Volume 6, Issue 3

Impact of an Educational Program for Mothers about Preventing Oral Medications Misuse for Children Under Five Years
Original Research
Oral drug misuses are occurring at an alarming rate; these misuses are both avoidable and expensive to the healthcare system. Study aim: The aim was to evaluate the impact of an educational program for mothers about preventing oral medications misuse for children under five years. Design: Quiz-experimental research design was used. Setting: The study was implemented at out-patient clinics in Assiut University Children Hospital. Subjects: A convenience sample of 50 mothers who had children under five years with acute common illnesses. Tools: The study used two tools: Tool I included two parts; part one; the socioeconomic scale and part two; mothers' age and main sources of information. Tool II was the structured interview questionnaire about mothers' knowledge regarding their practices during oral medications administration. Results: The majority of the mothers (88%) had a poor score of knowledge about practice before the program while 94% of them had a good score after the program. Also, the majority of them (96%, 88%, and 78%) compared to 82%, 8%, and 14% respectively in the pre and posttest gave antipyretics, cough & cold and antibiotics medications without a prescription. Conclusion: The educational program improved the mothers' knowledge about practice regarding oral medications administration for their young children and decreased oral drug misuse with a statistically significant difference between pre and posttest as regard their total score. Recommendations: Pediatric hospitals should offer the mothers with handouts, brochures, pamphlets, posters or videotapes about oral medication administration.
American Journal of Nursing Research. 2018, 6(3), 125-136. DOI: 10.12691/ajnr-6-3-7
Pub. Date: April 11, 2018
7392 Views2687 Downloads1 Likes
Effect of Women Self Monitoring of Fetal Kicks on Enhancing Their General Health Status
Original Research
This study aimed to investigate the effect of women self monitoring of fetal kicks on enhancing their general health status. Design: An experimental study was used. Setting: The study was conducted at the antenatal outpatient clinic in Mansoura University Hospital, Egypt. Subjects: Two hundred pregnant women were divided into two groups intervention and control group. Tools:An interviewing questionnaire schedule, General health questionnaire, Self monitoring daily fetal kicks chart. Results: The present study results had revealed that, there was a highly statically significant improvement of the total scores of general health status from pre intervention at 28weeks compared to post intervention at 37weeks of gestation among intervention group (23.45± 5.97 at 28 weeks) to (20.73± 4.18) at 37 weeks (P= 0.0001). Also, there was a highly statically significant improvement regarding normality of fetal kicks and total improvement of self monitoring of fetal kicks among intervention group. Conclusion: It was evident from the study findings that the women self monitoring of fetal kicks had significantly improved general health status of pregnant women when compared with women who received only the routine hospital care. This method is cheap, simple, and it could be prescribed to pregnant women as a helpful intervention. Therefore, it is recommended that training program must be designed and implemented to enhance pregnant women daily self monitoring of fetal kicks at antenatal clinics.
American Journal of Nursing Research. 2018, 6(3), 117-124. DOI: 10.12691/ajnr-6-3-6
Pub. Date: April 04, 2018
6222 Views2338 Downloads1 Likes
Achieving Clinical Judgment of Nursing Students through Simulation: A Quasi-experimental Study
Original Research
Objective: Clinical Judgment is an inference regarding patient¡¯s needs, health problems, and assertion whether or not to take action, utilize or amend universal approach or create new ones as necessary based on the patient¡¯s response. This research aims to investigate the effect of simulation on the clinical judgment of Saudi nursing students utilizing Lasater¡¯s Clinical Judgment Rubric (LCJR). It also aims to determine the association of gender to the participants¡¯ clinical judgment as to components noticing, interpreting, responding and reflecting. Methods: This research utilized a quasi-experimental, single group pretest posttest approach. The study was conducted in the College of Nursing at the University of Hail, Saudi Arabia. A total of 100 Saudi nursing students participated in the study (83% response rate). The participants were currently enrolled in a Medical Surgical Nursing course during the first semester of the academic year 2017-2018. Statistical Package for the Social Sciences (SPSS) program was utilized to calculate the weighted mean, standard deviation, repeated measures ANOVA, and Bonferroni test as statistical treatments. The participants underwent simulation of various patient scenarios in two separate points in time (pre-clinical training and post-clinical training) and were evaluated using the LCJR. Results: Simulation significantly has an effect in the clinical judgment of Saudi nursing students (P=0.026). Saudi nursing students¡¯ clinical judgment depicted heightened competency in the dimensions of Responding (p=0.006) and Reflecting (p=0.005) of the LCJR. Conclusion: Simulation is an effective teaching strategy in developing clinical judgment in Saudi nursing students. Furthermore, the LCJR can be recommended for use as an assessment tool. The results of the study can be utilized by the different nursing colleges across Saudi Arabia to develop simulation programs as an adjunct in nursing education and to consider the use of the LCJR in determining the clinical judgment of nursing students.
