Abstract: Background The jigsaw method is away to learn the course material in a cooperative learning style. jigsaw can affect positively on both the nursing students and clinical nurse educators. Aim of the study: was to investigate the effect of an interactive learning environment using the jigsaw method on maternity nursing students' achievement in the clinical setting. Research design: This study used a quasi-experimental research design. Setting: The study was conducted at the Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Al-Fayoum University in Egypt. Subjects: A convenient sample of 200 third-year maternity nursing students was recruited and divided into two groups: a control group of 100 students and a study group of 100 students. Tools: Three tools were used for data collection in the present study. Tool I: A Structured interviewing questionnaire: Included demographic data as; age, gender, and previous educational level. Tool II: The students' achievement scale Tool III: Cooperative Jigsaw Opinion Scale. Results: The findings showed a statistically significant difference between the two groups, with the study group (exposed to the jigsaw learning strategy) achieved higher scores compared to the control group. Conclusion: The study concluded that the jigsaw learning strategy significantly improves maternity nursing students' academic achievement also it was found that maternity nursing students had positive feedback about Jigsaw learning strategy after its application. Recommendation: The study recommends applying the jigsaw learning strategy as a teaching method in all nursing academic courses, both theory and practice. Further Research: Assess The factors that may influence the success of the Jigsaw approach in diverse educational settings, particularly in nursing education.

Keywords: Jigsaw learning strategy – Maternity nursing students - Students' achievement.

Title: The Effect of Interactive Learning Environment on Maternity Nursing Students' Achievement in the Clinical Setting

Author: Walaa Ashry Rabea, Entesar Fatouh Abd-El Moneim, Rania Abd El-Hak Eid Farrag, Neama Abd-El Fattah Abd-El Gawad

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 285-297

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 31-August-2024

Abstract: Background: Helicobacter pylori (H. pylori) is linked to serious complications like gastric cancer. Health education programs play a crucial role in managing H. pylori infections by increasing awareness about the bacterium and its associated health risks. Aim: This study aimed to evaluate a health education program for El-Minia nursing institute’s students regarding helicobacter pylori disease. Research design: A quasi-experimental research design was used in this study. Sample: Convenient sample included 157 nursing institute students. Setting: Minia nursing institute, Minia governorate. Tools for data collection: One tool, Interview questionnaire included five parts, 1st part: Socio-demographic characteristics of nursing students, 2nd part: Past and current medical history of nursing institute, 3rd part: Nursing institute students' knowledge, 4th part: Nursing students' attitude about H. pylori disease and 5th part: Nursing student's reported practice questionnaires. Results: 83.4 % of nursing institute student had poor total knowledge pre apply education program improved and become 4.5 % of them had poor total knowledge post education program, 60.5 % of them had unsatisfactory total reported practice pre-education program, which improved to 39.5 % of them had unsatisfactory total reported practice post education program and 20.4 % of them had positive total attitude pre-education program, which improve and become 100.0 % of them had positive total attitude post apply health education program. Conclusion: Nursing institute student's total knowledge, total reported practices & total attitude about helicobacter pylori improved post apply health educational program. There is statistical relation between total knowledge, total reported practices & total attitude post applied education program. Recommendations: Apply further research in large sample and other setting for generalization.

Keywords: El-Minia Nursing Institute, Health Educational Program, Helicobacter Pylori Disease, and Students.

Title: A Health Education Program for El-Minia Nursing Institute’s Students Regarding Helicobacter Pylori Disease

Author: Mohamed Mansour Mahmoud, Prof. Dr. Afaf Salah Abd El-Mohsen, Dr. Aliaa Mohammed Othman EL-Afandy

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 270-284

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 30-August-2024

Abstract: Background: One of the leading causes of morbidity and death among hemodialysis (HD) patients is arteriovenous fistula malfunction. In spite of this, a lot of patients fail to practice the proper care for arteriovenous fistula because they are unaware of it correctly. Aim: To determine effect of empowerment protocol on self- care behavior with arteriovenous fistula among hemodialysis patients.

Material and Methods: A quasi- Experimental (pre and posttest) research design was utilized in this study. Convenient sample of 100 adult male and female patients attended the dialysis unit was included as a study sample in hemodialysis unit at Sohag University Hospital. Structured Interview Questionnaire and Scale of Assessment of Self Care Behaviors with Arteriovenous Fistula in Hemodialysis were used for data collection. Results: There were significant differences regarding total self-care behavior pre (47.7900) and post (71.4200) (P = .000). Also, there were significant differences between pretest & posttest about self-care behaviors with arteriovenous fistula in hemodialysis regarding self-care in management of signs and symptoms as well as self-care in prevention of complications (p=0.000).

Conclusion: Empowerment protocol has effective role in increasing self-care behaviors with arteriovenous fistula among hemodialysis patients

Keywords: Arteriovenous Fistula; Behavior; Empowerment Protocol; Hemodialysis; Nursing care; Self-Care.

