Volume 7, Issue 1

Effect of Evidence Based Practice Training Program on Professional Nurses¡¯ Decision Making Abilities
Original Research
Effective implementing of evidence based practice has potential benefits for professional nurses, patients, healthcare systems and reduces inappropriate deviations in healthcare practices, supplies a set of standards for enhancing clinical decision making abilities. Aim of the study: This study was aimed to assess of the effect of evidence based practice training program on professional nurses` decision making abilities. Design: A quasi experimental design was used in this study. Setting: This study was conducted at intensive care unit at Benha University Hospital and Benha Teaching Hospital. Subjects:A convenient sample of 68 professional nurses recruited from the presented units and had the following inclusion criteria; had a Bachelor degree in nursing science and willing to participate in the study. Tools for data collection:The study tools divided into four tools: Evidence-Based Knowledge Questionnaire, Evidence-Based Practice Questionnaire (EBPQ), Evidence-Based Practice Attitudes Scale and Decision Making Abilities Questionnaire. The results showed that, there was statistically significant improvement among the professional nurses' knowledge, skills, and attitudes regarding evidence based practice after implementation of the training program. There was highly statistical significant improvement in the professional nurses decision making abilities thorough program phases. As 40.7 % of them were able to make decision before the program which improved to 67.4% immediate post the program and decrease to 60.3% three months follow up the program. The study concludes that, the implementation of the Evidence-Based Practice training program was significantly succeeded in enhancing total knowledge, skills, and attitudes of professional nurses that significantly improves their decision-making abilities. The study recommended that:Conduct continuous in-service training and education programs for refreshing and updating professional nurses knowledge and skills about the evidence-based practice. A brief basic educational intervention on EBP with online and face-to-face learning can produce improvements in the knowledge and skills of clinical nurses.
American Journal of Nursing Research. 2019, 7(1), 93-101. DOI: 10.12691/ajnr-7-1-13
Pub. Date: January 06, 2019
5351 Views2049 Downloads
Self-Care Behaviors for Arteriovenous Fistula among Hemodialysis Patients at Assiut University Hospital (Suggested Nursing Brochure)
Original Research
Patients with end stage renal diseases should be educated to enhance and maintain the arteriovenous fistula (AVF) in the better condition. Aim to assess self-care behaviors for arteriovenous fistula in hemodialysis patients at Assiut university hospital. Subjects and Method: A descriptive exploratory research design was utilized in this study. The study was conducted in hemodialysis unit at Assiut University Hospital. Sample: 100 adult patients with the following criteria age ranged from 18 -60 years, carry HD for more than 6 months with AVF, and able to communicate. Two tools utilized for data collection: Tool (1) patient's interview questionnaire sheet, Tool (2) Assessment of self-care behaviors scale for arteriovenous fistula in hemodialysis patients (ASBHD-AVF). Results: findings revealed that, (78%) of patients had inadequate self-care behaviors and (22%) of them had adequate self-care behaviors. Conclusions:There was highly significant difference between self-care behaviors of studied sample and number of arteriovenous fistula, duration of AVF. Recommendation: application of self-care-behaviors nursing brochure for patients with arteriovenous fistula in hemodialysis patients.
American Journal of Nursing Research. 2019, 7(1), 87-92. DOI: 10.12691/ajnr-7-1-12
Pub. Date: January 04, 2019
3833 Views1146 Downloads
Full Outline of Un-Responsiveness Scale (FOUR) Versus Modified Glasgow Coma Scale (GCS) in Predicting Discharge Outcomes of Altered Consciousness Patients
Original Research
Objective: Altered consciousness level is common in critically ill patients. Neurological assessment of these patients and their outcomes prediction are challenging for critical nurses. This study aimed to compare between Full Outline of Un-Responsiveness Scale and Modified Glasgow Coma Scale in predicting discharge outcomes in altered consciousness patients. ResearchMethodology: A descriptive design was followed in this study which was conducted at Trauma Intensive Care, Neurological Intensive Care and Neurosurgery Intensive Care units in Assuit University Hospital. Three tools were utilized to collect the data. Results: Patients' outcomes on discharge were; 3% regained consciousness and discharged to home; around one third regained consciousness and transferred to ward; some of them experienced co-morbidities; and nearly half of them were died after experiencing secondary brain injury. Almost one third of patients who were alive on discharge had physical disabilities and co-morbidities.Conclusions: The components of FOUR score and MGCS had different predictive abilities. FOUR score had higher accuracy prediction of in-hospital outcomes and the prognostic power than MGCS in the first three assessment days. Therefore, this study’s results would be supported by other studies that recruited a larger number of patients with different acuity levels within more hospitals.
