Volume 8, Issue 3

The Role of National Early Warning Score in Detecting and Decreasing Cardiorespiratory Arrest amongst Patients with Acute Coronary Syndrome
Original Research
Background: National early warning score (NEWS) is consider the simplest system of physiological scoring attempts to identify deteriorating patients’ early so timely interventions can occur thus reducing serious adverse events. We aimed to evaluate the role of National early warning score in detecting and decreasing cardiorespiratory arrest amongst patients with acute coronary syndrome. Materials and Methods: a retrospective cohort study was undertaken on 60 patients with Acute Coronary Syndrome (ACS) at Coronary Care Unit (CCU). Data collection occurred over 3 phases. Phase I (Pre-NEWS data collection); physiological parameters were extracted retrospectively between 1 May 2019 and 30 July 2019 using Electronic Health Intelligence System (HIS). Phase II: one-month (1st -30th August, 2019); introduction and training of critical care nurses and doctors in CCU about NEWS. Phase III: Post NEWS data collection; physiological parameters were collected directly from the patients with ACS between 1 September 2019 and 30 November 2019. Results: the mean of NEWS, was 1.42 and 5.52 for the Post NEWS and Pre NEWS groups respectively with a statistically significant difference between them (p<0.001). It was noticed that a significant decrease in cardiorespiratory arrest and death in Post NEWS group (36.6%, 20%) versus Pre NEWS group (66.7%, 56.7%) respectively. Conclusion: The NEWS was significantly effective in decreasing occurrence of cardiorespiratory arrest and death. So, the NEWS is a useful tool to identify patients with ACS at greatest risk of cardiorespiratory arrest. Therefore, applying the NEWS as a part of routine nursing assessment for all patients with ACS is highly recommended.
American Journal of Nursing Research. 2020, 8(3), 406-411. DOI: 10.12691/ajnr-8-3-11
Pub. Date: April 24, 2020
1197 Views565 Downloads
Effect of Implementing Guidelines Regarding Administering Inotropic Medications for Critically Ill Patients on Nurses' Knowledge
Original Research
Background: There is no teaching guidelines denoted for improving the nurses' knowledge regarding inotropic medication administration, that emphasizes the intervention teaching guidelines necessity. Aim of the study: To assess the effect of intervention teaching guidelines regarding administering inotropic medications for critically ill patients on nurses' knowledge. Design: Quasi-experimental research design was used in the study. Setting: the present study was carried out at Critical Care Units. Sample: A convenient sample of all staff nurses (60 nurses). Tools of data collection: The data were collected using one tool titled nurses' knowledge assessment questionnaire. Results: 86.7% of studied nurses had satisfactory level of knowledge regarding inotropic medications post implementing teaching guidelines. The post and follow up-intervention mean knowledge was high 29.33, 29.40 respectively when compared with pre-intervention practice mean score 18.10 with P value < .001.
American Journal of Nursing Research. 2020, 8(3), 399-405. DOI: 10.12691/ajnr-8-3-10
Pub. Date: April 20, 2020
1218 Views537 Downloads
The Relationship between Social Support and Fatigue Severity among Hemodialysis Patients
Original Research
Fatigue is a frequent complaint of hemodialysis patients and occurs after dialysis sessions. Dealing with fatigue in dialysis patients requires effective social support. Hemodialysis patients receive a high level of social support. The study aimed to assess the relationship between social support and fatigue severity among hemodialysis patients. A quantitative descriptive correlational research design was used. The study was conducted in the Artificial Kidney Unit at AL Noor Specialist Hospital, Makkah, Saudi Arabia. A convenience sample of 65 adult hemodialysis patients was recruited. Data were collected through two tools; Tool I, Fatigue Severity Scale which consists of two parts; Part I, Socio-demographic and clinical data. Part II, Fatigue Severity Scale to measure the severity of fatigue. Tool II, a Multidimensional scale of perceived social support to measure how much support a patient feels they get from family, friends and significant others. The study results showed that 40.0 % of the studied participants had no fatigue, 35.4 % had mild fatigue, while 23.1 % had moderate fatigue and 1.5 % had severe fatigue. It was found that 52.3 % had moderate social support, 44.6 % had high social support, and 3.1 % had low social support. There was a positive correlation with statistical significance between the severity of fatigue and total social support with p-value 0.016, particularly significant others and family support with p-value 0.001, and 0.030, respectively. It was concluded that there was a relationship between social support and fatigue severity among hemodialysis patients. The current study recommended raising the awareness of family, friends, and special person regarding the importance of social support for hemodialysis patients.
