Volume 7, Issue 2

Effect of Applying Pregnancy Centered Care Model on Pregnant Women Health Behaviors and Prenatal Controls
Original Research
Background: Pregnancy Centered Care is a revolutionary model of prenatal care that offers education and prenatal care in a group setting that makes a positive contribution to the transition from conception to delivery rather than traditional hospital care. The aim: this study aimed to evaluate the effect of applying a pregnancy centered care model on pregnant women's health behaviors and prenatal controls. Design: A quasi-experimental design used to achieve the aim of this study. Setting: The present study conducted at an equipped room in the obstetric department, and outpatient clinic of the obstetrics and gynecological department of Benha University Hospital. Sample: A purposive sample of 220 pregnant women aged between (15-35years) recruited for this study.Tools: using an interview questionnaire to assess their socio-demographic characteristics and obstetric history of pregnant women. Health behavior assessment scale used to assess the health-promoting behaviors of pregnant women. The third tool was a prenatal control questionnaire that assesses the presence of minors' discomfort and prenatal controls. Results: The study results showed a highly statistically significant improvement in pregnant women prenatal health behaviors and prenatal controls after implementation of pregnancy centered care model at (p-value <0.001). A positive statistically significant correlation revealed between total prenatal health behaviors score and improving good prenatal controls of pregnancy centered care group compared to hospital routine care group at (p-value <0.001). The current study concluded that the pregnancy centered care model associated with improved prenatal health behaviors and prenatal controls compared to routine hospital care. Recommendations: the pregnancy centered care model is beneficial in improving maternal health behaviors and could be used as a model for best practices at antenatal clinics and as a guide for education and training of future maternity nurses.
American Journal of Nursing Research. 2019, 7(2), 219-227. DOI: 10.12691/ajnr-7-2-14
Pub. Date: February 25, 2019
4926 Views1181 Downloads
Design Child-friendly Food Guide Based on Nutritional Risk Assessment of Pediatric Inpatients
Original Research
Background: However, the hospital malnutrition's prevalence is high; this condition is ignored and, as a result, is not treated. The first step in fighting malnutrition is to know how to identify patients at higher risk of suffering from this condition by using risk screening tools. The aim of the present study was todesign child-friendly food guide based on nutritional risk assessment of pediatric inpatients. Method: In this exploratory cross-sectional study, one hundred children in medical departments affiliated to Mansoura University Children Hospital, Egypt was assessed as regarding their admission and discharge weight and height of the body, the body mass index/kg/m2, and biochemical analysis of hemoglobin and serum albumin. A Screening Tool for Assessing Malnutrition in Pediatrics (STAMP) has been applied in order to also assess pediatric inpatients' overall risk of malnutrition. Furthermore, the perspective of hospitalized children/their mothers about the hospital introduced food habits and meals pattern were surveyed. Results: Slightly less than half of the studied children were males and the large percent of the hospitalized children's mothers were highly educated. According to STAMP score, all studied children were considered to be at risk for malnutrition with the underlying diseases were related to neurological or general medical disorders among the largest. The study findings also revealed that the majority of participants tried to escape the delivered hospital meals and reported their needs for a dietary guide contains healthy food varieties to overcome the risk of under-nutrition related to children's hospitalization. Conclusion: every effort must be made to identify children at risk of developing under-nutrition upon admission in order to provide necessary nutritional support for them.
American Journal of Nursing Research. 2019, 7(2), 208-218. DOI: 10.12691/ajnr-7-2-13
Pub. Date: February 18, 2019
3713 Views1046 Downloads1 Likes
Effect of an Intervention Program on Improving Knowledge and Self-Care Practices for Diabetic School-age Children
Original Research
Background: Diabetes mellitus (DM) is one of the most common endocrine and metabolic conditions in childhood. The aim of the study: to testing the effect of an intervention program on improving the knowledge and self-care practices for diabetic school-age children. Design: The study was conducted using pre/post research design. Setting: study was conducted in six governmental primary and preparatory schools in Mansoura city, Dakahlia Governorate. Sample: A purposive sample of 120 diabetic children and diagnosed as having type I diabetes mellitus (DM) for at least 6 months. Tools: Four tools were used to collect the data for this study, namely a structured interview questionnaire, knowledge assessment and reported self-care practices, an observation checklist, and intervention program. Results: there are clear deficiencies in diabetic schoolchildren’s of their knowledge and the related self-care. Conclusion: after the implementation of a training program there was remarkable improving in their knowledge and practices. Recommendations: The training program should be implemented in settings providing care for diabetic children, with longer follow-up in order to assess its long-term effects.