American Journal of Nursing Research. 2019, 7(1), 79-86. DOI: 10.12691/ajnr-7-1-11
Pub. Date: January 03, 2019
9194 Views1995 Downloads
Knowledge about Elderly Care and Its Relation to Ageism Attitude among Undergraduate Nursing Students
Original Research
Background: There is an increase in the health problems associated with increasing in elderly population worldwide. As nursing students are the future health care providers, their positive attitudes towards elders and adequate knowledge of elderly care would improve the quality of provided services. The aim: of the present study was to investigate knowledge about elderly care and its relation to ageism attitude among undergraduate nursing students. Design: A descriptive research study was used. Setting: this study was conducted at faculty of Nursing-Minia university. Subjects: All available nursing students (320 students) at fourth academic year, and data was collected in December, 2017. Tools:Three tools were utilized; first one covered personal data of the studied sample, the second one was the Ageism Attitude Scale (AAS), and the last one was knowledge questionnaire sheet about care of elderly people. Results: The majority of Minia university nursing students have lack of knowledge regarding care of elderly people and held negative attitude toward them, also there was a significant correlation between nursing student's knowledge about elderly care and their ageism attitude, in which nursing student's knowledge about elderly care was significantly affect their ageism attitude. Conclusion: Nursing students of Minia university have unsatisfactory level of knowledge regarding elderly care and demonstrate negative attitude toward them. Recommendation:Nursing faculties seek Gerontological nursing as a separate specialty and providing evidence-based Gerontological nursing education programs is urgently needed in order to change nursing students stereotypes and negative attitudes toward elderly people, and to meet the challenge of care for them.
American Journal of Nursing Research. 2019, 7(1), 73-78. DOI: 10.12691/ajnr-7-1-10
Pub. Date: January 01, 2019
5456 Views1843 Downloads
Nurses Perceptions toward Nursing Excellence Program in a Tertiary Hospital
Original Research
Background: The Magnet Recognition Program® is considered one of the best programs around the globe that recognizes healthcare organizations for nursing excellence in providing high-quality nursing care. Purpose: the purpose of the current study was to identify nurses’ attitudes and perceptions regarding the Magnet program components as a preliminary step in the Magnet process at King Abdullah Medical City (KAMC). Methods: A descriptive, cross-sectional design employing a survey approach was utilized. A sample of 438 registered nurses employed at KAMC completed the Demographic Data Questionnaire and the Nurses’ Perceptions Regarding the Magnet Program Questionnaire that was developed for the purpose of this study. Descriptive statistics were employed to identify the percentage of participants' agreement regarding various domains related to the Magnet Recognition Program®. Results: Most respondents were females (61.2%), aged 20-30 years (82.4%), and have a Bachelor Degree in nursing. Overall, the respondents have demonstrated positive perceptions and high levels of agreement regarding the various domains of the Magnet program. Only few items had a percentage of agreement less than 80%. Conclusion: Most nurses working in KAMC support the initiation of the culture of excellence in the areas where they are working. However, nursing administrators in KAMC may want to empower their staff to assure their readiness to starting the Journey to Magnet Excellence®.