American Journal of Nursing Research. 2020, 8(3), 392-398. DOI: 10.12691/ajnr-8-3-9
Pub. Date: April 17, 2020
1105 Views441 Downloads
Training Program for Improving Clinical Teaching Knowledge as a Competence of Clinical Instructors
Original Research
Background: The clinical teaching is a complex interaction between students and teachers. The quality of the student- teacher interaction in the clinical field can either facilitate or hinder the students' integration of theory to practice. The study aimed to assess the effect of training program on clinical teaching knowledge of the clinical instructors at faculty of nursing, Suez Canal University. Design: A quasi-experimental study design. Setting: The study was conducted in Faculty of Nursing, Suez Canal University. Sample: Convenient sample were included all clinical instructors (43) who participate in students' clinical teaching during the academic years 2016/2017 and 2017/2018.Tools: Tool (1): Self-Need Assessment Sheet which included two parts. Part I: personnel data of clinical instructors, Part II: it contains question about the needs related to clinical teaching knowledge. Tool (2): Self-administered clinical teaching knowledge questionnaire. The results: There was statistical significant difference (p≤0.01) between mean scores of the clinical instructors in relation to their total clinical teaching knowledge throughout the three phases of the program (pre, post & follow up).Also, there were statistically significant relations between clinical instructors' characteristics of specialty and their knowledge level. Conclusion: the clinical teaching knowledge of clinical instructors was improved post and follow- up implementation of the program compared to pre implementation of the program. Recommendation: Continuous assessment of clinical instructors' learning needs and monitoring their performance and develop a clinical teaching efficacy scale to evaluate clinical nursing instructors based on the attributes of rules and their capabilities.
American Journal of Nursing Research. 2020, 8(3), 379-391. DOI: 10.12691/ajnr-8-3-8
Pub. Date: April 16, 2020
1217 Views503 Downloads
Post-Traumatic Stress Symptoms among Siblings of Terminally Ill ‎Children
Original Research
Background: The sibling relationship is usually the first, most intense, and longest peer relation that an ‎individual will ever have. Therefore, having a brother/sister with terminal illness poses a risk to the siblings' ‎mental health because of the stress they are under and insufficient support from others. Aim: This study aimed ‎to assess post-traumatic stress symptomatology among siblings of terminally ill children in Ismailia city. Design: ‎descriptive design was adopted for this study. Sample: purposeful sample of eighty one siblings of children with ‎terminal illness. Tool of data collection: the data was gathered through structured interview ‎where the tool was divided into two parts: the first part includes: demographic characteristics of the studied ‎subjects and the second part includes: The Child PTSD Symptom Scale (CPSS). Results: All siblings of children ‎with terminal illness in this study have met criteria of post-traumatic stress symptomatology (PTSS) with nearly ‎half of them had severe symptoms. Conclusion: siblings of children with terminal illness are at substantial risk ‎for PTSS. Recommendation: Create supporting groups for siblings as an ongoing service where siblings of ‎children with terminal illness have an opportunity to meet with others in a similar situation and share their ‎experiences and feelings.
American Journal of Nursing Research. 2020, 8(3), 372-378. DOI: 10.12691/ajnr-8-3-7
Pub. Date: April 13, 2020
1102 Views314 Downloads
The Effect of Emotional Intelligence Program on Nursing Students’ Clinical Performance during Community Health Nursing Practical Training
Original Research
Background: Nursing profession and community health nursing practice needs the understanding of a lot of emotional perception, social skills or capability to manage self-emotions and emotion of others to convey the caring attribute. It is the hardest and most emotionally drained profession which requires high degree of emotional intelligence (EI) that can be developed. This study aims to evaluate the effect of emotional intelligence program on nursing students’ clinical performance during community health nursing practical training. Methods: A quasi-experimental design was used. This study conducted at the nursing faculty, Benha University. A convenience sample (100) students who were recorded at community health nursing course were included in this present study. Three tools were used for collection of data: first; structured interviewing schedule for collecting data about demographic characteristics and knowledge of the subjects toward emotional intelligence. Second; The Schutte Self-Report Emotional Intelligence Test, it was comprised of 33-items.Third; the six dimension scale of nursing performance (6-DSNP) to evaluate the students’ clinical performance. Results: There were statistically significant progresses (P= 0.000) toward nursing students’ emotional intelligence & knowledge and their clinical performance after the program as compared to before program. A positive significant correlation (P< 0.05) between total studied students' scores of EI and all subscales of 6-DSNP before and after the program, also, there was a significant relation (P< 0.05) between studied students' total scores of EI & gender of students before and after the program. In contrast, no significant relation (P > 0.05) was observed between total scores of 6-DSNP& students' total scores of EI and their socio demographic characteristics. Conclusion: The emotional intelligence program was efficient in improving emotional intelligence of nursing students and their clinical performance through practical training of community health nursing after the program. Recommendation: Teaching courses and sessions about EI should be done for the community health nursing students to develop students’ EI and the topic of EI should be included as a basic section in the community health nursing program for undergraduate and graduate nursing curriculum.
