Volume 7, Issue 5

Outpatient Management and Care Treatment for Schizophrenia Cases in Nam Dinh Province, Vietnam
Original Research
Schizophrenia is a common mental illness that seriously affects the health of the person. Patients with speech, behavior and personality are different from normal people. In order to improve the effectiveness of treatment for schizophrenia, the National Project for Community Mental Health Care has been implemented since 1999. People with schizophrenia who are not well-managed and well-taken care of by family members increase the risk of relapse, lengthen treatment time, and cost economically and possibly security. This study assessed the status of family management and care for Schizophrenic patients and identified some related factors. The subjects of the study were family members of schizophrenic patients. The study used a descriptive study. In Nam Dinh Province, Vietnam, situation of management and care for Schizophrenia patients outpatient treatment were medium level. The situation of management and care about periodic re-examination, labor and social reintegration had not reached a very high rate. There were periodic follow-up examination (53.7%), poor labor and community reintegration (49.7%). There was also a correlation between the age band, educational level, average income of caregivers and the quality of care for patients. Thus, similar studies should be conducted along this line to verify the findings of the study.
American Journal of Nursing Research. 2019, 7(5), 899-902. DOI: 10.12691/ajnr-7-5-23
Pub. Date: August 26, 2019
2650 Views841 Downloads1 Likes
Effect of Training Program on Nurse Intern's Knowledge and Practice Regarding Obstetric and Gynecological Skills at Benha University Hospital
Original Research
Background: Obstetrical and Gynecological nursing is a health care profession that focuses on the care of the women and newborn, for that reason nurse interns who receive the training in obstetrical and gynecological should be highly knowledgeable and well-trained caregivers for the overall safety and wellbeing of women, newborn and pregnancy outcome from the moment of menarche to menopause. The aim of the research: to assess the effect of the training program on nurse intern's knowledge and practice regarding obstetric and gynecological skills. Study design: A quasi-experimental design was used to fulfill the aim of the research. Setting: This study was conducted in Outpatient Clinic, emergency and reception unit, Antenatal ward, delivery unit and Postnatal ward affiliated at Beha university hospital. Study subjects: A purposive sample of 80 internship nursing students and divided into pre and post group. Tools: two tools were used for collecting data; (1) an interviewing questionnaire sheet; includes two parts, personal characteristics internship nursing students, Assessment of the internship nursing students about obstetric and gynecological knowledge, (2) Nurse interns performance checklist about obstetric and gynecological skills.Results: Before implementation of the program the majority of nurse interns and slightly more than half of them had inadequate practice regarding obstetric skills and poor knowledge (86.3% & 55%, respectively). After the implementation of the program, the highest percentages of nurse interns and slightly more than half of them had adequate practice and good levels of knowledge (80 %& 57.5 % respectively). Conclusion: The present research concluded that implementation of training program for internship nursing students was effective in improving their oobstetric knowledge and skills with considerable variation among pre and post-training of the training time nursing students as regards the total degrees of knowledge and fundamental nursing and generative skills as shown in the logbook.Recommendations:Continuous training educational programs and workshops should be planned on regular basis to nurse interns receiveing training in obstetric and gynecological unit about obstetric skills for enhancing nurse intern’s practice and this programms should made on free days so they don't interfere with nurse interns clinical work schedule to achieve high quality of care.
American Journal of Nursing Research. 2019, 7(5), 889-898. DOI: 10.12691/ajnr-7-5-22
Pub. Date: August 26, 2019
4293 Views1630 Downloads
Mothers' Health Education Based on Health Belief Model to Prevent Vitamin D Deficiency in Children with Cerebral Palsy
Original Research
Background: vitamin D deficiency is a problem among children that used to describe low level of serum 25- hydroxy vitamin D. Children with cerebral palsy have many risk factors for osteopenia and fracture. Aim: To evaluate effect of mothers' health education based on health belief model to prevent vitamin D deficiency in children with cerebral palsy.Design: A quasi-experimental design was utilized. Setting: The study was conducted at Outpatient Clinic of Benha University Hospital, Benha Teaching Hospital, and Benha Specialized Pediatric Hospital. Sample: A convenience sample of 105 mothers and their children have cerebral palsy. Tools of data collection: structured interview sheet; baseline characteristics of mothers and children, mothers' knowledge regarding vitamin D deficiency, vitamin D questionnaire, Health belief model questionnaire. Result: the result of the present study revealed that mothers had satisfactory knowledge, competent practice, and positive attitude after health education implantation. Conclusion: Health education program was effective and help mothers to prevent vitamin D deficiency among their children with cerebral palsy. Recommendation:continuous health education should be implemented for mothers to prevent vitamin D deficiency in children with cerebral palsy.
