Volume 6, Issue 6

The Impact of School Bullying on Students' Self-Esteem in Preparatory School
Original Research
Background: Bullying is a extensive marvel could happen at everywhere. Bullying establish a complex problem in school kids lives. It is a problem that distresses all students, either bullies or victims, and those who joined interpersonal violence. Aim: Assessment the effects of bullying on self-esteem of preparatory school students among rural area in El sinbellawein city. Design: A descriptive cross sectional design was carrying out. Setting: This study was conducted at Abd Ellatif Osman preparatory School, Elsinbellawein city. Subjects: A purposeful sample of 192 children exposed to bullying were recruited for this study. Tools: three tools were used in this study: Socio demographic data sheet, bullying victim scale, and self-esteem Scale. The study finding showed that the a statistically significant negative correlation between studied students' total bullying score and self- esteem score. the prevalence of bullying among study sample lived with married parents and in low socioeconomic status conditioning and more in males than females students. Conclusion: negative correlation between studied students' total bullying score and self- esteem score. Recommendation: Educational program for parents of children and their teachers to decrease aggressive and bullying behavior among students in schools.
American Journal of Nursing Research. 2018, 6(6), 679-688. DOI: 10.12691/ajnr-6-6-39
Pub. Date: October 28, 2018
1035 Views561 Downloads
Improving Quality of Life among Women with Endometriosis: An Intervention Study
Original Research
Background: Endometriosis is among the most common gynecological diseases, which could have considerable physical, psychological, and social effects on the patient's Life. Endometriosis affects the safety and wellness of women, and decreases the physical quality of life. Aim of the study was to improve quality of life among women with endometriosis .Subjects& methods: Research design: A quasi-experimental design was used. Setting: the study was carried out in obstetrics and gynecology outpatient clinic at Zagazig university hospitals, Sharkia Governorate, Egypt, between the period from July 2017to January 2018. Subjects: a purposive sample of 60 women diagnosed with endometriosis and divided equally into intervention and control groups. Tools of data collection: Four tools were used in this study. A structured interviewing questionnaire, Numerical rating scale, Endometriosis Health Profile Questionnaire-30 and intervention program.Results: The findings of this research showed that, there was no statistically significant difference in demographic and obstetric characteristics between two groups (p 0.05). There are significant improvement regarding quality of life and decreasing level of pain among the intervention group than the control group after using of self-management strategies than pre assessment. Conclusion: The educational program about self-management strategies to cope with endometriosis has a significant improvement of women's quality of life. Recommendations: Provide continuous health educational program on self-management strategies for women diagnosed with endometriosis to improve quality of life and reduce pain.
American Journal of Nursing Research. 2018, 6(6), 668-678. DOI: 10.12691/ajnr-6-6-38
Pub. Date: October 28, 2018
1124 Views483 Downloads
Effect of Health Instructional Guidelines for Mothers about Their Children Vaccination
Background: Vaccination means giving a vaccine to a child for activating immune system to resistant an infectious disease, by administration of a vaccine. These vaccines help to stimulate the body's own immune system to protect the children against subsequent diseases. Aim of this study is to evaluate the effect of instructional guidelines for mothers about children vaccination. Design: Quasi-experimental research design was used. Sample: purposive sample equal 375 mothers who having children and attending the routine immunization in centers. Settings: study was conducted at two Maternal-Child Health Centers (in-Helwan and Ezbat Elwalda) at, Ain-Helwan District and Helwan City, Cairo, Egypt. Tool: one tool used; Interview questionnaire sheet composed of 3 parts (Socio-demographiccharacteristics, mothers' knowledge & mothers' reported practice regarding children vaccination). Results: the mean age of mothers was 29.5±7.1 years. Mothers' total knowledge was improved post instructional guidelines than pre. Also, satisfactory reported practices of mothers regarding vaccination was 75% at the post than pre the instructional guidelines. Conclusion: the study denoted that there was an improvement of mothers' knowledge and reported practice after applying the instructional guidelinesthan before with statistically significant differences. Recommendations: provide mothers by health instructional guideline and vaccination booklets which include the importance of vaccination, side effects and how to manage its complications, obligatory vaccine schedule and non-obligatory vaccine schedule in centers.
American Journal of Nursing Research. 2018, 6(6), 658-667. DOI: 10.12691/ajnr-6-6-37
Pub. Date: October 28, 2018
1732 Views811 Downloads
Nursing Informatics Competency and Attitudes toward Internet-Based Distance Education among Nursing Students
Background: Increase the attention to distance learning and increase thepopularity by time and led to far-reaching impact on the education scene. Aim: Examine the relationship of nursing informatics competency and attitudes toward internet-based distance education among nursing students. Sample: A stratified random sample (n= 315) of nursing students from different academic levels, encountering in baccalaureate science of nursing program during the academic year 2018-2019 constituted this study. Tools of data collection:A questionnaire sheet was used for data collection that was includedthree parts: 1) Personal characteristics of the nursing students, 2) Competence in information technology3) Students’ attitude toward internet based education scale. Results: The results revealed that the highest percentage of nursing students received previous training in computer and internet skills, have computer and internet access, reside rural areas, and have positive attitude toward internet based distance education. Conclusion: The present study concluded that the highest percentages of nursing students received previous training in computer and internet skills, have computer and internet access, reside rural areas, and have positive attitude toward internet based distance education. As well,there were statistically significant correlations between total score of the nursing students' attitude toward internet based distance education and all personal characteristics except place of residence, and there was a statistically significant positive correlation between total informatics competency score and readiness of nursing students to implement internet based distance education.Recommendations:Training and mentoring should be used to increase students' acceptance and skills in developing distance education, support Faculties of Nursing with resources and funding to build infrastructure necessary to promote students’ knowledge in nursing informatics and new technologies in education.
American Journal of Nursing Research. 2018, 6(6), 650-657. DOI: 10.12691/ajnr-6-6-36
Pub. Date: October 28, 2018
1604 Views703 Downloads
Effectiveness of Breathing Techniques on Dyspnea among Critically Ill Chronic Obstructive Pulmonary Disease
Original Research
Background: Chronic obstructive pulmonary disease (COPD) is one of the most reported problems in intensive care units (ICUs). It is a major cause of disability and death worldwide. Breathing techniques are an essential part of a comprehensive pulmonary rehabilitation program for COPD patients. Performing breathing techniques reduce the frequent dyspnea, promote relaxation and improve pulmonary function. Aim: To evaluate the effectiveness of breathing techniques on dyspnea among critically ill chronic obstructive pulmonary disease. MethodQuasi-experimental research design was used in this study. The study involved 50 adult COPD patients recruited from pulmonary ICU at Mansoura University Hospitals in Egypt. Patients were divided into two groups randomly 25 patients in the control group and 25 patients in the intervention group. Data were collected using the demographic and health-relevant data, physiological and ABG parameters of patients and finally the modified medical research council dyspnea scale. Results:After undergoing breathing exercises in the intervention group, the mean score of dyspnea was significantly reduced (P< 0.001). Also, there was a significant improvement in the patients' physiological and ABG parameters compared to the control group. Conclusion: breathing techniques improve dyspnea in critically ill COPD patients. Recommendations: Respiratory breathing techniques should be used as a routine non-pharmacological, safe, and low-cost method in rehabilitation care for patients with COPD.
American Journal of Nursing Research. 2018, 6(6), 645-649. DOI: 10.12691/ajnr-6-6-35
Pub. Date: October 28, 2018
1759 Views599 Downloads
Family Relationships among Users and Non Users of Social Media
Original Research
New developments in the technological world have made the internet an innovative way for individuals and families to communicate. Social media sites help in fulfilling communication needs and wants of their users. The use of social media may have an effect on the family relation either in a positive or negative manner. This study aimed to investigate the family relationships among users and non users of social media. The study followed a cross- sectional descriptive comparative research design. It was conducted on 360 employees, at Damanhour University in Elbeheira, Egypt. Brief Family Relationship Scale (BFRS) was used to collect the data of this study. The results revealed that the mean score of the social media users is slightly increased in relation to the non users of social media mean score with no significant difference between both groups. It was concluded that using social media for short time has no effect on the family relationship, sitting with family in daily base satisfy the social and emotional needs of its member and enhance family relations. Recommendations encompassed that the time spent on social media should be assessed regularly to prevent being isolated from the family members. Educational programs to increase the parent’s awareness how to deal with their children regarding social media and its risks.
