Volume 8, Issue 1

Impact of Self-care Program for Gestational Diabetic Women on Pregnancy Outcomes
Original Research
Background: Gestational diabetes is a global health concern because it's high prevelance, and the potential complications for mothers and their offspring; therefore, Patient teaching is one of the most significant aspects in improving women knowledge, and self-care. Aim: This study was developed to evaluate the effect of self-care program for gestational diabetic women on pregnancy outcomes. Methods: A purposive sample of 80 gestational diabetic women aged (≥ 18 to ≤ 40) years old, and pregnant at not less than 24 weeks of gestations who admitted to antenatal clinic, labor unit and postnatal unit of general hospital of Beni-Suief between Jan 2018 to December 2018. A quasi-experimental design was utilized in this study, Control and study group. The study instruments included Women interviewing assessment sheet, Diabetic knowledge questionnaire, Self-care behavior, Attitude about diabetes, Maternal observation, and Pregnancy outcome with previously tested content validity and reliability. Results: Significant enhance in the level of the women knowledge, attitudes, and self-care behavior was observed after implementation of the self-care program among the women in the study group. Conclusion: The findings of the current study concluded education plays an important role in increasing the awareness of pregnant women regarding GDM risks, complications and its proper management to reduce its burden for the mother and the fetus. Recommendations: The study recommended that universal screening to all pregnant women for GDM in the antenatal unit to reduce its complications.
American Journal of Nursing Research. 2020, 8(1), 122-131. DOI: 10.12691/ajnr-8-1-13
Pub. Date: January 03, 2020
1853 Views508 Downloads
Effect of (Mobile Based Learning Program) on Postgraduate Nursing Students’ Satisfaction and Attitudes in Faculty of Nursing Damanhour University
Original Research
Technology is evolving more rapidly than ever. The younger generations, including nursing students, live daily lives equipped with extremely advanced mobile technology, challenging nursing educators to integrate mobile technology in education to increase the level of involvement. Aim of the study: is to determine the effect of Mobile Based Learning Program on postgraduate nursing students’ satisfaction and attitudes in faculty of nursing Damanhour University, Egypt. Method: A quasi -experimental one group pretest-posttest was adopted. The study was conducted at Faculty of Nursing Damanhour University, Egypt. Purposeful sample, all post graduate nursing students (N = 36), registered at three department Administration, Community health nursing & Nursing Education departments. The study was done during the academic year (2018-2019). Two tools were used: Tool I: Students Satisfaction Scale to identify students’ satisfaction level. Tool II: Mobile Learning Attitude Scale (MLAS) to investigate students’ attitudes of mobile learning in their education. Results: The study reveals that postgraduate nursing students, were satisfied and positive attitude after utilizing MBL. A significant positive intermediate correlation was found between different phases of the study, between pre & post satisfaction test, also between pre & post attitude test, and between post satisfaction and attitude test. Conclusion: Post graduate nursing students exhibit more satisfaction and positive attitude after utilizing MBL. Recommendations:More workshops are needed for both teachers & students in utilizing more mobile application to enhance learner motivation in learning.
American Journal of Nursing Research. 2020, 8(1), 114-121. DOI: 10.12691/ajnr-8-1-12
Pub. Date: December 29, 2019
2115 Views743 Downloads
The Effectiveness of Mindfulness Training Techniques on Stress, Anxiety, and Depression of Depressed Patient
Original Research
Depression remains one of the world’s most urgent health problems, affecting an estimated 350 million people. Mindfulness is effective for people suffering from critical depressive symptoms. The aim of this study was to evaluate the effectiveness of mindfulness training techniques on stress, anxiety, and depression of depressed patients. Design: - Quasi-experimental design (one group pretest-posttest design) was used to achieve the aim of the study. Setting: -The study was conducted at the Psychiatric Hospital in Tanta and The Psychiatric and Addiction Treatment Hospital in Met-Khalf, Menoufia governorate, Egypt. Sample: -A Purposive sample (34) depressed patients that were diagnosed by psychiatrists according to DSM5 were selected; in the chosen setting inpatient clinics. Tools: Data were collected using the depression, anxiety and stress scale. Results: The results revealed that there is a highly statistically significant reduction in stress, anxiety, and depression mean score level among the study group after mindfulness training techniques than before; where p-value (p = 0.001). Also, there is a statistically significant positive correlation between stress and depression level of study group before and after mindfulness training techniques where p-value (p = 0.015, 0.013), respectively.Conclusion: The implementation of mindfulness training techniques with depressed patients has a positive effect on reducing stress, anxiety, and depression levels. Recommendation:Application of mindfulness training techniques for all patients with depression to reduce their stress, anxiety, and depression levels.