American Journal of Nursing Research. 2019, 7(5), 879-888. DOI: 10.12691/ajnr-7-5-21
Pub. Date: August 25, 2019
3663 Views1078 Downloads
Relationship between the Leadership Behaviors, Organizational Climate, and Innovative Work Behavior among Nurses
Original Research
Healthcare organizations, because of their distinctive structure and management conduct, vary from other institutions. The organizational climate is the main building blocks for organizations that promote innovation. This research aimed to explore the relationship between leadership behaviors, organizational climate, and innovative work behavior among nurses at Zagazig University Hospitals, Egypt. A descriptive correlation design has been used for this study. From the above-mentioned settings' a stratified random sample of 384 nurses was selected. A questionnaire sheet was used to obtain information for this research, which consisted of three tools: I. Modified multifactor leadership behaviors questionnaire, II.Organizational climate questionnaire, andIII. Modified innovative work behavior questionnaire. Results indicated that 83.9 % of nurses had a positive perception of transformational leadership behavior. On the other side, 81% of nurses had a positive organizational climate perception. Likewise, 49.2% of nurses had a high level of innovative work behavior. Furthermore, the organizational climate was highly significantly and positively correlated to laissez-faire leadership behavior, where p-value < 0.001. Besides, there were significant and positive correlations between innovative work behavior as regards all multifactor leadership behaviors and organizational climate. Conclusion: Transformational leadership was the most influential and predictor type of innovative work behavior. Besides, there was a significant and positive correlation between organizational climate and innovative work behavior. Recommendation: To conduct a workshop on creative thinking and design approaches to enhance the behavior of innovation among nurses and promote it.
American Journal of Nursing Research. 2019, 7(5), 870-878. DOI: 10.12691/ajnr-7-5-20
Pub. Date: August 21, 2019
5133 Views1510 Downloads2 Likes
Effectiveness of Self-Care Intervention for Patients with Urolithiasis on Their Practices Regarding Nutrition
Original Research
Background: Urolithiasis is a common and important problem in urinary tract and the prevalence of the disease is especially rising in recent years due to changing the lifestyle and diet. Aim: This aimed to evaluate effect of self-care intervention for patients with urolithiasis on their practices regarding nutrition. Research design: Quasi experimental design was utilized to fulfill the aim of this study. Setting: This study conducted in urology department and the urology outpatient clinic at Benha University Hospital. Sample:Purposive sample of 84 male and female patients suffering from urolithiasis. The study subjects was divided into two equal groups, the study group (42) and the control group (42). Tools: Two tool used in this study. I: Structured interviewing questionnaire; it includes three parts: personal characteristics of patients, patients' medical history and patients’ self-care knowledge. Tool II: self-care practices: it includes consumption of permitted foods, consumption of restricted foods, consumption of fluids and practices regarding urolithiasis.Results: The majority of both study and control group patients were respectively married, male, worker and more than half of them their age range from 40-60 years old. There was statistically significant difference between the two groups regarding their knowledge and self care practices post intervention compared to pre intervention(p < 0.05), with an improvement in self-care practices among the study group compared to the control group post self-care intervention. Conclusion:Self-care intervention for study group had a favorable effect on improving their knowledge and self care practices regarding nutrition. Recommendations:Continuous educational programs should be planned and offered on regular basis for patients with urolithiasis.
American Journal of Nursing Research. 2019, 7(5), 856-869. DOI: 10.12691/ajnr-7-5-19
Pub. Date: August 19, 2019
3099 Views835 Downloads
Effect of Using Simulation on the Performance of Nursing Students toward Postpartum Period
Original Research
Background: Using simulation as an educational tool in nursing education is not a new phenomenon. It becoming increasingly prevalent in the health care practice as there is inadequate opportunities for the nursing students to practice and refine psychomotor skills in care settings. So many institutions have a mission of producing qualified nurses with the requisite knowledge, attitudes and skills which done through adopted simulation models to improve the students' performance, promote their self-confidence and minimize the challenged that facing them during providing the clinical practices. This study aimed to assess the effect of using simulation on the performance of nursing students toward postpartum period. Methods:A nonequivalent control group pretest-posttest design was used which conducted at nursing skill lab of the Technical Health Institute affiliated to Minister of Health and Population in Mansoura, Egypt. Sample concluded of all enrolled students (130 females' students) in the academic year 2017/2018. One hundred students were in the experimental group and thirty students in the control group.Tools: Five tools were used for data collection: 1- Self-administered questionnaire to assess students' socio-demographic data, and academic characteristics, 2-Simulation-learning modules. 3- Self-administered questionnaire sheet to assess students' knowledge regarding the postpartum period, 4- Observation checklist to assess students' performance, 5-Students' perception scale. Results: The present study revealed that although there was no statistically significant difference between control and experimental groups in the pretest (p> 0.005), but there was a statistically significant difference between them in the immediate and follow up posttest (p<0.005). Conclusion: This study concluded that the majority of students in the experimental group had higher scores of knowledge and performance than the control group in the immediate and follows up posttest.Recommendation:This study was recommended to apply simulation learning method in educating and training the nursing students in all different fields of the nursing education.
