Volume 8, Issue 5

Examining Nurses’ Theoretical Knowledge, Attitude, and Practice of Cardio-pulmonary Resuscitation in Hospitals and Primary Health Care Settings in South Sharqiyah, Sultanate of Oman
Original Research
Objectives: This study attempts to identify the level of knowledge, attitude and practice of CPR among nurses in South Sharqyiah governorate, Oman. Moreover, it evaluates the association between the knowledge score and the selected variables. This will help to review the effectiveness of current CPR training, thus set up recommendations for better CPR programs. Method: This descriptive cross-sectional study was conducted between April and July 2019 in governmental hospitals and Primary Health care (PHC) institutions in Southern Sharqyiah Oman. A questionnaire-based survey was used to collect data from 282 registered staff nurses, including the Cardiopulmonary resuscitation (CPR) knowledge in both Basic Life support (BLS) and Advanced Cardiac Life support (ACLS), and nurses' attitude and practice towards CPR. Results: An excellent response rate of a total of 267 nurses (94.6%) took part in the study. Overall, nurses demonstrated inadequate level of knowledge in BLS their mean±SD of the total knowledge scores was 9.05±3.228. Like BLS knowledge, the participants demonstrated inadequate level of knowledge in ACLS as the total mean ±SD was 3.47±.1. 784. The study noted a significant association between the total scores of BLS knowledge and nationality (p=0.028). Conclusions: The result of this study has confirmed that knowledge of the nurses in BLS and ACLS was found to be low. The study revealed high numbers of staff nurses need to renew BLS and ACLS certificates. Thus, there is a crucial need for innovative educational interventions related to CPR. There is also a need to evaluate the knowledge and performance of CPR in clinical area such as mock drill.
American Journal of Nursing Research. 2020, 8(5), 577-587. DOI: 10.12691/ajnr-8-5-11
Pub. Date: September 08, 2020
543 Views321 Downloads1 Likes
The Implication of COVID-19 Pandemic on Nursing Workforce
The rise of Covid-19 cases became a worldwide outbreak and has made a great impact on the world population including nursing workforce. Search of related literature was conducted to gather data similar to the study. This review gives us a grip of the reality on what our nurses are experiencing in this time of pandemic. It gives a summary of the holistic view of the frontline nurses body response to their work, with great challenge to psychological and emotional aspects.
American Journal of Nursing Research. 2020, 8(5), 575-576. DOI: 10.12691/ajnr-8-5-10
Pub. Date: August 30, 2020
857 Views535 Downloads4 Likes
Post-Traumatic Stress Disorders and Burnout Syndrome among Community Paramedic Staff
Original Research
Background: Community health nursing specialties is continuously changed and updated according to the community needs, ambulance paramedics staff is one of the specialties in community health nursing, and they play a vital role in emergencies even at home, they play a role in advancing home care which reduces the cost in the health care system, they deal with serious conditions such as pandemic situation as in case of COVID-19 pandemic nowadays. So, this group of staff must be studied to understand the occupational problems that might be facing them and help them to deal with it. Aims of the study: the current study aimed to assess the post-traumatic stress disorders among paramedic staff, and to evaluate the burnout syndrome severity among paramedic staff as a community paramedic. Material and Methods: A descriptive exploratory research design was used. Settings: The study was carried out at once out of the seven regions served by the Egyptian Ambulance Organization (EAO) namely Alexandria region which serves three Egyptian governorates (Alexandria, Matrouh and Beheira governorate). Subjects: All paramedic staff working at the chosen settings and meet the inclusion criteria (68) was recruited in the study. Tools: Data was collected through using three tools “Paramedic Staff Health Profile and Sociodemographic Assessment Tool,Maslach Burnout Inventory - Human Services Survey for Medical Personnel (MBI-HSS) Tool and the Clinician-administered Post Traumatic Stress Disorder Scale for DSM-5 (CAPS-5) Past Month Version. Results: The current study indicate that the studied paramedic staff has different degree of burnout syndrome and post-traumatic stress disorder with a significant association with multivariable such as age, marital status level of education, years of experiences, working hours per week, sleeping hours and their evaluation for their health condition. Conclusion and Recommendations: it was concluded that, the paramedic staff burnout inventory scale indicate that around one third of them have high emotional exhaustion level; whereas, more than two fifths of them have low level of personal accomplishment. Around one third have high level of depersonalization. Furthermore, three quarters of the studied paramedic have mild, minimal distress or disruption of activities followed by moderate, distress clearly present but still manageable. It was recommendedthat, regular screening of paramedic staff should be done for evaluating stress, depression and anxiety. Proper management must be held at early stage of symptoms of BOS and PTSD. Inservice stress management training especially for invoice community paramedic staff must be executive to raise their awareness regarding the possibility of PTSD and BOS and how to deal with.