American Journal of Nursing Research. 2019, 7(2), 199-207. DOI: 10.12691/ajnr-7-2-12
Pub. Date: February 16, 2019
4205 Views1328 Downloads
Critical Care Nurses' Knowledge, Perception and Barriers Regarding Delirium in Adult Critical Care Units
Original Research
Purpose/Aims: the purpose of this study was to evaluate critical care nurses' knowledge, perception and barriers regarding delirium in adult critical care units. Design: A descriptive exploratory research design was used to conduct this study. Methods: the current study was conducted at Intensive care units located at Mansoura Emergency Hospital. A total of 40 nurses completed the study. Assessment of critical care nurses' perception, knowledge and barriers regarding delirium was done through direct interview method using study questionnaires. Results:nurses' experience in ICU has a positive impact on their knowledge and perception regarding delirium. The mean score of perception, general knowledge and knowledge related to risk factors were significantly higher among diploma degree nurses. The mean score of nurses' perception of delirium was 27.4 ±6.4. The mean score of general knowledge was 25.0 ±8.6 which represents 69.4% of total possible score. The mean score of knowledge regarding risk factors of delirium was 35.1 ±10.1which represents 73.1% of total possible score. Critical care nurses face many barriers regarding delirium assessment. The mean score regarding barriers to proper delirium assessment was 25.1 ±4.8. Conclusion: In light of the results of our study, we can emphasize that there is a need to upgrade critical care nurses' knowledge and perception regarding delirium to help nurses to be more active in performing delirium assessment and management.
American Journal of Nursing Research. 2019, 7(2), 193-198. DOI: 10.12691/ajnr-7-2-11
Pub. Date: February 13, 2019
4233 Views1241 Downloads
None-Insulin Dependent Diabetes Mellitus Related to Self-Care Management Behaviors: A Protocol of Care
Original Research
Background: The incidence of diabetes is growing especially in developing countries. Implementation of a protocol of care can increase the self-care management behaviors of the patients. Aim: To evaluate the effect of a protocol of care on patients with none-insulin dependent diabetes mellitus related to self-care management behaviors. Methods: A quasi-experimental one group (pre/post-test), design was utilized in this study, on a purposeful sample of 100 adult patients aged (30-50) years old, diagnosed with (NIDDM), and were enrolled in the medical inpatient and the outpatient units affiliated to Suez-Canal University Hospitals and the Specialized Medical Hospital, Mansoura University, Egypt, between October 2016 and September, 2017. A structured interview technique used to collect the data three times throughout the study (pre-intervention, 2 weeks post, and 3 months follow-up). Patients received the diabetic protocol of care after assessing the baseline data and implementation of the program. The study instruments were the socio-demographic and medical history questionnaire; knowledge and attitudes questionnaire; the summary of diabetes self-care behaviors scale (SDSCA), andobservational checklist to assess the related procedures to be practiced by the patients. Results: Significant increase in the level of the participants' knowledge, attitudes, and self-care management behaviors score was observed after implementation of the protocol of care by 2 weeks and 3-months compared with the pre-implementation scores. Conclusion/Implication for future practice: The findings of the current study concluded that there is a positive significant correlation between the study variables as the protocol of care appraised the level of self-care management behaviors among the studied patients. The current study will help the participants to manage themselves, and reduce complications of the disease that can occur with inefficient care.Recommendations: The study recommended the need for implementing a structured protocol of care at the hospitals as ordinary patient services with stress on self-care behaviors.