American Journal of Nursing Research. 2019, 7(5), 846-855. DOI: 10.12691/ajnr-7-5-18
Pub. Date: August 12, 2019
4034 Views1508 Downloads
Evaluating the Impact of Utilizing Urinary Catheter Care Bundle on Minimizing the Incidence of Catheter-associated Urinary Tract Infection (CAUTI) among Intensive Care Patients
Original Research
Urinary tract infection (UTIs) is the most common type of hospital-acquired infection that is mostly linked with indwelling urinary catheter use, that is, catheter-associated UTIs (CAUTIs). Aim: The study evaluated the impact of utilizing urinary catheter care bundle on minimizing the incidence of Catheter-Associated Urinary Tract Infection (CAUTI) among surgical intensive care patients. This study is a quasi-experimental and was conducted in the Surgical Intensive Care Unit (SICU) at King Fahad Hospital in Madina Kingdom of Saudi Arabia. The study subjects are divided into two groups: Thirty (30) nurses who are providing nursing care for the patient during urinary catheter insertion and through on-going maintenance of the catheter, the other group are eighty (80) patients with a urinary catheter that are divided into a control and intervention group. Tools of the study.Three (3) different instruments were used in the study: The first tool was patient devolvement assessment sheet for reporting the symptoms of Catheter-associated Urinary Tract Infection (CAUTI); the Second tool was a structured observational checklist, and the Third tool was urinary catheter care bundle. Findings: The study findings concluded that implementation of catheter care bundle minimizes the incidence of (CAUTI) compared to routine care of urinary catheter. It also enhances positive changes in the nursing practice and patient outcome that was observed among the intervention group who received urinary catheter bundle.
American Journal of Nursing Research. 2019, 7(5), 836-845. DOI: 10.12691/ajnr-7-5-17
Pub. Date: August 09, 2019
3724 Views1115 Downloads
The Effect of Implementing Clinical Alarm Nursing Intervention Program on Nurses' Knowledge, Practice and Patient Outcomes at Intensive Care Unit
Original Research
Clinical alarms of medical devices in intensive care units considered a health technology hazard and one of the most essential methods that warn the critical care nurses for immediate or potential threats facing critically ill patients. The aim of the study was to evaluate the effect of implementing clinical alarm interventional program on nurses' knowledge, practice, and patient outcomes at intensive care unit. A quasi-experimental research design was utilized in this study. The study was conducted at post-anesthetic, and emergency intensive care unit Tanta University and Emergency Hospital. All critical care nurses working in the unit (40) and provide direct care with for ventilated patients were included in the study. Also, a convenience sample of 40 adults, mechanically ventilated patients divided into 2 groups 20 patients in each. Four tools were used for data collection Tool I: A Structured Knowledge Questionnaire (pre-& posttest). Tool II: Clinical Alarm Management Observational Checklist. Tool III:Nurses Perceptions of Alarm Fatigue pre and post Intervention Program. Tool (IV):''Patients assessment tool. The main results of this study revealed there were statistically significant differences between nurses' knowledge and practice categories indicating good knowledge and satisfactory practice after the intervention program, compared with poor knowledge and unsatisfactory practice level pre-intervention program where = (0.00). All nurses (100.0 %) agreed that they feel anxious due to clinical alarms compared to 50.0% of nurses who agreed on post-education. it was observed that 60% of patients in study group their weaning outcome were succeeded from the first attempt compared to 35% in control group. It was recommended thatIn-service training program should be conducted for nurses regarding alarm management and increase nurses' awareness of the presence of alarm fatigue.
American Journal of Nursing Research. 2019, 7(5), 824-835. DOI: 10.12691/ajnr-7-5-16
Pub. Date: August 01, 2019
5362 Views2298 Downloads
Burden and Quality of Life among Caregivers to Children with Epilepsy
Original Research
Background:Epilepsy is one of the chronic illnesses that have a great impact on the life of the epileptic children, their family caregivers and society in general. About 50 million people worldwide have epilepsy, and nearly 80% of epilepsy occurs in developing countries. Caregivers, usually family members or friends, who are responsible for making treatment judgments, providing livelihood, and managing daily activities. Aim of the study is to assess quality of life and burden among caregivers of children with epilepsy. Setting: Neurological Outpatient's clinics of Pediatric Hospital of Mansoura University. Design: A cross sectional descriptive design was used in this study. Tools: data was collected using the following three tools: first, socio-demographic data sheet, second, Zarit caregiver burden inventory (BI) and third, Short-Form Health Survey (SF-12) to assess caregiver quality of life. Results: There is significant difference between two categories of the study sample on the variables (Burden index score, Emotional role, Vitality, Mental health) at significant level 5%. Conclusion: A negative correlation presented between the burden index score and QOL of the caregivers to children with epilepsy. Recommendations: Caregiver burden and problems in caring of epileptic children should be discussed and counseled with health care providers through broad health educational program related to nature of disease, compliance to medication, follow-up, referral besides making emotional and economic support.