American Journal of Nursing Research. 2020, 8(1), 103-113. DOI: 10.12691/ajnr-8-1-11
Pub. Date: December 29, 2019
2574 Views1038 Downloads
Childhood Obesity Prevention in Adolescents
Letter To Editor
Childhood obesity is a significant health concern and has become a global health problem. The problem of childhood obesity is a public health challenge that requires prompt intervention. The estimated number of overweight children is over 42 million with a continuous increase in the number of cases and has tripled since the 1970s [1]. The prevalence of obesity is high among children of low socioeconomic background and is a risk factor for cardiovascular diseases, diabetes, metabolic syndrome, and certain cancers [2]. Adolescents who are obese often develop a tendency to participate in sedentary activities and are disengaged from high levels of physical activity. Childhood obesity places a considerable amount of pressure on the national health budget [3]. A literature review was conducted on childhood obesity and factors that could impact the growing problem. The findings from the literature review revealed that decreasing the amount of food consumption, increasing physical activity, and reducing the number of hours spent engaged in sedentary activities such as playing video games or watching television contributes to obesity prevention. The implementation of interventions by educating adolescents on healthy eating and engaging in physical activity is critical to obesity prevention. The results of the study revealed that a decrease in caloric intake and an increase in physical activity are significant to obesity prevention. A paired t-test was performed to compare the weight of the adolescents before and after the activities. The results showed that there is a significant difference in weight loss (p=0.001) after the interventions. This project is an evidence-based practice proposal on developing strategies to promote adherence to behavioral changes for childhood obesity prevention in adolescents.
American Journal of Nursing Research. 2020, 8(1), 91-102. DOI: 10.12691/ajnr-8-1-10
Pub. Date: December 25, 2019
3251 Views1254 Downloads
Effect of an Educational Nursing Program on Patients’ Adherence to Drugs, Nicotine Dependency and Degree of Asthma Control among Asthmatic Patients
Original Research
Background: To effectively control chronic diseases such as asthma, it is important to provide patients with education and skills. Aim of the study: To evaluate the effect of an educational nursing program on patients' adherence to drugs, nicotine dependency and degree of asthma control among asthmatic patients. Patients and Methods: A quazi experimental (pre/ post-test) research design, the study was conducted in Chest diseases department and its outpatient clinic at Assiut university hospital, a purposive sample of sixty adult male asthmatic patients, their age ranged from 18 – 65 years were selected. Unconscious or comatose patients and patients with co-morbid diseases as COPD or sleep apnea were excluded from the study. Five tools were used, Tool I: patients interview questionnaire sheet that included, demographic patient variables, medical assessment, and patient’s knowledge about asthma, Tool II: Fagerstrom Tolerance Questionnaire, Tool III: Morisky Medication Adherence Scale, Tool IV: Asthma Control Test (ACT) for people 12 yrs and older, and Tool V: Educational Nursing program. Results: Ther were statistically significant differences pre & post the educational nursing program regarding Patients’ knowledge about asthma, adherence to medications and degree of asthma control with (p < 0.001), (p < 0.001) and (p < 0.01) respectively. Also, there was a decrease in the number of patients regarding nicotine dependency post-implementation of the educational nursing program than before but unfortunately not reached a statistically significant difference. Conclusions: An improvement in patients’ adherence to drugs, and their control over asthma disease were observed among the patients after applying the educational nursing program. Recommendation: Asthmatic patients should be provided by continuous education and nursing instructions to help them control their chronic disease.
American Journal of Nursing Research. 2020, 8(1), 82-90. DOI: 10.12691/ajnr-8-1-9
Pub. Date: December 18, 2019
3362 Views1250 Downloads
Recognition of Parent’s Knowledge, Attitude and Practice Regarding Febrile Seizures in Children Under-Five
Original Research
Background: Febrile seizures (FS) are the most common seizure disorder in children that are extremely frightening, emotionally traumatic and anxiety-provoking by parents. Therefore, this study aimed to examine parents' knowledge, attitude, and practice regarding febrile seizures in children under-five. Methods: A descriptive design was utilized. Settings: This study was conducted in the Pediatric department at Birket El Sabah Central Hospital. Sample: Convenient sample of 75 parents of children with FS (55 mothers and 20 fathers). The data were collected through a structured interview questionnaire to assess parents' knowledge, attitude and practice. Results: The findings revealed that the mean ± SD of the children of the enrolled parents was 23.97 ± 12.26 months and mean ± SD of parents was 29.86 ± 4.36. The majority of parents (86.7%) knew that fever can cause convulsion. Less than half of the studied sample (46.7%) had a thermometer in the home. The minority of parents (13.3%) carry out first aids before getting the child to the hospital. In conclusion: The findings concluded that there are needs for teaching programs to enhance the knowledge, attitude and practice level of parents regarding febrile seizures. Recommendation: Ongoing in-service education programs must be designed and implemented at Pediatric units to improve parent's knowledge, attitude, and practices regarding prevention and proper management of febrile children.
