Abstract: Diagnostic cardiac catheterization is among the most commonly performed procedure. There are a number of potential complications from cardiac catheterization. The complications can be minor as discomfort at the site of catheterization to major ones like death .Aim of the study: Assess risk of complications in patients undergoing diagnostic cardiovascular catheterization at radial versus femoral vascular access sites. Setting: The study was conducted at the. The International Cardiac Center Hospital (ICC). Alexandria. Subjects: A convenience sample of 180 adult patients. Tools: One tool was used in this study: Radial versus Femoral Access Site Assessment Sheet. Results: The study revealed that females exceeded males in the radial groups,  53.4%, 46.6% respectively 56.8% of radial group patients and 45.7% of femoral group patients had read and write. Diabetic patients represented 26.1% of the patients radial group, while chronic obstructive pulmonary disease patients represented 22.8% of  the femoral group. More nearly two fifth of the studied  patients 38.1% were post myocardial infarction, compared to 45.5% of them in the radial group who had unstable angina. cases with complication was (30.7%) in radial group and was (51.1%) in femoral group, while cases without complication was (69.3%) and (48.9%). There was statistical significant difference between two studied groups regarding incidence of complications (P < 0.05). Conclusion: The radial approach would ensure better patient safety, satisfaction and comfort which would help reduce the patients length of stay and increase patients treated with timely discharges.   Recommendations: Develop and apply an educational programs should be implemented to each patient about how to care for access site after coronary angiography.

Keywords: Diagnostic cardiac catheterization, radial/femoral vascular access site, risk, complications.

Title: Risk of Complications in Patients Undergoing Diagnostic Cardiovascular Catheterization at Radial versus Femoral Vascular Access Sites

Author: Amal Metwaly Ibrahim Abozaid, Amr Mahmoud ThanaaEldin Zaky, Amany Youssef mohamed Sharaf, Rasha Fathy Ahmed Dawood

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Patient satisfaction is an important and commonly used indicator for measuring the quality in health care. In practice, such a concept can be examined with quantitative, qualitative or even mixed indicators, such as ensuring that legislative and statutory requirements, which reflect upon; that standards of care are being met, waiting times are reduced, infection/pressure sore rates and complaints through patient satisfaction surveys are kept to a minimum

Aim:  This editorial explores how the concept of patient satisfaction affects the structure of contemporary health care systems and routine delivery of care.

Discussion: Cost and quality of healthcare are major concerns in the majority of health care systems worldwide. The use of patient satisfaction as a quality indicator is a way of seeking to identify the relationship between healthcare cost and quality. In this context, patient satisfaction affects clinical outcomes overall, patient retention, and medical errors. It also affects care delivery in a timely, efficient, and patient-centered mode. Therefore, patient satisfaction is a “proxy” in assessing the effectiveness of healthcare delivery.

Conclusions: Yet, the links between patients' satisfaction and the nursing service seem to be quite strong. Under this light, the patient's opinion of nursing probably reflects on his/her hospital experience as a whole. Moreover, patient satisfaction may not necessarily reflect the quality of healthcare as a whole from an objective clinical standpoint as the cost-satisfaction relationship may not be extrapolated to other quality indicators.

Keywords: quality of care, healthcare costs, patient satisfaction.

Title: Patient satisfaction, costs and quality of care

Author: Theofanidis D., Kosmidis D.

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Early detection of child with mental retardation is important in maternal and child health care centers, because it helps in early treatment, rehabilitation and management of these cases. This study aimed to assess maternal and child health nurses' performance in early detection of mental retardation during childhood. Design: A descriptive research design was used. Settings: This study, conducted in all eleven maternal and child health centers in Helwan district. Sample: Convenient sample will consist of the 148 nurses. Tools: Two tools were used for data collection: I- A structured  interview questionnaire sheet includes demographic characteristics and nurses knowledge about mental retardation. II- An observational checklist such as history taking of child, determine risk factor, performing general physical examination. Results: The study finding revealed that more than one half of nurses had a satisfactory level of total knowledge, more than three quarters of nurses had adequate level of total performance with a highly statistically significant relation (p= < 0.001). There were highly statistically significant relation between total knowledge and years of experience (p = < 0.001). Conclusion: About more than two fifths of nurses had an unsatisfactory level of total knowledge, and more than three quarters of nurses had adequate level of total performance. Also, there were highly statistically significant relation between total knowledge and total performance and years of experience for maternal and child health nurses about mental retardation. Recommendations: Implement educational programs for nurses working at  maternal and child health centers on early detection and prevention of mental retardation during childhood

Keywords: Maternal and child health, nurses' performance, early detection, and mental retardation.

Title: Assessment of Maternal and Child Health Nurses Performance in Early Detection of Mental Retardation During Childhood

Author: Olfat Maher Tawfik, Afaf Salah Abd El- Mohsen, Amany Mohamed Saad

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Stroke is one of the leading causes of disability and death worldwide. Swallowing disorders are common after a stroke. Although nurses' knowledge and skills in detecting possible dysphagia disorders is an important factor in providing immediate treatment, studies in this area are limited.

Purpose: The purpose of this study is to investigate the knowledge level of nurses about dysphagia in patients after stroke and factors affecting its variation.

Method: A questionnaire was completed by 201 nurses working in hospitals in Northern Greece. The questionnaire included closed-type questions about clinical signs and symptoms, complications and management of dysphagia. Regression analysis was used to investigate predictors that affect the nurses’ knowledge level.

Results: The overall knowledge score in stroke patient care concerning feeding and swallowing problems shows a statistically significant positive correlation with ‘prior education in patient care after stroke’ (p<0,01) and ‘care stroke patients who presented feeding and/or swallowing problems’ (p<0,05). The most important independent predictor in the variation of the knowledge score, despite the small effect on variation (Rsquare=0.103), was ‘patient care training after stroke’ and the qualification level of the participants.

Conclusions: The results of this study underline the role of nursing continuing education. The implementation of recent research findings and enforcing implementation programs can reduce clinical practice deficits and better care for stroke patients with feeding and swallowing problems.

Keywords: Swallowing disorders, dysphagia, stroke, nurses, education.

Title: Nurses' knowledge about the symptoms, complications and management of eating and swallowing disorders after a stroke in Greek hospitals

Author: Kosmidis D., Petsina A., Fountouki A., Theofanidis D.

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Coronavirus disease 2019 (COVID-19) is worldwide health and societal emergency respiratory disease. The aim of the study was to examine the knowledge, attitude, and practice of high school children regarding Covid 19. Design: cross-sectional design was carried out among high secondary school. Setting: The research was conducted on high school children in Jeddah, Saudi Arabia. All available students of high school children (232) were included in the study. A structured online questionnaire sheet was used to assess children knowledge, attitude, and practice about Covid 19. Results: It was illustrated that the majority of studied children aged between 16 - < 18 years old (73.30 %) and the majority of them had correct knowledge about Covid-19, social distance, mode of transmission (90.7%, 94.7% and 93.3% respectively).  Half of studied sample reported that isolation of infected people is an effective way to reduce the spread of virus (50.7%). Meanwhile, the majority of studied sample had positive attitude toward avoidance of social events and practicing social distance (92%, and 92% respectively). Conclusion: it was concluded that the majority of study sample had adequate knowledge regarding Covid-19 and positive attitude towards the preventive measures. Meanwhile, there was incompetent practice toward prevention of Covid- 19. Recommendation: On-going educational programs should be implemented on a regular basis to improve quality of life and foster a positive attitude and good practice toward Covid-19 prevention.

Keywords: Knowledge, Attitude, Practice, Covid-19, High school children.

Title: Knowledge, Attitude and Practice of High School Children about Covid-19 at Jeddah, Saudi Arabia

Author: Hanaa I. El Sayed, Hayam, H. Mahmoud

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Thyroidectomy Complications are uncommon, but their effects can often be serious. The nurse plays a pivotal role in facing the wide-ranging needs of the patient, increasing patient’s self-belief to cope with surgery, increasing patient’s satisfaction and faster recovery that helping patients back to normal life activities. Aim of the study: Assess nurses’ knowledge, attitude and practice regarding Patients undergoing thyroidectomy. Design: A descriptive research design Subjects and method: The study was carried out at surgery departments at Alexandria University Hospital Egypt. Three tools were used for data collection. Tool I: Nurses’ Knowledge Assessment Questionnaire for thyroidectomy. Tool II: Nurses' Practice Observational checklist. Tool III: Nurses' Attitude regarding Patients undergoing thyroidectomy Results: The overall knowledge of studied nurse's percent score were59.05 ± 8.91 with total score 12.40 ± 1.87, the overall practice of studied nurse's percent score were56.10 ± 6.01 with total score 31.42 ± 3.37, 69.58 ± 19.17 whatever the results show that percent score of studied nurses was 69.58 ± 19.17 and total score 19.13 ± 3.07Also, there was no significance correlation between the studied nurse's knowledge attitude and practice related to thyroidectomy (p=0.638, 0.213, 0.721) respectively. There were a significance relation between nurse's knowledge, practice and socio-demographic characteristic and only significance relation between attitude with age, level of education, nurses' years of experience. Conclusion: Nurses showed  had moderate level of knowledge, practice and high level of attitude regarding care of patients undergoing thyroidectomy. Recommendation Nurses in need for in-services training programs and refreshing courses to improve their knowledge which will reflect into their performance while working with patients.

Keywords: Thyroidectomy, Nurses’ knowledge, Attitude, practice. 

Title: Nurses’ knowledge, attitude and practice regarding Patients undergoing thyroidectomy

Author: Hend A. E. EL-shenawie, Elsaida Gamal Aly baghdady, Yasmin Fathy Mohammed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Aim of the present study was to assess the mother's knowledge and attitude regarding streptococcal infection. Research design: A quasi experimental design was utilized for conducting the study. Settings: the study was conducted in outpatient clinic of pediatric Ain Shams University Hospital. Subjects: A purposive sample includes 92 mothers coupled with their children those selected from the previously mentioned setting those had eligible criteria. Tools of data collection: An interview questionnaire sheet was used pre/ post education program, The attitude rating scale sheet was used pre/ post education program.

 Results: this study revealed that, there was a highly statistical significant difference between mothers' knowledge, practice and attitude regarding GAS pharyngitis pre/ post educational programme. Conclusion: This study concluded that, mother's knowledge and attitude was significantly increased after educational programe. Recommendation: Raise public awareness on rheumatic fever and importance of adequate treatment of GAS pharyngitis.

Keywords: Rheumatic fever, GAS pharyngitis, educational programme.

Title: Educational Program for Prevention of Rheumatic Fever among Children with Recurrence Streptococcal Infection

Author: Sabah A. Radwan, Omaima M. Essmat, Enas A. Elsayed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Patients undergoing chemotherapy face numerous of psychological stressors that have a significant effect on their body image. Aim of the study: This study aimed to evaluate the effect of autogenic relaxation program on psychological stress and body image among patients undergoing chemotherapy. Design: A quasi-experimental correlational research design, with one group pre and posttest assessment, was used in conducting the present study. Setting: The study was conducted at the oncology unit at benha university hospital, in benha city Qalubia governorate. This unit is located in the medicine department, it contain 2 wards (one male and one female) which have critical room and chemotherapy room. Sample: A purposive sample of (40) patients undergoing chemotherapy was selected from the above mentioned settings. Tools for data collection: Data were collected by using three tools. Tool (I): Structured Interview Questionnaire to assess socio-demographic and clinical characteristics. Tool (II): Stress Scale and Tool (III): Body image scale. Results: Findings indicated that there were highly statistically significant reduction in the severity of total stress and highly statistically significant improvement in the level of body image post program implementation than before. Also, there was a highly statistically significant negative correlation between total stress score and total body image score of studied patients’ pre and post program implementation. Conclusion: The autogenic relaxation program had a positive effect on psychological stress and body image among studied patients undergoing chemotherapy. The study recommended that Generalization of autogenic relaxation program for all patients undergoing chemotherapy in all hospitals to alleviate their psychological stress and improve body image

Keywords: Autogenic relaxation, Chemotherapy, Psychological stress, Body image.

Title: Effect of Autogenic Relaxation Program on Psychological Stress and Body Image among Patients Undergoing Chemotherapy

Author: Rehab Elsayed Mohamed, Hend Ahmed Mostafa, Doha Abd elpaseer Mahmoud

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Background: Congenital obstruction of the nasolacrimal duct is a common occurrence in young children. The study aimed was to evaluate the effect of educational training program on mothers' knowledge and practice and clinical outcomes for infants with congenital nasolacrimal duct obstruction.  Subjects and method: A quasi-experimental research design was used. The study was conducted at out-patient clinic at Ophthalmology Department of Main Tanta University Hospital and out-patient clinic of Ophthalmology Hospital of Tanta City which Affiliated to Ministry of Health and Population.  Convenience sampling of 40 mothers and their infants from each of the previous mention sitting. Data was collected using three tools: mothers’ knowledge and socio -demographic characteristics, mothers’ practices observational check list and clinical outcomes for   infants. The results revealed that the majority of mothers had poor knowledge scores preprogram intervention and improved immediately and after one month program and less than one quarter of them had satisfactory practice (pre) compared to majority of them immediate and after one month had satisfactory practices. High improvement of infant's clinical outcomes reached majority of them after one month cured and didn’t need surgical treatment. The study was concluded: A significant difference between total mothers knowledge and practice before, immediate and after one month program introduction, and high rates improvement of infants' clinical outcomes. Recommendation Nasolacrimal massage should be used by all children with nasolacrimal duct obstruction, and in-service educational training sessions should be held on a regular basis.