American Journal of Nursing Research. 2019, 7(2), 185-192. DOI: 10.12691/ajnr-7-2-10
Pub. Date: February 13, 2019
3728 Views1162 Downloads
Critical Care Nurses’ and Physicians’ Perception about Re-feeding Syndrome
Original Research
Introduction: Re-feeding syndrome is a fetal syndrome which results from fatal shifts in fluids and electrolytes that may occur in malnourished patients receiving artificial re-feeding. Therefore, nurses and physicians working in ICUs should be aware of this fetal complication and consequences of its occurrence in acutely ill. The aim of the work is to examine the perception of nurses and physicians about re-feeding syndrome in critically ill.Methods: The study design was a descriptive and cross sectional design. Setting, This study was implemented in general and trauma intensive care units (ICUs) at Assiut university Hospital in Assiut-Egypt. Subjects, 30 critical care nurses and 25 intensive care physicians were drawn from the previously mentioned ICUs.Tools: A questionnaire tool was adopted from the articles to be used in data collection to assess the focus group perception regarding re-feeding syndrome. The data was collected from May 2018 to August 2018. Results: The findings of the current study show that nurses and physicians have poor knowledge regarding re-feeding syndrome. Conclusion: The present study shows strong evidence that the level of knowledge of nurses’ and physicians about re-feeding syndrome, was not adequate and low. This may be contributed as the participants didn’t receive any previous educative sections about re-feeding syndrome. Recommendation:Nurses and physicians need training to give them advanced level of knowledge about re-feeding syndrome to be able to deal with the physiological changes that occur in critically ill.
American Journal of Nursing Research. 2019, 7(2), 179-184. DOI: 10.12691/ajnr-7-2-9
Pub. Date: February 05, 2019
4019 Views1340 Downloads
Relationship among Nurses 'Locus of Control, Work Motivation Factors, and Their Organizational Commitment
Original Research
Locus of control is an important variable that affects every area of human endeavor as describing individual differences and predicting behavior in organizational settings. Also, it is viewed as an important element for work motivation which determines the level of organizational commitment. Organization commitment is a critical factor to organizational success, effectiveness and efficiency. A high level of motivated and committed nurses in an organization can have beneficial consequences, resulting in lower absenteeism, higher performance and lower nurses' turnover. Aim: The present study aimed to investigate the relationship among nurses' locus of control, wok motivation factors, and their organizational commitment.Research Design:A descriptive correlational design was utilized. Study Setting: the study was conducted in all in patient units at Benha Teaching Hospital. The study sample was: A convenience sample of staff nurses (129) who are working in the above mentioned study setting.Tools of data collection: Three tools were used: (1) the Rotter’s internal-external (I-E) locus of control scale, (2) Wok motivation factors questionnaire, and (3) staff nurses’ organizational commitment questionnaire. The result: The findings of this study showed that the highest percentage of studied staff nurses' (57.6%) had internal locus of control, while the lowest percentage of them (15%) had external locus of control. And, the majority of the staff nurses (79.9%) had high perception level regarding work motivation factors. Also, more than three fifth of staff nurses (63.3%) had moderate level of organizational commitment.Conclusion: The study concluded that there was a positive highly statistical significant correlation between overall score of locus of control, work motivation factors and organizational commitment for nurses. Also, there was a positive highly statistical significant correlation between staff nurses`locus of control, work motivation factors, and organizational commitment in relation to years of experience, and education qualification during study. Recommendation: it recommended that, hospital should carry out continuous in–service training program for enhancing nurses` locus of control, and the hospital administrators should pay more attention to create innovative methods and promotion to increase nurses' organizational commitment and maintain good work motivation.