American Journal of Nursing Research. 2019, 7(5), 817-823. DOI: 10.12691/ajnr-7-5-15
Pub. Date: July 30, 2019
4004 Views1538 Downloads
Exploring the Perception of Nursing Research Held by Hospital Leaders
Original Research
Nursing research can help address the healthcare needs of patients, enhancing their health and well-being as well as our nurses. So it is essential that nurses are encouraged to undertake nursing research to provide them with the opportunity to address the issues that could be seen in clinical practice. Moreover, the support of hospital leader in research has an important role in achieving research objectives, particularly with regard to identifying and documenting nursing sensitive outcomes. However, no formal studies had been carried out to explore the perception of healthcare leaders in nursing research across the kingdom. The aim of this study is to explore the level of support from hospital leaders towards conducting nursing research in Eastern province to be able to reach nursing department full potential in enhancing an organization's culture, and reshaping care delivery. A qualitative descriptive design is utilized. using purposive sampling for data collection. The data is obtained from an interview guided by the questions based on Kurger and Casey (2000) that include opening questions; introductory questions; transition questions; key questions; and ending questions. Interview was recorded, transcribed verbatim and analyzed with qualitative content analysis. This is conducted in three Ministry Hospital in Eastern Region with more than 300 bed capacity. Participated by the hospital directors, nursing directors and their deputy. The participants’ expressed perceptions were classified into three key themes: perception on nursing research, area of improvement, readiness in starting nursing research. Across the categories. The participant emphasized a on supporting nursing research. Despite of this many of the participant sought to provide awareness and education in conducting research for nurses to step in the right track. In the studies, among the issues expressed by the participants there is a positive attitude in supporting nursing research. However, nursing research is not taking into the priority of the healthcare organization. In this respect the result of the studies, indicate the need of improvement of nursing engagement in research through awareness and education to increase nurses’ participation.
American Journal of Nursing Research. 2019, 7(5), 811-816. DOI: 10.12691/ajnr-7-5-14
Pub. Date: July 29, 2019
2683 Views631 Downloads
Perceived Barriers to Effective Therapeutic Communication between Pediatric Nurses and Mothers of Hospitalized Children at Alexandria University Children Hospital
Original Research
Pediatric nurses with effective therapeutic communication skills play a critical role in assess hospitalized children’s needs and provide them with the appropriate care. In addition, minimizing the stress associated with hospitalization for both children and their mothers. Aim of the present study was to assess perceived barriers to effective therapeutic communication between pediatric nurses and mothers of hospitalized children. Method: a descriptive research design was utilized to accomplish this study. The study was conducted at Alexandria University Children Hospital Egypt. Purposeful sample, 330 pediatric nurses and mothers included in the study (165 nurses and 165 mothers). The data was collected over a period of three months (January, February and March) 2019. Self-administered questionnaire was used to collect the required data.Results: The findings revealed that the main barriers of communication reported by the nurses were being overworked, shortage of nurses, fatigue and lack of enough time. Meanwhile, the main barriers of communication mentioned by the mothers were reluctance to communicate, language barrier and child's pain. Conclusion: There are certain causes which hinder therapeuticcommunication between pediatric nurses and mothers of hospitalized children. Recommendation: Maintain adequate children patient-nurse ratio to reduce nursing workload in order to facilitate effective therapeutic communication.
American Journal of Nursing Research. 2019, 7(5), 802-810. DOI: 10.12691/ajnr-7-5-13
Pub. Date: July 29, 2019
5060 Views1638 Downloads
Nursing Students' Metacognitive Thinking and Goal Orientation as Predictors of Academic Motivation
Original Research
Metacognition is a self-monetary method that helps nursing students to discover strategies to learn and memorize. This capability enables students to improve types of goals that they adopt for learning, either mastery or performance, which in turn improves their academic motivation. This study aimed examine nursing students' metacognitive thinking and goal orientation as predictors of academic motivation at Faculty of Nursing, Zagazig University, Egypt. A descriptive correlational design was used for this study. A stratified random sample of 325 nursing students were chosen from the above mentioned setting. For this study; three tools were used to collect the data: Metacognitive awareness inventory, goal inventory, and academic motivation inventory. Results clarified that the highest percentages of nursing students (71.7%, 90.8%, & 90.8%) had high levels of metacognitive thinking, goal orientation, and academic motivation, respectively. Additionally, there were significant and positive correlations between nursing students' metacognitive thinking, goal orientation, and academic motivation, where P-value < 0.05. Conclusion: Nursing students' metacognitive thinking and goal orientation were significant predictors of academic motivation. Recommendation: The faculty administrators should increase students' and nurse educators' awareness of goal orientation and metacognitive thinking to create a desired teaching and learning environment.
