Volume 5, Issue 6

The Effect of Benson’s Relaxation Technique Training Program on Elderly Patients with Renal Failure
Original Research
Renal failure means the kidney inability to maintain liquid and electrolyte balance, it's considered chronic disease, and it affects patients’ psychotic conditions in addition to its physical side effects. Aim of the study: to appraise the effect of Benson’s relaxation technique training program on elderly patients with renal failure Design: A quasi- experimental design was used. Setting: The study was conducted at the hemodialysis units at Aswan university hospital and Aswan General Hospital. Egypt. Sampling: A purposive sample was used. Sample size: 60 elderly patients with renal failure divided into two equal groups (study and control group). Tool of data collection: two tools were used. Tool I: a structured interviewing questionnaire covering three parts: Part 1: Demographic characteristics of elderly patients. Part 2: past medical history. Part 3: elderly patients’ knowledge of about renal failure and Benson’s relaxation technique. Tool II: The Depression Anxiety Stress Scales (DASS): consists of 21 questions which the 7 questions are used for measuring any symptoms of depression, anxiety and stress. Results: The study revealed that the elderly patient’s' age ranged from 60 to 80 years. 66.7% and 70 % of control and study group elderly patients always suffering from anxiety, and 76.7% and73.3% of them always suffering from depression. The total knowledge of study group increased than control group with highly significantly difference improvement after applying program. Conclusion: there was highly significant differences improvement for study group of elderly patients' knowledge, level of depression, stress and anxiety than control group post applying of the training program than pre. Recommendation: Provide all elderly patients in hemodialysis unit with educational brochures, posters and simple handbooks about renal failure and Benson’s relaxation technique.
American Journal of Nursing Research. 2017, 5(6), 260-270. DOI: 10.12691/ajnr-5-6-9
Pub. Date: December 28, 2017
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Relation between Stress and Coping Strategies as Perceived by Nursing Students during Clinical Practice
Original Research
Background: Nursing training is a stressful process. The effects of stress on nursing students have been well documented. High perceived stress levels and lack of effective coping processes could be a barrier to achieve the challenges of profession. Aim of the study: Assess relation between stress and coping strategies as perceived by nursing students during clinical practice. Design: a descriptive design was utilized to conduct this study. Setting: the current study was conducted at Technical Institute of Nursing, Zagazig University, Sharkia Governorate. Sample: a cluster random sample of 221 nurse students were included in this study. Tools: Three tools were used to collect data: demographic data questionnaire & Student Nurses Stress Index, Brief Cope Inventory and Emotional Approach Coping Scale. Results: More than three quarters of the studied sample had low total stress, all of them used low emotional-oriented coping and more than two thirds of studied nurse students used low problem-oriented coping. A highly positive significant correlation was detected between nurse students’ stress and emotion-oriented coping and emotion processing. Also, a highly positive significant correlation was found between nurse students’ problem-oriented coping and emotion-oriented coping and emotion processing. Conclusion: Coping strategies had significant impact on lowering level of stress. Recommendations: Develop stress management program for nursing students to reduce levels of stress and develop proper coping strategies.
American Journal of Nursing Research. 2017, 5(6), 250-259. DOI: 10.12691/ajnr-5-6-8
Pub. Date: December 28, 2017
2082 Views690 Downloads
Introducing Moodle as a New Path for Nursing Education: Students' Perception, Experience and Barriers
Original Research
Background: Moodle represents one of the most widely used open-source e-learning software platforms in higher education. It enables educators to create online courses, encourage interaction and collaborative construction of learning content. It has many capabilities such as interaction, feedback, conversation and networking. Aim: To explore students' perception, experience and barriers towards using Moodle as a new path for nursing education.Research design: The study has a descriptive exploratory research design. Sample: The study included a convenience sample of 221 first level nursing students in Faculty of Nursing, Mansoura University. Tool: Questionnaires regarding students’ perceptions, experience, motivation and barriers were completed at the end of the second semester. Results: The majority of the studied students had computer with internet availability. Less than half of students (42%) agreed with the easier and effectiveness of Moodle as a teaching method. The students who had a good perception to Moodle were 39.8% with mean score 66.06. Conclusion:Students' perception affected by their experience and motivation. Recommendations: Enhancing the use of Moodle by lecturers, the abilities of students in the use of practical resources should be used in the use of the functions of Moodle. The role of the Lecturers and the role of technology should be balanced in a way that students will benefit from both at the highest degree.