Title: Effect of Empowerment Protocol on Self- Care Behavior with Arteriovenous Fistula among Hemodialysis Patients

Author: Asmaa Mustafa Khalifa, Ghona Abd El- Nasser Ali, Magda Ahmed Mohamed, Enace Mohamed Abd Elaal

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 260-269

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 19-August-2024

Abstract: Vitamin K deficiency is observed in 8% to 31% of healthy adults. The main diagnostic criteria for vitamin K deficiency bleeding (VKDB) is a prothrombin time (PT) that is ≥4 times elevated and which normalizes after administering vitamin K. This is in the context of risk factors for vitamin K deficiency (e.g., poor dietary intake, malabsorption syndromes, prolonged use of antibiotics, anticoagulants, etc.), bleeding diatheses, normal or increased platelets, and normal fibrinogen levels. In this report, an elderly Italian nun living in rural Kenya presented with a clinical picture in keeping with VKDB and was successfully managed with parenteral and oral vitamin K supplementation. A narrative on the potential etiology and mechanisms of her presentation has been put forward, including the contribution from her non-prescription topical medications.

Keywords: Vitamin K deficiency bleeding, VKDB, Vitamin K1, Vitamin K2, PIVKA-II, Kenya.

Title: An Elderly Italian Nun with Presumed Vitamin K Deficiency Bleeding in a Rural Kenyan Hospital: A Narrative of the Potential Mechanisms

Author: Vonwicks C. Onyango

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 256-259

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 09-August-2024

Abstract: Background: Vitamin A helps boost immunity and protects children under five years from diseases and blindness.

Design: A quasi- experimental design (pre and post- test) was used Setting: This study conducted in Maternal and Child Health center Helwan Awal, Helwan district, Cairo Governorate.

Sample: A convenience sample included 400 mothers was used.

Tool: structured interview questionnaire consisted of four parts; socio- demographic characteristics, mothers knowledge, mother reported practices and health belief model constructs about vitamin A deficiency.

Results: 21% of the mothers had satisfactory knowledge pre-program, which improved to 62.2% post-program, 38.2% of them had adequate reported practices pre- program, which improved to 77% post program. Also, 39.2% of them had negative health beliefs preprogram which improved to 75.8% of them had positive health beliefs regarding vitamin A deficiency.

Conclusion: There were marked improvement in mothers knowledge, reported practice, and health beliefs regarding prevention of vitamin A deficiency post program. Also, there were statistically significant positive correlations between mothers knowledge, reported practices and health beliefs model post educational program.

Recommendations: Counseling program for mothers should be available in MCH centers and pediatric clinics regarding nutritional needs especially vitamin A supplementation for children.

Keywords: Educational Program, Health Belief Model, Vitamin A Deficiency.

Title: An Educational Program Based on the Health Belief Model for Mothers Regarding Prevention of Vitamin A Deficiency among children

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

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 243-255

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 07-August-2024

Abstract: Background: Menopause is a significant milestone in women's lives that results from the depletion of ovarian function and leads to a new biological state. During menopausal period women can experience many symptoms. The menopausal symptoms and associated biological changes have a negative impact on the general health and quality of life (QOL) as well as the wellbeing of middle-aged women Aim: To assess the association between menopausal symptoms and quality of life among working women. Design: A descriptive correlational research design was utilized to conduct this study. Setting: This study was conducted at 12 faculties at Damanhour University. In addition to the University's general administration. Subjects: convenience sample of 250 menopausal working women enrolled from academic staff members and from administrative workers from all departments of Damanhour university who were available during the time of data collection. Tools: Three tools were used to obtain the necessary data for this study.  Tool (1):  “A structured interview schedule". Which included, three parts: Part I: Basic demographic data, Part II: Medical history, Part III: Reproductive history. Tool (2): “Menopause Rating Scale (MRS) questionnaire: " and Tool (3): “World Health Organization Quality of Life Questionnaire (WHOQOL BRIEF)".  Results:   The results of this study revealed that more than half of the studied menopausal women (52%) had reported moderate symptoms compared to less than one third (31.2%) had reported severe problems. Regarding quality of life, there was a highly statistically significant correlation between menopausal symptoms and quality of life at (p ≤ 0.001). Conclusion: The findings of this study concluded that, The QOL of menopausal working women is negatively affected by their menopausal symptoms. Recommendations: Implementing appropriate health education programs for women about menopause to understand the physiological changes associated with menopause and how to adapt to the new physiological status and avoid adverse effects on their psychological health.

Keywords: Menopause, Menopausal symptoms, (QOL) Quality of life, working women.

Title: Association between Menopausal Symptoms and Quality of Life among Working Women

Author: Rasha Mohamed Essa, Sanaa Mohamed Mohamed, Violet Nicola Ghattas, Tahany Hassan Alam

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 227-242

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 05-August-2024

Abstract: Background: Polycystic Ovary Syndrome (PCOS) is a common hormonal condition that affects females at reproductive age. It starts during adolescence, but symptoms may fluctuate over time. Polycystic ovary syndrome can cause hormonal imbalances, irregular periods, excess androgen levels and cysts in the ovaries which are enlarged ovaries containing multiple small cysts. Aim: This study aimed to evaluate an educational program for females regarding polycystic ovarian syndrome based on the health belief model. Research design:  A quasi-experimental research design was used in this study. Sample: Purposive sample include 157 females with polycystic ovary syndrome. Setting: It was conducted at obstetric & gynecological outpatient clinics at the health insurance hospital in Minya governorate. Tools: One tool included five parts: 1^st part: Demographic characteristics of female, 2^nd part: Medical history of female, 3^rd part: Females’ knowledge, 4^th part: Females’ reported practice, 5^th part: Health belief model of female about polycystic ovary syndrome. Results: The study result revealed that, 5.3 % of studied females had good total knowledge pre apply education program, become 77.2 % of them had good total knowledge post apply education program. While 90.5 % of studied females had unsatisfactory with total reported practices pre apply educational program. While 86.8 % of studied females had negative with health belief model pre apply education program, become 92.0 % of them had satisfactory total reported practices post apply educational program. While 80.2 % of them had positive health belief model post apply education program. Conclusion: The females’ knowledge, and reported practices about polycystic ovary syndrome improved post apply health educational program based on the health belief model. Recommendations: Continuous health education program for female regarding polycystic ovarian syndrome-based health belief model in another place.

