Volume 9, Issue 4

Effect of Educational Intervention on Mothers of Children with Nocturnal Enuresisn
Original Research
Nocturnal enuresis is a common painful disorder that carries a significant burden. This disorder has psychological, social and financial implications for families and children. Aim: This study aimed to assess the effectiveness of educational intervention on mothers of children with nocturnal enuresis. Design: A quasi-experimental research design was used before and three months and six months after the intervention. A systematic random sample of 91 mothers and their children were recruited from the Urinary Incontinence outpatient clinic at Zagazig University Hospital, Egypt. Three tools were used for data collection which include; Tool I: A. Demographic characteristics of mothers and their children. B. Frequency of bedwetting of the children with nocturnal enuresis, C. Mothers' knowledge regarding nocturnal enuresis. Tool II: Mothers’ reported practices regarding nocturnal enuresis checklist. Tool III: Mothers attitudes toward nocturnal enuresis. Results: 87.9% of studied children had bedwetting every night per week before intervention, this percentage decreased to 60.4% and 19.8% post three months and six months respectively. There were statistically significant differences in mothers’ knowledge, practices and attitudes post intervention regarding nocturnal enuresis compared to before intervention. Conclusion: The implementation of the nocturnal enuresis health education showed a significant improvement in mothers ’knowledge, practices and attitudes. In addition, the clinical features among children with nocturnal enuresis decreased significantly after 3 and 6 months. Recommendations: Developing a health education program for mothers of children with urinary incontinence to update their knowledge and practices on advanced treatment strategies.
American Journal of Nursing Research. 2021, 9(4), 143-155. DOI: 10.12691/ajnr-9-4-6
Pub. Date: July 04, 2021
Effect of Educational Sessions about Coronavirus Disease 2019 (COVID-19) on Knowledge, Practice and Attitudes of Nurses in Zagazig Fever Hospital
Original Research
Background: The fast and global spread of the Coronavirus (COVID-19) pandemic has become a major cause of concern for the healthcare profession. The aim of this study is to assess the effect of educational sessions about coronavirus disease 2019 (COVID-19) on knowledge, practice and attitudes of nurses in Zagazig Fever Hospital. Subjects and Methods: Research design: A quasi experimental research design was used in carrying out the study with pre/posttest. Setting: the study was conducted at Zagazig Fever Hospital, Sharkia Governorate, Egypt. Tools of data collection: Three tools were used: Tool (I): A self-administered questionnaire; It consisted of two parts: Part one was used to collect data pertaining to personal characteristics of the nurses, while part two involved questions regarding nurses' knowledge about COVID-19. Tool (II): Nurse’s practice observation checklist to determine the hand washing practice during COVID-19. Tool (III): was intended to assess nurse’s attitudes toward COVID-19. Results: The comparison of pre, posttests knowledge, practice and attitudes on nurses revealed highly statistically significant improvement (p <0.001) that approved the research hypothesis of implementation, where the total mean of their knowledge increased from 23.915±9.539 in pre- intervention, to 43.366±0.914 at intervention and 42.746±1.509 at post intervention. All nurses (100%) were having satisfactory level of knowledge at intervention and post intervention. The total mean score of their attitudes increased from 16.929±2.344 in pre intervention to 19.098±1.415 at intervention and 18.873±1.482 at post intervention with (p < 0.001) for all changes. Conclusion: the posttest and follow-up knowledge, practice and attitudes’ score was higher than the pretest score of nurses. Recommendations: Continuous campaigns are required for nurses to prevent and control COVID-19 successfully with illustrated booklets for maintaining knowledge, emphasis should also be placed on training and retraining health professionals in the correct hand washing steps as well as media awareness campaigns on this disease.
American Journal of Nursing Research. 2021, 9(4), 133-142. DOI: 10.12691/ajnr-9-4-5
Pub. Date: July 04, 2021
A Quasi Experimental Study to Assess the Effectiveness of Hot Water Foot Bath Therapy on Quality of Sleep among the Elderly in Selected Old Age Home, Agartala, Tripura West
Original Research
A quasi experimental study to assess the effectiveness of hot water foot bath therapy on quality of sleep among the elderly in a selected old age home, Agartala, Tripura West. The objectives of the study is to assess the quality of sleep among the elderly and to determine the effectiveness of hot water foot bath therapy on quality of sleep among the elderly. The conceptual framework was used based on Wiedenbach’s modified Prescription theory. In this study elderly persons of old age home were selected as a sample. 40(fourty) samples were selected for the study, 20 (twenty) for both experimental group and control group by convenient sampling technique .Sleep quality of the elderly in both experimental group and control group assessed using modified Groningen sleep quality scale by interview technique which is modified by 7 (seven) experts of various nursing and medical department as well as by the statistician. Reliablity of the tool was 0.85 (r), that was checked using Kerl pearsons correlation coefficient method. Statistical analysis was done by chi square test and t test both paired t test, unpaired t test to determine the effectiveness of hot water foot bath therapy in quality of sleep among the elderly in both experimental and control group. There was significantly increased in mean post test score in experimental group with the mean deviation of 3.4 at 0.05 level of significance. The finding of the study revealed that paired ‘t’ test between pretest and post test score in experimental group showed significant increase in quality of sleep (tcal = 15.86, p< 0.05) as compared to control group (tcal = 0.53, p< 0.05). Unpaired ‘t’ test between post test score in experimental group and control group revealed that there was significant increase in quality of sleep in experimental group as compared to control group (tcal = 5.09, p< 0.05). There was significant association between the pre-test quality of sleep scores with demographic variables such as sex (X2 = 5.714, p< 0.05) and there was no significant association between the pre-test quality of sleep scores with remaining demographic variables. The study concludes that hot water foot bath therapy is effective in improve the quality of sleep among the elderly.