American Journal of Nursing Research. 2018, 6(6), 638-644. DOI: 10.12691/ajnr-6-6-34
Pub. Date: October 28, 2018
1682 Views411 Downloads
The Effect of Head Nurses’ Empowerment Educational Program on Staff Nurses’ Burnout
Original Research
Background:Empowerment is necessary for the era of competition and service because every organization needs employees who are fast, responsive and independent so they can be competitive through human resources and strengthen the capability and commitment of employees. The lack of empowerment of nurses in hospitals is one of the main causes of nurses’ burnout. Aim of the study: The aim of this study was to examine the effect of head nurses’ empowerment educational program on staff nurses’ burnout. Research Design: A quasi-experimental design utilized to achieve the aim of the current study. Study Setting: The study conducted in medical, surgical and critical care units at Benha University Hospital, Egypt .Study sample: were all available head nurses who met the inclusion criteria (65) distributed as the following; 24 of head nurses working at medical units, 19 of head nurses working at surgical units and 22 head nurses working at critical care units. Convenience sample of staff nurses (342) who meet the inclusion criteria from the total number (716) nurses. Tools of data collection: Four tools utilized; namely, empowerment knowledge questionnaire, Conditions of Work Effectiveness Questionnaire, Psychological Empowerment Scale and Maslach-Burnout-Inventory-General Survey. Results: There was statistically significant improvement in head nurses' knowledge and level of empowerment after implementation of the program. In addition, there was a statistically significant improvement of staff nurses' level of burnout after implementation of the program. Also, there was a highly statistically significant negative correlation between head nurses’ empowerment level and studied staff nurses' level of burnout post-program (P<0.001). Conclusion: The study concluded that there was a positive effect of the educational program regarding empowerment for head nurses on the burnout of staff nurses. Recommendations: Future studies recommended to investigate the effect of psychological empowerment and employee engagement on other variables such as staff turnover, absenteeism, performance, and safety.
American Journal of Nursing Research. 2018, 6(6), 625-637. DOI: 10.12691/ajnr-6-6-33
Pub. Date: October 28, 2018
2616 Views793 Downloads
Buteyko Breathing Technique: A Golden Cure for Asthma
Original Research
The Buteyko Breathing Technique (BBT) is distinctive breathing therapy that uses control breath and breath-holding exercises to treat a large vary of health conditions believed to be connected to hyperventilation and low carbon dioxide. Aim: To evaluate the effect of Buteyko breathing technique on patients with bronchial asthma. Setting: This study was conducted in chest disease department at Port-said El- Masah El- Bahry Hospital. Method: Quasi-experimental design was utilized in this study on a purposeful sample of (50) patients through pre and post program implementation.Tools: Two tools were used, tool I: An interviewing questionnaire include; patients demographic data, and clinical data. Tool II: Asthma assessment questionnaire include; Asthma Severity Questionnaire and Asthma control questionnaire. Result: Showed that all asthma severity and asthma control items were a highly significant improved after applied BBT at p value <0.001, with significant improvement in (FEV1) after applied BBT that reflected through 64% and 36% of participants had intermittent and mild (FEV1). Conclusion: This study support the effectiveness of Buteyko breathing exercise over the standard treatment in asthmatic patients. There was a statistically significant improvement of daily Asthma Control, Asthma severity, pulmonary function-forced expiratory volume in 1s (FEV1) and peak expiratory flow rate (PEFR), in patients after applied Buteyko breathing exercise for one months over pre applied it. Recommendations: The researchers recommend that Buteyko breathing technique be added as a possible medical and nursing intervention in managing asthmatic adults.
American Journal of Nursing Research. 2018, 6(6), 616-624. DOI: 10.12691/ajnr-6-6-32
Pub. Date: October 28, 2018
2901 Views1213 Downloads4 Likes
The Effect of Pre-Discharge Multimedia Self-Care Education on Burn Specific Health among Patients with Burn
Original Research
Background: Major Burns have long lasting impact on physical, psychological and social wellbeing. The aim of the current study was to evaluate the effect of pre-discharge multimedia self-care education on burn specific health among patients with burn. A quasi experimental research design was utilized. Setting: The study was conducted at Burn Center, Mansoura University Hospitals, Egypt. A convenient sample consisting of 100 adult patients with burn; 50 patients as experimental group and 50 as control group. Two tools were used in data collection; a structured interviewing questionnaire, and Brief Burn Specific Health Scale (BSHS-B). Results revealed positive outcome on different areas of the Burn Specific Health scores of patients in the experimental group after implementation of the multimedia self-care education. Conclusion: The multimedia self-care education had positive effect on improving the burn specific health scores of the patients in the experimental group. Recommendation; Continuous educational programs for patient with burn in order to improve their health scores, replication and expanded studies are also needed.
American Journal of Nursing Research. 2018, 6(6), 608-615. DOI: 10.12691/ajnr-6-6-31
Pub. Date: October 28, 2018
3141 Views1000 Downloads
Teachers' Knowledge and Attitudes Regarding Child Abuse in Selected Primary Schools at Minia City
Original Research
Background: Child abuse is the most critical health issues worldwide, it continues to be one of the first warnings to the child's emotional and social well-being globally; it one common health problem and a violation of children's human rights. Aim of the study: Is to assess the knowledge and attitudes of the teachers concerning child abuse. Research design: A descriptive design was used to conduct the study. Sample: The study demonstrated on 274 institution teachers. Setting: Eight urban and rural public primary schools were collected from Minia city. Data collection Tools: Included two instruments; the first tool is a structured knowledge questionnaire. The second is the attitude rating measure. Results:About two-thirds of the school teachers had poor knowledge about child abuse, and (62%) recognized a negative attitude about child abuse. Conclusion: Child abuse is a global issue, and children face it in many forms, and more awareness will help in contending the problems. Recommendation: Design and implement an educational program for teachers to increase their knowledge about child abuse and to promote child health.
American Journal of Nursing Research. 2018, 6(6), 598-607. DOI: 10.12691/ajnr-6-6-30
Pub. Date: October 28, 2018
4527 Views1611 Downloads
Nurses' Perception, Self-Efficacy, Barriers, and Training Needs for Implementing Evidence-Based Practice: Is It Time for a Change toward Safe Care?
Original Research
Background: A crucial factor in delivering high-quality patient care is nursing implementation of evidence-based practice (EBP). Aim of this study: to explore nurses' attitudes, perceived self-efficacy, barriers, supporting factors, training needs, and information sources used to undertake different evidence-based practice activities in zagzaig university hospitals. Subjects and Methods: Research design: A descriptive correlational study design was utilized. Setting: This research was conducted at Zagazig University Hospitals. Subjects: A Stratified random sample of 384 nurses working at Zagazig University Hospitals. Tools of data collection: A questionnaire of perceptions of nurse’s evidence-based practice (EBP) was used for data collection was developed by Majid et al (2011), it includes seven parts: 1) personal characteristics of the studied nurses. 2) attitudes toward EBP, 3) level of self-efficacy, 4) supporting factors in adopting EBP, 5) barriers for adopting EBP, 6) training needs, 7) and sources of information used by the nurses .Results: the majority of nurses had unfavorable attitudes toward EBP, They preferred using traditional methods over changing to new approaches, and they perceived to possess moderate levels of skills to undertake different EBP activities. In addition, all nurses are facing many difficulties in implementing EBP. Conclusion: The majority of nurses had unfavorable attitudes toward EBP, They preferred using traditional methods over changing to new approaches, and perceived to possess moderate levels of skills to undertake different EBP activities. In addition, all nurses are facing many difficulties in implementing EBP. Recommendations:Encourage nurses to attend nursing conferences, scientific meetings, and involve them in the developmental activities, empower nurses to take active role in organizational change and implementation of evidence practice research findings, a reward system may be needed to enhance evidence based practice development and achievements in hospitals.