Keywords: Educational Program, Females, Health Belief Model and Polycystic Ovarian Syndrome.

Title: An Educational Program for Females Regarding Polycystic Ovarian Syndrome Based on the Health Belief Model

Author: Eslam Lotfy Ali Ahmed, Prof. Dr. Afaf Salah Abd El-Mohsen, Dr. Sahar Mahmoud S. El Awady

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 213-226

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 05-August-2024

Abstract: Background: Post-operative pain remains a daunting challenge for surgeons and patients. Complaints of unrelieved pain remain a source of concern following surgery. Post-operative pain can be distressing, with psychological impact on the patient. Vitamin C as an adjuvant to analgesics has been used with positive results in the management of various kinds of pain.

Objective: To determine the effect of intravenous ascorbic acid as an adjuvant to suppository diclofenac and intravenous paracetamol on post caesarean section pain score in Alex Ekwueme Federal University Teaching Hospital, Abakaliki.

Study Design: A randomized double blind controlled study involving parturients who received intravenous ascorbic acid as an adjuvant to suppository diclofenac and intravenous paracetamol for post-operative pain management after caesarean section and those who received intravenous sterile water (placebo), suppository diclofenac and intravenous paracetamol for post-operative pain management after caesarean section.

Methodology: A total of 164 parturients who satisfied the inclusion criteria were recruited for the study by systematic sampling. These were equal number of 82 participants in each group. Group A received intravenous ascorbic acid as an adjuvant to suppository diclofenac and intravenous paracetamol for post-operative pain management while Group B received intravenous sterile water (placebo), suppository diclofenac and intravenous paracetamol. The results were analysed using SPSS version 26 with appropriate tables and figures generated.

Results: The mean pain score at 2 hours  after surgery was significantly higher in Group B when compared with Group A (6.9 ±1.4 vs.3.2 ±1.5; P<0.0001).  At first request for analgesia, the mean NRS was significantly higher in Group B compared to Group A (6.9 ±0.9 vs.6.1 ±0.7; P<0.0001).Time to first request for analgesia was longer for parturients in Group A (180.6 ± 65.6 mins) than those in group B (92.4± 35.4 mins; P<0.0001). Group B participants 48 (58.5%) requested for rescue analgesia twice against 25 (30.5%) in Group A(P=0.007).

Conclusion: Intravenous ascorbic acid as an adjuvant to rectal diclofenac and intravenous paracetamol minimizes postoperative pain score in the first 24 hours following caesarean section.

Recommendation: A multimodal analgesic regimen that incorporates intravenous Vitamin C after surgery may be a useful strategy for improving analgesia after caesarean section.

Keywords: Ascorbic acid, Pain score, Caesarean section, Adjuvant, Analgesics, Analgesia, Intravenous.

Title: EFFECT OF INTRAVENOUS ASCORBIC ACID AS AN ADJUVANT TO ANALGESICS ON POST CAESAREAN SECTION PAIN SCORE IN A TERTIARY HEALTH FACILITY IN SOUTH-EAST NIGERIA

Author: Promise Onyeka Ubanatu, Callistus Obinna Elegbua, Olung Joseph Achi, Adeniyi Joshua Adedayo, Okafor John Egede

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 200-212

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 31-July-2024

Abstract: Background: Suboptimal management of pain specially after surgery is dehumanizing and against human right. Incorporation of intravenous ascorbic acid into multimodal regimen has yielded encouraging results in prolonging time to first request for rescue analgesia and reduction in the demand for rescue analgesia.

Objective: To determine the effect of intravenous ascorbic acid as an adjuvant to suppository diclofenac and intravenous paracetamol on the time to first analgesia request and demand for rescue analgesia in Alex Ekwueme Federal University Teaching Hospital, Abakaliki.

Study Design: A randomized double blind controlled study involving parturients who received intravenous ascorbic acid as an adjuvant to suppository diclofenac and intravenous paracetamol for post-operative pain management after caesarean section and those who received intravenous sterile water (placebo), suppository diclofenac and intravenous paracetamol for post-operative pain management after caesarean section.

Methodology: A total of 164 parturients who satisfied the inclusion criteria were recruited for the study by systematic sampling. These were equal number of 82 participants in each group. Group A received intravenous ascorbic acid as an adjuvant to suppository diclofenac and intravenous paracetamol for post-operative pain management while Group B received intravenous sterile water (placebo), suppository diclofenac and intravenous paracetamol. The results were analysed using SPSS version 26 with appropriate tables and figures generated.

Results: The mean pain score at 2 hours  after surgery was significantly higher in Group B when compared with Group A (6.9 ±1.4 vs.3.2 ±1.5; P<0.0001).  At first request for analgesia, the mean NRS was significantly higher in Group B compared to Group A (6.9 ±0.9 vs.6.1 ±0.7; P<0.0001).Time to first request for analgesia was longer for parturients in Group A (180.6 ± 65.6 mins) than those in group B (92.4± 35.4 mins; P<0.0001). Group B participants 48 (58.5%) requested for rescue analgesia twice against 25 (30.5%) in Group A(P=0.007).

