapy for Children24025919006110.21608/ejhc.2021.190061ENAwatifElsharkawyAssistant Professor of Pediatric Nursing-Faculty of Nursing, University of Alexandria- Egypt.MarwaAbouheibaLecturer in Pediatric Nursing- Faculty of Nursing, University of Alexandria- EgyptJournal Article20210818Background :Cancer is a leading cause of death among children and adolescents <br />around the world. Approximately 300,000 child aged 0 to 19 years old are diagnosed with <br />cancer each year. The main mode of treatment for pediatric cancer is Antineoplastic <br />chemotherapy. The pediatric oncology nurse has a realistic opportunity to assess the home <br />safety precautions that are followed by children’s caregivers during the first few days after <br />administration of chemotherapy. Objective: Identify the home safety precautions to be <br />followed by the caregivers during the week after administration of chemotherapy for children. <br />Design: A descriptive research design was employed to accomplish this study. Method A <br />convenient sample of 200 caregivers attending the hematology/oncology outpatient clinic at <br />University Specialty Hospital with their children for scheduled follow up was included. Two <br />tools were used to collect data. They include sociodemographic clinical characteristics of <br />children and their caregivers' structured interview schedule in addition to and assessment <br />checklist of home safety precautions followed by the caregivers during the week after <br />administration of chemotherapy to their children. Data was collected over a period of five <br />months starting from the beginning of August to the end of December 2019. Results: <br />Seventy-nine and half percent of caregivers did not use the Personal Protective Equipment <br />(PPE). In addition to, 93.5% of them poorly handled the spills and splashes of body fluids. <br />As well, 97.5% did not safely handle trash and laundry. Conclusion Caregivers had poor <br />total practice score related to the home safety precautions that are followed by them during <br />the week after administration of chemotherapy to their children.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Nurses’ Performance Regarding Care of Patients with Hypovolemic Shock: Suggested Guideline26027319006410.21608/ejhc.2021.190064ENAmiraAhmed AbdelmotyB.Sc. Nursing- Faculty of Nursing – Ain Shams UniversityManalHussein NasrProfessor of Medical Surgical Nursing- Faculty of Nursing – Ain Shams UniversityZeinabHussein BakrLecturer of Medical Surgical Nursing - Faculty of Nursing – Ain Shams UniversityJournal Article20210818Background: Hypovolemic shock is a clinical syndrome of inadequate tissue perfusion; it <br />results in a decreased supply of oxygen and nutrients to cells leading to widespread cellular necrosis, <br />multiple organ dysfunction and failure then death. The importance of educational guidelines for <br />nurses are descriptions of what nurses are expected to know and be able to do at specific stage of <br />their work on patients with hypovolemic shock Aim This study aimed to assess nurse’s performance <br />regarding care of patients with hypovolemic shock Design A descriptive explorative design was <br />utilized for the conduction of this study. Setting The study was carried out at medical and surgical <br />emergency room at new emergency hospital affiliated to Ain Shams University. Study subjects A <br />convenience sample of all available nurses working at the previous mentioned setting Tools I – <br />nurses’ self – administrated questionnaire form which composed of nurse’s demographic <br />characteristics and nurses’ knowledge questionnaire, II nurses' practice observational checklist. <br />Results revealed that 53.33% of the studied nurse's had inadequate total level of knowledge about <br />caring of patients with hypovolemic shock, while 56.7%had inadequate level of practice regarding <br />caring of patients with hypovolemic shock. Conclusion there were statistically significant relation <br />between the studied nurses’ level of knowledge and their practice regarding caring of patients with <br />hypovolemic shock. Recommendations Further research are recommended to evaluate the effect of <br />educational guideline on nurse's performance regarding caring of patients with hypovolemic shockAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Assessment of Psychological Well-Being and Coping Strategies among Family Caregivers of Children with Down syndrome27428819006610.21608/ejhc.2021.190066ENAmgadSaid MohammedAss. Lecturer of Psychiatric/Mental Health Nursing - Faculty of Nursing Ain Shams University.SaharMahmoud MohamedProfessor of Psychiatric/Mental Health Nursing- Faculty of Nursing Ain Shams University.RaniaAbdel-Hamid ZakiAssistant Professor of Psychiatric/Mental Health Nursing - Faculty of Nursing Ain Shams University.Journal Article20210818Background: Family caregivers of children with Down Syndrome are frequently unstable and <br />forego their psychological well-being, suffer additional economic difficulties, ill health and cope <br />ineffectively than families without disabilities. Aim: This study aimed to assess psychological well- <br />being and coping strategies among family caregivers of children with Down Syndrome. Design: A <br />descriptive research design was utilized in this study. Setting: This study was carried out in the Genes <br />Clinics of Down Syndrome in the specialized clinics of the university pediatric hospital affiliated to <br />Ain Shams University Hospitals. Subjects: A sample of 60 family caregivers of children with Down <br />Syndrome. The study tools were: 1) Interviewing Questionnaire, 2) Brief-COPE inventory (Carver, <br />1997) and 3) Ryff’s Psychological well-being scale (1989). The results: The study showed that family <br />caregivers of children with Down Syndrome depended mainly on emotion-focused coping strategies in <br />managing burden of child caregiving and the most frequent used emotion focused coping strategies <br />were religion, acceptance and venting while the most frequent used problem-focused coping strategy <br />was use of instrumental support. Concerning to psychological well-being, more than half of family <br />caregivers of children with Down Syndrome had psychological well-being less than usual. <br />Conclusions: There was a negative statistically significant correlation between psychological well- <br />being and all types of emotion-focused coping strategies except for humor, acceptance and religion. <br />Meanwhile, there was a positive statistically significant correlation between level of psychological <br />well-being and all subscales of problem-focused coping strategies. Recommendations: Future research <br />to assess challenges encountered by siblings of Down Syndrome children and to apply supportive <br />intervention that promotes positive relationships and attitudes as well as Establishment of counseling <br />clinics for parents and siblings to improve their psychological well-being and coping strategies.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Self-Care Guidelines on Chemotherapy Associated Symptoms for patients with lung Cancer28930619013310.21608/ejhc.2021.190133ENAsmaaMohamed ElsayedProfessor of Medical Surgical Nursing - Faculty of Nursing Ain Shams University– Egypt.OlaAhmed Abd –ElatayProfessor of Medical Surgical Nursing - Faculty of Nursing Ain Shams University– Egypt.AsmaaHamdi MohamedProfessor of Medical Surgical Nursing - Faculty of Nursing Ain Shams University– Egypt.FatmaMostafa MahrousAssistant Professor of Medical Surgical Nursing - Faculty of Nursing Ain Shams University– EgyptDiaaEldean Mousa Sheriflecturer of Clinical Oncology and Nuclear Medicine - Faculty of Medicine Ain Shams University– Egypt.Journal Article20210818Background; Lung cancer is common cancers worldwide. In view of the high- <br />symptoms burden and sever morbidity, Effective symptoms management requires <br />comprehensive self –care strategies Aim: of this study was to evaluate the effect of self-care <br />guidelines on Symptoms Burden for Patients with lung Cancer Undergoing Chemotherapy. <br />Methods: This study was conducted at the outpatient clinics in Radiation Oncology and <br />Nuclear Medicine Center, affiliated to Ain Shams University. Sample: A purposive sample <br />of (50) Adult patients were recruited for this study Tools: 1- An interview questionnaire to <br />assess, a- Patient's socio demographic characteristics, b- Patient's medical health profile, c- <br />patients knowledge about lung cancer. 2- symptoms burden assessment and 3- patients' self- <br />care practices assessment. Results: the present study revealed that more than one third of the <br />patients in the study and control groups had satisfactory level of knowledge pre <br />implementation of self-care guidelines which improved to the majority of the study group <br />post implementation. There were statistically significant negative correlations between <br />patients' total symptom severity and practices in the study group pre and post self-care <br />guidelines implementation, there were statistically significant positive correlations between <br />patients' total practices and knowledge in the study group pre self-care guidelines <br />implementation while, post self –care guidelines implementation it becomes highly <br />significant positive correlation, there were highly statistically significant negative <br />correlations between patients' total symptoms severity and total knowledge in the study <br />group pre and post self-care guidelines implementation Conclusion: self-care guidelines <br />have a statistically significant positive effect on decreasing severity of lung cancer symptoms <br />While, some chemotherapy-associated symptoms were slightly improved but there were no <br />significant differences between pre and post self-care guidelines implementation. <br />Recommendations: Health education programs about disease and its management should be <br />provided for lung cancer patients.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Discharge Plan on Satisfaction of Patients with Lumbar Disc Herniation Surgery30732219021310.21608/ejhc.2021.190213ENMabroukaAhmed Abd- EllaMedical Surgical Nursing Department, Faculty of Nursing, Ain Shams UniversityDaliaAbdallah AbdelatiefMedical Surgical Nursing Department, Faculty of Nursing, Ain Shams UniversityTahanyAhmed ELsenousyCritical care nursing Department, Faculty of Nursing, Ain Shams UniversitySamarFaltas MarzoukCritical care nursing Department, Faculty of Nursing, Ain Shams UniversityJournal Article20210819Background: Discharge planning for patients undergoing lumbar disc herniation <br />surgery is considered as a strategy for promoting their satisfaction at home and in the <br />community. Aim: <br />This study aimed to evaluate the effect of discharge plan on <br />satisfaction of patients with lumbar disc herniation surgery through the following: 1) <br />Assessment of needs of patients with lumbar disc herniation surgery.2) Developing and <br />implementing discharge plan for patients with lumbar disc herniation surgery based on <br />needs assessments 3) Assess the effect of discharge plan on satisfaction of patients with <br />lumbar disc herniation surgery Study design: a quasi-experimental design was utilized to <br />conduct this study. Setting: The study was conducted in neurosurgical ward at El- <br />Demerdash hospital and outpatient clinic at Ain Shams University Hospital which <br />affiliated to Ain Shams University. Subject: A purposive sample of 60 patients with <br />lumbar disc herniation surgery were selected according to certain inclusion criteria. The <br />sample size was determined statistically by power analysis considering the total number <br />of patients with lumbar disc herniation surgery in El Demerdash hospital during the year <br />(2016). Data collection: 1) Patients’ Interviewing questionnaire. and 2) Patient <br />Satisfaction tool. Results: the present study revealed that, mean age of the patients under <br />study was 39.58±8.69and 60% of them were female and There were a highly statistically <br />significant difference among patients under study throughout discharge planning phases <br />regarding their knowledge, There were statistical significant relations between patients' <br />total satisfactory level of knowledge and their satisfaction level three months after <br />implementing discharge plan. Conclusion: Application of discharge planning regarding <br />lumbar disc herniation surgery has a positive improving effect on patients' satisfaction <br />level Recommendations: The discharge plan should be available in the neurosurgical <br />department and clinic for all patients who will be undergoing lumbar disc herniation <br />surgery and should be updated periodicallyAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901External Jugular Venous Pressure versus Central Venous Pressure Measurement as a Clinical Predictor among Critically Ill Mechanically Ventilated Patients32334019040110.21608/ejhc.2021.190401ENSherenM. DiabLecturers of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, EgyptHebaA. Al-MetyazidyAssistant Prof of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, EgyptSoheirM. WeheidaProf of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptSabryMohamed AminProf of Anesthesia, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, EgyptZainabA. AllamLecturers of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, EgyptJournal Article20210821Background: Continuous changes in central venous pressure monitoring among critically ill <br />patients was allied to fluid response. External jugular venous pressure may be a reliable <br />estimation method to central venous pressure and have the advantages of being less invasive. <br />Setting: This study was conducted at the anesthesia Intensive Care Unit at Emergency Hospital <br />affiliated to Tanta University Hospitals, Egypt. The aim of the study was to estimate external <br />jugular venous pressure versus central venous pressure measurement as a clinical predictor <br />among critically ill mechanically ventilated patients Method: A prospective comparative study <br />design was utilized in the current study. A purposive sample of 30 adults mechanically <br />ventilated patients was included in this study. Two tools were utilized to collect data: Tool (I): <br />Mechanically ventilated patient assessment and Tool II: Central venous pressure and External <br />jugular venous pressure assessment. Results: It was observed that there was a highly positive <br />and significant correlation between central venous pressure and external jugular venous <br />pressure reading r= 0.813 and p=0,000. Conclusions: External jugular venous pressure <br />measurement represented a real value of central venous pressure. A positive statistical <br />correlation between central venous pressure and external jugular venous pressure <br />measurements seems to be a reliable method to differentiate mechanically ventilated patients <br />with high or low central venous pressure monitoring. Recommendations: Measurement of <br />external jugular venous pressure should be integrated within the critically ill patient's routine <br />care Measurement. Also Measuring central venous pressure may be replaced with external <br />jugularvenous pressure (EJVP) when indicated. Further studies will be needed to confirm <br />reliability of the EJVP on a larger probability sample.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Breast Self-Examination Training Program of Primary Health Centers Working Women: An Intervention Study34135019076010.21608/ejhc.2021.190760ENFatmahRashed ALabdouliRN, MSN, College of Nursing, RAK Medical and Health Sciences University, UAERababGad Abd El-KaderCommunity Health Nursing, College of Nursing, Mansoura University, Egypt.RAK College of Nursing, RAK Medical and Health Sciences University, UAE.Journal Article20210822Background: Breast Self-Examination has a role in early diagnosis and prevention of morbidity <br />and mortality rate of breast cancer. Promoting women knowledge, capabilities and practice are <br />required in this regard. Aim: Assess the effect of breast self-examination training program on <br />knowledge and practice of the working women in selected primary health centers. Methods: Quasi - <br />experimental study pre/post and follow-up after one month was conducted involving 80 women <br />using a purposive sample. Self -administered questionnaire to assess women demographic data, <br />knowledge about breast cancer, breast self-examination and also practice related to the same. <br />Results: Pre-program most of women had poor level of knowledge as compared to all and vast of <br />them had high level of knowledge post program and one month follow up, respectively. Vast of <br />women showed unsatisfactory level of practice pre-program compared to all of them have <br />satisfactory level of practice on post program and follow up. Both the knowledge and practical <br />competency scores showed highly significant increment after the intervention. Conclusion and <br />recommendation: knowledge and practice of women were improved after receiving the training <br />program. Women health education should occur at an earlier stage in lives with emphasis on the <br />healthy behaviors and practices to prevent cancer. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Instructional Guidelines on Women Awareness Regarding Nutrition after Breast Cancer Surgery35136219076210.21608/ejhc.2021.190762ENRehamEl Ashery Ashery AskerLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Fayoum UniversityHanaaFarahat Ibrahim AhmedMedical-Surgical Nursing, Nursing College, Badr University in CairoInasMohamed Mohamed LotfyAssistant Professor of Hospital and Nursing Management, Military Medical AcademyAmiraHedayaLecturer in Critical Care Nursing Department, College of Nursing, Aim Shams UniversityHananAli Ibrahim AlmanzlawiLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Mansoura UniversityJournal Article20210822Understand the women with cancer about knowledge and practices regarding their nutrition are very <br />important to maintain healthy body weight and eat nutritious foods. Hence, the study was aimed to <br />evaluate the effect of instructional guidelines on women's awareness regarding nutrition after breast <br />cancer surgery. Subjects and method: Design: A quasi-experimental research design was used <br />with a pre-and post-test. Setting: the research was conducted at the inpatient and outpatient clinic <br />of Fayoum Oncology Center. Subjects: A purposive sample of 130 women was included. Three <br />tools were used: Tool (I) women' structured interviewing questionnaire, it included two parts: (a) <br />demographic characteristics; (b) women' medical data, Tool (II) women' knowledge regarding <br />nutrition sheet, and Tool (III) women' practice regarding nutrition sheet (pre/post). Results: More <br />than half of women were having a family history of cancer. The majority of women reported that <br />the main source of information regarding nutritional knowledge after breast cancer surgery was <br />doctors. There was a positive correlation (P=0.005) between women's knowledge scores and their <br />practice post-one-month nutritional instructional guidelines implementation. There were marked <br />improvements in women's knowledge and practices regarding nutrition after breast cancer surgery <br />post instructional guidelines implementation (P=0.005). Conclusion: The instructional guidelines <br />implementation regarding nutrition had a positive effect on improving women's knowledge and <br />practices after breast cancer surgery. Recommendations: The instructional guidelines should be <br />conducted regularly for women after breast cancer surgery to discuss and teach them different <br />aspects about nutrition and replication of the current study with a larger sampleAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901The Effect of Normovolemic versus Decreasing Maintenance Fluids on Critically Ill Multiple Trauma Patient’s Clinical Outcomes36338019076610.21608/ejhc.2021.190766ENSherenM. DiabLecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, EgyptSohairM. WehedaProfessor of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptNagwaAbbasLecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, EgyptEsraaH. NassarLecturer of Emergency Medicine & Traumatology, Faculty of Medicine, Tanta University, EgyptSafaaE SayedAssist prof of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt.Journal Article20210822Background: Major trauma is a life-threatening emergency condition that requires immediate <br />intervention. Resuscitation of low volume fluid or decreasing maintenance fluids maintains tissue <br />perfusion and decreases the negative consequences of early vigorous resuscitation. Aim of the <br />study was to evaluate the effect of normovolemic versus decreasing maintenance fluids on ICU <br />multiple trauma patient’s clinical outcomes. Method: A quasi experimental comparative research <br />design was utilized in this study, purposive sample of 40 adult critically ill patients with multiple <br />traumas would be enrolled sequentially into two groups, each group consists of (20) patients. This <br />study was carried out in trauma intensive care unit at Emergency Hospital affiliated to Tanta <br />University Hospitals, Egypt .Three tools were used to conduct the study. Tool I: social- <br />demographic and clinical data sheet, Tool II: injury severity score, Tool III: patients' outcome <br />sheet. Results: There were sixty percent of patients in control group had age more than 30 years <br />compared to 45% of patients in the study group. The male patient represents the highest <br />percentage in this both groups. It was observed 90.0% of the study groups had injury severity <br />score between (17-25) score. While 80.0% of the control groups has < 25 injury severity score <br />level. a significant improvement regarding mean scores of pulse rate, respiratory rate, and Fio2 on <br />discharge. The mean score of sodium, urea and creatinine was improved significantly among <br />study groups compared with control groups on discharge where P= 0.022 and 0.00 respectively. <br />Seventy percent of patients in control group had long duration of stay in ICU more than 20 days <br />compared to (55.0%) of patients in the study group. Conclusion: It can be concluded that trauma <br />patients in the ICU who received decreasing maintenance fluids at 30 mL/h in normotensive <br />trauma patients had improved physiological parameters, decreased ICU stay and days on <br />ventilator. Recommendations: Emergency hospital should include decreasing maintenance fluids <br />for trauma patients admitted to the ICU if not contraindicated. Nursing and medical staff should <br />be informed with the updated protocols of fluid resuscitation therapy and its application in clinical <br />practice for emergency and critically ill patients.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of implementing bundle care on reducing early Postpartum haemorrhage among primiparous38139519076710.21608/ejhc.2021.190767ENSabahR. H. AhmedAssistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Helwan University, Egypt.AmanyM. AhmedLecturer of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Kafrelsheikh University, Egypt.HalaA. AliAssistant Professor of Women’s Health and Maternity Nursing, Faculty of Nursing, Kafr El-Sheikh University, Kafr ElSheikh, Egypt.MohamedH. MohamedLecturer of Gynecology and Obstetrics, Porto Said University, Faculty of Medicine, EgyptNagatS. Shalabyobstetrical and gynecological nursing,, Faculty of Nursing, Port Said University, EgyptAmalK. KhalilLecturer of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt.Journal Article20210822Background: Postpartum hemorrhage (PPH) is associated with an increased risk of complications <br />after delivery for both the mother and the newborn in postnatal period and later life. Aim: Aim of <br />the study was to assess the effect of implementing bundle care on reducing early postpartum <br />haemorrhage among primiparous.Methods: A quasi-experimental design (nonequivalent control <br />group pretest/posttest) was adopted. Setting: The current study was conducted in the postpartum <br />words of Obstetrics and Gynecology department in Maternity hospital, Portsaid Governorate, Egypt. <br />A purposive sample of 70 primiparous with early PPH was carefully chosen from the nominated <br />setting and dispersed accidentally into two equal groups (study and control group). Two tools were <br />used for collecting the study data: A structured interviewing questionnaire schedule and tool of <br />bundle care of early PPH that consists of three parts.Results: There is a statistically significant <br />difference between the study and control groups in reducing early PPH among primiparous and <br />improve outcomes. The current study results display that the primiparous outcomes improved in <br />study group compared to control group which seemed in mild of bleeding 68.6% in study group, <br />37.1in control group and conscious level 94.3% in study group, 60% in control group with normal <br />conscious level. The study group have lower complications, compared to complications of the <br />control group. Conclusion: Bundle care was effective in decreasing blood loss complications of <br />early PPH. Recommendations: Bundle care should be recommended as a nursing intervention <br />protocol and should become a fundamental part of the total management of early PPH.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Natural Methods for Relieving Labor Pain and Anxiety during the First Stage among Primigravida Mothers39640719076810.21608/ejhc.2021.190768ENNawalKamal Abd ElkhalekObstetrics and Gynecological Nursing, Faculty of Nursing, South Valley UniversitySafaaEbrahim AhmedObstetrics and Gynecology Nursing Department, Faculty of Nursing, Sohag UniversityInasMohamed Mohamed LotfyAssistant Professor of Hospital and Nursing Management, Military Medical AcademyMarwaA. ShahinMaternal and Newborn Health Nursing Department, Faculty of Nursing, Menoufia UniversityJournal Article20210822Labor pain is a universal experience among primigravida during pregnancy. Failure to manage labor <br />pain may lead to abnormal labor. There are many complementary nonpharmacological methods <br />used to cope with labor pain such as back massage and breathing exercises. Aim: To evaluate the <br />effect of natural methods for relieving labor pain and anxiety during the first stage of labor among <br />primigravida mothers. Design: A quasi-experimental design was utilized to accomplish this study. <br />Sample: A Purposive sample included 80 primigravida mothers were recruited and divided into two <br />equal groups as a group (A) refers to the back massage group (n=40) and group (B) which refers to <br />the breathing exercises group (n=40). Setting: The study was applied in the Obstetrics and <br />Gynecology Department at Sohag University Hospital. Three tools were used for data collection <br />(1) A structured interviewing questionnaire, (2) a visual analog pain scale, (3) a State-Trait Anxiety <br />Inventory scale. Results: Revealed that there was a highly significant difference between mean and <br />SD of pretest level and posttest regarding labor pain level in back massage and breathing exercises <br />groups at P=0.001 level. There was a highly significant difference between mean and SD of pretest <br />level and posttest regarding anxiety level in back massage and breathing exercises groups at <br />P=0.001 level. Conclusion: Back massage and breathing exercises were effective in relieving and <br />reducing the intensity of pain and reduce anxiety during the first stage of labor among primigravida <br />mothers. Recommendation: Applying back massage and breathing exercises are recommended to <br />relieve pain and reduce anxietyAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Counter-Pressure Versus Effleurage Massages on Labor Pain Intensity Among Parturient Women40842019077010.21608/ejhc.2021.190770ENAmanyM. AhmedLecturer of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Kafrelsheikh University, EgyptSabahR.H. AhmedAssistant Professor of Maternity and Newborn Health Nursing, Faculty of Nursing, Helwan University, Egypt.HalaA. AliAssistant Professor of Woman’s health and Midwifery Nursing, Faculty of Nursing, Kafrelsheikh University, EgyptNagatSalah ShalabyAssistant Professor of Maternity, Gynecology, and Obstetrics Nursing, Faculty of Nursing, Port Said University, Egypt.FayizF. El-shamyProfessor of Physical Therapy for Women Health, Faculty of Physical Therapy, Kafrelsheikh University, Egypt.SafaaGaber SalemLecturer of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt.Journal Article20210822Context: Labor-related pain is a universal experience for parturient women. Several non- <br />pharmacological methods have been utilized to relieve this pain including counter-pressure and <br />effleurage massages. Aim: This study aimed to examine the effect of counter-pressure versus <br />effleurage massages on labor pain intensity among parturient women. Methods: A quasi- <br />experimental design (nonequivalent control group pretest/posttest) was adopted. A purposive <br />sample of 96 parturient women was recruited and allocated to either control, counter-pressure, or <br />effleurage massage group. This study was conducted at inpatient obstetrics and gynecology <br />department of Kafrelsheikh general hospital, Kafrelsheikh governorate, Egypt. Data were collected <br />using two tools: structured interviewing questionnaire schedule and Numeric Pain Rating Scale <br />(NPRS). Results: The mean pain scores at baseline assessment did not show a significant difference <br />between the control group and interventions groups (p>0.05). However, at 30 minutes, 1 hour, and 2 <br />hours after intervention the differences in mean pain scores between the control group and <br />interventions groups were highly statistically significant (p < 0.001). When comparing mean pain <br />scores between counter-pressure and effleurage groups the differences were not statistically <br />significant either at baseline assessment or after intervention (p>0.05). Conclusion: counter- <br />pressure and effleurage massages are effective non-pharmacological measures in reducing labor <br />pain. Recommendation: Utilizing such simple and effective pain relief strategies by nurses and <br />midwives should be encouraged.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901COVID-19 Risk Perception of Pregnant Women and its Relationship with their Protective Behaviors42143719116110.21608/ejhc.2021.191161ENHananAwad M ElmashadAssistant professor of Woman’s Health & Midwifery Nursing, Faculty of Nursing- Mansoura University, Egypt,MonaMohamed Abd El-MaksoudAssistant professor of Community Health Nursing, Faculty of Nursing- Helwan University, Egypt,,NadiaYoussef Abd-EllaLecturer of Woman's Health & Midwifery Nursing, Faculty of Nursing- Mansoura University, EgyptJournal Article20210824Aim: This study aimed to assess COVID-19 risk perception of pregnant women and its <br />relationship with their protective behaviors. Methods: A descriptive-correlational design <br />was used to conduct this study at an obstetric and gynecologic center at Mansoura University <br />Hospitals, Egypt, involving 233 pregnant women, who were selected using the convenient <br />sample technique. A self-administrated structured questionnaire was used to assess women's <br />demographic characteristics, obstetrics history, COVID-19-related risk perception, and <br />protective behaviors. Results: The age of the pregnant women ranged from 18- to 35 years <br />with a mean of 27.3 ± 5.0 years and nearly half (46.4%) of them were in their third trimester. <br />Social media were a major source of COVID-19-related information (57.1%). Among the <br />pregnant women included in this study, 37.8% were in contact with COVID-19 positive <br />patients. Meanwhile, 78.5% had a high level of risk perception related to COVID-19 and <br />45.1% had a moderate level of protective behaviors. A significant positive correlation was <br />observed between the risk perception of COVID-19 and the protective behaviors of the <br />pregnant women under study (r =0.147; P=0.025). Conclusion: Most of pregnant women <br />had a high level of risk perception and less than half of them had moderate level of protective <br />behaviors related to COVID-19. The educational level and history of COVID- 19 infection <br />had a statistical significant predictive effect on protective behaviors against COVID-19. This <br />study recommended that maternity nurses should establish virtual training classes and <br />counseling to enhance the protective behaviors among pregnant women against COVID-19Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901The Effect of Non-Pharmacological Intervention on Psychological Determinants and Blood Pressure among Hypertensive Patients43845519160910.21608/ejhc.2021.191609ENAmalA. El-AbbassyAssistant Professor of Community Health Nursing, Faculty of Nursing, Menoufia University, EgyptLailaS. DorghamProfessor of Community Medicine, National Liver Institute, Menoufia University, Egypt.AfafAbel Malek HusseinLecturer of Community Health Nursing, Faculty of Nursing, Menoufia University, EgyptGehanA. AbedAssistant Professor of Psychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.SabahM. EbrahemAssistant Professor of Psychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.Journal Article20210827Background: New evidence highlights the impact of psychological determinants in <br />somatic diseases. Poorly controlled hypertension was a significant public health concern all <br />over the world. Aim: This study aimed to evaluate the effect of non-pharmacological <br />intervention on psychological determinants and blood pressure among hypertensive patients. <br />Design: A quasi- experimental pre-test–post-test control group design has been implemented. <br />Sample: A purposive sample has been used to select 202 subjects from the Internal Medicine <br />out-patient clinic in El-Shohadaa Central Hospital at El-Shohadaa town, Menoufia <br />governorate, Egypt. Tools: Four tools were used to collect the data; 1) Interviewing <br />questionnaire to assess socio-demographic and clinical data of the patients. 2) Bio- <br />physiological measurements to measure the body mass index and systolic and diastolic blood <br />pressure. 