American Journal of Nursing Research. 2018, 6(6), 586-597. DOI: 10.12691/ajnr-6-6-29
Pub. Date: October 28, 2018
3478 Views1074 Downloads
Organizational Justice, Organizational Citizenship Behavior and Turnover Intention among Nurses: The Mediating Effect of Transformational Leadership
Original Research
Nurse Supervisors should do their best to sustain transformational and interactional justice behaviors relationship with staff nurses. This will not only improve nurses' commitment to the organization and decrease turnover intention, but also encourage their organizational citizenship behavior and improve the organizational effectiveness. This study aimed to investigate the relationship among organizational justice, transformational leadership, organizational citizenship behavior, and turnover intention among nurses at Zagazig University Hospitals. A descriptive correlational design was used for this study. A stratified random sample of 384 nurses was chosen from the above mentioned settings. A questionnaire sheet was used to collect data for this study that was composed of four parts: Organizational justice scale, organizational citizenship behavior, turnover intention scale, and multifactor leadership questionnaire. Results revealed that 66.1% and 51.3% of nurses had positive perceptions of transformational leadership and organizational justice, respectively. Likewise, 66.7% and 46.9% of nurses had moderate levels of organizational citizenship behavior and turnover intention, respectively. Moreover, there was significant relationship between organizational justice, transformational leadership, organizational citizenship behavior, and turnover intention, where P-value < 0.05. Conclusion: The organizational justice is effective in improving nurses' organizational citizenship behavior and reducing their turnover intention. As well, transformational leadership full mediated the relationship between organizational justice as regards organizational citizenship behavior and turnover intention. Recommendation: Hospital administrators should develop fair and consistent procedures regarding nursing personnel, performance assessment, distribution of outcomes, rewards, and promotions to improve the perception of organizational justice.
American Journal of Nursing Research. 2018, 6(6), 576-585. DOI: 10.12691/ajnr-6-6-28
Pub. Date: October 28, 2018
5313 Views1671 Downloads3 Likes
Effect of Assertiveness Training Program on Nurse Interns' Self-esteem and Stress at El-Fayoum University Hospitals
Original Research
The internship year is a valuable prospect for new nurses to advance their practice in the real world setting. However, nurse interns are meeting a variety of stressors that could hinder their work outcomes and even their overall wellbeing. Therefore, assertiveness training is required to improve their self-esteem and decrease stress associated with the demanding nature of the nursing profession. The present study aimed to assess the effect of assertiveness training program on nurse interns' self-esteem and stress. A quasi-experimental design was followed to achieve the aim of the present study. It was carried out at El-Fayoum University Hospitals. The study subjects included all the available nurse interns who were enrolled at the academic year 2016-2017. Three tools were used to collect data for this study, the assertive behavior in nurses' questionnaire, the self-esteem scale, and the perceived stress scale. Results revealed that there was a significant improvement in nurse interns' assertiveness mean score after the program implementation (P < 0.05). As well, there was statistically insignificant enhancement in their self-esteem mean score, where P- value > 0.05. Additionally, there was a statistically significant reduction in their total mean score of stress after the program implementation (P < 0.01). Conclusion: The assertiveness training is beneficial in developing nurse interns' self-esteem and decreasing stress. Therefore, it is recommended to provide assertiveness training to the non-assertive nurse interns at the beginning of the internship year to build nurse interns' self-concept and self-esteem and subsequently decrease stress.
American Journal of Nursing Research. 2018, 6(6), 568-575. DOI: 10.12691/ajnr-6-6-27
Pub. Date: October 28, 2018
3857 Views1469 Downloads3 Likes
Predicting Adverse Maternal and Neonatal Outcome in Women with Threatened Abortion and Patient Compliance to Its Management
Original Research
Threatened abortion is associated with increased incidence of adverse maternal and neonatal outcome. Enhancing patient adherence to the management of this problem is tremendously needed. Aim: to assess maternal and neonatal outcome in women with threatened abortion and determine the level of patient compliance to its management. Subjects and Methods: Prospective and descriptive design was utilized in this study, which was conducted at labor and delivery unit of obstetrics and gynecology department in Mansoura University Hospital, 200 pregnant women diagnosed as having threatened abortion was legible to be selected for the study. Data collection includes; Structured Interviewing Questionnaire sheet, assessment, maternal follow up and patient level of compliance sheets. Results: Findings revealed that 70 (35.0%) women were exposed to different kinds of abortion and 130 (65.0%) continued the pregnancy until delivery. Where they encountered various antenatal complications, 67.7% underwent CS and 5.4% had severe birth asphyxia (0-3) at the 5thminute. Moreover, the majority of women did not adhere to the instruction given about measures used to control infection, reporting danger signals and maintaining good prenatal care (87.0%, 87.0% and 81.0% respectively). Conclusion: The majority of patients continued pregnancy until term and the rest was exposed to spontaneous abortion. Most of them were exposed to adverse maternal and neonatal outcome and the majority showed non-adherence to the prevention and management of threatened abortion. Recommendations: women with threatened abortion should be instructed about the adverse maternal and neonatal outcome of their condition and given an explicit counseling concerning compliance with healthy life style.
American Journal of Nursing Research. 2018, 6(6), 562-567. DOI: 10.12691/ajnr-6-6-26
Pub. Date: October 28, 2018
5465 Views1939 Downloads1 Likes
Effect of an Educational Protocol on Knowledge and Self-Care Practices among Patients with the Intestinal Ostomy
Original Research
Patients with intestinal ostomy suffer from some complications and changes in their life after surgery. This is due to lack of knowledge, preoperative preparation, and postoperative management. As a result, education play a major role in enhancing, educating, and improving patient’s knowledge and self-care practice with the intestinal ostomy. Therefore, this study aimed to assess the effect of an educational protocol on knowledge and self-care practices among patients with the intestinal ostomy. A quasi-experimental design was used. A purposive sample of 50 patients at King Abdulaziz University Hospital and King Fahad General Hospital in the general surgical, medical department and outpatient clinic. The data was collected through the main two tools developed by the researchers. Tool I: Patients' interviewing questionnaire, it is divided into two parts, Part I: Sociodemographic characteristics and clinical data. Part II: Knowledge assessment questionnaire to assess patients` knowledge about intestinal ostomy. Tool II: A structure observation checklist to assess self-care practices. The study results revealed that there was a highly significant difference between the pre and immediate post of implementing an educational protocol regarding all items knowledge with (p=0.00). Furthermore, there was a statistically significant difference between immediate post and after one month of implementing an educational protocol regarding knowledge items of emptying the pouch bag, nutrition/dietary instructions, number of measurement stoma after six weeks of surgery, and common complications with p=0.013, 0.019, 0.03, and 0.01 respectively. On the other hand, there is an improvement in all items of self-care practices, comparing the level between pre and post immediate, as well as comparing the level between the immediate post and after one month of implementing an educational protocol. This means that all patients able to self-care practices successfully after education. It was concluded that the implementation of an educational protocol has a positive effect on knowledge and self-care practices among patients with the intestinal ostomy immediately post and after one month later. These findings justified the research hypothesis. It was a recommended that self-care practices are an important part for the adaptation of patients with stomas after surgery so that planned self-care education should be given to patients before their discharge.
American Journal of Nursing Research. 2018, 6(6), 553-561. DOI: 10.12691/ajnr-6-6-25
Pub. Date: January 03, 2019
5044 Views1796 Downloads
Sexual Dysfunction and Health Related Quality of Life among Female Patients Undergoing Hemodialysis
Original Research
Background: Sexual dysfunction among female patients undergoing hemodialysis has a negative effect on their quality of life. Theaim of this study was to identify the effect of hemodialysis among female patients on their sexual function and quality of life. Materialand Methods: A cross sectional descriptive study was utilized in this study. It was conducted at a hemodialysis unit, Assiut University Hospitals, Egypt. Purposive simple was used in this study. Data was collected through three tools: firstly, Sociodemographic Questionnaire; secondly, Index of Female Sexual Function (IFSF) to assess sexual function and finally, the 36-item Short Form Health Survey Questionnaire to measure the impact of hemodialysis on their quality of life. Results: It reveals that more than half of these female patients with hemodialysis had sexual dysfunction and poor quality of life. There are no statistical significance differences between patients' Female Sexual Function Index (FSFI) scores and socio-demographic characteristics. Conclusions: there are a positive correlation between female sexual dysfunction and poor quality of life among female patients with hemodialysis. Recommendations:routine screening of sexual function and quality of life among female patients with chronic kidney diseases.