Conclusion: Intravenous ascorbic acid as an adjuvant to rectal diclofenac and intravenous paracetamol prolongs time to first request for rescue analgesia and also reduces the demand for rescue analgesia.

Recommendation: The use of post-operative multimodal analgesic regimen containing intravenous Vitamin C as adjuvant may be a useful strategy for improving analgesia.

Keywords: Ascorbic acid, Adjuvant, Analgesics, Analgesia, Rescue analgesia, Intravenous.

Title: EFFECT OF INTRAVENOUS ASCORBIC ACID AS AN ADJUVANT TO ANALGESICS ON TIME TO FIRST ANALGESIA REQUEST AND DEMAND FOR RESCUE ANALGESIA IN ABAKALIKI, SOUTH-EAST NIGERIA

Author: Promise Onyeka Ubanatu, Callistus Obinna Elegbua, Adeniyi Joshua Adedayo, Okafor John Egede, Bolaji Abdulazeez Akanni, Angela Adaku Elegbua

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 188-199

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 30-July-2024

Abstract: Background: Inclusion system is designed to ensure that all students, regardless of diverse backgrounds, abilities, and needs, have equal access to quality learning opportunities. This approach embraces the philosophy that every student is a valuable member of the school community, deserving of the same respect and opportunities. An effective inclusion system involves adapting teaching methods, curricula, and learning environments. Aim: This study aimed to evaluate the effect of health educational program for teachers toward the inclusion system in primary schools. Research design:  A quasi-experimental research design was used in this study. Sample: Convenient sample included 200 teachers in primary school for inclusion system in Ismailia city. Setting: 48 governmental primary school for inclusion system in Ismailia city. Tools for data collection: Two tools, 1^st tool Interview questionnaire included three parts, 1^st part: Socio-demographic characteristic, 2^nd part: Teachers' knowledge related to inclusion system, 3^rd part: Teachers’ reported practice, 2^nd tool included two parts 1^st part: Attitude rating scale to assess teachers' attitudes toward students with disabilities, 2^nd part: Attitude rating scale to assess teachers' attitude towards inclusion system. Results: 5.0 % of studied teacher had good total knowledge pre apply education program, become 77.0 % of them had good total knowledge post apply educational program. While, 89.0 % of them had unsatisfactory total reported practice pre apply educational program, which improved and become 5.0 % of them unsatisfactory total reported practice post applies educational program. While, 13.0 % of them had positive total attitude pre apply health education program, which improve and become 80.0 % of them had positive total attitude post apply health education program. Conclusion: The teacher's total knowledge, total reported practices & total attitude about inclusion system improved post apply health educational program. Recommendations: Apply further research in large sample and other setting for generalization.

Keywords: Health Educational Program, Inclusion System, Primary Schools, and Teachers.

Title: A Health Educational Program for Teachers toward the Inclusion System in Primary Schools

Author: Gehad Taha Kamel Mohamed, Prof. Dr. Afaf Salah Abd El-Mohsen, Dr. Sahar Mahmoud S. El Awady

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 172-187

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 06-July-2024

Abstract: Overview: Antibiotic-resistant (ABR) poses a severe hazard to human health and the environment. As the severity of the problem grew, more countries conducted studies on the ARB, and the number of studies has expanded dramatically, particularly in the last decade. As a result, it is critical to retrace relevant ARB research produced between 2010 and 2020.

Objectives:This research used bibliometrics to investigate ABR-related papers obtained from the Web of Science (WOS) from 2010 to 2020. Methods: This study performed a statistical analysis of the countries, institutions, journals, authors, research areas, author keywords, Essential Science Indicators (ESI) highly cited papers, and ESI hotspots papers to provide an overview of the ABR field as well as research trends, research hotspots, and future research directions in the field. Results: The results showed that the number of related studies is increasing year by year; the USA is the most published in the field of ARB; China is the most active in this field in recent years; the Chinese Academic Science published the most articles; Science Total Environment. published the greatest number of articles; CM Manaia has the most contributions; Environmental Sciences and Ecology is the most popular research area; and “antibiotic resistance,” “antibiotics,” and “antibiotic resistance genes” were the most frequently occurring author keywords. Conclusion: A citation analysis showed that aquatic environment-related antibiotic resistance is a key research area in this field, while antimicrobial nanomaterial-related research is a recent popular topic.

Keywords: Bibliometric Analysis; Multi Drug Resistance; Antibiotic Resistance; Drug Resistance.

Title: Trends in Drug Resistant Research: A Biblometric Examination of Antibiotic Resistance

Author: Olalekan Elijah Odesanmi, Abdulgafar Ayomide Gidado, Adesina Tosin Adeleye, Blessing Tolulope Owolabi, Ayomide Adeojo, Odunayo Deborah Jesusanmi, Bitrice Titilayo Omoniyi, Amigun Olayemi Faith.

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 157-171

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 21-June-2024

Abstract: The typical causes of premenstrual abnormal uterine bleeding (e.g., menorrhagia) are gynecologic and include pregnancy-related bleeding (e.g., abortion and ectopic pregnancy), fibroids, adenomyosis, endometrial hyperplasia, cervical and uterine cancers, etc., and medical causes like coagulation disorders. Hypothyroidism must be considered a cause of menorrhagia, especially in women on thyroid hormone replacement therapy (who are non-compliant) due to its suppressive effects on ovulation with subsequent estrogen-induced breakthrough bleeding, coupled with hypocoagulation and fibrinolysis. This case study from rural Kenya highlights how non-adherence to lifelong thyroxine replacement therapy led to profound hypothyroidism with classical physical findings and caused severe recurrent menorrhagia, which subsequently resolved with compliant treatment.