3) Health promotion lifestyle profile to assess readiness to change diet and exercise. <br />4) Beck depression inventory-II and perceived stress scale to assess psychological health <br />determinants. Results: The study findings revealed a highly statistically significant reduction <br />in a mean score of depression and, stress post-intervention among the study group compared <br />to the baseline where P3 = 0.000. Also, there was a highly statistically significant <br />improvement in a mean score of readiness to change exercise and, diet post- intervention <br />among the study group compared to the baseline where (P3 = 0.000, P3 = 0.01) respectively. <br />Conclusion: It was concluded that non-pharmacological intervention has a positive effect on <br />blood pressure, patients' readiness to change diet, exercise and, psychological health <br />determinants among hypertensive patients. Recommendations: Non-pharmacological <br />intervention should be provided to hypertensive patients and other patients who suffer from <br />chronic diseaseAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Educational Program regarding Reproductive Health for Handicapped Adolescents in Sharkia Governorate45647019161510.21608/ejhc.2021.191615ENSamiaFarouk MahmoudCommunity Health Nursing, Faculty of Nursing, Zagazig UniversityMonaEmad Eldien Hussien SabbourCommunity Health Nursing, Faculty of Nursing, Mansoura UniversityJournal Article20210827Background: Handicapped adolescents represent a significant portion of the world’s <br />population and when compared to those without handicapping, are four times more probable <br />to show fair or poor health. Aim: To assess the effect of educational program regarding <br />reproductive health for handicapped adolescents in Sharkia Governorate. Subjects and <br />Methods: It was a Quasi-experimental research design conducted at Al Noor and Al Amal <br />schools in Sharkia Governorate. Purposive sample of ninety one students Blind and Deaf <br />students from El-Amal School for Deaf and Hard for Hearing, and El-Nour School for Blind <br />in Sharkia Governorate. Two tools were used; I.: A structured interview sheet consisting <br />of three parts: Part A; Demographic characteristics of the student. Part B; Student's <br />knowledge about reproductive health. Part C; Students’ menstrual history. <br />II. An <br />observational checklist to assess the student's self-report practice related to perineal care and <br />personal hygiene regarding self-care during menstruation. Results: Generally, the sample <br />was deficient in pre-intervention except for their knowledge about abortion (81.3%), while <br />after implementation of the educational program their knowledge was improved (P≤ 0.001). <br />Additionally, regarding perineal care, 32.9% of handicapped adolescents (blind and deaf) <br />before intervention performed practice about perineal care, while after program <br />implementation the percentage was 82.1% and 86.7% at post-intervention and follow up <br />respectively. Conclusion: This study results provided evidence that after application of the <br />educational intervention among handicapped adolescents (blind & deaf) at Al Noor and Al- <br />Amal schools their knowledge, and practices about reproductive health improved in all <br />components (p < 0.001). Recommendation: Continuous health education programs should be <br />implemented to increase handicapped adolescents’ about awareness of <br />reproductive health <br />and menstrual hygiene practices.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Educational Program about Professional Development for Nursing Teachers and its Effect on their Students' Satisfaction47148319161810.21608/ejhc.2021.191618ENSharihanHassan Abdel Sameamaster’s degree in nursing services administrationAbdelRahim Saad ShoulahProfessor of Public Health and Community Medicine. Faculty of Medicine.Benha UniversityNerminMohamed EidProfessor of Nursing Administration. Faculty of Nursing. Menoufia University.EhsanSaad SolimanAssistant professor of Nursing Administration. Faculty of Nursing. Benha University.Journal Article20210827Background: Professional development for nursing teachers improves the quality of teaching and <br />learning in nursing schools, thus nursing students' learning outcomes as well as their satisfaction will be affected. <br />The study aimed to: Assess effect of educational program about professional development for nursing teachers <br />on their students' satisfaction. Study design: Quasi-experimental design was used. Setting: The study was <br />conducted at three secondary technical nursing schools at Menoufia Government (Albagor, Menof and Ashmon <br />nursing schools). Subjects: Included 60 nursing teachers and 174 nursing students. Tools for data collection: <br />Three tools were used namely, Professional development knowledge questionnaire, professional development <br />observational performance checklist for nursing teachers and student satisfaction scale. The results showed that: <br />The majority (88.3%) and (83.3%) of studied nursing teachers had satisfactory level of knowledge regarding to <br />professional development during post-program and follow up phases, while (75.0%) and (73.3%) respectively of <br />studied nursing teachers had good level of performance at post-program and follow up phases, also (73.6%) and <br />(67.8%) respectively of studied nursing students had high level of satisfaction during post-program and follow <br />up phases. Moreover, there was a positive significant correlation between total knowledge score and total <br />performance score of studied nursing teachers thorough the program phases, while there was no significant <br />correlation between total studied nursing teachers' knowledge score and total studied nursing students' <br />satisfaction level thorough the program phases. Furthermore, there was a positive significant correlation between <br />total performance score of studied nursing teachers and total studied nursing students' satisfaction level thorough <br />the program phases. The study concluded that: The educational program was effective in improving nursing <br />teachers’ level of knowledge and performance related to professional development and increasing level of <br />nursing students' satisfaction. The <br />study recommended that: Conducting an educational program must be <br />continuous process. Engagement of nursing teachers in professional development activities should aligned with <br />nursing teacher needs, expectations, and performance improvement goalsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Perception, Coping Behavior and Quality of Life during COVID-19 among Nursing Intern Students48449519164210.21608/ejhc.2021.191642ENAmalAhmed EbrahemLecturer of Nursing Administration, Faculty of Nursing, 6 October University, EgyptEbtsamHanafy SaberLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing Minia University, Egypt.ShereenFaiyez GabraLecturer of Nursing Administration, Faculty of Nursing, Minia University, Egypt.RashaMamdouh AbdelmonemLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing Minia University, Egypt.Journal Article20210828Background: COVID-19 is the most recent pandemic, with a significant morbidity and mortality rate over <br />the world. These types of crises can have a negative impact on the mental and physical health of health-care <br />employees, particularly nursing intern students. As a result, the success of the COVID-19 nursing intern students' <br />struggle will be determined by their perception and coping behavior used to improve their quality of life during the <br />global pandemic. Aim: Current study aimed to assess perception, coping behavior and quality of life during COVID- <br />19 among nursing intern students. Design: Descriptive correlational comparative design was utilized. Sample: <br />Convenience sample consisted of 400 nursing intern students which available in Minia university hospitals and 160 <br />nursing intern students from 6 October university hospitals (total No. 560). Setting: Minia university hospitals and 6 <br />October university hospitals, in Cairo, Egypt. Tools: four tools were utilized in this study. I: Personal characteristic <br />data questionnaire, II: Perception about COVID 19 instrument, III: Coping behavior questionnaire, and IV: Quality <br />of life scale. Results: this study revealed that more than two third of 6 October nursing intern students had <br />satisfactory perception, nearly all intern students had moderate level of coping behavior, and more than two third of <br />them had high level in quality of life. While Minia nursing intern students about two third of them had satisfactory <br />perception, and moderate level of coping behavior, also about have of them had high level in quality of life. <br />Conclusion: level of perception among nursing intern students was satisfactory, while coping behavior was moderate, <br />and quality of life among them was high. There was a positive correlation and no statistically significant difference <br />was found between perception and coping behavior; while there was a positive correlation and no statistically <br />significant <br />difference was found between perception and quality of life. Recommendation: Periodic workshop and <br />training to <br />improve and updating knowledge, perception and how to cope with COVID-19 that improve quality of <br />life among <br />intern nursing students.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Role of Pediatric Nurses Regarding Children’s Needs Undergoing Hemodialysis Therapy49650919164310.21608/ejhc.2021.191643ENAl RafayS.SPediatric Nursing Department, Faculty of Nursing, Ain Shams UniversityTantawiH.R.Pediatric Nursing Department, Faculty of Nursing, Ain Shams UniversityEl FarsyM.S.Pediatric Medicine Department, Faculty of Medicine, Ain Shams UniversityRamadanD.H.Pediatric Nursing Department, Faculty of Nursing, Ain Shams UniversityJournal Article20210828Background: Pediatric nurse plays an important role in management needs of <br />children with chronic renal failure (CRF) and undergoing hemodialysis therapy. Aim: It was <br />to assess role of pediatric nurses regarding children's needs undergoing hemodialysis therapy. <br />Research design: A descriptive design was utilized for this study. Settings: This study was <br />conducted at Pediatric Hemodialysis Unit in Children’s Hospital affiliated to Ain Shams <br />University Hospitals and El-Zahra University Hospital. Subject: A purposive sample was <br />including 50 pediatric nurses caring for children undergoing hemodialysis therapy (25 nurses <br />and 25 children from children's Hospital and 25nurses and 25 children from El-Zahra <br />Hospital). Tools: A questionnaire sheet constituted 3 parts to assess: Demographic <br />characteristics, nurses’ knowledge regarding renal failure and hemodialysis therapy, and <br />Quality of life scale, this tool is adapted from (Varni & Limbers, 2011) to determine the <br />needs of children undergoing hemodialysis therapy. Results: There were highly statistically <br />significant differences between the total knowledge of the studied nurses and also their total <br />role regarding needs of children undergoing hemodialysis therapy about renal failure and <br />hemodialysis therapy and their educational level, years of experience and attending training <br />courses at (p < 0.01). In addition, there was positive correlation between total nurses’ <br />knowledge about renal failure and hemodialysis and their total role regarding the needs of <br />children undergoing hemodialysis therapy. Conclusion: The current study concluded that, <br />the role of pediatric nurse regarding needs of children undergoing hemodialysis therapy <br />namely physical, social and emotional needs are affected by their educational level, years of <br />experience and attendance of training courses. Recommendations: Periodic assessment of <br />knowledge, and practice and continuous course training for all nurses who are providing care <br />for children undergoing hemodialysis therapy, based on children’s actual needs assessment.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Authentic Leadership Training Program of Head Nurses on Creativity and Motivation of Nurses Staff60061419164410.21608/ejhc.2021.191644ENManalSaleh Moustafa SalehAssist. Prof. Department of Nursing Administration, Faculty of Nursing, Zagazig University, Egypt.Abdel-HadyEl-GilanyProfessor of Public Health, faculty of Medicine, Mansoura University, Egypt.ZeinabNaiem AbdelhamidLectural. Department of Nursing Administration, Faculty of Nursing, Zagazig University, EgyptShaimaaAbdelbaset HamedLectural. Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Mansoura University, EgyptHananEl Said ElsabahyLectural. Nursing Administration Department, Faculty of Nursing, Mansoura University, Egypt.Journal Article20210828Background: Leadership influences staff nurse's creativity and motivation thus,<br />leaders play a critical role in enabling and supporting the awakening and fostering of<br />creativity and motivation of staff nurses. Employees present high levels of creativity when<br />they are motivated. Aim: To measure the effectiveness of the authentic leadership training<br />program on nurses' staff creativity and motivation. Subjects and Methods: A quasi-<br />experimental research design was utilized, including all head nurses (36) and staff nurses<br />(246) who were worked in the same unit of Specialized Medical Hospital, Mansoura<br />University, Egypt. A self-administered questionnaire including four scales for Authentic<br />leadership style knowledge questionnaire, Authentic leadership self-assessment scale,<br />Creativity scale, and Motivation scale. Results: there was an improved response related to<br />the head nurse's authentic leadership post-program implemented, motivational and creativity<br />levels increased after the program of authentic leadership style. This increase persists three<br />months after the program. There is a highly statistically significant difference in the total<br />score of three times the program implemented. Conclusions: Head Nurses, who had good<br />knowledge about authentic leadership, showed an increased nurse's staff creativity and<br />motivation, which enhance the organization's success. Recommendations: An authentic<br />leadership educational program is recommended to be recognized and implemented for all<br />head nurses who in a management position in the nursing field in other hospitals as needed.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Instructional Guidelines on Mothers' Knowledge and Practice regarding their Neonatal Care61563019164610.21608/ejhc.2021.191646ENShadiaAbd Elmoniem SyanPediatric Nursing Department, Faculty of Nursing, Sohag UniversityVivianMagdi SamualEducation Department, Faculty of Nursing, Alexandria University, and Nursing Department. College of Applied Medical Sciences, Saudi ArabiaMariaBlesilda B. LlagunoNursing Department, College of Applied Medical Sciences, Alhasa Saudi ArabiaSaraSayed AbdallaChild and Adolescents health nursing, British University in EgyptJournal Article20210828Background: The newborn’s mother is the key person who takes care and fulfills the <br />needs of the newborn either physiological or psychological. Therefore, it is essential to apply <br />instructional programs that appreciate mothers to have the correct knowledge, home care <br />practice, and attitude to raise their healthy children. Aim: To evaluate <br />the effect of <br />instructional guidelines on mothers' knowledge and practice regarding their <br />neonatal care. <br />Subjects and Methods: Design: A quasi- experimental research design was <br />used. Setting: <br />The study was conducted in maternal and child health centers at Sohag City <br />(Dar E Salam <br />Abdallah health center). Sample: Α Purposive sample of 150 newborns and <br />their mothers. <br />Tool for data collection: A structured interview questionnaire, which included three parts; <br />(I) demographic characteristics; (II) mothers’ knowledge and (III) the reported practice <br />(pre/post) regarding breast feeding, thermal control, skin care, and cord care. Results: The <br />main source of information for mothers was their family. Ther was an improvement of <br />mothers’ knowledge regarding all aspects of care of their neonates before and after <br />implementation of instructional guidelines. there was a statistically significant difference in <br />mothers’ reported care practices of their neonates before and after implementation of the <br />instructional guidelines regarding breastfeeding, kept warm practice, skin care practice, and <br />cord care practices. Conclusion: Instructional guidelines had а positive effect on mothers' <br />knowledge and reported practice regarding neonatal care. Recommendations: Instructional <br />guidelines regarding neonatal care should <br />be applied for newly mothers during antenatal <br />period.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Nursing Strategies for Alleviating Endometriosis Related Symptoms63164719165010.21608/ejhc.2021.191650ENAsmaaMahmoudAssistant lecturer of Maternity & Gynecological Nursing Department- Faculty of Nursing, Ain Shams UniversityShadiaHamidoProfessor of Maternity & Gynecological Nursing-Maternity & Gynecological Department Faculty of Nursing, Ain Shams University.RandaMohamedProfessor of Maternity & Gynecological Nursing-Maternity & Gynecological Department Faculty of Nursing, Ain Shams University.Journal Article20210828Background: Endometriosis is a chronic and incurable condition associated <br />with debilitating pain and sub fertility that affects approximately 176 million women <br />worldwide. Aim: to <br />evaluate effect of nursing strategies on alleviating endometriosis <br />related symptoms. A <br />quasi- experimental design was utilized. The study conducted at <br />gynecological clinics <br />at Ain shams University Maternity Hospital. A purposive sample <br />of sixty women who <br />meet the criteria of the study. Data were collected through three <br />tools (Endometriosis Structured Interviewing Questionnaire& Endometriosis Health <br />Profile Questionnaire) in addition follow up sheet. Results: there was highly statistical <br />significant improvement in women knowledge regarding endometriosis after <br />implementation of nursing strategy and at follow-up time compared to their knowledge <br />before it. Also there was statistical significant improvement in women self-care practices <br />for alleviating endometriosis related symptoms after implementation of nursing strategy <br />compared to their self-care practices before it. Conclusion: The findings of the current <br />study supported the hypothesis and aim of the present study which stated that women <br />who received nursing strategies had highly statistical significant improvement on total <br />EHP-30, pain & fatigue after implementation of nursing strategy (P value ≥ 0.001**), <br />and also a positive correlation between Endometriosis Health Profile (endometriosis <br />related symptoms), pain, fatigue of the studied sample and their compliance for nursing <br />strategies" diet, exercises& stress management". Recommendation: awareness program <br />should be developed to up raise women knowledge regarding endometriosis and self-care <br />management.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Multidimensional Assessment of Tremors in Patient with Multiple Sclerosis64866819165310.21608/ejhc.2021.191653ENAsmaaMohamed ELmzienB.Sc - Faculty of Nursing - Ain Shams University.NeamatallahAhmed GomaaProfessor of Medical Surgical Nursing, - Faculty of Nursing - Ain Shams University.ZeinabHussein BakrLecturer of Medical Surgical Nursing Faculty of Nursing - Ain Shams UniversityJournal Article20210828Background: Tremors can result in negative consequences on physical, emotional, <br />and cognitive status in patients with multiple sclerosis, which may affect patient satisfaction, <br />clinical recovery, and hospital length of stay. Aim: This study aimed to assess <br />multidimensional of tremors in patients with multiple sclerosis. Design: A descriptive <br />exploratory design was utilized. Setting: Multiple Sclerosis Outpatient Clinic at Ain Shams <br />University Hospitals/Egypt. Study subject: A purposive sample of one hundred and fifty <br />patients checked in the previous mentioned setting. Tools of data collection: Two tools were <br />used for data collection: An interviewing questionnaire, multidimensional assessment of <br />tremors in patients with multiple sclerosis. Results: 54.66%of the studied patients had <br />tremors in right upper extremities while, 40% had intentional tremors. In addition, there was <br />positive correlations between tremors severity scale and age. There was correlation between <br />tremors and self-care. There were positive correlations between self-care productivity <br />activities. There was positive correlation between productivity activities, leisure activities <br />and also there was positive correlation between leisure activities and other activities among <br />the studied patients suffering from multiple sclerosis. Conclusion: Patients with multiple <br />sclerosis experienced tremors related to the patient's related factors such as psychological <br />factors, physical factors and personal habits related factors. Recommendations: Health <br />education should be given to MS patients with tremors on how to improve their quality of <br />life with more efforts to improve awareness of patients regarding the techniques that can <br />relieve pain or stress.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Smart Phone-Based Educational Program on Self- Care Practices for Hepatitis C Patients66968919166410.21608/ejhc.2021.191664ENSabahNagah Hasan MohamedLecturer of Medical-Surgical Nursing, Faculty of Nursing, Helwan University,SedikaSadek Ramadan FayadLecturer of Medical-Surgical Nursing, Faculty of Nursing, Helwan University,SaharMahmoud Sayed Ahmed ElawadyAssistant professor of Community health nursing, Faculty of Nursing, Helwan UniversityJournal Article20210828Background: Hepatitis C virus (HCV) fronts a threat disease to the health of millions <br />of people and is a major cause of mortality and morbidity worldwide. The use of new digital <br />health technology helps in providing quality assured education, as well, it has been proved to <br />positively affect self-care practices. This study aimed to evaluate the effect of a smartphone- <br />based educational program on self- care practices for hepatitis C patients. Design: A quasi- <br />experimental research design was utilized in this study. Setting: This study was conducted at <br />the medical outpatient clinic affiliated to El Nasr Insurance Hospital. Sample: A purposive <br />sample of 100 Hepatitis C patients was selected and randomly divided into two equal groups. <br />Tools of data collection: One tool was used, Patients’ structured interview questionnaire: it <br />included four parts: Part 1) Patients’ demographic characteristics, Part 2: Past medical <br />history. Part 3) patients’ level of knowledge regarding HCV, and Part 4) patients’ self-care <br />reported practices. Results: The mean age of the study and control groups were (39.70 ±7.74) <br />and (39.560 ±9.532) respectively. The majority of study group had satisfactory knowledge <br />scores post smart phone program, the minority of study group had a good level of self-care <br />practices in the pre-program phase compared to the majority of them post smart phone <br />program implementation Conclusion: There were highly significant improvements in total <br />knowledge scores, reported self-care practices post smartphone educational program among <br />study group than control group. Recommendation: Updated counseling regarding self-care <br />practices must be included in the hepatitis C management standardized protocols.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901The Influence of Head Nurses Leading Role and Assertiveness on Staff Nurses’ Achievement Motivation: A Comparative Study69070919166510.21608/ejhc.2021.191665ENSamahAbo-Elenein AbdallahLecturer of Nursing Administration, Faculty of Nursing, Tanta University -Egypt.SaraAbdel-Mongy MostafaLecturer of Nursing Administration, Faculty of Nursing, Tanta University -Egypt.Journal Article20210828Background: Leading is critical to advancing the nursing profession. All work units <br />require strong nursing leaders to establish a healthy work environment. Current and future <br />head nurses need effective leading strategies and assertiveness skills to guide and encourage <br />nurses and enhancing their achievement motivation to work safely and effectively. Aim of <br />this study was to compare the influence of head nurses leading role and assertiveness on staff <br />nurses’ achievement motivation at Tanta Emergency and El-Menshawy Hospital. Methods: <br />Descriptive, comparative through cross-sectional study design was adopted. The study was <br />conducted at Tanta Emergency Hospital and El-Menshawy Hospital. Sample: All available <br />staff nurses working <br />at Tanta Emergency Hospital (n=258) and El-Menshawy Hospital <br />(n=212) was included <br />in this study. Tools: Three tools for data collection were used: Head <br />Nurses' Leading Role <br />Scale to measure head nurses leading role, Assertiveness Assessment <br />Scale to assess head <br />nurses assertiveness behaviors and Achievement Motivation Scale. <br />Results: Staff nurses' perceived a high level of head nurses leading role at Tanta Emergency <br />Hospital, while low level at El-Menshawy Hospital with the emphasize on supervising <br />leading role. At Tanta Emergency Hospital staff nurses perceived a high level of <br />assertiveness techniques and assertiveness behavior than El-Menshawy Hospital. Staff nurses' <br />achievement motivation behavior had statistically significant favorable correlations with their <br />years of experience, age, education level, total leading role and assertiveness at both hospitals. <br />Conclusion: There were significant influences of head nurses leading role and assertiveness <br />on staff nurses’ achievement motivation. Recommendation: Building a supportive work <br />environment that promoting effective communication and conduct regular training programs <br />for head nurses to refresh their knowledge, skills and experiences and motivating good <br />performance to enhance staff nurses’ achievement motivation are necessary.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Assessment of Mothers care Hindering Successful Tympanostomy Tube for Children with Otitis Media with Effusion71072219166610.21608/ejhc.2021.191666ENSelwanHamza ElgazarDepartment Pediatric Nursing Department Faculty of Nursing, Ain Shams University-Cairo- EgyptSafySalah El Din Al-RafayDepartment Pediatric Nursing Department Faculty of Nursing, Ain Shams University-Cairo- EgyptHyamRefaat TantawiDepartment Pediatric Nursing Department Faculty of Nursing, Ain Shams University-Cairo- EgyptJournal Article20210828Background: Tympanostomy Tube is the best modality of management of otitis <br />media with effusion which needs mothers care for helping on maintenance the functions of <br />tympanostomy tube and prevent recurrence of otitis media with effusion. Aim: this study <br />aimed to assess maternal care hindering successful tympanostomy tube for children with <br />otitis media with effusion. Design: Descriptive design was used to conduct this study <br />Settings: This study was conducted at Out-Patient Otolaryngology-Head and Neck Surgery <br />clinic affiliated to Tanta university hospitals and Ain shams university hospitals. Sampling: <br />A purposive sample consisted of 100 mothers and their accompanied children with otitis <br />media with effusion and tympanostomy tube. Tools of data collection: Two tools were used <br />which included: An interviewing questionnaire sheet and Attitudinal rating scale. Results: <br />nearly two third of the studied mothers had poor knowledge about otitis media with effusion <br />with tympanostomy tube. While, less than quarter of them had fair knowledge and less than <br />quarter of them had good knowledge. Conclusion: The current study concluded that more <br />than half of the studied mothers had incorrect knowledge about the best way to clean the child's ear <br />while keeping the Tympanostomy tube and the best position for a baby while breastfeeding or eating <br />to keep the tube, respectively. Recommendations: Conducting educational programs for <br />preschoolers and their mothers about early detections and aspects of care related to OME to <br />minimize the negative consequence of OMEAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Application of Evidence Based Measures for Alleviating Minor Discomforts during 1st Trimester of Pregnancy72373619166710.21608/ejhc.2021.191667ENAsmaaIbrahimAssistant lecturer of Maternity &Gynecological Nursing - Maternity &Gynecological Department, Faculty of Nursing, Ain Shams UniversityMonaA. El-SheikhProfessor of Maternity &Gynecological Nursing, Maternity &Gynecological Department, Faculty of Nursing, Ain Shams UniversityEmanMostafaProfessor of Maternity &Gynecological Nursing, Maternity &Gynecological Department, Faculty of Nursing, Ain Shams UniversityJournal Article20210828Background: Management of various <br />discomforts require unique observations and <br />knowledge of variety of treatment options. <br />The present study aimed to examine the <br />effectiveness of application evidence-based <br />measures on alleviating minor discomforts <br />during 1st trimester of pregnancy. A quasi- experimental design was used. The study was <br />conducted at the Antenatal clinics at Ain Shams University Maternity Hospital. A Purposive <br />sample of one hundred and three pregnant women were included in the study, all women <br />were received the intervention. Data were collected through using three tools (A structured <br />interviewing questionnaire, pregnancy symptoms inventory (PSI)& Weekly follow up sheet). <br />In addition to Arabic Evidence based guide for alleviating minor discomforts during 1st <br />trimester of pregnancy. The main results of the study were the following: All pregnant <br />women that suffered from the current discomforts (nausea and vomiting, heartburn, and <br />constipation) followed the evidence-based guide which designed by the researcher that <br />involved instructions related to lifestyle modification besides, one of the following were used: <br />herbal therapy, acupressure, and aromatherapy. Additionally, the present study demonstrates <br />that there is highly significant difference between responses rate at before and after the <br />intervention related to (nausea &vomiting, heartburn, and constipation). This significance in <br />women response rate led to positive effect in decreasing frequency of current discomforts <br />(nausea& vomiting, heartburn, and constipation) at before and after intervention. The current <br />study concluded that evidence-based guide had a positive effect on alleviating minor <br />discomforts during 1st trimester of pregnancy. The following is recommended: Inclusion of <br />leaflet or booklet about evidence-based measures for alleviating minor discomforts <br />during <br />pregnancy as a hospital protocol for guiding nurses in application.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Developing Strategies for Overcoming Challenges Faced by Postgraduate Nursing Students73775019166910.21608/ejhc.2021.191669ENAsmaaSoliman Abdel-KhalikProf. of Nursing Administration- Faculty of Nursing, Ain Shams University-Cairo-Egypt.SamiaMohamed Adam,Prof. of Nursing Administration- Faculty of Nursing, Ain Shams University-Cairo-EgyptHematAbdel- AzeemAssist. Prof of Nursing Administration -Faculty of Nursing, Ain Shams University-Cairo-Egypt.Journal Article20210828Background: The research and thesis writing are critical components of postgraduate <br />studies. Possible challenges affect the student's completion and attrition rate. In advocating <br />for improved postgraduate experience, many postgraduate students adopted effective <br />strategies in overcoming challenges encountered to be able to obtain their intended <br />postgraduate degree certificate Aim: to investigate challenges faced by postgraduate <br />nursing <br />students, developing strategies for overcoming these challenges and assess face and <br />content <br />validity of the developed strategies. Design: A methodological study design was <br />used at <br />faculty of Nursing, Ain Shams University. Sample: consisted of two categories, <br />namely <br />postgraduate nursing students (236 master and doctorate postgraduate students at their last <br />semester of studies) and Juries.Tools:1) A Self- administered questionnaire for students 2) <br />Opinionnaire sheet for Juries. Results: a majority of the postgraduate nursing students view <br />a number of factors really challenging them during their postgraduate studies, as 88.6 % of <br />students found time pressure for studying and working together followed by 81.4 found <br />library and internet facilities are the highest challenging .Conclusion: the student-related <br />challenges consider the most challenging for students in comparison with the institution and <br />supervisor – related challenges, Among the student-related challenges, the financial ones are <br />the most challenging, whereas the academic ones were the highest among the institution – <br />related challenges Recommendations: The developed strategies should be presented to and <br />discussed with postgraduate students in the study setting for the purpose of improvement and <br />for ensuring their acceptability.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Assessment of Psychological Symptoms and Cravings among Patients with Substance Related Disorders75176319167010.21608/ejhc.2021.191670ENSelwanM. BalhaClinical Instructor of Psychiatric /Mental Health Nursing, T.I.N, Faculty of nursing, Alexandria UniversityOmimaAbo-BakerProf. of Psychiatric /Mental Health Nursing, Faculty of nursing, Ain Shams University, EgyptSaharMahmoudProf. of Psychiatric /Mental Health Nursing, Faculty of nursing, Ain Shams University, EgyptJournal Article20210828Background:Substance use disorders (SUDs) is a chronic and relapsing, yet treatable, <br />brain disease that is characterized by compulsive drug seeking and use, despite negative or <br />harmful consequences. The study aim: This study aimed at assessing the psychological <br />symptoms & level of cravings among patients with substance related disorders. Subjects and <br />Methods: Descriptive research design was used. This study was conducted at Elmaamoura <br />Hospital for psychiatric Medicine in Alexandria. The subjects of the yielded study embraced <br />90 patients. Three tools were used in the existing study namely interview questionnaire sheet, <br />substance -related disorders &alcohol Cravings ( PACS),and The Symptom Checklist 90 <br />scale - Results: more than one half of the studied subjects (61.1%) were craft workers, <br />(94.4% ) of the patients were consumed opioid substances like tramadol, heroin ..etc., and <br />93.3%were consumed cannabis substances. There are distress in the three indices of the <br />psychological symptoms among the studied subjects; Positive symptom index (64.82±15.01), <br />Positive symptom distress index (2.86±0.62), and Global severity index (2.06±0.64).In <br />addition to, more than half (62.2%) of the studied subjects had a high level of craving. <br />Conclusion: There is distress in the three indices of the psychological symptoms among the <br />studied subjects, and more than half of the studied subjects had a high level of craving. <br />Recommendation: Assessment of level of craving, and psychological symptoms <br />should be <br />incorporated into routine clinical assessment of the patients with addiction and in <br />designing <br />rehabilitation programs grounded on individual requirementsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Expressed Emotion and Burdens of Care among Family Caregiver's of Patients with Dementia76478019167110.21608/ejhc.2021.191671ENHanaaSayed EwaisClinical instructor, Faculty of Nursing, Bani Suief UniversityOmaymaAbo Bakr OsmanProfessor of Psychiatric/Mental Health Nursing, Ain Shams UniversityAfafMohamed FahmyAssistant professor of Psychiatric /Mental Health Nursing, Ain Shams UniversityOmaimaEzzat MahmouedLecturer of Psychiatric/ Mental Health Nursing, Beni-Suef UniversityJournal Article20210828Background: Family caregivers of people with dementia face many problems as, <br />stress, depression, anxiety and high level of burdens related to caregiving .The permanent <br />burdens of caregiving is likely to generate negative expressed emotion toward the patient. <br />Aim: the study aimed to assess the expressed emotion and burdens among family caregivers <br />of patients with dementia. Study design: a descriptive study design was utilized to conduct <br />this study. Setting: this study was conducted at the neuropsychiatric clinic at Beni-suef <br />psychiatric hospital. Subject: convenient sample of 50 family caregiver's, admitted to the <br />previously mentioned settings was recruited for conducting this study. Data collection tools: <br />1) socio-demographic questionnaire for patients with dementia and their family caregiver's. 2) <br />expressed emotions scale. 