American Journal of Nursing Research. 2019, 7(1), 65-72. DOI: 10.12691/ajnr-7-1-9
Pub. Date: December 28, 2018
6087 Views2075 Downloads1 Likes
The Effectiveness of Behavioral Intervention on Anxiety and Distress Levels among Upper Gastroscopy Patients
Original Research
Background: upper gastrointestinal endoscopy is the most preferable diagnostic examination for patients, Anxiety is one of the common problems and issues in the patients selected for surgery or invasive diagnostic and therapeutic methods. This study was aimed to investigate the effectiveness of behavioral intervention on Patient's anxiety and distress levels among upper gastroscopy patients in Benha University Hospital. Study design: This study experimental design (Pretest-Posttest study control group). Setting: The study was carried out in the endoscopy department at Benha University hospital in Benha city, Egypt. Subject: One hundred twenty patients alert mentally and willingness to participate in the study who were subjected for upper gastroscopy. The selected subjects were assigned to study and control groups (n= 60) in each group. Three tools for data collection: The 1st. tool consists of two parts: Part I: It was concerned with the socio-demographic characteristic of the studied subjects. Part II: clinical variables. 2nd. Tool: The State-Trait Anxiety Inventory Scale (STAIYI) to measures the state and trait anxiety level. 3rd. Tool: Endoscopy Concerns Scale to measure patient’s distress pre-procedure regarding a scope procedure. Results: The main findings of the study were: A majority of the control group had a severe distress and severe anxiety as compared with the study group post behavioral intervention had mild distress and mild level of anxiety. Therefore there was a positive association between total anxiety and total distress score within both the control and the study group post-intervention. Conclusion: The present study concluded that reduction of anxiety and distress level in the study group than the control group after behavioral intervention for upper gastrointestinal endoscopy patients. Recommendations: The nurses should be implement the behavioral intervention to reduce the anxiety and distress toward upper gastroscopy and enhance patient cooperate during the procedure.
American Journal of Nursing Research. 2019, 7(1), 58-64. DOI: 10.12691/ajnr-7-1-8
Pub. Date: December 27, 2018
5951 Views2177 Downloads
Self-care Management and Self-efficacy among Adult Patients with Sickle Cell Disease
Original Research
An important specific management for patients with chronic disease is self-care. Patients who are diagnosed with sickle cell disease have home-care as a contribution to enduring their pain and therefore restraining a pain crisis. An improved interpretation of self-care can benefit the team of health care by preparing the sickle cell patients with required resources and abilities essential to aid in managing their disease. The aim of the study was to assess self-care management and self-efficacy among adult patients with sickle cell disease. A descriptive design was used in this study. The study was conducted at King Abdulaziz University Hospital in Jeddah, data collected from outpatients’ clinic, medical wards and day care unit. A purposeful sample of 50 adult patients diagnosed with sickle cell disease male or female. Data was collected through the main two tools; Tool I: consists of two parts: Part 1. Structured interview questionnaire to assess patients’ sociodemographic and clinical data; Part 2: Self-care management used to measure perceived self-care ability. Tool II: Sickle Cell Self-Efficacy Scale used to assess the perceived ability of patients with SCD to manage their disease. The study results showed that 58% were female and 42% male, their mean age was 36.75 years. There was statistically significant difference found regarding self-efficacy in relation to age, marital status, level of education, and patient years with sickle cell disease. However, there are statistically significant difference found regarding self-care management in relation to the level of education, living situation and patient years with sickle cell disease. It was concluded that there was a positive differed statistically correlation between self-efficacy and self-care management among sickle cell patients. It was a recommendation to developing patient education program aimed to successful self-care comprised in the disease controlling process. Undertake additional research efforts to plan interventions to achieve health outcomes of young adults’ patients.