Keywords: menorrhagia, abnormal uterine bleeding, hypothyroidism, thyroxine, madarosis, milphosis, delayed tendon reflex, myxedema, Kenya.

Title: A Case of Recurrent Menorrhagia Caused by Severe Hypothyroidism in a Rural Kenyan Hospital: Clues from Madarosis, Milphosis, and Woltman’s Sign

Author: Vonwicks C. Onyango, Ali J. Kariuki, Boniface Mutiso, Boniface M. Kioko, William C. Fryda

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 151-156

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 18-June-2024

Abstract: The aim of this study were to assess maternal food habit, their nutrient intake and physical activity pattern on the new born anthropometry. Pregnant women (200) at the second and third trimesters attending secondary and tertiary health facilities in Abeokuta were systematically selected into the study using their booking register (N/n) irrespective of their socio-economic characteristics. Semi structured pretested questionnaire consisting of 19point questions on food habit, FAO/WHO 24hr diet and physical activity recall (in minutes) with Ainsworth physical activity compendium tracking events with meal time were administered to the respondents to assess their food habits, nutrient intake and physical activity respectively while the new born anthropometry were obtained as secondary data from delivery record. The nutrient intake and physical activity were evaluated using nutria-survey 17.0; the nutrient intake was compared with Recommended Daily Allowance (RDA) while physical activity and new born anthropometry were classified according to WHO. Result indicated that 90.9% of respondents were within 20-39years, 83.0% Yoruba tribe, 86.0% married, 50.3% had tertiary education, 32.2% were traders while 41.0%earn ₦18000-₦50000 monthly. Food habit shows that 12.5% has food taboo, 2.5% drink alcohol, 24.0% skip meals, 7.0% smoke cigarette while 25.5% purchased their meal rather than prepare it. Majority (84.4%) were physically inactive, 11.1% moderately active while only 4.5% were vigorously active. About half (48.8%) of the new born were pre-termed, 20.0% had short length, 15.6% low birth weight and 31.8% had high head circumference. There was no direct association between Physical activity and the new born anthropometry measured but there were significant association between socio-economic status and nutrient intake (p=0.007), nutrient intake (carbohydrate) and almost all the new born anthropometry (p=0.006). The carbohydrate and micronutrient intake of the respondents influenced birth outcome especially pre-termed birth. Therefore, improvement in micronutrients particularly calcium are hereby recommended to the respondents of the study.

Keywords: Anthropometry, Birth weight, Gestational age, Health facility, Maternal food habit, Newborn, Nutrient intake, Physical activity, Pregnant women, Pre-termed and RDA.

Title: Maternal Food Habit, Nutrient Intake and Physical Activity Pattern on New Born Anthropometry of Secondary and Tertiary Health Facilities in Abeokuta Metropolis Ogun state, Nigeria

Author: Ilori Olasunmbo Adesola, Ifebajo Abiodun Yetunde, Afolabi Wasiu Akinloye, Oladoyinbo Catherine Badejo, Omilani Toyin, Folahan Olaide, Olatunji Tobi, Oose Funmilayo, Lam Joy, Onaolapo Tosin, Folarin Adedoyin Tolulope

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 139-150

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 12-June-2024

Abstract: Background: Myocardial infarction (MI) is considered as one of the leading causes of morbidity and mortality worldwide. Management of MI include long-term therapy and lifestyle modification. Adherence and compliance to therapy require a great deal of commitment and lifestyle changes that are important for improving the quality life and living with less complications. The aim of the current study was to assess the effect of adherence and compliance to therapy on the quality of life among MI patients. Results from the current study would shed the light on a serious health problem that affect Saudi population and would serve as a basic for further assessment and evaluation to improve patients‟ QOL and overall outcomes.

Methods: A descriptive correlational cross-sectional design was used to answer the research questions. A convenient sample of 95 patients who were diagnosed with MI were recruited from Prince Sultan Cardiac Center, Riyadh city, KSA. Data were collected using a semi-structured interview using Hill-Bone Compliance questionnaires, WHO-QOL questionnaire along with demographic and disease related data.

Results: Majority of the participants were males, 40 years and old, married, holding primary, secondary and university degrees, and were either retired or housewives. A considerable percentage diagnosed with MI within a year at the age of 40 years and older, and had some chronic illnesses mainly DM and hypertension. Hundred percent reported good adherence and compliance to medication, while majority reported good adherence to appointments keeping and diet. On the other hand, majority reported just fair physical QOL, while majority reported good psychological, social and environmental QOL. In addition, majority rated their QOL as good and were satisfied with their health. Education reported significance association with medication adherence and appointment keeping and when they were diagnosed with MI significantly associated with medication adherence. Further, marital status and occupation significantly associated with psychological QOL, while age associated with social QOL and gender associated with environmental QOL. Presence of chronic illness associated with physical QOL.

Conclusion and Recommendations: The current study reported association between adherence and compliance with therapy and QOL among patients with MI. Demographic and disease related factors also impacted adherence and QOL. Assessing patients at risk for low adherence and low QOL are crucial. Further research is required to explore more about physical quality of life outcomes among Saudi population.