3) Zarit burden scale .Results: the present study revealed that <br />there was a higher level in expressed emotion and burdens among family caregivers. In <br />addition, there were highly statistically significant positive correlations between caregiver's <br />total expressed emotion and total burdens score. Conclusion: In the light of the current study, <br />it can be concluded that family caregivers of patient with dementia had high level of <br />expressed emotion and burdens. Recommendations: Designing a systematically continuous <br />family intervention programs in psychiatric hospitals to provide proper information and <br />psychological support that help the family caregivers to improve their understanding of the <br />disorder, handle difficult thoughts <br />and emotions, reduce negative expressed emotion and <br />reduce sense of burdenAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901The Effectiveness of Positive Psychotherapy on the Self- Efficacy and Psychological Wellbeing of Children with Thalassemia79781219183110.21608/ejhc.2021.191831ENMerfatM. AtiaPsychiatric Nursing, Faculty of Nursing / Menoufia University, EgyptLamiaaHassnin EitaPsychiatric Nursing, Faculty of Nursing / Menoufia University, EgyptRaniaM AlhalawanyPsychiatric Nursing, Faculty of Nursing / Menoufia University, EgyptAzzaA GhoneimPediatric Nursing, Faculty of Nursing, Menoufia University, EgyptShimaaA BadawyPediatric Nursing, Faculty of Nursing, Menoufia University, EgyptJournal Article20210829Background: thalassemia affects a patient’s psychological state and exerts adverse effects on the <br />mental health of patients and their families. The chronic nature of thalassemia transforms varied <br />aspects of patients’ lives, including their self-efficacy. Thus, this study aimed to evaluate the <br />effectiveness of positive psychotherapy on self-efficacy and psychological wellbeing of children <br />with thalassemia Methods: A quasi-experimental, single-group, pre- and post- test design was <br />applied to accomplish the study objective. The study was conducted at an outpatient clinic at <br />Menoufia University hospital in Shebin Elkom in Egypt. Sample: A purposive sample of 60 <br />thalassemic children was selected from the above mentioned environment. Data were gathered via <br />two tools: the psychological wellbeing scale for children (PWB-c) and the self-efficacy for <br />managing chronic disease 6-item scale. Additionally, socio-demographic data were collected, and <br />therapy sessions were conducted. Results: a positive and significant correlation was found between <br />the self-efficacy and psychological wellbeing of the studied children immediately after and one <br />month following the intervention. A highly statistically significant improvement was noted in the <br />total mean scores of both the self-efficacy and psychological wellbeing of studied children <br />immediately after and 1-month after the intervention at p-value (<0.001). Conclusion: The <br />implementation of positive psychotherapy proved constructive in enhancing the self-efficacy and <br />psychological wellbeing of children with thalassemia. Recommendations: First, positive <br />psychotherapy should be applied in specialized disease centers to increase the self-efficacy and <br />psychological wellbeing of clinic workers as well as thalassemic children. <br />Second, the scope of <br />positive psychotherapy should be expanded to all treatment levelsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901A Comparative Study Between Distance and Traditional Learning Among University Nursing Students During COVID-19 Pandemic81383019187610.21608/ejhc.2021.191876ENShereenAbd El-Moneam AhmedAssistant. Prof of Medical-Surgical Nursing, Faculty of Nursing, Suez-Canal University, EgyptRashaEl-Sayed IbrahimLecturer at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Beni- Suef UniversityEmanMohammed Ahmed MohammedLecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni -Suef University, EgyptJournal Article20210829The COVID-19 pandemic caused the greatest disruption of learning in history with a universal <br />effect on learners and teachers all over the world. Aim: Compare distance and traditional learning <br />among university students during COVID-19. Methods: a comparative cross-sectional study was <br />implemented on 396 university nursing students at the faculties of nursing affiliated to Suez Canal <br />University and Beni- Suef University randomly through the academic year of 2020/2021. Data was <br />collected online using Two tools including 1): assessment sheet to assess the students' perception <br />toward distance and traditional learning, 2): questionnaire to assess obstacles with distance learning. <br />Results exposed statistically significant variances in the students' total perception toward traditional <br />and distance learning 53.46±12.21, 56.23±14.18 respectively, 41.9% of the students have moderate <br />perception level toward distance learning, 53.2% of the students have high perception level, and <br />61.1% of the studied students face a high level of obstacles. Conclusion: the highest positive <br />perception directed toward distance learning and traditional exam, and the priority obstacles faced <br />by the students during distance learning concerns the Learners' characteristics dimension. <br />Recommendation: a combination of both distance and traditional learning through the introduction <br />of exclusive training to the students and instructors.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Assessment of post abortion woman lifestyle83184219206010.21608/ejhc.2021.192060ENAmaalRamadanMD, Obstetrics &Gynecological Nursing, Faculty of Nursing ,Ain Shams University .KameliaAbo ShabanaProf. of Obstetrics &Gynecological Nursing, Faculty of Nursing , Ain Shams University.SaharMossaProf. of Obstetrics &Gynecological Nursing, Faculty of Nursing , Ain Shams University.Journal Article20210831Background: The present study was a descriptive study that aimed to assess of post<br />abortion<br />woman lifestyle. A Qausi-expermental sample that consisted of 116 post aborted<br />women, the study was conducted at post natal room in AIN Shams University, maternity<br />hospital. Data were collected using Arabic structured interviewing questionnaire sheet includes<br />characteristics of the studied women; women knowledge regards abortion and management,<br />lifestyle assessment tool. The results of this study revealed that more than half of women don’t<br />have knowledge regards abortion and its management, more over there was more than half of<br />women had unhealthy lifestyle during pregnancy. It was concluded that the majority of the<br />studied women had negative attitude toward the lifestyle meanwhile, there were many factors<br />as age, work, family history, no. of abortion, unhealthy lifestyle behavior that effect on post<br />aborted woman. It was recommended that providing further session, brochures, to increase<br />women knowledge and awareness about effect of unhealthy lifestyle.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Guideline on Improving Nurses' Practices for Patients with Early Postpartum Haemorrhage84385419278210.21608/ejhc.2021.192782ENAmalMahmoud DawoodTeacher of technical school of Nursing - Faculty of Nursing Ain Shams UniversityKamiliaRagab Abou ShabanaProf. of Maternal and Gynecological Nursing-Faculty of Nursing Ain Shams UniversitySaharMossa SolimanProf. of Maternal and Gynecological Nursing-Faculty of Nursing Ain Shams UniversityAmalTalaat El SharkawyAssistant Prof. of Maternal and Gynecological Nursing- Faculty of Nursing Ain Shams UniversityJournal Article20210903Background: postpartum hemorrhage (PPH) is still one of the main causes <br />responsible for maternal morbidity and mortality. Aim of the study: To investigate the effect <br />of guideline on improving nurses' practices for patients with early postpartum hemorrhage. <br />Setting: At obstetric departments in Damanhur teaching hospital at Beheira Governorate. <br />Study Design: A Quasi- experimental (an interventional pre and posttest study). Subject <br />type: purposive sample. Subject size: All nurses (44nurses) who were working at obstetric <br />departments and accepted to participate in study, at previously mentioned study setting. Four nurses <br />were excluded from the total sample due to their participation in the pilot study. Tools: Three tools <br />1) a structured interviewing questionnaire. 2) An observational checklist. And 3) Nurses' <br />satisfaction tool. Results: The result of the present study findings was highly significant <br />improvement in total knowledge and total practical skills among the studied sample pre <br />intervention compared to immediate and eight weeks post intervention. P= < 0.01. <br />Additionally, about more than three quarter among studied sample satisfied with the <br />advanced knowledge included in guideline. Conclusion: the present study findings <br />concluded that a significant improvement among studied sample' knowledge and practices <br />post intervention. Recommendations: Nursing standards, protocols and guideline must be <br />designed to enhance nurses' knowledge, practices and satisfactionAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901COVID 19 Outbreak and Care Givers' Management Approach of their Children who undergoing Hemodialysis85587519278310.21608/ejhc.2021.192783ENDoaaBahig AnwrLecturer of Pediatrics Nursing Department, Faculty of Nursing, Aswan University-EgyptSamarAhmed MahmoudLecturer of Community Health Nursing Department, Faculty of Nursing, Aswan University. Egypt.DoniaElsaid Fathi ZaghamirLecturer of Pediatrics Nursing Department, Faculty of Nursing, Port Said UniversityAssistant professor, Department of pediatric health nursing, college of Applied Medical Sciences, Prince Sattam Bin Abdul-Aziz University, Alkharj, Saudi Arabia.Journal Article20210903Background: COVID-19 is an acute pulmonary infection caused by a coronavirus and <br />characterized by several clinical characteristics ranging from asymptomatic to respiratory failure that <br />required special care. Aim: Evaluate the impact management approach for caregivers regarding <br />prevention and control strategies of COVID19 for their children undergoing hemodialysis. Study <br />Design: Quasi-experimental design was used. Setting: The study was conducted at pediatrics dialysis <br />units at Mansoura University Children’s Hospital. Subjects: A convenient sample of (34) children <br />undergoing hemodialysis therapy & their caregivers who accompanied them. Tools: three tools used in <br />this study; Tool (I): Include three parts: Socio-demographic characteristics of the studied children, <br />Clinical information of the studied children undergoing hemodialysis, and Sociodemographic <br />characteristics of children's caregivers. Tool (II): included two parts; Knowledge of caregivers related <br />to hemodialysis, knowledge of caregivers related to COVID19, and Preventive and control strategies of <br />Covid19 used by caregivers for their children undergoing hemodialysis therapy. Tool (III): Strategies <br />and precautions followed by caregivers related to hemodialysis therapy and preventive and control <br />strategies of Covid19 used by caregivers for their children undergoing hemodialysis therapy. Results: <br />The results revealed that there was a statistically significant effect on caregiver’s knowledge regarding <br />hemodialysis, COVID-19. In addition to there was a statistically significant difference in the <br />application of COVID19 prevention precautions followed by caregivers for their children undergoing <br />hemodialysis through the program phases with P<0.001.Conclusion: a significant improvement of <br />caregiver’s knowledge regarding the hemodialysis, COVID-19 post & follow up implementation <br />phases compared with the pre-implementation phase. In addition to there was also a significant <br />improvement in the application of preventive and control strategies of Covid19 followed by studied <br />caregivers for their children who undergoing hemodialysis after the program application. <br />Recommendation: Infectious disease guidelines of the COVID-19 epidemic should be conducted by <br />healthcare staff in pediatric dialysis centers in order to reduce the transmission of <br />infection among <br />children with chronic renal failure.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Nursing Students’ Perception toward Shifting to Online Learning during the COVID-19 Pandemic at Urgent and Planned Situations87689019278410.21608/ejhc.2021.192784ENNafisaMoustafa ElpasionyLecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni-Suef University, EgyptNagwaGouda Ahmed Abd-ElmoghithAssistant Professor of Nursing Administration, Faculty of Nursing, Kafrelsheikh University, EgyptHudaRady SobhLecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt.Journal Article20210903Background: The coronavirus disease 2019 (COVID-19) pandemic has negatively <br />affected the learning strategies of nursing faculties, causing the temporary lockdown of <br />universities and sudden shift of traditional learning to online learning without prior <br />preparation. As lockdown continues, preparation of educational process for online learning <br />takes place. Aim: We aimed to compare nursing students’ perception toward online learning <br />during the COVID-19 pandemic at urgent and planned situations. Research design: A <br />descriptive study was conducted. Setting: Data were collected at the Faculty of Nursing of <br />Kafrelsheikh University in Egypt. Study subjects: By stratified randomization, we recruited <br />1004 students who already shifted to online learning during the pandemic and divided them <br />into the urgent and planned situation groups (502 per group). Tools: Two tools were utilized: <br />students’ technical-related data and students’ perception toward online learning, benefits, and <br />possible challenges. Results: A statistically significant difference in nursing students’ <br />perception toward online learning (χ2 = 356.215*, p < 0.001*) between the periods of urgent <br />and planned situations, approximately one-quarter (20.7%) of the urgent group compared <br />with the majority (80.3%) in the planned group had a positive overall perception. <br />Conclusion: Nursing students’ perception during the period of planned online learning was <br />better than that during the period of urgent online learning. Recommendations: <br />We <br />recommend introducing the latest innovations of online learning for both theoretical <br />and <br />practical lectures, including 3D virtual learning environment for practical lectures.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Right Position During and After Feeding on Gastric Residual Volume and Regurgitation Episodes Among Preterm Infants89190419551310.21608/ejhc.2021.195513ENHodaAhmed MahmoudDepartment of pediatric nursing, Faculty of nursing, Cairo University.SamahHamdy AbdelhafeizDepartment of pediatric nursing, Faculty of nursing, Cairo University.Journal Article20210920Body position affects the gastric emptying rate and feeding regimen manipulation have been<br />shown to affect the episodes of regurgitation. Aim: to investigate the effect of right position<br />during and after on gastric residual volume and regurgitation episodes among preterm<br />infants. Method: a quasi-experimental design was utilized. A convenient sample of 90<br />preterm infants on gavage feeding was randomly allocated into three groups (30 supine<br />position, 30 right 1 position after feeding time and 30 right 2 position during and after<br />feeding time). The study was conducted at Neonatal Intensive Care Unit (NICU) of El<br />Manial and Pediatric University Hospital, Cairo University Hospitals. The following tool<br />utilized to collect the required data: preterm infant's characteristics sheet and record for<br />gastric residual volume, regurgitation episodes and feeding. Results: More than half of the<br />preterm infants in supine and half of them in right1 and right 2 groups were males. There is<br />no statistically significant difference in the mean gestational age of preterm infants in supine,<br />right 1 and right 2 groups. The mean gastric residual for preterm infants in right 2 position is<br />the least volume than in right 1 and supine positions. Conclusion: A highly statistically<br />significant difference was found in the mean of gastric residual volume in supine, right 1 and<br />right 2 positions at different feeding time. No significant difference was detected in<br />occurrence of regurgitation between the three positions while the least occurrence of<br />regurgitation in right 2 position when compared to other positions. Recommendation: The<br />current study recommended that preterm infants could be placed in right side during and<br />after gavage feeding.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901The Effect of Quality Hospital's Environment on nurses’ satisfaction and their Compliance with safety Precautions90591419300810.21608/ejhc.2021.193008ENNohaHussein Yassein HusseinLecturer of Nursing Administration, Faculty of Nursing, Helwan University, EgyptMahaAbdeen Abdeen KhederAssistant professor, Nursing Administration, Faculty of nursing, Zagazig University, EgyptSanaaHassan MohamedLecturer of Nursing Administration, Faculty of Nursing, Beni-Suef University, EgyptJournal Article20210905Background: Increasing the nurses work environment quality is critical in the context of global<br />paucity of qualified nurses. Workplace satisfaction has been a major factor in motivating positive<br />job behavior. Research Aim: evaluate the effect of quality hospital's environment on nurses’<br />satisfaction and their compliance with safety precautions. Research design: A descriptive design<br />was utilized. Setting: Helwan General Hospital. Subject: A convenience sample was utilized to<br />select the study population. Tools: Four tools were used as 1st tool predesigned questionnaire<br />include (personal characteristics), 2nd tool “Quality of Hospital's Environment” and 3rd tool “Job<br />Satisfaction scale” and 4th tool “Compliance with safety Precautions scale”. Results: (60%) of<br />respondent nurses complied with safety precautions, regarding to the total satisfactory level of<br />quality of hospital's environment; it clarifies that 77 % of the respondent were satisfied.<br />Conclusions: The conclusion can be drawn from this study would be that there were satisfactory<br />level of quality of hospital environment and job satisfaction among the respondent nurses. Nurses<br />satisfied with their work environment were willing to comply with safety precautions.<br />Recommendation: Improving hospital environment to maintain high job satisfaction of nurses.<br />Enhance compliance of safety precautions through encouragement and appreciating good<br />performance, challengeable abilities activities to remain the nurse active all the time and<br />encouraging teamwork spirit among nurses<br /> Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Willingness of Nurses to Work during A Covid-19 Pandemic: The Role of Knowledge, Attitude, and Practices91593019339110.21608/ejhc.2021.193391ENEsmatSayed Abd El-mageedAssistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.MohamedGamal ElsehrawyLecturer of nursing administration, Faculty of Nursing, Port Said University, Egypt.TarekMahmoud ShakerLecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20210907Background: COVID-19 pandemic has caused an excessive loss of life and becomes <br />a major threat to human life around the world. Nurses’ willingness to participate in the care <br />of patients with COVID-19 increases as the awareness of diseases and training increases. <br />Aim: To explore the role of knowledge, attitudes, and practices on willingness of nurses to <br />work during COVID-19 pandemic. Methods: Cross-sectional descriptive research design. <br />Setting: The study was conducted at all Port Said governmental hospitals )6 hospitals(. <br />Subject: 426 nurses working in Port Said governmental hospitals. Tool: Knowledge, attitudes, <br />and practices questionnaire was utilized for data collection. Results: Nearly two-thirds of the <br />nurses had an adequate level of knowledge, practices, and a positive attitude regarding <br />COVID-19. Also, nurses' willingness to work and care for patients with COVID-19 is not <br />only affected by their knowledge, attitude, and practice but also, were positive predictors for <br />nurses` willingness. Conclusion: Knowledge, attitude, & practices had a significant positive <br />role in improving nurses' willingness to work during the COVID-19 pandemic. <br />Recommendations: Educational programs for nurses about COVID‐19 outlined by WHO <br />and Ministry of Health and Population in Egypt, with periodical evaluation.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Assessment for School Students’ Perception regarding Healthy Nutritional Pattern93194419354510.21608/ejhc.2021.193545ENMohamedFathy KamelMaster student in Pediatric Health Nursing, Faculty of Nursing, Ain Shams University.RandaMohamed AdlyProfessor of Pediatric Health Nursing, Faculty of Nursing, Ain Shams UniversityBothaynaNader SadekAssistant prof. of Pediatric Health Nursing, Faculty of Nursing, Ain Shams University.Journal Article20210907Background: Healthy nutrition is a cornerstone for the school students' health and wellbeing. <br />Unhealthy nutritional behaviors are core contributors to chronic diseases and health problems. The aim <br />of this study was to assess school students’ perception regarding the healthy nutritional pattern. <br />Research design: A descriptive exploratory design was utilized. Setting: This study was conducted at <br />Kastal and El Ewina School, Awlad abd Alla School, Tenida School and Balat School. Sample: A <br />convenient sample composed of 300 students, who attend the previously mentioned settings. Tools of <br />data collection: the study tools were; 1) Predesigned Questionnaire Format which included three parts: <br />To assess demographic characteristics of the studied student, to assess the school environment and to <br />assess students’ knowledge regarding healthy nutrition, 2) Assessment sheet for the students' nutritional <br />practice: included two parts: to assess students’ reported practice regarding healthy nutritional pattern <br />and assessment for the students' nutritional pattern, 3) Assessment for the students’ health status, <br />included Physical examination sheet to assessment of all body parts to detected signs of nutritional <br />deficiencies, Students’ anthropometric measurements, and Mid-Upper Arm Circumference (MUAC). <br />Results: The most of studied students had satisfactory total knowledge about food sources rich in <br />protein and satisfactory total knowledge about the importance of healthy nutrition and the majority of <br />them had satisfactory total knowledge about food sources rich in carbohydrates. Two thirds of them <br />had satisfactory total knowledge about food sources rich in vitamins and minerals. Also, the majority of <br />the studied students had good nutritional practices. There was statistically significant weak positive <br />correlation between the studied students' knowledge and their reported practice regarding proper <br />nutrition (r=.097, p=.04) and there was statistically significant very weak positive correlation (r=.006, <br />P=.015) between reported practice and weight. Also, there was statistically significant very weak <br />positive correlation (r=.042, P=.04) between reported practice and BMI. Conclusion: There was <br />statistically significant weak positive correlation between the studied students total's knowledge and <br />their total reported practice regarding proper nutrition (r=.097, p=.04) Recommendation: Provide <br />school based nutritional programs for the students, aiming to improve nutritional pattern through health <br />educational instructions, Involve teachers, school personnel, parents, communities, and local <br />government in the development and implementation of school nutrition programs and Integration of <br />nutrition education into the school curriculum for all age groups.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Assessment of Nurses Performance Regarding External Ventricular Drain among Children with Brain Tumor94595519354610.21608/ejhc.2021.193546ENAhmedN. A.BSc. in Nursing 2002Al-RafayS. S.Professor of Pediatric Nursing- Faculty of Nursing- Ain Shams UniversityHassanS. E.Professor of Pediatric Nursing- Faculty of Nursing- Ain Shams UniversityAbdEL-hamidA. E.Lecturer of Neurosurgery- Faculty of Medicine- Cairo University.Journal Article20210907Background: Brain tumors are the second most common childhood malignancies, after <br />hematologic malignancies and are the most common pediatric solid organ tumor. External <br />Ventricular Drain (EVD) is indicated for management of infection, intra ventricular <br />hemorrhage, intra cranial pressure monitor or after tumor excision. Aim: This study aimed to <br />assess nurses' performance regarding external ventricular drain among children with brain <br />tumor. Design: A descriptive design was used. Setting: Inpatient Departments and Surgical <br />Intensive Care Unit at Children Cancer Hospital Foundation in Cairo, Egypt (57357). Subject: <br />A purposive sample included 100 nurses out of total number 152 nurses who work in the <br />previously mentioned setting. Tools: Two tools were used; interviewing questionnaire sheet <br />and observational checklist. Results: Most of studied nurses were females and also more than <br />two thirds of them have competent practices. Moreover, there was a highly statistical <br />significant difference between both nurses’ total knowledge and total practice and their age and <br />years of experience. Conclusion: Slightly more than two thirds of studied nurses have <br />unsatisfactory knowledge while more than three quarters of them were competent in caring of <br />EVD among children with brain tumor. There was no correlation between nurses' total <br />knowledge and their total practices regarding care of EVD among children with brain tumor. <br />Recommendations: Development of educational guidelines based on evidence-based nursing <br />practices to promote excellence of nursing care and provides high-quality patient care regarding <br />children with EVD.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Nursing Guideline on Nurses' Knowledge and Practices regarding Chemotherapy for Women with Reproductive Cancer95696719354710.21608/ejhc.2021.193547ENAmalMousa MohamedPost graduate student, Faculty of Nursing, Ain Shams University, Cairo- Egypt.AzizaAttiaProf. of Maternity & Gynecological Nursing, Faculty of Nursing, Ain Shams University. Cairo- Egypt.Om-ElsaadFaroukProf. of Maternity & Gynecological Nursing, Faculty of Nursing, Ain Shams University. Cairo- Egypt.EmanMoustafaProf. of Maternity & Gynecological Nursing, Faculty of Nursing, Ain Shams University. Cairo- Egypt.Journal Article20210907Background: Reproductive cancer is an important health problem since it leads to mortality and morbidity of <br />women in all over the world. Aim: evaluate effect of nursing guideline on Nurses' knowledge and practices regarding <br />chemotherapy for women with reproductive cancer. Setting: The study was conducted at Nasser institute hospital (at <br />oncology department outpatient & inpatient department). Study design: a quasi-experimental design was utilized. <br />Sample: All nurses (40) who were working in the pre mentioned study setting during the time of the study Tools: <br />Tool 1 self- administered structured questionnaire sheet, Tool 2 observational checklist, and Tool 3 Women's <br />satisfaction questionnaire sheets. Results: showed statistically significant improvement in nurses’ knowledge and <br />practical skills related to <br />reproductive cancer and chemotherapy administration immediately post <br />intervention and <br />after three month follow up phase and increase Women's satisfaction level toward care provided <br />by nurses, study <br />confirmed statistically a highly significant positive relation between nurses' knowledge and nurses' practice and <br />Women's satisfaction post guidelines intervention. Conclusion: nursing guideline had positive effect on nurses' <br />knowledge and practices regarding chemotherapy which had direct effect on women’s satisfaction with nursing care <br />they received. Recommendation: <br />Refreshing courses pre-service and in-services training programs to enhance <br />nurse’s practical skills at oncology <br />units. Further research is recommended to identify factors that effect on <br />nurse’s knowledge and their practice related to oncology patient receiving chemotherapyAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Stress and Dietary Pattern Effect on Overweight and Obesity among Technical Nursing Students96898019354810.21608/ejhc.2021.193548ENAmiraElsayed MohamedB.Sc. In NursingAfafMohamed FahmyAssistant Professor of Psychiatric-Mental Health Nursing Faculty of Nursing- Ain Shams UniversityRaniaAbd Elhamid ZakiAssistant Professor of Psychiatric-Mental Health Nursing Faculty of Nursing- Ain Shams UniversityJournal Article20210907Background: Many adolescents suffer from common mental disorders such as stress, <br />which affects health through the psychosocial process, eating behavior, food choices and <br />physical activity.. Aim: this study aims to assess the stress and dietary pattern effect on <br />overweight and obesity among technical nursing students. Design: A descriptive relational <br />research design was conduct this study. Setting: This study was conducted at all nursing <br />institutes of Cairo Curative Organization's Hospitals (Heliopolis Hospital, Mabarret Masr Al- <br />Qadimah Hospital, Mabara El Maadi Hospital, Coptic Hospital and El-Islah El-Islamy <br />Hospital). Sample: Purposive sample of 85 overweight and obese students. Tools of data <br />collection: Interview questionnaire (Socio-demographic data and feeding pattern data), <br />compulsive Eating Scale and perceived Stress Scale. Results: Results of the study showed <br />that, more than half of technical nursing students under study had positive family history of <br />obesity and one third of them were obese and had high compulsivity level. Conclusions: <br />More than three quarters of technical nursing students under study had moderate level of <br />stress, and there was a positive correlation between dietary pattern and level of stress and a <br />positive correlation between overweight, obesity and <br />level of stress. Recommendations: <br />Future studies should be done on large numbers of <br />nursing students about their eating <br />behavior and how they decrease their stress level.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Assessment of the Health Team Performance in the First 24 Hours Regarding Patients with Stroke98199819354910.21608/ejhc.2021.193549ENEmanKhaleel Abd-ElrhmanB.Sc. Nursing (2012), Faculty of Nursing , Zagazig University-EgyptEmanTalaat Mohammed El-shamaa. Professor of Medical Surgical Nursing, Faculty of Nursing - Ain Shams University-Cairo-EgyptSamarFaltas Marzouk FaltasAssistant Professor of Critical Care Nursing, Faculty of Nursing - Ain Shams University- Cairo-Egypt.Journal Article20210907Background: Stroke is a leading cause of death and disability worldwide. It is a <br />complex disease and medical emergency that requires immediate medical attention, efforts <br />and skills of all members of the multidisciplinary team to minimize brain damage and <br />potential complications especially in the first 24hrs. Aim of the study was to assess the <br />health team's performance in the first 24hrs regarding patients with stroke. Design: An <br />exploratory descriptive study Setting: The study was carried out and conducted in the stroke <br />ICU, neuro-surgical ICU, the emergency and neurosurgery department at Nasr Institute <br />Hospital for research and treatment. Study subjects: A purposive sample consists of 60 <br />nurses and 40 neurologists and ICU physicians their mean age was 34.5±8.28 and36.10±7.94 <br />respectively. Data collection tools: a) health team self-administered questionnaire. b) Health <br />team practice observational checklist, and c) Health team self-administered form (attitude <br />scale). Results & conclusion: Firstly, (sixty, fifty-one & fifty-five) of the nurses under the <br />study had unsatisfactory level of knowledge, practice and had a negative attitude in the first <br />24 hours regarding patients with stroke respectively. Secondly, (sixty-five, sixty& fifty-five) <br />of the neurologists and ICU physicians under the study had satisfactory level of knowledge, <br />practice and had a positive attitude in the first 24 hours regarding patients with stroke <br />respectively. Furthermore, there was a highly statistically significant relation between <br />nurses' knowledge, practice, attitude and their demographic data. Also, there was a highly <br />statistically significant relation between neurologists and ICU physicians' knowledge, practice, <br />attitude and their demographic data. Recommendation: This study recommends the <br />importance of in- service training courses and designing health team educational program to <br />enhance their knowledge and improve their practices in the first 24hrs regarding patients <br />with stroke and minimize complications after strokeAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Emergency Obstetric Protocol on the Performance of Interns Nursing Students999101119355110.21608/ejhc.2021.193551ENEzz,I.M.SC. Nursing,Shadia,H.Prof. of Maternity & Neonatal Nursing, Faculty of Nursing, Ain Shams UniversitySabah,M.Prof. of Maternity & Neonatal Nursing, Faculty of Nursing, Ain Shams UniversityEman,M.Prof. of Maternity & Neonatal Nursing, Faculty of Nursing, Ain Shams UniversityJournal Article20210907Background: obstetric emergencies are life threatening medical condition that occurs during pregnancy, <br />labor, <br />or in the postpartum period. Moreover, internship offer carefully planned, monitored work experience <br />which <br />allow the opportunity to apply knowledge and skills in a professional setting. Aim: to evaluate the effect <br />of emergency obstetric protocol on the performance of intern nursing students. Subjects and Methods: a quasi <br />experimental design was utilized. Sample: a convenient sample, all female intern nursing students (100) in the <br />technical institute of nursing, faculty of nursing Ain- Shams University in the academic year (2019/2020) and <br />Purposive sample, 59 conscious women with obstetric emergencies who agreed to participate in the study and <br />with non co- morbid condition. Setting: The study was conducted in technical institute of nursing faculty of nursing <br />and in emergency unit, intensive care unit and labor unit of maternity hospital Ain- Shams University. Tools: <br />Tool 1 self- administered structured questionnaire sheet, Tool 2 observational checklist Tool 3 maternal <br />satisfaction questionnaire sheet. Results: showed statistically significant improvements in intern nurses’ knowledge <br />and practical skills related to emergency obstetric care immediately post protocol intervention and in follow up phase and <br />increase women satisfaction level toward care provided by intern nurse, study confirmed statistically significant <br />positive correlation between intern nurse’s knowledge and practice related to emergency obstetric care post intervention <br />and statistically significant positive correlation between intern nurse’s knowledge, practice and women satisfaction <br />post protocol intervention. Conclusion: Implementing emergency obstetric protocol had a positive effect on the <br />performance of intern nursing students. Recommendations: Dissemination of emergency obstetric protocol for all <br />intern nursing students in technical nursing institutions this will be effective in improving their performance.