American Journal of Nursing Research. 2019, 7(2), 167-178. DOI: 10.12691/ajnr-7-2-8
Pub. Date: February 03, 2019
4991 Views1286 Downloads1 Likes
Effect of Local Heat Application on Complaints of Patients with Moderate Knee Osteoarthritis
Original Research
Background: Osteoarthritis (OA) brings discomfort and disability for around 10% of the total human population due to chronic joint pain. Heat therapy is a common pain management device and easy way to alleviate joints stiffness. This study aimed to evaluate the effect of local heat application on joint pain, stiffness, and physical function of patients with moderate knee OA. A quasi-experimental design was utilized. Setting: This study was conducted at the Outpatient Clinics related to the Orthopedic and Traumatology Hospital (El Hadara), Alexandria University, Egypt. Subject: a total of 52 patients with moderate knee OA were recruited as a convenience sample. They were enrolled into control and intervention groups (26 patients, each). Tools: four tools were utilized, Tool 1: to assess the severity of disease. Tool 2: Self reporting rating scales, to assess pain and tenderness pre and post heat applications. Tool 3: Western Ontario and McMaster (WOMAC) OA Index, which aims to determine the change(s) in daily function difficulties with pain, stiffness and physical function and Tool 4: Clinical physical assessment. Results:The results of the study showed high statistical significant differences in pain intensity and tenderness scores before and after applying hot compresses in the intervention group and also, between the control and intervention subjects regarding pain intensity and tenderness 4 weeks post heat applications. Statistical significant differences were found in control and intervention subjects post 4 weeks of intervention regarding scores of pain, joint stiffness, physical function disabilities, and all overall WOMAC. All studied subjects had body mass index score of > 27kg/m2. There were positive statistical significant correlations between pain intensity, tenderness, physical function, and Overall WOMAC scores and BMI in both control and intervention subjects (P≤ 0.05). Conclusion:local heat applications with moderately knee OA patients every other day decreased pain, stiffness and physical functional disability. Recommendations:additional randomized controlled trials are needed to evaluate long term heat application effects and follow up of patients with mild moderate and severe knee OA, are to be continued.
American Journal of Nursing Research. 2019, 7(2), 148-159. DOI: 10.12691/ajnr-7-2-6
Pub. Date: January 21, 2019
5465 Views2133 Downloads
Challenges Facing Male Students Nurses during Attending Maternity Nursing Clinical Course: Suggested Guidelines of Actions
Original Research
Background: Men are entering the field of nursing in increasing numbers. As men enter nursing programs, they may be facing challenges during their training mainly maternity sections. Aim:explore the challenges facing male nursing students during their training in the maternity department and suggest a guideline of actions to overcome these challenges. Methods: A descriptive exploratory research design was utilized, data were collected using three tools: (I) structured interview questionnaire sheet: consisted of demographic data and assessment of male nursing students' experience in clinical training and theoretical course for maternity nursing, and (II)students' attitudes towards clinical training. 91 male students who just finished the clinic maternity course in Faculty of Nursing, Beni-Suef University were recruited for the study. Results: The most embarrassing clinical procedures were the vaginal examination and breast examination but the most favorable was immediate baby care and abdominal examination. Studies sample found that theoretical course was interested in the male. The total mean score for studied male student’s attitudes toward practical training was negative. No significant difference between studied male student’s attitude and rural area and significant difference regarding the urban area. A negative correlation between total teaching activities and practical training scores but there was no correlation between attitude and both teaching activities and practical training scores. Conclusion: Male nursing students should be maintained during nursing students training, as the rate at which males enter the profession is increasing, that by assessing the challenges facing male students nursing in maternity course. Recommendations: male students should be oriented to and encouraged to identify with the role model of male obstetricians.