Keywords: Educational Training Program, Mothers' Knowledge and Practice, Clinical Outcomes for infants, Nasolacrimal Massage, Congenital nasolacrimal duct obstruction.

Title: Effect of Educational Training Program on Mothers Knowledge and Practice and Clinical Outcomes for Infants with Congenital Nasolacrimal Duct Obstruction

Author: Dalal Nasef Ahmed El-sayed, Rahma Soliman Bahgat, Osama El-saied shalaby, Nagafa Hafez Farag

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Background: Vitiligo is a chronic skin disorder that may have a negative impact on patients’ self-esteem, quality of life and ultimately results in psychological problems. Aim of the study: This study aimed to assess correlation between psychological problems, self- esteem and quality of life among vitiligo patients. Research question: What is the correlation between psychological problems, self-esteem and quality of life among vitiligo patients? Design: A descriptive correlational research design was utilized in this study. Setting: The study was conducted at Benha dermatology hospital and dermatological outpatients at Benha University Hospital, Kaluobia Governorate. Sample: A random sample of 100 vitiligo patients was recruited consecutively from the above mentioned settings. Tools: Tool (1): A structured Interviewing Questionnaire Sheet, Tool (11): Depression Anxiety Stress Scale (DASS), Tool (111): Rosenberg' Self-Esteem Scale and Tool (V): Quality of Life Scale. Results: More than two thirds of the studied vitiligo patients had severe level of depression anxiety stress and more than half of them had low level of self-esteem and quality of life. Conclusion: There is a highly statistically significant negative correlation between mean scores of total depression anxiety stress, self-esteem and quality of life scales among the studied vitiligo patients. Recommendation: Stress management and assertiveness training program should be given to vitiligo patients to relieve their psychological problems and enhance their coping patterns.

Keywords: Psychological problems, self-esteem, quality of life, vitiligo.

Title: Correlation between psychological problems, self- esteem and quality of life among vitiligo patients

Author: Rehab Elsayed Mohammed, Doha Abd elbaseer Mahmoud, Hend Ahmed Mostafa

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Knee osteoarthritis (KOA) has been highlighted as one of the top contributors to global disability. Purpose: This study aimed to assess the effectiveness of nursing intervention on knowledge and practice among elderly with knee osteoarthritis. Design: A quasi- experimental design was utilized to conduct this study. Setting: The study was conducted at outpatient clinic of Shebin- Elkom University and Educational Hospital, and then they were following up at their homes. Sample: 100 elderly patients were selected who met inclusion and exclusion criteria. Tool: A constructed interviewing questionnaire developed by the researcher. Results: There was an improvement in studied elderly patient's knowledge in study group than control group after intervention which reflected in  improving their  practice toward symptoms management. Conclusion: Implementation of nursing intervention for elderly patients was effective in management symptoms of knee osteoarthritis among study group compared to control group.  Recommendations: Awareness programs, targeted for all elderly patients, their family caregivers and general public about nursing intervention for knee osteoarthritis and its importance for increasing knowledge and improving practice toward disease.

Keywords: Elderly, Knee osteoarthritis, nursing intervention.

Title: The Effect of Nursing Intervention on Knowledge and Practice among Elderly with Knee Osteoarthritis

Author: Magda M. Mohsen, Nabila E.Sabola, Nagwa I. El-khayat, Entsar A. Abd El-Salam

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The prevalence of cancer is increasing globally, and the number of individuals with cancer has increased particularly in Saudi Arabia in recent years. Adherence to self-management practices is the cornerstone of cancer control and prevent acute and chronic complications. This article to identify what is known about the self-management practices and to identify the factors that enable or hinder the work of self-management practices among patients with cancer. Published literature written in English on self-management practices and associated factors among adult patients with cancer were identified through a search of publicly available databases such as CINAHL, MEDLINE, PubMed, and Google Scholar. Search terms used were self- management practices, factors affecting self-management, adult patients with cancer, and cancer treatment. Self-management practices include diet, exercise, lifestyle change, support groups, spirituality, and medicine. Several factors affect self-management practices among adult patients with cancer include age, gender, income, cancer type and, treatment type. Self-management practices and associated factor among adult patients with cancer, highlights the importance role of formal and informal caregivers in supporting patients.

Keywords: Adult patients with cancer, cancer treatment, factors affecting self-management, self-management practices.

Title: Self-management Practices and Associated Factors among Adult Patients with Cancer under Treatment: literature Review

Author: Fatimah AL-Harithy

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The knowledge of primipara mothers regarding breastfeeding was not completely adequate and this was reflected on the practice.. Aim of The study was assess effect of breast feeding educational program on primipara mother's performance and their infants growth and development Research Design: A quasi-experimental design was used. Settings: This study was conducted at the selected maternal and child health center affiliated to the east and west medical sector of Cairo governorate. Subjects of the study:A purposive sample included 50 primipara mothers breast feed their infant less than 6 months selected randomly out from all primipara mothers attended the previous mentioned setting. Tools of data collection: An interviewing questionnaire sheet, Observational checklist, Growth & Development chart followed by design heath education program for breast feeding, implement and evaluate the outcome. Results: that There was a highly statistical significant difference between pre& post educational program regarding total Knowledge and total practice, as well as mothers and their educational level there's a highly positive correlation between mother's total score of knowledge and mother's total score of practice according to their infants growth and development. Conclusion: it could be concluded that, breast feeding educational program on primipara mother's enhance their performance and their infants growth and development. Recommendations: Regularly breast feeding educational program on primipara mother's to enhance their performance regarding breast feeding technique. Further research studies should be conducted for a large sample size to generalized the effect

Keywords: Primipara mother, BF practice.

Title: Effect of Breast feeding Educational Program on Primipara Mother's Performance and their Infants Growth and Development

Author: Magda Mohammed Ahmed, Iman Ibrahim Abd Al-Moniem, Asmaa Nasr Eldin Mosbeh, Madiha Amin Morsy Abou Khalaa

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Older adults often have a greater need for health information about diet and exercise and health care services that help them to manage their health. Aim: Examine the effect of health literacy intervention on dietary and exercise knowledge and practice among older adults with chronic diseases (diabetes and hypertension). Design: A quasi-experimental (study and control design). Settings: Family health unit in Dragel village, Menoufia Governorate, Egypt. Sample: A purposive sample of 140 older adults. Data collection tool: Interviewing questionnaire with five parts: Socio-demographic data, medical history, dietary knowledge and practice for diabetes and hypertension, knowledge and practice of exercise for diabetes mellitus and hypertension, and physiological measurement of random blood glucose and blood pressure. Results: Three months after the intervention,  there was a significant improvement in the dietary and exercise knowledge and practice of the study group compared to pre-intervention and the control group. Also, there was a significant control in mean random blood glucose level and blood pressure of the study group compared to pre-intervention and the control group, which indicate the effectiveness of health literacy intervention. Conclusion: The health literacy intervention was effective in improving dietary and exercise knowledge and practice for diabetes and hypertension as well as significant control in random blood glucose and blood pressure among older adults. Recommendations: Health care providers especially nurses should provide regular health education and follow up for dietary and exercise practices for older adults with chronic diseases.

Keywords: Health literacy - Older Adults - Chronic diseases.

Title: Effect of Health Literacy Intervention on Dietary and Exercise Knowledge and Practice among Older Adults with Chronic Diseases

Author: Magda M. Mohsen, Bahiga Galal Abd El-Aal, Sally S. Hassan, Amal A. El-Abbassy

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Cancer is considered as one of the stressful and life-threatening events which cause children to feel unhappiness and tension. The study aimed to investigate the effect of video games, drawing, and story-telling on happiness and relaxation among children undergoing chemotherapy. Materials and method: Design: A quasi-experimental research design was used in the study. Subjects: - A convenient sample of 200 children suffering from cancer undergoing chemotherapy were equally and randomly assigned into four groups, the first was the control group (50 children) who received only usual routine care, the study groups were (the second group was drawing group (50 children), the third was video games group (50 children), and the fourth was storytelling group (50 children). Setting: the study was conducted at the pediatric nursing department at the Oncology Institute at Sohag City and Sohag University Hospital and Fayoum University Hospital. Tools: Three tools were used in the current study; demographic characteristics tool, the Happiness Face Scale, and the Relaxation Scale were utilized for data collection. Results: A highly significant difference was found between children in the video game, drawing, story-telling, and control groups regarding their happiness, where more mean scores of children happiness were rated by the children in the video games group (5.2+0.94). A highly significant difference was detected between children in the video game, drawing, story-telling, and control groups regarding their relaxation scores, and fewer mean scores of children's relaxation were rated by the children in the drawing group (1.4+0.8). Conclusion: Children undergoing chemotherapy who received video games, drawing, and story-telling had experienced high happiness and relaxation scores compared to children in the control group who received daily routine hospital care only. Recommendations: Pediatric nurses should involve video games, drawing, and story-telling in routine care among children undergoing chemotherapy to promote and improve their happiness and relaxation.

Keywords: Children, chemotherapy, drawing, story-telling, and video games, happiness, relaxation.

Title: Effect of Video Games, Drawing and Story-Telling on Happiness and Relaxation among Children Undergoing Chemotherapy

Author: Manal Mohamed Ahmed, Eman Sayed Masoed Sayed, Fathia El-Sayed El-Ghadban

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Nursing competency is described as the ability to apply professional knowledge, skills and attitude to new situations successfully. Competencies manage the gap between education and practice to ensure the delivery of high-quality nursing care. Aim: This study was aimed to improve nurses' competency level regarding care of children undergoing intestinal obstruction surgery after implementation the educational program. Research design: A quasi-experimental design was utilized in the current study. Setting: This study was conducted in neonatal and pediatric surgical units at Specialized Pediatric Hospital in Benha City. Subjects: A convenient sample of (50) nurses and a purposive sample of 50 children were selected from the above mentioned setting. Tools of data collection: Three tools were used: tool (1) A Structured interview questionnaire sheet, tool (2) nurse competence scale and tool (3) quality of nursing care Likert scale. Results: More than two thirds (68%) of the studied nurses had poor level of competency pre-program while, the vast majority (92.0%) of them had good level of competency post-program. Majority (86%) of them had high frequency level of performed skills in clinical practice and the vast majority (94%) of them had high level of quality of nursing care post-program. Conclusion: The educational program was effective in improving nurses' competency level, their frequency of performed skills in clinical practice and their quality of nursing care regarding children undergoing intestinal obstruction surgery. Recommendation: Provision of continuing education programs in order to update nurses' knowledge and enhance their competency level regarding care of children undergoing intestinal obstruction surgery. 

Keywords: Care, Children, Educational program, Intestinal obstruction, Nurses’ competency level. 

Title: Improve Nurses' Competency Level Regarding Care of Children Undergoing Intestinal Obstruction Surgery: An Educational Program

Author: Fatma Ismael Mohammed, Sabah Saad Al Sharkawi, Amal Gharib Sabaq, Seham Mohammed Abd-Elaziz

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Epidemics or natural disasters increases long-term levels of fear and depression in populations. Fear of COVID-19 is negatively associated with life satisfaction. Aim of the study is to determine the level of fear among the general population and factors affecting fear level during the COVID-19 pandemic in Al-Ahsa, Saudi Arabia. Cross sectional study design was utilized. The online survey was administered by Google Forms to ensure a broad reach and easy access.  After agreeing to complete the survey, participants filled demographic information and completed the FCV-19S questionnaire. The participants were chosen via non-probability convenience sample technique. In total, 1007 respondents given consent to join in the study. . Data collection done in November 2020. Participation is voluntary joined. Results showed that more than half of the participants (57.9%) had stress feelings.  Near to quarter of the participants (23.8%) experience isolation or quarantine because of travelling or suspicious or because of contact with positive cases. Extremely fear appeared in 27.1% of the participants. While, more than half of the participants had normal feelings. Among the demographic characteristics age, gender and work career were significant at a 0.05 level. Among the pandemic and influencing factors feeling of stress, number of quarantines during the corona pandemic, and suffering from psychological disorder were significant at a 0.05 level. In conclusion this research results found that due to the pandemic of COVID-19 participants feelings significantly stuck with different adverse attributes. Consequently, the fear level in more than quarter of the population appeared to be in a high level.

