Volume 8, Issue 2

Depression and Coping Patterns in Mothers Caring for Children with Epilepsy
Original Research
Background: Epilepsy is one of the most common chronic neurological diseases in childhood terms. Mothers that care for children with epilepsy are usually at a high risk of psychological distress, such as depression and anxiety than norms. Parental coping is an important area to focus on to enhance child condition. Aim of the study: The aim of the study was to assess depression and coping patterns in mothers caring for children with epilepsy. Research Design: A descriptive research design was used. Setting: The present study was fulfilled at Neurology outpatient clinic at El-Ahrar General Hospital at Zagazig City in Sharkia Governorate. Subjects: The sample comprised 140 mothers of children with epilepsy. Tools of Data Collection: Three tools were utilized including: Socio-demographic/medical data sheet, Beck's Depression Inventory and Coping Health Inventory for Parents. Results: Thirty percent of mothers suffered from depression. Majority of mothers were unable to have family integration coping, social support coping, medical situation coping and total coping. Moreover, depression was negatively and highly significantly correlated with total coping, family integration coping, medical situation coping, and social support coping. Conclusion: Nearly one third of mothers suffered from depression and majority of them were unable to cope with child disease. Depression in mothers was negatively and highly significantly correlated with their coping ability with child disease. Recommendations: It is recommended to provide mothers of epileptic children with nursing intervention programs about different coping strategies and how to manage psychological problems.
American Journal of Nursing Research. 2020, 8(2), 303-311. DOI: 10.12691/ajnr-8-2-21
Pub. Date: February 22, 2020
1083 Views374 Downloads
Association between Sleep Habits and Quality of Life in Children with Attention Deficit Hyperactivity Disorder
Original Research
Background: Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common chronic disorders which influence millions of children worldwide.It is a neurodevelopmental disorder that has a great impact on children in a critical period of development, the treatment of which extends over years. Aim: This study examined the association between sleep habits and quality of lifein children with ADHD. Methods: By using a descriptive cross-sectional study conducted on one hundred sixteen of children with ADHD attending the child psychiatric outpatient clinic of Mansoura University Hospitals. Three tools were usedfor data collection:A structured questionnaire of the socio demographic and clinical features, the Children’s Sleep Habits Questionnaire (CSHQ), and the Pediatric Quality of Life Inventory (PedsQLTM). Results: The total mean (±SD) of sleep habits was 64.77 ± 18.43. The studied children rated themselves significantly better than their parents in all domains of PedsQLTM (P < 0.0001) and there were statistical significant associations between CSHQ score and PedsQLTM score (P≤0.001). Conclusion and recommendation: Sleep disorders are significantly associated with poor physical and psychosocial quality of life. It is possible that such sleep interventions in children with ADHD can enhance their quality of life.
American Journal of Nursing Research. 2020, 8(2), 297-302. DOI: 10.12691/ajnr-8-2-20
Pub. Date: February 20, 2020
1488 Views646 Downloads
The Impact of Metacognitive Skills Educational Program on Metacognitive Awareness, Self- Efficacy, and Problem Solving Skills among Nursing Students
Background: Cognitive skills play a vital role in all aspects of cognitive tasks, including verbal information exchange, greater understanding of reading, motivation, verbal understanding, writing, attention, solving problems and social cognition. Aim of this study: To examine the effectiveness of metacognitive skills educational program on metacognitive awareness, self-efficacy, and skillsofproblem solving among nursing students at the Faculty of Nursing ZagazigUniversity. Subjects: Asimple random sample (n= 70) of nursing students enrolled in fourthacademic year 2019-2020. Tools of data collection: A questionnaire sheet was used for collection of dataincluding four parts: 1) Personal characteristics of the nursing students, 2) Metacognitive Awareness of Reading Strategies Inventory (MARSI), 3) General Self-efficacy Scale, and 4) The problem solving skills inventory. Results: revealed that there were statistically significant strong correlations between students’ metacognitive awareness, self-efficacy, and skills of problem solving after the educational program. Conclusion: Metacognitive skills educational program had positive influence in improving students' metacognitive awareness, self-efficacy, and skills of problem solving. Recommendations: Encourage nursing educators to develop the self-efficacy and skills of problemsolving of the students by placing clear strategies to enhance learning and embedding them in the different courses. Infuse training courses dealing with metacognitive thinking skills, with paying attention to the development of metacognitive thinking skills during all academic years.