Keywords: Myocardial Infarction, Adherence and compliance, Quality of life.

Title: Effect of Adherence and Compliance to Therapy on Quality of Life among Myocardial Infarction Patients

Author: Alaa Ali Alabdulaal, Dr. Essmat Abdelhady Mansour

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 118-138

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 10-June-2024

Abstract: Preventive health programs, including vaccination campaigns, wellness initiatives, and early screening programs, are critical for improving public health and reducing healthcare costs. This paper evaluates the long-term economic benefits of these programs through comprehensive analysis. The study employs cost-benefit analysis (CBA) and cost-effectiveness analysis (CEA) to assess various preventive health measures. Findings reveal that vaccination campaigns, such as the measles vaccination, demonstrate high benefit-cost ratios, while wellness initiatives yield substantial returns on investment, and early screening programs are cost-effective in terms of quality-adjusted life years (QALYs) saved. The analysis underscores the significant economic and health benefits of preventive health programs, advocating for continued investment and policy support to achieve sustainable healthcare systems and enhance population health globally.

Keywords: Preventive health programs, vaccination campaigns, wellness initiatives, early screening programs, economic benefits, cost-benefit analysis, cost-effectiveness analysis, quality-adjusted life years (QALYs), public health, healthcare costs, return on investment (ROI).

Title: Outcomes of Preventive Health Programs: Evaluating the long-term economic benefits of preventive health programs, including vaccination campaigns, wellness initiatives, and early screening programs

Author: Tashin Azad, Tanjin Islam

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 109-117

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 06-June-2024

Abstract: The integration of advanced data analytics and predictive modeling in healthcare is revolutionizing decision-making processes, improving patient outcomes, and optimizing resource allocation. This paper explores the application of these technologies in healthcare management, focusing on their ability to analyze vast datasets, uncover patterns, and predict future outcomes. We evaluated various predictive models, including Logistic Regression, Decision Trees, Random Forests, Gradient Boosting Machines (GBM), and Neural Networks, using a comprehensive dataset from electronic health records (EHRs). Our findings indicate that Neural Networks and GBM outperformed other models in terms of accuracy, precision, recall, F1-score, and AUC-ROC, demonstrating their robustness in handling complex healthcare data. The study also highlights the importance of data quality, model interpretability, and ethical considerations in the deployment of predictive models. By leveraging these advanced analytical tools, healthcare providers can enhance clinical decision-making, personalize treatment plans, and allocate resources more efficiently. This paper contributes to the ongoing efforts to harness the power of predictive analytics in healthcare, emphasizing the need for further research to overcome existing challenges and fully realize the potential of these technologies.

Keywords: Advanced Data Analytics, Predictive Modeling, Healthcare Management, Resource Allocation.

Title: Health Data Analytics and Predictive Modeling: Exploring how advanced data analytics and predictive modeling can enhance decision-making in healthcare management, improve patient outcomes, and optimize resource allocation

Author: Tashin Azad, Md Alamgir Islam

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 96-108

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 05-June-2024

Abstract: Nurses of the profession who have a strong professional identity provide an effective service and high quality patient care in the healthcare team, develop competency in an the clinical expertise, and contribute to patient satisfaction. Aim: To examine the relationship nurses' professional identity and their occupational commitment at, Governorate Hospital( Dar Ismail).  Methods: A descriptive, correlational research design was utilized in all inpatient prenatal, postnatal and critical care units at Governorate Hospital( Dar Ismail) Alexandria Governorate, Egypt, for all nurses (first-line nurses mangers and staff).Tools: two tools were used: Tool Ι: Nurses' Professional Identity Scale (NPIS)and a demographic characteristics data sheet; Tool Π: Occupational Commitment Scale (OCS)Questionnaire. Results: staff nurses got a moderate mean percent score for both nurses' professional identity and their occupational commitment.  Moreover, the first dimension of professional identity was personal dimensions; and the last was dimension Social -historical aspect dimensions. Whereas; the first dimension for occupational commitment was affective occupational commitment and the last dimension was continuance occupational commitment.

Keywords: Relationship nurses' professional identity, their occupational commitment, All Staff nurses.

Title: Relationship Nurses' Professional Identity and Their Occupational Commitment

Author: Amany Fathey Elsyied, Reem Mabrouk Abd El Rahman, Mohammed Saad Saleh

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 81-95

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 28-May-2024

Abstract: This research article explores the expanded use of telemedicine in healthcare. Though telemedicine has been used in healthcare for many years, it has grown in popularity since the COVID-19 pandemic.  Telemedicine has also become widely accepted in a variety of healthcare settings and has been used to treat many diseases. Telemedicine is used in general healthcare, specialized healthcare, and in rural and remote settings. Additionally, innovative telemedicine applications have been utilized across the lifespan from infants to elderly using various treatment modalities. Telemedicine legislation continues to evolve regarding licensing and clinical privileges of health professionals and online prescribing.  To fully analyze the documented benefits of telemedicine, barriers to telemedicine services provision are also included.

Keywords: Healthcare, Telehealth, Telemedicine, Video-Based Healthcare Delivery.