Keywords: Al Ahsa, COVID-19, Fear, Pandemic, Survey.

Title: Level of Fear among the General Population During the COVID-19 Pandemic in Al-Ahsa, Saudi Arabia

Author: Shahad Alothman, Rahaf Alshehri, Hessa Alfarhan, Hetoun Alzain, Nora Alfayz, Ola Mousa

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Cognitive impairment is thought to be central to the pathology, and in particular in the areas of attention, memory, and executive function in patients with chronic schizophrenia. Cognitive deficits have a significant impact on the quality of life of sufferers, their symptoms and functional outcome.

Aim: To determine the effect of implementing cognitive remediation therapy on cognitive flexibility, working memory, and psychiatric symptoms in patients with chronic schizophrenia.

Design: A quasi-experimental research design (pre-test/post-test design) was used.

Subjects: Participants with a diagnosis of chronic schizophrenia, and a cognitive difficulty (n= 12) were randomly recruited to 24 sessions of cognitive remediation therapy (cognitive flexibility and working memory A and B modules).

Tools: Tools used included Wisconsin Card Sorting Test (WCST), Forward and Backward Digit Span Test, and Brief Psychiatric Rating Scale. These tools were applied twice before and after program.

Results: The study showed improvements in patients' performance of Wisconsin Card Sorting Test and Forward and Backward Digit Span Test, as well as in psychiatric symptoms scale. Conclusion: Cognitive remediation therapy can be effective in improving cognitive flexibility, working memory, and in turn psychiatric symptoms in patients with chronic schizophrenia.

Keywords: Cognitive Remediation Therapy, cognitive flexibility, working memory, schizophrenia, and psychiatric symptoms.

Title: The Effect of Cognitive Remediation Therapy on Cognitive Flexibility, Working Memory, and Psychiatric Symptoms in Patients with Schizophrenia

Author: Nadia Waheed Elzohairy, Sanaa Abd Elaziz Emam, Ola Ahmed Rashad lachine

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The golden hour was originated by R Adams Cowley using research from World War I which demonstrated that the mortality and morbidity of injured patients increased with the amount of time to resuscitation and definitive care: there was an increase of 10% with a 1-hour delay and an increase of 75%with a 10-hour delay. Aim: of this study was to assess nurses' knowledge, and practice about the golden hour of trauma in emergency department. Design: A descriptive exploratory design was used.  Sample: A convenient sample of all available nurses (50 nurse') from both sex working in emergency department. Setting: Emergency department in Helwan General Hospital.  Tools: Tool (I) involved nurses’ self-administered interview questionnaire sheet that included two parts, part I included demographic characteristics of nurses as (Gender, age, sex, level of education, years of experiences and training courses about the golden hour of trauma), and part II included nurses’ knowledge regarding to the golden hour of trauma as (knowledge about the golden hour of trauma definition, types, role of the trauma nurse, and triage…etc.)  Tool (II) Observational checklist sheet to assess the level of nurse practice.  Results: 68% of nurses included in the study had unsatisfactory level of knowledge, 64% incompetent practice toward the care of trauma patients'. Also, there was a highly statistically difference between nurse' socio-demographic characteristics and their knowledge, and practice . Conclusion: Nurses' experience, training regarding nursing care of traumatic patients are at a weak and inadequate level and need developing nursing care standards to improve nurses' knowledge and practice. There was a highly statistically significant correlation between the study subjects’ total level of knowledge and their total level of practice. Recommendation: -Continuous educational programs should be planned on regular basis to nurses' caring of traumatic patients for enhancing emergency nurses' knowledge and practice to achieve high quality of care.

Keywords: Golden Hour- Nurses' Performance- Trauma.

Title: Nurses' Performance of Golden Hours for Trauma in Helwan General Hospital

Author: Moshera Zoghby Khalifa, Taghreed Talaat, Baghdad Hussein

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Context: Arterial blood gases sampling is part of everyday nurses’ practice in the care of children admitted to the pediatric intensive care unit, particularly for those receiving respiratory support. Aim: To evaluate the effect of video-assisted teaching intervention on nurses’ knowledge and practice regarding arterial blood gases sampling for ventilated children at pediatric intensive care units. Methods: A quasi-experimental research design was utilized to conduct the current study. Settings: The study was conducted at Pediatric Intensive Care Units (PICUs) of Benha University Hospital and Benha Specialized Pediatric Hospital at Benha city. Sampling: A convenient sample of (70) nurses working at the above-mentioned settings were included in this study regardless of their personal characteristics. Tools of data collection: Two tools used, Tool 1: A structured interviewing questionnaire designed to assess nurses’ personal characteristics, personal data of the studied children, and nurses' knowledge regarding arterial blood gases sampling. Tool 2: An observation checklist to assess nurses' practice regarding arterial blood gases sampling. Results:  There was a significant improvement in nurses’ total knowledge and practice regarding arterial blood gases sampling after video-assisted teaching intervention. Conclusion: It can be concluded that video-assisted teaching intervention had a positive effect on the improvement of nurses' knowledge and practice level, which indicates that the video-assisted teaching intervention is an effective method. Recommendation: The study recommended that applying the video-assisted teaching intervention for nurses caring for ventilated children helps to promote and update their knowledge and ensure competent practice.

Keywords: Video-Assisted Teaching Intervention, Nurses’ Knowledge and Practice, Arterial Blood Gases Sampling, Ventilated Children, Pediatric Intensive Care Units.

Title: Effect of Video-Assisted Teaching Intervention on Nurses’ Knowledge and Practice Regarding Arterial Blood Gases Sampling for Ventilated Children at Pediatric Intensive Care Units

Author: Seham Mohamed Abd Elaziz, Ghada. A. Hassan, Rawia Abd Elghany Mohamed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Innovative work behavior is not part of the nurse’s job. It is extra-role behavior, which refers to open behavior that not specify in the job description for attempts to organization benefit. Aim: The study aimed to explore the relationship between nurse's innovative work behavior and their Job satisfaction. Design: A descriptive, correlation design was utilized in carrying out this study. Subject: Composed of (97) nurses who were available at all available department at Badr University Hospital it is a Helwan University Hospital during the time of data collection in the selected hospital and who were present at the time of the study with at least one years of experience in the present work place. Tools:  Personal characteristics’ sheet of the nurses to assess demographic characteristics of the nurses, nurse’s innovative work behavior questionnaire and job satisfaction questionnaire. Results: 81.46% the studied participants’ had high level of innovative behavior and 69.08% the studied participants’ satisfied toward work. Moreover, there was a highly significant statistical difference with weak positive correlations between total innovative behavior and total job satisfaction of the studied nurses and there was a highly significant moderate positive effect from job satisfaction on innovative behavior. Conclusion: there were statistical significant differences between job title, department of work and monthly income of the studied nurses and their total innovative behavior respectively and there was a statistical significant difference between monthly income of the studied nurses and their total job satisfaction. In addition, there were a highly significant statistical differences with weak positive correlations between nurses support , nurses encourage , nurses vision rewarding , monitoring , work communication and  total job satisfaction of the studied nurses. Recommendation: Conduct workshops on innovative thinking and design strategies to improve and facilitate innovation behavior among nurses and Creating an appropriate work environment and facilitating knowledge sharing among nurses will encourage a more productive and constructive innovative environment.

Keywords: Innovative Work Behavior, Job Satisfaction, Nurses.

Title: The Relationship between Nurse's Innovative Work Behavior and Their Job Satisfaction

Author: Shaimaa Salah Abo Shama, Gehan Mohamed Ahmad

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Gestational diabetes mellitus (GDM) is a global health concern, not only because its prevalence is high and on the increase, but also because of the potential implications for the health of mothers and their offspring. It is defined as any degree of glucose intolerance with an onset or first recognition during pregnancy and diagnosed in the second or third trimester of pregnancy. Objective: This study aimed to identify gestational diabetic women's compliance with their therapeutic regimen. Design: A descriptive research design was used to accomplish this study. Setting: EL-Shatby Maternity University Hospital affiliated to Alexandria University. Tools: two tools was used to collect the necessary data, Tool(I) Gestational diabetic women's basic data structured interview schedule, Tool (II) gestational diabetic women's compliance with their therapeutic regimen interview schedule. Results: It was found that (62%) of studied women with gestational diabetes were moderately compliant with their therapeutic regimen, about one-third (34%) of them were not compliant with their therapeutic regimen. On the other hand, only (4%) were compliant with their therapeutic regimen. Conclusion: Women with gestational diabetes tend to moderately comply with their therapeutic regimen.

Keywords: Gestational Diabetes, Compliance, Therapeutic Regimen.

Title: Gestational Diabetic Women's Compliance with Their Therapeutic Regimen

Author: Zainab Mohamed Abdelewahab, Soheir Ibrahim Sobhy, Samar Kamal Mohamed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Aim of the present study was to assess the mother's knowledge and attitude regarding streptococcal infection. Research design: A quasi experimental design was utilized for conducting the study. Settings: the study was conducted in outpatient clinic of pediatric Ain Shams University Hospital. Subjects: A purposive sample includes 92 mothers coupled with their children those selected from the previously mentioned setting those had eligible criteria. Tools of data collection: An interview questionnaire sheet was used pre/ post education program, The attitude rating scale sheet was used pre/ post education program.

Results: this study revealed that, there was a highly statistical significant difference between mothers' knowledge, practice and attitude regarding GAS pharyngitis pre/ post educational programme. Conclusion: This study concluded that, mother's knowledge and attitude was significantly increased after educational programe. Recommendation: Raise public awareness on rheumatic fever and importance of adequate treatment of GAS pharyngitis.

Keywords:  Rheumatic fever, GAS pharyngitis, educational programme.

Title: Educational Program for Prevention of Rheumatic Fever among Children with Recurrence Streptococcal Infection

Author: Sabah A. Radwan, Omaima M. Essmat, Enas A. Elsayed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Patient education and empowerment of nurse-patient interaction have been emphasized greatly in nursing. Infection in Pin site stays challenging issue facing providers of health care; therefore, nurse health education is greatly needed to decrease incidence of pin site infection, increase satisfaction, and lower anxiety level. So this study aims to determine the effect of safety measures educational program on the incidence of infection, satisfaction, and anxiety level among orthopaedic patients with external fixation. Research hypothesis: Patients who educated through safety measures program will have lower incidence of infection, higher satisfaction level, and low level of anxiety than those who cared through traditional hospital strategy. Research design:  the current study utilized a quazi experimental research design.  Setting: This study was conducted in patient wards and outpatient department of El Hadra Orthopedic and Traumatology University Hospital, Alexandria. Egypt. Sample: A convenient sample of 70 orthopaedic patients with external fixation was randomly divided into 2 equal groups, 35 patients in each group. Tools: Three tools were used for compilation of data. Tool (I): Orthopaedic Patient’s External Fixation Assessment Sheet. Tool (II) Patients’ Satisfaction Scale, Tool (III): Beck Anxiety Inventory. Results: Statistically significant difference was found between both groups regarding pin site infection wherec²⁼5.820^{* MC}p=0.046^{*  .} Also, statistical significant differences between both groups regarding satisfaction level  of Neurovascular  assessment, Pin site care, Exercise, Nutrition and smoking, Methods of device protection where t=4.785^*,p=<0.001; t=2.797^*, p=<0.001; t=7.550^*, p=<0.001;t=8.645^*, p=<0.001, t=9.117^*, p=<0.001 respectively . There was statistical significant difference among both groups in relation to their level of anxiety where(X²=4.786^*, P=0.029^*).Conclusion: Health educational  program  has  a  positive  effect  on the incidence of patients’  pin site infection, satisfaction and lowering anxiety level among patients. Recommendation: The educational intervention and patient‘s psychosocial support should be included in routine nursing care as a protocol before and after external fixation surgery. Further research is to be carried out on new approaches around management of patients with external fixation and evaluate its effect on patients' quality of life.

Keywords: nurse-patient, health care, nurse health education.

Title: Effect of safety measures educational program on the incidence of infection, satisfaction, and anxiety level among orthopaedic patients with external fixation

Author: Ola El-SebaieBadr, Yasmin Fathy Mohammed, Hend A. E. EL-shenawie, Yasmeen Mohamed Shehata

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Student attendance assumed an important factor in the academic performance and success for both nursing and medical students. Therefore, our study aim was to explore relationship between academic problems, lectures attendance and academic performance among medical and nursing students: A cross- sectional study. Methods: A cross-sectional descriptive research method utilized on systematic random sample composed of 920 medical and nursing student affiliated to Mansoura University, Egypt. Data were collected using self-administered questionnaire that composed of three parts in the form of 5-point likert scale.  Results: There were positive correlation between students annual assessment in the past year and percentage of practical and theoretical lectures attendance among medical and nursing students with statistical significant difference (p= ≤0.001). In addition, the percentage of theoretical lectures attendance among nursing students was 95.75±11.76 compared to 87.62±23.35 in medical students with statistical significant difference. Conclusion: It wished that this study would serve as the base for prospect studies aimed at assisting higher education organizations to deal with student absenteeism of medical and nursing students in Egypt. To promote and encourage lecture attendance the researchers recommend implementing more active learning strategies and exercises by using in-class group work.