American Journal of Nursing Research. 2018, 6(6), 547-552. DOI: 10.12691/ajnr-6-6-24
Pub. Date: December 18, 2018
4382 Views1332 Downloads
Effect of Chest Physiotherapy Exercises on Reducing Pulmonary Complications for Patients with Acute Stroke at Assiut University Hospital
Original Research
Background: Pulmonary complications after stroke contribute significantly to a poor stroke outcome. Early in hospital pulmonary complications of stroke patients can be reduced by chest physiotherapy exercises .The aim of this study was to evaluate the effect of chest physiotherapy on reducing pulmonary complications among stroke patients. Methodology: A quasi-experimental research design was used in this study. The study was conducted in the neurological departments at Assiut University Hospital. The study included 60 adult stroke patients from the acute stage (2 Days) of admission to the hospital until discharge time. The sample was divided into two equal groups. Study and control group (30 patients each). Two tools used to collect data include, patient assessment sheet, pulmonary complication assessment sheet. Results: In the control group was 66.7% while pneumonia in the study group was 23.3% after the application of physical therapy exercises to the chest. Conclusion: Applying chest physiotherapy exercises had a statistically significant effect on reducing pulmonary complications among study group than the control group. Recommendations: Successful chest-program physiotherapy exercises should be implemented as early as the time of hospitalization for each stroke patient.
American Journal of Nursing Research. 2018, 6(6), 541-546. DOI: 10.12691/ajnr-6-6-23
Pub. Date: December 18, 2018
3868 Views1137 Downloads1 Likes
Nursing Counseling about Sleep Hygiene Behaviors for Snoring and Sleeping Disorders among Pregnant Women
Original Research
Background: Sleeping disorder is prevalent in pregnancy compared with non-pregnant population. Currently, strategies that intervene during gestation primarily focus on improving sleeping practices to optimize health. The study aimed todetermine the frequency and risk factors of snoring and breathing disorders during pregnancy and to counsel these women about sleep hygiene behaviors for improving their sleep quality. Setting, The study was conducted at antenatal outpatient clinic, woman’s Health Hospital, Assiut University, Egypt. Methods: Quasi experimental research design and simple random sample were used in collecting and applying the data. A total of 205 pregnant women. Three tools were used for this study included, structure interview questionnaire, Pittsburgh sleep quality index (PSQI) questionnaire and Counseling assessment checklist. Results: Nearly half of women have developed snoring related to pregnancy and more than half of them develop sleeping disorder. There is a significant relation between age, body mass index and maternal diseases as, anemia, RHD, rhinitis and respiratory disease act as risk factors to develop snoring and breathing disorder during pregnancy. Conclusion: Snoring and sleeping disorder can develop and worth related pregnancy, many maternal factors play as a predictor to develop snoring and nursing counseling is important role to improve women behaviors. Recommendations: Continuation nursing counseling on sleep hygiene and lifestyle changes because it safe and effective treatment options.
American Journal of Nursing Research. 2018, 6(6), 533-540. DOI: 10.12691/ajnr-6-6-22
Pub. Date: December 16, 2018
3916 Views1065 Downloads
The Effect of Emotional Intelligence Program on Decision Making Style
Original Research
Emotional intelligence plays a very important part in creating effective decisions in day to day life within the work place. The ability to deliver safe and proper care is relies on make accurate decision. Strong emotions help head nurses to make effective decisions. Aim: The present study aimed to assess the effect of emotional intelligence program on decision making style for head nurses'. Research Design: quasi experimental design was utilized. Study Setting: the study was conducted in all units at Benha University Hospital.The study sample was: all the available head nurses (57) from the above mentioned setting. Tools of data collection: Three tools were used: (1) emotional intelligence knowledge questionnaire, (2) Standardized emotional intelligence questionnaire, and (3) Nursing Decision-Making Instrument Scale Revised, 2014 (NDMI). Results: The findings of this study showed that there was a highly statistical significant improvement in the level of emotional intelligence and decision making style among head nurses through the program.Conclusion: The study concluded that highly statistically significant correlation was found between emotional intelligence and decision makingstyle among head nurses.Recommendation: Hospital should provide continuous emotional intelligence training program to nursing staff to enhance their performance, Integration of emotional intelligence program in to nursing curricula for enhancing nursing students' competencies.
American Journal of Nursing Research. 2018, 6(6), 524-532. DOI: 10.12691/ajnr-6-6-21
Pub. Date: December 09, 2018
6508 Views2203 Downloads
Effectiveness of an Educational Program in Enhancing Infertile Women’s Psychological Health
Original Research
Background:Infertility is a worldwide problem with negative impacts on psychological health of couples. Nurses have a crucial role in the mitigation of these problems. Aim of the study: To examine the effectiveness of a nursing intervention in enhancing infertile women’s psychological health and improving associated disorders. Subjects and methods: The study was conducted in the outpatient department at Qena General Hospital using a one-group quasi-experimental design. It involved 90 infertile women attending the setting for management. An interview questionnaire form with four scales namely the General Health Questionnaire (GHQ), Narcissistic Personality Inventory, Experiences of Close Relationships-Revised (ECR-R), and the Defensive Style Questionnaire (DSQ-60) was used in data collection. The researcher designed and implemented by the researchers in the light of the needs identified in the pre-intervention assessment phase. The study was achieved through assessment, planning, implementation, and evaluation phases. Results:Women’ age ranged between 21 and 47 years, mostly with primary infertility (80.0%). Statistically significant improvements were demonstrated at the post-intervention phase in all four domains of GHQ (p<0.001), and the mean total score increased from 39.6 to 68.0 (p<0.001). The total median narcissism personality score decreased from 24.50 before the intervention to 16.00 after the intervention (p<0.001). As for ECR-attachment scale, the median dropped from 4.16 to 3.11 (p<0.001). Similar statistically significant post-intervention improvements were revealed in the DSQ-60 scale. The multivariate analysis identified the study intervention as the main positive predictor of the GHQ score, a negative predictor of the narcissistic and ECR scores. Meanwhile, the study intervention was a positive predictor of the adapt DSQ domain whereas it was a negative predictor of the affect regulating domain score. Conclusion and recommendations:Infertile women suffer a number of psychological problems that are amenable to treatment through simple educational nursing interventions. Such educational endeavors should be implemented on a wide scale in all similar settings.
American Journal of Nursing Research. 2018, 6(6), 515-523. DOI: 10.12691/ajnr-6-6-20
Pub. Date: November 22, 2018
4638 Views1605 Downloads
The Effect of Evidence-Based Guidelines on Nurses, Performance in Respect to Nosocomial Infection at Medical-Surgical and Obstetrician Departments
Original Research
Background: Nurses are healthcare workers that play an essential role in the control of hospital infection, protect patients from hospital required infection and leads to better control of diseases. As long as, nurses, midwives, and healthcare support workers. Healthcare staff should have an adequate level of performance regarding hospital infection. Aim: Assess the effect of evidence-based guidelines on Nurse's performance in respect to nosocomial infection at medical-surgical and obstetrician department. Subjects and Methods: A pretest-posttest questionnaire design was used in this study to assess the effect of evidence-based guidelines on performance among nurses for infection control at Benha University Hospital. Sample:the total 110 nurses enrolled in this study (60) nurses in the internal medicine department, (30) nurses in the surgical department and (20) nurses in the obstetric department, nurses who their experience at least one year. With different, Age 20- 50 years old had been selected .Results: The present study showed that there were statistically significant differences in the level of knowledge, the practice of infection control methods, nurses attitude regarding nosocomial infection control before and immediately after induction of the guidelines,( MH7.220, P<0.0001*), (MH=5.555, P=0.003* and MNP=0.012*) subsequently. The current study demonstrated that before the induction of guidelines, there were statistically significant differences regarding and attitude was (r=0.547, p<0.0001). After the induction of the guidelines, the results indicated that the association the association between; knowledge and practice was (r=0.308, p<0.0001), knowledge and attitude was (0.207, p<0.05), practice between; knowledge and practice was (r=0.170, p>0.05), knowledge and attitude were (0.012, p>0.05), practice and attitude were (r=0.324, p<0.0001). The current study revealed to (91.8% and 81.8 %) conducted not enough medical tests on a regular basis and received not enough vaccinations regarding infection control and prevention respectively. Conclusions:Nurses who received evidence-based guidelines regarding infection prevention showed statistically significant improvement in their performance after the implementation of evidence-based guidelines compared with before implementation. There was the highly significant correlation between before the implementation of evidence-based guidelines but after the implementation of evidence-based practice guidelines; there was non-significant correlation occurred.