American Journal of Nursing Research. 2020, 8(2), 289-296. DOI: 10.12691/ajnr-8-2-19
Pub. Date: February 18, 2020
2043 Views1050 Downloads
Improving Patient Experience through Nurses: A Literature Review
Literature Review
The paper aims at analyzing the impact of the nursing practice on patient experience during treatment. I identified five major themes to improve patient experience, which included nurse-patient relationship, nurse leader rounds, hourly nurse rounding, provider communications skills building, and teamwork. Much of the literature used from the United States contains information acquired through quantitative means unlike journals from other regions. The arising issues discussed in the paper is sufficient evidence serving as an indication that there is still much to do in a bid to ensure the delivery and receipt of quality services to improve patient experience during treatment. Through the research, it became evident that organizations cannot only rely on the healthcare professionals to ascertain quality healthcare. Patients also need to play their part for a successful engagement.
American Journal of Nursing Research. 2020, 8(2), 284-288. DOI: 10.12691/ajnr-8-2-18
Pub. Date: February 16, 2020
1925 Views370 Downloads1 Likes
Exploring the Knowledge Regarding Pain Management among Nursingstudents in Kuwait: A Neural Network Andsemantic Analysis Approach
Original Research
Pain is an unpleasant and highly uncomfortable experience patients can have. It causes stress, decreased quality of life and alterations in the physical, emotional and spiritual aspects of a patient’s well-being. Deficient knowledge toward pain management hinders effective pain management among nurses and future nurses such as nursing students.This research aims to explore on the essential concepts on pain management cognition among nursing students on pain management. The research employed a descriptive, exploratory design using semantic network analysis and artificial neural network approach. Data were obtained using the knowledge and attitudes survey regarding pain (KASRP) tool. Descriptive and inferential statistics were utilized to interpret data. Findings revealed that the concepts of pain, analgesia, assessment and patient were important concepts related to the knowledge on pain management among nursing students in Kuwait. Further, their current study status, work experience and exposure to pain management books were crucial in their education regarding pain management. Pain management should be integrated and comprehensively discussed in the undergraduate nursing program to enhance the knowledge on pain management of the future nurses.
American Journal of Nursing Research. 2020, 8(2), 278-283. DOI: 10.12691/ajnr-8-2-17
Pub. Date: February 16, 2020
1592 Views610 Downloads1 Likes
Effect of Cognitive Behavioral Therapy on Anxiety, Stress, Depression, and Coping Pattern among Pregnant Women with Preeclampsia
Original Research
Aim: Investigate the effect cognitive behavioral therapy on anxiety, stress, depression, and coping pattern among pregnant with pre- eclampsia. Method: Design: Quazi experimental (pre and posttest) design. Setting: Antenatal outpatient clinic and high-risk inpatient department in Mansoura University Hospital. Subjects: Eighty eix pre- eclamptic women who attending antenatal outpatient clinic, and high risk inpatient department, Mansoura University Hospital, subjects were divided randomly into two equal groups. Tools: Five tools were used for data collection, structured interview schedule, Beck Anxiety Inventory, Perceived stress scale (PSS), Beck depression inventory-II (BDI-II) and Coping Patterns Scale: Adopted from Genedy. Results: The study findings revealed that there was a statistical significant difference in scores of depression, anxiety, and stress pre and post the cognitive behavioral therapy among the intervention group (P≤0.001) with large effect size (η2=0.7). Conversely, in the control group, there was no statistical difference in scores of depression, anxiety, and stress pre and post the routine care (P>0.05).Conclusion: Cognitive-behavioral therapy can be used as a treatment option for reducing pregnancy-specific anxiety, stress and depression in preeclamptic women. Recommendations: Educational programs are important for improving mental health for mothers and reduce the common maternal mood disorders post-pregnancy.