American Journal of Nursing Research. 2020, 8(1), 72-81. DOI: 10.12691/ajnr-8-1-8
Pub. Date: December 13, 2019
4196 Views1576 Downloads
Effect of Health Educational Guideline for Barbers about Hepatitis B and C in Port Said City
Original Research
Background:Hepatitis B and hepatitis C have some common epidemiological characteristics, and have infected millions of people throughout the world. During haircut, shave, or pedicure, barbers may accidentally expose to their clients' blood, transmit their own infection to them, or transmit the infection from one client to another.Aim: to evaluate the effect of health educational guidelines for barbers about hepatitis B and C in Port Said City.Design: A quasi-experimental research design with pre-post-test was utilized for this study. Samplesize: It was carried on 245 barbers; 187 males and 58 females. Setting:the study was conducted at all certified barbers shops (82 shops) located in Port Said city. Tools: Three tools were used to collect data, knowledge of barber about HCV and HBV questionnaire, observational checklist for barbers ’practice regarding HCV and HBV & barbers' attitude scale. Results: 78 % of the study group had poor total level of knowledge, 97.3% had unsatisfactory total practice as well as 95.2% had total negative attitude before conducting the educational guidelines. A highly statistically significant improvement was detected after implementation of the guidelines in their total level of good knowledge (80.7%), satisfactory practice (94.6%) and positive attitude (97.8%). There was a statistically significant positive correlation between the study group's total knowledge score and total practice score. Conclusion: More than three quarters of the study group had poor total knowledge, most of them had negative attitude as well as unsatisfactory total practice regarding HCV and HBV before application of the educational guidelines, a remarkable improvement in knowledge, practice and attitude after implementation of the health educational guidelines, had been detected with highly statistically significant differences between pre and post phases. Also the implementation of the educational guidelines had been the most predictor variable. Recommendation; More educational programs for improving knowledge, practices and healthy attitude of barbers should be integrated into their training programs, evaluation of the long-term effects of such education programs are also recommended. Replication of similar specific studies using large probability samples at different settings is highly recommended.
American Journal of Nursing Research. 2020, 8(1), 60-71. DOI: 10.12691/ajnr-8-1-7
Pub. Date: November 25, 2019
3652 Views1202 Downloads2 Likes
Effect of Interactive Digital-based Educational Intervention about Digital Eye Strain on the Severity of Eye Complaints, Knowledge and Preventive Ergonomic Practices among Computer Users
Original Research
Background: Digital Eye Strain is major health complains among computer users in the new era of advanced technology with predominant poor knowledge and ergonomics. Aim: Evaluate the effect of interactive digital-based educational intervention about digital eye strain on the severity of eye complaints, knowledge and preventive ergonomic practices among computer users. Design: A randomized control educational trail design was employed (pre-post-test control group). Setting: the study was fulfilled in the main administrative building of Damanhour University/Egypt. Participants: 140 randomly selected computer users’ employees working in the study setting. Tools: four tools were used for data collection. Results: a statistically significant mean difference was found regarding total eye complaints score after one month and three months of the educational intervention. The total knowledge score and the total preventive ergonomic practices score showed a highly statistically significant mean difference after one month and three months of the educational intervention. Moreover, the total workstation design score revealed a statistically significant mean difference after one month and three months Conclusion the research hypothesis was accepted as the interactive digital-based educational intervention about digital eye strain and its preventive ergonomic practices was effective in reducing the studied computer users' reported eye complaints also enhancing their knowledge level about digital eye strain in additionally modifying their preventive ergonomic practices and workstation design. Hence, it is recommended to develop hotlines and web-based educational sites for digital users to help them in facing the rising epidemic of digital eye strain associated with the new era of advanced technology.