American Journal of Nursing Research. 2018, 6(6), 507-514. DOI: 10.12691/ajnr-6-6-19
Pub. Date: November 19, 2018
6013 Views2129 Downloads2 Likes
Comparative Study for Pattern of Social Support among Systemic Lupus Erythematous Patients' at Out-patient Clinics, Assiut University Hospital
Original Research
People with Systemic Lupus Erythematous need for social support more than others due to Systemic Lupus Erythematous' often caused severe and unpredictable symptoms; also can be affected multiple system.The study aimed to determine the pattern of Social support among Systemic Lupus Erythematous patients; also to identify the risk factors among Systemic Lupus Erythematous patients at out-patient clinics, Assiut university hospital. Patients and methods: The study was conducted in Rheumatology clinic at Assiut university hospital. The total sample size was (104); total coverage technique used in this study. Tools: Two tools were used, first tool: A structured interview questionnaire sheet which included two parts; demographic data and questions regarding risk factors and the second tool; it included Social Support Assessment scale.Results: more than half (55.8%) of patients had high level of social support after disease compared to 39.4% of them had moderate and high level of social support before disease also, Sunlight exposure was the most risk factors among Systemic Lupus Erythematous patients. Conclusion: there was statistically significant differences between total score of social support before and after disease (P value=0.001*). Recommendation:Health education about rheumatologic services for community to early detection, diagnosis and treatment.
American Journal of Nursing Research. 2018, 6(6), 500-506. DOI: 10.12691/ajnr-6-6-18
Pub. Date: November 13, 2018
4271 Views1317 Downloads
Effect of Liposuction on Overweight/Obese Patients’ Eating Concerns, Body Shape Concerns, and Self-esteem
Review Article
Obesity is a growing public health problem in Egypt, with many physical and psychological deleterious effects. Liposuction could have a positive effect on patients’ psychology. The aim of this study was to examine the effect of liposuction on overweight/obese patients’ eating concerns, body shape concerns, and self-esteem. This quasi-experimental one-group study was conducted in Bedayat private Hospital in Cairo on 70 adult patients undergoing liposuction. A self-administered questionnaire with three validated scales for eating concerns, body shape concerns, and self-esteem was utilized in data collection before and after liposuction. The fieldwork lasted from April to July 2018. The results showed that 84.3% of the patients were, with age range 23 to 58 years. There were significant decreases in the percentages of patients having dyslipidemia, from 25.7% before the liposuction to 5.7% after the liposuction (p=0.001). The scores of eating showed improvements (p<0.001), and the frequency of unhealthy eating practices decreased (p<0.001). The mean score of body shape concerns decreased from 5.1 before liposuction to 2.1 after liposuction (p<0.001), whereas the mean sores of self-esteem domains increased (p<0.001). In multivariate analysis, liposuction was the only significant independent negative predictor of the eating concern and body shape concern scores, and a significant positive predictor of the self-esteem score. In conclusion, liposuction is a safe procedure that leads to significant improvements in the patients’ eating concerns, body shape concerns, and self-esteem. The procedure is recommended for those suffering from such concerns and/or having low self-esteem. Further research is proposed to examine the long-term effects of liposuction on these parameters.
American Journal of Nursing Research. 2018, 6(6), 484-490. DOI: 10.12691/ajnr-6-6-16
Pub. Date: October 31, 2018
4467 Views1593 Downloads
The Impact of Chest Physiotherapy Technique (CPT) on Respiration, Pain and Quality of Life Post Thoracic Wall Fixation Surgery among Flail Chest Patients (FC)
Original Research
Background: FC is the most extreme type of blunt chest wall casualty with death rate up to 20%. These patients may require prolonged days of mechanical ventilation for ongoing respiratory dysfunction, leading to high rates of pulmonary complications. This study aimed to assess the impact of CPT on respiration, pain and quality of life post thoracic wall fixation surgery in Flail Chest Patients. It followed a quasi-experimental, pretest-posttest comparison. The study was carried out in cardiothoracic surgery intensive care unit (ICU) at Qena university hospital. A convenience sample comprised of 30 adult patients from both sexes with flail chest and no contusion. They were given pharmacological epidural and oral analgesic medications to reduce pain during physiotherapy practice post chest stabilization surgery. Tool 1:A self-reporting Assessment Questionnaire were comprised pain rating index scores pre and post CPT and prior epidural analgesic administration, and symptoms associated with pain, Health-related quality of life and Dyspnea scale. Sociodemographic characteristics were attached to the tool 1. Tool 2: A clinical data base assessment were taken pre and post CPT, included: Part I: Laboratory investigation of a Standardized lung function tests which Forced Vital Capacity (FVC), Forced Expiratory Volume in one second (FEV1) and Peak Expiratory Flow (PEF) were recorded and ABGs includes PaO2, PaCo2, SO2, and PH in addition to vital signs ( Part II) and Diagnostic test assessment includes Chest x-ray, and chest tomography CT was done before chest stabilization surgery to confirm the diagnosis in accordance of study criteria(Part III). Tool 3: CPT include, breathing and coughing exercise and IPPB., secretion mobilization techniques like chest wall percussion, and vibration and incentive spirometer. Results/conclusion: the majority of the studied sample was male and were from 50 - 60 years and illiterate. The effect of CPT on the symptoms associated pain, and pain intensity were still persistent in decrease post discharge at late follow up till 6th month. The majority of subjects had no dyspnea on 3rd and 6thmonth of follow up. so, their HRQOL scores improved with a high significance in the area of mobility, self-care, anxiety and depression, the performance of usual activities and pain and discomfort on 6 months of late follow-up. Also, it was noticed that the mean of Pulmonary Function Test (PFT), and ABGs improved in the late follow-up. This improvement has been definitively shown in all outcomes parameter post chest physiotherapy performed after surgical fixation of FC. Recommendation: Moreover, this study recommended that all the physiotherapy approaches should be planned and applied as an individual programs tailored to the FC patients following a comprehensive evaluation.
American Journal of Nursing Research. 2018, 6(6), 471-483. DOI: 10.12691/ajnr-6-6-15
Pub. Date: October 31, 2018
5632 Views1695 Downloads
Utilization of Blended Approach Mode in Teaching and Learning for Undergraduate Nurses in Kenya
Original Research
Background: Blended learning approach refers to a combination of online and face to face methods in response to learner need and for the achievement of instructional objectives. Technological advancement in the world is influencing the nature of how disciplines conduct training. In order to match with this expectation, nursing has been influenced by both theoretical and clinical practice. Blending represents a fundamental change in the way teachers and students approach the teaching-learning experience. The practice of using technology to deliver coursework in Universities worldwide has seen a veritable explosion in adoption. Purpose: The study aimed at determining utilization scale of engagement in use of blended approach mode in teaching and learning in Kenyan universities. Methodology: This study applied mixed design method in order to obtained detailed information from the study participants of interest to the researcher. The study involved conducting teaching and managing one fourth-year course “NRSG 400: Education Concept and Teaching Strategies in Nursing” in the selected study sites for one trimester, by use of blended mode and conventional teaching and learning strategies. Four out of nineteen (4/19) universities in Kenya that offered Bachelor of Science in Nursing were sampled by use of convenience non-probability sampling. The sample population included two public and two private university. One public and one private university were used as experimental group and control group respectively. The study participants comprised of only general nursing lecturers and fourth year nursing students. Consent forms were filled from the study sites and study participants, anonymity and confidentiality during the study period was maintained. Data was collected by use of observation, self-reported questionnaire, followed by structured focused group discussion at the four study sites. Descriptive and inferential data was processed and analyzed in order to generate simplified information. Results: A total population of (n= 486) comprised of 175 (36.0%) male and 311 (64%) female participants who consented for the study. The students had a mean age of 22 years. 302(62.1%) students were motivated to adopt and use blended mode of learning while, 386 (79.4%) students did not have confidence in eLearning mode. 302 (62.1%) students disagreed with the appropriate time and place for use of blended learning. (60.7%) disagreed that information uploaded on Moodle platform was credible. Furthermore, 376 (75.1%) students stated that they had experience problems with use of learning platform.109 (22.4%) student’s greed that Moodle interface was easy to use. 402 (82.7%) students indicated that they had experienced internet discussions while. Recommendations: More emphasis during sensitization needs to be done in order to increase high level of engagement and utilization of the same in order to address anxiety among students therefore lecturers need to offer continuous support to students as a good gesture role model. Conclusion: There is utilization of blended teaching and learning mode among universities offering Bachelor of Science in Nursing in Kenya but not fully utilized as shown in the above and similar studies in the world.
