by Ghada Hassan Ahmed and Ghaydaa Ahmed Shehata
Original Research
Background: Infection of the urinary tract attributed to the use of an indwelling urinary catheter is one of the most common infections acquired by patients at health care centers. Aim: The primary aim of this study was to assess effect of catheter care maintenance bundle on reducing the incidence of urinary tract infection among catheterized patients. Setting: The study was conducted in the neurological department, affiliated to Assuit University Hospital Methods: This study was designed as interventional prospective study on purposive nonprobability sixty adult patients (experimental and control) undergoing urinary catheterization were included in this study. Results: There was a positive correlation between catheter care maintenance bundle and occurrence of urinary tract infection (P< 0.003). Conclusion: Implementation of catheter care maintenance bundle intervention resulted in a reduction in the incidence of urinary tract infection among catheterized patients. Recommendations: Application of the catheter care maintenance bundle at all the settings that deal with urinary catheterization to decrease the infection rate.
American Journal of Nursing Research. 2020, 8(4), 477-482. DOI: 10.12691/ajnr-8-4-8
Pub. Date: June 21, 2020
1065 Views713 Downloads
by Sara Mohamed Hesham Abd El-Wahed, Salwa Abbas Ali, Heba Al-kotb Mohamed and Hanaa Kassem Farg
Original Research
Background: hospital laundry workers are widely exposed to various occupational hazards due to the unique characteristics of their work environment. Aim of the study: this study aimed to assess occupational hazards among hospital laundry workers at Ismailia city. Design: Descriptive design was utilized in this study. Setting: this study conducted at seven governmental hospitals at Ismailia city. Sample: all hospital laundry workers (159) in the previous settings were included in this study. Tools of data collection: structured interview questionnaire included questions about socio-demographic characteristics and worker’s exposure to different occupational hazards. Results: 95%, 95%, 92.5% and 91.2% of the studied sample reported presence of open sanitary system, inadequate ventilation, contact with contaminated linen and standing for prolonged periods respectively. More than four fifth of the studied sample exposed to heat, falls or trips, noise and vibration (85.5%, 85.5%, 83% and 83% respectively), while 67.9% exposed to needles and sharp objects followed by 54.1% and 53.5% exposed to bleaching agent and detergents respectively. Conclusion: Most of the studied workers exposed to environmental, physical, biological and ergonomic hazards. Recommendations: Develop educational program and training workshops regarding prevention of workplace hazards emphasizing on the use of personal protective equipment and safety practices for body mechanics.
American Journal of Nursing Research. 2020, 8(4), 471-476. DOI: 10.12691/ajnr-8-4-7
Pub. Date: June 12, 2020
753 Views279 Downloads
by Atyat Mohammed Hassan, Fathia Zaky Mohamed and Nahed Thabet Mohamed
Original Research
High prevalence of preterm infants' birth is considered a serious problem in health system in recent decades. Positions of the body in preterm neonates who receive respiratory support are accounted an important factor for ventilation and tissue oxygenation. Therefore, this study aimed to determine the effects of different body positions on cardiorespiratory parameters of preterm neonates undergoing mechanical ventilation. Crossover non-randomized clinical trial study design was used. Setting: The study was conducted at neonatal intensive care unit (NICU) in Assiut University Children Hospital. The study subjects included 40 preterm neonates undergoing mechanical ventilation and met the inclusion criteria. A structured questionnaire was designed especially to collect the required data for this study; it included three parts: preterm neonates' personal and clinical data, and assessment of cardiorespiratory parameters including: Heart Rate (HR), Respiratory Rate (RR), and oxygen saturation (SpO2) in each position. Each preterm neonate was placed in three different positions (supine, right lateral and semi-prone). Results of the current study revealed a significant improvement in heart rate, respiratory rate and increase in oxygen saturation in neonates placed in semi-prone position with statistically significant differences were found between them during the three different body positions (p=0.02*, p=0.012*&p<0.001)respectively. The study concluded that positioning of preterm neonates can be considered as an effective way of modifying the cardiorespiratory parameters and improving oxygenation in neonates undergoing mechanical ventilation. Likewise, semi-prone position was a safe, simple, noninvasive method which can be helpful in stabilizing preterm neonates’ cardiorespiratory status. Also, the right lateral position was slightly effective while, the supine position was the least effective. Recommendation: Use of semi-prone position in the routine pediatric care of ventilated neonates as it is a safe, simple, non-invasive method that can help in improving oxygenation of preterm neonates’.