American Journal of Nursing Research. 2019, 7(1), 51-57. DOI: 10.12691/ajnr-7-1-7
Pub. Date: December 27, 2018
5937 Views2240 Downloads
Factors Affecting Health Related Quality of Life among Women with Breast Cancer Receiving Chemotherapy
Original Research
Introduction:Chemotherapy is the most common therapeutic modality used in the treatment of breast cancer. It has different side effects, with associated degrees of disruption in quality of life. Health-related quality of life (HRQOL) is a multidimensional concept, considered as a subjective assessment of physical, social, psychological, and spiritual factors. The study aim: To assess factors affecting health related quality of life among women with breast cancer receiving chemotherapy. Design:Quantitative, descriptive correlational design was used. Setting:Chemotherapy Department, King Abdullah Medical City (KAMC) in Makkah. Sample: A convenient sample of 122 women was selected. Tools:Three tools were used for data collection. First, demographic and clinical data. Second, 36-Short Form version 1, and third, Factors affecting health related quality of life among women with breast cancer receiving chemotherapy questionnaire. Results: More than half 51.6% of the studied women were moderately affected regarding overall factors affecting health related quality of life. There was a significant negative relationship between psychological factors and quality of life (P < 0.001). Conclusion: The majority of studied women had moderately affected by overall social factors and nearly two third had moderately affected by overall psychological factors. While more than half were moderately affected by overall physical and spiritual factors. Moreover, women had moderate level of overall QOL. Recommendation:The study recommended for further research to develop self-care practices educational program for women with breast cancer receiving chemotherapy.
American Journal of Nursing Research. 2019, 7(1), 37-50. DOI: 10.12691/ajnr-7-1-6
Pub. Date: December 27, 2018
4084 Views1231 Downloads
Current Practice Types of Early Mobilization in the Intensive Care Units and Challenges Faced by Nurses Attempting to Translate It into Practice
Original Research
Aims and objectives: investigate Current practice types of early mobilization in the intensive care units and challenges faced by nurses attempting to translate it into practice. Background: Complications associated with inactivity for critically ill patients result in adverse outcomes. Implementation of protocols requires strategies that have proven to change the behavior of nurses. Whilst early progressive mobilization is known to be safe and useful for patients in an intensive care unit (ICU), challenges still exist to its implementation. Method: A prospective survey of ICU nurses was undertaken from six ICUs in two teaching hospitals in Egypt (Assuit University Hospitals and Al-Mansoura university hospital). A total of 90, nursing staff participated. The survey was designed to investigate the current nurses’ practice type of early mobilization and challenges to its application. Challenges to early progressive mobilization were separated into five sections: patient-related, nurses-related, institutional-related, culture related and process related challenges. Results: Most reported practice types of mobilization were supine, lateral and semi-fowlers type. Patient-related challenges were generally perceived as having the greatest influence on the mobilization of ICU patients, followed closely by institutional-related challenges. The factors that were seen as preventing mobilization were most often hemodynamic instability, reduced level of consciousness, sedation, agitation, impending medical procedure, staff availability, and time constraints. Conclusions: ICU nursing staff perceived that challenges to the early progressive mobilization of ICU patients were multi-factorial and most frequently involved patients’ medical condition and resource limitations.
American Journal of Nursing Research. 2019, 7(1), 31-36. DOI: 10.12691/ajnr-7-1-5
Pub. Date: December 18, 2018
5077 Views1805 Downloads
Undergraduate Nursing Students’ and Lecturers’ Attitudes towards Modular Object Oriented Dynamic Learning Environment: A Quasi Experimental Study
Original Research
E-learning is the coming approach in Egyptian higher education. Modular Object Oriented Dynamic Learning Environment (MOODLE) is among the e-learning tool at Mansoura University. Aim: To investigate the effect of Modular Object Oriented Dynamic Learning Environment on undergraduate nursing students' and lecturers' attitudes toward it. Methods: A quasi experimental research design (pre/ posttest) was utilized to conduct the present study at Faculty of Nursing, Mansoura University. A convenience sample of 286 nursing students and 30 nursing lecturers were recruited. Two tools for data collection were used; the first tool was undergraduate student' Moodle attitudes structured questionnaire and the second tool was nursing lecturers' Moodle attitudes structured questionnaire. Results: Undergraduate nursing students and lecturers had positive attitudes toward Modular Object Oriented Dynamic Learning Environment after utilization than before with statistically significant differences. Conclusion: Students' and lecturers' attitudes toward Moodle become positive after utilizing Moodle in their courses. Recommendation: Raising students' and lecturers' awareness toward the importance of integrating e-learning with the traditional learning.