American Journal of Nursing Research. 2020, 8(2), 269-277. DOI: 10.12691/ajnr-8-2-16
Pub. Date: February 11, 2020
1642 Views717 Downloads
Impact of Internet Addiction on Lifestyle and Dietary Habits of Secondary School Adolescents
Original Research
Background: Adolescents are the most vulnerable group for internet addiction which can have a negative impact on adolescents' diet, exercise and nutrition. Objective: To determine the impact of internet addiction on lifestyle and dietary habits of secondary school adolescents. Methods: A cross-sectional design was utilized from January to May 2018 at four governmental secondary schools in Assiut city. It compromised of a stratified sampling technique of 400 adolescents aged from15-17 years old. Two tools included: Internet addiction test, and lifestyle pattern and dietary habits questionnaire to collect the data. Results: There was a statistical significant relation between levels of internet addiction and lifestyle of the studied adolescents. Also, there was statistical significant relation between levels of internet addiction test and change in dietary habits of the studied adolescents. Conclusion: Adolescents students who had significant problem from internet use complained of irregular bedtime, sleep disturbance, used tobacco, eat big meals, had loss of an appetite, and had fast eating speed more than their counterparts who had control over internet use. Recommendations: Raising adolescents’ awareness through mass media and health education program in the schools and family-centered care about adverse effects of internet addiction on their lifestyle and dietary habits.
American Journal of Nursing Research. 2020, 8(2), 263-268. DOI: 10.12691/ajnr-8-2-15
Pub. Date: February 10, 2020
1895 Views772 Downloads
Knowledge and Perception of Cervical Cancer and Its Prevention among Female Nurses in the Ga South Municipality, Ghana
Original Research
Background: Cervical cancer is the second most common cancer worldwide for women after breast cancer. Every year, around 494,000 females develop cervical cancer globally and almost 49.5% (233,000) die from the disease annually with about 80% (376,000) of such deaths occurring in developing countries. Little evidence exists on the extent of cervical cancer awareness among nurses in the Ga South Municipality in the Greater Accra Region of Ghana. This study was conducted with the aim of assessing the knowledge and perception of cervical cancer and its prevention among nurses in selected health facilities within the study area. Method: A sample of 200 respondents was selected with a multi-stage sampling technique. Univariate and bivariate analyses were respectively conducted to estimate frequencies and measure the level of associations between selected variables outputs. Results: The knowledge of cervical cancer among the nurses was generally high (85.5%). The predominant source of information is from public health workers (30.99%) followed by the School (24.56%). Knowledge about the signs and symptoms of the disease were insufficient as about half of the respondents did not know whether persistent lower back pain, bleeding from the vagina, persistent pelvic pain 68(34%) and unexplained weight loss 25(12%) were signs and symptoms of the disease or not. Also, knowledge about the risk factors was inadequate as some of the respondents were not sure whether smoking any form of cigarettes 56(28%), infection with Chlamydia 46(23%), having a sexual partner who is not circumcised 35(17%), having many children 75(35%) and not going for regular pap smear 55(27%) increased one’s risk of developing cervical cancer or not. Conclusion: The study revealed inadequate knowledge about cervical cancer among nurses in the Ga South Municipality. Interventions by stakeholders especially the Ga South Municipal Health Directorate should be geared towards addressing the inadequacy of cervical cancer knowledge among its health providers by organizing training programs to address the setback.
American Journal of Nursing Research. 2020, 8(2), 254-262. DOI: 10.12691/ajnr-8-2-14
Pub. Date: February 09, 2020
1646 Views574 Downloads3 Likes
Effectiveness of Educational Sessions on Reproductive Health among Blind and Deaf Students at Zagazig City
Original Research
Background: Both deaf and blindness are devastating physical conditions with deep emotional and economic implications. The aim of this study was to evaluate the effectiveness of educational sessions on reproductive health among blind and deaf students at Zagazig city. Subjects and methods; A quasi-experimental design was used. Purposive sample of Sixty three students Deaf and Blind from El-Amal School for Deaf and Hard for Hearing, and El-Nour School for Blind respectively at Zagazig City. Two tools were used; I. A questionnaire consisting of two parts: Part A; Socio-demographic characteristics of the student. Part B; Student's knowledge about reproductive health. II. An observational checklist to assess the student's practice to breast self-examination. Results showed that the total score value of knowledge among blind and deaf student’s improved from 9.15% and 8.28% respectively in preprogram, to 90.23% and 91.38% respectively immediately post program, and decreased slightly to 88.08%, and 88.5% respectively at follow up 3 months’ post program. Conclusion: The educational session's significantly brought out improvements in the knowledge and practice of Blind and Deaf students regarding reproductive health. So, it is recommended that a health education about reproductive health to be provided to all students in the special schools, and continuing training programs to be provide to all students to update their knowledge and practices.