Title: Telemedicine for Healthcare Service Delivery and Applications

Author: Sherryl W. Johnson

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 71-80

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 24-May-2024

Abstract:  Postpartum Depression (PPD) is one of the most unrecognized childbirth problems that affecting mothers and their babies. Nurses are the primary healthcare providers who are in direct contact with postnatal women and have major role for the early detection of vulnerable women. This review aims to explore previous researches related to nurses knowledge, practice, and beliefs regarding PPD. Method: in this review, researcher used free databases to review prior studies using PPD, Knowledge, Beliefs, and Practices as key search words. Results: We include 17 articles. We found that nurses knowledge and beliefs about PPD is correlated and influence their practices, however, in Saudi Arabia, we found limited updated studies.

Keywords: Postpartum depression, knowledge, beliefs, practice, screening.

Title: Knowledge, Practice and Beliefs of the Nurses Regarding Postpartum Depression: Literature Review

Author: Abeer Alanazi

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 67-70

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 22-May-2024

Amendment Date: 05-June-2024

Abstract: Idiopathic pulmonary fibrosis (IPF) is the most serious form of interstitial lung disease and is characterized by chronic fibrosing interstitial pneumonia and the pathognomonic usual interstitial pattern (UIP) on a high-resolution CT (HRCT) scan of the lungs, as well as lung histology. Risk factors associated with IPF include cigarette smoking, environmental exposures to biomass fuel smoke, organic dust, and other air pollutants. IPF is invariably progressive and fatal, with a mean survival of 2-5 years after diagnosis and a mortality rate of up to 85% following an acute exacerbation. Whereas anti-fibrotic agents like nintedanib and pirfenidone may slow down the decline of pulmonary function even in advanced disease, they are not readily affordable for a typical rural Kenyan patient. In this study, we report on the diagnostic process of IPF in a rural Kenyan woman and highlight the challenges of managing end-stage IPF. 

Keywords: idiopathic pulmonary fibrosis, IPF, usual interstitial pattern, Velcro-type crackles, biomass fuel, cor pulmonale, high resolution chest CT scan, Kenya.

Title: End-Stage Idiopathic Pulmonary Fibrosis (IPF) Presumably Associated with Biomass Smoke Exposure: A Case Report from Kenya

Author: Vonwicks C. Onyango

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 61-66

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 21-May-2024

Abstract: In this attempt study through blood circulation in human. Body blood consist hemoglobin which responsible for transfer oxygen(O2) from lungs to the body and carbon dioxide (CO2) from body to lungs through oxidation-reduction process during the respiratory chain which produce electricity as well as electromagnetic associate by bio magmatism (human bio field). Furthermore, represent earth magnetic field explanation, when related both of them bio magnetic with earth magnetic field as a base to explain human life role according to these Phenomena.

Keywords: Hemoglobin, Human magnetic field, earth magnetic field.

Title: Hemoglobin (heme) in body blood circulation is a function of earth electromagnetic for existing the life

Author: Dr.Ziadan Jassim Khalaf., Salwa Zaidan Jasim

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 56-60

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 10-May-2024

DOI: https://doi.org/10.5281/zenodo.11174613

Abstract: Background: Perineal trauma can expose many women to short/ long-term physical, psychological, and social complications. As birth is imminent, the primary priority ismaintaining perineal integrity and avoiding perineal tear. Different perineal techniques are being used to protect the perineum and prevent injury including the three proposed methods (FMPP- VMPP-MRM). Aim: This study aimed to assess the relationship between various manual perineal protection techniques and birth outcomes during the second stage of labour. Methodology: a non-experimental quantitative study was performed at East Jeddah hospital, KSA. The study population consisted of a non-probability convenience sampling of 180 parturient women. Data collection was done by filling out the questionnaire through direct questions and observation of the childbirth process after consenting. Result: The main finding of the current study shows that the mean age was 31.8± 5.8 years (P <0.05), More than three- quarters of participants were multigravida and used a directed way of pushing, The vast majority of newborns were in cephalic presentation, occipito-posterior position, their weights were average (2.5-3.5kg). The VMPP technique was the most dominant MPP technique used by the attendants. The mean of the first stage, second stage, and pushing time was (8.3 ±3.9/Hr., 38.6 ±24.7/ min, & 27.5 ±18.8/ min) respectively. No complications during childbirth had been observed, and all newborns were vigorous 7-10 APGAR scores at the first and fifth minutes of life. Conclusion:  This study concluded that there were no significant differences between the use of VMPP or FMPP techniques regarding birth outcomes. Worth mentioning that there was no single case of OASIs has been reported.

Keywords: MPP, parturient, perineum, Hands- on, Guarding, OASI.

Title: Assessment of Manual Perineal Protection Techniques Applied in the Second Stage of Labor and its relation to women's Birth Outcome

Author: Fatema AbdulAziz Owais, Prof. Sahar Anwar Rizk, Assistant Prof. Dr. lamyaa Yousef alyaba

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 44-55

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 08-May-2024

Abstract: The disconnection experience during periods of imprisonment might contribute to the development of emotional and psychological distress among young offenders. This study examined the index offense and pattern of symptoms of mental illness (SMI) among inmates of a Nigerian Borstal Training Institution. Adopting the cross-sectional descriptive design, data were collected from a sample of 99 inmates using an adapted version of the Perceived Emotional Distress Inventory (PEDI) and the General Health Questionnaire (GHQ-12). With both descriptive and inferential statistical tools, data were analysed with the SPSS (version 23.0). Results revealed that respondents’ mean age of 16±3years, with identified forensic characteristics being mainly behaviours beyond parental control (37.0%), drug abuse (33.0%), rape (8.0%), stealing (7.0%), murderer (4.0%), cultism (3.0%), and robbery (3.0%). Relationship exists between index offence and SMI; anxiety, aggression, depression, hopelessness, psychological distress, emotional and social dysfunction, depressive symptoms, and cognitive dysfunction with t = 17.76, 19.84, 18.19, 12.44, 12.56, 17.41, 11.71, and 15.83 respectively at p-value = ≤ 0.000, df = 98., respectively. In all, feeling of failure was common in 21.1% and unhappiness common in 39.4% of them hence, mental health screening is recommended prior to admittance with the provision of adequate mental care.