American Journal of Nursing Research. 2020, 8(3), 361-371. DOI: 10.12691/ajnr-8-3-6
Pub. Date: April 12, 2020
1200 Views424 Downloads
Self-efficacy of Postpartum Mothers toward Breastfeeding and the Affecting Factors
Original Research
Maternal breastfeeding self-efficacy (BFSE) is a powerful predictor of a mother’s confidence in breastfeeding and it is a modifiable factor can increase its success and rates. Aim: To examine the breastfeeding self-efficacy and identify factors affecting it during the postpartum period. Method: The descriptive-cross-sectional design was used on 360 postpartum women attended at four maternal and child health centers at Assuit city. A structured interview questionnaire of breastfeeding Self-Efficacy Scale Short Form (BSES-SF).The level of breastfeeding self-efficacy was a moderate among most of the studied women. The multivariate regression model showed that the variables of occupation of the mother, economic status, having a successful and exclusive breastfeeding experience had statistically significant relationships with breastfeeding self-efficacy. Numerous factors such as parity, previous breastfeeding, Sex of the infants that can affect the breastfeeding self-efficacy. Conclusion & Recommendation: Numerously non-modifiable and modifiable factors that can affect breastfeeding self-efficacy. A woman’s level of breastfeeding self-efficacy should be determined during the postnatal period. The healthcare providers pay attention to BFSES-SF and use it to identify the mothers at the risk of early cessation of breastfeeding. Proper strategies could be designed to increase the breastfeeding self-efficacy among this group of mothers and help them eliminate the barriers to breastfeeding.
American Journal of Nursing Research. 2020, 8(3), 352-360. DOI: 10.12691/ajnr-8-3-5
Pub. Date: April 09, 2020
1116 Views381 Downloads
The Effect of On-job Training Sessions on Improving Nurses' Information, Practical Achievement and Their Satisfaction Regarding Patients Suffering from Early Postpartum Hemorrhage
Original Research
Aim: To investigate the effect of on-job training sessions relating to early postpartum hemorrhage on improving nurses' information, practical achievement and their satisfaction. Methodology: A quasi-experimental study and an interventional pre and post-test study were used to study a sample of 78 nurses. The data was collected from the Obstetrics and Gynecology internal departments and outpatient clinics in Benha University Hospital, Benha Teaching and Health Insurance hospitals of Benha City, which is considered the capital of Qalyubia Governorate and affiliated to the Ministry of Health in Egypt. A purposive sample was employed with the use of 3 tools to collect the data, a structured interview a questionnaire; an observational checklist; and nurses' satisfaction tool. Results: The result of the present study shows a highly significant improvement in total information and practical skills among the pre- intervention studied sample compared to immediate and eight weeks' post-intervention, P= < 0.01. Additionally, 83% among the studied sample was satisfied with the new information included in the job training sessions. Also, the main obstacles that prevent nurses to comply with the implemented on job training sessions eight weeks' post-intervention are the sudden emergency cases which represent 75%. Conclusion: the present study concludes that a significant improvement in nurses' information and practices due to the implementation of on-job training sessions. Recommendations: Nursing standards, protocols and guideline must be designed to enhance nurses' information, practical achievement and their satisfaction. On the other hand, hospital administrators must direct their attention toward relieving nurses from administrative work and devoting their time for nurses' activities only.
American Journal of Nursing Research. 2020, 8(3), 344-351. DOI: 10.12691/ajnr-8-3-4
Pub. Date: April 07, 2020
1226 Views621 Downloads
The Effect of Applying a Progressive Muscle Relaxation Technique on Nausea and Vomiting Induced by Chemotherapy among Leukemic Children
Original Research
Background: Although the using of several anti-emetic medications, chemotherapy-induced nausea and vomiting have still considered the most prevalent problems for patients receiving chemotherapy agents. Applying a progressive muscle relaxation technique as complementary and alternative medicine may reduce chemotherapy-induced nausea and vomiting. Aim: Assess the effect of applying a progressive muscle relaxation technique on nausea and vomiting induced by chemotherapy among leukemic children. Design: A clinical trial. Setting: Oncology Center affiliated to Mansoura University, Mansoura City. Subjects: a convenience sample of 66 children who attended the previously mentioned setting were equally and randomly divided into control and study groups. Tools of data collection: A questionnaire sheet, Rhodes Index of Nausea and Vomiting Form 2 and Behavioral relaxation self-rating scale. Results: Children in the study group were less experienced acute and delayed attacks of nausea and vomiting in relation to the frequency and distress, as well as showing a significant increase in the relaxation feeling compared to children in the control group who received only routine care. Conclusion: The study findings proved the positive effect of applying a progressive muscle relaxation technique in reducing nausea and vomiting induced by chemotherapy among leukemic children of the study group. Recommendation: Providing in-service training and regular educational programs or courses about progressive muscle relaxation technique as complementary and alternative medicine to internalize the natural methods for improving health and relieving nausea and vomiting associated with chemotherapy.