American Journal of Nursing Research. 2019, 7(1), 24-30. DOI: 10.12691/ajnr-7-1-4
Pub. Date: December 10, 2018
5288 Views2011 Downloads
Effect of the Nursing Practice of Creative Art Therapy on Psychiatric Symptoms among Schizophrenic Patients
Original Research
Background: People with schizophrenia tend to experience difficulties in social function, self-care, high rates of unemployment, and social exclusion due to cognitive impairment and schizophrenia symptoms therefor; the Art therapy was first organized in the 1930s. At the beginning of the twentieth century, psychiatrists studied the artwork of patients to see if there was a link between the art and the illness of their patients. This study was aimed to explore outcome from the nursing practice of creative arts therapy on Psychiatric symptoms among Schizophrenic Patients. Methods: Quasi-experimental design study used. Setting: The study was conducted at the Psychiatric Mental Health Hospital in Benha City, which is affiliated to the Ministry of Health. The tool was used to collect the data for this study consists of three parts: Part I: Socio-demographic data. Part II: clinical data. Part III: The symptom checklist-90 (SCL90): Arabic version of symptom checklist-90 adopted by El Behair [1], to evaluate psychiatric symptoms. Results:- This study showed that more than one third of patients aged between 45 to less than 55 years old with the mean and standard deviation is 38.23±18.51, where the nearly of two thirds of study subject were male and more than two thirds from rural areas and have family responsibility.Conclusion:- schizophrenic patients had a significant psychiatric symptoms related to their illness and there was significant reduction in their psychiatric symptoms after the Practice of creative art therapy.The study recommended Furthermore researches about creative art therapy intervention on schizophrenic patients in other hospitals and on other psychiatric disorders such as mood disorders e.g. bipolar disorder and major depressive disorder. And Future research should include some interdisciplinary projects in which musicians and psychiatric health care professionals collaborate as ateam work.
American Journal of Nursing Research. 2019, 7(1), 14-23. DOI: 10.12691/ajnr-7-1-3
Pub. Date: December 10, 2018
5835 Views1742 Downloads1 Likes
Comparison between Effect of Using Cold Water Oral Swap and Cold Saline Oral Swab to Relieve Thirst Intensity and Oral Condition of Mechanically Ventilated Patient
Original Research
Introduction:Thirst can be defined as a longing or desire to drink water, not necessarily generated by a physiological need, but also triggered by habit, taste, dry mouth or throat and the willing to consume fluids that provide a sensation of heating or cooling. In intensive care units, patients face conditions that predispose them to develop the symptom thirst. Like pain, thirst must be detected before it can be treated. Aim of the study: The aim of the study was to compare between effect of using cold water oral swap and cold saline oral swab to relieve thirst intensity and oral condition among mechanically ventilated patient. Material and method: Research design: A quasi – experimental design was utilized to study the effect of using oral swap with cold water and oral swab with cold saline on thirst relief and oral condition. Setting: This study was conducted at the general ICU of Damanhour Medical Institute having 15 beds. Sample:convenient sample of 60 mechanically ventilated patients were recruited in the current. Instrument: an assessment sheet was used to collect data including the following three tools: 1- Demographic and biomedical data tool which includes age, gender and variables relevant to disease as patient's diagnosis, date of admission, length of stay and days mechanically ventilated on the study. 2- Thirst intensity scale: it is a visual analogue scale (VAS) rates intensity of thirst on a 10-cm with 0 indicating no thirst at all, and 10 indicating the worst possible thirst. The VAS scores were classified into: mild (0-3), moderate (4-6) and severe (7-10). In addition, it includes the presence of thirst (yes/No). 3- Oral condition assessment tool: it measures change of oral condition including lips, mucosa, tongue and saliva. It includes items which scored on a 3- point scale from 1to 3. Lip has 1 if it is smooth, pink and moist, 2 if it is dry or cracked and 3 if it is ulcerated. As regards tongue has 1 if it is pink and papillae present 2 if it has loss of papillae and 3 if it is blistered or cracked. In relation to mucosa has 1 if it is pink & moist, 2 if it is red or white coated 3 if it is ulcerated with or without bleeding. Regarding saliva has 1 if it is watery, 2 if it is thick and 3 if it is absent.