American Journal of Nursing Research. 2018, 6(6), 466-470. DOI: 10.12691/ajnr-6-6-14
Pub. Date: October 29, 2018
3612 Views1133 Downloads
Effect of Implementing Clinical Pathway to Improve Child-Birth and Neonatal Outcomes
Original Research
Background: A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks "interventions" by the professionals involved in the patient care are defined, optimized and sequenced either by hour, day or visit. The aim of the present study was to examine the effect of implementing clinical Pathway to improve birth and neonatal outcomes. Design: Quasi-experimental study was used. Settings: this study was conducted at Maternal and child health center and labor unit of El-Basher Hospital /Amman Jordon. Subjects: The simple random sample of 150 mothers were selected and divided into equal group; intervention group (75 mothers who received clinical pathway during third trimester of pregnancy and/or labor) and control group 75 mothers who not received clinical pathway. Pregnant mothers were selected between 28-36 week antenatal visit, observed, and followed during labor for the use of pathway. Results of the study: revealed that there was significance difference between intervention and control groups concerning implementation of clinical pathway through application of "counting fetal movement and implementation of comfort measures", throughout the third trimester of pregnancy, labor process, that affect the progress and effect in reducing the severity of labor pain. There were significant differences among two studied group regarding pain intensity in relation to cervical dilatation CX 3-4 cm (11.570, 0.054* respectively), CX 5-7cm (13.348, 0.013* respectively) and CX 8-10 cm (12.671, 0.015* respectively). The duration of labor during all stages of labor were significant difference among studied groups (p<0.05, p <0.001 respectively) for total hours. The results shows that, the mean of APGAR score at 5thminute and at 10thminute in intervention group were significant higher (6.9±1.1 and 8.8±1.3) than in control group (4.8±0.8 and 7.03±1.5). Conclusions: - The use of clinical care pathways: "counting fetal movement and implementation of comfort measures" for optimizing prenatal care had a positive influence on child birth process and neonatal outcomes in obstetric practice. Recommendations: 1. Application of clinical pathway for pregnant mothers is essential for improving maternal status, reducing complication and reducing the duration of hospital stay and better neonatal outcome. 2. Ongoing in-service training programs should be designed and implemented at delivery room to improve nurses' practices on the basis of nurse's actual needs.
American Journal of Nursing Research. 2018, 6(6), 454-465. DOI: 10.12691/ajnr-6-6-13
Pub. Date: October 29, 2018
5205 Views1334 Downloads
Comparative Study of Efficacy of Using Mayonnaise and Hair Shampoo in the Control of Head Lice among Elementary School Students
Original Research
Background and objective: Head lice are expensive and difficult to eradicate, causing much frustration for families, providers, and communities. In order to develop procedures for the care of affected school students with head lice, the researchers (a) assessed the prevalence of head lice infestation rate in primary school students, and the mothers’ and teachers’ knowledge of head lice infestation and its control measures, and (b) compared the effect of using mayonnaise and hair Shampoo to control head lice among elementary school students. Materials and Methods: An experimental design was used to conduct the study. Ten primary schools in Al Riyadh were identified using the cross-sectional study during 2015 and 2016. Five hundred (500) students, chosen through a multi-stage systematic random sample, participated and were randomly divided into two groups. Mayonnaise and hair Shampoo was applied tothe first and second group respectively as a treatment for head lice. For all statistical analyses, SPSS version 20 were used. Results:using Mayonnaise helped in dismissing head lice was faster among all age groups of girls, none of the girls stayed infected beyond 8 and more days. The Total (82.0% ) of girls recovered from infection between 6 to 8 days as compared to only (15.2%) as total among the hair Shampoo group with the same age group. Conclusion: The study shed light on the effectiveness of mayonnaise in the obliteration of head lice. Additional studies should be carried out to ensure the success of mayonnaise in overcoming the lice problem.
American Journal of Nursing Research. 2018, 6(6), 446-453. DOI: 10.12691/ajnr-6-6-12
Pub. Date: October 12, 2018
6040 Views2140 Downloads
The Effect of Supportive Nursing Instructions on Recurrence of Vulvovaginal Candidiasis Infection during Pregnancy
Original Research
Pregnant women are more vulnerable to VVC than healthy women with chronic recurrent candidiasis [1]. Supportive nursing instruction help pregnant women in improving their health by adopting preventive measures that help in reducing the incidence and avoid complication from VVC [2,3]. The aim of this quasi-experimental study was to examine the effect of supportive nursing instructions on recurrence of vulvovaginal candidiasis infection during pregnancy. A total of 100 pregnant women diagnosed as having vulvovaginal candidiasis infection who attend antenatal unit at El-Manial maternity hospital in Cairo, Egypt, were recruited for this study. The required data was collected through Semi-structured Interview questionnaire, pre-posttest questionnaire and VVC Follow-up Sheet. Results indicated that the age of the sample range was 18-45 year with a mean of 26.38± 6.56 years old, 64% living in urban area, 74% of the sample was negative smokers, 70% of the sample was housewife &48% of the sample had primary education. The results also revealed that a highly statistically significant difference between mean knowledge score regarding VVC during pregnancy in pretest and posttest (p<0.0001) and a highly statistically significant difference between level of knowledge regarding VVC during pregnancy in pre and posttest as (p<0.0001). Also, there was an observed relieve in majority of the symptoms of VVC infection after four weeks follow-up. In relation to recurrence of vulvovaginal candidiasis symptoms during pregnancy, the results revealed that most of cases did not develop recurrent episode of VVC attack during pregnancy through follow-up till term while minority of cases developed recurrent episode especially in third trimester of pregnancy.
American Journal of Nursing Research. 2018, 6(6), 437-445. DOI: 10.12691/ajnr-6-6-11
Pub. Date: October 09, 2018
6531 Views2192 Downloads
Effect of Nursing Program on Improving Nurses’ Knowledge and Skills Regarding Care of Eclamptic Women
Original Research
Eclampsia proceeds to be a major problem, particularly in developing countries that, adding significantly to high maternal mortality and mobility rate. Maternity nurses can play a major role in prevention of maternal death related to eclampsia. Aim: The aim of the study was to evaluate the effect of nursing program on improving nurses’ knowledge and skills regarding care of eclamptic women.Subjects and methods: A quasi-experimental (pre-post) design was adopted to reach the stated aim and conducted at inpatient units in obstetrics & gynecology and child Minia University. A total sample of 60 nurses participated in the study. AStructured Interview Questionnaire form used for data collection including personal characteristics, knowledge and practice about eclamptic women. Results: the finding of this study revealed that, more than quarter of nurses had poor knowledge (30.0%), but after program (75.0%) of nurses had good knowledge. There was statistically significant difference before / after program (p=< 0.05) related to total knowledge regarding care of eclampsia women. Practice regarding care of eclampsia women, less than quarter of nurses of pre-program (23.3%) had poor practice and post-program (83.3%) had good practice. Conclusion: There were gaps between before/after program related to nurses’ knowledge and practice in the area of managing eclamptic women. Recommendations: Regular training programs for performance to encourage nursing updated and improve their practice.