American Journal of Nursing Research. 2020, 8(2), 245-253. DOI: 10.12691/ajnr-8-2-13
Pub. Date: February 09, 2020
1679 Views451 Downloads1 Likes
Evaluating the Impact of Continuing Professional Development within Intensive Care Unit Nurses in the UK
Original Research
Background: Continuing Professional Development (CPD) within a nursing context is the process by which nurses engage in ongoing activities and reflection that may eventually result in a complete control over an individual’s personal leaning and development. Such course of action actualises working context and acts as a source of inspiration and a motivation towards the achievement of goals and objectives within the Intensive Care Unit (ICU) nursing context. Objective: The aim of this systematic literature review is to find out the impact of CPD among ICU nurses in the United Kingdom (UK). Methods: To achieve this aim, an online investigation for literature related to CPD in the UK is done using databases and internet search engines. In total, five academic databases proved to be important in isolation of materials for use in addressing the CPD of ICU nurses in the UK. These academic databases included MEDLINE, Cochrane, PubMed, CINAHL, and ProQuest, all of which provided multilingual academic sources of both primary and secondary data about CPD and associated programmes. The search strategy also employed the use of five academic search engines, which included Google, Yahoo, Bing, Ask.com, and Baidu, again, all of which provided multilingual data regarding the selected topic. The inclusion and exclusion criterion is employed to outline in this paper. Results: Eight academic sources is selected to discuss the provision of CPD in the UK, outline the views of ICU nurses regarding CPD and to address the various barriers facing CPD programmes in the UK. Conclusion: The research concluded that CPD programmes are very beneficial to practicing nurses since they keep the nurses’ knowledge and skills up to date considering the changing nursing practice. The overall view of nurses regarding CPD is that the programmes should be retained and continued for a better nursing workforce. Certain barriers were identified as key to interfering with the provision of CPD among ICU nurses including financial constraints, nursing shortage and lack of adequate time due to improper scheduling.
American Journal of Nursing Research. 2020, 8(2), 227-244. DOI: 10.12691/ajnr-8-2-12
Pub. Date: February 04, 2020
1466 Views495 Downloads
Implementation of Objective Structured Clinical Examination (OSCE): Perceiving Nursing Students and Teachers Attitude & Satisfaction
Original Research
Background: The clinical learning for undergraduate nursing students in Northern Border University is well integrated but the method of clinical evaluation is still utilizing the traditional methods. Aim of the study: our study aimed to evaluate the effectiveness of Objective Structured Clinical Examination (OSCE) on nursing students and teachers' attitudes & satisfaction. Methods: Quasi experimental design (one group pre posttest) was used to achieve the aim of the study. The study was conducted on a convenience sample composed of two groups; group one includes a sample of 91 undergraduate nursing students and the second group includes 25 nursing faculty staff members who are clinical instructors and assistant professors at Faculty of Nursing, Northern Border University (Kingdom of Saudi Arabia). Results: A statistical significant difference was found in relation to students' perception of structure and conduction of OSCE examination in the first and second trail. More than one third the students (35.2%) were replying that the OSCE format reduces the risk of failing in the first trail the percentage was improved to more than two thirds (69.2%) in the second trail. more than half of faculty teachers were replying with strongly agree regarding involvement of OSCE in nursing curriculum, OSCE assesses all the students objectively and it is fair to all students and it offers new experience for students and faculty staff. Conclusion: The study concluded that, the student satisfaction and attitude was positive regarding OSCE exam especially in the second trial. In addition, the faculty teachers express positive attitude regarding preparation and handling of OSCE exam.