American Journal of Nursing Research. 2019, 7(5), 793-801. DOI: 10.12691/ajnr-7-5-12
Pub. Date: July 25, 2019
4310 Views1441 Downloads2 Likes
Surgical Repair versus Non-Surgical Management of Spontaneous Perineal Tears that Occur during Childbirth
Original Research
Background: Trauma to the perineum of varying degrees constitutes the most common form of obstetric injury. In clinical practice, these tears are often sutured. However, small tears may also heal well without surgical interference. Aim:The aim of this study was to investigate whether surgical intervention for first and second-degree perineаl tears sustained during childbirth could аffect primary and secondary outcome compаred to conservative manаgement. Subject & Methods: CohortProspective study conducted in Obstetrics and Gynecological Department at Helwan General Hospital. One hundred women; 50 of them were using surgical repair by using suture for perineal tears compared with 50 ones leaving the wound to heal spontaneously, by using conservative management. Α Structured-Interviewing-Questionnaire-sheet, Physical-assessment-sheet, Labor-outcomes-sheet, McGill-pain-rating-scale, and follow-up sheet were used for data collection. Results: The majority (86.0 %) of women with surgical repair suffering from severe pain compared to 24.0% non-surgical repair group (P<0.05). Throughout a period of 6 weeks to 3 months; 90.0% of women of surgical group reported wound healing, compared to only 46.0% of non-surgical repair group, also, sexual life in term dyspareunia has affected among 16.0% of surgical group compared to 2.0% in non-surgical repair group, (p<0.05). The outcome, after 3 to 6 months, as regard tear state and complications among women in the two studied groups, it is evident that 74.0% of women in the non-surgical repair group had wound break occurred compared to 6.0% of surgical wound repair had the same complaint, (p<0.05). Conclusion: There are evidence and significant differences between the two groups regarding type and intensity of pain. Moreover, there is evidence that the perineal tear did not heal so well in women up to six weeks postpartum who are not sutured. Recommendations: information sheets or booklets, that the mother can take home, should be distributed for postpartum women before their discharge to act as a reference for perineal tear and its proper care.
American Journal of Nursing Research. 2019, 7(5), 781-792. DOI: 10.12691/ajnr-7-5-11
Pub. Date: July 24, 2019
4654 Views1155 Downloads
Effect of Core Competencies Based Educational Guideline on Pediatric Nurses’ Decisions Related to Pain Management
Original Research
Pain is a natural and unavoidable part of childhood. It is the most common side effect of hospitalization. The aim of the study was to assess the effect of core competencies based educational guideline on pediatric nurses' decisions related to pain management. A quasi-experimental design was used. The study was conducted in the Pediatric Department of El-Menoufia University and Shebin El-Kom Teaching Hospital in Shebin El-Kom city. A convenient sample of 60 registered nurses from the above-mentioned settings was selected. One tool used in this study is the Knowledge and Attitude survey regarding pain questionnaire. It included five parts; part one contains socio-demographic data of studied nurses, part two involves 4 yes /no questions, part three involves 25 true/false questions, part four: contains 8 multiple–choice questions, Part five contains two cases –based scenarios. The results of the study showed that the nurses' knowledge and reported practice about assessment and management of pain were 8.666±4.065 pre-intervention compared to 18.616±2.40 and 15.05±2.86 on the post and follow up intervention respectively. The study concluded that implementation of core competencies based educational guideline improved pediatric nurses` level of competent knowledge, decisions and reported practices regarding assessment and management of pain in children. Therefore, the study recommends that Core competencies based educational guide training must be implemented at all pediatric units to provide nurses with competent knowledge and skills regarding effective assessment and management of children pain.