American Journal of Nursing Research. 2018, 6(3), 113-116. DOI: 10.12691/ajnr-6-3-5
Pub. Date: April 03, 2018
4894 Views2003 Downloads1 Likes
Effect of Health Education based Intervention on Self-care among Systemic Lupus Erythematosus Clients
Original Research
Systemic Lupus Erythematosus (SLE) disease and disease-related consequences as well as treatment-related adverse events have a significant negative effect on life expectancy and quality of life of SLE clients. The study aimed to evaluate the effect of health education based intervention on self-care among systemic lupus erythematosus clients. Design: A quasi experimental design was used. Setting: The study was conducted in Rheumatology Outpatients’ clinic of Benha Teaching Hospital. Sample: A Convenient sample of systemic lupus erythematosus clients was recruited. There were 60 clients. Tools: I- structured interviewing questionnaire to determine demographic characteristics of SLE clients, disease characteristics. II- Systemic Lupus Erythematosus Assessment Tool to assess client's knowledge about SLE and clients’ practices about self-care. III- Lupus Patient Reported Outcomes (lupus PRO). Results: Showed that, the mean age of studied clients was 28.76±5.98, 90% were female, 40% had the disease from 1 to <5 years. 36.7% of them had a family history of SLE, 45% of studied clients had average total knowledge and 0% had good total knowledge scores regarding SLE disease, only18.3% had satisfactory total self-care reported practices score and 16.7% had moderate total Lupus PRO score pre intervention, while post intervention; good total knowledge scores increased to 95 % and average total knowledge decreased to 5%, satisfactory total self-care reported practices increased to 83.3% and moderate total Lupus PRO score increased to 65%. Conclusion: This study concluded that there were a significant improvement in studied clients' knowledge, self-care practices and Lupus PRO regarding SLE disease. Recommendations: Establishing patient education programs to improve SLE clients care by written instructions must be available in all rheumatology clinics. Replicate this study for large number of clients and in different settings.
American Journal of Nursing Research. 2018, 6(3), 105-112. DOI: 10.12691/ajnr-6-3-4
Pub. Date: March 20, 2018
6426 Views1942 Downloads1 Likes
Effect of Nursing Intervention on Oral Health Knowledge, Attitude, and Health Behaviors among Pregnant Women
Original Research
Background: Good oral health during pregnancy can not only improve the health of pregnant women but also potentially the health of newborn.Aim: This study aimed to evaluate the effect of nursing intervention on oral health knowledge, attitude, and health behaviors among pregnant women. Design: A quasi-experimental design was utilized.Sample: A purposive sample of 188 pregnant women was recruited according to inclusion criteria. The sample was allocated to study and control groups (94 women in each group). Setting: The study was conducted at obstetric s and gynecology outpatient clinic affiliated to Benha University Hospital. Tools of data collection: 1) a structured interviewing questionnaire which consisted of three parts; demographic characteristics, obstetric history, and pregnant women's knowledge regarding oral health. 2) Pregnant women's attitude towards oral health questionnaire. 3) Pregnant women's oral health behaviors sheet. Results: The majority of both groups had poor knowledge and negative attitude regarding oral health. In addition, there were no significant differences in health behaviors scores between both groups (P ˃ 0.05) before intervention. However, one month after intervention, 84.0% of the study group had good knowledge compared with 0.0% of the control group, 78.7% of the study group had positive attitude and only 6.4% of the control group. The health behaviors scores were significantly higher in the study group than the control (P<0.001).Conclusion: There is positive effect of nursing intervention in improving the pregnant women's knowledge, attitude as well as health behaviors regarding oral health. Recommendations: Provision of oral health education for pregnant women during antenatal care in order to highlight the importance of good oral health.
American Journal of Nursing Research. 2018, 6(3), 94-104. DOI: 10.12691/ajnr-6-3-3
Pub. Date: March 19, 2018
5840 Views1797 Downloads2 Likes
Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan
Original Research
Background. Breaking bad news (BBN) is one of the most difficult tasks faced by healthcare providers. In addition, breaking bad news is stressful for both; healthcare providers and patient. Nurses can play an important role in the process of BBN. Whereas, effective communication by critical care nurses improves patients' understanding of their health status and decreases their stress level. Furthermore, effective BBN process requires effective communication skills. Aims. To assess critical care nurses' knowledge level regarding breaking bad news process, assess their involvement in the process of BBN, andto determine the barrier of practicing breaking bad news process as perceived by critical care nurses to identify the factors that affect nurses' practice of breaking bad news in the critical care units. Methods. Descriptive cross-sectional design, using self-reported questionnaires. Results. The study showed that most critical care nurses in Jordan are highly involved in BBN process 77% (n=157), Also, nurses are highly perceived themselves as an active part in BBN process 76% (n=155). The major barrier in providing BBN was relatives requesting that a patient is not told bad news 75% (n=152). Conclusion.Current study revealed that Jordanian critical care nurses took different roles in the process of breaking bad news and they are highly involved in BBN news, creating a base of knowledge regarding BBN among critical care nurses in Jordan. Thus, the study recommends the policymakers to empower nurses role in this process through design an educational program regarding practice BBN and clarify nurses’ role in this process.
American Journal of Nursing Research. 2018, 6(3), 87-93. DOI: 10.12691/ajnr-6-3-2
Pub. Date: March 14, 2018
4772 Views1645 Downloads3 Likes
Improving Psychological Well-Being and Quality of Life among Palliative Care Nurses: Literature Review
Opinion Paper
Background:Nurses who provide palliative care for patients suffering from life threatening conditions often report high levels of psychological distress and poor QOL. Aim: The purpose of this paper was to provide relevant literature regarding the psychological well-being and QOL among palliative care nurses and to suggest specific recommendations to improve psychological health and QOL among nurses provide palliative care. Methods:Literature review of articles related to psychological well-being and QOL among palliative care nurses was searched using CINAHL and PubMed electronic databases using the Keywords “psychological well-being”, “ anxiety” ,"stress", "depression", “quality of life”, “nurse”, “palliative care”, and a combination thereof. Results: The current paper highlighted various problems associated with the psychological health and QOL among nurses providing palliative care. Additionally, specific recommendations were provided to improve psychological health and QOL among nurses providing palliative care. Conclusion: All nurses who provide palliative care for patients suffering from life-threatening conditions should be well trained and prepared to provide quality care for patients and to cope effectively with the stressors they might face.
American Journal of Nursing Research. 2018, 6(3), 82-86. DOI: 10.12691/ajnr-6-3-1
Pub. Date: March 14, 2018
6054 Views2717 Downloads1 Likes