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Quality of Life among Patients with Bipolar Disorder1012102719355210.21608/ejhc.2021.193552ENTabasemFayez Fatahallah HegazyAssistant Lecturer of Psychiatric/ Mental Health Nursing, Faculty of Nursing / Ain Shams UniversityGhadaMohammed MouradProfessor of Psychiatric / Mental Health Nursing, Faculty of Nursing /Ain Shams UniversityRaniaAbdel- Hamid ZakiAssistant Professor of Psychiatric / Mental Health Nursing, Faculty of Nursing /Ain Shams UniversityJournal Article20210907Background: Bipolar disorder (BD) is serious, chronic psychiatric illnesses <br />characterized by alternating episodes of mania or hypomania and depression, or mixtures of <br />manic and depressive features and appears in adolescence or early adulthood. Aim: This <br />study aimed to assess quality of life among patients with bipolar disorder. Design: A <br />descriptive exploratory study design was utilized in this study. Setting: This study was <br />carried out in the outpatient clinic of the Institute of Psychiatry at Ain Shams University. <br />Subjects: A purposive sample of 40 patients with bipolar disorder Data were collected <br />using: 1) Interviewing questionnaire containing the following parts: A) Socio-demographic <br />characteristics. B) Patients' clinical data sheet. C) Patients' level of knowledge regarding <br />bipolar disorder. 2) Quality of life in bipolar disorder (QOL.BD-56) questionnaire. The <br />results: there was highly significant difference as regarding total QOL (P ≤ 0.001). <br />Additionally, there was statistically significant correlation found between adequacy of <br />monthly income and total QOL. Besides, there was no statistically significant correlation <br />found between age, gender, marital status, education level and occupation as regard total <br />QOL. Conclusions: the total level of QOL was negative in all dimensions of QOL toward <br />the patients with bipolar disorder under study. Recommendations: Examination of the role <br />of comorbidities such as anxiety disorders and substance abuse disorders on QOL in bipolar <br />disorder, and construction of family interventions designed to support family <br />members' <br />efforts to cope with the intrusion of BD into the household.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901The Effect of Nursing Rehabilitation Program on Symptoms Severity and Functional Status in Patients with Carpal Tunnel Syndrome Undergoing Surgery.1028104619355310.21608/ejhc.2021.193553ENSamahRamadan ShaheenLecturer of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptMonaAbdel Maksoud MohamedLecturer of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, EgyptJournal Article20210907Background: Carpal Tunnel Syndrome (CTS) is the most common upper extremity peripheral <br />compression neuropathy and typically occurs because of the compression and damage of the median nerve <br />between the transverse carpal ligament and flexor tendons in the carpal tunnel of the wrist. Objectives: was to <br />assess the effect of the rehabilitation program on symptoms severity and functional status in patients with carpal <br />tunnel syndrome undergoing surgery. Setting: The study was conducted at the Neurosurgery Department of <br />Alexandria Main University Hospital and the affiliated Outpatient Clinic. Subjects: This study comprised a <br />convenient sample of 40 adult patients admitted to the above-mentioned setting and diagnosed with carpal tunnel <br />syndrome undergoing surgery. The study subjects were divided randomly into two equal groups; a study group, <br />consisting of 20 adult patients who received the program and control consisting of 20 adult patients who received <br />the routine hospital care only. Tools: Three tools were used Tool I: Patient’s Sociodemographic Characteristics <br />and clinical data tool, Tool II: Carpal Tunnel Syndrome Questionnaire, and Tool III The Disabilities of the Arm, <br />Shoulder, and Hand. Results: There were highly statistically significant differences between the study and <br />control regarding pain intensity 1 month after the surgery. It was found that significant improvement among the <br />study group, after fourteen days and one month postoperatively concerning the disabilities of the arm, shoulder, <br />and hand. A statistically significant improvement in the symptom severity and functional status was noticed <br />among the study group. Conclusion: Applying for a rehabilitation program significantly enhanced the studied <br />patients' pain intensity, disabilities of the arm, shoulder, and hand., symptom severity, and functional status <br />postoperatively than their control. Keywords - Carpal Tunnel Syndrome, Nursing Rehabilitation Program, <br />Symptoms Severity, Functional StatusAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Educational Guidelines Regarding Safety Food Measures on Food Handlers Practices at Fayoum University Restaurants1047106219355810.21608/ejhc.2021.193558ENSoadAhmedLecturer of Community Health Nursing, Faculty of Nursing, Fayoum UniversityMervatAmin SayedAssistant Professor of Community Health Nursing, Faculty of Nursing, Fayoum UniversityJournal Article20210907Background: Foodborne diseases are a preventable public health problem, through <br />following the principles of food safety by food handlers. Aim: The aim of the study was to <br />evaluate effect of educational guidelines on food handlers’ practices at Fayoum University <br />restaurants. Design: A quasi-experimental research design was used in this study. <br />Settings: At Fayoum University restaurants. Sample: A convenience sample consisting of <br />80 food handlers was recruited. Tools: Two tools were utilized in this study: Tool <br />I: A structured interviewing questionnaire which included three parts; part I: <br />Socio-demographic characteristics of food handlers; Part II: Food handlers’ knowledge about <br />foodborne diseases, and safety food measures to prevent food contamination; and part III: <br />reported practices regarding safety food measures. Tool II: Observational checklist <br />concerning food handlers personal hygiene, hand washing, and use of personal protective <br />equipment. Results: The results revealed that 61.2% of the study sample were female, and <br />57.5% aged 40 years or more. There were improvements in food handlers’ knowledge and <br />satisfactory practices’ scores regarding safety food measures. Conclusion: The study <br />concluded that the application of the educational guidelines had a positive effect on <br />improving food handlers’ knowledge, and practices. Recommendations: Application <br />of <br />the educational guidelines and regular training programs at University restaurants <br />to <br />improve food handlers' knowledge, and practices regarding safety food measures.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effectiveness of Application of WHO Multimodal Strategy for Improvement of Knowledge, Practice, and Professional Quality of Life of Nurses during COVID-19 Pandemic1063107619402010.21608/ejhc.2021.194020ENSohierM. WeheidaMedical-Surgical Nursing, Faculty of Nursing, Alexandria UniversityRowaidaAnwar NiazyInformation System lecturer, International technical
female collegeBadriaMahrous Abdel Hamid MohamedMedical-Surgical Nursing, Faculty of Nursing, Menoufia UniversityAminaIbrahim Badawy OthmanMedical-Surgical Nursing, Faculty of Nursing, Menoufia UniversityNeimaAli RiadMedical-Surgical Nursing, Faculty of Nursing, Menoufia UniversityJournal Article20210911Background: The application of the WHO multimodal strategy during the periods of the outbreak <br />of COVID-19, is of great importance for improving nurses', knowledge, practice, and professional <br />quality of life. Aim: To Evaluate the Effectiveness of the application of the WHO multimodal <br />strategy on knowledge, practice, and professional quality of life of a nurse's during the Covid-19 <br />pandemic and compare between nurses working in intensive care unit and isolation word about <br />knowledge, practice, and professional quality of life. Design: Quasi-Experimental research design <br />was utilized. Setting: The current study was carried out at general Quwesna Hospital, Menoufia <br />governorate, Egypt. At isolation wards for COVID-19 patients and intensive care unit (ICU). <br />Subject: a purposive sample of (110) nurses providing direct care for Covid-19 patients, they were <br />divided into two groups study group one: (45) nurses in ICU and Study group two: (57) nurses at <br />isolation wards. Tools: Tool I- nurse's socio-demographic and medical data. Tool (2): Covid-19 <br />nurses knowledge assessment. Tool (3): Covid-19 nurses practice Observational checklist, and Tool <br />(4) The Professional Quality of Life scale (ProQOL). Results: A highly significant difference was <br />found between both groups pre/post application of WHO multimodal guidelines about knowledge <br />and practice mean scores. Compassion Satisfaction was increased from an average level to the high <br />level and burnout was decreased from average level to the low-level post-intervention of application <br />of WHO multimodal strategy. Conclusions: The application of the WHO multimodal strategy had <br />been proven to significantly increase knowledge, practice and Professional quality of life mean <br />score of nurses. Recommendations: Applications of the WHO multimodal strategy and replication <br />of the study using a large probability sample from a different geographical area to allow for greater <br />generalization of the resultsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Antenatal Sessions on Postnatal Knowledge and Practices Regarding Neonatal Jaundice among High-risk Primigravidas1077109219402110.21608/ejhc.2021.194021ENRaniaEl-KurdyWoman’s Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, Egypt.OmaymaMustafa Abu SamraPediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt.GawharaGad Soliman EbrahemPediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt.ElhamHassan TawfikCommunity Based Nursing, Faculty of Nursing, The British University in Egypt (BUE)Community Health Nursing, Faculty of Nursing, Damanhour University, EgyptMarwaIbrahim Hamdy AboraiahWoman’s Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, Egypt.Journal Article20210911Background: To decrease neonatal morbidity and mortality, it is important to increase awareness <br />about neonatal jaundice in high-risk primigravidas and develop a practical approach toward this. <br />This study aimed to examine the effect of antenatal sessions on postnatal knowledge and practices <br />regarding neonatal jaundice among high-risk primigravidas. Study design: A quasi-experimental, <br />comparative study was utilized. Setting: The study was performed at Antenatal Clinics of <br />Obstetrics and Gynecological Specialty Center at Mansoura University Hospital, Egypt. Subjects: <br />The study included a purposive sample of 122 high-risk primigravid women. Tools: Data were <br />collected using a structured interview schedule and women reported knowledge and practices <br />regarding neonatal jaundice. Results: The mean knowledge and postnatal practice scores were <br />significantly increased in the study group and decreased in the control group. Conclusion: Holding <br />antenatal sessions about neonatal jaundice for high-risk primigravidas were effective in instilling <br />satisfactory knowledge and adequate practical skills about postnatal care for babies exhibiting <br />neonatal jaundice. Recommendations: Maternity, pediatric, and community nurses should be <br />encouraged to take an active role in conducting antenatal sessions suitable for high-risk <br />primigravidas regarding neonatal health problems.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Nursing Student's Perceived Barriers, Achievements, and Satisfaction to Blackboard Utilization as a Digital Platform.1093110319402210.21608/ejhc.2021.194022ENSohierM. WeheidaMedical Surgical Nursing, Faculty of Nursing, Alexandria UniversityRowaidaAnwar NiazyInformation System lecturer, International technical female collegeBadriaMahrous Abdel Hamid MohamedMedical Surgical Nursing,
Faculty of Nursing, Menoufia UniversityAminaIbrahim Badawy OthmanMedical Surgical Nursing,
Faculty of Nursing, Menoufia UniversityNeimaAli RiadMedical Surgical Nursing,
Faculty of Nursing, Menoufia UniversityJournal Article20210911Overview: On line, learning has always been a debatable topic, yet during COVID-19. The students <br />have no choice to choose online or traditional learning. Ministry of education has forced all students <br />in Saudi Arabia to study through blackboard as a digital platform to protect them from COVID-19. <br />The outcome of online learning has not been investigated as well as student's readiness, acceptance <br />and environmental infrastructure. Aim: identify nursing student's perceived barriers, achievement <br />and satisfaction to blackboard utilization as a digital platform. Design: exploratory descriptive <br />research design was used. Setting: college of applied medical science, affiliated to Jouf University. <br />Tools: four tools were used, 1- Nursing student's socio demographic characteristics, 2- Nursing <br />students perceived achievements to black board digital platform, 3- Nursing Students perceived <br />satisfaction to blackboard digital platform, 4- Nursing student's perceived barriers to blackboard <br />digital platform. Result: blackboard was found to be unfamiliar way by more than half of the <br />students (56.41). However, the finding conveyed that students with high computer experience had <br />few obstacles to learn than those students with no computer experience, there were positive <br />correlations with high statistical significant between all of sub-scales of black board perception <br />regards perceived achievements, satisfaction and barriers. Conclusions: the study highlights nursing <br />student's perceived barriers (hard method), need training, make students psychological disturbed. <br />Moreover, it facilitates student's contribution & frustrates them to improve learning skills. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Educational Program regarding Prevention of Osteoporosis among Employees Women at South Valley University1104111419402910.21608/ejhc.2021.194029ENFatmaMohamed ElesawyLecturer of medical surgical nursing, Faculty of Nursing, South Valley University, Qena, Egypt.SaharFahmy Elsaud GawadAssistant professor of obstetrics and gynecology nursing, Faculty of Nursing, South Valley University, Qena, Egypt.ShymaaHelmy AhmedLecturer of medical surgical nursing, Faculty of Nursing, South Valley University, Qena, Egypt.Journal Article20210911Osteoporosis is a “silent” disease most common among women. Therefore, women need to provide <br />them with enough amount of information about the prevention of this disease. Aim of the study: <br />Evaluate the effect of educational program regarding prevention of osteoporosis among employees <br />women at South Valley University.Study design: A quasi-experimental research design (pre <br />posttest) was utilized in this study on a convenient sample of 227 employees women who worked at <br />South Valley University. Method: Data were collected by using a self-administered questionnaire <br />pre and post applying the educational program included osteoporosis knowledge assessment, <br />osteoporosis health belief scale, and osteoporosis self-efficacy scale. Results: The mean age of the <br />studied sample was 37.14±10.8 years. There was an improvement in women's total knowledge level <br />after application of the educational program, as well as improvement in all items of the osteoporosis <br />health belief scale. Also, there was an improvement in self-efficacy scale mean scores after <br />application of the educational program. Conclusion: The study found that women's information <br />improved after providing them with an education program on osteoporosis as well as self-efficacy <br />and health belief. Recommendations: an educational program for women should be applied on a <br />regular basis to improve knowledge and health beliefs regarding osteoporosis prevention.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Palliative Care Training Package on Nurses' Performance regarding Gynecologic Cancer1115113319407010.21608/ejhc.2021.194070ENHendAbdallah EL SayedAssistant Professor of Obstetrics and Woman Health Nursing, Faculty of Nursing, Benha UniversityDoniaAtef Ibrahiem ElzehiriLecturer of Community Health Nursing, Faculty of Nursing, Helwan University, EgyptShaimaaHassan MohamadyAssistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Helwan UniversityJournal Article20210911Palliative care is currently crucial in <br />nursing care, thus, continuing education in palliative <br />care for practicing nurses is necessary for <br />improving care with a life-limiting illness such as <br />gynecologic cancer. Aim of the study was <br />to investigate the effect of palliative care training <br />package on nurses' performance regarding gynecologic cancer. Sample: A convenient sample of <br />43 nurses. Research Design: A quasi-experimental (pre-test and post-test) design. Setting: This <br />study was conducted in the Gynecological Oncology Unit of the Maternity Hospital, the department <br />of Gynecology, Outpatient <br />Clinics of the Radiation Oncology and Nuclear Medicine Center at Ain <br />Shams University. Tools <br />of data collection: three tools were utilized including 1) a self- <br />administered questionnaire <br />that encompassed two parts demographic characteristics and assessment <br />of nurses’ knowledge regarding gynecologic cancer palliative care. 2) Nurses’ attitude towards <br />gynecologic cancer palliative care. 3) observational checklist for nurses’ practice. Results: More <br />than three-quarters of studied nurses had poor knowledge, the majority had a negative attitude and <br />unsatisfactory practice regarding gynecologic cancer palliative care before the training package. <br />However, after one month of the training package, nearly the majority of nurses had good <br />knowledge, a positive attitude, and. satisfactory practice. A statistically positive correlation between <br />total knowledge, attitude, and practice scores regarding palliative care for gynecological cancer <br />before and after training package (P ≤0.01). Conclusion: The training package had a favorable <br />effect on nurses' performance regarding gynecologic cancer palliative care. Recommendation: <br />Continuous in-service training on palliative care for nurses is <br />essential to improve performance in <br />the care of women with gynecological cancer.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Caregivers Training Program on Stroke Patients' Self-Efficacy1134115619421110.21608/ejhc.2021.194211ENHanaaMoukhtar IbrahimLecturer of Gerontological Nursing, Faculty of Nursing, Assuit University, EgyptShimaaElwardany AlyAssistant professor of Community Health Nursing, Faculty of Nursing, Assuit University, EgyptAzzaMohamed Abd El-AzizLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Assiut University, Egypt.NaglaaSaad Abd El-atyAssistant professor of Community Health Nursing, Faculty of Nursing, Assuit University, Egypt.SamiaYoussef SayedAssistant professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.HananAbd-Elrazik AbdelallAssistant professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.HawidaaKhalaf Abd_El-AalFellow Medical - Surgical Nursing, Assiut University Hospitals, Egypt.Journal Article20210912Background: Stroke is a major cause <br />of disability in adults and elderly. Chronic <br />complications arising from this disease have <br />impact on the affected patients' reduced self- <br />efficacy. Aim: Evaluate the effectiveness of <br />caregiver training program on stroke patient's <br />self-efficacy. Quasi-experimental design was <br />utilized. Setting: The study conducted in the <br />departments and outpatient clinics of neuropsychiatric diseases and neurosurgery hospital at <br />Assiut University Hospitals. Sample: Caregivers and their patients admitted to <br />neuropsychiatric diseases and neurosurgery hospital, during 6 months (equal number of 125 <br />for both). Tools: Include four tools. Tool 1 structured interview questionnaires. Tool II: <br />Caregivers’ knowledge about stroke. Tool III: Caregivers' practices regarding stroke <br />patients' care. Tool IV: Stroke Self-Efficacy Questionnaire (SSEQ). Results: 95.2% of <br />caregiver's have unsatisfactory knowledge about stroke in pre-program, compared to 84.8% <br />and 76.0% have satisfactory knowledge at post program and follow up; respectively. Also, <br />caregiver practices levels of patient's care were 100% inadequate in pre-program. These <br />levels improved to adequate practice in post program and follow up (72.0% & 75.2%); <br />respectively. A statistically significant difference of stroke patient's self-efficacy through <br />training program p =0.000. Conclusion: A caregivers training had a positive effect on stroke <br />patient's self‐efficacy. Recommendations: Continues caregivers <br />training regarding care of <br />stroke patients.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Nursing Care Bundle on Patients Undergoing Prostatic Surgery Outcomes1157116919436410.21608/ejhc.2021.194364ENAmiraMohammed Ali HassanLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Suez Canal UniversitySafiaBelalAssistant Professor, College of Applied Medical Sciences, Alhasa, Saudia Arabia ،and Faculty of Nursing, Ain Shams UniversityEmanMohammed Ahmed MohammedLecturer in Medical - Surgical Nursing Department, Faculty of Nursing, Beni-Suef UniversityJournal Article20210913Extreme symptoms, including physical, spiritual, and psychosocial repercussions, might result from <br />prostate surgery. A care bundle is a structured way of improving the process of care and patient <br />outcomes. So the study was aimed to evaluate the effect of nursing care bundle on patients <br />undergoing prostatic surgery outcomes. Research design: Quazi-experimental research design was <br />used to conduct data of the current study. Sample: The study sample included a convenient sample <br />of (40) patients, male adult patients undergoing prostatic surgery. Setting: The research was <br />conducted at the Oncology Department and Urology Department at Beni-Suef University Hospital. <br />Four tools used for data collection are Tool (I): The structured interview questionnaire, Tool (II): <br />Pain visual analogue scale, Tool (III): Surgical site infection grading system and Tool (V): Nursing <br />care bundle. Results: There were highly statistically significant differences between pre and post <br />implementation of the nursing care bundle in the studied patients regarding knowledge, pain and <br />surgical site infection (P =0.001). Moreover, there was a highly statistically significant difference <br />between pre, post-operative and follow up after one month regarding items of nursing care bundle <br />regarding deep breathing exercise and wound care. Conclusion: There were highly significant <br />differences and improvements in outcomes of patients undergoing prostatic surgery after <br />implementation of nursing care bundle. Recommendations: the study recommended that, <br />brochures and simplified booklet should be available for patients undergoing prostatic surgery with <br />basic instructions on how to live securely after surgeryAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Motor and Functional Recovery Post Radical Thyroidectomy: A Comparative Study of Two Types of Physical Exercises1170118119459410.21608/ejhc.2021.194594ENEngyA. KhamisPh.D., MSN, BSN, R.N., Lecturer of Medical and Surgical Nursing Department, Faculty of Nursing, Modern University for Technology and information, EgyptAliceE. ReizianPh.D., MSN, BSN, R.N., Professor of Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.EmanA. A. R. DabouPh.D., MSN, BSN, R.N., Lecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.Journal Article20210914Bakeground:Thyroidectomy is one of the standard surgical procedures worldwide. Although The <br />mortality and morbidity of thyroidectomy are low, some long-term complications continue to represent <br />significant health and social problem. Early physical exercises for these patients are effective in enhancing the <br />neck and shoulder motor function and improving quality of life. Aim: Assess the efficacy of early exercise <br />programs (self rang of motion and active rang of motion exercises) on radical thyroidectomy patients' motor and <br />functional abilities. Design: the researchers used a a comparative design. setting:The researcher <br />conducted the study at the Head and Neck Surgery Unit <br />in Alexandria Main University Hospital, Egypt. <br />Sample:50 radical thyroidectomy patients were included, <br />and each patient was randomly selected to be <br />allocated to one of the two groups, 25 patients <br />each. Tools: Four tools were used: Socio-demographic and clinical data structured interview schedule, <br />"The disabilities of the arm, shoulder and hand" outcome questionnaire, shoulder recovery outcome and neck <br />recovery outcome. Methods: The researchers used four tools for data collection. The exercise programs were <br />applied one week before the operation and continued for two months postoperative. The researchers developed <br />verbal and written instruction and gave it preoperatively, and patients were re-assessed by utilizing tools II, III, <br />and IV after applying the program for each group. Results: 88% of self exercises patients were holding against <br />maximal resistance of muscles strength after two months postoperatively compared to 48% of active exercises <br />patients were holding against gravity elimination. Arm circumference measurements were not statistically <br />significant differences between the two groups, neither preoperatively nor postoperatively. In contrast, range of <br />motion of shoulders, shoulder pain, Disailities of Arm,Shoulder and Hand score, ability to lift objects, ability to <br />do work, and overall activity were significantly improved among self-exercise patients than active exercise <br />patients. Conclusion: Significant improvement of the self exercises group concerning functional and motor <br />activity of the shoulder, arm, and neck. Modification of the disabilities of the arm, shoulder, and hand score of <br />self exercises patients. Statistically significant differences between self and active exercise group regarding <br />Neck Dissection Impairment Index after two months postoperative. Recommendations: <br />Patients and their families must be involved in early rehabilitation to prevent complications and improve their <br />daily living activity.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Online Health Protective Guidelines to Qualify Adult People to Return after Pandemic Curfew of Covid-191182120019486610.21608/ejhc.2021.194866ENDoniaAtef Ibrahiem ElzehiriLecturer of Community Health Nursing, Faculty of Nursing, Helwan UniversityRashaAwad A’elmagied SalimeLecturer of adult health care nursing, Faculty of Nursing, Helwan University, EgyptRedaAbdel Salam IbrahimLecturer of Medical Surgical Nursing department, Faculty of Nursing Tanta UniversityJournal Article20210916Background: The corona virus pandemic is causing large magnitude loss of life and severe human <br />distress worldwide. It is the biggest public health emergency in living memory. Aim: The study <br />aims to evaluate the effect of implementing online health-protective guidelines to qualify adult <br />people to return after the pandemic curfew of Covid-19. Design: A quasi-experimental design was <br />utilized. Setting: The data collected through an electronic questionnaire using google forms to <br />design then using google drive link to distribute it through using social media. Subjects: A <br />convenient sample includes available adult members within 6 months. Tools: An electronic self- <br />administered questionnaire was designed by the researchers, it included three parts: Part I. Adult <br />member’s socio-demographic characteristics. Part II. Knowledge involves study member's <br />knowledge about Covid-19. Part III. Reported practices. Results: illuminates that there were <br />noticeable changes of means ± SD in all tested items of knowledge before and after implementing <br />online health-protective guidelines, with highly statistically significant differences were observed <br />(P >0.000). Also, there was a radical satisfactory improvement among the majority of studied <br />members’ total score of reported practices as well there were highly statistically significant <br />improvements were observed in the studied members’ mean scores in most of all tested items of <br />reported practice (P >0.000). There was a statistically significant strong relation between total <br />scores of pre-and post-knowledge & reported practices of online health-protective guidelines with <br />their sociodemographic characteristics (p > 0.001). Conclusion: Online health-protective guidelines <br />achieved their aim as well as a significant improvement of the studied members’ means scores of <br />COVID-19 knowledge and protective reported practices after implementation of online health- <br />protective guidelines about pandemic COVID-19. Recommendations: Development of online <br />health-protective guidelines targeting vulnerable population as pregnant, elderly people and school- <br />age students. As well delivering regular and accurate information updates on the COVID-19 healthy <br />protective guidelines is needed.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effects of Immediate Skin-to-Skin Contact on Maternal and Neonatal Physiological Outcomes after Cesarean delivery1201122519490010.21608/ejhc.2021.194900ENRedaM. Nabil AboushadyAssistant professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Cairo University, Egypt.JakleinR. YounisAssistant professor of pediatric nursing, Menoufia University, Egypt & Faculty of Applied Medical Science, Taibahu University, KSAWalaaM. Abdel-RahmanLecturer of Maternal and Newborn Health Nursing, Faculty of Nursing, Cairo University, Egypt.Journal Article20210916Context: Skin-to-Skin Contact (SSC) immediately after cesarean section uncommon <br />in Egypt. It is anticipated that this type of care is a successful approach for both maternal and <br />neonatal outcomes. The aim of this study was to investigate the effect of immediate skin to <br />skin contact on maternal and neonatal physiological outcomes after cesarean delivery. <br />Methods: A Quasi-experimental design was utilized at the operative delivery and <br />postpartum unit at El-kasr El-Ainy and El -Manial university hospitals, Egypt. A purposive <br />sample of 100 primiparous women who underwent elective CS and their newborns (100) <br />were included and divided into study and control groups. Six tools were used to collect data <br />of this study, 1) characteristics of the studied mothers. 2) Newborns' medical records, 3) <br />Infant breastfeeding assessment tool, 4) Successful breastfeeding assessment tool, 5) <br />Maternal satisfaction self-report questionnaire and 6) Visual Analogue Scale (VAS). <br />Results: 96% of neonates in the study group manifested no signs of hypothermia compared <br />to 58% of the control group. There was highly statistical significant differences between both <br />groups regarding the total mean pain score after 6 hrs. from cesarean delivery. Also, <br />regarding total mean score of successful breastfeeding (11.68 ± 2.19 & 9.62 ± 2.41) in the <br />study and control group respectively. Conclusion: the present study concluded that <br />implementation of an immediate skin to skin contact after cesarean delivery had a significant <br />effect on maternal and newborn physiological outcomes. Recommendations. Skin to skin <br />contact nursing intervention should be importantly applied in all maternity units in <br />each <br />hospital immediately after cesarean deliveries for its great benefits.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Factors Affecting Mothers' Choice of Artificial Feeding Postpartum and during the first Six Months of Infant Life1226123819656410.21608/ejhc.2021.196564ENEkhlassM. EltomyLecturer at Community Health Nursing Department , Faculty of Nursing, Minia University, EgyptHanaaAbd Elhady SolimanLecturer at Maternity and Obstetric Health Nursing Department , Faculty of Nursing, Minia University, EgyptNaglaaFathy AhmedLecturer at Maternity and Obstetric Health Nursing Department , Faculty of Nursing, Minia University, EgyptJournal Article20210927<strong>Background: </strong>Breast milk has nutritional, anti-allergic, anti-infective, defensive, developmental, psychological and socio-economic proprieties for both mother and infant. So, exclusive breast-feeding (EBF) is a unique source of feeding during the first six months of an infant’s life. Though the numerous proprieties of breast milk, the median duration of EBF in Egypt is 1.8 months making the identification of risk factors a high priority. The aim was to assess factors affecting mothers' choice of artificial feeding postpartum and during the first six months of infant life. Design; A descriptive cross –sectional exploratory was used. <strong>Sample</strong>: A purposive sample of 365 mothers were chosen. Tools: I- Socio demographic questionnaire. II- Anthropometric measurements. III- Factors of artificial feeding questionnaire. <strong>Results</strong>; the rate of EBF is very low as 80% of mothers gave artificial feeding, while only 20% gave mixed feeding. Artificial feeding was associated significantly with socio demographic characteristics as 44.7 % are in age group 20 - < 30 years and 30.1% are read and write. Regarding maternal factors, 60 % of the mothers have insufficient time. Likewise, 85.2 % of the mothers have feeling of need to teach infant to eat and 74.8 % of them had previous experience of artificial feeding. Regarding feeding practices, 70 % gave babies pre-lacteal fluids. <strong>Conclusion</strong>; Timely initiation and pattern of breastfeeding at Minia is unsatisfactory as 80 % of the participant mothers did not apply WHO recommendations attributed significantly to specific socio-demographic characteristics of infant/ mother, maternal, environmental, infant and health care services factors. <strong>Recommendations</strong>; Pre natal and post natal education of mothers to achieve longer duration of breast feeding and overcoming maternal, infant and environmental barriers. Provide continuous training of health care providers on EBF importance at all levels.