American Journal of Nursing Research. 2019, 7(5), 771-780. DOI: 10.12691/ajnr-7-5-10
Pub. Date: July 21, 2019
4101 Views1338 Downloads
The Effect of Applying Preventive Intervention Based on Champion Health Believe Model on Breast Cancer Fatalism, Knowledge and Screening Behaviors among Female Employees
Original Research
Breast cancer (BC) is the most common cancer among women and leading cause of death worldwide, including Egypt. Many factors are identified to be linked with BC, fear and fatalism play a vital role in discouraging women from seeking BC screening. Aim of the study: Is to investigate the effect of applying preventive intervention based on Champion Health Believe Model on breast cancer fatalism, knowledge and screening behaviors among female employees. Subjects & method:Subjects: 200 female employees working in Alexandria & Damanhour universities. Research design: A quasi experimental design was adopted to carry out the study. Tool I: Female employees’ breast cancer screening knowledge and practice scale, Tool II: Powe Cancer Fatalism Scale, & Tool III: Champion’s Health Belief Model Scale. In addition to, female employees’ Basic Data Structured Questionnaire. Data were analyzed using percentages & Pearson Chi-square. Results: thesmallest percentages of the female employees had good breast cancer related knowledge and screening measures in the preprogram implementation phase. Statistically significant rise were noticed immediately after the program implementation. Women in both faculties had high cancer fatalism level in the initial assessment, which lessened immediately after the program application, with a statistically significant difference between them. The highest mean and standard deviation in Alexandria and Damanhour in perceived Susceptibility, perceived Seriousness and perceived benefits was immediate after the program. Conclusions: It was concluded that female employees’ ‘knowledge & practice of breast cancer was greatly affected by breast cancer fatalism, applying Breast Cancer related preventive program improve the knowledge and practice of female employees and decrease the level of breast cancer fatalism. Recommendation:Empowering women to take a proactive role in their own health & support health care professional role.
American Journal of Nursing Research. 2019, 7(5), 759-770. DOI: 10.12691/ajnr-7-5-9
Pub. Date: July 16, 2019
7109 Views1743 Downloads
Developing Competencies of Evidence-Based Practice among Community Health Nursing Educators through Implementing Journal Club
Original Research
Introduction: Evidence-based practice (EBP) has become the standard expectation for all practitioners in healthcare nowadays. Nursing educators are in charge of training future nurses to integrate the EBP into clinical practice for improving healthcare outcomes. Journal club (JC) as an educational strategy promotes the essential knowledge and skills of EBP.Aim: Investigate the impact of implementing a journal club on developing evidence-based practice competencies among community health nursing educators (CHNE).Method: A quasi-experimental research design was conducted among 32 CHNE at the Community Health Nursing Department, Faculty of Nursing Mansoura University, Egypt. Four structured tools were used for data collection. Results:The total score of knowledge and skills revealed significant improvements. The improved knowledge and skills were mainly observed in formulating questions, searching for literature, and critically appraising research articles. These improvements retained up to 6 months after attending journal club sessions. Insignificant statistically difference was found in changing behavior with regard to the adoption of EBP in regular work, with the exception of seeking information from the Cochrane database and discussing scientific researches with each other.Conclusion: Significant improvements in knowledge and skills of EBP was revealed, however, no statistically significant change was found in accustoming EBP in regular work after attending journal club. Overall, the degree of improvement demonstrated in this study might provide sufficient evidence to support the journal club as a medium for facilitating the learning of EBP.
American Journal of Nursing Research. 2019, 7(5), 751-758. DOI: 10.12691/ajnr-7-5-8
Pub. Date: July 14, 2019
4179 Views1675 Downloads1 Likes
The Relationship between Organisational Commitment and Burnout: A Comparative Study of Nurses from a Health Care Service
Original Research
Purpose: this study examined the correlation between the burnout and organisational comment in nurses working in health services in different sites. The research would fill a gap in the global literature review by enhancing a perspective of Australian nurses who work in hospitals. Background: low commitment to the organisation and the level of burnout that staff experience would cause absenteeism which then lead to turnover, thereby exacerbating the problems related to recruitment and retention. Research design: This dissertation is based on secondary data that was collected to measure the burnout using MBI scale, and organisational commitment, using OCQ scale of 150 nurses in different six hospitals. Method: Confirmatory Factor Analysis and Cronbach Alpha tests were applied to the OCQ followed by Bivariate Analysis to discover the relationship between organisational commitment measured by OCQ and Burnout measured by MBI. Result: two-dimensions for the Organisational Commitment Questionnaire was obtained: value Commitment & Commitment to stay, with acceptable internal consistency and reliability measurement. A correlations among OCQ subscales and MBI scales was revealed. Discussion: the study rejects the claim of first developer and confirmed the multidimensionality of OCQ and compatibility of this result to AL-Yami et al and Angle and Perry Organisational commitment and burnout are reversely related despite of the Personal Accomplishment subscale is ineffective. Practical and managerial implications: This will help create understanding of nurses’ needs and make use of the findings to minimize negative outcomes. Outcomes from this study provide further support for nursing managers to understand the organisational factors that influence the level of burnout in nurses.