American Journal of Nursing Research. 2020, 8(5), 562-574. DOI: 10.12691/ajnr-8-5-9
Pub. Date: August 30, 2020
659 Views431 Downloads
Caring for Dementia Caregivers in Times of the COVID-19 Crisis: A Systematic Review
Original Research
Dementia is progressive and deteriorates during the progression of the disease affecting several millions of older people worldwide. The burden of caring for people with dementia is enormous and caregivers face serious psychological challenges from their caregiving roles. Dementia caregivers are exposed to psychological distresses such as stress, anxiety and depression. While there is robust literature on caregiver burden and their psychological effects, there are gaps in current knowledge about how best caregivers get the support that they need in order to prevent themselves from becoming the hidden victims, especially in unprecedented times such as the coronavirus 2019 (COVID-19) crisis. The aim of this paper was to apply the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines to conduct a systematic review of psychological and psychosocial outcomes. Targeted outcomes included stress, anxiety, depression, mental wellbeing, caregivers’ support, psychosocial and psychological interventions.We searched for relevant articles using PubMed, Google Scholar, Science Direct, and ProQuest. We used search terms from the keywords to identify publications that were most relevant to our questions.Eight papers were finally selected and reviewed. Findings showed that dementia caregivers are mostly informal/family caregivers, mostly female and lack the knowledge about dementia. Further, findings revealed that dementia caregivers can be isolated from mainstream society. Consequently, they suffer from care burden and other psychological problems. Dementia caregivers can benefit from internet-based or web-based interventions. Although there are inconsistencies in methodological approaches of the various interventions, the interventions are effective. Findings further revealed that dementia caregivers are isolated from mainstream society due to the nature of their caregiving roles, and can access effective psychosocial and psychological interventions via the internet-based or web-based especially in unprecedented times such as the COVID-19 crisis.
American Journal of Nursing Research. 2020, 8(5), 552-561. DOI: 10.12691/ajnr-8-5-8
Pub. Date: August 24, 2020
1226 Views703 Downloads
Efficacy of Educational Caring Program on the Nurses’ Attitude and Perception of Caring Behavior toward Patients with Substance Use Disorder
Original Research
Nurses are the forefront health care members working in close proximity to substance use disorder (SUD) patients. They remain the most important persons in providing caring for these patients and they play the pivotal caregiving role for them. To do this important role, nurses need to have good knowledge, positive attitude and caring behaviors toward those patients. Aim of the study: This study was aimed to evaluate the effect of educational caring program on the nurses’ attitude and their perception of caring behavior toward patients with substance use disorder. Subjects of study: sample consisted of 50 nurses who were chosen by convenient sampling. A quasi-experimental design was utilized. Setting of the study: - The study was conducted at Shopra kas center for addiction, the center is affiliated to the General Secretariat of Mental Health. Tools of the study: Two tools were used for data collection; Substance Abuse Attitudes Survey (SAAS) designed to measure nurses' attitudes towards substance use disorder and Caring Behavior Assessment Tool (CBA) aimed to assess nurse' perception regarding caring behavior toward substance use disorder patients. Result of the study: The results revealed that there was statistically significant improvement in the studied nurses’ attitude and perception of caring behavior regarding substance use disorder patients after implementation of educational caring program. Conclusion and recommendation: The study concluded educational caring program was enhancing the studied the nurses’ attitude and their perception of caring behavior toward substance use disorder patients. According to these results, up-to-date in-service training programs on regular basis for nurses' dealing with SUD patients about attitude and caring behavior skills is recommended.