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Examining nursing students' communication skills development: A descriptive study1239125419498910.21608/ejhc.2021.194989ENOlaEl Sebai BadrLecturer, Nursing Education, Faculty of Nursing, Alexandria UniversityYasmeenMohamed Mohamed ShehataLecturer, Nursing Education, Faculty of Nursing, Alexandria UniversityJournal Article20210917Background: Teaching communication in the nursing curricula is significant, both <br />nursing students and educators value the communication skills competencies for quality of <br />nursing care given to patients and clients. Moreover, nursing care expressed through <br />interpersonal relationship should include all kinds of communication. Therefore, there is a <br />need to evaluate the development of communication skills among nursing students. Objective: <br />This study aims to examine the development of communication skills among nursing <br />students. Setting: This study was carried out in Nursing Education Department at the Faculty <br />of Nursing, Alexandria University Subjects: The subjects of this study comprised all nursing <br />students enrolled in health education course in the first semester of the academic year 2019- <br />2020. Tools: one tool was used by researchers; Development of Communication Skills <br />Assessment Scale (CSAS). Results: It was found that development of communication skills <br />related to the following aspects: role of nursing faculty members, students’ personal <br />characteristics, theoretical knowledge about communication in health and nursing, individual <br />characteristics of patients and the health-disease process, finally the profile of health team. It <br />can be concluded that development of communication skills in nursing students depends <br />heavily on several factors, some related to the role of nursing faculty members, while others, <br />related to <br />students’ personal characteristics, or individual characteristics of patients, and <br />finally the profile of health teams, respectively. Recommendations: Educational workshops <br />should be <br />conducted to all nurse educators about communication skills development and <br />interpersonal sciences. Also, teaching communication science as a mandatory course for all <br />newly admitted nursing students.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Psychological Hardiness and Depressive Symptoms among athlete students versus non-athletes: Comparative Study1255126619507210.21608/ejhc.2021.195072ENHosniaShehata MohamedPsychiatric Mental Health Nursing, Faculty of Nursing - Assiut UniversityMonaFawzy HussienPsychiatric Mental Health Nursing, Faculty of Nursing - Assiut UniversityJournal Article20210918Background: Sport has been shown to be effective both in treating symptoms of major depression <br />and raising hardiness but it is still underutilized in clinical practice. Aim: This study aimed to <br />investigate the relation between, psychological hardiness and depression among the athlete students <br />versus non-athletes. Design: It was a causative comparative and correlational study in terms of <br />descriptive designs. Setting: It was carried out at faculty of Nursing and faculty of Physical <br />Education at Assiut University. Subjects: Simple random sample composed of 218 non-athlete <br />university female students and 218 athlete university female students. Tools: The study’s <br />questionnaire consisted of three parts; involving demographic data, Beck depression inventory (BDI) <br />to measure the degree of depression, and Kobasa hardiness questionnaire (KHQ) to measure <br />hardiness. Results: The result conveyed that non-athlete females under study had lower depression <br />scores than athlete females with no statistical significant differences. Also, there were significant <br />differences between athletic and non-athletic females as regard to total psychological hardiness all <br />subscale except for commitment subscale. Conclusion: Athlete female students under study had <br />higher psychological hardiness mean scores than non-athletes with higher statistical significant <br />differences & depression mean score with no statistical significant difference. Recommendations: <br />The important of practicing sport to improve psychological hardiness and mental health wellbeingAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Online Health Guidance on Recovery of Postpartum Minor Discomforts and Neonatal Problems during COVID-19 Pandemic1267128120192010.21608/ejhc.2021.201920ENMarwaIbrahim Hamdy AboraiahWoman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, EgyptHananEl-Sayed Mohamed El-SayedWoman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, EgyptShaimaaFouad MohammedWoman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, EgyptJournal Article20211028Background: Due to COVID-19 Pandemic, the hospitalization time of the mother and <br />newborn has shortened resulting in limited knowledge and skills of the postnatal home-care. With <br />the development of technology, the maternity nurse becomes able to provide online postpartum <br />guidance for enriching women with information to be able to deal with postpartum minor <br />discomforts and neonatal problems, also minimize the risk of infection caused by face-to-face <br />visits during COVID-19 pandemic. Aim: This study aimed to assess the effect of online health <br />guidance on recovery of postpartum minor discomforts and neonatal health problems during <br />COVID-19 pandemic. Design: A quasi- experimental (pretest/posttest) research design was used. <br />Setting: This study was carried out in Obstetric and Gynecological Inpatient Wards and Labor <br />and Delivery unit at Mansoura University Hospitals, Mansoura city, Dakahlia governorate, Egypt. <br />Study subjects: A non-probability purposive sample of 130 primiparous mothers with their <br />newborns who were fulfilling the criteria. Tools: A structured interview questionnaire to cover <br />the data related to general characteristics and questions related to mother’s knowledge about <br />postpartum minor discomforts and neonatal health problems, follow up sheet and satisfaction <br />likert scale. Results: The present study results showed that there was a highly significant recovery <br />of postpartum minor discomforts and neonatal health problems in the first and second week post <br />intervention compared to pre intervention with a few percentage needed referral to health facility, <br />also, the majority of the studied sample was satisfied with online health guidance and contents <br />taken through it. Conclusion: The online health guidance served as a method for recovery of <br />postpartum minor discomforts and neonatal health problems among primiparous mothers and the <br />majority of them were satisfied with online health guidance and contents taken through it during <br />COVID 19 pandemic thus the tested hypotheses were accepted. Recommendation: The current <br />study recommended integrating the postpartum online health guidance as a new technology <br />method of guidance into the routine maternity care especially during COVID 19 pandemic.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Investigating Time Management habits and Its Related Factors among Medical Sciences Faculty Students1282129119526110.21608/ejhc.2021.195261ENSafaaHassan Zaki AbassPHD in Nursing Administration, Faculty of Nursing, Alexandria UniversitySilviaFarouk ShalabyPublic Health Department, Faculty of Medicine - Cairo UniversityJournal Article20210919Background: Time Management is a set of principles, practices, skill, and systems that work<br />together to assist in getting more value out of one’s time. For faculty students; it is an essential issue<br />as is associated with improving their performance. Aim of the study: To investigate the time<br />management habits and its related factors among medical sciences faculty students Subject and<br />method: A cross-sectional study was carried out at a private Faculty for girls at Kingdom of Saudi<br />Arabia, all students (190 female students) enrolled in the academic year 2018-2019 from different<br />specialties were investigated about time management habits. Tool: A self-administered<br />questionnaire which consisted of two sections was used; the first section included items about age,<br />specialty and the GPA while the second section included 23 items about time management<br />behaviors. Results: Students studying at the Clinical Laboratory department scored the highest<br />while students studying at Emergency and Radiology department scored the least regarding time<br />management skills with no significant difference. Regarding “time management skills “; 82.1% of<br />students had good scores 75% and more, while 5.8% of them had poor score <60% which indicated<br />poor time management skills. Significant relation was found between good time management skills<br />and scholastic achievement. Conclusion: There is a strong significance between time management<br />skills and academic performance Recommendations: Effective time management skills should be<br />taught to under graduate students; teachers should incorporate time management concepts and<br />applications in their classes. Trainings and seminars on time management skills are highly<br />encouraged.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901The Relation between Students Achievement and their Satisfaction level Post Attending Training at Delivery Room1292130319526210.21608/ejhc.2021.195262ENGehadNassar Ali.Supravisor at Ain Shams Specialized University hospitalKamiliaShabanaProfessor of Maternity and Gynecological Nursing, Faculty of Nursing Ain Shams university.WalaaFathyLecturer of maternity and gynecological Nursing, Faculty of Nursing, Ain shams UniversityJournal Article20210919<strong>Aim</strong><strong><span style="font-family: 'Times New Roman';">:</span></strong> was to investigate the relation between student achievement and their satisfaction level post attending training at delivery room.<strong> Setting: </strong>The study was conducted at the Obstetrical and Gynecological Department of the faculty of nursing at Ain Shams University. <strong>Design</strong>: A descriptive design was utilized. <strong>Sampling: A</strong> Purposive sample included (128) student nurse. <strong>Data collocation</strong> <strong>Tools: </strong>the first tool was interviewing questionnaire tool for assessing the general characteristics of students. The second tool is a checklist to assess student clinical achievement during training in the delivery room. The third tool is the satisfaction questionnaire for assessing student nurses' satisfaction post attending at the delivery room. The fourth tool is a questionnaire to assess barriers preventing student satisfaction during their training in the delivery room.<strong> Results</strong>: reveals that near three quarters among the student had clinical achievement in the delivery room, while forty nine of them had need reevaluation to assess clinical achievement in the delivery room. The result shows that near third quarter of students had satisfied with training in delivery room. While thirty seven of students were un satisfied with training in delivery room. On the other hand more than half of them reported no barriers related to clinical training in delivery room. <strong>Conclusion: </strong>This aim was significantly answered with the framework of present study research questions; and student clinical training objective achieved at training in delivery room. Nursing student satisfied with training in delivery room and student reported no barriers related training in delivery room. <strong>Recommendations:</strong> The clinical instructors should encourage student’s trials to do difficult nursing tasks in a successful manner which tends to increase the students competency self-efficacy. Regular seminars and meeting should be held with the clinical instructors to discuss how to improve the factors that may strength them satisfaction about clinical training environment and competency self-efficacy among nursing students.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Knowledge, Attitude and Barriers of unmarried female bridging program Nurse regarding Egg Frozen at South Valley University1304131919570010.21608/ejhc.2021.195700ENSaharG. FahmyAssistant Professor of obstetrics & Gynecological Nursing, Faculty of Nursing, South Valley University, Egypt.MervatH. MohamedLecturer of obstetrics & Gynecological Nursing, Faculty of Nursing, South Valley University, EgyptJournal Article20210921Background: Egg Freezing (EF) technology has improved significantly over the last decade,<br />giving women more choice over their reproductive futures. Knowledge on EF varies widely,<br />even amongst health care providers. Aim: this study aims to assess knowledge Attitude, and<br />Barriers of unmarried female bridging program nurses’ regarding egg frozen at South Valley<br />University. Methods: Descriptive research design was used, study was conducted at<br />Technical Institute of Nursing, South Valley University, sample involved 60 unmarried<br />female bridging program-nursing students, a structured interview questionnaire used as a tool<br />to collect data that involved four parts; personal, EF knowledge assessment, EF attitude<br />assessment and barriers of EF application. Results: 60%, of studied bridging program,<br />nursing students had inadequate knowledge and 61.7% have a positive attitude regarding EF.<br />And about 75% and 73.3% of studied bridging program nursing students consider fear of<br />future husband refusing and culture believes are barriers to perform EF. Conclusion: There<br />are a big percent of studied bridging program nursing students have inadequate knowledge,<br />positive attitude, and fear of future husband refuse are majority barriers about EF<br />Recommendations: Encourage bridging program nurses to update their education in the<br />form of attending workshops, conferences related to infertility issues and EF and implement<br />a study to evaluate effect of educational program about EF on improving nurses’ knowledge.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901An Educational Package for Oncology Nurses Regarding Fertility Preservation among Female Cancer Patients1320132919656310.21608/ejhc.2021.196563ENSuzanEl-Said MansourWoman's Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, EgyptSamiaI HassanWoman's Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, EgyptJournal Article20210927affected with cancer. However, chemo-radiotherapy regimens have a negative impact on future<br />fertility. Oocyte cryopreservation is one of the available methods to females to preserve their<br />fertility. Study Aimed to evaluate the effect of educational package for oncology nurses regarding<br />fertility preservation among female cancer patients. Subjects and Method: A quasi-experimental<br />pre and post-test design. Purposive sampling consisted of 61 nurses selected according to the<br />inclusion criteria. The study conducted at oncology center, Mansoura University Hospital. Tools:<br />Self-Administered Structured Questionnaire, Nurses’ knowledge regarding fertility preservation,<br />Nurse’s attitude towards Fertility Preservation and Nurses Satisfaction Scale. Results: There was<br />statistically significant improvement in the total knowledge score regarding fertility preservation<br />from (8.2 ±3.1) pre-intervention to (12.3 ±5.4) post-intervention with highly significant difference<br />(P= 0.001). The total attitude score of the study sample regarding fertility preservation were<br />improved significantly from (26.5 ±4.9) pre-intervention to (40.4 ±4.6) post-intervention with highly<br />significant difference (P= 0.001). Furthermore, the majority of nurses were satisfied, their<br />satisfaction level reach 73.8%. There was significant association between the post-intervention total<br />knowledge and attitude level among the nurses (X2 7.389, p=0.025). Conclusion: Educational<br />package was effective to improve the nurses’ knowledge and attitudes towards fertility preservation<br />as a novel method to sustain future reproductive capacity in newly diagnosed cancer female patients.<br />Recommendations: The importance of considering this novel method to sustain fertility<br />preservation in newly diagnosed cancer female patients as one of the main items in the nursing<br />curriculum and evolve protocols and pathways to empower timely counselling and communication<br />between health care team and the newly diagnosed cancer patients regarding fertility preservation<br />options. Also, the need for a multidisciplinary collaboration between oncology health team and<br />reproductive health care providers to improve awareness and availability of future fertility<br />preservation in newly diagnosed cancer patients.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Bundled Care on Self-Efficacy and Functional Outcomes among Patients undergoing Total Hip Arthroplasty1330134719579110.21608/ejhc.2021.195791ENRehamAdelEbada El SayedLecturer of Medical-Surgical Nursing Department, Faculty of Nursing. Ain Shams University. Abbasia, Cairo, Egypt.AhmedShaban HassanLecturer of Orthopaedic Surgery, Faculty of Medicine, Helwan University, EgyptSedikaSadek Ramadan FayedLecturer of Adult Health Nursing Department, Faculty of Nursing, Helwan University, EgyptRehamEl Ashery Ashery AskerLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Fayoum UniversityJournal Article20210922Background: Total hip arthroplasty (THA) is one of the greatest successful orthopedic procedures<br />achieved today. For patients with hip pain due to a diversity conditions, total hip arthroplasty can<br />relieve pain, restore function, and improve quality of life. Patient education is carefully<br />related to<br />the early recovery process and promotes outcomes after hip replacement by supporting<br />people to<br />become empowered during the period of regaining. The study aimed to evaluate the<br />effect of<br />bundled care on self-efficacy and functional outcomes among patients undergoing<br />total hip < /div><br />arthroplasty. Study design: A quasi-experimental design was used to attain<br />this aim. Setting: This<br />study was conducted at orthopedic surgery departments and Joint outpatient<br />clinic at El-Demerdash<br />Surgical Hospital, affiliated with Ain Shams University Hospitals, Cairo. Sample: A purposive<br />sample included 78 patients. Tools of data collection: Data were collected using four tools:1-<br />Patient’s Interview Questionnaire, 2- Hip disability and osteoarthritis outcome score scale, 3-Self-<br />efficacy for rehabilitation outcome scale and 4-Hip Strengthening exercises performance checklist.<br />Results: This study shows a statistically significant difference between study and control groups<br />regarding Hip disability and osteoarthritis outcome score, self-efficacy level, and Hip Strengthening<br />exercises performance as indicators of functional outcomes post bundled care application at p < /div><br />(<0.05). There was a statistically significant positive correlation between patients' total knowledge,<br />total hip Strengthening exercises performance and patients' total Hoos in the study group post<br />bundled care application at (P<0.001). The Conclusion: bundled care was effective care in<br />enhancing the functional ability among patients with total hip arthroplasty. Recommendation:<br />Apply bundled care as a care protocols for patients undergoing total hip arthroplasty and replicate<br />the study on a larger sample selected from different geographical areas in Egypt to obtain more<br />generalized findings in relation to current studyAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Educational Guidelines about Preventive Measures of Acute Gastroenteritis on Mothers' Knowledge and Reported Practices1358136819594010.21608/ejhc.2021.195940ENDoaaAbdelgawad SaidLecturer of Pediatric Nursing, Faculty of Nursing, Mansoura University, EgyptGehanEL Nabawy AhmedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Mansoura University, EgyptMohamedZorombaLecturer of Psychiatric Nursing and Mental Health, Faculty of Nursing, Mansoura University, Egypt0000-0002-4298-1121BoshraAttia MohammedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20210923Background: Acute gastroenteritis is the fifth leading cause of death worldwide. Objective: current<br />study aimed to evaluate the effect of application of educational guidelines about preventive<br />measures of acute gastroenteritis on mothers' knowledge and reported practices. Methods: A quasi<br />experimental design was used in this study. The study was carried out in outpatient clinics affiliated<br />to Mansoura University Children’s Hospital, Egypt. Subjects of this study was a purposive sample<br />of (100) mothers with their children attended outpatient clinics. A<br />developed structured<br />questionnaire sheet to assess mothers' knowledge and reported practice.<br />Results: there was a<br />statistically significant difference in mothers' knowledge and reported practice about preventive<br />measures of acute gastroenteritis post implementation of educational guidelines. Conclusion: there<br />was an enhancement in the mothers' knowledge and reported practice after application of<br />educational guidelines about preventive measures of acute gastroenteritis. Recommendations:<br />Continuous educational programs for health care providers and educators about gastroenteritis to be<br />delivered at outpatient clinics.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Quality of Life and Its effect on Mothers who Providing Care for Their Children with Cerebral Palsy1369138619607510.21608/ejhc.2021.196075ENDinaGamal Mohammed DesokyB.Sc. Nursing, Faculty of Nursing - Ain Shams University-Cairo-Egypt.HanaaAbd El-Hakeem AhmedProfessor of Community Health Nursing, Faculty of Nursing - Ain Shams University-Cairo-Egypt.FerialFouad MalikaAssistant Professor of Community Health Nursing-Faculty of Nursing - Ain Shams University-Cairo-Egypt.Journal Article20210925<strong>Background:</strong> Cerebral palsy is the most common cause of physical disability among children which lead to a potentially negative impact on the quality of life for their mothers <strong>Aim:</strong> This study aimed to assess quality of life<strong> </strong>and Its effect on mothers who Providing Care for Their children with cerebral palsy in El-Qaliobyea. <strong>Design:</strong> A descriptive analytical design was utilized to conduct this study. <strong>Setting:</strong> The study was conducted at in AL-Kanateir AL-Khairya Hospital and Rehabilitation Center affiliated to El-Hady El-Basher Hospital in El-Qaliobyea governorate.<strong> Sample:</strong> Convenient sample was used in this study which consisted of 104 children with cerebral palsy and their mothers, <strong>Tools:</strong> Two tools were used for data collection, the first tool: An interviewing questionnaire to assess sociodemographic data for mothers and their children, mothers’ knowledge, practices, QOl for mothers, health needs of the children with CP. The second tool:<strong> </strong>Children Health Status Assessment Sheet. <strong>Results:</strong> The result found that 71% of mothers had satisfactory knowledge about the preventive measures of cerebral palsy and its complications and 59.6% for them had adequate practices. Regarding to the total quality of life of mothers, 76.9% of them had poor , QOl level. The health needs of children with CP were moderately achieved for only 67,3 % of them<span style="font-family: 'Times New Roman';">.</span> <strong>Conclusion:</strong> A highly statistical significant relations between total mothers’ knowledge and practices which lead to illustration of poor level of quality of life for mothers with highly significant statistical differences between quality of life for mothers and their demographic characteristics such as educational level, social status, and job. <strong>Recommendation: </strong>Further intervention studies should be conducted to improve mothers’level of knowledge and practices for proper dealing with their children with CP as it plays an important role on their quality of lifeAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Biopsychosocial Needs of Patients Post Coronary Artery Bypass Graft1387140719612710.21608/ejhc.2021.196127ENDoaaGamal Abd El-bdee*B.SC. Nursing, Ain Shams University, Department of Medical -Surgical Nursing, Faculty of Nursing - Ain Shams University-Cairo-Egypt.ManalHussienProfessor of Medical-Surgical Nursing & Department of Medical -Surgical Nursing, Faculty of Nursing - Ain Shams University-Cairo-Egypt.SarahFathy MahmmoudLecturer of Medical-Surgical Nursing, Department of Medical -Surgical Nursing, Faculty of Nursing - Ain Shams University-Cairo-Egypt.Journal Article20210925<strong>Background:</strong> coronary artery bypass graft (CABG) is considered alone of the most critical surgeries in Egypt nowadays. Assessing bio psychosocial needs for patients post (CABG) is very important for facilitating their recovery and helping them cope with any health problems<strong>. Aim:</strong> This study aimed to assess bio psychosocial needs of patient post coronary artery bypass graft (CABG). <strong>Research design:</strong> Descriptive exploratory design was used to achieve the aim of this study. <strong>Setting:</strong> This study was conducted in the Cardio Thoracic Outpatient clinics at Cardio Thoracic Academy affiliated to Ain Shams University Hospital. <strong>Subject:</strong> A purposive sample of 60 adult patients' post CABG were taken to conduct this study randomly selected. <strong>Tools:1).</strong> Patient′ interviewing questionnaire, 2: Bio psychosocial needs of patients post Coronary Artery Bypass Graft assessment tool. Results<strong>:</strong>70%of patients under study had satisfactory level of knowledge regarding coronary artery bypass graft. As well as, there was higher mean score of the studied patients regarding their social needs 53.06± 13.63 rather than psychological needed 44.64±7.37 and physical need 40.74±12.53.<strong> Conclusion: </strong>The studied patients reported the social needs very much need more than the other needs, more than half of the studied patients reported psychological needs.regarding depression. <strong>Recommendations: </strong>further studies should be designed to encouraged Patients to participate in rehabilitation programs post coronary artery bypass graft surgeries to satisfy their physical, psychological and social needs. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Educational Programme on Lifestyle among Paramedical Students with Polycystic Ovarian Syndrome1408142019613210.21608/ejhc.2021.196132ENZeinabR. AL KurdiLecturer at Rafidah Al-Aslamia College of Nursing / Midwifery and Paramedical, JordanNadiaM. FahmyProf. of Maternal and Gynecological Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt.ShaidaH. MohasbProf. of Maternal and Gynecological Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt.NadiaAbd AlhamidProf. of Maternal and Gynecological Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt.Journal Article20210925<strong>Background:</strong> Polycystic Ovarian Syndrome (PCOS) is one of the most common female endocrine disorders, which affect about 5%-10% of women worldwide during their reproductive age. <strong>Aim:</strong> To evaluate the effect of educational program on lifestyle for paramedical students with polycystic ovarian syndrome. <strong>Setting:</strong> The study conducted at two government colleges in Jordan. <strong>Study Design:</strong> A Quasi- experimental (pre-test & post-test) design was utilized in this study. <strong>Sample type:</strong> A purposive sample. <strong>Sample size:</strong> 68 students. <strong>Tools of Data Collection:</strong> Identification of students with PCOS tool, Assessment of lifestyle habits tool, POCS structured interviewing questionnaire tool, Follow up sheet, and Psychological assessment tool. <strong>Results:</strong> The present study findings revealed that a highly significant difference regarding the student's knowledge about the PCOS as compared pre, post, and follow-up program results. Also, there was a significant improvement in the student's lifestyle habits after applying to the educational program compared to before applying them. <strong>Conclusion:</strong> The results of the study supported the study hypothesis that students who attend the educational program regarding polycystic ovarian syndrome, will improve their knowledge scores and their lifestyles. <strong>Recommendations: </strong>Applying a screening program for PCOS in young students is a very important to reduce the long-term health complications associated with PCOS. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Managers' Implementation of Benchmarking and Its Relation to Accomplishment of Competitive Advantage and Flourishing from Nurses' Perspective at One of Al-Azhar University Hospitals, Egypt1421143619634910.21608/ejhc.2021.196349ENRasha AlyIbrahem El-SayedAssistant Professor,Nursing administration, Faculty of Nursing, Port-Said University- EgyptJournal Article20210926<strong>Background:</strong> Benchmarking is a quality methodology for organizations to reach their ideal processes and ideal outcomes through using other organizations as a reference. <strong>Aim of the study:</strong> Determining the relationship between Managers' implementation of benchmarking and accomplishment of competitive advantage and flourishing of staff (established via nurses’ points of view) at Al-Azhar university hospital, New Damietta, Egypt. <strong>Methods: Setting:</strong> the study was carried out at Al-Azhar university hospital, New Damietta, Damietta governorate, Egypt. Design: a descriptive correlational design. <strong>Subjects:</strong> was consisted of 218 nurses. Tools and procedure: three different tools (benchmarking tool, competitive advantage tool, and flourishing scale). The fieldwork lasted from January to March 2021. <strong>Results:</strong> all studied nurses were female their mean ages were (29.81) with a standard deviation of (5.54). (70%) of them have a diploma in nursing, (9.2%) have a bachelor's in nursing science, also (6.4%) have a doctoral degree in nursing sciences. Moreover, the total mean score of managers' accomplishment of a competitive advantage as seen by nurses was (39.62) with a standard deviation of 9.29, and the total mean score of nurses flourishing was (48.35) with a standard deviation of (8.33). Also, The study revealed that managers implement benchmarking for accomplishing competitive advantage with a coefficient of determination (R2 =0.743), and the degree of effect (β=0.862). Managers' implementation of benchmarking leads to the flourishing of staff with a coefficient of determination (R2 =0.286), and the degree of effect (β=0.535). <strong>Conclusions:</strong> nurses have high mean scores of regarding managers' implementation of benchmarking and accomplishment of competitive advantage, Also, nurses have high flourishing scores. Hence, there is a statistically significant correlation between managers' implementation of benchmarking and their accomplishment of competitive advantage as seen by nurses, and nurses' flourishing. <strong>Implications for nursing management:</strong> Engaging nurses in important and innovative reflective practices have the importance of being with others in relationships and interaction patterns that leads to a high standard of performance, make them happy, and thrive at work. The analysis should be expanded to other contexts, both cross-sectional and longitudinally, as a guideline for further studies. This would make it possible to generalize to a wider population.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Health Educational Guidelines on knowledge and practices of Mothers having Children with Bell's Palsy1437145019635010.21608/ejhc.2021.196350ENSaharSedky FaheimAssistant Professor of Pediatric Nursing, Faculty of Nursing, Beni-Suef University, EgyptAzzaEl-Sayed Ali HegazyLecturer of Pediatric Nursing, Faculty of Nursing, El-Fayoum University, EgyptNadiaMedany Helaly MohamedAssistant Professor of Pediatric Nursing, Faculty of Nursing, Alexandria University, EgyptJournal Article20210926<strong>Background: </strong>Bell’s palsy (BP) is a common cranial neuropathy causing acute unilateral lower motor neuron facial paralysis and idiopathic, unilateral or bilateral paralysis of the facial nerve without any associated disorders. <strong>Aim: </strong>To evaluate the effect of health educational guidelines on knowledge and practices of mothers having children with Bell's Palsy. <strong>Design: </strong>A quasi-experimental research design was used. <strong>Setting: </strong>This study was conducted at physical therapy department of Beni-Suef Hospital.<strong> Subject: </strong>100 mothers and their children were selected randomly.<strong> Tools:</strong> Two tools were used for data collection,<strong> Tool</strong><strong><sub>1</sub></strong><strong>: A Self-administered questionnaire: </strong>Developed by the researchers and used to assess characteristics of mothers and their children also mothers’ knowledge about Bell's palsy (pre, post, and at follow up) phases of guidelines implementation. <strong>Tool</strong><strong><sub>2</sub></strong><strong>: An observational checklist</strong> (pre/post and follow up tests) to evaluate mothers’ practices in relation to their children with Bell's palsy such as pain relieving, eye care, follow up with doctor, mouth and dental hygiene, maintaining muscle tone and facial palsy yoga exercise. <strong>Results: </strong>There were highly statistically significant differences (P<.0001) regarding mothers knowledge and practices before, immediately after and at follow up phases of guidelines implementation. <strong>Conclusion: </strong>The present study concluded that, the educational guidelines had a positive effect on mothers' knowledge and their practices about their children with Bell’s palsy.<strong> Recommendations: </strong>Continuous ongoing in-service educational programs to nurses, mothers and caregivers are necessary to improve their knowledge, increase their awareness, follow-up and care of their children to decrease health complications.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Impact of Soft Skills Training Program on Head Nurses’ Performance1451146119685810.21608/ejhc.2021.196858ENNohaHussein Yassein HusseinLecturer of Nursing Administration, Faculty of Nursing, Helwan University, EgyptHanaaSamir Abd El-Aziz ElsaiadLecturer of Nursing Administration, Faculty of Nursing, Benha University, EgyptJournal Article20210929Background: Soft skills are equally important as hard skills. Technical hard skills are no longer<br />enough for head nurses to compete in this highly competitive work environment. Therefore, soft<br />skills are of paramount importance. Research Aim: This study aimed to evaluate the impact of soft<br />skills training programs on head nurses’ performance. Research design: a quasi-experimental (one-<br />group pretest/posttest) research design was utilized to accomplish the aim of this study. Setting:<br />The study was carried out in the Benha university hospitals in six General Medical Units, two<br />General Surgical Units (Male and Female). Subject: This study included a convenience sample of<br />n=50 head nurses. Tools: three tools used for data collection includes a structured questionnaire<br />sheet, job performance evaluation sheet, and<br />soft skill evaluation checklist. Results: There were<br />highly statistically significant differences for<br />head nurses’ knowledge, job performance, and soft<br />skills pre/post-intervention at p <0.01 for all.<br />Conclusion: Based on the study findings, a training<br />program about soft skills effectively improve head nurses’ knowledge, job performance, and soft<br />skills. Recommendation: Regular training programs about soft skills for nurses and nursing<br />administrators are essential for encouraging positive nurses’ skills and maintain effective health care.