Volume 4, Issue 2

The Relationship between Health Locus of Control, Knowledge and Adherence to Antihypertensive Regimen among Woman with Preeclampsi
Original Research
Pregnancies complicated by hypertension are associated with increased risk of adverse fetal, neonatal and maternal outcomes. Adherence to therapy is a potent factor in determining the success of a treatment regimen which is affected by determinant factors, high importance of it is the level of knowledge regarding health circumstance and health locus of control. Therefore, this study aimed to identify the relation between knowledge, health locus of control and adherence to antihypertensive regimen among women with preeclampsia. Design a descriptive correlation methodology was used, where a convenient sample of 150 women had preeclampsia, were selected from the outpatient clinic at El Shat by Maternity University Hospital in Alexandria. Tools: two tools were used to collect data; tool1 pregnant women’s knowledge and adherence interview schedule and tool 11 multiple health Locus of Control scale. Results clarified that 39.2%of external powerful health locus of control (EPHLC) and 27.3% of internal health locus of control (IHLC) had good total score of knowledge about preeclampsia and its therapeutic regimen.in contrast 70% of women with chance health locus of control (CHLC) had poor knowledge with a statistically significant difference between them (P=0.008). In addition, women with EPHLC had the highest percentage of adherence to the antihypertensive regimen (40.4%) as compared with “IHLC” (29.4%), however women with “CHLC” had the lowest level of regimen adherence (20%), with a statistically significant difference P =0.002. A statistically significant difference was found between the different dimensions of HLC and women’s adherence to antenatal checkup. Antihypertensive medication. Urine & hematological analysis and blood pressure checkup in favor of external powerful others health locus of control P= <0.05. In conclusions, pregnant women who adopted external powerful others' health locus of control was significantly had more knowledge and more adherents to the antihypertensive regimen than those who adopted internal and external chance health locus of control. Thus, researcher recommended for Articulating health educational programs based on the health locus of control beliefs for mothers using health promotion models that emphasize on (definition, signs, and symptoms, causes, complication on the mother and fetus) to improve adherence to the antihypertensive regimen.
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American Journal of Nursing Research. 2016, 4(2), 41-50. DOI: 10.12691/ajnr-4-2-3
Pub. Date: June 24, 2016
10318 Views3605 Downloads
The Relationship between Occupational Stressors and Performance amongst Nurses Working in Pediatric and Intensive Care Units
Original Research
Background: Nursing has long been considered one of the most stressful professions. Stress at the workplace may have negative consequences on nursing performance. Consequences of stress on nursing performance may become more crucial in pediatric and neonatal intensive care units where the safety of patient and quality of pediatric care are important outcomes of nursing care. The purpose of this study was to assess the relationship between occupational stressors amongst nurses working in pediatric care units and their performance. Design: In this descriptive study, a total of 200 nurses working in the pediatric departments from three major hospitals in Khartoum completed the study. Two tools were used to collect data including nursing stress scale and the modified Schwirn Six Dimensions Scale for Nursing Performance. Student t-test, Pearson's correlation coefficient, and stepwise multiple regression analysis were used to analyze the data. Results: Overall, most of the nurses suffered from job stressors level above average. The lack of aids, resources and atmosphere in the intensive care units were rated as “high” job stressors amongst nurses. The hospital characteristics were rated “low” job stressors. Among all stressors, the lack of directors’ support was negatively correlated with the nurses' performance (P= 0.003, r= 0.21). Conclusion: Policy makers should consider development of specific programs targeting stress in pediatric and neonatal intensive care units to enhance nursing performance in pediatric units.
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American Journal of Nursing Research. 2016, 4(2), 34-40. DOI: 10.12691/ajnr-4-2-2
Pub. Date: June 02, 2016
20358 Views8865 Downloads2 Likes
Nurses’ Perceptions and Barriers for Adoption of Evidence Based Practice in Primary Care: Bridging the Gap
A Clinical Study
Evidence Based Nursing is the process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and patient preferences. The aim of this study was to investigate nurse's perceptions and barriers to adopt evidence based practice in their Primary Care setting. Design: descriptive correlation design was used. Setting; this study was conducted in: 1) Maternal & Child Health Centers Governorate (2) Faculty of Nursing- Menoufia University. The sample (1) A convenience sample of 120 clinical nurse specialists who have a bachelor degree in nursing science and working in MCHC was selected. (2) A convenience sample of 80 academic faculty educators who finished their Master or/ Doctorate degree in nursing were selected. Tools; a structured questionnaire to collect Socio-demographic data such as: age, educational level and experiences. II. Nursing' Attitudes towards Evidence-Based Practice and Perceptions of its Related Barriers Questionnaire: It was developed by the researchers based on the current related literatures. This tool measures Nurses' perceptions and barriers for adoption of evidence-based practice. The results of this study; All nurses had a positive attitude toward EBP; the total mean score of nurses' was 7.38±1.73 having a maximum of 10 and minimum of 5. Two third of nurse' educator and clinical nurse specialists (73.8.0 % and 85.8 % respectively) reported that they had insufficient time at work place to search & read research articles. Conclusions: This study revealed a positive attitude among nurses toward EBP. But it was found that several barriers were hindering nurses from adopting EBP. Recommendations: to close the gap between research findings and nursing practice; A) Education and training are required on evidence-based nursing. B) Increase time availability to conduct online search C) Equipped the health facilities with new informatics infrastructure.
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American Journal of Nursing Research. 2016, 4(2), 25-33. DOI: 10.12691/ajnr-4-2-1
Pub. Date: March 19, 2016
27313 Views8593 Downloads8 Likes