American Journal of Nursing Research. 2020, 8(5), 543-551. DOI: 10.12691/ajnr-8-5-7
Pub. Date: August 14, 2020
596 Views324 Downloads
Effect of Implementing Advanced Cardiovascular Life Support (ACLS) Guidelines 2016 on Nurse¡¯s Knowledge and Performance
Original Research
Background and aim: Cardiac arrest occurs in case of cessation of effective heartbeat and blood circulation and it is one of the causes of sudden or unexpected death. Advanced cardiovascular life support (ACLS) considered, as a basic skill, is one of the most important inventions in hospital setting special intensive care units as well as a rapid and urgent intervention to prevent death or postpone it in a patient with cardiac arrest. This study aimed to assess effect of implementing advanced cardiovascular life support (ACLS) guidelines 2016 on nurse's knowledge and performance. Methods: A Quasi-Experimental study design with pre, intervention/posttest with a convenience sample included 300 nurses worked at 10 hospital settings. Data were collected by using three tools (1): Demographic Characteristics related to nurses, (2): Nurses knowledge toward ACLS pre/posttest, (3): Nurses performance an observation checklist toward ACLS according American Heart Association guidelines. Conclusions: The study confirms that significant association between the nurses¡¯ knowledge and performance of ACLS in pre/posttest and their demographic characteristic. The educational program improves the knowledge and performance of the nursing staff regarding advanced life support. Recommendations: These findings indicate that it is imperative for nurses to receive regular, periodic in-service ACLS courses, updating AHA on the latest ACLS techniques, technologies and developments. In-service education program should make continuous training courses for the nurses about the new and up-to-date intervention related to knowledge & practice of American heart association ACLS.
American Journal of Nursing Research. 2020, 8(5), 534-542. DOI: 10.12691/ajnr-8-5-6
Pub. Date: July 14, 2020
539 Views425 Downloads
Effect of Health Education for Mothers about Care of Oral Health Problems on Quality of Life for Their Autistic Children
Original Research
Background: Autistic children present with a neuro-developmental disorder lifelong that makes them susceptible to oral diseases. The study aimed was to determine the effect of health education for mothers about the care of oral health problems on quality of life for their autistic children.Subjects and method: A convenience sampling of sixty mothers and their autistic children participated in the study. The study was conducted at the child psychiatric out-patient clinic at the Psychiatry Center of Tanta University hospital and Pediatric dental clinic faculty of dentistry, Tanta University. ThreeTools were used for collection the data: structured interview schedule, an observational checklist for oral assessment, oral health-related quality of life scale. The results showed that an improvement of mothers’ knowledge and practice about the care of oral health problems after the health education implementation and improvement of quality of life for autistic children. Thestudy concludedthat the mother’s knowledge and practice about the care of oral health problems improved after the implementation of health education. Autistic children showed an improvement in their quality of life after the implementation of the health education. The study recommended that ongoing in-service educational programs must be prepared and implemented for nurses for the importance of maintaining dental health for autistic children. Education programs for the parents of maintaining their child’s oral health hygiene at home. Dental health awareness lectures and television programs designed for parents and children with different disabilities.
American Journal of Nursing Research. 2020, 8(5), 524-533. DOI: 10.12691/ajnr-8-5-5
Pub. Date: July 12, 2020
667 Views492 Downloads
Relation between First-line Managers’ Servant Leadership Behaviour and Staff Nurses’ Empowerment at Benha University Hospital
Original Research
Background: Servant leadership is a powerful tool for nurse leaders to empower nurses to practice well in a constantly changing environment of care. The study aimed to assess the relation between first-line managers' servant leadership behaviour and staff nurses’ empowerment at Benha University hospital, Materials and Methods: A descriptive correlational research design was utilized. The study was conducted in randomly selected units at Benha University Hospital (no=9 units). The subject of the present study consisted of two groups; first-line managers (n=30) and a convenient sample of staff nurses (n=60) at the selected study units. Two tools were utilized including;Servant leadership questionnaire and Staff nurses’ empowerment questionnaire. Results: a high percentage of first-line managers and nearly two-thirds of staff nurses reported that first-line managers were highly adopting servant leadership behaviour. However, there were statistically significant differences between first-line managers' self-report and staff nurses' reports. Nearly half of staff nurses reported a high level of empowerment, while nearly one-third of them reported a moderate level of empowerment. Conclusion and implication: There was a significant positive relation between first-line managers’ adopted servant leadership behaviour and staff nurses’ level of empowerment. Therefore, nurse managers can benefit from integrating the principles of servant leadership and be enthusiastic in focusing on servant leadership attributes when leading their followers by considering them as valuable assets to the organization and thus empower them structurally and psychologically. Recommendation:Continued training on servant leadership characteristics and values through formal workshops and feedback from staff nurses on their nurse managers’ leadership behaviours through polling should be a basic competency requirement for nurse managers.