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Pregnant Women’s Perception Regarding Risky Pregnancy And Their Current Pregnancy Risk Condition: Correlational Study1462147519685910.21608/ejhc.2021.196859ENAyatM. Omar MasoudMaternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, EgyptNehmedoEzzat OsmanWoman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, EgyptEl SaidaGouda NasrMaternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, EgyptJournal Article20210929Background : Globally; high-risk’ pregnancies account for a significant proportion of perinatal<br />morbidity and mortality worldwide. Risk perception in relation to pregnancy and birth is a complex<br />process influenced by multiple personal, psychological and societal factors. Aim: This study aimed<br />to assess pregnant women’s perception regarding risky pregnancy and it’s correlation to their<br />current pregnancy risk condition. Design: A descriptive correlational design was utilized in this<br />study. Setting: This study conducted in Al-Hadeka center at Fayoum governorate, Egypt. Sample:<br />A purposive sample of 200 pregnant women was included in this study. Tools of data collection:<br />Four<br />tools were utilized to collect data<br />in this study (1) Structured Interviewing schedule,<br />(2)Modified high risk pregnancy scoring tool, (3) Women’s perception regarding risky pregnancy<br />questionnaire and (4): Perception of pregnancy risk Questionnaire(self-rating) ( PPRQ). Results:<br />This study revealed that the highest percentage of participants was reported low and fair level of<br />perception regarding risky pregnancy (72%). More than half of participants were categorized as<br />high and moderate risk pregnancy (53%), and a significant negative correlation was reported<br />between pregnant women’s perception regarding risky pregnancy and their current pregnancy risk<br />score (P. 0.0001). Conclusions: A statistical significant negative correlation reported between<br />pregnant women’s perception regarding risky pregnancy and their current pregnancy risk condition<br />score (r = -0.42) with (P.0.0001). Recommendations: Designing extensive intervention program is<br />recommended to improve women perception in relation to risky pregnancy, and further<br />studies can<br />be replicated on large sample at different settings to validate and generalize findings of the current<br />studyAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Educational Intervention about Computer Vision Syndrome on the Severity of Eye Complaints among Computer Users1476149619720110.21608/ejhc.2021.197201ENSamiaFarouk MahmoudAssistant professor of community health nursing, Community Health Nursing, Faculty of Nursing, Zagazig UniversityMonaEmad Eldien Hussien SabbourLecturer of community health nursing, Community Health Nursing, Faculty of Nursing, Mansoura UniversityJournal Article20211001The Computer Vision Syndrome (CVS) related to the usage of computers has been due to<br />low compliance with ergonomic features. The aim of that research was to assess the<br />effectiveness of educational intervention about computer vision syndrome on the severity of<br />eye complaints among computer users. Design: A quasi-experimental interventional study<br />with pre-post evaluation was performed. Setting: The research was concluded in the<br />administrative buildings of Zagazig University/Egypt. Subjects: Seventy-five computer<br />operators were included in the current study. Tools: Three questionnaires were used for data<br />gathering, which includes I. computer user's self-administered questionnaire, and Self-<br />reported eye complaints' and computer users' CVS knowledge scale, II. Observation and<br />measurement of the employees' computer ergonomic practices, and III. Assessment of the<br />computer workstation design. Results: Following educational intervention by 1 and 3<br />months, the total-eye-complaints score, total-knowledge score, and the total protective<br />ergonomic practices scores showed a statistically significant difference. Additionally, after<br />one and three months, the overall workstation score showed a substantial mean difference.<br />Conclusion: As a result of the educational intervention regarding computer vision syndrome<br />and its preventive ergonomic practices, computer users' observed eye symptoms decreased,<br />their knowledge about computer vision syndrome improved. Their protective ergonomic<br />practices and workstation proposal were remodeled. Recommendation: Based on the study<br />findings, it<br />is recommended that application the educational intervention about the<br />ergonomic<br />training program Computer operating employees, and acquiescence to<br />recommend<br />office ergonomics are essential to alleviate the growing prevalence in CVS<br />cases.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Relation between Job Crafting, Nurses' Job Satisfaction and Counterproductive Work Behaviors1497151519720210.21608/ejhc.2021.197202ENRehabAbou ShaheenLecturer of nursing administration, Faculty of Nursing, Tanta University-Egypt.SehamAly MahmoudLecturer of nursing administration, Faculty of Nursing, Tanta University-Egypt.Journal Article20211001Background: Job crafting can be considered as proactive behaviour from employees<br />to initiate changes in their job demands and resources to make their jobs more meaningful,<br />satisfying and engaging in more productive behaviour. Aim of the study: Identify relation<br />between job crafting, nurses' job satisfaction and counterproductive work behaviors<br />Research design: A descriptive correlational study design was utilized in the present<br />research. Sample: All the available nurses (390) were recruited in the current study. Setting:<br />Tanta University Hospitals in intensive care units (ICUs). Tools: Three tools were used for<br />data collection: Job Crafting Scale, Nurses' Job Satisfaction Scale and Counterproductive<br />Work Behavior Questionnaire. Results: The majority of nurses had low level of job crafting,<br />job satisfaction and counterproductive work behavior. Moreover there is negative significant<br />correlation between job satisfaction and counterproductive work behavior. Conclusion: Job<br />crafting has positive significant relation with nurses' job satisfaction and negative significant<br />relation with counterproductive work behavior. Recommendation: Designing job crafting<br />training programs and workshops about opportunities and techniques of job<br />crafting<br />behaviors.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Biopsychosocial Needs among Patients with Lower Limbs Amputation1516152819720410.21608/ejhc.2021.197204ENFatmaMostafa MahrousAssisstant professor of medical surgical nursing, Ain Shams University, Egypt.AmiraHedayalecturer of critical cases nursing, Ain Shams University, Egypt.SaraRagabNursing supervisor at El- Gmalia Hospital, Egypt.Journal Article20211001Background: amputation of the lower limb is a physically and psychologically<br />traumatic event that leads to a mismatch between the physical representation of the body and the<br />body itself. Aim: The study aimed to assess biopsychosocial needs among patients with lower<br />limbs amputation. Methods: a descriptive exploratory design was followed to achieve the aim of<br />this study. The study conducting at the surgical unit and at the outpatients<br />clinics at El.<br />Demerdash<br />Hospital affiliated to Ain Shams University hospital. A purposive<br />sample of 50<br />patient post<br />lower limb amputation surgery according to inclusion and exclusion<br />criteria. Data<br />collection<br />Tools: I-Patient's interviewing questionnaire, II-Assessment<br />of patient′s<br />Biopsychosocial needs. Results: The presentstudy revealed that about half of the studied subjects<br />had need assistance regarding dressing as a physical need, more two third of them had onset of<br />the pain suddenly, more than half of them had sometimes shyness in front of people, more than<br />two third of them sometimes had handicapped to go out for shopping, about half of them<br />sometimes had difficulty to cope with their condition. Conclusion: The studied subjects had poor<br />knowledge about dangerous of diabetes mellitus. The physical, psychological, social and spiritual<br />factors impact strongly on patient′ status after lower limb amputation. Recommendations:<br />Further studies are needed to study the impact of the biopsychosocial needs on the quality of the<br />life of the patientsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Comparison between Low and High-Fidelity Simulation regarding Nursing Students’ Self-confidence, Achievement and Satisfaction1529154619720610.21608/ejhc.2021.197206ENSallySaad ShaabanTeaching Assistant at Faculty of Nursing, Modern University for Technology and InformationManalSalah HassanProfessor of Medical-Surgical Nursing, Faculty of Nursing, Ain Shams University.AsmaaHamdy MohamedProfessor of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University.Journal Article20211001Background: The expanding usage of technology in healthcare education has permitted<br />the creation of simulation as one of the innovative educational methods in healthcare educational<br />programs. Simulation has been valued to have a significant impact in improving the learning<br />environment by using real-life scenarios with different and suitable fidelity types- low, medium or<br />high- to fulfill the intended learning outcomes for undergraduate as well as postgraduate students.<br />Aim of study: to compare between low -fidelity simulation and high -fidelity simulation<br />regarding nursing students’ self-confidence, achievement and satisfaction. Research design: A<br />comparative research design was utilized. Sample: A convenient sample of 102 nursing students<br />(51 for each group) was included in the current study. Setting: This study was carried out at the<br />learning and simulation laboratories at Nursing Faculty, Modern University for Technology and<br />Information. Three tools were utilized for data collection: Tool I: Student Satisfaction and Self-<br />Confidence in Learning to assess the students’ self-confidence level with the simulation. Tool II:<br />Adult Cardiopulmonary Resuscitation (CPR) achievement observational checklist to assess<br />nursing students’ CPR achievement. Tool III: The Satisfaction with Simulation Experience Scale<br />to measure student satisfaction with simulation. Results: revealed that more than three quarters<br />of the studied nursing students had high confidence level for both groups. Meanwhile, less than<br />half of the studied nursing students had competent level for low fidelity group compared to more<br />than three quarters had competent level for high fidelity group. Most of the studied students were<br />satisfied with both low and high fidelity. Conclusion: Nursing Students’ self-confidence was<br />equal in both low and high fidelity simulation groups. Meanwhile, the nursing Students’<br />achievement in Cardiopulmonary Resuscitation (CPR) was significantly increased with the use of<br />high fidelity simulation compared to low fidelity simulation. Moreover, nursing students’<br />satisfaction was slightly higher in low fidelity simulation compared to high fidelity simulation<br />group. Recommendation: Future studies are recommended to:<br />evaluate nursing instructors’<br />perception, knowledge, self-confidence and satisfaction regarding<br />high fidelity simulation as a<br />teaching and evaluating toolAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Stem Cell Therapy: Health Care Providers’ Knowledge and Attitude1547155819789310.21608/ejhc.2021.197893ENHananAbo-Baker MohamedAssistant Professor at Medical Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptDaliaMasoud ElsaidLecturer at Medical Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptJournal Article20211003Background: Stem cell therapy is a lifesaving technique for a number of malignant and non-<br />malignant disorders. Health care providers are considering the most confident source of knowledge<br />for the majority of patients so that they should have the ability to provide information to patients in<br />this advanced topic. Therefore, Aim of this study: was to assess knowledge and attitude of health<br />care providers regarding stem cells therapy. Method and Subjects: A cross sectional research<br />design has been utilized. Sample of this study comprised of 104 Physicians and nurses who working<br />at Oncology Center and Mansoura University Children's Hospital, three tools were used in this<br />study. Tool I: Health care providers' demographic and occupational characteristics questionnaire: It<br />was used for collection of personal and occupational data, tool II: Health care providers' knowledge<br />questionnaire; to assess general knowledge about stem cell therapy, tool III: Health care providers'<br />attitude scale, aimed to assess participants’ attitude toward stem cell therapy and its applications.<br />Results: indicate that majority of health care providers have average knowledge and positive<br />attitude regarding stem cell therapy. Conclusion: Conferences for health care providers to upgrade<br />their level of knowledge, awareness, attitude and practice regarding stem cell therapy.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Assessment of Upper Extremity Motor Function and Its Relation with Fatigue and Cognitive Impairment Among Patients with Multiple Sclerosis1559157319846110.21608/ejhc.2021.198461ENNaglaaFathallah El-SayedAssistant Professor of Medical Surgical Nursing Department, Faculty of Nursing, University of Alexandria, Egypt.DinaEl-Sayed GaberLecturer of Neuropsychiatry Department, Faculty of Medicine, University of Alexandria, Egypt.EshrakSalama HashemLecturer of Medical Surgical Nursing Department, Faculty of Nursing, University of Alexandria, Egypt.Journal Article20211006<strong>Background:</strong> Multiple Sclerosis (MS) is an unpredictable autoimmune disease that causes damage to the central nervous system including brain, spinal cord and optic nerve. This damage occurs as the body’s immune system attack the protective coating called myelin around nerve fibers in the central nervous system. It can affect different aspects of a person’s physical and cognitive functioning. Multiple Sclerosis is a complex, chronic disease that necessitates the support of a knowledgeable and concerned team of healthcare providers. This study aimed to assess the relation between upper extremity motor function among patients with MS with fatigue and cognitive impairment. Descriptive correlational research design was conducted on sixty adult patients with the diagnosis of MS who were admitted the MS Outpatient Clinic of El-Hadara Hospital in Alexandria. Four tools were used for collecting data: Tool I: Demographic and clinical data tool, tool II: Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, tool III: Multiple sclerosis Neuropsychological screening questionnaire, and Tool IV: Fatigue assessment tool. Results of the present study revealed that moderate disability of the upper extremity was the most disability level encountered representing more than one third among the study sample (36.7%) , furthermore; more than two third (73.3%) the study sample often having cognitive problems, suffering from severe fatigue (36.7%) and fatigue partially interfered with their quality of life(46.7%). Additionally, there was no significant relation between studied patients' motor function of upper extremity and their cognitive function p=0.54. On the other hand, there was a significant relation between studied patients' motor function of upper extremity and fatigue severity level, and effect of fatigue on their quality of life. Accordingly, conducting a comprehensive assessment of patients' upper extremity motor function, cognitive function, and fatigue level among patients with MS is necessary to determine the degree of suffering; this will help the nurses to predict their functional status and the effect of MS on their quality of life.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Communication Skills Training Program for Head Nurses on Interpersonal Relations and Nurses' Organizational Commitment1574158619846710.21608/ejhc.2021.198467ENMahaAbdeen AbdeenAssistant professors, Nursing Administration, Faculty of Nursing, Zagazig University, EgyptWafaaMustafa MohamedAssistant professors, Nursing Administration, Faculty of Nursing, Zagazig University, EgyptJournal Article20211006<strong>Background</strong>: Nurses are the most precious assets of any health-care institution, thus it's critical to understand their behavior. In this regard, the present study was carried out in order to examine the effect of communication skills training program for head nurses on interpersonal relations and nurses' organizational commitment. This study was carried out at Zagazig University Hospitals, using quasi experimental design. A convenience sample of 50 head nurses and simple random sample of 221 staff nurse from the previously mentioned setting. <strong>Tools</strong>: A questionnaire sheet was used to collect data for this study that was composed of three parts; Organization Communication Questionnaire, Fundamental interpersonal relation orientation - behavior questionnaires and organizational commitment scale. <strong>Results</strong> revealed that there was significant improvement in head nurses' communication skills mean score after the program implementation (P < 0.01). As well, there was statistically significant enhancement in their interpersonal relations with nurses mean score (P < 0.01). Additionally, there was a statistically significant improvement in nurses' organizational commitment after the program implementation (P < 0.01). <strong>Conclusion</strong>: communication skills training program for head nurses is effective in improving interpersonal relations and commitment of their nurses. <strong>Recommendation</strong>: hospital administration should establish training activities to offer nurses with key skills such as active listening, accurate feedback, and problem-solving techniques.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Depression, Anxiety and Marital Satisfaction among Infertile Males at Assiut Universal Hospital1587160219847410.21608/ejhc.2021.198474ENNadiaAbd Elghany Abd El HameedAssist. Prof of Psychiatric and Mental Health Nursing, Faculty of Nursing, Assiut Universal, EgyptRedaAbd El Aal ThabetAssist. Prof of Psychiatric and Mental Health Nursing, Faculty of Nursing, Assiut Universal, EgyptJournal Article20211006<strong>Background:</strong> Infertile men could suffer from episodes of depression, anxiety; anger, isolation, sense of personal failure and affect the quality of marital relationships between the couples. <strong>The study aimed </strong>to assess depression, anxiety and marital satisfaction among infertile males and determine relationship between depression, anxiety and marital satisfaction among them. <strong>Subjects & method: </strong>A non-experimental (case-control) research design was used. A purposive sample was used. The current study included 100 subjects (50 were studied group & 50 were control group). The study was conducted at outpatient clinic of andrology and sexual transmitted diseases in Assiut University Hospital, Egypt. Tools of study consisted of four tools: Demographic and clinical data assessment questionnaire, Beck depression inventory (BDI), Beck Anxiety Inventory (BAI), and Marital Satisfaction Scale. <strong>Results: </strong>The most of infertile and fertile age groups was ranged from 28 to <38 years old. 64% of infertile males and 60% of fertile males were from rural area. 56% of infertile males reported that their duration of infertility ranged from 1-3 years. Infertile males have higher level of depression and anxiety ((34% and 32% respectively) than fertile males and there are statistically significant differences between infertile and fertile males regarding total of marital satisfaction<strong>. Conclusion </strong>Infertile males have moderate to severe levels of depression, anxiety and marital un-satisfaction than fertile males. <strong>Recommendations: </strong>Psycho-education program can be designed and implemented for the infertile males to improve depression, anxiety and marital satisfaction among them.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Monitoring of Rehabilitative Nursing Practices in relation to Functional Ability for Patients with Spinal Cord Injury1603163120059610.21608/ejhc.2021.200596ENAhlamRashed Al BuwayniNurse Educator, MSN, BSN, RN, MOH, SA.NahedMresalAssociate Professor of Medical Surgical Nursing, King Abdul Aziz University, Professor of Medical Surgical Nursing, Ain shams University.SamahMahmoud SofarAssistant Professor of Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt.Journal Article20211021Background: Spinal cord injuries (SCI) is a serious medical status that influences the <br />patients’ life as well as that of their family, patients with SCI need to perform daily tasks and <br />optimize their physical and cognitive functioning. This can be achieved through <br />rehabilitation. Rehabilitative nurses should be knowledgeable and have an experience to <br />care for patients with SCI and prevent possible complications. Aim of the study: to monitor <br />the rehabilitative nursing practices in relation to functional ability for patients with spinal <br />cord injury. Setting: Medical Rehabilitation hospital in Madinah city in the Kingdom of <br />Saudi Arabia. Design: a cross sectional descriptive and correlational design. Sample: A <br />convenient sample of 46 nurses caring for patients with SCIs and a purposive sample of 36 <br />patients who have SCIs based on the inclusion criteria. Tools: 1-Observational checklist <br />assessment of rehabilitative nursing practices for patient with SCI. 2- Functional <br />Independence Measure (FIM) instrument was used in this study. Results: nearly three <br />quarters (71.7%) of nurses had inadequate practices regarding total rehabilitative nursing <br />practices for patients with SCI, while only around quarter (28.3%) of nurses had adequate of <br />practice, the mean score of total functional independent measure were (85.58±20.92). <br />Conclusion: the present study concluded that nearly three quarter of nurses had inadequate <br />practices regarding total rehabilitative nursing practices for patients with SCI. Concerning <br />total motor functional independence measure; it was found that more than half of patients <br />needed helper with modified dependence. Additionally, the highest majority of patients did <br />not needed helper regarding cognitive functional. There was a positive correlation between <br />types of injury with motor functional independence measure. Finally, there were no <br />significant correlation between total rehabilitative nurses’ practices for patients with spinal <br />cord injury, motor, cognitive and total FIM of the patients. Recommendations: The study <br />recommended future research is required in replicating the study at different settings with <br />large sample size in Saudi Arabia with the aim of generalizing the results.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Educational Interventions Regarding Home Accidents Among Children Under Age of Six on Mothers in Rural Areas1632165220059910.21608/ejhc.2021.200599ENSamiaFarouk MahmoudCommunity Health Nursing, Faculty of Nursing, Zagazig UniversityLailaAwadin Ali HassanCommunity Health Nursing, Faculty of Nursing, Beni Sweif UniversityJournal Article20211021Background: annually, home accidents are the major reason <br />for causing millions of <br />children’s permanent disabling. The study aim to evaluate the <br />effect of educational <br />interventions regarding home accidents among children under age of <br />six on mothers in rural <br />areas. Research Design: A quasi-experimental design was used. Setting: The present study <br />was conducted at Shaybah, Zagazig City, Sharkia Governorate. Subjects: 119 mothers were <br />recruited from the previous location. The present study included three tools: Tool I. A <br />questionnaire sheet of two parts, personal characteristics of the mothers and mother's <br />information about home accidents between children. Tool II. An observational checklist <br />used to determine self-reported mothers practices regarding first aid of home accidents. Tool <br />III. It is intended to assess the mothers' attitudes regarding preventing child injuries in the <br />home. Results: The total satisfactory knowledge was increased from 16% in pre-intervention <br />to 99.2% immediately post-intervention. The whole adequate practice increased from 16.8% <br />in pre-intervention to 89.1% at post-intervention. Additionally, highly statistically significant <br />differences between mothers to their total attitude toward home accident prevention <br />throughout intervention phases (p < 0.001). Conclusion: Current research results provided <br />evidence that after applying the educational intervention among mothers with children less <br />than six years in rural areas, improved their knowledge, and practice about home accidents <br />for all changes (p < 0.001). Recommendations: Mothers should receive supportive <br />techniques and strategies if their children are under the age of six.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Assessment of Nurses’ knowledge and Practice for Caring of Children Undergoing Blood Products Transfusion1653166320143610.21608/ejhc.2021.201436ENMonaEid Hussien ElbaqaryNursing specialist at El- Sheikh Zayed hospitalZeinabFathy El-SayedProfessor ofPediatricNursing,Faculty of Nursing,Ain Shams University-Cairo-Egypt.BothaynaNader SadekAssistant Professor of PediatricNursing,Faculty ofNursing,Ain Shams University-Cairo-EgyptJournal Article20211026Background: Nursing care for children undergoing blood products transfusion is <br />centered on their knowledge and practice about blood products, through assessment, and the <br />application of infusion parameters. Aim of the study: to assess nurses’ knowledge, practice <br />for caring of children undergoing blood products transfusion. Research design: A <br />descriptive design was utilized. Subject: a purposive sample of 150 nurses working in <br />Pediatric Units Ain Shams University Hospitals. Tools: (1) structured questionnaire format <br />to assess nurses’ knowledge for caring of children undergoing blood products transfusion. (2) <br />Observational checklist to assess nursing practice for caring of children undergoing blood <br />product transfusion. Results: more than one third of the studied nurses had poor knowledge <br />and more than half of them had incompetent practice for caring of children undergoing blood <br />products transfusion. Conclusion: Nurses had unsatisfactory level of knowledge and practice <br />for caring of children undergoing blood products transfusion. There was statistically <br />significant relation between total knowledge, total practice and their demographic <br />characteristics. Recommendations: Establish in-service training programs for continuous <br />updating nurses' knowledge about blood product transfusion, Providing of <br />on job training <br />programs for staff nurses about blood products transfusion.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Video assisted Education and its Effect on Bowel Clearance and Satisfaction among Patients Undergoing Colonoscopy1664167820143810.21608/ejhc.2021.201438ENShaimaaAbd El Mageed AmerClinical Instructor of Medical Surgical Nursing -Faculty of Nursing, Menoufia University, Shebin Al-Kom, EgyptWafaa.H.AbdullahProfessor of Medical Surgical Nursing -Faculty of Nursing, Menoufia University, Shebin Al-Kom, EgyptAmalAmin El-SheikhProfessor of Medical Surgical Nursing -Faculty of Nursing, Menoufia University, Shebin Al-Kom, EgyptSamahE. MasryAssistant Professor of Medical Surgical Nursing -Faculty of Nursing, Menoufia University, Shebin Al-Kom, Egypt.Journal Article20211026Background: The bowel preparation remains a significant barrier for patients who need to undergo colonoscopy. Inadequate bowel preparations still occur in about 10–25% of colonoscopies. So the inadequate nursing intervention leads to inadequate bowel preparation, serious complications and dissatisfaction for the patient undergoing colonoscopy. Aim: to examine the effect of video assisted education on bowel clearance and satifaction among patients undergoing colonoscopy. Design: a quasi-experimental research design was utilized. Setting: Gastrointestinal Endoscopy Unit of Menoufia University Hospital. Sample: Consecutive sample of 60 patients undergoing colonoscopy were assigned randomly into two equal groups, 30 patients for each group: Study group (I): received video assisted education along with routine hospital care. Control group (II): received routine hospital care only. Instruments (1): Structured interviewing questionnaire (2): Boston Bowel Preparation Scale (BBPS) (3): Modified Group Health Association of America 9(mGHAA-9 Questionnaire). Results: The findings revealed that there were highly significant differences were existed between study and control groups regarding their degree of bowel clearance (P< 0.001) in addition to improvement of patients’ satisfaction among the study group subjects than control group subjects. Conclusions: Video assisted education had a positive effect on enhancing quality of bowel clearance and improvements in patients’ satisfaction for patients undergoing colonoscopy. Recommendations: Developing illustrative educational videos to encourage the patients for bowel preparation and improve patient satisfaction and training program for nurses to improve their skills in teaching patients about colonoscopy preparation and the importance for seeking rapid medical advice.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Empowerment Program on Self-efficacy among Children with Thalassemia1679169220320910.21608/ejhc.2021.203209ENHanemAbdullah MohamedLecturer of Pediatric Nursing,Faculty of Nursing - Cairo UniversityEmanAbdelfattah HassanAssistant Professor of Pediatric Nursing Faculty of Nursing - Cairo UniversityJournal Article20211104Thalassemia is the most common hereditary hemoglobinopathy, enhancing self-efficacy in <br />children’s with thalassemia remains so important; as it is related to the capability to achieve some <br />important goals together with their psychological well-being . Aim: The study aimed to evaluate the <br />effect of empowerment program on self-efficacy among children with thalassemia. Methods: One- <br />group quasi- experimental design with pre-post evaluation, which was conducted in the hematology <br />clinics at El-Monira pediatric hospital, affiliated to Cairo- University. A purposive sample of 100 <br />children, aged from 8-12 years old. Tools: 1) Structured interview sheet, 2) knowledge structured <br />questionnaire, 3) and the self-efficacy questionnaire for children were used for data collection. <br />Results: All children had unsatisfactory knowledge about thalassemia before the program <br />implementation. Meanwhile, for total knowledge satisfactory level of children increased to slightly, <br />more than three quarter, near to three fifths, immediate post and one month after the program <br />respectively with highly statistically significant difference P <. 0.001. Also, highly significant <br />improvements of academic, social and emotional self-efficacy of children were observed after one <br />month P <. 0.001. Conclusion: Significant improvement in knowledge of children detected <br />immediate post and one month after the empowerment program, but self–efficacy improved <br />significantly only after one month. Recommendations: The study recommended that the <br />empowerment program should be implemented in the routine care for children with thalassemia.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Implementing Nursing Cluster Bundle on Prevention of Pressure Ulcer among Critically Ill Patients1710172220476910.21608/ejhc.2021.204769ENZahraAhmed SayedLecturer of Critical Care Nursing, Faculty of Nursing, Aswan UniversityAminaMohamed Abdel Fatah SlimanLecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura UniversityJournal Article20211114<strong>Background:</strong> In critical care units (ICUs), the incidence of pressure ulcers (PU) is significant, with a low compliance rate for PU prevention standard care. Despite the fact that studies have publicized that PU are mostly preventable, there is a lack of a Pu nursing cluster bundle based on the best evidence in e ICUs.<strong> This study </strong>was aimed to investigate effect of effect of implementing nursing cluster bundle on prevention of pressure ulcer among critically ill patients in trauma intensive care unit. Quasi-experimental research design was carried out to meet the aim of this study. A<strong> purposive sample</strong> included 85 adult patients are taken from trauma intensive care unit in Aswan University Hospital. Three tools were utilized to collect data in this study.<strong> Tool 1,</strong>Comprehensive Skin Assessment Tool; this tool consisted of two main parts:Part one-Socio- demographic and clinical data of the patient Part two- Assessment data of pressure ulcer it include, Evaluate skin temperature, color, moisture, turgor, and integrity and tissue perfusion, Pressure ulcer Stages,and Location of pressure ulcer.<strong> Tool 2, Braden Risk Assessment Scale</strong> to assess the patient's level of risk for developing pressure ulcers.<strong> Tool 3, the nursing cluster pressure ulcer prevention bundle</strong> It is consisted of six main items considering with supporting body surface, inspecting skin, keeping moving and repositioning, incontinence care, nutrition and hydration and preventive skin care measures. <strong>Results:</strong> There were highly statistically significant differences between the two methods of suctioning as regards the mean of respiratory rate, Oxygen saturation, among children before, during and after the closed and open suctioning methods, (P<0.001**) while no statistically significant difference were found as regards the mean of heart rate, systolic and diastolic blood pressures. <strong>Conclusion:</strong> The use of the closed suction system leads to less disturbances in the cardiorespiratory parameters compared to open suction system among children under mechanical ventilation.<strong> Recommendation:</strong> Nurses should be encourage in all pediatric intensive care units and trained to implement closed suction system in their sitting.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effectiveness of health literacy for informed consent on patient satisfaction undergoing surgery: A randomized controlled study1723173620549410.21608/ejhc.2021.205494ENMohamedGamal ElsehrawyLecturer, Nursing Administration, Nursing Faculty, Port Said University, EgyptSamiaEaid ElgazzarAssistant professor, Medical surgical nursing, Nursing Faculty, Port Said University, EgyptSherinEbrahim El-TahryLecturer, Medical surgical nursing, Nursing Faculty, Port Said University, EgyptJournal Article20211118Background:-Informed consent can be considered as a time-wasting and a process that request high <br />effort and intensive experience. The need for educating patients regarding their surgical operation or <br />any medical procedure improves their satisfaction with their evaluation, as well as satisfaction in <br />general. This study aimed to evaluate the effect of health literacy for informed consent on patient <br />satisfaction undergoing surgery. The study hypothesized that, health literacy for informed consent <br />process will be have positive effect on patient’s satisfaction undergoing surgery. Design: <br />Prospective randomized controlled trial using video assisted method. Sample &Setting: A total of <br />218 patients undergoing to surgery at Al-Salam Hospital at Port Said city and Gastroenterology <br />Hospital, Damietta Egypt, were randomly selected and assigned into two groups (simple random <br />sample). Tools of data collection: data was collected through three tools named as, tool I awareness <br />of patients regarding informed consent, tool II: patient perception toward perioperative anesthesia <br />service questionnaire, tool iii: leiden perioperative care patient satisfaction. Results: There was <br />statistical difference between health literacy and higher level patient satisfaction related to informed <br />consent in interventional groups than non-interventional after the surgical operation. Conclusion: <br />Great effect of health literacy of informed consent for intervention group on overall patient <br />satisfaction after surgery. Recommendation: Nurses necessity be attentive of health literacy <br />function toward delivering <br />healthcare and precisely supporting patients during the procedure of <br />informed consent.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Foot Reflexology Massage versus Benson Relaxation Technique on Physiological Parameters and Pain after Open Heart Surgery1737174921118810.21608/ejhc.2021.211188ENSanaaSaber MohamedLecturer of Critical Care & Emergency Nursing, Faculty of Nursing, Sohag University, Egypt.OlfatFarouk ThabetLecturer Fellow at Assuit university hospital " Heart Hospital, medical surgical nursing, Assuit University, Egypt.ZahraAhmed SayedLecturer of Critical Care Nursing, Faculty of Nursing, Aswan University, Egypt.RagaaDahi MohamedLecturer of Critical Care & Emergency Nursing, Faculty of Nursing, South Valley University, Qena, Egypt.Journal Article20211228Background: physiological instability and pain are among the most common problems of patients <br />post open heart surgery. Many studies reported that non-pharmacological and complementary <br />interventions improve physiological instability reduce post-operative pain; therefor current study <br />aimed to study the effect of foot reflexology massage versus Benson relaxation technique on <br />physiological parameters and pain after open heart surgery, Study design: A randomized controlled <br />trial was used . Methods: the study was carried at Cardio-Thoracic intensive care unit (CTCU) at <br />Assuit Heart University Hospital. Subject: the study performed on 90 patients, they were divided <br />into three groups (foot reflexology, Benson relaxation and control group). Two tools were used: <br />patient's assessment sheet and Assessment of Chest pain intensity. Results: a statistically significant <br />difference between the groups was reported in terms of all physiological variables (P=0.001) after <br />applying foot reflexology and Benson relaxation and the improvement were more significant in <br />reflexology group than Benson group. Also a statistically significant difference between the groups <br />was reported in relation to pain intensity. Conclusion Foot reflexology and Benson relaxation <br />significantly improved the physiological status and pain of patients after open heart surgery. So, it <br />recommended applying a training program for critical care nurses on open heart surgery units on <br />foot reflexology technique and Benson’s relaxation technique to be able to use them as a part of <br />routine nursing care for patientsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Organizational Cynicism and Organizational Commitment among Staff Nurses1750176121296310.21608/ejhc.2021.212963ENFawzia.M.M.BadranAssistant professor of Nursing Administration, Nursing Administration Department, Faculty of Nursing, Ain Shams UniversityMennatAllah G Abou ZeidLecturer of Nursing Administration,