American Journal of Nursing Research. 2021, 9(4), 125-132. DOI: 10.12691/ajnr-9-4-4
Pub. Date: May 20, 2021
Missed Nursing Care and the Predicting Factors in Saudi Arabia
Original Research
The соnсeрt of missed nursing саre addresses nursing саre оmissiоns in the рrосess of delivering nursing саre. Missed nursing саre leads to diminished quality of саre and рооr раtient оutсоmes. The Аim of the study: This study аimed to determine the levels and types of missed nursing саre and to identify рrediсtоrs of “missed nursing саre” based on bасkgrоund variables, and рerсeived reasons for missed саre. Research design: Quantitative descriptive сrоss-seсtiоnаl соrrelаtiоnаl research design. Setting: This study was соnduсted 10 hоsрitаls in Makkah region, Saudi Аrаbiа. Sample: 309 Раrtiсiраnts was recruited using а nоnрrоbаbility соnvenienсe sampling methods. Tооls of data соlleсtiоn: The MISSСАRE Survey was utilized to measure nursing staff рerсeрtiоns of both аmоunts of missed nursing саre and the reasons for missed nursing саre. Result: The result shows that аmbulаtiоn of раtients was the most frequently reроrted element of missed саre followed by emоtiоnаl suрроrt to раtient and/or family, feeding раtient when the fооd is still warm, setting up meals for раtient who feeds themselves, resроnse to саll light is initiated within 5 minutes, and attend interdisсiрlinаry саre соnferenсes. The study аlsо revealed that inadequate lаbоr resources were the most reason of missed саre followed by material resources and соmmuniсаtiоn. Соnсlusiоn: This study соnсluded the роint to the need to асknоwledge сertаin аsрeсts of missed nursing саre and the different roles within nursing. Highlighting the most relevant reasons for missed nursing саre might help nurse аdministrаtоrs in preparing resроnsive strategies to eliminate such reasons.
American Journal of Nursing Research. 2021, 9(4), 118-124. DOI: 10.12691/ajnr-9-4-3
Pub. Date: May 19, 2021
Nursing Skills Laboratory as Milieu of Clinical Learning and Practice
Original Research
Objective: The study's objective is to assess the effectiveness of the university nursing skills laboratory if it functions as the milieu of clinical learning and practice. Methods: The research employed a mixed-method approach that included both quantitative and qualitative components. Results: The study revealed that most nursing students are still female and have already long experienced using nursing laboratories. The nursing skills laboratory assists in developing the psychomotor skills of the students (3.34) and builds confidence and overcome fear in performing nursing procedures' (3.26). The checklist used in the nursing skills laboratory is essential. The rubrics of the checklist provided accurately measure student skills (3.21); however, it should be based on or designed after the hospital setting (2.86). The respondents stressed that an additional time for an open laboratory hour enhances their nursing skills (3.06.). Some respondents feel the insufficient time to practice specific nursing skills for a particular session (2.78). Respondents stated that the availability of equipment and supplies affects the quality of their nursing skills performance (3.08). There was a significant difference in the assessment of the respondents when the year level was considered. Lastly, respondents stated that the challenges they face in the nursing laboratory are a lack of sufficient equipment and materials and a lack of time to practice the skills they have learned. Conclusions: Based on the study's findings, the nursing skills laboratory should have sufficient equipment and supplies in the simulation to use during the nursing skills demonstration and re-demonstration. Additional time should be given to the students to practice the skills they have learned, and the checklist should be designed after the hospital setting to reduce the risk and ensure patient safety.
American Journal of Nursing Research. 2021, 9(4), 112-117. DOI: 10.12691/ajnr-9-4-2
Pub. Date: May 10, 2021
Exploring the Motivational Learning Impact of a Contextually Adapted High-Fidelity Simulation Scenario on Nursing Students in the College of Nursing, in Kuwait
High-Fidelity Simulation, or Human Patient Simulation, is an educational strategy embedded within nursing and medical curricula throughout many healthcare educational institutions. With High-Fidelity Simulation, clinical situations can be created for students to practise clinical skills and apply theoretical knowledge in a simulated setting. Presently, nursing students in Kuwait rely on the allocation of clinical placements in order to test the skills and knowledge that they have acquired in the classroom. Therefore, nursing students in Kuwait did not have the opportunity to experience the benefits of High-Fidelity Simulation (HFS). In order to ensure that nurses in Kuwait receive the best standard of education, and thus patients receive the best standard of care, there is an urgent need to redesign nurse education. Given the known benefits of High-Fidelity Simulation in the development of nurse education and the need to introduce this approach for the first time in Kuwait, this study aims to explore if a scenario, can be culturally adapted for use in the education of nursing students in Kuwait, and the extent to which this scenario will enhance students’ motivation to learn. This study will apply the ARCS-V model as one of the most widely used interactionism models. Applying a sequential approach that reflects the action research process associated with the model, phase one will explore educational stakeholders’ perceived barriers and facilitators to High-Fidelity Simulation. Phase two will engage participants in the co-design of a United Kingdom nursing simulated scenario for implementation in College of Nursing, Kuwait. Phase three will pilot and evaluate the High-Fidelity Simulation scenario with undergraduate nursing students. Adaption of evidence based, authentic clinical High-Fidelity Simulation scenarios is a valued and unique step in redesigning nurse education.
American Journal of Nursing Research. 2021, 9(4), 106-111. DOI: 10.12691/ajnr-9-4-1
Pub. Date: May 05, 2021