American Journal of Nursing Research. 2018, 6(6), 430-436. DOI: 10.12691/ajnr-6-6-10
Pub. Date: October 08, 2018
5362 Views1971 Downloads
Risk Factors of Academic Underachievement among Preparatory School Students in El-Behira Governorate
Original Research
Background: Adolescence is a period of considerable physical and mental changes, of which transition to higher levels of study and planning for a future career is significant. Academic achievements assume importance and is a key factor for personal progress and personal worth and it considered a benchmark of a child's intelligence. In today's competitive society, Academic underachievement is a major concern among parents and teachers, and it assumes significance as it is a key factor for personal and professional growth. Aim of study: Is to identify risk factors of academic underachievement among preparatory school students in El-Behira Governorate. Design: Descriptivedesign. Setting: The study was conducted in ten (10) governmental preparatory schools in five (5) educational directorates of the eighteen (18) educational directorates in El-Beheira Governorate Subjects:using systematic random sample technique to select the required sample size of 400 students (200 achievers and 200 underachievers) which were halved by sex. Tools: data was collected using two tools for Students assessment, Family Socioeconomic Status Scale (SES) and Strengths and Difficulties Questionnaire (SDQ). Results:according to the liner regression model for the predictors of academic achievement among the studied students the following variables show a significant effect, Students' age, Socioeconomic score, Students' labor , Finishing daily homework, Private tutoring, Years of previous grade repetition and total strengths and difficulties score. Conclusion and recommendations: Several personal risk factors were highlighted at the present study to have significant association with students' underachievement so it is recommended to Developing evidence based guidelines for underachievement based on the underlying causes and awareness of the community about adolescents' underachievement in schools.
American Journal of Nursing Research. 2018, 6(6), 418-429. DOI: 10.12691/ajnr-6-6-9
Pub. Date: October 08, 2018
5844 Views1867 Downloads
Self-Care Practices of Preparatory School Students with Type 1 Diabetes Mellitus in ELBehira Governorate
Original Research
Background: Type 1 diabetes (T1D) is more prevailing disease in adolescence. Intervening in self-care is crucial for disease management and to reduce the risk of diabetes-specific complications. The aim of the studywas to assess self-care practices of preparatory school students with type 1 Diabetes Mellitus in EL Behira Governorate. Egypt. Subjects: A total number of 300 students constituted the subjects of the study. Research design: A descriptive research design was used. Setting: Data was gained from governmental preparatory schools in El-Behira governorate. Sampling students were chosen by multistage sampling technique. Tools: one tool was used for data collection, a structured interview schedule composed of three parts to collect data about socio-demographic characteristics, students’ knowledge about TID, and assessment of students’ self-care practices. Results:53.3% of the studied diabetic preparatory school students have fair total self-care practices score while 29.7% of them have poor self-care practices. A significant difference was revealed between the studied diabetic students’ total score of knowledge and self-care practices. 76.7% of the studied diabetic preparatory school students have poor total knowledge score. A significant difference was revealed between the studied diabetic students’ total score of knowledge and self-care practices In addition, diabetic students' age, previous hospitalization due to hypo/hyperglycemic coma, duration of disease discovery and socioeconomic status were significantly varied among them in relation to their total knowledge and self-care practices scores. Moreover, diabetic students' gender, father's education, mothers' education, mother's working condition were significantly varied among them in relation to their total self-care practices score. Conclusion and recommendations: The results of the present study concluded that the highest percentage of the studied diabetic preparatory school students have either fair or poor self-care practices and poor total knowledge score, so it is recommended to develop hotlines, mass media campaigns for dissemination of accurate information about juvenile diabetes and establishing an accurate surveillance and documentation system of diabetic students for easy accessibility and provision of accurate information.
American Journal of Nursing Research. 2018, 6(6), 407-417. DOI: 10.12691/ajnr-6-6-8
Pub. Date: October 06, 2018
7247 Views2545 Downloads
Effectiveness of Exercises on Fatigue Level in Patients with Systemic Lupus Erythematosus
Original Research
Systemic Lupus Erythematosus (SLE) is a rheumatic disease characterized by a variety of symptoms, especially fatigue and pain. Currently there is no effective pharmacological treatment for fatigue in SLE. Research suggests that exercise can reduce feelings of fatigue. Aim: to examine the effects of exercise intervention on fatigue level among patients with SLE. Methods: A quasi-experimental (pre-post test) design was used. The study was conducted at the Chronic Illness Clinics in Menoufia University Hospital, at Shebin El-Kom district, Menoufia Governorate. A convenient sample of 70 patients was recruited. Tools: A Semi Structured Demographic Sheet; Piper Fatigue Scale to assess fatigue level. Results: There was a statistically significant difference between the study and the control group regarding fatigue level post intervention, 54.3% and 40% of the study and the control groups respectively experienced severe fatigue pre intervention compared with 17.1% and 31.4% post intervention. Also, there was a relationship between fatigue level and gender as well as educational levelamong the study group. Conclusion: Fatigue should be considered as an important factor influencing patient daily life independent of disease activity. Recommendations: Prepare training programs for nurses about the importance of adding exercise to patient’s schedule for the reduction of fatigue among patients with SLE along with the routine hospital care.
American Journal of Nursing Research. 2018, 6(6), 398-406. DOI: 10.12691/ajnr-6-6-7
Pub. Date: October 06, 2018
5453 Views2086 Downloads
Effect of Simulation Based Training on Maternity Nurses’ Performance and Self-confidence Regarding Primary Postpartum Hemorrhage Management
Original Research
Background: Simulation is one of the most important resources in nursing educational trading that help in improving nurses’performance and self-confidence for decreasing maternal morbidity and mortality from Postpartum haemorrhage (PPH). Aim: this study aimed to evaluate the effect of simulation based training on maternity nurses' performance and self-confidence regarding primary post-partum haemorrhage management. Research Design: A quasi-experimental design was used. Setting: This study was conducted in Clinical Obstetric Skill lab of Faculty of Nursing, Benha University. Sample: A convenient sample of a total 65 maternity nurse who working at Obstetrical and Gynaecological Emergency Department at Benha University Hospital. Tools: Three tools were used for collecting data; 1) A structured interviewing questionnaire; it includes two parts socio demographic data and assessment of maternity nurses' knowledge regarding primary postpartum haemorrhage. 2) Maternity nurses' practice observational checklist. 3) Modified Self-confidence measurement Scale. Results: The result of the present study proved that about two thirds (61.5%) of the studied maternity nurses were aged less than 30 years with mean age of 29.6±7.62years moreover the majority of them (86.2 %) had less than 10 years of experience. It also indicates that the highest percentage (89.2%) of them hadn't previous simulation training program regarding PPH. Additionally studied maternity nurse had poor level of knowledge, unsatisfactory performance and unconfident level of self-confidence mean score regarding management of PPH before simulation training (64.6%, 78.5%, 69.2%) respectively. Yet, after the simulation training the nurses' knowledge, performance and self-confidence were significantly improved Conclusion: Hypotheses of the current study were accepted.Simulation based training had a highly significant effect on improvement nurses’performance (knowledge & practice) and self-confidence regarding primary post-partum haemorrhage management. Recommendation:Simulation based training programs should be provided for all obstetrics health care givers to help nurses to play an active role in obstetric emergencies.
American Journal of Nursing Research. 2018, 6(6), 388-397. DOI: 10.12691/ajnr-6-6-6
Pub. Date: September 27, 2018
4963 Views1844 Downloads1 Likes
Effect of Guided Imagery in Reduction of Stress among Elderly People in Geriatric Homes
Original Research
Background: The elderly in old age homes at Benha city and Mansoura city have to face the burdens of long-term illness and numerous treatment associated stressors. The ability of these elderly to cope with and adapt to these stresses has an important influence on physical and psychological well-being Aim of the study: The aim of this research is to assess the effect of guided imagery as therapeutic strategy in reduction of stress among elderly people in geriatric homes at Benha city and Mansoura city. Research Hypothesis: The guided imagery as a therapeutic strategy will have a positive effect on reducing stress among elderly people in geriatric homes. This study used: Quasi experimental design study. Subjects: The target of this study consists of 40 elderly people.Setting:- The study was conducted at geriatric homes at Benha city and Mansoura city. Tools for datacollection: The following tools were used for data collection part I:- Socio-demographic data sheet and part II the stress scale was developed by Jacob, (2005). It consisted of 25 items covering psychological, physiological, social and spiritual areas of stress. Positive and negative statements were included in this scale. The response alternatives were always, sometimes, rarely and never.Results: The result reveals that most of the elderly were Widowed (85.00%). In relation to elderly educational levels that the majority of the study groups had a secondary education (45.00%) and there are highly statistically significant differences between pre and post program related to stress level. Conclusion: Elderly in geriatric homes at Benha city and Mansoura city had significant reduction in the level of stress after the Practice of guided imagery. Recommendation: Practice of guided imagery can be introduced in the inpatient and outpatient settings of the hospital, before, during and after various medical procedures, Guided imagery can be made a part of daily routine of students and staff, which would help them to overcome their academic stress and a study can be carried out to find out the effectiveness of guided imagery on the occupational stress of employees of different fields.