American Journal of Nursing Research. 2019, 7(1), 8-13. DOI: 10.12691/ajnr-7-1-2
Pub. Date: November 29, 2018
3746 Views1218 Downloads
Relation between Team Work, Staffing, Satisfaction and Self-Efficacy among Nurses at Main Assiut University Hospital
Original Research
The study aimed to investigate the relationship between teamwork, staffing, satisfaction and self-efficacy among nurses at Main Assiut University Hospital. Design: A descriptive correlation research design was used. Subjects: The study included (161) nurses, they were convenient sample. Tools: This study utilized two tools: Tool I: The nursing team work questionnaire. Tool II: The Self-Efficacy Scale. Results: Most of nurses at Main Assiut University Hospital perceived their staff as inadequate at all working times but most of them were satisfied with their job position and team work. Conclusion: The highest mean scores of nursing team work dimensions was related to team awareness while the lowest was the team leadership comparing to all nursing team work dimensions. It was found that the higher score of nursing team work was related to ICUs comparing to other departments. Recommendations:Strategies to improve teamwork must be developed by the nurse managers through working on the all dimension of team work. Nurse manager must work to enhance the nurses' satisfaction and self-efficacy though engage the nurses in various activities.
American Journal of Nursing Research. 2018, 7(1), 491-499. DOI: 10.12691/ajnr-6-6-17
Pub. Date: November 06, 2018
4275 Views1264 Downloads
Study Women Verbal and Nonverbal Response, during Their First Gynecological Examination
Original Research
Aim: study women response during and post their first gynecological examination. Setting: The study was conducted at the gynecological clinic at Αin-Shams University Maternity Hospital. Subjects and methods: Α descriptive study design. Sampling: Sample size was 199 from females who attended to the previously mentioned study setting for the first time. Sample type: Α purposive sample. Tools: four tools of data collection were used. (I): Α Structured interviewing questionnaire; (II): The emotional situational nonverbal response questionnaire; (III): The situational verbal response checklist; (IV): Thevisual analogue scale to assess pain level. Results:The present study results had revealed that majority of the studied sample had incorrect knowledge. Also 76% among studied sample reported that gynecological examination was а stressful event, majority of women said that it is immoral to expose intimate part, furthermore 63% of the studied sample complain of moderate pain during gynecological examination, also 59% among the studied sample was irritable and completely correspond and most of the women were cooperative and completely correspond during gynecological examination, also 63% among the studied sample recommend female, not male gynecologist. Additionally, the main barriers self-reported by the women were No pre and post gynecological instruction 29% and the presence of male gynecologist 14%, and difficulty in transportation. Conclusion: the present study concluded that the majority of the studied sample had incorrect knowledge. Also, most of them corresponding with negatively verbal and nonverbal emotional response as well as the majority were an embarrassment, first gynecological examination was а stressful event, and it was immoral to expose intimate part. Recommendation: design purshors, guideline, and poster concerning the importance and technique of female gynecological examination.
American Journal of Nursing Research. 2019, 7(1), 1-7. DOI: 10.12691/ajnr-7-1-1
Pub. Date: November 01, 2018
4727 Views1749 Downloads1 Likes