American Journal of Nursing Research. 2020, 8(2), 220-226. DOI: 10.12691/ajnr-8-2-11
Pub. Date: February 04, 2020
2168 Views800 Downloads
Developing Competencies of Maternity Nurses on Relieving Postpartum Perineal Pain Using Cold Application
Original Research
Nursing competency is one of the factors to be considered in assessing the performance of a nurse. It includes knowledge, skills and attitudes (KSA) which could lead to the achievement of the goals of the nurse to the patient. A variety of nursing interventions aimed at relieving perineal pain are largely based on localized cooling. Unfortunately, these interventions may not follow the accurate nursing practice for providing immediate and adequate postpartum perineal pain relief. The accurate assessment and appropriate management of postpartum perineal pain requires high levels of nursing skills and competency. Aim of the study: To investigate developing competencies of maternity nurses on relieving postpartum perineal pain using cold application. Method: A quasi-experimental research design was used. Sample: A convenience sample of 70 staff nurses who had worked in the study settings and purposive sample of 200 postpartum women from the same place. Settings: The study was conducted at the postpartum unites in Teaching Hospital and University Hospital, at Shebin El-Kom, Menoufia Governorate, Egypt. Instruments: Four instruments were used in this study for data collection, a structured interviewing questionnaire, competency standards checklist (CSC), short-form McGill pain questionnaire (SF-MPQ) and postpartum comfort questionnaire (PCQ). Results: There was an increase in the percentage of nurses who were classified at the good level in their knowledge and practice regarding perineal cold application to postpartum women in the post-intervention compared to the pre-intervention and overall competency practice increased significantly (p < .001) in the post-intervention compared to the pre-intervention. Conclusion: The nurses who are subjected to competency intervention about relieving the postpartum perineal pain using cold application had a higher knowledge score and a competent practice in the post-intervention than pre-intervention. Recommendations: In-service training programs should be provided for developing the nurses’ competency regarding postpartum perineal cold application in order to develop their best practice.
American Journal of Nursing Research. 2020, 8(2), 211-219. DOI: 10.12691/ajnr-8-2-10
Pub. Date: February 03, 2020
1748 Views530 Downloads
Effect of Educational Program on Prevention of Pesticides Hazards among Children Working in Agriculture
Original Research
Background: A child's exposure to pesticides is widely acknowledged as a threat to the physical well-being of children and the environment. The research aimed to evaluate the effect of educational programs on the prevention of pesticide hazards among children working in agriculture. Design: Quasi-experimental design (study group only, pre/ post/ follow up- test) was used in this study. Setting: This study was conducted at Al Qassasin Al Kadima preparatory school. The study sample: convenient sample (97 Children) selected from preparatory school students working in agriculture. Tools: Tool (1): Children working in agriculture assessment structured interview questionnaire. Tool (2): An observational checklist for children working in agriculture. Results: there was a statistically significant relationship between socio-demographic data of children working in agriculture as gender, hours working per day and their mean scores of knowledge, and practice in post-test and follow-up phases at p<0.001. Also, there was a statistically significant correlation (P=0.041*) between their total mean scores of knowledge and practice throughout the post and follow-up phases. Also, there was a statistically significant correlation between their total mean scores of knowledge and attitude throughout the post phases. Conclusion: Knowledge, attitude, and practice of children working in agriculture about pesticides had shown high improvement as compared to the pre-program test. Recommendation: Organizing workshops and school activities such as drama plays, painting, and games about pesticides and their dangers with each agricultural cycle in schools located in rural areas to raise health awareness among children working in agriculture and their parents.