American Journal of Nursing Research. 2019, 7(5), 732-750. DOI: 10.12691/ajnr-7-5-7
Pub. Date: July 11, 2019
4546 Views1053 Downloads
Effectiveness of Educational Intervention on Knowledge, Attitude and Practices of Children’s Mothers Regarding the Safe Use of Plastic Containers
Original Research
Background: Plastic first became available to consumers. However, improper use of plastic has a number of hazards that plastic poses, including health problems starting from manufacturing to consumption through the process of leaching. Aim of the study: this study aimed to assess the knowledge, attitudes and practice of children’s mothers regarding the safe use of plastic containers and evaluate the effect of educational intervention on mothers’ knowledge, attitude and practice of children’s mothers regarding the safe use of plastic containers. Subjects and Methods: A Quasi-experimental design was used. This study conducted in three setting at Assiut and Sohag cities in Egypt. A total of 120 children’s mothers included using the convenience sampling technique. A structured interview schedule was designed to assess socio-demographic data and knowledge, attitude and practice of children’s mothers regarding safe use of plastic containers at pre- and post-intervention. Results: The mean age of participants’ mothers was 29.00 ± 5.41years. The study revealed statistical significance improvement for the satisfactory knowledge, positive attitude and proper uses’ percentages of children's mothers about the safe use of plastic (P= 0.000). In addition, there was a positive correlation among knowledge, attitude and practice of children’s mothers. Conclusion: The post-intervention improving of knowledge, attitude and practice pointed to effectiveness of the program. Therefore, the researchers recommended that all the health care providers such as nurses, village health guides, nurses working in community center or schools should provide in-service education regarding safe use of plastics.
American Journal of Nursing Research. 2019, 7(5), 723-731. DOI: 10.12691/ajnr-7-5-6
Pub. Date: July 09, 2019
3506 Views916 Downloads
Effect of Breast Feeding vs Oral Sucrose on Pain Relief during Vaccine Intramuscular Injection among Infants
Original Research
Currently, vaccine injections are considered to be the most common source of iatrogenic pain in childhood. They are repeatedly administered to almost all children throughout infancy, childhood and adolescence. Vaccine injections cause pain, anxiety and fear in paediatric patients. Hatfield et al cited that oral sucrose administration is an effective and easy method with short-term effect during the routine immunization process. Osianaike et al also observed that breastfeeding has a soothing effect on infant during the venipuncture prick. The aim of this study is to investigate the effect of breast milk vs. oral sucrose on pain relieve during vaccine Intramuscular Injection among Infants. This study was be conducted in vaccination clinic/ unit in FAMCO & Al-Khobar hospitals at Saudi Arabia on 75 infants who were selected by simple randomization. Assessment Sheet for Infant Pain consisted of two parts: The first part included demographic data such as name, age & body weight of the infant. The second part included the Behavioral and facial expression pain scales (FLACC) that were used to assess in this study to assess the infants’ intensity of pain during vaccine intramuscular injection.
American Journal of Nursing Research. 2019, 7(5), 707-722. DOI: 10.12691/ajnr-7-5-5
Pub. Date: July 07, 2019
4974 Views1801 Downloads
Effect of an Educational Program on Enhancing Nurses' Knowledge and Their Compliance with Ethics in Maternity Health Services
Original Research
The study aimed to investigate the effect of an educational program on enhancing nurses' knowledge and their compliance with ethics in maternity health services. Design: Quasi-experimental study. Setting: The study conducted at the obstetrical and gynecological departments at the Mansoura University Hospital, Egypt. Subjects: consisted of sixty-five nurses who worked at the previous mentioned setting from January 2019-April 2019. Type of sample: Purposive sampling. Tools: Self-administered structured questionnaire, an observational checklist for the code of ethics to assess nurse’s compliance with ethics in maternity health services, likert scale to assess nurse's satisfaction & nurses’ self-reported barriers. Results: The current study results showed that there was significant improvement of the total score of knowledge after implementing the program (15.06 ±1.07) in comparison to before (11.53± 2.08). In addition, the majority of nurses were complying with the nursing code of ethics during implementation of the duty of care & health instructions for women, communication skills and reporting & equipment processing. The most common barriers facing the nurses were shortage in nursing staff, work overload and emergency situations by 63.1%, 53.8% and 49.2% respectively. There was a highly statistically significant relation between the total knowledge score & nursing code as well as there was a highly significant improvement between barriers nursing duty of care & health instructions and communication skills p ≤ 0.001. Also, there was a significant difference between barriers & post intervention equipment processing p ≤ 0.05. The majority of nurses were satisfied with the educational program. Conclusion: The majority among the studied sample had a highly significant improvement post-intervention compared to pre-intervention regarding nurse's knowledge and their compliance with nursing ethics at the maternity health services, additionally there was a highly statistically significant relation between the total knowledge score & nurses compliance with nursing code of ethics. Also, the shortage in nursing staff was the main barriers that prevented the nurses to comply with nursing ethics at maternity health services. Recommendation: Design and implement a nursing ethics protocol and guideline to enhance nurse's compliance with the ethical issue at maternity health services.