American Journal of Nursing Research. 2020, 8(1), 48-59. DOI: 10.12691/ajnr-8-1-6
Pub. Date: November 22, 2019
2403 Views711 Downloads
Effect of Instructional Supportive Guideline for Improving Women's Awareness towards Endometriosis
Original Research
Background: Endometriosis is when the tissue that makes up the uterine lining is present on other organs inside your body. Endometriosis is estimated to affect between 3.0% and 10.0% of reproductive-aged women. Endometriosis is rarely found in girls before they start their period. Aim: The study aimed to evaluate the effect of instructional supportive guideline for improving women's awareness towards endometriosis.Subjects and Methods: This was а quasi-experimental study. Pre-post and follow-up by time series analysis study which was conducted among 300 women fulfilled criteria attending the gynecological outpatient clinic and inpatient units at Αin-Shams-Maternity-University-Hospital. Data collection tools were а Structured Interviewing Questionnaire, Αndera-Mаnkoski-Pain-Scale, and written Arabic instructional guideline about endometriosis. Result: The present study showed that the majority of the studied women had incorrect knowledge about endometriosis. Meanwhile, there was statistically significant difference of the women's knowledge about the endometriosis after educational session and at follow up-time compared to their knowledge before it (Р-value <0.001). Α statistically significant relationship between women's level of Αndrea-Mankoksi-Pain-Scale and their knowledge regarding endometriosis was found (Р<0.05). Conclusion: Designing and implementing an instructional supportive guideline about endometriosis indicated а significant effect with а remarkable improving women's awareness level about it.Recommendations: Provision of the instructional guideline in a simple Arabic language with timely education and increased awareness for women seeking gynecological health care services. Moreover, engagement with schools and employers through health education campaign to increase their awareness about endometriosis and its impact on the quality of the reproductive health.
American Journal of Nursing Research. 2020, 8(1), 38-47. DOI: 10.12691/ajnr-8-1-5
Pub. Date: November 11, 2019
4042 Views1330 Downloads
Health Related Quality of Life Following Dietary and Exercise Interventions among Women with Knee Osteoarthritis
Original Research
Background: Osteoarthritis (OA) is accepted as a major public health problem. It is one of the main causes of impaired function that reduces quality of life (QOL) worldwide. A well-balanced diet of plant-based origin including varied diet that is high in vegetables and fruits and low in refined carbohydrates and fats, such as saturated fats and trans-fats. This is obtained by understanding how diet and exercise affecting perception of quality of life. The aim of this study was to assess health related quality of life after following dietary and exercise interventions among women with knee osteoarthritis. Design; a quasi-experimental design with pre-post-test was used. Settings; this study was conducted in orthopedic and physical therapy outpatient clinics of Tala Central Hospital, Menoufia Governorate, Egypt. Sample: A purposive sample of 120 women diagnosed with knee osteoarthritis divided equally into diet only and diet and exercise groups. Tools: I- An interviewing questionnaire to assess socio demographic data and exercise practice. II- Eating pattern questionnaire. III- knee related quality of life questionnaire to assess quality of life & IV- Medical outcomes study questionnaire to assess physical and social functioning.Results; indicates more improvement of diet and exercise group regarding the determined aspects of quality of life domains revealing significant difference regarding troublesome due to lack of confidence in knee joint as, 13.3 % & 6.7 % of diet only and diet and exercise group respectively reported mild trouble before the intervention, increased significantly to 26.7 % & 53.3 % after the intervention respectively. Conclusion; this study revealed that a significant more improvement in some aspects affecting quality of life for the diet and exercise group than diet only. Recommendations; Lifelong physical activity and dietary modifications are strongly recommended for the improving knee osteoarthritis including walking, water strengthening and stretching exercises in a moderate manner. Education as one of the main nursing role for the necessity of moderate exercise with well-balanced diets based on plant sources, can improve quality of life. Consuming well-balanced diet stressing fresh fruits and vegetables, sea food, low salt diet and healthy spices including ginger and turmeric is recommended.
American Journal of Nursing Research. 2020, 8(1), 27-37. DOI: 10.12691/ajnr-8-1-4
Pub. Date: November 11, 2019
3609 Views1329 Downloads1 Likes
Tele-nursing versus Routine Outpatient Teaching for Improving Arterial Blood Pressure and Body Mass Index for Hypertensive Patients
Original Research
Background: Tele-nursing refers to the use of phone conversation and information technology to provide nursing care at a distance to help solve increasing shortages of nurses and to always keep patient in touch when they are out of hospital with best possible positive outcome. It is especially useful for hypertensive patients who have problems of far distance from health care clinics or have to wait a long time for visiting a doctor.Aim of the study: to examine the effect of telenursing versus routine outpatient teaching on improving the levels of arterial blood pressure and body mass index of hypertensive patients. Design: A quasi experimental design (study/control) was utilized. Setting: This study was conducted on the medical out-patients department-Menoufia University Hospital, Egypt. Sample: A convenient sample of 100 subjects, who attend the outpatient clinics of the aforementioned setting. The subjects were divided equally into study and control groups, 50 subjects each. The study group (telenursing intervention) was followed by follow-up phone calls throughout the period of the study. Instruments:- 1. Structured interviewing questionnaire and 2. Bio-physiological measurements including anthropometrics; height, weight, body mass index and blood pressure. Results: There were statically significant differences between both groups regarding mean arterial blood pressure scores after telenursing intervention. The mean level of arterial blood pressure & BMI was significantly lower in the study group than the control after intervention (p < 0.05 & P < 0.05) respectively. Conclusions:telenursing is an effective strategy for improving arterial blood pressure, body mass index and decreasing the risk of its complications. Tele-nursing could be a promising solution for management of hypertension as a chronic disease. Implication: apply tele-nursing via follow up phone services to improve patient’s adherence to a healthy regimen.