American Journal of Nursing Research. 2020, 8(4), 463-470. DOI: 10.12691/ajnr-8-4-6
Pub. Date: May 27, 2020
1074 Views540 Downloads
by Marwa Hassan Ageiz and Hind Hassan Abd El-mageed
Original Research
Nurses’ assignment that based on patient acuity tool scores regulates the number of nurses on a shift according to the patients' needs, thus balancing nurses’ workload and enhancing nurses’ satisfaction with assignment. This study aimed at assessing nurses' satisfaction related to implementing of patient acuity tool-based assignment. Experimental posttest only design was used. This study was conducted in critical care units at the Menoufia University Hospitals in Shebin Elkom. Simple random sample of nurses was selected from the previous units that was divided equally into two groups: experimental group (n=89) and control group (n=89). Additionally, all first line managers of the same units were selected (n=33). Tools used for data collection included: (1): Nurses’ Satisfaction with the Methods of Assignment questionnaire (posttest only). (2): First line managers Opinion Sheet to measure their opinion regarding implementation of the acuity tool-based nurses’ assignment. Results of the current study revealed that the majority of nurses in the experimental group were satisfied with method of assignment that based on acuity scores after implementation of the program. Also, there was no statistically significant difference between nurses’ satisfaction in the experimental group and their personal data except regarding their educational level and years of experience that was highly statistical. In conclusion, implementation of Kidd et al., new patient acuity tool was effective in improving nurses’ satisfaction with assignment. Moreover, the highest percentage of first line managers agreed on implementation of the patient acuity- tool based assignment. Continuous incorporation of the patient acuity tool in nurses’ assignment and generalization in other nursing units is a significant implication to promote proper distribution of nursing shift assignments and better nurses’ satisfaction.
American Journal of Nursing Research. 2020, 8(4), 452-462. DOI: 10.12691/ajnr-8-4-5
Pub. Date: May 15, 2020
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by Rasmia Abd El Sattar Ali, Hanem Awad Mekhamier and Hanan Abd Elwahab El Sayed
Original Research
Background: Osteoporosis is one of the most common metabolic bone diseases and is the silent epidemic of this age group. Aim of this study was to evaluate the effect of application of health belief model on Osteoporosis' knowledge and preventive behaviors among Child Bearing Women. Design: A quasi-experimental design was utilized. Sample: A purposive sample of ninety (90) women who attended the maternal and child health centers for antenatal follow up or for other maternal and child health services. Setting: This study was carried out at 5 maternal and child health care centers that are chosen randomly for application of osteoporosis prevention program from 50 maternal and child health care centers at El-Qualiobia Governorate. Tools: Data were collected through: A self-administered questionnaire to assess women characteristics and knowledge regarding osteoporosis prevention, health belief model to assess perceived susceptibility, perceived severity, perceived barriers, perceived benefits and cues to action to practice osteoporosis preventive behaviors. Results: There were highly statistically significant differences after implementing osteoporosis prevention program based on health belief model regarding osteoporosis' knowledge and preventive behaviors among child bearing women. The mean scores of perceived susceptibility and severity of osteoporosis, as well as perceived benefits of early detection and cues to action to practice osteoporosis prevention behaviors were significantly higher. There were positive highly statistically significant correlations between total knowledge and total health beliefs scores of the studied women before and after program implementation. Conclusion: The implementing osteoporosis prevention based on health belief model enhances women knowledge; change positively health beliefs and cues to action regarding practice of osteoporosis preventive behaviors. Recommendation: Dissemination of implementing osteoporosis prevention based on health belief model among women at different age group to prevent the risk of osteoporosis.
American Journal of Nursing Research. 2020, 8(4), 442-451. DOI: 10.12691/ajnr-8-4-4
Pub. Date: May 15, 2020
962 Views447 Downloads
by Naglaa EL Mokadem and Shimaa EL-Sayed
Original Research
Background: Traumatic Brain Injury (TBI) is a major cause of morbidity and mortality worldwide. Patients with TBI may need mechanical ventilation because they cannot clear their airway secretions due to decreased consciousness, loss of laryngeal reflexes and an inability to cough. Endotracheal suctioning is important and needed in mechanically ventilated patients for airway clearance, improvement of oxygenation and prevention of atelectasis and infection. However, endotracheal suctioning is an invasive procedure and adversely affects some physiological indicators, such BP, PaO2, O2 saturation, HR, ICP and CPP. Aim: To examine the effect of positioning during endotracheal suctioning on cerebral perfusion pressure among mechanically ventilated patients with traumatic brain injury. Design: A quasi-experimental design (Study-Control) was used. Setting: The current study was conducted at the neurosurgical ICUs in Menoufia University Hospital and the teaching hospital in Shebin AL Khom. Sample: A convenient sample of 100 mechanically ventilated patients with traumatic brain injury were recruited from the neurosurgical ICUs. Tools: A Semi Structured Demographic Sheet; Physiological Measures Recording Sheet including CPP; MAP; CVP and Oxygenation as indicated by ABGs values; and Glasgow Coma Scale (GCS). Results: There was a highly statistically significant increase in CPP (84.30± 6.35, 74.80±8.20) in the study group compared with the control group after endotracheal suctioning and elevating head of bed (HOB) at 30 degrees respectively (P=0.001). Furthermore, there was a statistically significant increase in PaO2 (88. 57±11.50; 73.57±11.24) in the study group compared to the control group after suctioning respectively (P<.05). Also, there was a statistically significant increase in SaO2 (97.43± 2.88, 88.67± 1.72) in the study group compared to the control group after suctioning respectively (P<.05). Recommendations: Initiate the development of clinical practice guidelines for critical care nurses to use head of bed elevation of 30 degrees as routine care during endotracheal suctioning to improve cerebral pressure perfusion and oxygenation for patients with traumatic brain injury.