American Journal of Nursing Research. 2019, 7(5), 697-706. DOI: 10.12691/ajnr-7-5-4
Pub. Date: July 03, 2019
3855 Views1267 Downloads
Level of Stress and Coping Strategies among Nursing Students at Damanhour University, Egypt
Original Research
Stress has been recognized as a 20th century disease and donates to health problems worldwide, nursing students are exposed to numerous stressors during their studies and clinical training. Determining stress and coping strategies among them will have significant consequences for the nursing career. Aims:to illustrate level of stress and identify coping strategies among nursing students at Damanhour University, Egypt. Research design: A descriptive cross-sectional study was used. Setting: the study was conducted at faculty of nursing, Damanhour University, Egypt. Subjects and methods: A systematic random sampling of 400 nursing students at academic year 2018-2019. Results:Students perceived moderate level of stress, most commonly attributed to transportations and academic. The most frequently used coping mechanism was religious and acceptance. The study found that gender and living with family are good predictors of coping strategies. Conclusion: The nursing students were exposed to moderate stress due to different stressors. In response, they frequently used different strategies for coping and recommended the need for stress management programs and the provision of suitable support.
American Journal of Nursing Research. 2019, 7(5), 684-696. DOI: 10.12691/ajnr-7-5-3
Pub. Date: July 02, 2019
4658 Views1013 Downloads1 Likes
Prevalence of Irritable Bowel Syndrome among Nursing Students at King Abdulaziz University, Jeddah, Saudi Arabia
Case Study
Introduction: Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder that may be triggered by enteric pathogens.Research problem: Studies show IBS syndrome is a common disorder worldwide, for example 5-20% in the United States have irritable bowel syndrome, mostly among adults with age < 50 years old. Also, there is a study conducted in Al-Ahsa in 2017 that show the prevalence of IBS between medical student and interns in Saudi Arabia is 31.8%. Another study was conducted in Hail in 2018 among medical students show that 18% of the participants have been diagnosed with irritable syndrome. Moreover, no study was conducted exclusively among females nursing students in Jeddah. Materials: The questionnaire was adapted from a validated survey that was previously used. Method: A cross-sectional descriptive study was conducted among 193 undergraduate nursing students (second, third and fourth years) at King Abdul-Aziz university.Results: The results showed that 17.6% of nursing students at King Abdul-Aziz having IBS. Conclusion: The results showed that the prevalence of IBS is 17.6%.Recommendations: We recommend Screening for IBS and psychological problems and Stress management course. Also, we recommend to ministry of education to provide relaxation room for students at colleges.
American Journal of Nursing Research. 2019, 7(5), 677-683. DOI: 10.12691/ajnr-7-5-2
Pub. Date: July 01, 2019
3996 Views1688 Downloads
Quality of Nursing Care among School Age Children with Thalassemia as Regards Blood Transfusion and Self Concept
Original Research
For children with major thalassemia, lifelong blood transfusions were need hence adequate care quality is crucial. Research aim was to improve quality of nursing care among school age children with thalassemia as regards blood transfusion and self concept. Research design: quasi-experimental design has been used. Study area:The study was done in out and inpatient pediatric unit at Minia University and General Hospitals. Study participants: purposive technique consisted of two category: the first participants are all nurses (13 Minia University nurses and 7 General Hospitals, total twenty nurse) and the second participant are fifty ill school children withthalassemia. Tools:Information were gathered by: face to face interviews questionnaire, including: sociodemographic data sheet for thalassemia, knowledge sheet for nurses and routine knowledge of blood transfusion (RBTKQ) questionnaire. (2) An observational checklist for evaluating thalassemia practices by nurses. (3) Scale of patient satisfaction. (4) The clarity scale of the self-concept. Results:This study showed significant improvements in post-test nursing knowledge and practices on thalassemia and blood transfusion and improved self-concept in clients. Conclusion: After the program was applied, about thalassemia and blood transfusion now is understandable by nurses. The nurses considered the quality of nursing care and good self-concept. The research study suggested more studies to be done for improving nurses' knowledge and practices in the area of blood transfusion care and to improve the self-concept of thalassemia children.
American Journal of Nursing Research. 2019, 7(5), 670-676. DOI: 10.12691/ajnr-7-5-1
Pub. Date: July 01, 2019
4860 Views1422 Downloads