American Journal of Nursing Research. 2020, 8(2), 199-210. DOI: 10.12691/ajnr-8-2-9
Pub. Date: February 03, 2020
1244 Views361 Downloads
Effect of Applying Program Based Learning on Nurse's Performance and Self-efficacy Regarding Arterial Blood Puncture
Original Research
Background: Arterial blood puncture is one of the most complex parts of nursing practice. Purpose: Evaluate effect of applying program based learning on nurse's performance and self-efficacy regarding arterial blood puncture. Method: Quasi experimental research design has been utilized in this study. This study was conducted at four hospitals affiliated to ministry of health. A convenient sample of 70 nurses was included. Three tools were utilized for collecting data; first tool was a questionnaire to assess nurses' knowledge regarding arterial blood puncture. Second tool was observational checklist of arterial blood puncture procedure. The last one was arterial blood puncture self-efficacy scale. Results: the study results revealed improvement in nurses' knowledge and practice regarding arterial blood puncture after applying the program based learning. A significant difference was founded between levels of nurses' self-efficacy about arterial puncture after program implementation with p-value of 0.000. While, hospitals where nurses working are associated significantly with total self-efficacy of nurses regarding arterial blood puncture. Conclusion: the current study concluded that the program based learning about arterial puncture improves nurses' knowledge, practice and self-efficacy. Additionally, regular training program regarding arterial blood puncture should be applied in hospitals. Conducting the same study in larger sample is recommended.
American Journal of Nursing Research. 2020, 8(2), 192-198. DOI: 10.12691/ajnr-8-2-8
Pub. Date: February 03, 2020
1186 Views324 Downloads
Effectiveness of Acupressure in the Reduction of Pain and Anxiety among Patients with Open Thoracotomy
Original Research
Acupressure is a helpful and powerful non-pharmacologic intervention used to reduce pain and anxiety through stimulation of the blood circulation, secretion of neurotransmitters and providing comfort for patients post open thoracotomy. The aim of this study was to investigate the effect of acupressure in reduction of pain and anxiety among patients with open thoracotomy. Design: pre and post test quasi-experimental design. Setting: Cardio-thoracic intensive care unit (ICU) and cardio-thoracic department of Mansoura University Hospital. Sample: A purposive sample of 136 patients, 68 in the experimental group and 68 in the control group based on criteria for inclusion and exclusion. Data were collected using the interviewing questionnaire sheet, post thoracotomy anxiety assessment scale, post thoracotomy pain assessment scale and acupressure practice observational checklist. Results: There were statistical significant differences between the control groups and the acupressure group regarding the level of pain and anxiety. Conclusion: Acupressure is an effective technique for reducing the level of pain and anxiety among patients with open thoracotomy.
American Journal of Nursing Research. 2020, 8(2), 182-191. DOI: 10.12691/ajnr-8-2-7
Pub. Date: February 01, 2020
1668 Views414 Downloads
Career Plateau, Self-efficacy and Job Embeddedness as Perceivedby Staff Nurses
Original Research
In this era of globalization, career plateau is considered one of the contributing factors that affects both the organization’s and nurse’s self-efficacy and job embedded, particularly through hurriedly spreading of downsizing and layoffs which characterizes today’s worldwide work, so it is important for the organizations and managers to be aware of career plateauing or leveling off in a career path to manage it effectively, in order to enhance the organizational competitiveness. Aim: The present study aimed to explore the relationship between career plateau, self-efficacy and job embeddedness as perceived by staff nurses. Research Design: A descriptive correlational design was utilized. Study Setting: The study was conducted in all critical care units and general medical and surgical units at Benha University Hospital. The study sample was: A convenience sample of Bachelor nursing graduates164 who are working staff nurses in the above mentioned study setting. Tools of data collection: Four tools were used: (1) the personal and job characteristics of nurses, (2) Career Plateau Scale, (3) The General Self-Efficacy Scale (GSE), and (4) Job Embeddedness Scale. The result: The findings of this study showed that the majority (89.0%) of staff nurses high perceived career plateau. Also, about half (48.8%) of studied staff nurses' perceived their self- efficacy as moderate and the majority (89.6%) of staff nurses not embedded in their job. Conclusion: The study concluded that there was a negative highly statistical significant correlation between perceived career plateau, self-efficacy and job embeddedness. Otherwise, there was a positive highly statistical significant correlation between self-efficacy and job embeddedness among studied staff nurses. Recommendation: It recommended that, hospital administration should conduct induction courses for new nurses and introducing them to the nature and potential of temporary jobs to align their behavior, rights, and values with the hospital values, goals, and objectives. Also, it should make efforts to ensure that staff expectations are realistic throughout their career to avoid unfavorable job attitudes.