American Journal of Nursing Research. 2020, 8(5), 515-523. DOI: 10.12691/ajnr-8-5-4
Pub. Date: July 12, 2020
799 Views565 Downloads
Effect of Implementing Colon Irrigation Guidance Protocol on Knowledge and Practices of Pediatric Surgical Nurses
Original Research
Functional constipation (FC) in children is a common health issue with reported global prevalence levels of up to 32.2%. Several management strategies have been developed, including diagnostic tests, empirical, and specific treatment. Colonic irrigation is an effective treatment for functionally disordered children. This method performed by trained and qualified healthcare professionals and requires thorough instruction and training. This study aimed to assess the effect of implementing colon irrigation guidance protocol on knowledge and practices of pediatric surgical nurses. Methods: a quasi-experimental design was carried out on 45 nurses who work at the department of pediatric surgery and pediatric intensive care unit affiliated to Mansoura University Children's Hospital (MUCHs), Mansoura City, Egypt. Two tools used to collect the study: a structured questionnaire sheet for assessing the knowledge of nurses about colon irrigation, and the observation sheet to evaluate the practice of colon irrigation by nurses. Results: There was a statistically significant difference in the knowledge and practices of the nurses regarding colon irrigation immediately after and three months later compared to the guidance protocol before. Conclusion:Introducing guidance protocol has had a major positive impact on enhancing the knowledge and practices of nurses about colon irrigation. Recommendations: The best evidence-based practices regarding the importance of practicing colon irrigation techniques correctly for children with functional constipation must be provided to pediatric surgical nurses.
American Journal of Nursing Research. 2020, 8(5), 506-514. DOI: 10.12691/ajnr-8-5-3
Pub. Date: July 09, 2020
562 Views502 Downloads
Effect of an Educational Package on Knowledge, Practices, and Attitude of Premenopausal Women Regarding Sexuality
Original Research
Background: pre-menopause is an important event through a woman’s life. Women with accurate information about the pre-menopause can be able to manage the associated problems better. Aim: evaluate the effect of an educational package on knowledge, practices, and attitude of premenopausal women regarding sexuality. Design: A quasi-experimental research design of the study was used.Sample: A purposive sample of 80 premenopausal women. Setting:This research was conducted in the obstetrics and gynecology Outpatient Clinic at Fayoum University Hospital. Tools:Two tools have been used to gather data; 1) Structured questionnaire interview sheet 2) Modified Likert scale. Results: The study showed a highly statistically significant difference between pre and post educational package regarding knowledge, practices, and attitude of premenopausal women regarding sexuality. There was a highly significant correlation between total knowledge and total sexual history pre and post educational package. Conclusion: The implementation educational package significantly improved knowledge, practices, and attitude of premenopausal women regarding sexuality. Recommendations:Proper training of health care providers to understand women's attitudes regarding pre-menopause in order to give optimal information and help to create a positive attitude of pre-menopause. Counseling activities of premenopausal, menopausal, and post-menopausal women need to popularize and facilities and decision aids made available to those who need them.
American Journal of Nursing Research. 2020, 8(5), 495-505. DOI: 10.12691/ajnr-8-5-2
Pub. Date: July 09, 2020
894 Views650 Downloads
Attitude and Practice of Egyptian Married Women toward Contraceptive Methods Use as Atrial of Encouraging Campaign “Two Children Enough”
Original Research
Background:Egypt's population encroach 100 million, the government is trying to change the people's minds. The government launched a family planning campaign "two children enough" to challenge the traditions of large families in rural Egypt. Family planning is a main point to control growth of population and promoting maternal and child health Aim: to assess attitude and practice of Egyptian married women toward using contraceptive methods to encourage campaign "two-children enough". And compare between attitude and practice of women who had <3 children and those who had ≥3 children. Methods:descriptive research design conducted at antenatal outpatient clinic of Woman's Health Hospital, Assiut University. A total number of 500 women recruited for the study which divided into two groups; group1 (250 women who had <3 children) and group2 (250 women who had ≥3 children). An interview questionnaire that divided into three parts was used. Results: it was found that the majority of studied women (82.8%) in group1 and (74.0%) in group2 agreed with the campaign with highly statistical significant difference between both groups p-value 0.001. Conclusion: the majority of the women in both group had a positive attitude toward family planning methods. Recommendations:The need for an educational programme for both the healthcare providers and the nursing women and media awareness campaigns should be tailored to encouragecampaign.
American Journal of Nursing Research. 2020, 8(5), 483-494. DOI: 10.12691/ajnr-8-5-1
Pub. Date: July 05, 2020
1146 Views813 Downloads