American Journal of Nursing Research. 2019, 7(2), 160-166. DOI: 10.12691/ajnr-7-2-7
Pub. Date: January 23, 2019
3916 Views1036 Downloads
Factors Leading to Missed Nursing Care among Nurses at Selected Hospitals
Original Research
Background:Missed nursing care is a worldwide concern for nurses and nurse managers. Assessing the fundamental factors that lead to missed care activities may provide evidence that enables nurses to limit missed care and continuity of patient care. Aims:Assess missed nursing care and factors leading to missed nursing care among nurses in at selected hospitals. Design: A descriptive cross-sectional design was utilized. Setting: The study was conducted in the Intensive care Units at Menoufia University Hospital, Shebin El Kom Teaching Hospital, and Benha University Hospital. Subjects: A convenience sample of 240 nurses was taken from selected Hospitals. Tool of data collection:Missed Nursing Care Activity Questionnaire and Factors of Missed Nursing Care Questionnaire. Results: Revealed that attending interdisciplinary care conferences, health education, feeding patients, and assessment patient were the most frequent types of missed nursing care. The greatest percentages of nurses working at Shebin El Kom Teaching Hospital (41.1%) had high level missed nursing care. While the lowest percentage of nurses working at Menoufia University Hospital (21.3%) had a high level of missed nursing care. The highest total mean score for missed nursing care was 44.19¡À9.90 to nurses working at Shebin El Kom Teaching Hospital. The most prevalent factors of missed care were ¡°labor resources, followed by material resources, and then communication factors. Conclusion:It is concluded that the most factor leading to missed nursing care as perceived by studied nurses were related to labor resources. The majority of studied nurses have moderate levels of missed nursing care. Recommendations:It is recommended to disseminate the study results to hospital administrators to provide them with evidence to design effective strategies that can contribute to assist in reducing missed nursing care.
American Journal of Nursing Research. 2019, 7(2), 136-147. DOI: 10.12691/ajnr-7-2-5
Pub. Date: January 20, 2019
5253 Views1441 Downloads
Factors Affecting Quality of Life and Work Productivity among Patients with Gout
Original Research
Gout is the most common inflammatory arthritis today, affecting 4% of the adult US population. It is a serious disease that can significantly affect physical function and quality of life (QOL), where it has been advocated as an important outcome domain in studies of chronic gout. Aim of the study: To assess factors affecting quality of life and work productivity among patients with gout.Descriptive design: Was used to conduct the current study in rheumatology outpatient clinics, at Benha Teaching Hospital during the period from beginning of March 2018 till the beginning of September 2018. Subjects: Purposive sample of 168 patients recruited according to the study formula based on the total number of patients who admitted to the study settings during 2017. Tools: Three tools were utilized for data collection, structured interviewing questionnaire sheet, Medical Outcomes Study Questionnaire Short Form 36 Health Survey (SF-36) and Work Productivity and Activity Impairment Questionnaire. Results: Showed that both QOL as well as work productivity and activity impairment were best predicted by pain severity, diet aggravating frequency of attacks, nature of work as well as age. Besides, there was a negative and significant correlation (p= <0.001**) between quality of life and work productivity and activity impairment. Conclusion: Factors affecting QOL and Work productivity and activity impairment among patients with gout were concerning pain severity, diet aggravating frequency of attacks, nature of work as well as age. Besides, the impairment on different aspects of life is often negatively associated with impairment in work productivity and activity, where they were mainly affected by gout. Recommendation: Health educational instructions is required regarding pain management and diet regimen for patients with gout.
American Journal of Nursing Research. 2019, 7(2), 128-135. DOI: 10.12691/ajnr-7-2-4
Pub. Date: January 16, 2019
3752 Views1035 Downloads
Safety Training Program for Clinical Laboratory Workers Regarding Prevention of Occupational Hazards
Original Research
The practices of safety measures by the clinical laboratory workers in hospitals are necessary for the prevention of occupational hazards. The aimof this study was to evaluate the effect of safety training program for laboratory workers' regarding prevention of occupational hazards. Design: A quasi-experimental design was used in carrying out this study. Setting: The study was conducted at four governmental hospitals in Benha City: - are Benha University Hospital, Benha Teaching Hospital, Health Insurance Hospital, and Fever Hospital which included clinical laboratory. The sample of this study included convenient laboratory workers (100) whom are working at four hospitals were participated in this study. Tools: 1- A structured interviewing questionnaire for the socio-demographic characteristics of the laboratory workers, and their knowledge regarding occupational hazards, 2- An observational checklist for safe laboratory environment and practices of laboratory workers regarding prevention of the occupational hazards. Results:Showed a significant positive effect of the program on knowledge and practices of the laboratory workers (P < 0.001). This study concludedthat the program has positive effect to upgrade the laboratory workers' knowledge and improving their practices regarding prevention of occupational hazards (P < 0.001). The study recommendedthat regulatory training program should be strengthened to ensure basic lab safety practices in hospitals, and providing training courses for large number of hospitals laboratory workers about prevention of occupational hazards and safety environmental condition.