American Journal of Nursing Research. 2020, 8(2), 170-181. DOI: 10.12691/ajnr-8-2-6
Pub. Date: January 24, 2020
1832 Views556 Downloads
Effect of Implementing Standardized Preventive Guidelines for Pressure Ulcer on Nurses' Performance
Original Research
Background: The occurrence of pressure ulcers is an indicator of the quality of nursing care that patients receive. It is an issue that affects the quality of life of patients and raises the pressure on healthcare workers and the families of patients. Inadequate levels of awareness and performance may lead to the development of pressure ulcer. So, Nurses need to keep up to date on Pressure ulcer prevention. Aim:The study aimed to evaluate the effect of implementing standardized preventive guidelines for pressure ulcer on nurses' performance. Subjects and method: A quasi-experimental design was conducted on all available nurses provide direct care to patients at the time of data collection (99) in Port Said governmental hospitals. The datawere collected using three tools; Nurses' Knowledge questionnaire, Nurses' attitude scale, and nurses 'observational checklist. Results:The findings of the present study showed that there was a statistically significant difference in nurses' knowledge, attitude, and practice pre and post implementing standardized preventive guidelines for pressure ulcer at p <0.001. Conclusion: The study concluded that there were improvements in nurses' performance regarding the care of patients at risk for pressure ulcer after implementing standardized preventive guidelines for pressure ulcer. So, the study recommended that there are specific demands for structured recommendations for the prevention of ulcer pressure given to nurses caring for high-risk patients on simple media. Efforts should be made to design and implement educational programs that match institutions and hospitals with field evidence, enhanced facilities and nurses ' educational approach of caring strategies for the patient's pressure ulcer risk.
American Journal of Nursing Research. 2020, 8(2), 163-169. DOI: 10.12691/ajnr-8-2-5
Pub. Date:
1646 Views486 Downloads
Patients' Satisfaction in Governmental Egyptian Emergency Departments
Original Research
Introduction: Patient satisfaction is one of the core objectives of health care facilities and an indicator of how well the patient is being treated. It refers to the quality of care while a growing factor in the effectiveness of hospital services. More and more hospitals are starting to pay attention to patient experience. Aim: to identify the aspects of satisfaction of patients and their families in both adult and pediatric governmental Emergency Departments and their recommendations of improvement. Methods: Cross section survey using (Brief Emergency department Patient Satisfaction Scale (BEPSS). The sample size was 300 patients, 150 from adult emergency at Mansoura hospital and 150 from pediatric emergency at Bannha hospital as a convenience sample. Result: The waiting time in the adult ED ranged from (5 minutes to 120 minutes) and most admissions were at the morning shift. While at the pediatric hospital the waiting time ranged from 5 minutes to 100 minutes) and most of admissions were at the afternoon shift. The results showed that the main domain in BEPSS in adults was respecting patient’s family while in pediatric it was the nurse’s care about treatment. The main recommendation of improvement in pediatric ED was modifying the procedures while in adult ED was training the physicians. Conclusion: Training physician is the main domain recommended by patient and their families of improvement in adult ED while modifying procedures and skills for both nurses and physician is the main domain in pediatric ED.
American Journal of Nursing Research. 2020, 8(2), 157-162. DOI: 10.12691/ajnr-8-2-4
Pub. Date: January 15, 2020
2018 Views739 Downloads
Impact of Surgical Site Infection at Obstetric Department on Healthcare Costs and Patient Outcomes: Retrospective Review
Original Research
Introduction: Morbidity and mortality were associated with increased surgical site infections (SSIs). Besides, it is a financial problem and has a negative impact on patient quality of life (QoL). Aim of study: It was to evaluate the impact of surgical site infection at Obstetric Department on healthcare costs and patient outcomes. Methods:Retrospective descriptive design was used for nine months survey, from October 2018 to Jun 2019. It included all the infected cases at a certain period, conducted through patient’s files and infection control surveillance at Kasr Al Ainy Obstetric Emergency Hospital. Results: SSI rate was around 0.7% per month, with an average length of stay (LOS) of 21 days which affected the patient outcomes. Total cost for antibiotics ranged from 400 to 7800 Egyptian Pounds per patient. Most common pathogens were Acinetobacter baumannii and Escherichia coli (E. coli) found in the environment and food. The most antibiotics used were Flagyl (metronidazole), Rocephin (ceftriaxone) and Unasyn (Ampicillin/Sulbactam). Conclusions: Surgical site infections have bad health and economic impacts. Environmental sanitation, safety measures for intravenous (IV) solutions, corrective department design, implementation of policies and procedures for infection control are highly recommended.