Nursing Administration Department, Faculty of Nursing, Ain Shams UniversityJournal Article20220106Background: Organizational cynicism and commitment are two intertwined<br />phenomena that constitute an important subject matter in literature. It has a great effect on<br />the efficiency of the organization. Aim: The study aimed to explore the relationship < /div><br />between organizational cynicism and organizational commitment among staff nurses.<br />Research design: A descriptive correlational design was used. Research Settings: The<br />study was carried out at Academy of Cardiac Surgery affiliated to Ain Shams University<br />Hospitals. Subjects: This study included one hundred and twenty nurses. Tools for data<br />collection: Data were collected using a personal data questionnaire sheet, organizational<br />cynicism scale, and organizational commitment questionnaire. Results: The results of the<br />current study demonstrated that 75% of the working nurses included in the study had a high<br />level of organizational cynicism. Emotional commitment had the highest mean scores.<br />Meanwhile, the continuance commitment had lowest mean. Moreover, less than three<br />quarters of staff nurses had a high organizational commitment level among staff nurses.<br />Behavioral cynicism had the highest mean score followed by cognitive cynicism.<br />Meanwhile, affective cynicism had the lowest mean score. Conclusion: There was a<br />negative relationship with a strong statistical significant between organizational cynicism<br />and organizational commitment within the staff nurses. Recommendations: Organizations<br />must find their way to strive for good relations between employees with mutual love and<br />trust and not to have to use punitive policies with some employees who have some anger<br />and boredom with administrative and organizational policies.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Nursing Knowledge and Compliance regarding Central Line Associated Blood Stream Infection Bundle in Neonatal Intensive Care Units: An Assessment Study1762178121385510.21608/ejhc.2021.213855ENSoheirEmad MahmoudB.Sc. of Nursing,Faculty of Nursing, Ain Shams UniversitySafySalah El-Dien Al-RafayProfessor of Pediatric Nursing, Faculty of Nursing, Ain Shams UniversitySafaaSalah IsmailDean of Helwan Faculty of Nursing,
Bachlore in Science of NursingJournal Article20220112Background: Central Line Associated Blood Stream Infections (CLABSIs) are the most <br />common healthcare associated infections in the Neonatal Intensive Care Unit (NICU). The nurse has an <br />important role in CLABSI bundle during insertion and maintenance. This study aimed to: Assess <br />nursing knowledge and compliance regarding CLABSI bundle. Setting: This study was conducted at <br />the (NICU) in Children University Hospital (Abu Elrish) El-Mounira and New Kasr El-Ani Teaching <br />Hospital. Design: A descriptive design was used. Sample: A purposive sample of 86 nurses included in <br />the study working at the previously mentioned setting. Tools: The first tool is a predesigned <br />questionnaire to assess nurses' knowledge about CLABSI bundle; the second tool was observational <br />checklist to assess nurses' compliance for neonates with CVL. Results: Revealed that less than half <br />had poor knowledge and more tham half had average knowledge about CLABSI bundle while more <br />than half had incompetent practice. Conclusion: The current study provides a picture of the current <br />nursing knowledge and compliance of CLABSI bundle in NICUs. The study conducted that less than <br />half had poor knowledge and less than half had average knowledge about CLABSI bundle while more <br />than half had incompetent practice. In addition, the study illustrated an absence of a uniform protocol <br />for prevention of CLABSI in the studied NICUs and absence of adequate training. This indicates the <br />need for developing a protocol for CLABSI prevention based upon current evidence based guidelines <br />and make education program on this protocol. There is also a need for establishing a system to <br />implement prevention protocols and the monitoring of adherence and CLABSI bundle. <br />Recommendations: Collaboration and continuing education of the staff in the NICUs are vital to <br />improve their knowledge and practices of care provided for neonates with central venous line. <br />Standardized nursing guide lines about CLABSI bundle should be used to guide the nurse while caring <br />of neonate with central line. Make checklist for insertion and maintenance CLABSI bundle for each <br />patient and also make kits for CVL insertion and dressing change.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Self Learning Module on Nurses performance regarding caring of Children with Cushing Syndrome.1782179322251010.21608/ejhc.2021.222510ENFatmaMohamed MohamedAss.professor of pediatric nursing , Faculty of nursing Ain Shams university, Cairo, EgyptTanazorHemdan AbdelhamedLecturer of Pediatric Nursing, Faculty of Nursing, Modern University of Technology & Information (MTI), Cairo, Egypt.Journal Article20220301Background: Cushing syndrome (CS) is a multisystem disease caused by long-term exposure to <br />high levels of glucocorticoids. Slow development, weight gain, truncal obesity, facial plethora, and <br />hypertension are all characteristics. Aim: This research aimed to see how a self-learning program <br />affected nurses' productivity when caring for children with Cushing syndrome. A quasi <br />experimental approach has been utilized to assess the influence of a self-learning course on nurses' <br />effectiveness in caring for children with Cushing syndrome. Settings: This study was conducted in <br />the pediatric and hereditary units of a pediatric hospital associated with Ain Shams University. <br />Sample: A practical selection of all nurses working in pediatric and hereditary units (80 bedside <br />male and female nurses) from the starting of January 2021 to the end of June 2021. Tools of data <br />collection: To obtain findings for this research, two techniques were used: a standardized <br />interviewing survey form, as well as observational evaluations of nursing care provided to children <br />with CS. Results: Nurses' understanding of CS was insufficient during the pre-module phase, <br />although there is a statistically considerable variation between pre and post learning module <br />deployment. Nurses' awareness, practice, and before and post module implementation all have a <br />beneficial relationship. Conclusion The nurses evaluated who care for children suffering Cushing <br />syndrome had an inadequate level of knowledge regarding Cushing syndrome, its long-term <br />implications, and long-term continuous therapy. Also, after implementing the module, the studied <br />nurses had a competence practice level in caring for children with Cushing syndrome. <br />Recommendation: Enhancing nurses' understanding for value of self-learning modules on the <br />growth of their technical skills as well as the quality of care delivered to children with CS through <br />in-service training activities in various health care institutionsAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Mothers’ Protective Measures toward their Children Against COVID-19 Pandemic.1807182422853110.21608/ejhc.2021.228531ENEmanArafa BadrLecturer of Pediatric Nursing, Faculty of Nursing, Alexandria Universityp, Alexandria, Egypt.MahaEbrahim FoudaLecturer of Pediatric Nursing, Faculty of Nursing, Damanhur University, El-Behera, Egypt.MahaHosny ElshaterLecturer of Pediatric Nursing, Faculty of Nursing, Alexandria Universityp, Alexandria, Egypt.NohaMohamed ArafaLecturer of Pediatric Nursing, Faculty of Nursing, Alexandria Universityp, Alexandria, Egypt.Journal Article20220331Background: Coronavirus Disease 19 (COVID 19) pandemic is a major public health crisis that has <br />harmed the well-being of children worldwide. Several protective measures have been recommended <br />to halt the spread of the viruses and its associated mortality especially for children. Aims: the study <br />aims to assess mothers’ protective measures toward their children from COVID-19 pandemic. <br />Subject and method: Design; A descriptive research design was used for this study. Setting: The <br />study was conducted at the Out-Patient Department of El-Raml Children’s Hospital (Wingat) at <br />Alexandria. Subjects: A convenient sample of 200 mothers having children from one to six years. <br />Tool: One tool was used for data collection: Mothers' protective measures to their children from <br />COVID-19 interview schedule. Results: the present study revealed that nearly two thirds of the <br />mothers (63%) have fair knowledge of the protective measures for their children against covid 19. <br />Moreover, 61.5 % of those mothers provided moderate protection level to their children from covid <br />19. Conclusion: the results of this study concluded that more than half of the mothers obtained fair <br />score of knowledge as well as moderate score of protective measures toward their children <br />regarding COVID-19 pandemic. Recommendations: The study highlights the need for an <br />educational program, workshops, and videos \booklets conducted for mothers to improve their <br />protective measures for their children regarding COVID-19 pandemic emphasizing the instructions <br />about steps of hand washing and how to wear and remove the mask.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Biopsychosocial Needs among Patients Receiving Radioactive Iodine Therapy for Thyroid Disorders: Suggested Guidelines1825183923286010.21608/ejhc.2021.232860ENFatmaMostafa MahrousAssistant Professor of Medical-Surgical Nursing Department, Faculty of Nursing, Ain Shams University, EgyptJackleenFaheem GendyAssistant Professor of Medical-Surgical Nursing Department, Faculty of Nursing, Ain Shams University, EgyptMarwaAbd-ElazizLecturer of Adult Health Nursing Department, Faculty of Nursing, Helwan University, EgyptJournal Article20220423Background: The most common treatment for Graves' disease and toxic multi-nodular goiter in <br />adults is radioactive iodine therapy. Aim: The aim of this study was to assess the knowledge, <br />biopsychosocial needs and develop radioactive iodine guidelines among patients receiving <br />radioactive iodine therapy for thyroid disorders. Design: A descriptive exploratory design was <br />utilized to conduct this study. Setting: The study was conducted at the outpatient clinics in Nuclear <br />Medicine Center for receiving radioactive iodine therapy affiliated to Ain Shams University <br />Hospitals. Subjects: Convenient sample of all available (65) adult thyroid disorders patients from <br />both sexes. Patients who were admitted in the Outpatient Clinics at Nuclear Medicine Center for <br />receiving radioactive iodine therapy were included in this study. Tools: Three tools were used for <br />data collection I. Patients` Structured Interview Questionnaire. II. Assessment of patients' <br />knowledge regarding radioactive iodine therapy. III. Biopsychosocial assessment needs. IV. <br />Develop guidelines for patients receiving radioactive iodine therapy for thyroid disorders. Results: <br />80% of the patients with thyroid disorders were females with a mean age of 42.9 ± 10.8 years. <br />66.2% of the thyroid patients' had lack of knowledge and need to know about RAI treatment and its <br />precautions. Regarding activities of daily living (ADL) about 58.5% of thyroid patients had <br />difficulty in doing heavy house works, and 50.8% of them had difficulty in presenting care for their <br />children. Regarding the psychological needs 81.5% of them reported having depressed mood and <br />not feeling any happiness and experiencing the feeling of anxiety, as well 56.9% had loss of <br />autonomy during this period. Conclusion: The studied subjects had poor knowledge about <br />treatment and its implications; also the majority of them were in need for support in the physical <br />and psychological needs (feeling of depression& anxiety). Additionally, they had a high level of <br />concerns regarding the effect of disease and its treatment on their social and personal role. <br />Recommendation: Equip the nuclear unit with simple, illustrated guidelines booklet covering <br />instructions about provide patients with the needed knowledge and improving their quality of life <br />while receiving RAI therapy.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Immune Enhancement Intervention on Clinical Outcomes of Patients with Breast Cancer Undergoing Chemotherapy1840185723559310.21608/ejhc.2021.235593ENJackleenFaheem GendyMedical-Surgical Nursing Department– Faculty of Nursing- Ain Shams University.FatmaMostafa MahrousMedical-Surgical Nursing Department– Faculty of Nursing- Ain Shams University.Journal Article20220509Breast cancer (BC) is the most frequently diagnosed malignancy and ranks as the leading cause of <br />cancer-related deaths among females worldwide. After lung cancer, it is the second-largest cause of <br />death. Systemic chemotherapy is used to treat more than half of the individuals with BC. They are <br />effective at destroying cancer cells, but they can temporarily display immune dysfunction. The <br />immune system is critical to rebuild and maintain the immune system in optimal fighting shape. <br />The present study aimed to evaluate the effect of immune enhancement intervention on clinical <br />outcomes of patients with BC undergoing chemotherapy. The research design was quasi<br />experimental. Setting: It was conducted at the oncology center and nuclear medicine at Ain Shams <br />University Hospitals. Sample: A purposive sample of 100 patients was sorted into two groups: <br />control and study. Tools of data collection: Data were collected using a structured interviewing <br />questionnaire, a Scale for assessing one's quality of life, an Australia-modified Karnofsky <br />performance status scale & a nutritional assessment sheet that includes a lab investigation & tumor <br />marker. The results: The study group (60%) and the control group (68%) were married and <br />between the ages of 50 and 70 years old, respectively, and there was a highly significant difference <br />between the two groups in terms of knowledge, quality of life, performance status for usual <br />activities, and nutritional status post-intervention, which led to a highly significant decrease in <br />tumor biomarkers among the study group versus the control group. Conclusion: Patients with BC <br />who were undergoing chemotherapy saw a statistically significant improvement in their clinical <br />outcomes after participating in an immune enhancement intervention program. Recommendations: <br />More researches are needed to conduct training and instruction, to study the impact of the immune <br />enhancement intervention program on the clinically outcomes and quality of life of the patients.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Web-Based Education on Quality of Life and Anxiety Level among Patients undergoing Hemodialysis during Covid-19 Lockdown1858187225237410.21608/ejhc.2021.252374ENHebaAbd El Reheem Abd El Reheem Abd El ReheemLecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Port Said UniversityMonaMohamed Ibrahim AbdelalAssistance Professor at Medical Surgical Nursing, Faculty of Nursing, Beni-Seuif UniversityAmoraOmar Ibrahim ElmowafyLecturer of Medical Surgical Nursing, Faculty of Nursing, Mansoura UniversityShymaaHelmy AhmedLecturer of Adult Nursing Department, Faculty of Nursing, South Valley University, Qena, EgyptJournal Article20220801Hemodialysis patients are prone to high stress and anxiety levels related to the acute coronavirus <br />epidemic. Aim: To evaluate the effect of web-based education on quality of life and anxiety level <br />among patients undergoing hemodialysis during Covid-19 lockdown. Methods: Subjects and <br />method: Design: Quasi-experimental research design pre-post-test was utilized to achieve the aim <br />of this study. Settings: The study was conducted at Port Said City in Egypt. Sample: Purposive <br />samples of 300 patients undergoing hemodialysis were enrolled in this study during the period of <br />the beginning of june 2020 to end of October 2020. Four tools were used in data collection: (I): A <br />self-administered questionnaire (pre and post-test format) was used to assess the patient's <br />demographic characteristics, medical history, and patient's knowledge about hemodialysis (pre and <br />post-test format); (II): Corona Disease Anxiety Scale (CDAS); (III): Quality of Life (QoL) scale, <br />and (IV) Patient's satisfaction regarding web-based education. Results: The present study revealed <br />that there were highly statistically significant differences between patients' knowledge and their <br />anxiety during COVID-19 pandemic outbreaks pre and post-implementation of the web-based <br />education. Also, Significant improvements in the QoL (p < 0.001) were revealed after the <br />implementation of web-based education. Conclusion: the study concluded that web-based <br />education achieved significant improvements in the patient's knowledge and has a positive effect on <br />improving their quality of life and minimizing anxiety levels during the covid-19 lockdown. <br />Recommendations: The Web Based education could be applied and carefully planned for all <br />patients undergoing hemodialysis as a new teaching method for proving health issues. Provision of <br />continuing follow-up education programs are recommended for patients undergoing hemodialysisAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Moderating Effect of Psychological Antecedents and Conspiracy Mentality on COVID-19 Vaccine Hesitancy among a Sample of Egyptians1873188626032010.21608/ejhc.2021.260320ENNaremanAly MohamedLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Cairo UniversityMishmishaEl SayedLecturer of Medical Surgical Nursing, Faculty of Nursing, Cairo UniversityNabilaAbdelkader AbdeldaiemLecturer of Community Health Nursing, Faculty of Nursing, Cairo UniversityEbtesamMoawadAssistant Professor of Gerontological Nursing, Faculty of Nursing, Cairo UniversityMonaHamdy MostfaLecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Cairo UniversityJournal Article20220919Background: Vaccine hesitancy is an important public health problem as it could prolong the <br />pandemic. Aim: To assess moderating effect of psychological antecedents and conspiracy mentality <br />on COVID-19 vaccine hesitancy among a sample of Egyptians. Design: Cross-sectional research <br />design was adopted during COVID-19 outbreak. Sample: Convenience sample of 1390 participants <br />were recruited through a web-based survey. Tools: Four tools were used for data collection: <br />Demographic and Medical Data questionnaire, Oxford COVID-19 Vaccine Hesitancy Scale, <br />Conspiracy Mentality Scale, and 5 Cs Psychological Antecedents of Vaccination Scale. Results: <br />About 45.3% reported vaccine hesitancy that was highly significantly correlated to conspiracy <br />beliefs. Confidence, complacency, constraints, and responsibility appeared as major psychological <br />factors that separates the vaccine acceptance group from the hesitancy group. Social media was the <br />main source of information about COVID-19 vaccine. About (59.2% & 38.5%) had moderate and <br />high conspiracy mentality respectively. Conclusion: Psychological factors and conspiracy beliefs <br />impacted vaccine hesitancy among participants. Recommendations: Educational programs should <br />be implemented to increase the awareness about the safety and efficacy of COVID-19 vaccines. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901The Effect of Different Positions on Clinical Outcomes of Post Coronary Catheterization patients: Comparative Trial1899191426939710.21608/ejhc.2021.269397ENSanaaM. A. Alaa EldinProfessor, Medical Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, EgyptNouraMahmoud. M. ElrefaeyLecturer, Medical Medical-Surgical Nursing Department, Faculty of Nursing, Matrouh University, EgyptEngyA. R. KhamisLecturer, Medical-Surgical Nursing Department, Faculty of Nursing, Modern University for Information and Technology, EgyptHalaMohamed AbdelhamedLecturer Medical-Surgical Nursing, Faculty of nursing, Mansoura University, EgyptJournal Article20221111<strong>Background</strong>: Coronary catheterization or Percutaneous Coronary Intervention (PCI) is<br />considered a non-surgical intervention procedure for CHD. Bed rest for a time is essential in critically ill<br />patients, and therapeutic positioning is a way to avoid further complications and enhancing patient<br />outcomes <strong>Aim</strong>: assess the effect of different positions on post coronary catheterization clinical outcomes.<br /><strong>Methods</strong>: a quasi-experimental design was used. 100 adult patients undergoing diagnostic cardiac<br />catheterization, a randomized block sampling was followed by researcher divided the sample into<br />relatively 4 homogeneous subgroups, 25 patients for each group. One tool was utilized for data collection.<br />It composed of three parts; Part I: sociodemographic characteristics, part two concerning assessment of<br />clinical outcomes as hematoma, foot sensation, and nausea. Part three: pain assessment. The patients<br />were positioned after cardiac catheterization in each group as (Restricted bed rest position group for 16-<br />18 hours in supine position as routine hospital management; lateral position group after first hour the<br />head of the bed raised 30- degree; changing position group every hour and after 7th hour, removal of the<br />sandbag, patients were get out of bed and assume sitting position; and early ambulation group, patients<br />were moved out of bed after 4 hours). Comparing between groups was done based on the clinical<br />outcomes and pain at the 1st, 6th and 12th hours post procedure. <strong>Results</strong>: majority of patients were aged<br />(54.37±5.14), male, smokers, varied between overweight and obesity. Significance differences were<br />noticed between the four regarding respiration, urinary retention, postural hypotension, nausea. In<br />addition to presence and intensity of pain for the benefit of group 4 (early ambulation group). Conclusion<br />and recommendations: early ambulation has positively impact on clinical outcomes of post coronary<br />catheterization patients. Accordingly, nurses should encourage early ambulation as an essential part of<br />nursing care.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of An Educational Intervention on Knowledge, Practices and Attitudes of Mothers with Breast Feeding Infants Regarding Antibiotic Use and Resistance1915192427142710.21608/ejhc.2021.271427ENBasmaMahmoud Abd Elhamid DawoodLecturer of Pediatric Nursing, Faculty of Nursing, Tanta University Egypt.SehamEid Hashem ElhalafawyLecturer of Pediatric Nursing, Faculty of Nursing, Tanta University Egypt.AmalAbo El-Azm Abd El-Rahman YouinsLecturer of Pediatric Nursing, Faculty of Nursing, Tanta University Egypt.Journal Article20221127<strong>Background</strong>: Irrational breast feeding mothers' use of antibiotics is a key reason for increasing and
spreading of antibiotic resistance among their infants. <strong>Aim</strong>: to evaluate the effect of an educational
intervention on knowledge, practices and attitudes of mothers with breast feeding infants regarding
antibiotic use and resistance on their infants. <strong>Subjects &method</strong>: A quasi-experimental research
design was utilized in the present study. A convenience sampling of 60 breast feeding mothers and
their infants was included in this study at Tanta City Maternal and Child Health Centers (Pottors,
Embaby and Segar centers). <strong>Tools: </strong>Three tools were used, <strong>Tool I: </strong>Mothers' knowledge regarding
antibiotic use and resistance questionnaire which consisted of three parts. <strong>Part 1</strong>: breast feeding
mothers' characteristics, <strong>Part 2</strong>: socio-demographic characteristics of the infants and <strong>Part 3</strong>:
mothers' knowledge about antibiotic use and resistance. <strong>Tool II: </strong>Breast feeding mothers' reported
practices regarding antibiotic use and resistance<strong>. Tool III: </strong>Breast feeding mothers' attitudes
regarding antibiotic use and resistance. <strong>Results: </strong>all studied mothers had low scores of knowledge,
majority of them had unsatisfactory reported practices and negative attitudes before the educational
intervention implementation, while mothers' knowledge, practices and attitudes were improved
immediately and after two months from the educational intervention implementation. <strong>Conclusion: </strong>
there was a significant improvement of mothers' knowledge, practices and attitudes regarding
antibiotic use & resistance after the educational intervention implementation. <strong>Recommendations</strong>:
Health educational programs for breast feeding mothers should be conducted periodically and
regularly regarding antibiotic use and occurrence of antibiotic resistance among their infants.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Implementing Enhanced Recovery Pathway after surgery Protocol for Women Undergoing Cesarean section delivery1925194327863110.21608/ejhc.2021.278631ENAfafMohamed Mohamed EmamAsisstant Professor of Obstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, EgyptEmanMohamed Abd ElhakmAsisstant Professor of Obstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, EgyptNageyaEzzat Saidlecturer in Maternal and Neonatal health Nursing, faculty of nursing, Ain shams university, EgyptJournal Article20230105<strong>Background. </strong>Women experiencing cesarean section delivery tends to have several problems, so<br />assisting mothers in coping with and solving these problems as well as improving their practice may<br />contribute to decreasing length of stay, reduce post operative complications and achieve early<br />recovery.<strong>Aim</strong>: to investigate the effect of ERAS pathway protocol on postoperative outcomes for<br />women undergoing cesarean delivery. <strong>Study design</strong>: A quasi-experimental design was used. <strong>Setting: </strong><br />The study was conducted at Obstetrics and Gynecology department of Benha University Hospital,<br />Benha City, Egypt. <strong>Sampling: </strong>A convenient sample of 50 nurses and a purposive sample of 200<br />women undergoing elective-CS divided into two equal groups (100 women were assigned to study<br />group and 100 women in control group who) were used. <strong>Tools: </strong>five tools were used for collecting<br />data, for nurse: 1) self-administered questionnaire 2) observational checklist: <strong>for post cesarean </strong><br /><strong>section women</strong>: 3) A structured interviewing questionnaire. 4) Clinical Pathway Observation<br />checklist. 5) Visual Analogue Scale for pain measurement. <strong>Results: </strong>The current study shows highly<br />statistically significant differences observed between the study and the control group regarding post-<br />cesarean improvement indicators as the study group were more likely experiencing early oral intake(85%),<br />early ambulation ( 95%), early initiated of breast feeding( 77%), less mean score of pain (98%), as well as<br />decreasing the incidence of health problems and post-cesarean complications in the post-operative period,<br />less likely to have shorter mean period for length of stay and suture removal than the control group<br />(P<0.001*). <strong>Conclusion: </strong>implementation of enhanced recovery after surgery (ERAS) protocol had<br />positive effect on reducing postoperative complications, decrease length of hospital stay, improving<br />mother's performance related to breast feeding, early ambulation, and post-natal exercise.as well as<br />significant improvement in the postoperative outcomes. <strong>Recommendations: </strong>Enhanced recovery pathway<br />protocol should be implemented as a routine care in all health care settings to improve recovery<br />outcomes after cesarean section as well as other gynecological surgeries.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Mindfulness-Based Program and Perceived Self-Efficacy for Patients with Lung Cancer: An Intervention Study1944195927971410.21608/ejhc.2021.279714ENFatmaAbdel Halim Mostafa AhmedLecturer of Medical- Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptHanemAwad MekhamierAssistant Prof of Community Health Nursing, Faculty of Nursing, Damietta University, EgyptSabahH. El-AmrosyAssistant Professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt. Currently, Department of Nursing, Faculty of Applied Medical Sciences, Al Baha University, Saudi ArabiaWessamFathy Mohamed GabrLecturer at Medical Surgical and Critical Care Nursing Department, Faculty of Nursing, Beni-Suef University, EgyptAliaaMohammed Othman ElafandyAssistant Prof of Community Health Nursing, Faculty of Nursing, Helwan University, EgyptJournal Article20230110<strong>Background: </strong>Mindfulness-based program incorporating meditation practices and self-efficacy are
gaining popularity among cancer patients. The current study aimed to evaluate the effects of a
mindfulness-based program and perceived self-efficacy for patients with lung cancer. <strong>Methods: </strong>A
quasi-experimental study was conducted in the outpatient clinics and nuclear medicine clinic at the
New Cancer Institute at Menoufia University, Shebien Elkom City, Egypt. A purposive sample of
160 patients with lung cancer was enrolled, from whom data were collected through 5 tools: Tool
(1): Structured interview questionnaire including demographic and medical data, Tool (2):
Condensed Memorial Symptom Assessment Scale (pre/post), Tool (3): Eastern Cooperative
Oncology Group Performance Status (pre/post), Tool (4): Self-Efficacy Pulmonary Rehabilitation
Adapted Index (pre/post) and Tool (5): Questionnaire about mindfulness which includes
knowledge, reported practice and five-facet mindfulness (pre/post). <strong>Results</strong>: This study displayed
statistically significant improvements in symptoms (5.65 ± 1.33 to 3.00 ± 1.36), performance status
(1.75 ± .83 to 2.25 ± .86), mindfulness (18.62 ± 2.32 to 29.75 ± 4.06), breathing meditation (1.17 ±
1.64 to 5.70 ± 1.60), self-efficacy (20.37 ± 2.93 to 33.32 ± 5.11), and knowledge (1.65 ± 2.36 to
13.17 ± 2.004) for patients with lung cancer after program application. <strong>Conclusion: </strong>
Implementation of a mindfulness-based program and perceived self-efficacy have positive effects
on improving physical and psychological symptoms, breathing meditation practice, performance
status, and knowledge among lung cancer patients.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Self-care Guidelines on Quality of Life among Patients with Hypertension1960197328102410.21608/ejhc.2021.281024ENEmanMohamed FaragLecturer in Medical Surgical Nursing, Faculty of Nursing, Ain Shams UniversityHebaAbd-Elgawad ElfekyLecturer in Medical Surgical Nursing, Faculty of Nursing, Ain Shams UniversityJournal Article20230119<strong>Background</strong>: Hypertension is a chronic disease and affects the quality of life of patients leading to serious complications if uncontrolled. So those patients need to comply with self-care dimensions to improve their quality of life. <strong>The aim of this study</strong> was to evaluate the effect of self-care guidelines on quality of life among patients with hypertension.<strong> Design:</strong> A quasi experimental design. <strong>Setting</strong>: the study was conducted at medicine outpatient clinics in Ain Shams University Hospital. <strong>Study subjects:</strong> A purposive sample of adult patients (No=76). <strong>Data collection tools: </strong>Structured Interview Questionnaire for patients with hypertension, self-care practices questionnaire, and quality of life tool.<strong> Results:</strong> Regarding to the overall quality of life domains, 40.8% of the studied patients had poor physical, social, psychological, and functional wellbeing pre implementation of self-care guidelines which declined to 17.1% post implementation of self-care guidelines with statistical significant difference (P ≤ 0.05). <strong>Conclusion:</strong> The implementation of self-care guidelines for patients with hypertension has a statistically significant positive effect on their quality of life (physical, psychological, social, functional wellbeing).<strong> Recommendation: </strong>This study recommends the importance of initiation of educational programs to increase patients` awareness about self-care practices and manage their disease positively.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901A Golden Technique in Sexual Health Status and Urinary Incontinence Among Women with Hysterectomy1974198725664310.21608/ejhc.2021.256643ENHayahAbou Elazayiem BayumiAssistant professor of adult Medical-Surgical nursing, Faculty of nursing, South valley University, upper EgyptGehanAbd Elfattah AtiaAssistant professor of Department of Nursing, College of Applied Medical Sciences, Jouf University, Sakākā, Jouf, Saudi