American Journal of Nursing Research. 2020, 8(1), 18-26. DOI: 10.12691/ajnr-8-1-3
Pub. Date: November 06, 2019
3592 Views1177 Downloads1 Likes
The Effect of Implementing a Guideline Protocol on Nurses' Knowledge about the Nutritional Requirements of Low Birth-Weight Infants
Original Research
Background: Optimal nutritional management for low birth weight infants decreases postnatal catabolism, promotes growth, and improves neurodevelopmental outcomes. A guideline protocol about the ‎nutritional requirements is necessary to understand the practical knowledge related to feeding of these infants, decrease variation in knowledge among nurses, and promote the health outcomes for low birth weight infants. Aim: This study aimed to assess the effect of implementing a guideline protocol on nurses' knowledge about the ‎nutritional requirements of low birth weight infants. Research design: A quasi-experimental design was used. Setting: The study was conducted at the neonatal intensive care units affiliated to Health Insurance Hospital, Mansoura Old General Hospital, and ‎Mansoura New General Hospital in El - Mansoura City, Egypt. Sample: The study included a convenience sample of 59 nurses working in the previously mentioned study settings. Tool: Data were collected by using self- administered questionnaire sheet which composed of two parts. Part 1: Characteristics of the studied nurse. Part 2: Nurses' knowledge about nutritional requirements of low birth weight infants.Results: More than half of the studied nurses had insufficient knowledge about nutritional requirements of low birth weight infants, pre implementation of guideline protocol, while all of the studied nurses had a sufficient knowledge post implementation of guideline protocol, which revealed a significant differences.Conclusion: There was a significant improvement in nurses' knowledge about the nutritional requirements of low birth weight infants post implementation of guideline protocol. Recommendation: Developing training programs regarding nutritional requirements of low birth weight infants depending on evidence-based guideline protocol for the nurses at neonatal intensive care units is important to improve their knowledge.
American Journal of Nursing Research. 2020, 8(1), 9-17. DOI: 10.12691/ajnr-8-1-2
Pub. Date: November 05, 2019
2825 Views867 Downloads
Effectiveness of Applying Simulation Based Learning on Nurses' Performance and Self-Efficacy Regarding Advanced Basic Life Support
Original Research
Background: An advanced technology and learning ways like simulation continue to evolve, it is vital for new as well as old nurse educators worldwide to have effectiveness in their teaching skills and abilities. Thus, Simulation is evidence based learning method and is highly used in nursing educational field widely. Study aim: to evaluate the effectiveness of applying simulation based learning on nurses' performance and self-efficacy regarding advanced basic life support. Study design: quasi-experimental research design was used. Setting: carried out in medical surgical nursing skill laboratories at Nursing faculty, Port Said University. Study subject: Convenience samples of 56 nurses were selected from some of governmental hospitals in Port-said city which included Cleopatra hospital, Algwhara hospital, Alnasr hospital that worked at medical, surgical, emergency, burn, orthopedics, dialysis, ICU and neonatal ICU units. Data collection tools: structured interview which included four parts related to sociodemographic characteristics, nurses' knowledge, nurses' practice, and self-efficacy assessment and the learning passed through 4 phases as preparatory phase, pretest, implementation and posttest phase. Results. Showed that there were marked increases in nurses' total knowledge, practice and self-efficacy post implementation of advanced basic life support compared to pretest with statistically significant differences. Conclusions: simulation based learning improved nurses' performance and self-efficacy related advanced basic life support and the study provides aline to enhance the simulation integration as active learning strategies to develop nurses' performance in applying clinical skills. Recommendations: Further studies to evaluate the simulation effect on nurses' learning outputs for more evidence that simulation would be beneficial for nurses' improvement.
American Journal of Nursing Research. 2020, 8(1), 1-8. DOI: 10.12691/ajnr-8-1-1
Pub. Date: November 05, 2019
2741 Views735 Downloads