Keywords: Student attendance, academic performance, nursing and medical students.

Title: Exploring relationship between Academic Problems, Lectures Attendance and Academic Performance among Medical and Nursing Students: A cross- sectional study

Author: Amal Ahmed Elbilgahy, Amina Mohamed Seliman, Doaa ShokryAbd El khalek Alemam

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Emergency unit provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention, the aim The aim of this study is to evaluate the effect of training program for improving  nurses’ performance to use infection control standard precautions in emergency unit Setting The study was conducted in emergency units at Ain Shams University specialized hospital, Cairo Governorate, Sampling A convenience sample, all nurses was taken, The total number (80) of nurses. (65 diploma nurses and 15 bachelor nurses) working in emergency unit. Tools Three tools were used in this study for data collection, First An interviewing questionnaire divided into three parts: Part 1 nurses socio- demographic, Part 2 Nurses knowledge& Part 3 The barriers hindering the application of infection control standard precaution .Second Observation checklist for assessing nursing performance regarding infection control standard precautions Third Inventory checklist, for assessment of the environment of the emergency unit.  Results Reveals that 46.1% had correct knowledge about infection control pre-program, improved to 84.4% post program implementation, there were statistically significant differences between nurse's total knowledge scales and subscales in Pre and Post program. Also Reveals that there were highly statistically significant differences related to nurses correct performance score level pre and post program.Conclusion educational training program reported remarkable improvement in emergency unit nurses knowledge and performance toward infection control standard precautions. Recommendations the study recommended that Continuing training for nurses to demonstrate their compliance/ performance/ utilization of standard precautions of infection

Keywords: Emergency Unit, Infection Control, Nurses Performance.    

Title: Improving Nurses’ Performance to Use Infection Control Standard Precautions in Emergency Unit

Author: Warda Abdelmoaty Azab, Nawal Mahmoud Soliman, Ferial Fouad Melika

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: clinical training of nursing students considers the basis of nursing practice that increases the call for improving the methods of teaching and the environment in which nursing students learn the clinical skills. Thus, the nursing curriculum should guide toward using innovative methods of teaching that enhance the clinical skills and transforming nursing students into competent nursing practitioners. Reflective Debriefing Strategy (RDS) is a form of active self-learning where participants use self-discovery through reflection on their performance and experimentation with newly learned ideas to improve future performance. Aim: To determine the effectiveness of RDS in nursing students' learning. Setting: nursing skills laboratories of the Medical-Surgical Nursing Department at the Faculty of Nursing, Damanhour University. Subjects: 80 nursing students divided equally into two groups; each group will include 40 students. Tools: the first; Blood Pressure Evaluation Rubric measures nursing students’ level of blood pressure (BL.P) performance. The second: The blood Pressure Self-Efficacy Scale, measures nursing students' self-efficacy in performing the BL.P procedure. The third: Reflective Debriefing Experience Scale (RDES) to determine the effectiveness of RDS from students' viewpoint. Results: There was a statistically significant difference between the study and control groups' clinical performance after applying RDS χ²=44.598^*(P<0.001^*). Mean ± SD in the study group was 23.73± 0.28 whereas in the control group was 19.30±2.42. Moreover, a highly statistically significant difference was found between the study and control groups about their Blood pressure self-efficacy immediately after applying RDS (76.400^* p<0.001^*).

Conclusions: RDS had a positive influence on nursing student’s clinical performance and its efficacy, moreover observation, evaluation, critical thinking skills, awareness, and thought process.

Keywords: Reflective debriefing, clinical performance, performance - efficacy, Nursing student.

Title: The Effectiveness of Reflective Debriefing Strategy in Nursing Education

Author: Saeeda Mohamed El-gebaly, Prof. Dr. Zinat Ibrahim El-Hawashy, Prof. Dr. AbeerAbd El Fattah AbouShosha, Dr. Ghada Elsayed Abdel Haleim

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Traumatic brain injury (TBI) is the major leading cause of disability, death, and health-related expenditures. The first target of nursing management in traumatic brain injury is to sustain adequate brain tissue perfusion. Aim: This study aimed to assess the effectiveness of bite-sized teaching sessions about traumatic brain injury on nurses' knowledge and practice. Setting: The study was conducted within the Emergency Department at Suez Canal University out for this study (pre/post &follow-up test). An appropriate sample of 70 nurses introduces the nursing care for a patient with TBI in the setting was mentioned above, from Sep. 2019 to Jun. 2020. Two tools were used for the gathering data. First tool: A structured interviewing questionnaire sheet consisted of seven sections to assess the nurses' knowledge and the second tool: An observational checklist to assess the nurses’ practice for the Glasgow coma scale. Results: Findings of the current study indicate statistical significance difference between pre, post, and follow-up tests regarding nurses’ knowledge and care practices for patients with traumatic brain injury at a 1% level of statistical significance. Conclusion: Implementation of bite-sized teaching session's strategies improved nurses' knowledge and practice while managing patients with a traumatic head injury. Recommendation: Continuous bite-sized teaching sessions should be scheduled regularly for the emergency nurses about traumatic brain injury to reinforce patient’s quality of care and improving patient outcome.

Keywords: Bite-sized Teaching Sessions., Traumatic head injury., Nurses., Knowledge., practice.

Title: Bite-Sized Teaching Sessions Effects on Emergency Nurses' Knowledge and Practice Regarding Traumatic Brain Injury

Author: Azza A. Aly, Samia Gaballah, Hanaa I. El Sayed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Pregnancy during adolescent age is associated with poor neonatal care outcomes, which may burden the adolescent mothers and their families. Aim: To compare fresh mothers of adolescents and adults regarding their newborn care practices in an individual instructional instruction program.Methods: Design: Quasi-experimental comparative study. Setting: The participants recruited from the postnatal unit in Woman's Health Hospital at Assiut University, Egypt, from October to November 2018. Sample: A total of 396 primiparous mothers, divided into two equal groups of adolescents, recruited based on eligibility criteria, primiparous mothers ages < 18-year-old and adult mothers ages > 18-year-old Results: Comparison between adult and adolescent mothers revealed a significant difference in newborn care practices, breastfeeding, all items of hygienic care, and immunization. There were statistically significant differences before and after receiving the individual instructions program. Conclusion: The adolescent mothers' experience of neonatal care, reflected a significant improvement after receiving the instructional instructions during the early postpartum period.

Keywords: effect, individual instructions, new Adolescents, mothers, practices, newborn care.

Title: Effect of individualized instructions program on new Adolescents and Adults mothers regarding practices of newborn care

Author: Howieda Fouly, Shaimaa Gomaa

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Vascular access failure among hemodialysis patients is common and associated with excess mortality, morbidity, and hospital costs. Management of vascular access properly improves the quality of life for hemodialysis (HD) patients and allows for lifesaving hemodialysis treatment. This study aimed to assess factors associated with hemodialysis patients' vascular access failure as perceived by nurses and patients. A descriptive research design (Retrospective study) was utilized for this study. This study was conducted at the hemodialysis unit of Al-Mowasa University Hospital which is affiliated with Alexandria University. Subjects of this study comprised all nurses (25) working at the Hemodialysis Unit of Al-Mowasa University Hospital who were available at the time of data collection, and (95) HD patients, all of them were be included in this study. The results revealed that, there was a statistically significant in relation to patient, vascular access, surgery and nurses’ practices factors. This study concluded that the most common factors of vascular access failure by the majority of the studied patients and nurses were; insufficient income, followed by prolonged duration of hemodialysis, advanced age, being a male, chronic diseases, anemia, intradialytic complications, smoking, hardworking, using metal needles, lack of vascular access arm exercise, insertion of dialysis needles several times during cannulation, inappropriate practices related to vascular access maintenance, lack of periodical follow up, surgical wound complications, lack of vascular access assessment, unfollowing aseptic technique practices before, during and after cannulation and decannulation, lack of instructions given to the patients for vascular access maintenance, lack of proper management of vascular access complications, were the most common identified factors.

Keywords: vascular access, chronic kidney disease, renal failure, vascular access failure, hemodialysis.

Title: Factors Associated with Hemodialysis Patients' Vascular Accesses Failure as Perceived by Nurses and Patients: a retrospective study

Author: Mohamed Fakhry Ahmed Salem, Prof. Sanaa Mohamed Alaa Eldein, Assist Prof. Rasha Aly Yakout Aly, Dr. Rasha Fathy Ahmed Dawood

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Multiple sclerosis affects most aspects of life of both the patients and their families. The complexity of the disease, the difficulty in determining the appropriate treatment and a wide range of symptoms call for a comprehensive approach to the patient, which would involve both pharmacology and rehabilitation interventions. Objective:  Evaluate the effect of rehabilitation exercise program on health status outcome of patients with multiple sclerosis. Setting: The study was conducted at the Neuropsychiatric Inpatient and outpatient clinics of Al Hadara Alexandria University Hospital. Subjects: A convenience sample of 60 patients determined to have multiple sclerosis. They were sequentially divided into 2 equal groups; the first was the control groups which comprised 30 patients and exposed to routine hospital care only, the second was the study group and comprised 30 patients and they received the rehabilitation exercise program. Tools: Two tools were used Tool I: Kurtzke Expanded Disability Status Scale (EDSS)., Tool II Functional Assessment of Multiple Sclerosis (FAMS) (version4), Results: the study revealed that 63.3%, 60% consecutively) of the patients within control group reported mild overall functional status pre and post exercise rehabilitation program with no statistically significant difference. whereas, 40% of the patients within study group reported moderate overall functional pre exercise rehabilitation program which is increased to 83.3% post exercise rehabilitation program with highly significant difference (FET=4.271, p> 0.001). Also highly significant difference was observed between control and study group patients only post application of exercise rehabilitation program (FET= 31.024, p>0.001^*).  Also it was noticed that: half (50%) of patients within the study group reported moderate mobility pre exercise rehabilitation program which is increased to 63.3% post exercise rehabilitation program with highly significant difference (FET=4.596, p>0.001*). Furthermore, it was observed that, near half (46.7%, 46.7% consecutively) reported worse to moderate symptoms pre exercise rehabilitation program which is changed to better 66.7% post exercise rehabilitation program with highly significant difference (FET=3.576, p>0.001*). Additionally, half of the patients (53.3%) within study group reported that their emotional wellbeing is worse pre exercise rehabilitation program as compared to the results post exercise rehabilitation program as 80% of the study group reported better emotional wellbeing with highly significant. Moreover more than two third (66.7%, 76.7% consecutively) of the patients within study group reported better family and social well-being pre and post exercise rehabilitation program with no statistically significant difference. Conclusion: applying the rehabilitation exercise program had statistically significant improvement of patients’ health status outcome. Recommendations: In service training program should be carried out for nurses working in MS unit about the different types of exercises that perform especially to patients with MS.

Keywords: Rehabilitation Exercise Program, Multiple Sclerosis.

Title: The Effect of Rehabilitation Exercise Program on Health Status Outcomes of Patients with Multiple Sclerosis

Author: Zahraa Hassan Ramzy, Yousria Mohamed Salem, Maha Adel Salem, Ashraf Mostafa Abdou, Mervat Adham Ghaleb

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Minimizing the level of anxiety can be managed through good preparation of children before the surgery or any stressful medical procedures. The study aimed to evaluate the effect of therapeutic play on reducing preoperative anxiety among children undergoing cardiac surgery. Design: A quasi-experimental research design with a one-group pre/post-test was utilized. Sample: - A convenient sample of 50 children undergoing cardiac surgery participated in the current study. Setting: The study was conducted at the intensive care unit at Sohag University Hospital and Heart Institution in Sohag City. Tools: A structured interview questionnaire and the Spielberger State Anxiety Scale for Children (STAIC). Results: Preoperative anxiety scores regarding STAIC were lower among school age children after therapeutic play intervention than before. Highly statistically significant differences were detected between the total mean score of STAIC in the pretest and posttest before surgery (P=0.000).Conclusion: The current study concluded that therapeutic play was very effective in decreasing preoperative anxiety among school age children undergoing cardiac surgery. Recommendations: Establishing preoperative therapeutic play for children undergoing cardiac surgery and their parents is very important for the preparation of the child and their parents for surgery.

Keywords: cardiac surgery, children, therapeutic play, preoperative anxiety.