Keywords: Borstal Training Institutions, Correctional Centre, Index Offence, Mental Illness, Symptoms, Young Offenders.

Title: Examining Index Offence and Symptoms of Mental Illness among Young Offenders of a Nigerian Borstal Training Institution

Author: Ezekiel Olusola Omitogun, Deborah Oreoluwa Oyenekan, Shafiu Adewole Ademola, Temitope Elizabeth Opaleye, Kayode Oyebimpe Olaoye, Emmanuel Ejembi Anyebei

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 35-43

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 08-May-2024

Abstract: Background: Complications associated with enteral feeding can have various impacts including malnutrition and gastrointestinal complications, which further compromise the patient's health status and leading to prolonged recovery. Care bundle of enteral feeding integrates evidence-based practice to improve nutritional status, prevent enteral feeding complications and decrease duration of MV and ICU length of stay. Purpose of the study: to examine the effect of implementing care bundle for prevention of enteral feeding complications in critically ill patients. Setting: Intensive Care Units at Menoufia University Hospital. Sample: A convenient sample of 80 critically ill patients who were admitted to the ICU. Design: A quasi-experimental design was used. Instruments: (1) Demographic and clinical data sheet, (2) Modified Nutrition Risk Assessment in Critically ill (mNUTRIC), (3) Acute Physiology and Chronic Health Evaluation II (APACHE II), (4) Sequential Organ Failure Assessment (SOFA) score and (5) Observational Sheet. Results: there was a statistically significant improvement in nutritional status in the study group (2.75 ± 1.17) compared to the control group (4.65 ± 1.406) (p< 0.000) post-intervention. Additionally, after the intervention, the study group saw a highly statistically significant decrease in the frequency of enteral feeding complications as compared to the control group (P value<0.05). Also, the study group's mechanical ventilation duration was statistically significantly shorter than that of the control group (4.13 ± 1.43) and (6.18 ± 2.17), respectively (P value <0.000) post intervention. Furthermore, post intervention, the study group's mean ICU length of stay was lower than that of the control group's (7.13 ± 1.95) and (9.05 ± 2.12) respectively (p value<0.000). Conclusion: Care Bundle of Enteral Feeding has a positive effect on improving nutritional status and decreasing enteral feeding complications among critically ill patients. Recommendation: The Care Bundle of Enteral Feeding should be incorporated as a routine practice in the ICU to promote nutritional status and prevent the serious complications of enteral feeding among critically ill patients.

Keywords: Care Bundle, Critically Ill Patients, Enteral Feeding Complications and Nutritional Status.

Title: Care Bundle for Prevention of Enteral Feeding Complications in Critically Ill Patients

Author: Mostafa G. Ibrahim, Naglaa M. El-Mokadem, Nagwa M. Doha, Omima S. Shehata, Amal N. Abboud

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 18-34

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 06-May-2024

Abstract: Background: Electrical stimulation integrates evidence-based practice to improve diaphragmatic muscle strength and increase weaning success rate. Purpose of the study: to evaluate the effectiveness of implementing electrical stimulation on diaphragmatic muscle weakness and weaning success rate among mechanically ventilated patients.  Setting: Emergency and Anesthesia ICUs at Menoufia University Hospital. Sample: A convenient sample of 70 mechanically ventilated patients. Design: A quasi-experimental design was used. Instruments: (1) A Demographic and clinical data Sheet, (2) Abdominal Ultrasound and (3) Modified Nutrition Risk Assessment in Critically Ill (m-NUTRIC). Results: There was a highly statistically significant increase in diaphragmatic muscle strength in the study group (0.529 ± 0.144) compared to the control group (0.282 ± 0.241) (P< 0.000) post intervention. Also, the study group exhibited significantly higher weaning success rate compared to the control group (P= 0.004) post intervention. Additionally, a significant decrease in the mean duration of MV was observed in the experimental group (5.43 ± 1.703) days compared to the control group (7.86 ± 2.366) days, and ICU length of stay was significantly reduced in the intervention group (7.89 ± 1.967) compared to the control group (11.31 ± 3.104) (P< 0.001) post intervention.  Conclusion: Electrical stimulation has beneficial effect on improving diaphragmatic muscle strength, increase weaning success rate, and decrease MV duration and ICU length of stay among mechanically ventilated patients. Recommendation:  Electrical stimulation should be incorporated as a routine practice in the ICU to promote patient's diaphragmatic muscle strength and prevent the serious side effects of diaphragmatic muscle weakness.

Keywords: Diaphragmatic Muscle Weakness, Electrical Stimulation, Mechanically Ventilated Patient, Weaning Success Rate.

Title: Effectiveness of Implementing Electrical Stimulation on Diaphragm Muscle Weakness and Weaning Success Rate among Mechanically Ventilated Patients

Author: Mohamed Mansour Afifi, Naglaa M. El-Mokadem, Nagwa M. Doha, Shaimaa EL- Sayed, Lamiaa Elgamasy

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 1-17

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 06-May-2024