American Journal of Nursing Research. 2017, 5(6), 243-249. DOI: 10.12691/ajnr-5-6-7
Pub. Date: December 28, 2017
3655 Views1266 Downloads
Efficacy of Self Instructional Guide on Knowledge and Practices Regarding Care of Pre-Eclampsia Women among Staff Nurses
Original Research
Background: Pre-eclampsia is one of the most common complications of pregnancy affecting both the mother and fetus and the management of pre-eclampsia is currently a rescue perspective, as opposed to a preventable approach. Aim of the study to evaluate the effect of self-instructional guide on knowledge and practices regarding pre-eclampsia among staff nurses. Design: A Quasi-experimental design was utilized. Setting: the current study was conducted in the obstetric and gynecologic department, Helwan General Hospital. Sample: A sample of 40 nurses was recruited according to inclusion criteria. Two tools were used for data collection (1) A structured interview questionnaire, included socio-demographic characteristics of the studied nurses, and nurse’s knowledge about care of pre-eclampsia (2) observation checklist included standards of nursing care of pre-eclampsia Both tools of evaluation were used to assess nurses’ level of knowledge and practice before / after three months of implementing the study. The main findings the self-instructional guide significantly improved the knowledge and practice of nurses regarding care of preeclampsia women. The self-instructional guide was useful in improving the knowledge of nurses in pretest 12.5% samples has good knowledge and 85% samples had good knowledge in posttest. The study recommended putting clear guidelines (policies, protocols and standards) of the different services such guides shall be prepared on various important subjects and made available for nurses working in clinical areas. It will be effective method of updating nurse's knowledge and practice regarding management of pre-eclampsia and eclampsia.
American Journal of Nursing Research. 2017, 5(6), 235-242. DOI: 10.12691/ajnr-5-6-6
Pub. Date: December 28, 2017
6471 Views2256 Downloads
Are Psychiatric Nurses More Vulnerable to Domestic Violence Compared with Nurses from Other Specialties?
Original Research
Women, especially working women, suffer from domestic or intimate partner violence worldwide. Nurses are no exception. The study aim was to compare the magnitude of domestic violence and its effects among psychiatry nurses compared with nurses from other specialties. This cross-sectional comparative study was conducted on 120 psychiatric nurses from in Abbasiya Mental Hospital and 120 nurses in other specialties from El-zaitoon hospital. Data were collected using a self-administered questionnaire with the HITS (Hurt, Insult, Threaten, Scream) Scale for exposure to domestic violence, and the Women’s Experience with Battering (WEB) scale to assess the meanings women attribute to their exposure to domestic violence. The fieldwork lasted from April to June 2017. The nurses in the two groups had comparable demographic characteristics. More nurses in the psychiatry group were not sharing in home expenses (p=0.01), had independent house (p<0.001), had their work affecting home needs (p=0.03), and marital relations (p=0.04), and were asked to leave work by husband (p=0.03). The psychiatry nurses had significantly lower mean and median HITS scores (p=0.007). More psychiatry nurses reported thinking of leaving work as a consequence of domestic violence (p=0.001). In multivariate analysis, the independent positive predictors of the HITS score were the nurse age at marriage, husband age, sharing in home expenses, working overtime, and the work having a negative effect on marital life, while, the negative predictors were being a psychiatric nurse, age, and living in an independent house. For the effects score, the independent positive predictors were being a psychiatric nurse, having children, work having a negative effect on marital life, in addition to the HITS score, whereas the negative predictors were the income and working for need. In conclusion, the psychiatric nurses are less vulnerable to domestic violence, compared with other specialties; however, the impact of this violence is more severe among them, with a higher tendency to leave the work for this. The work environment, particularly in psychiatry should be improved with more flexible schedules and less hours of overtime work. More intervention research is suggested to assess the effectiveness of various approaches to deal with domestic violence.
American Journal of Nursing Research. 2017, 5(6), 226-234. DOI: 10.12691/ajnr-5-6-5
Pub. Date: December 28, 2017
5387 Views1961 Downloads3 Likes
Awareness of Electricity Workers Regarding Occupational Health Hazards: Preventive Study
Original Research
Electricity workers are facing significant electrical hazards, preventive actions are important to decrease these hazards. This study Aimed to evaluate the effect of preventive program on electricity workers' awareness regarding occupational health hazards. Design: A quasi experimental design was used. Setting: This study was carried out at two districts of Qalubiya electricity sector. Sample: All electricity workers from the above mentioned settings were included. There were 78workers. Tools: I- structured interviewing questionnaire to determine electricity workers' socio-demographic characteristics, exposure to electricity hazards, knowledge regarding electricity hazards and its prevention and practices of workers regarding precaution to avoid electricity hazards. Results:The current study results revealed that, 35.9% of participants aged from 30 to 39 years old, 57.7% of them were experienced from 1 to 10 years, 43.6% of workers were exposed to injury during their current work, none of workers had good total knowledge scores regarding electricity hazards, and only 2.6% of workers had high satisfactory total practices score preprogram. While, after the program implementation, 89.7% of them had good total knowledge score, and high satisfactory total practices score increased to 88.5%. Conclusion:This study concluded that there were a significant improvement in electricity workers' knowledge and practices regarding prevention of electricity health hazards. Recommendation:ongoing periodic health education programs carried out by the occupational health nurse to raise the awareness of electricity workers about electrical health hazards and periodic training on hazards prevention and electrical safety as well as first aids should be sustained for electricity workers.