American Journal of Nursing Research. 2020, 8(4), 435-441. DOI: 10.12691/ajnr-8-4-3
Pub. Date: May 12, 2020
1083 Views507 Downloads
by Alyaa Farouk Abdel Fattah Ibrahim, Arwa Abdulaziz Alhamed and Ghadir Mohammad Almusa
Original Research
Malnutrition during students’ early life inhibits normal growth and affects their mental developmental. Several factors may contribute to the negligence of healthy nutrition practices among college students. The current study aimed to identify nutrition related factors affecting academic performance of female health science students. Methodology: One hundred seventy-two female health sciences students were included in an institutional-based cross-sectional study at KSAU-HS, Riyadh. Data were collected using youth students’ bio-socio-demographic and lifestyle structured interview questionnaire. Results: medicine students tended to have higher Body Mass Index (BMI)s compared to nursing students. About two tenth (20.8%) of the medicine students were overweight compared to only 14% of the nursing students, and 7% of the nursing students were obese compared to 8.3% of the medicine students. On the other hand, 22% of the nursing students were identified as underweight compared to 12.5% of the medicine students. BMI was significantly associated with Grade Point Average (GPA) among nursing students (τb =0.120, p=0.029). Yet, it did not show significant correlation with GPA among medicine students (τb =0.067, p=0.481). However, BMI was highly correlated with GPA for the total participants (t=6.355, Sig.=0.000, 95%CI=1.111-2.112). Highly significant correlations were found between BMI and all assessed socio-demographic and lifestyle factors except age. In addition, highly significant correlations were detected between GPA and all assessed socio-demographic and lifestyle factors. Conclusion: Study participants’ BMI was highly correlated with their GPA. High significant correlations were detected between BMI, GPA and all assessed socio-demographic factors including; academic semester, college, marital status, parents’ education, father’s occupation and family income but did not show significant correlation with age. In addition, BMI and GPA showed high significant correlation with all assessed lifestyle factors including; stress, TV watching, computer/electronic use, physical activity, daily sleeping time and day naps.
American Journal of Nursing Research. 2020, 8(4), 426-434. DOI: 10.12691/ajnr-8-4-2
Pub. Date: May 11, 2020
1076 Views510 Downloads
by Hanan Elzeblawy Hassan, Rasha Nabil Malk, Asmaa Abouda Abdelhamed and Amal Sarhan Eldesokey Genedy
Background: Birth-infection is known to be a major cause of maternal perinatal morbidity and mortality. Globally, it has been reported that better care during birth and labor, and newborns' care, as well, immediately after birth can avert up to 1.49 million maternal and newborn deaths and stillbirths. Infection Control is the most important field of concern in labor and delivery rooms. Aim: study the effect of an educational program on maternity nurses' knowledge and practices towards infection control in labor units according to standard infection control precautions. Subject & Methods: This study was conducted on 30 nurses worked in labor units of three hospitals in Fayoum city, Egypt. The method for data collection consists of а questionnaire based on standard infection control precautions. Checklists were used for 11 procedures to assess nurses' practices. Results: Nurses' knowledge and practices regarding infection control, according to standard infection control precautions, were poor. Statistically significant improvement in the maternity nurse's knowledge and practices after the implication of the program was found. The majority (87.0%) of nurses had expressed their satisfaction to participate with a high level of significant. Conclusion: Results indicate that prevention and control of infections aren't adequately applied in Fayoum hospitals. Therefore, after the program was implemented; all nurses reported higher scoring in both awareness and skills than before. The satisfactory score progressed while unsatisfactory one regressed. This is mirrored to the program's effect. Recommendations: Activate hospitals' infection control committees which should be combined with maternal death reviews, audits, training and feedback on infection rates in upper Egyptian Hospitals.
American Journal of Nursing Research. 2020, 8(4), 412-425. DOI: 10.12691/ajnr-8-4-1
Pub. Date: May 09, 2020
1194 Views498 Downloads