Arabia. Medical-Surgical Nursing Department, Faculty of Nursing, Menoufia University, Menoufia, Egypt.EmanFathy Amr MohamedAssistant Professor of Medical Surgical Nursing Faculty of Nursing-Beni-Suef University, EgyptSaharAbdelrady ElkheshenAssistant professor of obstetrics and gynecological nursing, Faculty of nursing Misr university for science and technologyEmanYoussif Ali AwadLecturer of Community Health Nursing, Faculty of Nursing- Tanta UniversityHodaEsmat Mahmoud KhalilLecturer of community health nursing, faculty of nursing, Misr university for science and technologyJournal Article20220828Hysterectomy is the most common surgical procedure among women, many complications with <br />serious consequences may impact the quality of life. This study aimed to appraise the effect of a <br />golden technique on sexual Health Status and Risk of urinary incontinent among women with <br />hysterectomy. Study design: A quasi-experimental design (one group pre & post-test) was used. <br />Setting: The study was conducted at the Obstetric and Gynecological department and the outpatient <br />clinics in South valley University Hospital. Sample: A purposive sample of 50 women who <br />underwent hysterectomy. Tools of data collection: 3 tools were used. Tool I: A structured interview <br />questionnaire includes three parts; part (1) demographic characteristics; part (2): clinical data, <br />including a history of medical diseases and part (3) assess the level of knowledge about <br />hysterectomy. Tool II: Female Sexual Function Index (FSFI). Tool III: Incontinence impact <br />questionnaire – short form (IIQ-7) Results: There was a statistically significant difference in <br />knowledge, sexual health status and impact of urinary incontinence on health -related quality of life <br />(QOL) among studied subjects pre and post golden technique. Moreover, there were highly <br />significant statistical positive correlations between total knowledge, total female sexual index and <br />Total Incontinence impact questionnaire (p=0.00**). Conclusion: The study concluded that the <br />application of the golden technique is an appropriate way of improving knowledge, sexual health <br />status and impact of urinary incontinence on health -related quality of life (QOL). <br />Recommendation: This study recommended implementing the golden technique as part of routine <br />primary care service provided for adult women. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Coping Skills Nursing Program: Its Effect on Anxiety, Caregiving Burden, and Coping Patterns among Family Caregivers of Patients at the End-Stage of Cancer Disease1988200221518610.21608/ejhc.2020.215186ENHanaaEzz-Eldin Prince AliLecturer of Psychiatric /Mental Health Nursing, Faculty of Nursing - Ain Shams UniversityRania.A. ZakiAssistant professor of Psychiatric /Mental Health Nursing, Faculty of Nursing, Ain Shams UniversityFatmaMohammed Ibrahim MorsiLecturer of Psychiatric /Mental Health Nursing, Faculty of Nursing - Ain Shams UniversityJournal Article20220121Background: Family caregivers of patients receiving advanced cancer care or palliative care have <br />been shown to have high levels of anxiety, depression, stress, and burden, and interventions to <br />improve coping skills of caregivers have been shown to be effective in various diseases. Aim: This <br />study aimed to assess the effect of coping skills nursing program on anxiety, burden, and coping <br />patterns among family caregivers of patients at the end-stage of cancer disease. Research design: a <br />quasi-experimental study design on one group pre/post assessment was utilized on (40) family <br />caregivers at outpatient clinics of Oncology and Nuclear Therapy Department, El-Demerdash <br />Hospital, Ain Shams University. Tools of data collection: The data was collected using an <br />interview questionnaire sheets that included four parts as following: 1) A structured interview <br />schedule to assess demographic Characteristics of family caregivers, 2) The COPE Inventory, 3) <br />Caregiver Burden Inventory (Zarit), 4) Hamilton Anxiety Rating Scale. Results: : The current study <br />revealed that: there were highly statistically significant differences between problem-focused coping <br />domains, emotion-focused coping domains, caregiving burden, and anxiety pre- and post- coping <br />skills nursing program implementation; also, there were moderate negative correlations between <br />caregiving burdens and problem focused coping and emotion focused coping post- program <br />implementation; a high negative correlation between emotion focused coping and anxiety post<br />program implementation; a moderate negative correlation between problem focused coping and <br />anxiety post program implementation; and a high positive correlation between caregiving burden <br />and anxiety post- coping skills nursing program implementation among the studied family <br />caregivers. Conclusion: The study concluded that, coping skills nursing intervention program had <br />positive effect on enhancing coping patterns, and reducing psychological burdens and anxiety <br />among family caregivers of patients receiving palliative care. Recommendation: Design <br />intervention strategies to enhance the coping and other psychosocial issues of caregivers of patients <br />living with advanced cancer. Psychosocial supportive interventions should be provided throughout <br />the caregiving process as possible. Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Warm Application on Propofol Injection Pain among Patients Undergoing Surgical Interventions.2003201229771710.21608/ejhc.2022.297717ENShaimaaRaafat AliLecturers in medical surgical nursing department, faculty of nursing, Cairo UniversityEbrahimAmerAssociate professor of Hepatology and gastroenterology, Faculty of Medicine, Kafrelsheikh UniversitySabahZien ElgendiLecturers in medical surgical nursing department, faculty of nursing, Kafrelsheikh UniversityJournal Article20230504Propofol is an intravenous anesthetic used for procedural sedation, during monitored anesthesia care, or as an induction agent for general anesthesia. Propofol is almost an ideal IV anesthetic agent, but pain during its injection still remains a problem. The aim of this study was to evaluate the effect of warm application on propofol injection pain among patients undergoing surgeries. Quasi-experimental post-test only non-equivalent groups design was utilized in the current study. The current study was conducted in operating unit at a governmental hospital afflicted to Cairo university hospitals, Cairo, Egypt. A convenient sample of 60 adult male and female patients immediate before surgeries was recruited for the current study. <span style="text-decoration: line-through;">60</span> patients were divided to intervention and control group (30 patients in each group). Two tools were used I) personal and medical data tool, II) pain assessment tool. The current study found that; there was not statistically significance difference between study and control group in relation to level of pain, nerve pain and pain radiation. <strong> </strong>The current study concluded that; both of warm compresses and lidocine injection as a routine intervention are similar in improving level and characteristics of pain in the site of propofol injection.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Emergency Nurses’ Barriers for Assessing and Managing Pain2013202129957210.21608/ejhc.2021.299572ENMaysaAbdalla ElbiaaLecturer Critical care and Emergency Nursing. Faculty of Nursing. Matrouh University, Matrouh, Egypt.HanaaAbbass AhmedLecturer Medical Surgical Nursing. Faculty of Nursing. Matrouh University, Egypt.ShimmaaMohamed ElsayedLecturer, Critical care, and emergency department, Faculty of Nursing, Damanhour University, Egypt.Journal Article20230519<strong>Background</strong>: Patients who seek the emergency department frequently require prompt care that may involve giving them treatment to manage symptoms that include pain. Patients are frequently required to wait for long amounts of time without having their pain evaluated or given analgesics, making pain management a frequently neglected part of acute care. <strong>Aim:</strong> To determine emergency nurses’ barriers to assessing and managing pain. <strong>Design</strong>: A descriptive research design was included. <strong>Settings</strong>: This study was performed in the emergency units of Damanhour Medical National institute hospital. <strong>Sample</strong>: A purposive sample of 110 emergency nurses who worked in the emergency unit of selected units. <strong>Tools of data collection:</strong> One tool for emergency nurses’ barriers to assessing and managing pain was developed. This tool comprised of two parts. Part one sociodemographic data and part two was adopted. <strong>Results</strong>: The mean age of the examined nurses were 42±19. About 59.09% of them were female. The reported nurses related barriers to assess and manage pain were inadequate staff knowledge, inadequate assessment of pain management of barriers to management pain, and lack of education with pain assessment tools. Physician associated barriers were ineffective consideration of pain and pain relief. System concerned barriers were the patient-to-nurse ratio and lack of alternative nonpharmacologic therapy for pain Management. Patient related barriers were difficult to assess patients using a pain scale, inability to communicate with patients and hemodynamic instability. <strong>Recommendation</strong>: Nursing educators need to revise the nursing curriculum in the scope of emergency nurses. Health policymakers need to establish regulations for pain assessment in emergencies. Using administrative strategy and plan to overcome on high nursing workload and patient-nurse ratio.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901The Relationship between Compassion Fatigue and Psycho-somatic Manifestations among Informal Caregivers of Elderly Patients Receiving Chemotherapy2022204030906510.21608/ejhc.2021.309065ENHanaaAbou El-soued Hussein AhmedAssistant professor of Gerontological Nursing, Faculty of Nursing, Alexandria UniversityReemFarag Mahrous MenessyAssistant professor Psychiatric and Mental Health Nursing, Faculty of Nursing Alexandria UniversityJournal Article20230720Caring for elderly cancer patients receiving chemotherapy is a complex process requiring empathy and compassion. Informal caregivers will certainly become exhausted as a result of their intense interaction with their diseased elders. Caregivers' physical and mental health will improve by resolving compassion fatigue and its accompanying psychosomatic symptoms, which will reflect on the quality of care provided as well as patient outcomes. <strong>Objective:</strong><strong> </strong>To explore the relationship between compassion fatigue and psycho-somatic manifestations among informal caregivers of elderly cancer patients receiving chemotherapy.<strong> Setting:</strong> Four chemotherapy clinics affiliated to the Damanhur Oncology Center in El- Behera, Egypt.<strong> Subjects:</strong> A convenient sample of 440 subjects signifies the subject of the present research, which were divided into two equal groups;<strong> </strong>group A:<strong> </strong>220 informal caregivers who accompanying their elderly cancer patients during the chemotherapy sessions, and group B: 220 elderly cancer patients who undergo the recommended chemotherapy sessions.<strong> Tools:</strong> Three tools were used for data collection: 1) Socio-demographic and Clinical Data of informal caregivers and their elderly patients receiving chemotherapy Structured Interview Schedule, 2)<strong> </strong>Compassion Fatigue Scale (GFS), and 3)<strong> </strong>Psycho-somatic symptoms scale.<strong> Results:</strong> the total compassion fatigue percent score of the studied informal caregivers of elderly patients receiving chemotherapy was 80.8±12.7, indicating a high level of compassion fatigue. The majority of them (90%) were found to possess high psycho-somatic manifestations, with a total percent score of 80.4±12.4. Furthermore, a statistically significant positive correlation between informal caregivers' total compassion fatigue and their total psycho-somatic manifestations (r=0.864 p=0.000) was found. <strong>Conclusion:</strong> Informal caregivers of elderly cancer patients receiving chemotherapy have a significant level of compassion fatigue that is more evident among female caregivers and also among daughters and sons of the diseased elderly. Compassion fatigue has a considerable positive link with psycho-somatic manifestations that are manifested among informal caregivers and are directly linked to their caring process. <strong>Recommendations: </strong>Ongoing assessment must be done for informal caregivers of elderly cancer patients receiving chemotherapy to monitor their level of compassion fatigue and any manifested psychosomatic complains. This will help in the implementation of suitable interventions to alleviate and prevent future complaints and suffering.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Blended Learning Program on nurses’ knowledge and Practice regarding peripheral vascular catheter insertion for adult patient2041205331146310.21608/ejhc.2021.311463ENEmanAbdelRazik AbdelHakimLecturer of Medical-Surgical Nursing, Faculty of Nursing- Minia University, Egypt.AsmaaDaifallah Mehany MohamedLecturer of Medical Surgical Nursing, faculty of Nursing Beni-Suef University, Egypt.HendMohamed AllamLecturer of Medical Surgical Nursing faculty of Nursing Benha University, Egypt.EbtesamAly Abd El Fatah AlyLecturer of Medical-Surgical Nursing, Faculty of Nursing- Minia University, Egypt.Journal Article20230807Peripheral intravenous catheter is the most common invasive hospital procedure applied worldwide and it is utilized for giving medications, intravenous fluids, as well as the blood products. <strong>Aim</strong><strong>:</strong> To evaluate the effect of blended learning program on nurses’ knowledge and practice regarding peripheral vascular catheter insertion for adult patient. <strong>Design:</strong> A quasi-experimental research design (pre/ post-test). <strong>Setting:</strong> The current research was conducted in two hospitals, Minia University hospital and Liver University Hospital at Minia City, Egypt. <strong>Sample</strong><strong>:</strong> Convenience sample of all available registered nurses (200) who were caring for patients undergoing PIVC.<strong> Tools:</strong> Tool I: Demographic characteristics of the participated nurses Tool II: Structured interview questionnaire regarding nurses' Knowledge about Care and Maintenance of PIVC Tool III: Nurses' practice Observational Checklists about care and maintenance of PIVC.<strong> Results</strong>: The study findings clarified that 89% of nurses had satisfactory total level of practice immediately after implementing the blended learning program compared to (10%) of them before its implementation and decreased to 75% in the follow up phase post program implementation. <strong>Conclusion:</strong> statistically significant difference was found between pre and follow up assessment regarding nurses' level of knowledge and practice post implementation of the blended learning program. <strong>Recommendation</strong>: Nurses need continuous education about care and maintenance of PIVC as well they need formal online education about the essential elements in caring and maintenance of PIVC and how to decrease its complications. Hospital nurses must support the blended educational approach to overcome the difficult in maintaining face to face education.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Nursing Intervention Program on quality of life, Post-Traumatic Stress Symptoms and Dispositional Resilience among Nurses Caring Patients with Corona Virus2054207131176710.21608/ejhc.2021.311767ENSafaaAbdelazem Osman AliPsychiatric Health Nursing, Faculty of Nursing, Suez Canal University, Ismailia, Egypt.EvonS. ShokrePsychiatric Health Nursing, Faculty of Nursing, Fayoum University, EgyptShaymaaElsayed Mosaad MohammedLecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptEmanAli Abd El Moaty ShehaFamily and Community Health Nursing, Faculty of Nursing- Damietta University, EgyptZainabGazar Alkotb AlagamyCommunity Health Nursing, Faculty of Nursing- Fayoum University, EgyptJournal Article20230808<strong>Background: </strong>Nurses play a crucial role in helping curb the hazardous health impact of coronavirus disease (COVID-19), their quality of lives, psychological aspect and major functioning has been greatly affected by the pandemic. <strong>Aim</strong> Evaluate the effectiveness of nursing intervention program on quality of life, Post-traumatic stress symptoms and dispositional resilience among nurses who caring for patients with corona virus at isolation hospitals in Mansoura university hospitals. <strong>Method</strong> Quasi experimental design, one group pre-test post-test, convenient sample was conducted among 90 nurses isolation unit at Mansoura university hospital, Dakahlia/Egypt. <strong>Tools</strong> questionnaire to collect nurse’s demographic data, nurses Quality of life SF-12 questionnaires (QoL), Impact of Event Scale Revised (IES-R) and Dispositional Resilience Scale (DRS). <strong>Results</strong> Total scores of quality of life and DRS domain were improve after implementation of nursing intervention program, while total score of IES-R was decreased after implementation of nursing intervention program, a highly statistically significant positive correlation between total scores of QOL and DRS after the program implementation as (t=0.400, p= 0.019; t=2.400, p=0.019; t=1.503, p=0.037). <strong>Conclusion</strong> The nursing intervention program tailored to needs is effective in improving nurses' quality of life and dispositional resilience, as well as decrease post-traumatic stress symptoms level.<strong> It was recommended to </strong>continuous educational program for nurses in clinical area to adapt with stressors through use dispositional resilience to enhance their quality of life. On-the-job continuing nursing education activities should be developed and implemented regularly to respond to nurses’ unmet needs.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Effect of Family Empowerment Program on Parents' Performance regarding Care of Their Children with Cerebral Palsy2072209331264010.21608/ejhc.2021.312640ENBasmaMohamed AbdelrahmanCommunity Health Nursing, Benha University, EgyptHananNabawyElaasarPediatric Nursing, Benha University, EgyptRashaRady El SaidPediatric Nursing, Benha University, EgyptJournal Article20230814<strong>Background: </strong>Cerebral Palsy (CP) is a multi-disorder which affects the child movement, posture, and cause sensory, cognitive, communication and behavioral problems. <strong>Aim</strong>: This study aimedto evaluate theeffect of family empowerment program on parents’ performance regarding care of their children with cerebral palsy. <strong>Research design</strong><em>:</em>Aquasi- experimental design was used.<strong>Setting:</strong> The study was carried out at Neurology Out Patient Clinic at Benha University Hospital in Benha City.<strong>Sample:</strong>Convenientsample of 68 children and theirparents was included. <strong>Three tools</strong>were used in this study for data collection; <strong>Tool I</strong>: An interviewing questionnaire composed of four parts as parents’ socio-demographic characteristics, children'personal data,children' medical historyandparents’ knowledge regarding CP .<strong>Tool II</strong>: parents reported practices questionnaire regarding care of their children with cerebral palsy<strong>Tool III</strong>:Family empowerment scale. <strong>Results</strong>: The present study denoted that there was a significant improvement in the total levels of studied parents’ knowledge, practices and family empowerment pre and post program implementation and at follow-up phase. <strong>Conclusion</strong>: Family empowerment programwas efficient in improvingparents’ performance and enhanced their empowermentregarding care of their children with cerebral palsy. <strong>Recommendations</strong>:Developing empowerment program for parents of children with CP to enhance their knowledge, practices and their empowerment levels.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Psychosocial Reactions and Coping Patterns among Frontline Nurses Caring for Patients with COVID-19 Pandemic: Qualitative Study2094210431475610.21608/ejhc.2021.314756ENAsmaaHafez Afefe BarakatAssistant Professor of Psychiatric/ Mental Health Nursing Department, Faculty of Nursing, Ain Shams University, EgyptTabasemFayez Fatah-allah HegazyLecturer of Psychiatric/ Mental Health Nursing Department, Faculty of Nursing, Ain Shams University, EgyptZeinabMohammed IbrahimLecturer of Psychiatric/ Mental Health Nursing Department, Faculty of Nursing/ Modern University for Information and Technology, EgyptAsmaaMohamed Khalifa EwisLecturer of Psychiatric/ Mental Health Nursing Department, Faculty of Nursing, Ain Shams University, EgyptJournal Article20230827<strong>Background:</strong> Front-line nurses who provide care for COVID-19 patients have several psychosocial reactions, especially at the beginning of the COVID-19 pandemic. These reactions threaten their health, well-being, and ability to work as well as put them at an increased risk of developing negative coping patterns. <strong>The study aimed at </strong>exploring front-line nurses’ psychosocial reactions and their coping patterns during the COVID-19 pandemic. <strong>Study design:</strong> Qualitative research was conducted in a sample of 18 nurses who worked at the isolated wards of Al Obour Specialized Hospital, affiliated to Ain Shams University Hospitals. <strong>The results </strong>of this study revealed that the psychosocial reactions among studied nurses were described into 10 themes as follows: Fear of being infected, feeling uncertainty about the virus, anxiety related to lack of preparation, the feeling of inequality, the feeling of hopelessness and helplessness, concerns about the family, societal stigma, and rejection, feeling of loss and grief, loneliness and social isolation, and physical exhaustion. The study also revealed that although the studied nurses had psychosocial suffering, they have 5 ways of positive coping as follows: in-service education and training, communicating with family and friends, practicing recreation activities, writing diaries, and practicing spirituality and religious activities. <strong>Conclusion:</strong> Although frontline nurses suffered from several psychosocial problems during the COVID-19 pandemic, they have positive abilities to cope with their negative emotional stress. Recommendation: Providing support and psychological counseling programs for frontline nurses, especially in times of crisis, should be a part of hospital policy.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Challenges Faced Nursing Staff While Working in Quarantine During Covid-19 pandemic; A Qualitative Study2105212031644910.21608/ejhc.2021.316449ENAhmedAbd Alrahman HassanLecturer of nursing Administration., Faculty of Nursing, Cairo UniversityFatenSalama AbdelazizLecturer of nursing Administration., Faculty of Nursing, Cairo UniversityJournal Article20230907<strong>Backgro</strong>und: Pandemic of covid-19 appear to the world on late of 2019, the prevalence of pandemic among all the world countries was very fast. The already overburdened healthcare system faced a new challenge as a result of COVID-19's abrupt appearance. Healthcare workers around the world faced more difficulties as a result. However, many developing nations, like Egypt, lack information on these difficulties.<strong>Methods:</strong>The aim of this study was to explore the challenges faced by staff nurses when caring for covid-19 patients. This study was conducted in two hospitals in Cairo, Egypt that were working as quarantine. A qualitative exploratory research design was employed to explore the experiences of nurses using face to face semi structured in-depth interviews. The sample size was 15 nurses determined by data saturation at the point where no new information is obtained from the participants.<strong>Results:</strong> Data was tape-recorded and transcribed verbatim and analyzed using content analysis., five main themes and nineteen subthemes were emerged from the analysis of this study. The main themes were challenges related to: personal and family (e.g., fear of virus transmission, family refusing, separation & distance, fear towards covid-19, fear of death, doubt in personal abilities). Work place (e.g., Shift hours, work load, Supplies). Nursing care provision challenges (e.g., working in a new place, using protective equipment, providing high quality of care, witnessing patients suffering). Place of residence and basic needs (e.g., eating, sleeping,toileting), and societychallenge (e.g., fear of social interaction, social isolation, stigma). <strong>Conclusion:</strong> Hospitalsadministration should create protocol to overcome the challenge that faced nursing staff in such situation.And consider nursing staff as value persons. Challenges ranged from psychological stress, social challenge, patient care challenge, training challenge’s and personal needs challengesAin Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Cryotherapy Versus Lavender Oil Inhalation on Alleviating Arteriovenous Fistula Puncture Pain among Patients with Hemodialysis2121213531724810.21608/ejhc.2021.317248ENMarwaAbdelhamid Mohammed Mahmoud1Lecturer of Medical Surgical Nursing, Faculty of Nursing, Mansoura University, EgyptShereenHussein DeepLecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia university, Egypt.IslamIbrahim RagabAssistant Professor of Adult Medical Surgical Nursing, Faculty of nursing, South Valley University, Qena, EgyptLamiaaAbdelsalam ElgamasyLecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia university, Egypt.AmouraSoliman BehairyAssistant Professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia university, Egypt.Journal Article20230913The management of pain associated with arteriovenous fistula (AVF) puncture is crucial in nursing care and is regarded as one of the most challenging situations that nurses and patients undergoing hemodialysis (HD) face. <strong>Aim: </strong>evaluate the effect of cryotherapy versus lavender oil inhalation on alleviating arteriovenous fistula puncture pain among Hemodialysis Patients. This study applied <strong>Quasi-experimental research design</strong>. <strong>Setting:</strong> The study was carried out in Egypt's Menoufia University Hospital's dialysis unit. <strong>Subjects</strong>: The study involved a purposive sample of 60 patients receiving hemodialysis with AVF in the aforementioned setting. <strong>Three tools</strong> were utilized to gather the data; tool I: a structured interview questionnaire, tool II: Visual analogue Scale (VAS), and tool III: Physiological parameters assessment sheet.<strong> Results </strong>revealed that patients in the two groups (Cryotherapy and Lavender oil inhalation) experienced lower pain during AVF puncture in post application and follow up compared to preapplication. Additionally, patients in the cryotherapy group experienced lower degree of pain during AVF puncture than patients in the lavender oil inhalation group in post application and follow up of both, as the mean score of pain VAS was 2.63 during AVF puncture before application of cryotherapy in the 1<sup>st</sup> visit and became 1.56 and 1.16 after application of cryotherapy in the 2<sup>nd</sup> and 3<sup>rd</sup> visit, respectively. However, the mean score of pain VAS was 2.46 during AVF puncture before inhalation of lavender oil in the 1<sup>st</sup> visit and became 1.83, 1.8 after inhalation of lavender oil in the 2<sup>nd</sup> and 3<sup>rd</sup> visit, respectively. <strong>Conclusion</strong>: both cryotherapy and lavender oil inhalation positively affected AVF puncture pain among HD patients, but cryotherapy was more effective than lavender oil inhalation on alleviating AVF puncture pain. <strong>Recommendations: </strong>The application of cryotherapy for HD patients should be considered part of the routine care in HD units for alleviating AVF puncture pain.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Correlation between Psychological Effects of COVID-19 Pandemic and Care Burden among Parents of Attention Deficit Hyperactivity Children2136215132249910.21608/ejhc.2021.322499ENNaglaaFathi Mohamed El-attarAssistant Professor of Psychiatric and Mental Health Nursing, Faulty of Nursing, Benha University.HananNassef ZakiAssistant Professor of Psychiatric and Mental Health Nursing, Faulty of Nursing, Benha University.EmanNabawy Abo ZeidLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Benha University.Journal Article20231022<strong>Background: </strong>Parents of children with attention deficit hyperactivity disorder faced particular difficulties as a result of pandemic COVID 19. During the outbreak, those parents reported experiencing increased levels of stress, depression, anxiety, and burden.<strong><em> Aim</em></strong> <strong><em>of study</em></strong>: was to investigate Correlation between psychological effects of COVID-19 pandemic and care burden among parents of attention deficit hyperactivity children.<strong><em> Design: </em></strong>A descriptive correlational design was utilized to achieve the aim of study. <strong>Setting</strong>: This study was carried out in pediatric outpatient of psychiatric & mental health in Benha city.<strong> Sample:</strong> Purposive sample of 100 parents of children with ADHD. <strong><em>Tools of data collection:</em></strong> Three tools were utilized to collect data<strong>, Tool (I):</strong> structured interview questionnaire sheet to assess socio demographic of parents and their children. <strong><em>Tool</em></strong> <strong>(II):</strong> The Zarit burden interview scale.<strong> Tool (III):</strong> Depression, Anxiety and Stress Scales (DASS -21). <strong>Results:</strong> nearly half (48%) of the studied parents had severe psychological problems, more than one third (34.0 %) of them had moderate psychological problems, while more than half (56.0%) of the them had severe level of burden of care and more than one third (34.0%) of them had moderate level of burden of care. <strong>Conclusion:</strong> There was a statistically significant correlation between psychological effect of COVID-19 pandemic and care burden among studied parents. <strong>Recommendations: </strong>conducting psycho educational program to enhance coping with psychological effect of covid 19 pandemic and alleviating care burden for parents of children with ADHD.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901Prevalence of Post-Acute COVID-19 Persistent Symptoms and Associated Risk Factors in Previously Hospitalized Patients: Prospective Cohort Study2152216432738810.21608/ejhc.2021.327388ENRehamAbdElhamed AbdElmawla ElsaidAssistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt.EmanAbd-Elrahman MohamedLecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt.OlaEbrahim ElsherbinyLecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt.Journal Article20231125<strong>Background: </strong>The recovery process post-COVID-19 gained widespread recognition among social support groups and later in the scientific and medical communities. Long-term or post-acute COVID-19 persistent symptoms are challenging health problems that persist for< 2–3 months post-infection and may not resolve spontaneously. Until now, information regarding post-COVID-19 persistent symptoms, associated risk factors, and recovery duration has been varied. Aim: So, the current study aimed to investigate the prevalence of post-acute COVID-19 persistent symptoms and associated risk factors in previously hospitalized patients. <strong>Methods: </strong>A prospective cohort research design with a 2-month follow-up post-COVID-19 infection was used. A convenience sample of an eligible two hundred forty-six (246) survivors with confirmed COVID-19 who had previously been hospitalized in an isolation unit at Mansoura University Hospital was purposefully recruited to participate in the study. The data pertinent to the study was collected using two tools: demographic characteristics and health-related data, and a post-COVID-19 recovery symptoms questionnaire. <strong>Results</strong>: The follow-up analysis for COVID-19 survivors revealed that a high percentage (74.0%) experienced at least one post-acute COVID-19 persistent symptom for two months post-infection. The most prevalent symptoms among the participants were fatigue (72.5%), shortness of breath (68.1%), joint pain (66.5%), loss of smell (64.3%), and psychiatric disturbance (59.9%). Multivariate logistic regression analysis found that several factors were associated with an increased risk for post-acute COVID-19 persistent symptoms: increase in age 50–60 years AOR = 0.648 (CI = 0.132–3.181), P = 0.009*; current smoker AOR = 6.898 (CI = 1.303–36.521), P = 0.023*; overweight AOR =1.62 (CI = 1.15–4.28), P = 0.029*; and chronic disease AOR = 1.08 (CI = 0.96–1.39), P = 0.041*. <strong>Conclusion</strong>: The recovery process post-coronavirus infection is long-lasting; post-acute symptoms can persist for ≥ 2 months. The overwhelming persistent symptoms were fatigue, shortness of breath, joint pain, loss of smell, and psychological disturbances. High-risk groups for post-acute COVID-19 persistent symptoms were old age, smoker, overweight, and chronic diseases. <strong>Recommendation: </strong>We recommend that healthcare institutions plan for long-term follow-up for COVID-19 survivors, especially high-risk groups, to assess their health care needs and to implement early management, taking into consideration their psychological concerns.Ain Shams University, Faculty of NursingEgyptian Journal of Health Care1687-954612320210901The Effect of Mindfulness Based Stress Reduction Program on Psychiatric Nurses' Job Stress and Burnout2165217833781310.21608/ejhc.2021.337813ENNahlaAbdallahPsychiatric Mental Health Nursing, Faculty of Nursing, Helwan University, EgyptGhadaMouradPsychiatric Mental Health Nursing, Faculty of Nursing, Ain Shams University, EgyptWafaaOsmanPsychiatric Mental Health Nursing, Faculty of Nursing, Helwan University, EgyptJournal Article20240122<strong>Background:</strong> Nursing stress is considered a problem that affects the practice worldwide. Job stress is a harmful response physically and emotionally when the nurses' skills, resources, and needs could not fulfill the requirement of the job.<strong> Aim:</strong> This study aimed to assess the effect of mindfulness based stress reduction program on psychiatric nurses' job stress and burnout <strong>Subject and Methods</strong><strong>:</strong> This study was exploratory descriptive research design, <strong>Sampling:</strong> A convenient sample was selected while this study was performed on 30 psychiatric nurses working at Al-Abbassia Mental Health Hospital and Data were collected using 1) Socio-demographic sheet, 2) Psychiatric Nurses Job Stress Scale and 3) Maslach Burnout Inventory. <strong>Results:</strong> The main results showed that psychiatric nurses suffering from a different aspect of stress regarding psychiatric nurses’ ability, the attitude of patient, attitude to nursing and communication with patients and their families. Also, the results indicated that mostly psychiatric nurses have high job burnout. Furthermore, there was a statistically significant relation between stress, burnout, and socio demographic data of nurses under study.<strong> Conclusions:</strong> the study concluded that psychiatric nurses working at Al-Abbassia mental health hospital had job stress and burnout. <strong>Recommendations:</strong> This study recommended that, establish a psycho educational Program for psychiatric nurses to teach them how to cope positively with their stressors. Training programs and courses would help the psychiatric nurse to enhance their stress bearing capacity and improve their work performance.<strong> </strong>