American Journal of Nursing Research. 2017, 5(6), 219-225. DOI: 10.12691/ajnr-5-6-4
Pub. Date: December 26, 2017
7348 Views2161 Downloads
Application of Peplau’s Theory Model to Overcome Intestinal Parasites and Anemia among Schoolchildren
Original Research
Aims: This study monitored the effect of applying therapeutic interactions model based on Peplau's theory on schoolchildren’s health status and prevention of intestinal parasite infestation and anemia .We assessed children and parents' knowledge, skills, and adaptive behaviors for dealing with intestinal parasite infestation and anemia. Design. A descriptive quantitative, pre/post-test design was used, with an age and sex-matched control group. Nonprobability, purposive sampling of 600 schoolchildren was recruited from 6 primary schools in East and South Cairo governorate, Egypt. Methods. There were 6 stages of data collection as this more clearly explains the content of this section. I. A pre/post Peplau's theory model questionnaire for structured interviews II. Pre/post application of interpersonal process of therapeutic interaction model assessment format which is based on Peplau’s theory and includes 4 phases. III. Observation Checklists (pre/post format). IV. Child/Parent Guidance Booklet. V. Parasitological Examination VI. Blood sample analysis Results. There were highly significant effects of model application on schoolchildren health, and a strong association between prevention and management. Conclusions. The study concluded that prevalence of intestinal parasite infection and anemia between the 2 settings was significant. Following the intervention, child health status was excellent and schoolchildren had a complete understanding of care management.
American Journal of Nursing Research. 2017, 5(6), 209-218. DOI: 10.12691/ajnr-5-6-3
Pub. Date: November 29, 2017
9114 Views3229 Downloads1 Likes
Effect of Instructional Guidelines on Life Style Modification for Patients after Coronary Angioplasty and Stent
Original Research
The aim of the study was to evaluate the effect of nursing instruction guidelines on life style modification for patients after coronary angioplasty and stent. Hypothesis:The knowledge of patients about coronary artery disease, stent and practices will improve after receiving the nursing instructions and the patients will adopt healthy life style after receiving these instructions. Design: Quasi experimental design used. Setting: The study was done at Menofiya's University Hospital. Subjects:Convenience sample of 65 patients from both genders. Tools:Two tools were designed; 1) Structured questionnaire regarding knowledge of coronary angioplasty and stent. 2) Assessment of patient's practices of healthy life style and avoiding risk factors. Results:The results of the study revealed that 70.8% of patients were male, 46.2% of age between 50- 60, 35.4% were illiterate / read and write, 50.8% worked with physical effort, 72.3% from rural places and 78.5% were married. There were statistical significant improvement in the total level of knowledge and practices among patients after one month post coronary angioplasty and stent (p≥0.05). Also, there were modification of life style and improvement in all practices related to avoiding of risk factors after one month post coronary angioplasty and stent. Conclusion:The results of study revealed that the instruction guidelines has a significant effect on the improvement of knowledge, modification of lifestyle and all practices related to avoiding of risk factors among patients after one month post coronary angioplasty and stent. Recommendations:Further research is necessary to measure long term adherence to healthy life style among patients with coronary angioplasty and stent.
American Journal of Nursing Research. 2017, 5(6), 202-208. DOI: 10.12691/ajnr-5-6-2
Pub. Date: November 25, 2017
7621 Views2932 Downloads
An Approach to Using Social Media as a Research Platform
AIM: To examine the use of the social and technology features of Facebook to recruit research participants from a closed-group. BACKGROUND: Limited research in healthcare focuses on the use of Facebook despite the many opportunities that exist. METHODS: The experience of gaining access to and recruiting participants from a closed-Facebook group using two different types of posts to advertise the study. DISCUSSION: The paper focuses on the lead author’s experience of recruiting participants from a closed-group on Facebook and her experience of using two different types of posts to advertise the study. A personal post with a picture of the lead author receiving a grant to conduct the research resulted in 32% of the completed survey responses in 24 hours. CONCLUSION: Using a closed-group on Facebook was an inexpensive and successful method to survey many respondents with a shared identity from all over the United States in a short period of time. Future researchers choosing to utilize social media as a research platform should share their methods to better understand how social media can be leveraged in nursing research.
American Journal of Nursing Research. 2017, 5(6), 200-201. DOI: 10.12691/ajnr-5-6-1
Pub. Date: November 10, 2017
7279 Views2995 Downloads1 Likes