Title: Effect of Therapeutic Play on Reducing Preoperative Anxiety among Children undergoing Cardiac Surgery

Author: Manal Mohamed Ahmed Ayed, Reda Abd El Aal Thabet Omar, Shimaa Mohammed Hassan Ali, Eman Sayed Masoed Sayed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Surgical site infections are wound infections that developed post-operatively. It is considered as a complication of the surgical procedure or of the post-operative caring of the surgical site. Objective: evaluate the effect of an educational program for nurses about surgical care bundle on surgical site infections control among newborns with intestinal obstruction. Setting: The Surgical Neonatal Intensive Care Unit (SNICU) in Alexandria University Children's Hospital at El-Shatby, Egypt. Subjects: All available pediatric nurses who were responsible for providing care for neonates in SNICU (30 nurses) comprised the study subjects, regardless of their age, qualifications, and years of experience. In addition, a convenience sampling of 100 newborns from both sexes undergoing intestinal obstruction surgery who were receiving care were included in the study subjects. Tools: Two tools were used; nurses' practices regarding surgical bundle care for control of surgical site infections among newborns with intestinal obstruction observational checklist and post-operative wound assessment tool. Results: None of the studied nurses had a good score of practices regarding the total pre and post-operative nursing measures before program implementation. The percent was improved to more than four-fifths of nurses who got a good score of practices after the program with a highly statistically significant difference was found between the nurses' practices before and after program implementation. Statistically significant differences were found regarding the occurrence of erythema of skin, wound exudate, fever and redness as a sign of wound infections before and after program implementation. Conclusion:  The majority of the studied nurses who received an educational program about surgical care bundle had  good scores of practices regarding the total pre and post-operative nursing measures with a highly statistically significant difference was found. Simultaneously, the newborns with intestinal obstruction who cared for by nurses after receiving educational program about surgical care bundle exhibited fewer surgical site infections than those in the control group. Recommendations: Continuous in-service education and training courses should be offered periodically in Surgical Neonatal Intensive Care Unit about evidence-based guidelines for managements of newborns with intestinal obstruction to enhance the quality of care for newborns. Surgical Neonatal Intensive Care Unit should develop and implement updated policies related to prevention of surgical site infections. Procedure manual handbook or handout containing all evidence-based guidelines for the prevention of surgical site infections should be available in Surgical Neonatal Intensive Care Unit.

Keywords: Intestinal obstruction, Surgical Care Bundle, Surgical Site Infections.

Title: Effect of Educational Program for Nurses about Surgical Care Bundle on Surgical Site Infections Control among Newborns with Intestinal Obstruction

Author: Gehan Abd-Elsalam Mahmoud Elzlbany, Prof. Dr. Azza Mostafa Darwish, Prof. Dr. Ahamed Mohamed Khairi Gabr, Dr. Hanan Mabrouk Ramadan Mohamed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Diabetes mellitus is chronic illness requires continuous medical care and serial education about self-care activities to prevent complications such as coronary heart disease and diabetic foot problems which is the leading cause of hospital admission, amputation and mortality in diabetic patients. Aim of the study: This study was conducted to evaluate effect of diabetic foot program on high risk patients’ health status. Research design: A quasi- experimental design was used in this study. Setting:  the study was conducted in diabetic foot outpatient clinic in Beni–Suef university hospital at Beni–Suef city Egypt. Subjects: A purposive sample of 60 patients admitted in diabetic foot outpatient clinic. Data Collection Tools: Tools of the study consist of four tools, tool (1) Lower limb assessment sheet for diabetic patients (2) Patient’s interview questionnaire sheet (3) Diabetic foot observational check list (4) health status assessment sheet. Results: (88.8%) of studied patients had satisfactory level of total knowledge regarding diabetes mellitus post educational program. (80.2%) of them had satisfactory self-care of foot post educational program. Concerning the effect of educational program on hemoglobin AIC and blood pressure, the study results revealed that more improvement in HbA1c, reduced systolic and diastolic blood pressure, reduced medication doses. There is high statically significant relation between patients’ health status before and after educational program. Conclusion: This study concluded that the patients’ health status improved after educational program. Recommendation: Diabetic foot programs for high risk patients^, health status recommend to be conducted in diabetic foot outpatient clinics by specialized well trained nurses.

Keywords: Diabetic Foot, Health Education Program- Health Status.

Title: Effect of Diabetic Foot Program on High Risk Patient’s Health Status

Author: Noura Mahfouz, Taghreed Talat Shakweer, Marwa Abd-Elaziz

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Adolescent have been largely ignored as an age group, with special needs and serious health problems. Aim of the study: aim of this study was to compare the needs and health problems of female adolescent students in rural and urban areas in Ismailia Governorate. setting: The study setting was in governmental secondary school for female in Ismailia Governorate, Ismailia city for urban sample and Abosweer village for rural sample. Subjects and methods: Research design: Descriptive-correlational design. The sample of the study consisted of (380) secondary female students, 190 in rural and 190 in urban areas. Tool of data collection: Data were collected using a self-administrative questionnaire and general examination record. Results: this study revealed that female adolescent students are suffering from many health problems and there were enormous differences between the information needs about body physiological changes in rural than urban students. Also, the ophthalmological and musculoskeletal problems are more frequent in rural than urban female students. Conclusion, it was concluded that there were highly significant difference between urban and rural areas, as regard social activities it was higher in urban than in rural areas, sporting activities, and there were enormous differences between the physiological needs and health problem recommendation that the school nurse can offer her teaching services and knowledge to teachers by participating in classes that focus on specific adolescents' problems. and encourage open communication between the parents and adolescent.

Keywords: Adolescent, Urban and Rural areas, health needs/ problems, and School Health.

Title: Needs and Health Problems of Adolescent Female in Rural and Urban; Ismailia Governorate: A Comparative Study

Author: Asmaa Mohammed Abd Elazez, Mona Sadek Shenoda, Somaya Elsayed Abou Abdou

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: This exploratory qualitative study was conducted to examine the perceptions of nurses, health educators, and dieticians regarding care for patients with type 2 diabetes. The healthcare team in the Diabetes Centre highlighted several cultural challenges that influenced diabetes management, including misconceptions, sedentary lifestyle, female needs, and food habits.

Keywords: Type 2 diabetes, Care Management, Culture, Saudi Arabia.

Title: Cultural Challenges in Providing Self-management Education Support to Patients with Type 2 Diabetes in Saudi Arabia

Author: Dr. Ali Alhaiti, Dr. George Lenon, Dr. Mohammad Alrashidi, Dr. Mishal Aldaihani

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Nursing professionalism has positive impact on patients, members of the profession, organizations, and the profession itself. Its effect includes: high quality of care, safety, and patients' satisfaction; improved nurses' performance, commitment, and satisfaction; and good reputation and public' confidence in nursing profession. Aim: to develop an instrument for measuring Bachelor’s Degree Nursing Professionalism (BDNP). Methods: a methodological qualitative research design was utilized at all hospitals that are affiliated to the Ministry of Health and Population (MOHP), at El-Beheira Governorate-Egypt (n= 20). Subjects: it is composed of two groups: panel of experts (n=53), divided into two categories: academic experts (n=10) and professional experts (n=43); and professional nurses (n= 332). Tools: two tools were developed, tool one: BDNP Instrument and tool two: opinionnaire sheet. Results: the study findings revealed that there was highly significant positive correlation between the total final version of the developed instrument for measuring BDNP and its attributes at p-value ≤0.01. Conclusion: the developed instrument for measuring BDNP has acceptable face validity; excellent content validity and reliability; and construct validity. Recommendations: implementing the valid and reliable developed instrument for measuring BDNP in different health care settings; conducting programs for bachelor's degree nurses in different healthcare units to enhance their professionalism; and educating bachelor's degree students at Faculties of Nursing about the attributes of nursing professionalism. 

Keywords: Instrument development, nursing professionalism, Bachelor's degree.

Title: Developing an Instrument for Measuring Bachelor’s Degree Nursing Professionalism

Author: Eman Ismail Elksas, Reem Mabrouk Abd El Rahman, Nadia Hassan Ali

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The aim of the present study was to assess knowledge of ovarian cancer among female employees. Design of the study: An exploratory descriptive design. The study setting: The study was done at Al-Samer Students Center at King Khalid University, Abha, Saudi Arabian. Study subjects: A total of 52 female employees from different faculties had been selected by the convenient method of sampling. Tools of data collection: The researcher developed a structured interview questionnaire. It consisted of 3 parts; parts one and two to assess general characteristics and sources of information and the third part consisted of a questionnaire related to knowledge about ovarian cancer such as definition, symptoms, risk factors, and investigations. Results: the female employees’ age ranged from 35-50 years old with Mean ± SD = 45.827 ± 6.715 years old. The main source of information about ovarian cancer was media 55.8%. The total knowledge score about definition, symptoms, risk factors, and investigations of ovarian cancer recognized as poor among 59.6%, 76.9%, 59.6%, and 53.8% of the study group, and 76.6% of them had an inadequate level of total knowledge score. Conclusion: The majority of the participant had inadequate knowledge about ovarian cancer. Recommendations: Developing health educational programs to raise awareness about ovarian cancer in universities, maternity services and through social media. 

Keywords: ovarian cancer, knowledge, risk factors.

Title: Knowledge of Ovarian Cancer among Female Employees

Author: Hanan Awad M Elmashad, Merfat Amin Elzehri, Kawther Eltayeb Ahmed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Musculoskeletal trauma is injuries and disorders that affect the human body’s movement or musculoskeletal system such as muscles, tendons, ligaments, nerves, discs, blood vessels. Pediatric musculoskeletal trauma remains a significant cause of morbidity and mortality in children and teenagers. Nurses have fundamental role in caring children with musculoskeletal trauma. The aim of this study was to evaluate the effect of implementing pre and post-operative nursing intervention on nurses' performance caring for children with musculoskeletal trauma. Research design: A quasi experimental research design was utilized. Subjects and method:  sixty nurses from Pediatric Surgical Orthopedic Department of Tanta Educational International Hospital and Pediatric Surgical Orthopedic and deformity Unit of Tanta Main University Hospital were included in this study. Three tools were used to collect data: Structured interview Schedule to assess socio demographic characteristic for the studied nurses, Nurses' knowledge about children with musculoskeletal trauma and Nursing intervention related to pre and post-operative care for children with musculoskeletal trauma by using observation check list. The results of present study revealed that the total score of nurses knowledge and practice were improved immediately and two weeks after nursing intervention. The study concluded that studied nurses who received nursing intervention had improved their level of knowledge and practice about caring of children with musculoskeletal trauma. The study recommended that designing procedure handout about pre and post-operative care for children with musculoskeletal trauma.

Keywords: children, musculoskeletal trauma, nursing intervention, nurses performance , pre and post-operative.

Title: Effect of Implementing Pre and Post-Operative Nursing Intervention on Nurses Performance for Caring of Children with Musculoskeletal trauma

Author: Randa Abdel Hakeem Younis, Rahma Soliman  Bahgat,  Mohamed Mostafa Hosney, Nahla abd Elnaby Elsayed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Hip replacement (total hip arthroplasty) is surgery to replace a worn-out or damaged hip joint. The surgeon replaces the old joint with an artificial joint (prosthesis). This surgery may be a choice after a hip fracture or for severe pain because of arthritis. It also helps relieve hip pain that can’t be controlled by other treatments. Aim of the study: To evaluate the effect of evidence based progressive exercise program on functional outcomes for patients after total hip replacement surgery. Aquasi-experimental design was used to conduct the current study in orthopedic unit and outpatient clinics, at Benha university hospital during the period from beginning of November 2019 till beginning of November 2020. Subjects: A convenient sample of 60 patients recruited according to the study criteria.  Tools: Four tools were utilized for data collection, 1) Structured interviewing questionnaire sheet, 2) Structured Knowledge questionnaire, 3) Performance based measures and 4) Self-reported measures. Results: Showed that the mean score regarding knowledge, performance based and self- reported measures were significantly higher after implementing the evidence based progressive exercise program than before program implementation. Moreover, there was a positive significant correlation between knowledge and each of HOOS and hip ROM scores, while a negative significant correlation with TUG. Also, there was a negative and significant correlation between Hip disability and Osteoarthritis Outcome and timed up and go test, where the higher the HOOS score the lower the score of TUG (p=<0.001^**). Besides, there was a positive and significant correlation with hip ROM where the higher the HOOS score the higher the score of ROM (p=<0.001^**). Conclusion: Implementing evidence-based progressive exercise program was effective in improving knowledge; performance based and self-reported measures for patients’ functional outcomes after total hip replacement surgery. Recommendation: Reinforcement of receiving instructions for progressive exercises after THR rather than disease knowledge and complying with follow up visits to physiotherapy clinic is important in order to determine the progress of patients’ functional outcome measures after surgery.

Keywords: Evidence Based, Functional Outcomes, Progressive Exercise Program, Total Hip Replacement.