American Journal of Nursing Research. 2020, 8(3), 331-343. DOI: 10.12691/ajnr-8-3-3
Pub. Date: March 24, 2020
1329 Views556 Downloads
Program for Prevention Non-Communicable Diseases according to Sustainable Development Egyptian Strategy 2030 among Female University Students at Benha City
Original Research
Background: Non- Communicable Diseases (NCDs) are one of the biggest public health challenges of the 21st century. The social and economic impacts of NCDs are threatening progress towards sustainable development. The aim of this study was to evaluate the effect of program for prevention non- communicable diseases according to sustainable development Egyptian strategy 2030 among female University Students at Benha City. Research design: Quasi-experimental research design was used in this study. Setting: The study was conducted at the female University Town at Benha City. Sample: A simple random sample of female University students, the total sample was (100). Tools: One tool was used. Part I): A structured interviewing questionnaire which consisted of three parts to assess socio-demographic characteristics, female University students` knowledge about non-communicable disease according to sustainable development healthy strategy 2030, and lifestyle reported practices among female University students for prevention of non-communicable disease, part II): Scale to measure attitude of the female University students for the non-communicable disease. Results: 54% of studied female University students their aged was 20 and more years, and 96% of them didn`t have frequency of disease, there were improvement in the studied female University students knowledge scores regarding non-communicable disease according to sustainable development healthy strategy 2030 after program implementation (P < 0.001). 37% of the studied female University students had satisfactory life style reported practices before program, and increased to 84% during the post program. 55% of studied female university students had negative attitude regarding NCDs before program, while this percentage decreased to 35 % post program. Also there was a positive statistically significant correlation between University students `total knowledge scores and female University students `total lifestyle reported practices and attitude scores before and post phases of the program. This study concluded that: The program succeeded to increase knowledge and improve lifestyle reported practices and change attitude of University students regarding prevention of non- communicable diseases according to sustainable development Egyptian Strategy 2030. The study recommended that: Continuous program for prevention NCDs among University students to increase their knowledge and practices. These programs should focus on the importance of practicing healthy life styles in this young age to prevent the occurrence of NCDs in adulthood.
American Journal of Nursing Research. 2020, 8(3), 320-330. DOI: 10.12691/ajnr-8-3-2
Pub. Date: March 16, 2020
1702 Views667 Downloads
Effect of Educational Program on Mother's Knowledge and Practice Regarding Hepatitis C Virus in Rural Areas
Original Research
Background: Hepatitis C virus is an emerging global epidemic; some nations have been more drastically affected than others. Egypt bears the highest incidence in the world. Awareness of the disease is still low, despite the alarming prevalence of the disease in the country. Aim: study educational program effects on mother's knowledge and practice regarding Hepatitis C in the rural areas. Design: A quasi-experimental. Settings: study was in Senover village in El-Fayoum city. Subjects: A purposive sample conducted at 90 homes which are near to the MCH of Senover village, were chosen randomly. Tools: tool I was a structured interview questionnaire divided into 3 parts to assess socio-demographic characteristics of mothers, mothers knowledge, and reported practices about hepatitis C. Tool II was a daily life-style assessment scale to assess the mothers’ health-habits and behavior. Results: The results of this study showed that 68.2% of mothers had insufficient knowledge about HCV disease, 86.4% had negative practices toward the disease, statistically significant differences in improving knowledge and practices regarding preventive measured after application the educational program were found. Also, mothers acquired sufficient knowledge and an increase in positive daily life-style practices was observed. Conclusion: The educational program improved mothers' knowledge and practices and improved the daily life-style which in-turn will reduce the prevalence of hepatitis C virus in the future. Recommendations: continuous educational programs among all family members regarding the preventive measures of HCV disease; especially in the rural areas.
American Journal of Nursing Research. 2020, 8(3), 303-310. DOI: 10.12691/ajnr-8-3-1
Pub. Date: March 14, 2020
3331 Views1235 Downloads