American Journal of Nursing Research. 2020, 8(2), 151-156. DOI: 10.12691/ajnr-8-2-3
Pub. Date: January 15, 2020
2150 Views619 Downloads
Effectiveness of Video Assisted Teaching Program on Postpartum Minor Discomforts of Primipara Mothers
Original Research
Postpartum period is the time of vast change for women both physically and psychologically. During this time, primipara mothers need details about minor discomforts and how to cope.Aim of the study: To investigate the effectiveness of video assisted teaching program on postpartum minor discomforts of primipara mothers. Method: A quasi experimental research design pre and posttest one group was selected for this study. Sample: A purposive sample of 100 primipara mothers with minor discomforts during the postpartum period were selected. Settings: The study was conducted at the postpartum unit of Teaching Hospital and University Hospital, at Shebin El-Kom in Menoufia Governorate, Egypt.Instruments: A structured interviewing questionnaire, postpartum minor discomforts questionnaire (pre and post-test) and the postpartum minor discomforts follow up instrument were used for data collection. Results: There was a statistical significant difference among the study participants in terms of knowledge and practices regarding the postpartum minor discomforts in pre and post-test. Conclusion: The postpartum primipara mothers had an improvement in their knowledge and practices in posttest compared to pretest after watching the video assisted teaching program regarding the postpartum minor discomforts.Recommendations: Video assisted teaching Program should be offered to postpartum primpara mothers in clear and comprehensive explanation to improve their knowledge and practice concerning the postpartum minor discomforts before discharge from the hospital.
American Journal of Nursing Research. 2020, 8(2), 142-150. DOI: 10.12691/ajnr-8-2-2
Pub. Date: January 15, 2020
2185 Views684 Downloads
Impact of Puerperal Sepsis Self-Care Nursing Guideline on Women's Knowledge and Practices
Original Research
Background: Over 30.000 maternal deaths were referred to as postpartum sepsis; which consider as the third most frequent cause of approximately 290.000 maternal deaths worldwide. Puerperal sepsis is an important public health problem which is а leading cause of maternal death, especially, in developing countries due to the lack of knowledge on preventive methods. This study aimed to investigate the impact of puerperal sepsis self-care nursing guidelines on women's knowledge and practice among primiparous postnatal mothers. Subjects andMethods: An interventional quasi-experimental, pre-posttest, research design was carried out at the postpartum unit of Fayoum General and University Hospitals on 100 primiparous women. Data were collected using а structured interview questionnaire. Results:There is а highly significant improvement of the studied women’s knowledge regarding puerperal sepsis after introducing of the puerperal sepsis self-care-nursing-guidelines compared with pre-intervention (p<0.001). There are no significant differences in the total score of knowledge about socio-demographic variables (p>0.05). However, improvement of women’s knowledge regardless of their demographic variables was noticed in both immediately-intervention and one-month after the intervention. Conclusion: The primiparous-postnatal mothers who received and compliance with the guidelines regarding puerperal sepsis and its prevention had high knowledge and practices score in the post-test of the intervention program than in pre-test (P≤0.01), which shows the effectiveness of puerperal sepsis self-care nursing guidelines in increasing the knowledge score of primiparous post-natal mothers regarding the prevention of puerperal sepsis. Recommendations: Such guideline needs to be given while the antenatal period also and thus promote healthy post-partum period. The study can be replicated in а larger sample, in different settings.
American Journal of Nursing Research. 2020, 8(2), 132-141. DOI: 10.12691/ajnr-8-2-1
Pub. Date: January 10, 2020
2922 Views853 Downloads