Title: Effect of Evidence Based Progressive Exercise Program on Functional Outcomes for Patients after Total Hip Replacement Surgery

Author: Marwa Mosaad Ali, Nehal Mahmoud Abo El-Fadl

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Early identification of Human Immuno deficiency virus (HIV) and administration of treatment can aid HIV infected individuals to live longer principally off-loading HIV-related illness. Delayed presentation to healthcare facility means a CD4 count lower than 350 cells/ml, can result in unfortunate results for patients. The study was aimed to determine the frequency of delayed HIV diagnosis among HIV/ AIDS patients receiving antiretroviral therapy (HIV-ART) from HIV clinics of public hospitals.

Material and Methods: A cross-sectional study was conducted at HIV clinics of two tertiary care hospitals namely; X and Y located in the district of Lahore, Punjab, Pakistan. The study participants were selected from HIV /AIDS patients visiting the HIV clinics for their regular follow-up and data was collected for a duration of four months starting February, 2018 to May, 2018.

Results: The data from 235 patients was collected and it was observed that an overwhelming number of i.e. 87 (37%) patients’ diagnosis of HIV was delayed whereas 148 (63%) patients diagnosed early with HIV.

Keywords: Delayed, presentation, diagnosis, virus, antiretroviral, barriers.

Title: A CROSS SECTIONAL STUDY TO DETERMINE THE DELAYED HIV DIAGNOSIS AND ITS CORRELATION WITH DIFFERENT VARIABLES AMONG HIV/AIDS PATIENTS IN PAKISTAN

Author: Ayesha Qadeer, Ajmal Iqbal

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract:  Cervical disc herniation is a common disorder of the spine that can lead to neck and/or arm pain and defects of daily living activities. Surgical treatment has been documented with favorable results in an abundant number of cases. Aim: The study aimed to evaluate the effect of educational program for patients post herniated cervical disk surgery on their knowledge and daily living activities. Design: A quasi-experimental research design was utilized. Setting: The study was conducted in neurosurgery department at the Benha University Hospital, Egypt. Sample: A purposive sample of 40 adult patients post herniated cervical disk surgery. Tools: three tools were used for data collection;(Tool I): Patients’ knowledge assessment questionnaire to assess patients' knowledge regarding post herniated cervical disk surgery, (Tool II): Barthel Index scale of Activities of Daily Living to assess the patients' ability to perform activities of daily living and (Tool III): Visual Analogue Pain scale to assess severity of pain for patients post herniated cervical disk surgery. Results: showed that there was marked improvement in patients’ level of knowledge from 32.5% preprogram to 77.5% post program. Moreover, 40.0% of patients complained of severe pain preprogram compared by none of them post program. Also, there was marked improvement regarding Barthel index scale of activities of daily living from 45.0% completely dependent preprogram to7.5% completely dependent post program implementation. Conclusion: Patients had marked improvement in their level of knowledge post program implementation compared to preprogram. Statistically significant differences were found between pre and post program implementation regarding all items of Barthel index scale and pain severity. Also, there was statistically significant positive correlation between total knowledge score and total barthel index scale post program implementation. Recommendations: Replication of the study on larger probability sample to attain more generalization of results. Moreover, further research is needed to assess the effects of preoperative education on surgical outcomes for patients with herniated cervical disk surgery.

Keywords: Daily living activities, Educational program, Herniated cervical disk surgery, Patients.

Title: Effect of Educational Program for Patients Post Herniated Cervical Disk Surgery on Their Knowledge and Daily Living Activities

Author: Sabah Said Mohammed, Nehal Mahmoud Abo El-Fadl

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Recently, nurses experience many crises and are faced with a large number of problems because of the technological advancements and the increasingly complex healthcare system. When the nurses are faced with the unpredictable circumstances, they must have problem solving skills to manage these processes. Problem solving is one of the decision-making patterns. Clinical decision-making can be defined as a problem solving activity that emphasizes on defining the patient problems and selecting the appropriate treatment interventions. The aim was to identify the relation between problem solving skills and clinical-decision making of nursing interns at Suez Canal University. Subject and method: descriptive correlational design was utilized to carry out this study. The  sample  of  the  study was all the internship students in the academic year 2018/2019  who  affiliated to  Faculty  of Nursing  at  Suez Canal  University  and  spent their internship period in  Suez  Canal  University  Hospitals during the data collection period. They were 68 students. The setting was Suez Canal University Hospitals. Tools: Two tools were used. Tool (1) problem solving inventory. Tool (2) the clinical Decision Making in Nursing Scale. Results: There was a statistically significant strong correlation between problem solving skills and clinical decision-making (P<0.001) Conclusion: There was a relationship between problem solving skills and clinical decision making of nursing interns at Suez Canal University. Recommendations: problem solving skills and clinical decision-making should be included in the orientation-training program of the nursing interns.

Keywords: Clinical decision making – Decision making - problem solving – Nursing Interns.

Title: Problem solving skills and clinical decision making among nursing interns

Author: Alaa. M. S. El-Demerdash, Sanaa. A. Ibrahim, Wafaa. A. Elhosany

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Sudden death is one of the most common reasons of death worldwide which can be prevented by inserting a pacemaker. Aim: to evaluate the effect of educational program on improving the quality of life for adult client with a permanent pacemaker at home Design: Quasi-experimental research design. Setting: in cardiac outpatient t clinics at El- Demerdash Hospitals. Setting: In cardiac outpatient clinics at El-Demardash Hospital. Sample purposive sample included 74 adult client with apermanent pacemaker. Tool: was used an interviewing questionnaire for assessing socio-demographic characteristics of clients, their knowledge their practices & quality of life toward apermanent pacemaker. Results: Show that 59.5 adult client with permanent pacemaker regarded to gender were male. there was no statistically significant relation condition, level of education, post the educational program implementation(p<0.0001).- but there were highly statistically significant relation between total quality of life and total practices in Post educational program implementation at p -value =-0.0001 Conclusion: the educational program implementation had statistically significant positive effect on adult client with a permanent pacemaker at home regarding their knowledge, practices &quality of life. Recommendation: Continuous s of home care program to all adult clients with a permanent pacemaker insertion to improve their knowledge and practices regarding permanent pacemaker.

Keywords: Pacemaker, Heart anatomy, QOL&Home care. 

Title: Educational Program for Improving the Quality of Life for Adult Client with Permanent Pacemaker at Home

Author: Naglaa Abd El Kareem Hassaneen Soliman, Prof. Dr. Nawal Mahmoud Soliman, Prof. Dr.. Hemat Abd Elmoneem ElSayied

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Esophageal varices (EV) are the most critical portosystemic shunts that develop secondary to portal hypertension which is considered a main complication of liver cirrhosis. The development of EV in cirrhotic patients can transform the disease from a pre-clinical to a clinical stage. Nursing assessment for EV patients’ knowledge and concern act as a base to increase their awareness about the risk factors, signs and symptoms, self-diagnosis, preventive measures, active involvement in management, and importance of adherence to treatment and health behaviors to promote safe and high-quality patient care. Objective: Assess the knowledge and concerns among patients with esophageal varices. Setting: This study was conducted at the Gastrointestinal Endoscopy Unit at Alexandria Main University Hospital.  Subjects: A convenience sample of 70 adult patients. Tools: Two tools were used. Tool I: Knowledge of Patients with Esophageal Varices Structured Interview Schedule. Tool II: Multidimensional Patient’s Concerns Scale.  Results: the study revealed that 47.1 % of the studied patients had poor knowledge level, while nearly one third (32.9%) of them had fair knowledge level and one fifth (20%) of them had good knowledge level. Whereas, it was found that more than three quarters of the studied patients (78.6%) had moderate concern, 12.9% of them had low concern, while only 8.6% of them had high concern. There was a statistical significant relation between overall knowledge and over all concerns (p=0.005) Also it was noticed that there was a statistical significant relation between patients' overall knowledge level and age (p = 0.005), educational level (p = 0.001), occupation (p = 0.001), residence area (p = 0.001). Moreover, it was noticed that there was no significant relation between patients' overall knowledge level and sex (p = 0.250), marital status (p = 0. 533), income (p = 0.128). It was revealed that; there was no statistically significance relation between overall patients' concern level and age (p = 0.954), educational level (p = 0.174), sex (p = 0.909), occupation (p = 0.255), marital status (p = 0. 197), residence area (p = 1.000), income (p = 1.000).  Conclusion: Patients' knowledge and concerns regarding esophageal varices was noticed to be poor knowledge and moderate concerns. Recommendations: Develop of a health educational program for EV patients about EV knowledge about nature of disease, risk factors of esophageal varices bleeding and instructions after endoscopic band ligation for esophageal varices bleeding.

Keywords: knowledge, concern, esophageal varices.

Title: Knowledge and Concerns of Patients with Esophageal Varices

Author: Rehab Abd Elghany Mohamed, Alice Edward Reizian, Anisa Ahmed Elkholy, Hoda Abdou Abd El-Monem El-Deeb

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Cancer is a generic term for a large group of diseases that can affect any part of the body. Cancer chemotherapy refers to the administration of cytotoxic agents to provide cure, control, or palliation of a neoplasm. Aim of the Study: This study was conducted to assess of the caregiver coping levels and quality of life of their patients whom undergoing chemotherapy. Materials and Methods:  A descriptive exploratory design was utilized was used in this study. Setting the current study  was conducted in oncology units at Beni-Suef University Hospital. The study subjects; A purposive sample of (100) patients after 3sessions of chemotherapy and their caregivers from previous mentioned setting. Tools of the study consist of three tools, the first tool was interview questionnaire sheet the second tool was adaptive coping strategies questionnaire the third tool was quality of life scale Index. Results: It was found that (70%) of the studied patient were female with mean age, also only (58%) of them illiterate and majority does not work.

Keywords: Assessment, quality of life, coping caregivers.

Title: Assessment of Caregiver Coping Levels and Quality of Life of their Patients Undergoing Chemotherapy

Author: Zeinab Hussein Ali, Ahmed Hassan Shaban, Abeer Badawy khalf

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Maternal near miss is defined as a woman who nearly died but survived due to complications during pregnancy, childbirth or within 42 days of termination of pregnancy. Aim of the study was to: (1) Assess knowledge of nurses about maternal near miss cases at Woman's Health Hospital, Assiut University and to evaluate the effect of the educational program on nurse’s knowledge about maternal near miss cases. Subjects and methods: A quasi-experimental (pre & post) test design was used .This study was conducted at Woman's Health Hospital, Assiut University; a convenience sample of 146 nurse (126 diploma nurse and 20 bachelor nurse) was used. A knowledge questionnaire for nurses regarding maternal near miss cases was used to collect the data (pre test ) then evaluation of nurses was done by post test 1 immediately after the program and  follow up done by post test 2 after 3 months. Educational program through educational sessions was provided to nurses. Results: there was statistically significant difference on nurses' total knowledge about maternal near miss cases in pre test and post test 1 with no statistically significant difference on post test 1 and post test 2.Conclusion: It was concluded that nurses’ knowledge about maternal near miss was inadequate and the educational program regarding maternal near miss had a highly statistical significant positive influence. Recommendations: More educational programs are required to improve knowledge of health professionals also further research about causes and management of maternal near miss cases should be encouraged.

Keywords: Knowledge, Maternal near-miss cases, Nurses.

Title: Effect of Educational Program on Nurse’s Knowledge about Maternal Near Miss Cases at Woman's Health Hospital, Assiut University

Author: Magda Ahmed Farahat, Manal Farouk Mostafa, Entisar Mohamed Younes, Ahmed Mohamed Abbas

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Background: Coronavirus-2 infection is a global health emergency problem. The association between covid-19 and pregnancy outcomes still unclear.

Objectives: To assess the pregnancy outcomes, and vertical transmission potential among pregnant women with coronavirus-2 infection.

Study Design: Descriptive review for (200) pregnant women from (2) hospitals in Egypt between May 25, 2020 and November 28, 2020. Evidence of vertical transmission was assessed by presence of the corona virus-2 infection in the amniotic fluid and cord blood, and neonatal pharyngeal swab samples.

Results: 95% of Covid pregnant women had gestational age of less than 40 weeks at delivery, while 92.5% had gestational age more than 37 weeks among none Covid women. In 66% of cases, women reported a history of relevant environmental exposure, and 34% had contact with infected persons. There were 46.7% had gestational diabetes, 15.8% had preeclampsia, and 29.2% had abortion among Covid pregnant women. While, 43.7% had gestational diabetes, 38.7 % had abortion, and 3.8% had preeclampsia among none Covid pregnant women. There were no cases of maternal deaths among two groups. There were 95% of the cases of the two groups had normal APGAR score and 2.5% of the cases of the two groups transferred to the neonatal intensive care unit. All cases had negative neonatal pharyngeal swap for Corona virus (2). 

Conclusions: Corona virus (2) infection was associated with increased risk of gestational diabetes, preeclampsia, premature rupture of membrane, and spontaneous preterm birth. There was no evidence of vertical transmission of covid-19 to the fetus during pregnancy.