American Journal of Nursing Research. 2018, 6(6), 380-387. DOI: 10.12691/ajnr-6-6-5
Pub. Date: September 17, 2018
4219 Views1319 Downloads1 Likes
Efficacy of Abdominal Massage on Feeding Intolerance of Preterm Neonates
A Clinical Study
Preterm neonates have an increased susceptibility to feeding intolerance which is one of the most significant contributors to their growth failure. Establishing and tolerating adequate enteral nutrition is difficult due to the immaturity of the gastrointestinal system; therefore it is crucial for neonatology nurses to detected this condition as early as possible and use intervention for tackling this problem to improve newborn outcome. Massage is one therapeutic nursing method that can stimulate the parasympathetic activity and induce a more effective response of the digestive system. The aim of this study was to evaluate the efficacy of abdominal massage on feeding intolerance of preterm neonates. A quasi- experimental research designwas utilized to meet the aim of this study.Setting This study was conducted in Neonatal Intensive Care Unit (NICU) at Assiut University Children Hospital.Sampling: The study sample comprised all preterm neonates (60 preterm neonates) hospitalized during six months period in Neonatal Intensive Care Unit (NICU) at Assiut University Children Hospital. Three tools were used to collect the required data for this study: - Tool1- An interviewing questionnaire sheet, Tool II - Follow -up sheet and Tool III - Feeding intolerance assessment tool. Results: Highly statistically significant differences were found between the first day and 5th day related to feeding intolerance measurementsparameters of the massage group (P=0.001) and the means of the abdominal circumference, the frequency of vomiting episodes, and the gastric residual volume in the massage group had decreased significantly in the 5th day of the intervention of abdominal massage, as compared with those in the first day and the frequency of defecation and daily weight gain had increased significantly.Concluded that abdominal massage has the potential effect to decrease the gastric residual volume, frequency of vomiting episodes, abdominal distension, and increase the weight and frequency of defecation in enterally fed preterm neonates. The study recommendedchanging the nursing practice in NICU nurses by emphasizing the importance of applying abdominal massage twice a day as a safe non-invasive intervention as standard of care in enterally fed preterm neonates'.
American Journal of Nursing Research. 2018, 6(6), 371-379. DOI: 10.12691/ajnr-6-6-4
Pub. Date: September 12, 2018
6734 Views2214 Downloads
Counseling Enrichment Sessions for Adolescents about their Body Image and Self-esteem
Original Research
Adolescence is an essential phase of human development and is characterized by significant physical changes and maturation, so the adolescents face different problems in dealing with these rapid changes which affect their satisfaction with their bodies and self-esteem. Aim: The aim of this study was to determine the effect of counseling enrichment sessions for adolescents about their body image and self-esteem. Design: A quasi-experimental design was used. Setting: The study was conducted in Zahraa Helwan preparatory secondary girls school at Wadi Hof. Sample: Purposive sample including 180 adolescent girls. Tools: A semi-structured interview questionnaire was used to collect the data and involved four parts: Part 1.Demographic characteristic data, Part 2. Anthropometric measurements. Part 3. Body Image test, and Part 4. Coopersmith Self-esteem Inventory. Results: There was a positive relation between body image and self-esteem pre and post counseling enrichment sessions which mean that, the girls' body image was affected dependently on their self-esteem. Also body image and self-esteem were improved post counseling enrichment sessions with highly statistically significant difference. Conclusion: The counseling enrichment sessions for body image and self-esteem have positive effect on adolescents.Recommendations: Therapeutic programs to guide those who have unsatisfied body image to optimize consensus, improve their mental health and self-esteem. And teachers, parents, and school nurses should receive periodically education related to the development of secondary sexual characteristics during puberty of adolescents.
American Journal of Nursing Research. 2018, 6(6), 359-370. DOI: 10.12691/ajnr-6-6-3
Pub. Date: September 11, 2018
6342 Views1821 Downloads
Emotional Intelligence among Saudi Nursing Students and Its Relationship to Their Critical Thinking Disposition at College of Nursing- Jeddah, Saudi Arabia
Original Research
Background: Emotional intelligence and critical thinking skills can prepare nursing students for delivering competent nursing practice and help them adapt to the clinical environment. Although personal emotion is important in critical thinking, it is often a neglected issue to explore the nature of the relationship between emotional intelligence and critical thinking disposition together among nursing students. Objective: This study aimed to describe the emotional intelligence among Saudi nursing students and its relationship to their critical thinking disposition. Methods:a descriptive correlational research design was conducted using a convenient sample of all Saudi nursing students (N=300) studying at College of Nursing- Jeddah (CON-J), King Saud bin Abdul-Aziz University for Health Sciences, Jeddah, Saudi Arabia. Emotional Intelligence Scale and Critical Thinking Disposition Scale were used to collect the data after obtaining the official and ethical approvals. Results: the highest percentages of nursing students have a relatively high level of emotional intelligence (54.9%) and moderate (66.4%) disposition towards critical thinking. Emotional intelligence was significantly correlated to critical thinking disposition (r = 0.594, p< 0.001) and can predict it where the regression model is significant (F= 52.404, p <0.001). Moreover, nursing students differ significantly across academic levels regarding their perception of both skills. Conclusion & Recommendations: Fostering emotional intelligence and critical thinking disposition among nursing students would enhance their problem-solving skills and judgment abilities which in turn, lead to providing more qualified clinical services. Educational training courses, workshops and, seminars should be prepared specifically for all academic levels for more development and enhancement of these skills. In addition, emotional intelligence and critical thinking disposition ought to be considered for more inclusion and incorporation in the undergraduate and graduate nursing curricula. Further study should be preceded as a longitudinal design because the development of both skills requires a long time.
American Journal of Nursing Research. 2018, 6(6), 350-358. DOI: 10.12691/ajnr-6-6-2
Pub. Date: August 29, 2018
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Nurses Health Beliefs and Their Preventive Measures Regarding Osteoporosis: Comparative Study
Original Research
Background: Osteoporosis is one of the most common bone metabolic disorders which have been associated with significant disability and mortality. Osteoporosis has been recognized as a major public health problem by nurses’ providers in Egypt. Therefore, this study aims to compare between nurses' health beliefs and their Preventive Measures regarding osteoporosis in Egypt and Sudan. Method: A descriptive research design was used in the current study. Setting: The study was conducted in internal medicine and orthopedic units and medical and orthopedic out patients' clinic at three hospitals affiliated to the Ministry of Health named Port-Said General Hospital, Port -Fouad General Hospital, and El-Zohor central Hospital. In addition to out- patient Clinics (MCH center) at Khartoum, Bihari and Omdurman in Sudan country. Sample; A convenient sample used for this research which consists of all nurses working in the previous mentioned settings, total number of 170 nurse, distributed as the following; 90 from Egypt and 80 from Sudan from different hospital specialties were included in the study. Tool; questionnaire about preventive measures regarding osteoporosis and osteoporosis health beliefs scale (OHBS) were used for collecting data of the current study. Results; the study results revealed significant differences between Egypt and Sudan regarding some subscales of health beliefs regarding osteoporosis as susceptibility, seriousness, barrier of calcium intake and health motivation with P-value of 0.027, 0.013,059 and 0.024 respectively. However, there were no significant differences between both countries regarding nurse action to prevent osteoporosis. Conclusion: there were no significant differences between Egypt and Sudan regarding preventive measures applied by nurses to prevent osteoporosis in spite of the significant differences between both countries regarding health beliefs about osteoporosis. Recommendations: An educational program for the nurses to raise their awareness regarding causes, prevention & early detection and proper treatment of osteoporosis. Additionally, the nursing college curriculum committee should be focus on osteoporosis management.
American Journal of Nursing Research. 2018, 6(6), 344-349. DOI: 10.12691/ajnr-6-6-1
Pub. Date: August 27, 2018
5453 Views2108 Downloads