American Journal of Nursing Research. 2019, 7(2), 116-127. DOI: 10.12691/ajnr-7-2-3
Pub. Date: January 15, 2019
7754 Views2099 Downloads
Assessment of Self-Esteem and Coping Strategies among Leprotic Patients
Original Research
Leprosy is a chronic disease that causes physical disability as boy parts deformities and nerve damage. Stigma and associated psychosocial problems are common among leprotic patients and may increase the risk of mental disorders. Stigmatization by general population and their negative attitudes towards leprosy negatively impacts on patient's self-esteem and coping strategies. Aim of the study: to investigate the relationship between self-esteem and coping strategies of patients with leprosy. Research Design: A descriptive correlational research design was utilized in this study. A convenience sample consisted of 30 leper patients were participated in the study. Data collection started from July to December 2017. This study was conducted in Minia leprosy clinic, this hospital is affiliated to ministry of health. It services Minia governorate and it's distinct. Data collection: Personal data questionnaires, coping strategy scale Carver [1] and Self-esteem scale Sorensen [2]. Results: The findings of the present study revealed that, the majority of patients have a severely low level of self-esteem 23 (71.9%), most of the sample are unable to use effective coping strategies (81.3%). In addition there were statistically significant positive correlation between self-esteem and coping strategies (r=.693 p.000).
American Journal of Nursing Research. 2019, 7(2), 109-115. DOI: 10.12691/ajnr-7-2-2
Pub. Date: January 13, 2019
4828 Views1436 Downloads
Online Harassment and Cyberbullying Victimization and Its Emotional Impacts among Female Nursing and Non-Nursing Students
Original Research
Background: The increasing internet utilization is associated with various disadvantages. Online cyberbullying and harassment victimization is one of these disadvantages that pose negative emotional consequences. Aim: This study aimed to detect the prevalence of online cyberbullying and harassment victimization amongst nursing students from El-Fayoum University in comparison to students from other faculties at the same university. In addition to figuring out the most significant correlates of victimization and its emotional consequences. Subjects and methods: A total of 308 female nursing students and 320 female non-nursing students from El-Fayoum University participated in this cross-sectional survey. For data collection, §Ñ self-administered questionnaire was designed and distributed. The questionnaire included 3 sections; personal characters of the included students, online cyberbullying and harassment victimization during the past year, and the emotional consequences of victimization. Results: Of the surveyed female university students, 84 (27.3%) of the nursing students and 88 (27.5%) of the non-nursing students stated online harassment victimization during the past year, with no statistically significant differences between both groups (§²>0.05). Almost two-thirds of the victimized students from nursing and non-nursing faculties reported online harassment, victimization more than once with no statistically significant differences between both groups (§²>0.05). Urban residence and more hours of internet use per day did not correlate with the prevalence of online harassment victimization (§²>0.05) but associated with frequent exposure (§²<0.05). Anger (74.4%) was the most commonly reported emotional impact of online harassment victimization. Hatred, fear, sorrow, loneliness, and disappointment came next, however, with considerably lower rates. Conclusion: Female university students from nursing and non-nursing faculties were exposed to online cyberbullying and harassment victimization in recognizable rates. Recommendations: Further studies on the coping techniques to online harassment victimization should be conducted. Interventional programs to increase awareness regarding the windows of interference against online harassment according to the Egyptian Penal Code to reduce such intrusions and minimize their emotional effects should be considered.
American Journal of Nursing Research. 2019, 7(2), 102-108. DOI: 10.12691/ajnr-7-2-1
Pub. Date: January 03, 2019
5555 Views2085 Downloads