Keywords: Covid-19, pandemic, corona virus 2, pregnancy outcomes, pneumonia, neonatal outcomes, spontaneous preterm labor, gestational diabetes, preeclampsia, vertical transmission, pharyngeal swap.

Title: Effect of Corona Virus (2) Infection on Pregnancy Outcomes

Author: Eman A. Soliman El-Hosary

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Early mobility exercise of mechanically ventilated patients in the intensive care unit is safe and efficient. The aim of the study was to evaluate the effect of early progressive mobility on mechanically ventilated patients' outcomes Design A quasi-experimental research design was used to conduct this research. This study was conducted at trauma intensive care unit at Assiut university hospital. Sample: A total number of 60 patients divided into number study and control group. Tools: Modified patient assessment sheet, patients’ outcomes Assessment sheet. Results: The tudy group subjects had lower complications, and better functional status than control group. Conclusion: Implementing early mobility help to decrease complications occurrence and enhance barthel index among mechanically ventilated patient in ICU Recommendations: Provision early mobilization as routine care during mechanically ventilated caring.

Keywords: Acute Lung Injury, complications, mechanical ventilation.

Title: EFFECT OF EARLY PROGRESSIVE MOBILITY ON OUTCOMES OF MECHANICALLY VENTILATED PATIENTS WITH ACUTE LUNG INJURY

Author: Safaa Mohamed Adam, Mona Aly Mohammed, MervetAnwer Abdel-Aziz, Khaled Mohamed Morsy, Naglaa Gamal Eldien AbdElhafez

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Globally, musculoskeletal disorders (MSDs) are common among health care workers, with the nursing population that constitutes about 33% of the hospital workforce being most affected. MSDs are reported to significantly impact on quality of life, cause lost work time or absenteeism, increase work restriction, transfer to another job or disability. Compared to other group of diseases, musculoskeletal disorders (MSDs) also causes considerable economic toll on the individual, the organization and the society. As such, the overall objective of the study was to document the occurrence of musculoskeletal disorders among nurses in a national referral hospital. The specific objectives being: to determine demographic characteristics of nurses with musculoskeletal disorders; to identify risk factors leading to musculoskeletal disorders among nurses; and to determine the point prevalence of musculoskeletal disorders among nurses. The study was a cross-sectional descriptive study carried out within a national referral hospital. Simple random sampling was used to draw the 258 respondents of the study. The study indicates that five out of ten nurses at the hospital have experienced MSD, with symptoms gradually appearing within 5 and 10 years of service. MSD affects mainly the upper and lower back. In general, MSD affects male nurses more than female nurses at a national referral hospital. The study also establishes that MSD does not discriminate on physical characteristics (e.g. height and weight) and experiences. Working even after experiencing work related injury and inadequate breaks during shifts are the most probable factors that would contribute to higher prevalence of MSD.

Keywords: Coping mechanisms, Ergonomics, Musculoskeletal disorders, Nurse, Prevalence, Risk factors.

Title: PREVALENCE OF MUSCULOSKELETAL DISORDERS AMONG NURSES IN A NATIONAL REFERRAL HOSPITAL IN KENYA

Author: IRENE KOLEBECH, TITUS TARUS, ABIGAEL GESUKA

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Background: The nurses have a very responsible role in care of the neonates' receiving parenteral nutrition. Therefore, Neonatal nurses form the backbone of neonatal care units.  Aim of the study was to assess nurses' Performance regarding parenteral nutrition at neonatal intensive care units .Settings: The study was conducted at neonatal intensive care units at Benha University Hospital. Design: An exploratory descriptive research design was used to achieve the aim of this study. Methods: A Purposive sample was include all nurses that give care for neonates under parenteral nutrition. Tools: Data were collected through two tools; A structured questionnaire sheet and an observational checklist. Results: more than one third of the studied nurses their age ranged between 25<30 years, two fifth of them graduated from technical institute of nursing. More than two thirds of the studied nurses were deploma nurse. The present study revealed that, two fifth of the studied nurses their years of experience >8 years. According to training courses of the studied nurses the finding of the current study revealed that, more than one quarter of the studied nurses attend training courses for parenteral nutrition. There was no significant relation between total knowledge of studied nurses and gender. There were highly significant relation between total practice of studied nurses and their educational level, years of experience and attend training courses. Conclusion: less than half of the studied nurses had average level of total knowledge about parenteral nutrition. Also, more than half of the studied nurses were incompetent regarding total practice about parenteral nutrition. Recommendations: Developing periodical training programs regarding parenteral nutrition of neonate based on evidence-based guideline protocol for the nurses at neonatal intensive care units.

Keywords: Parenteral nutrition, Nurses` performance, Neonatal Intensive care units. 

Title: Nurses' Performance Regarding Parenteral Nutrition at Neonatal Intensive Care Units

Author: Shimaa Abu Horira Afify Hashem, Safaa Salah Ismail, Asmaa Awad Helmy

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Chemotherapy-induced nausea and vomiting and Cancer-related fatigue is one of the most common side effects experienced by patients with cancer. The degree of nausea was worst in the acute phase in highly emetogenic chemotherapy. Conducting research in the non-drug treatment areas may provide new or better solutions to control this common complaint. Aim: The study aims determine the effect of foot reflexology on chemotherapy induced nausea, vomiting, and fatigue among breast cancer patient. Method: A Quasi-experimental design with Pre and Post Test was used for the current study. The study was carried out at the Chemotherapy Units at the Alexandria Main University. Subjects: It comprised a convenience sample of 50 breast cancer patients who were planned for chemotherapy. They were divided into two equal groups: study and control. Tools: Two tools were used in this study for data collection, in addition to patient’s Bio- sociodemographic data.1) Rhodes Index of Nausea, Vomiting, and Retching self-report assessment tool and 2) The Brief Fatigue Inventory self-report assessment tool. Results: There were highly statistically significant differences between study and control group after 2nd & 3rd foot reflexology intervention in relation to total score of experience, occurrence and distress of nausea, vomiting and retching as well as fatigue severity and its effect on living activities(P<0.001). Conclusion The present study proved that foot reflexology decreased the experience, occurrence and distress of nausea, vomiting and retching as well as fatigue in the experimental group. Recommendations:  Oncology nurses should seek courses of foot reflexology as complementary therapy which help decrease cancer and cancer treatment related symptoms including chemotherapy induced nausea, vomiting and fatigue.

Keywords: Breast cancer, Nausea, fatigue, chemotherapy.

Title: The Effect of Foot Reflexology on Chemotherapy Induced Nausea, Vomiting and Fatigue among Breast Cancer Patient

Author: Mona Ali Eladham, Soheir Mostafa Eweda, Mervat Abdel Fatah Mohamed, Mohamed Farouk Ismail, Naglaa Fathalla Elsayed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Menstrual hygiene is important to be practiced by the adolescent girls to promote their health and prevent illness. Menstrual hygiene management can be particularly challenging for girls and women in developing countries, where clean water and toilet facilities are often inadequate. Currently there are about 3.73 billion women in the world. According to the World Health Organization (WHO), 52%, or 1.9 billion, of those women are of reproductive age, thus menstruating (WHO,2018). Objectives:-1) To assess the level of knowledge regarding menstrual hygiene among adolescent girls. 2) To evaluate the effectiveness of planned teaching program on knowledge regarding menstrual hygiene among adolescent girls. 3) To determine the association between the knowledge on menstrual hygiene among adolescent girls with their selected socio-demographic variables.  Sampling Technique: Non probability purposive sampling method was used. Results:- In this study the adolescence girls post-test knowledge score is higher than the pertest knowledge score. Conclusion: The ‘t’ test was completed between pre-test and post-tests score indicate that there was improvement in the level of knowledge among adolescent girls, Hence it incanted that planned teaching programme was effective.

Keywords: Knowledge, Effectiveness, Planned teaching programme, Adolescent girls.

Title: A STUDY TO ASSESS EFFECTIVENESS OF PLANNED TEACHING PROGRAMME ON KNOWLEDGE REGARDING MENSTRUAL HYGIENE AMONG THE ADOLESCENT GIRLS OF SHRI SANTARAM VIDHYA MANDIR, KARAMSAD

Author: Mrs Shital Patel, Mrs Priyanka Dey

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Purpose: This review paper aimed to determine the prevalence of low back pain (LBP) among nurses. Methodology: a comprehensive search using electronic databases, including the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, and PubMed through the Saudi Digital Library (SDL) databases. Further, a supplementary search was carried out for any relevant studies using Google Scholar. Studies published between January 2015 and April 2020 were met the inclusion criteria by using the PRISMA guideline. Findings: A total of 17 studies were met the inclusion criteria. Different methods of studies were applied to measure and evaluate LBP among nurses and factors associated with lower back pain. The lowest and the highest prevalence among the studies are found to be 53.4 % and 85.9%. Age, body mass index, and female gender were the most commonly reported individual risk factors. Occupational risk factors mainly included work-related activities requiring lifting and pulling objects, manual patient-handling, total years of work. Unique contribution to practice and policy: This review found that a number of nurses in hospitals across countries are suffering from lower back pain with a variety of risk factors contributed to increasing LBP prevalence. Proper protective measures need to be developed. Enough staff needs to be recruited to reduce working hours and thus decrease the workload. This, in turn, would improve the quality of patient care.

Keywords: Low back pain, nurse, Prevalence, risk factors.

Title: Prevalence of Low Back Pain and associated Risk Factors among Nurses – Review

Author: Aishah Omar ALMaghrabi, Dr. Fatmah Hazza ALSharif, Dr. Hayfa Hamed ALMutary

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Physicians involved in the treatment of COVID-19 hospitalized patients should be aware of fluid management in this field. Although fluid resuscitation would be lifesaving in the early phase of severe or critical COVID-19, aggressive replacement could be more troublesome, especially in patients already complicated with acute respiratory distress syndrome or myocardial injury during the course of COVID-19 or suffering from pre-existing kidney or cardiac dysfunctions. Therefore, fluid stewardship could be the optimal approach in these patients.

Keywords: COVID-19, Fluid management, Fluid Stewardship.

Title: Fluid stewardship in hospitalized COVID-19 patients: Walking on the rope?

Author: Arash Eatemadi, Sirous Golchinheydari, Elahe Kavandi, Ali Hosseini, Mina Kadkhodazadeh, Saeedeh Naghibi

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Antibiotic therapy is not free of side effects. Some of them appear within few minutes after administration which may be IgE- dependent or not, but can put the patient and treating physician in trouble, even for a short time. Red Man Syndrome (RMS) is a rare side effects of some antibiotics, particularly vancomycin. In this brief review we will explain the pathophysiology and recommendation about its treatment and prevention and also describe other less reported antibiotics which can cause this syndrome.

Keywords: Antibiotic, Side effect, Red Man Syndrome (RMS), Vancomycin.

Title: Red Man Syndrome: Beyond the story of Mississippi mud

Author: Arash Eatemadi, Amal Al Shaaili, Saud Al Jabri, Iman Mohammadi, Reza Eatemadi

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Exercise has become a fundamental aspect of woman's lives and an important constituent of antenatal care. It has a significant impact on a pregnant woman as well as on the course of childbirth Thus the aim of this research was to investigate the effect of implementing the exercise program during the third trimester of pregnancy on course of labor and birth outcome. A Quasi- experimental research design was used. A purposive sample of 80 pregnant women was randomly divided into two equal group, namely; study and control group (40) for each. The study was conducted at a private clinic as well as Walee- El-ahad private hospital. Tools: four tools were used: (1) Basic Data Structured interview Schedule, (2) Pelvic floor muscles strength test (3) Visual analog scale and (4) Maternal course of labor and its outcome assessment checklist Results: revealed a statistically significant difference between both study and control groups in relation to course of labor and birth outcomes (p=0.001).The study concluded that pregnant women who practice exercise program during the third trimester of pregnancy exhibit normal course of labor and lower birth outcome risk than those who do not practice it over three months of intervention. It was recommended that In service training program should be carried out for nurses who are working in antenatal clinics to upgrade their knowledge regarding the important of exercises during pregnancy.

Keywords: Exercise, program, third trimester of pregnancy, course of labor, birth, outcome.

Title: Effect of implementing the exercise program during the third trimester of pregnancy on course of labor and birth outcome

Author: Fagr Mohamed Moustafa kaboudan, Sahar Anwar Rizk, Mohamed Hussain, Neama Saad Mahmoud Shoukhba

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journal

Abstract: Background: Every year, over 250,000 patients have cardiac surgery and the incidence of cardiac arrest. When treated quickly, 17% to 79% of patients who experience cardiac arrest after cardiac surgery survive to discharge. Many of health care providers found this was disorganised and they would have performed better if they had well defined roles.

Objectives:  The aim of the study is to assess knowledge about cardiac advance life support surgery among nursing working in CICU and D1 department of AKU.

Material and methods: The descriptive cross-sectional study done. The 15 nurses were selected as sample to assess knowledge.

Results:  Nurses were not aware about CALS but after getting education nurses were well aware about CALS.

Conclusion:  The study helps to make module of CALS for nurses taking care of patient underwent open heart surgery.

Title: KNOWLEDGE ABOUT CARDIAC ADVANCE LIFE SUPPORT SURGERY

Author: Awais Jamil, Nickson Subeston Anthony

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Nurses and their employers are faced with substantial challenges. Nurses have been found to experience considerable strain at work that is related to high workloads, emotional demands, shift work, or understaffing, while healthcare organizations are struggling to attract and retain qualified staff. Aim of the study: The aim of this study is to assess the relationship between nursing personnel's job demands, strains, and work performance in critical care units. Design: A descriptive correlational design was used to conduct this study. Setting: at (Adult ICU– Adult CCU) units at AL-Hussein University Hospital and Sayed Galal University Hospital affiliated to AL-Azhar University, Cairo governorate, Egypt. Subjects: The subjects of this study included: All available nurses (A convenient sample) (100) nurses were recruited from two previously mentioned university hospitals University hospital. Tools of data collection: Three tools were used for data collection included: Job demands questionnaire, nursing personnel's job strains questionnaire and Nursing personnel's performance checklist. Results: The study findings revealed that, the participant nurses had a slightly high total job demands (62.87%), a slightly high total work strain (68.52%), and finally, they had a moderate total work performance (59.96%). Conclusion: Results of the present study concluded that, there were insignificant statistical correlations between job demand, work strain, and work performance. Recommendations: Implementing stress management-training program inside the hospital for all nurses could be positively contributing to improving staff performance, and  provision of counseling office with a trained staff, support groups, and team building activities for the head nurses could counteract the undesirable levels of work stress.

Keywords: Critical Care Nurse, Conservation of Resources, Emotion Focused, Intensive Care Units, Job Demand, and Job Content Questionnaire.

Title: Relationship between Nursing Personnel's Job Demands, Strains and Work Performance

Authors: Gehad AL-Saied AL-Hussiny Karmout, Gehan Mohamed Ahmed Mostafa, Waffaa EL-Sayed Hassan Helal

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Our research summarizes the status of group therapy’s application in clinical practice which includes common treatment, shortcomings in cancer caregivers’ field and some recommendations to improve the cognition of domestic nurses, our research will provide reference to domestic nurses for participating in group therapy efficiently.

Keywords: cancer; caregiver; group psycho-therapy; nursing.

Title: Application Progress of Group Psychotherapy in Cancer Caregivers

Author: YingFu

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Academic staff and students are one of the main factors when introducing university-based E-learning programs. It is important to recognize the degree of their preparation in order to be able to develop hard and successful E-learning programs. Aim: study aims to assess students and academic staff readiness for E-learning at Faculty of Nursing, Helwan University. Design: Descriptive study design. Methods: Study was carried out at Faculty of Nursing, Helwan University. Total sample was 302 nursing students, carefully chosen from all academic years and all available academic staff (40) during data collection. Data were collected through a self-administered questionnaire, concerned with E- learning Readiness. Results: There was highly statistically significant difference between academic staff and nursing students regarding to their E- learning readiness. Recommendation: Developing educational programs for students and college personnel in order to assist them to understand E-learning better, Improved internet substructures with additional computer and mobile technology resources will help students improve their level of readiness and E-learning must be introduced for every higher education organization, which seeks recognition as a university of the 21^st century.

Keywords: Academic Staff, E-learning, Readiness, Nursing student.

Title: Academic Staff and Nursing Students Readiness for E-learning

Author: El–Tahra El-Sayed Abo Habieb, Nehad Saad El-wkeel, Shaimaa Ahmed Awad Ali, Myada Taha Mahmoud Sabea

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Food-borne diseases become of paramount importance in hospitals. Hospitals have been identified as high food safety risk institutions because they serve potentially hazardous foods to vulnerable people. These people are more susceptible to food-borne illnesses than the general population and consequently food contamination by pathogens could be particularly harmful. Aim: To evaluate the effect of health educational program for foodborne diseases prevention at Suez Canal University Hospital restaurant at Ismailia City. Design: A quasi-experimental design was conducted in this study. Setting: The study was conducted at Suez Canal University Hospital restaurant at Ismailia City. Sample: All food handlers in the restaurant of Suez Canal University hospital constituted the study population. The total number of workers in food catering services in the restaurant was 65 workers. All of them were be included in this study. Tools: Two tools were used in this study. First tool: A structured interview questionnaire was developed by the researchers and included the following: Socio-demographic data, food handlers ' knowledge regarding food safety, food handlers ' attitude toward food safety precautions and food handlers ' practices related to food safety. Second tool: An Observational Checklist for safety kitchen environment and supplies. The results: The results reveled that, statistically significant (p>0.001) difference between the studied sample mean scores of knowledge, attitude and practices regarding food safety (pre/post) implementing the program. Conclusion: The knowledge, attitude and practices regarding food safety and prevention of foodborne diseases were improved after implementing of the program. Recommendation: It is recommended therefore to conduct regular training courses for all food handlers as part of their continuous education.

Keywords: Food safety, Food preparation, Food handling and prevention of foodborne diseases. 

Title: Prevention Program for Foodborne Diseases at Suez Canal University Hospital Restaurant at Ismailia city

Author: Dr. Hanaa Kassem Farg, Dr. Samar Mohammed Abdelkader

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: body image satisfaction has important effect on psychological status for women with breast surgery. The present study aimed to evaluate impact of body image satisfaction on outcomes among women with different types of breast surgeries. Research design, one shot case research design was utilized to conduct data of this study on a convenience sample of available patients (30), female adult patients undergoing breast surgery. Setting: the study was conducted at plastic surgical department in Assiut University Hospitals. Tools: data were collected through: three tools; the structured interview questionnaire, patient assessment sheet and body image satisfaction questionnaire. Results: There are statistically significant differences for the study group as regards psychological state assessment pre / post 4 weeks. There was statistically significant difference as regarded pre and posttest total score for body image satisfaction about breast surgery. Conclusion: There is a significant differences improvement throughout implementation of body image satisfaction on outcomes for female with different types of breast surgeries. Recommendation, the study recommended that, pamphlets and simple illustration booklet should be available for patients illiterate to with simple explain how to safely live after breast surgery.

Keywords: Body Image, Satisfaction, Outcomes, Nursing& Breast Surgery.

Title: Effect of Body Image Satisfaction on Outcomes Among Women Undergoing Different Types of Breast Surgeries

Author: Heba Gomaa El-dawoody, Magda Ahmed Mohammed, Youssef Hassan, Ghona Abed EL-naser Ali, Enace Mohamed Abdelaal

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Unplanned pregnancies may be linked to increased medical costs; can have a negative effect on women’s lives and result in poorer pregnancy outcomes than those that are planned. Objective: Identify the outcomes of planned versus unplanned pregnancy. Settings: El Shatby Maternity University Hospital affiliated to Alexandria University. Results: Unplanned pregnancy was significantly associated with PROM, labor complications, CS deliveries, induced onset of labor and shorter first stage. It was also significantly linked to fetal distress, lower Apgar score at one and five minutes, as well as need for resuscitation and oxygen administration, in addition to LBW and shorter stature. Conclusion: Unplanned pregnancy was correlated with adverse maternal and fetal pregnancy outcome. Recommendations: Health care providers should offer appropriate ANC and FP counseling to women, especially those who used to conceive unintentionally, to reduce its potential effects on maternal and fetal health.

Keywords: Planned pregnancy, unplanned pregnancy, pregnancy outcomes.

Title: Comparison Between Planned Versus Unplanned Pregnancy Outcomes

Author: Eman Ahmed Nour Mohamed El-Atar, Fatma Mohamed Nasr El-Din Shuaib, Samar Kamal Mohamed Hafez

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Gastric tube (GT) insertion is one of the most frequently performed procedures in critically ill patients with a wide range of diseases and critical conditions. It is used for nutritional support, decompression of the gastrointestinal tract (GIT), assessment, diagnosis, and medications administration. However, the insertion of GT can be a difficult and frustrating experience in the critically ill patients especially those who are intubated, sedated, and paralyzed. The insertion of GT can be very challenging even for an experienced nurse. Blind insertion of GT can be successful in approximately 40–58% of the insertion trials.

Methods: A convenience sample of 90 adult critically ill patients, who were required a gastric tube (GT) insertion included in this study.  Patients were assigned randomly to one of the following three groups (30 patients each). Group A: water-filled method of GT insertion; group B: tip burning method of GT insertion; and group C: the traditional method of GT insertion.

Results: The current study findings revealed that the tip burning method and the water-filled method are both effective methods of GT insertion. When compared the tip burning method with the water-filled method, the tip burning method is more successful to insert GT.  Complication rates were higher in traditional method than two other group and the most common complications were mucosal trauma and Kinking of the GT.

Keywords: Critical ill patient, gastric tube, gastric tube complication, insertion difficulties, tip burning method, water filled method.

Title: Two Novels Versus Traditional Methods Outcomes of Gastric Tube Insertion among Critically Ill Patients

Author: Nada S. Abd Elhafez, Prof. Nagwa A. Reda, Dr. Eman A. Hassan

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Progressive muscle relaxation (PMR) is a simple, safe, inexpensive, available, self-induced by the patients as well as easily applicable non-pharmacologic method. It is an integral part of nursing care for gynecological postoperative patients because it is a systematic technique to reduce stress, anxiety, pain perception, muscle tension as well as contractions, and facilitates the sleep during postoperative period.  Objective: Determine the effect of progressive muscle relaxation technique on pain intensity and physiological parameters among post-hysterectomized women. Setting: This study was conducted at gynecological wards of El-Shatby Maternity University Hospital in Alexandria Governorate. Subjects: A convenient sample of 80 post-hysterectomized women was recruited. They were sequentially divided into 2 equal groups; the first was the control groups which comprised 40 women and exposed to routine hospital care only, the second was the study group and comprised 40women and they received PMRT. Tools: Five tools were used Tool I: basic data structured interview schedule., Tool II: Visual analog scale (VAS), Tool III: a modified version of Johansson Pain - O- Meter scale (JPOM)., Tool IV: A modified version of Chamber Price pain rating scale (CPPRS)., Tool V: physical assessment sheet, Results: The study results revealed that pain intensity and physiological parameters were highly statistically significant among the study group before and after intervention in each of the 5 sessions of PMRT (P=0.000). Also highly statistically significant was found between the study and the control groups after intervention in each of the 5 sessions (P= 0.000).   Conclusion: Progressive muscle relaxation technique has a significant effect in reducing intensity of post- hysterectomy pain. Also, it has a remarkable effect on maintaining physiological parameters within normal ranges after hysterectomy. Recommendations: Progressive muscle relaxation technique should be integrated as post- hysterectomy care into the routine nursing care plan to increase the efficiency and quality of nursing care.

Keywords: Progressive muscle relaxation technique, Hysterectomy, post-operative Pain, Physiological parameters.

Title: Effect of Progressive Muscle Relaxation Technique on Pain Intensity and Physiological Parameters among Post Hysterectomized Women

Author: Heba Said. Elsaqaa, Soheir Ibrahim Sobhy, Nevertity Hassan Zaki

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: COVID-19 is infectious, deadly, and unpredictable, thus resulting in mass negative feeling such as anxiety and depression. Quarantine is an unpleasant experience and co- existing mental disorders. Anxiety and depression among quarantined COVD patients may have a negative impact on patients' quality of life. Aim: of this study was to examine associations of covid-19 pandemic related anxiety and depression with quality of life among quarantined patients. Design: A descriptive correlational design was used for the conduction of this study. Setting: The study was conducted at Shebin Elkoum Fever Hospital, Menoufia governorate. The sample: A convenience sample of 200 quarantined COVD patients. Tools of data collection:  I: Demographic data. II. The Hospital Anxiety and Depression Scale (HADS) and III: EQ-5D visual analogue scale (EQ-5DVAS). Results: the results revealed that more than four in five subjects reported anxiety (81.5%) while the minority of them reported depression (4.5%). On the other hand there were negative correlation between quality of life scores and HADS anxiety and depression scores Conclusion: There is a high prevalence of anxiety and low prevalence of depression among quarantined patients. Recommendations: Sessions on resilience training and adaptive coping strategies, online psychological counseling service, and hand washing and wearing masks as protective psychological effects of quarantine for decreasing anxiety.

Keywords: COVID-19 pandemic, Anxiety, Depression, Quality of Life, Quarantine.

Title: Associations of COVID-19 pandemic Related Anxiety and Depression with Quality of Life among Quarantined Patients

Author: Lamiaa Hassnin Eita

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals