Abstract: The introduction and implementation of clinical pathway for the management of sepsis in critically ill patients was associated with significant improvement of outcomes especially when led by nurses. Nurses continuously assess, analyze, interpret, care, and monitor for their patients. In a general ICU population, basal lactate concentration predicted the risk of death with a good accuracy. Objective: determine effect of implementing a clinical sepsis pathway on lactate level among critically ill patients. Research hypothesis: Critically ill patients with sepsis who are subjected to the clinical pathway exhibit lactate level lower than those who not subjected. Methodology: A quasi experimental research design was used to conduct this study. Setting: at the department of the emergency department units namely reception and resuscitation unit at Alexandria Main University Hospital. Sampling: A convenience sample of 80 newly admitted critically ill adult patients (18 to 60 years) constituted the subjects for this study. The sample was equally assigned into two equal groups (40 patients in each): group “A” the control group were subjected to unit routine care and group “B”, the study group were subjected to the clinical pathway. Tool: One tool was utilized to collect the data of this study. This tool was adapted by the researcher from Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2016. Results: mean arterial lactate concentrations were lowered in the study group more than in the control group at each studied time (3.6 ± 2.9 vs. 6.27 ± 4.01 after 2 hours; 2.7 ± 3.03 vs. 6.41 ± 4.5 after 4 hours and 1.9 ± 2.93 vs. 3.1 ± 3.2 after 2 hours with statistical significance difference between the two groups for each studied time p= 0.011, >0.001, and >0.001 correspondingly).Conclusions: serum lactate level at 6 hours can be an easier and more effective tool for prognosis of septic shock patients who were treated with clinical pathway and protocol-driven resuscitation bundle therapy.

Keywords: Outcomes, Clinical Pathway, Critically Ill Patients, Sepsis, Lactate, Lactate Clearance.

Title: Effect of Implementing A clinical Sepsis Pathway on Lactate Level among Critically Ill Patients

Author: Haitham Mokhtar Mohamed Abdallah, Mohamed Ezzelregal Mohamed Abdelgawad, Nadia Taha Mohamed Ahmed, Bassem Nashaat Beshay

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Nurses are instrumental in improving the quality of patient care through innovative ideas, based on observations at the bedside and knowledge of best-practices. In today’s health care system, information and telecommunication technologies have been integrated into nursing practice. Increasingly, technologies are being used to provide care, conduct consultations with patients or other professionals, and provide education or transmit information over geographical distances. The tele-nursing is cost-effective and time saving innovative technology. It has expanded very fast over last few years and will continue to expand. It will be excellent carrier option for the nurses of 21^st century.  This field of health care is not so very well established all over the world, but is a very valuable innovative method of providing nursing care especially in home health care( The nurses need to possess adequate competencies, technology friendly attitude and ways to ensure patient safety so that its safe use can be established worldwide. Nurses always need to ensure that they should not go beyond the scope of nursing practice. Many of studies were reviewed showed that the benefits of tele-nursing to patient and nurses; additional nursing students in numerous countries. If nurses want to become tele-nurse; they must have a positive attitude, open-mindedness, knowledge and ability to navigate the technology and understand its limitation. They should be able to assess the need for hospitalization and need of change in the care plan. There are Problems related to tele-nursing as difficulty in using technology due to lack of instructions, education, lack of help and support can be a big problem both for nurses and clients.

Keywords: Tele-Nursing; Tele-health, Telecommunication.

Title: Tele-Nursing: Opportunities for Nurses to Shape their Profession's Future

Author: Hanan Mohammed Mohammed, Abeer El-Said Hassan El-sol

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Disability is a complex process involving bodily functions, health, environment, activity limitations, and restrictions in social participation. Health care buildings are very important places for the disabled, as it is where they have their treatment sessions, medical checkups, and follow-ups. Aim: This study aimed to assess the environmental barriers and facilities at health care settings as perceived by physically disabled people. Design: A descriptive cross-sectional research design was utilized. Sample: the study was carried out on 216 physically disabled persons. Setting: The study was conducted at governmental health care settings affiliated with the Ministry of Health in Port Said city including three outpatients' clinics and five primary health care centers. Tools: Self-Administered Questionnaire was used to collect data; it contained three parts as follows: Personal characteristics, opinions & satisfaction levels of physically disabled people toward the external environment and opinions& satisfaction levels of physically disabled people toward the internal environment. Results: 70.4 % of the study group was satisfied with main entrances, 62.9% were convinced about gardens and open spaces and 66.7% were contented regarding car parking. Furthermore, 89.4% unsatisfied with finishing work. There were highly statically significant differences between causes of disability, length of disability, ambulation device, place of a visit, and their overall total scores of satisfactions. Conclusion: Nearly two-thirds of the study group was satisfied concerning the outside environment while slightly more than two-thirds were unsatisfied about the inside environment of buildings. More than half of the study group was dissatisfied about both inside and outside environment, there were statistically significant differences between the study group's opinions about outside& inside the environment of the health settings. Recommendations. The Egyptian Ministry of Health should pay great attention to the internal and external environment for the physically disabled people through reviewing and changing building codes so that it includes the necessary acts that legislate the design requirements for this group of people.

Keywords: Barriers, Environmental Facilities, Physically disabled people.

Title: Environmental Barriers and Facilities at Health Care Settings as Perceived by Physically Disabled People

Author: Ateya Megahed Ibrahim, Magda Ali Mohamed, Hanaa Kassem Farg

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Background: Shared governance is an organizational framework based on the idea of decentralized leadership that fosters academic autonomous decision making which allow nurse educator to be actively involved with administration in decision influencing the everyday work and activities. Aim: examine the shared governance as perceived by academic nursing staff in Menoufia and Tanta universities. Methods: a cross-sectional comparative research design was used. Setting: the study was carried out in two Universities in middle Delta region of Egypt. Sample: two schools were randomly selected with around total staff of 200 members using a non-probability convenience sample. The two universities have the same nursing programs and all academic nursing staff had the opportunity to respond to the Collaborative Behavior Scale (CBS).  Surveys contained a short demographic section and Collaborative Behavior Scale CBS adopted from Stickler 1991.Results: Indicated that the academic nursing staff in both Menoufia and Tanta universities perceived lack of shared governance approximately three quarters of them (73.5%), compared to nearly one quarter (26.5%) who showed present shared governance. the results implied high significant differences between two universities regarding mean total score of collaboration, team work, Affiliation, and grand total score of shared governance. Academic nursing staff perceptions were differentiated based on the gender, years of experience, and academic degree .Conclusion: This study shows that academic nursing staff in both Menoufia and Tanta universities perceived lack of shared governance. Their perceptions were statistically differentiated based on the gender, years of experience, and academic degree. There are high significant differences between two universities regarding mean total score of collaboration, team work, and Affiliation principles. Implications: Egyptian universities should pay attention to the leadership structure in their universities, and developing policies that will serve to encourage academic in shared governance. Adopt shared governance model and support presence of academic staff at all level of decision making.Renewed commitment to open communication among all academic staff. More research need to be conducted to determine how to prepare managers to resign some power while supporting the efforts of shared governance councils. However, the more critical need is to conduct research to determine how to prepare shared governance council chairs and members to assume new roles.

Keywords:  (academic nursing staff, Menoufia and Tanta Universities, shared governance).

Title: Shared Governance as Perceived by Academic Nursing Staff: A Comparative Study

Author: Dr. Manal Mohamed Bakr

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Postnatal car isa a basic intervention towards decreasing maternal and neonatal mortality and morbidity associated with the period post-delivery. Women’s satisfaction is a significant indicator for assessment of the quality of care provided during postnatal period. The study aimed to assess women’s satisfaction regarding the utilization of postnatal care. Method: Descriptive research design. Subjects:  The subject composed of 200 women who attended the health centers for immunization of their children or medical examination Setting: The study was conducted at 10 health centers in Alexandria Governorate through a chosen simple random sampling technique. Tools: three tools were developed, Tool one: was developed by the researchers that were consisted of three parts: Part I: Socio-demographic characteristics of the study subjects. Part II: Reproductive history of the postpartum women. Part III: knowledge about the postnatal health care Tool II: Women's utilization of postnatal care services structured interview Tool III: Modified Arabic version of Echelle de Qualité des Soinsen Hospitalization EQS-H questionnaire. Results: Half of the studied women utilized postnatal health care services, more than two- thirds of women utilized postnatal health care services during 30 – 39 postpartum days. Less than half of women reported good satisfaction related to decision making of clinic staff and given knowledge after receiving medical care. There was a high positive correlation between total knowledge and their total satisfaction with the utilization of postnatal care services. Conclusions: around half of the studied women had poor total knowledge; more than one- third of them had average knowledge regarding postnatal health care. While more than one-quarter of them reported low satisfaction and slightly more than half of them reported moderate satisfaction related topostnatal services. Recommendation: - Encourage the women to commit topostnatal service through health education about benefits and types of postnatal services.

Keywords: Women Satisfaction, Post Natal Care.

Title: Women Satisfaction Regarding Utilization of Post Natal Care in Alexandria Government

Author: Maha M. El habashy, Amany A. Ahmed, Reda M. Hables, Safaa H.Mohamed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Most vaginal births are associated with adverse perineal outcomes.  Perineal tears are the most significant unfavorable outcomes, especially the third and the fourth degrees. Other unfortunate perineal outcomes include pain, dyspareunia, wound infection, hematoma, stress urinary and fecal incontinence as well as vesico-vaginal fistula.  Different techniques were developed to overcome these poor outcomes such as hands-on, hands-off and warm compresses. Objective:  Assess the effect of hands-on, hands-off and warm compresses perineal techniques during the 2nd stage of labor on perineal outcomes among primiparae with vaginal delivery. Setting: El Shatby Maternity University Hospital affiliated to Alexandria University, Egypt. Results: Hands-on technique was highly significantly related to intact perineum and mild perineal pain (P=0.000). Hands-off technique was highly significantly associated with more episiotomies, occurrence of the second degree perineal tear, moderate and severe perineal pain, dyspareunia, and wound infection (P=0.000), as well as significantly linked to perineal hematoma (P=0.009). Warm compresses were highly significantly attributed to mild perineal pain and wound infection (P=0.000).  Conclusion: Hands-on technique during vaginal delivery had significantly better perineal outcomes than hands-off and warm compresses techniques, in terms of fewer episiotomies, absence of perineal tear, mild perineal pain, as well as less dyspareunia, wound infection and perineal hematoma. Recommendations: Midwives should use hands–on and warm compresses perineal techniques efficiently during vaginal delivery to reduce the risk of perineal trauma and assure safe vaginal childbirth. Further research could be performed to evaluate the effect of different types of perineal techniques during vaginal birth on maternal and fetal outcomes

Keywords: Hands-on, Hands-off, Warm Compresses, the 2^nd stage of labor, Perineal Outcomes, Primiparae, vaginal delivery.

Title: Effect of Hands-on, Hands-off and Warm Compresses Perineal Techniques during the 2^nd stage of labor on Perineal Outcomes among Primiparae with Vaginal Delivery

Author: Afaf Hassan Ahmed Abdel Monem, Maha Mohamed Ibrahim El-Habashy, Safaa Helmy Mohamed Yonis

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Patients with complex wounds constitute a significant workload burden for health care institutions. Complex wound is the term used to describe group those well-known difficult or complicated wounds, either acute or chronic, that challenge medical and nursing staff. They difficult to managed using simple or traditional dressing technique and currently have a major socioeconomic impact. Wound healing is a complex, dynamic overlapping process it includes an immediate sequence of cell migration leading to repair and closure. Wound healing refers to complete or partial healing. Complete healing is healthy granulation tissue formation with fibrous scar and complete epithelialization of wound. Partial healing is healthy granulation tissue formation with incompletely formed fibrous scar, and decrease of wound size and depth without formation of scar tissue. When wounds do not adequately heal with traditional standard treatment, additional modalities may be required, one of advanced wound care therapies is Negative Pressure Wound Therapy (NPWT) also known as Vacuum Assisted Closure (VAC). It is an advanced dressing technique using sub-atmospheric pressure to wound bed, using a sealed wound dressing connected to a vacuum suction device. Negative pressure wound therapy recently used worldwide to manage a multiple wounds indications such as acute traumatic wounds, chronic wounds, diabetic ulcer, pressure ulcer, burn, delayed and non-healing wounds.

Keywords: Negative Pressure, Post-traumatic wound, Vacuum Assisted Closure, Wound Healing.

Title: Effect of Negative Pressure Wound Therapy on Post-traumatic Wound Healing

Author: Sanaa Mohamed Alaa El-den, Alice Mary Edward Reizian, Amna Yehia Saad, Ahmed Abd El-Kader Zedan, Mohamed Adel Abd El-Aty Shormana

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Context: Vaginal birth after cesarean section (VBAC) is a safe option for many women and is one of the strategies developed to control the rising rate of cesarean sections.

Aim: This research aimed to assess factors associated with nurses’ knowledge and attitude toward vaginal birth after caesarean section.

Methods: A descriptive, correlational research design was adopted. A convenience sample of 66 nurses was recruited. The research was conducted at obstetrics and gynecology department of Kafrelsheikh University hospital and Kafrelsheikh General hospital, Kafrelsheikh Governorate, Egypt. Data collected using two tools: Structured interview schedule; and VBAC attitude assessment scale.

Results: The study revealed that, 59.1% of nurses have poor knowledge level. Among a statistically significant factors associated with nurses’ knowledge toward VBAC are, age, marital status, level of education, work position, working hospital, years of experience in general and obstetric nursing, hearing about VBAC, having previous knowledge about VBAC, and working in a hospital performing VBAC (P<0.001).  Regarding nurses’ attitude, only 4.5% of them have positive attitude. There was statistically significant difference regarding levels of attitude between single and married nurses (p= 0.017), nurses with different educational level (p= 0.019), and nurses with different years of experience in obstetric nursing (p= 0.036).

Conclusion and recommendation: Nearly three-fifths of nurse have poor knowledge and neutral attitude toward VBAC.  The study recommended that strategies to improve the depth and breadth of nurses’ knowledge and attitude regarding VBAC should be designed and carried out.

Keywords: Nurses, Knowledge, Attitude, Vaginal Birth After Caesarean Section.

Title: Factors Associated with Nurses’ Knowledge and Attitude toward Vaginal Birth after Caesarean Section

Author: Hala A. Ali, Amany M. Ahmed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: For many women, early pregnancy is a time of reappraisal of behavior, nutrition and lifestyle to ensure that their unborn child has the best and healthiest start in life. However, safety measures or measures that increase or ensure safety from dangers should be carried out during the first trimester of pregnancy. Objective: Assess pregnant women's level of knowledge about safety measures during the first trimester of pregnancy. Settings: El Shatby Maternity University Hospital affiliated to Alexandria University and Dar Ismail Maternity Hospital affiliated to Ministry of Health. Results: Pregnant women demonstrated lack of knowledge about most aspects related to safety measures during the first trimester. Conclusion: Pregnant women's lack of knowledge about safety measures during the first trimester was related to nutrition, physical activities, hygiene, sex, traveling, smoking, substances and medications abuse as well as exposure to infection, radiation, and environmental hazards. Recommendations: Maternity nurses should use various educational strategies and format to inform pregnant women accurately and completely about safety measures during early antenatal visits, to improve their levels of knowledge and appropriate behavior.

Keywords: Knowledge, Safety measures, the first trimester of pregnancy.

Title: Pregnant Women’s Knowledge about Safety Measures during the First Trimester of Pregnancy

Author: Amira Ragab Abdel Hamed Mohamed, Fatma Mohamed Nasr El-Din Shuaib, Afaf Hassan Ahmed Abdel Menem

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Globally breast cancer is a leading cause of death among women. Cancer prevention strategies can provide appropriate and cost-effective opportunities to reduce cancer mortality in the next decades. Aim: Assess the effect of a preventive breast cancer guideline on knowledge of healthy women with family history. Study design: A quasi-experimental research design using pre-post one arm intervention study. Study Subjects: A purposive sample of fifty healthy women with family history of breast cancer attending the Oncology Center in Mansoura University Hospitals, Mansoura city, Dakahlia Governorate, Egypt. Tools of data collection: Three tools were used for data collection. The first was a Structured Interview Questionnaire to assess the woman's general characteristics, reproductive history and risk factors; the second was Knowledge Questionnaire regarding breast cancer; the third was Follow-up Card to check the participants' attendance at the follow-up visit. Results: The study findings revealed statistically significant improvement in the healthy women's knowledge regarding breast cancer prevention after utilization of the preventive guideline than before.  Conclusion: The study hypothesis was accepted which indicated that the preventive cancer guideline was an effective tool to improve the healthy women's knowledge regarding breast cancer. Recommendation: Raising women's awareness regarding prevention of breast cancer by health-care providers.

Keywords: Breast cancer, Guideline, Knowledge, Prevention.

Title: Effect of a Preventive Breast Cancer Guideline on Knowledge of Healthy Women with Family History

Author: Rania Ahmed Abdullah Elbasuony, Eman A. Fadel, Amina Mohammed Rashad El-Nemer

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The nurse is involved in the advanced care of trauma patient from arrival in the emergency department to discharge from the hospital. Aim: This study aimed to assess nurses' performance regarding advanced Trauma care for patients at the emergency department. Design: Descriptive research design was utilized in this study. Setting: This study was carried out in the emergency department at El-Araby international Hospital. Subjects: All available nurses working in the emergency department at El-Araby Hospital (N=35). Tools: Three tools were used for data collection, (I) Nurses' Demographic Characteristics Sheet, (II) knowledge Self- Administered Assessment Questionnaire, (III) Nurses' practice observational checklist. Results: This study results revealed that 57.1% had unsatisfactory level of knowledge while 51.4% had incompetent level of practice regarding advanced  trauma care and there was highly a statistical significant difference between nurses’ level of Knowledge and their level of practice  at p=0.003*. Conclusion: it can be concluded that more than half of the studied nurses were having an unsatisfactory level regarding nurses' knowledge and practice and there was a statistical significant difference between nurses’ Knowledge and practice. Recommendations The study recommended continuous educational programs should be planned on regular basis to nurses' caring of traumatic patients for enhancing nurses' knowledge and practice to achieve high quality of care.

Keywords: Nurses’ performance, advanced care, Trauma.

Title: Nurses' Performance Regarding Advanced Care of Trauma Patients at Emergency Department

Author: Waleed M Elsayed, Zeinab A Hussein, Mohamed F Amin

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Nursing staff has an important role in understanding and applying the safety standard precautions goals for children safety to minimized hazards and errors. Aim of the study: This study aimed to nurses’ knowledge and practices regarding the application of safety standard precautions in hospitalized children. Research Design: A descriptive design used to conduct this study. Setting: It was conducted at medical and surgical pediatric critical care units at Children's Hospital affiliated to Ain Shams University Hospitals. Subjects: A purposive sample composed of 56 nurses regardless their experiences, level of education, position, or age. Tools of data collection: Tool [I]: A Structured Interviewing Questionnaire Sheet: This tool designed by the researcher to gather nurses’ knowledge about the six goals of safety standard precautions in pediatric critical care units. Tool [I]: Observational Checklist:  This tool designed by the researcher to assess nurses' practice about applying the six goals of safety standard precautions in pediatric critical care units. Results: There was statistical significant difference between qualification and years of experience of the studied nurses with their knowledge and practices regarding the application of safety standard precautions goals. Conclusion: In the light of the study findings, it concluded that, two third of the studied nurses had unsatisfactory knowledge and more than half of them had incompetent practices regarding the application of safety standard precautions in pediatric critical care units. Recommendation: Providing training programs for newly employed pediatric nurses about safety standard precautions and at regular intervals. Emphasize on the important for nurses’ improvement of application of the safety standard precautions in pediatric critical care. Continuous evaluation for the application of safety standard precautions for pediatric patients in pediatric critical care.

Keywords: Safety Standard Precautions Goals, Patient Safety, Pediatric Patient Safety, International Patient Safety Goals, Pediatric Critical Care.

Title: Assessment of Nurses’ Knowledge and Practices Regarding the Application of Safety Standard Precautions in Pediatric Critical Care

Author: Randa Mohamed Adly, Safaa Salah Ismail, Saleh Mohamed Ahmed Saleh

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: External fixation (EF) is an external metal frame connected to bone fragments, in which skeletal pins or wires are inserted into the bone through incisions of the skin. This study aimed to: assess nurses` safety practices provided for patients undergoing (EF) surgeries.Research Question: What are the nurses`safety practices provided for patients undergoing external fixation surgeries? Research design: A descriptive research design was used. Setting: This study was conducted at all the Inpatient Orthopedic Wards in addition to the Operating Theaters of EL-Hadra Orthopedic and Traumatology University Hospital Alexandria, Egypt. Subjects: A convenient sample of all nursing staff (a total of 95 male and female nurses) involved in providing direct care for patients were included in the study. Tools: One tool was used: "Nurses` Safety Practices Provided for Patients Undergoing External Fixation Surgeries Observational Checklist". Results: The highest level of safety measures provided for patients undergoing external fixation surgeries preoperatively was related to psychological safety followed by chemical, biological, and physical safety preparations. Statistical significant correlations were declared between the studied nurses` "Preoperative safety preparation practices mean scores" and studied "Orthopedic ward physical set up mean scores. Conclusion: The highest level of safety measures provided for patients undergoing external fixation surgeries intraoperatively was related to instrumental and mechanical safety followed by physical, psychological, and biological safety preparations. Recommendations: Developing standards regarding nursing care for safe external fixation surgeries.

Keywords: external fixation, patient safety.

Title: Nurses` safety practices provided for patients undergoing external fixation surgeries

Author: Doaaa M. Said, Haneya M. Elbana, Essam M. l ELAbasi, Thoraya M. Abd El-aziz, Zizi F. Mohamed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Dysmenorrhea is the most common gynecological problem that affects females, defined as painful menstruation. Effects of dysmenorrhea on female behaviors, attitude and daily life are highly reported, therefore a pharmacological and non-pharmacological treatment in managing dysmenorrhea has been reported. There is insufficient information about the use of non-pharmacological methods among students of health colleges in Saudi Arabia. The purpose of this study was to investigate the use of non-pharmacological methods to relieve dysmenorrhea among students of health colleges at King Abdul-Aziz University.

Method: A quantitative descriptive cross-sectional was conducted among 215 female students from health colleges, the study questionnaires were self-administered developed by researchers from the literature used to obtain relevant data, data analyzed by SPPS version 16.

Results: The mean age of the student was 21, 38.6% had menarche between 12-14 years, 77.7% had experience intermittent pain and 47.9% suprapubic pain, also 63.3% had moderate pain, the most common symptoms were fatigue 31.16%. In managing dysmenorrhea there were 46.5% used pharmacological drugs, 53% used herbal remedies, 52.6% always take rest, 42.8% used hot compresses, a significant association between absenteeism and severity of pain p=0.01, bad dietary habits and severity p= 0.05, use of herbal remedies and severity p=0.05.

Conclusion: The students were used a non-pharmacological method to relieve dysmenorrhea, but still there are some methods were not applicable, therefore more information is needed regarding these methods.

Recommendation: Promotion of woman health and raising the awareness of healthy lifestyle and bad dietary is recommended.

Keywords: non-pharmacological treatment, dysmenorrhea, health colleges, students.

Title: Non-pharmacological methods to relieve Dysmenorrhea among Students of health colleges in Saudi Arabia

Author: Haneen alotibi, Amnah zarban, Raidaa jan, Rajaa helal, Raghad kersh, Dr. Wedad Almutairi, Dr. Areej Ali Abunar, Dr. Fatmah Alshrif

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The dramatic increase in the occurrence of natural catastrophes and the intensified world conflicts and wars make humans more vulnerable to the risk of disasters and crises and exacerbate its impact. The cornerstone to control this vulnerability is establishing robust disaster preparedness and maintaining resilient pattern during response. Aim: to assess the level of crises and disasters preparedness and resilience of Alexandria University Hospitals. Study design: A descriptive exploratory research design was used in this study. Setting: three hospitals affiliated to Alexandria university sector namely; Alexandria Main University Hospital, Al-Hadara University Hospital, and Al-Moassat University Hospital were included to conduct this study. Subjects: two categories of subjects were included in the study: (1) key persons of studied hospitals (n= 170), and (2) sample of hospitals staff (n=410). Tools: three tools were used to collect the needed data. They entitled hospital disaster preparedness self-assessment tool, hospital disaster resilience capability assessment survey, and demographic and professional characteristics questionnaire of study subjects. Method: auditing of the three hospitals using observation, interview, and reviewing of documents was conducted by the researcher to collect the required data.  Results: two studied hospitals had acceptable but insufficient level of disaster preparedness while the remaining one had unacceptable level of disaster preparedness. Moreover, the three studied hospitals are located in the moderate zone of resilience which is a risky zone. Conclusion:  the studied hospitals suffer from many serious weaknesses in their preparedness especially in disaster training and drills, disaster leadership and governance, crisis communication, and disaster planning. These weaknesses will deter Alexandria university hospitals from achieving resilience when disasters strike. Recommendations: conduct continuous training programs at least twice annually regarding basic life support; disasters management plans and procedures to acquaint all staff with knowledge and skills required for rapid rescue and response. Also, it is vital to establish a department composed of multi-disciplinary team concerned with disasters and crises management in each hospital accountable to develop, update, test, and monitor disasters management plans and procedures.

Keywords: crises, disasters, disasters preparedness, resilience, surge capacity.

Title: Assessment of Crises and Disasters Preparedness and Resilience Levels at Alexandria University Hospitals

Author: Ahmed Abdelwahab Ibrhaim Elsayed, Nora Ahmed Bassiouni, Rasha Abdel-Hakim Abdo, Amal Diab Ghanem Atalla

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Mobile technology is one of the latest extensions of technological innovations that can be integrated into nursing education. With the aid of these devices, students learn faster outside the classroom by having quick access to the internet and easy retrieval of required health related learning resources to keep alongside of recent trend and development. Aim: This study aimed to assess nursing students’ perception regarding mobile based learning. Design: A descriptive exploratory research design was used. Subjects: A Purposive sample of all adult second year nursing students (n=90) affiliated at Faculty of Nursing, Helwan University. Setting: This study was conducted at second year class at the Faculty of Nursing, Helwan University.Tools: two tools were used for data collection, (I) Self-administered Questionnaire: it included: Student's demographic character (II) Students' perception regarding mobile based learning Results: more than half of studied subjects were 20 years and more with mean age 19.74 ± 0.81. Also, 57.8% were female. As well the current study results clarify that less than one-fifth of the studied nursing students had high perception of mobile based learning.Conclusion: It can be concluded that, mobile device is a valuable form of technology that can be used in nursing education to promote nursing student’ in learning a clinical nursing skills Recommendation: The study recommended integration of  Mobile based learning into to the undergraduate nursing curriculum as a complementary strategy for learning

Keywords: Mobile learning, Nursing students, Perception.

Title: Nursing Students' Perception Regarding Mobile-Based Learning

Author: Ekram Mohammed Gomaa, Zeinab Hussein Ali, Hala Abdel-Galil El-Sayed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The nurses, as members of the medical team, are considered the first line of defense against Coronavirus (COVID-19). They are in direct contact with infected cases for long hours and exposed to psychological distress, occupational burnout, and physical violence. There is a paucity of literature on the study of nurses' performance toward the pandemic COVID-19. Thus, the present study was aimed to assess the performance and attitudes of nurses toward infected and deceased cases with Coronavirus. A cross-sectional descriptive study was conducted in three quarantine hospitals in Zagazig city, among 289 male and female nurses using a self- administered questionnaire to assess their Knowledge, Attitudes, and Practices (KAPs). Consequently, collected data was coded, analyzed using SPSS version 20 with various statistical models to find the significance of data and achieve the aim of the study.  The results showed that the majority of nurses have correct knowledge except for Emergency' nurses with a mean score of 47.0±3.79, an absolute majority of nurses had good preventive practices, especially in ICU with a mean score of 24.68 ± 2.28. Moreover, a positive statistical relationship was found between total knowledge score, preventive practices, and attitudes (P<0.001). The study concluded that the majority of nurses' knowledge was correct and their preventive practices were good. We recommended continuous provision of training of all nurses on proper infection preventive measures with a focus on emergency' nurses.   

Keywords: Attitude, Coronavirus, COVID-19, Cross-sectional, Deceased Case, Infections, Pandemics, Questionnaires, Quarantine.

Title: Nurse's Performance and Attitudes Regarding Infected and Deceased Cases with Coronavirus at Zagazig' Quarantine Hospitals

Author: Laila A. Hamed, Suzan M. Elsayed

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The social milieu that best trains seeing airs is a culture of reasoning climate that strengthens great intuition in an assortment of unequivocal ways. Aim of study: the study aimed to evaluate the effects of interactive lecture versus traditional lecture on nursing students critical thinking dispositions. Subjects and methods: The study was conducted Technical foundation of known which associated to Tanta University. All out number of attendants' understudy's was 252. Two data collection tools were used to carry out this study namely, Knowledge survey sheet, and California Sensitive Seeing Brain Inventory (CCTDI). Results: Marginally under 66% (62.7%) of known understudies in charge gathering, and somewhat under seventy five percent (74.6%) of exploratory gathering had age under 20 years of age with mean time of 20.04±1.97, and 20.10±1.00 separately. More than one fifth of known understudies in both test, and control bunches separately had palatable degree of all out basic speculation information prior to actualizing diverse place methodologies, with no factual sensitive contrasts between agreeable degrees of the two gatherings prior to executing distinctive place systems. Conclusion and recommendations: There were high measurably essentialness connection be tween's absolute basic reasoning score and score of basic speculation information among known understudies of test bunch intuitive talk. Attendant instructors need to examine educational plan systems, course components, and instructing methodologies to learn if and how these different segments mirror the consolation or block of CTS and manners.

Keywords: Interactive lecture, Traditional lecture, nursing students , and critical thinking dispositions.

Title: Effect of interactive lecture versus traditional lecture on nursing students critical thinking dispositions

Author: Eglal Elsaied Ahmad El Bardeny, Samia Mohammad Adam, Rabab Mahmoud Hassan

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: One of the most common invasive, painful and stressful processes performed on hospitalized children is the insertion of intravenous cannulation. According to evidence based clinical practice guidelines, most pain and anxiety disorders induced by minor medical procedures can be treated using non pharmacological approaches. Aim of the study: This study aimed to evaluate the effect of nursing management protocol for pain and anxiety associated with intravenous cannulation on nurses and pediatric patient’s outcomes. Materials and Method: This study used a quasi-experimental design that was conducted in general pediatric departments affiliated to the University of Mansoura University Children Hospital (MUCH) and Mansoura International Hospital. A convenience sample of nurses (85) children (108) aged 6-12, who were treated in the abovementioned settings, were included and recruited over a six-month period. Tools: Three tools have been used to collect the data. Tool 1: An interview questionnaire to assess nurses’ knowledge regarding gum chewing as a non pharmacological method for nursing management for pain and anxiety associated with intravenous cannulation. Tool 2: Observation checklist used to assess nurses’ practice in reducing anxiety and pain during intravenous cannulation using gum chewing. Tool 3: Child Anxiety and Pain Scale (CAPS). Results: Nurses' mean knowledge and practice scores improved after the implementation of the program for applying the chewing gum intervention method for children during intravenous cannulation. In addition, there is a reduction in the level of pain and anxiety of children after the implementation of the gum chewing intervention method during intravenous cannulation. Conclusion: The nursing management protocol   had a good impact on nurses' knowledge and practice regarding using of chewing gum during intravenous cannulation. In addition, there wasa reduction in the percentage of the studied children that presented with higher level of pain and anxiety immediately post and three months after nursing management protocol implementation. Recommendation: Develop regular and ongoing educational programs for nurses on innovative non-pharmacological methods for pain control in children through various invasive medical and nursing procedures.

Keywords: Anxiety, Intravenous cannulation, Nursing management, Nurses, Pain, Pediatric patient’s Outcomes, Protocol.

Title: Effect of Nursing Management Protocol for Pain and Anxiety associated with Intravenous Cannulation on Nurses and Pediatric Patient’s Outcomes

Author: Reham El - Saeed Hashad, Gehan El Nabawy Ahmed, Sahar Farouk Hashem, GhadaGamal Badawy

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Depression among nursing students has been studied over the years and has been found to be a prominent issue. These articles have researched different factors and variables that affect depression among these students focusing on various sample sizes from different countries. This paper reports a literature review that aimed to explore the importance of identifying stressors that contribute to depression among undergraduate nursing students, to conclude that a study should be carried out in Saudi Arabia regarding this topic.

Keywords: Depression, nursing students, prominent issue.

Title: Literature Review of Depression among Nursing College Students

Author: Ghalia A. Malki, Nadiah A. Baghdadi

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Bullying in school is one of the major problems in education systems around the world, it has effect on student’s health status and school achievement. Aim of this study is to assess effect of bullying on primary school students Design: Descriptive design was used. Sample: The study involved all students in six grade (350 students) from 2 schools. Setting: Study was conducted at 2 primary schools in Ein Helwan district, Helwan City – Egypt (Al-Shohadaa Primary School &Abd El-Monem Reyad Primary School). Tools: Two tools were used in this study, 1^st tool interviewing questionnaire consisted of four parts:  1: Socio demographic characteristics of students, 2: Assessment of prevalence and levels of bulling in schools, 3: Assessment of student’s knowledge regarding bullying, and 4: Assessment of the effect of bullying on student’s health status. The 2^nd tool: Assessment student’s attitude regarding bullying. Results of the present study revealed 37.1% of the students exposed to bullying, 60.3% had poor knowledge about bullying, 70.8% of them had low confidence regarding the psychological effect of bullying, 80% of exposed students had stomachache regarding the physical effect of bullying and 60.6% had negative attitude toward bullying. Conclusion: The study concluded that students exposed to bullying had poor knowledge about bullying. Bullying effect on the majority of the student’s health status physically and psychologically and minority of exposed students to bullying failed in final year exam last year as effect on school achievement. Students reported social isolation as social effect of bullying. Majority of students had a negative attitude toward bullying. Recommendations: Educational programs should be given to all students, and school staff about the meaning, causes, risks, effects, management, and prevention of bullying.

Keywords: Bullying, Primary school student, Effect of bullying.

Title: Effect of Bullying on Primary School Students in Ein Helwan District

Author: Naiema Mohamed El-Esawy, Dr. Afaf Salah Abd El-Mohsen, Dr. Sahar Mahmoud S. El-Awady

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Peripheral artery disease is a worldwide health challenge and a major cause of morbidity and mortality^. After lower extremity (LE) bypass surgery, patients may remain have limited functional abilities. The role of exercise in improving the postoperative walking performance had not adequately investigated. Aim: The study aims to determine the effect of physical rehabilitation on the patient's functional status after LE bypass surgery. Method: A Quasi-experimental design with Pre and Post Test was used for the current study. The study was carried out at the vascular surgery department at Alexandria Main University Hospital and the vascular surgery outpatient clinic. Subjects: It comprised a convenience sample of 40 patients who were planned for LE bypass surgery. They were divided into two equal groups: rehabilitation and control. Tools: Two tools were used 1) Socio-demographic characteristics and biomedical data interview schedule and 2) The Walking Impairment Questionnaire (WIQ). Results: There were no statistically significant differences between the study groups WIQ pretest scores (t=0.035-p=0.972), while at 3 months follow-up statistically significant differences in the posttest scores were found in favor of the rehabilitation group (t=4.13- p<0.001). Conclusion: The implementation of the physical rehabilitation program after LE bypass may be a promising intervention for those patients to restore their walking performance. Recommendations:  Integrate the physical rehabilitation program into the comprehensive management after LE bypass surgery and it should be considered when updating clinical guidelines

Keywords: Arterial bypass surgery, Exercise, Functional status, Lower extremities, Physical rehabilitation, Revascularization.

Title: The Effect of Physical Rehabilitation on Patient's Functional Status after Lower Extremities Arterial Bypass Surgery

Author: Maha Gamal Asal, Laila Mohamed Abdou, Alice Mary Edward Reizian, Hassan Lotfy Ibrahim

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Provision of dental care is not without risk of exposure to blood borne pathogens for both dental workers and patients. Most exposures to infectious agents in the dental clinics are accidental and can be avoided by using safe work practices and following infection control guidelines. Aim: To assess dental clinics nurses' knowledge and practice at rural health units. Design: A descriptive cross sectional design was used. Setting: It was conducted at 120 out of 175 dental clinics at rural health units of Ministry of health and population in six districts in Menoufia Governorate. Sample: Multistage random sample composed of 120 nurses, who are working in dental clinics' at rural health units of Ministry of health and population from selected six districts in Menoufia Governorate. Tools: Self-administered structured questionnaire included socio demographic data, knowledge of dental nurses as regard to infection control measures, observational checklist of practice of dental nurses and observational checklist of dental clinic. Results: There was 87.5% of studied nurses had good level of knowledge about infection control measures and 12.5% had poor knowledge level. Additionally, there was 82.5%of studied nurses had safe practice about infection control measures and 17.5% had a risky practice. Conclusion: The majority of participating nurses had good knowledge responses of different infection control measures with exception of report injury incident to infection control committee and no extra precautions should be followed when dealing with patient infected with blood borne pathogen. The majority of participating nurses displayed good practices of different infection control procedures, with the exception of hand hygiene practice and using personal equipment. Recommendation: The oral health directorate and infection control directorate should undertake periodic surveys to ensure that the knowledge and skills of oral health care workers are maintained and to identify any weaknesses and modify the training accordingly.

Keywords: dental nurses, oral health care, dental workers, training accordingly.

Title: Infection Control Knowledge and Practices of Dental Clinic Nurses at Rural Health Units

Author: Nabila Elsayed Sabola, Aya Mohmoud Sharbash, Samia Ali ElNagar

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Nurses are one of the inputs to any healthcare system and have strong effect on the organizational performance. Staff nurses are the core of any health care organization.  The Aim: This study aimed to investigate the relationship between motivational factors and nursing distribution in private and governmental hospitals. Methods: A cross-sectional research design was conducted by researchers to achieve the aim of the present study. The total number of study sample was composed of (n = 393) staff nurses who worked for at least one year of experience. The survey was distributed for nurses who were working in private and governmental hospitals in Giza and Cairo Governorate to investigate the motivational factors and nursing distribution in different care settings. Results: It revealed that organize motivation among nurses, Work environment, Payment, supervision and leadership and recognition were influence the staff nursing motivation, as well many factors also noticed at personnel characteristics touched nowadays. Conclusion: The current study draw attention for today’s allocation staff nurses between private and governmental hospitals which were altered by different factors. Recommendation: leader and manger should have a new vision for future hiring, retaining and development of staff nurses based on research study which fulfill staff needs and motivational factors.

Keywords: Motivation factors, Staff nurses, hospitals.

Title: Relationship between Motivational Factors and Staff Nurses Distribution in Private and Governmental Hospitals

Author: Dr. Noha Mohamed Rashad, Dr. Somaya Ahmed Bayoumy

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Emotional Intelligence remains an important competency for nursing teachers to support and integrate into their various teaching strategies. Aim of the study: This study aims at identifying the effect of training strategies on the nursing teachers' emotional intelligence. Design: A Quasi experimental research design was used. Setting: This study conducted at Secondary Technical Nursing Schools affiliated to the ministry of health at El- Behira Governorate Subjects: Total study subjects included 120 nursing teachers. Tools of data collection: this study was collected by using Bar-On Emotional Quotient Inventory-Short. Result: Before implementing the training strategy minority of nursing teachers had satisfactory score in total emotional intelligence, there is a highly statistically significant improvement in all dimensions of emotional intelligence among nursing teachers throughout program phases. Total emotional intelligence of nursing teachers throughout the program phases increased obviously in post program phase. Conclusion: a minority of nursing teachers had high emotional intelligence level at preprogram phase. As observed, there was improvement in all emotional intelligence dimensions at post program phase. While some declines occurred in the follow up phase, the levels remained significantly high compared with preprogram phase. In addition, there were highly statistically significant differences among nursing teachers emotional intelligence levels throughout the program phases. Improving nursing teachers' emotional intelligence after implementation of training program.

Recommendations: enhance nursing teachers' participation in social and cultural activities, conduct training program about emotional intelligence strategies for nursing teachers in nursing schools.

Keywords: Emotional Intelligence, Nursing teachers, training program.

Title: Training Strategies and Its Effect on Nursing Teachers' Emotional Intelligence

Author: Abeer Elsayed Abd Elkader, Samia Mohamed Adam, Hanaa Mohamed Abdrabou

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Background: Childbirth is a natural physiological process and it a special moment to mother and family. This process started at The first stage of labor which character as a longer and painful. For that parturient need methods to reduce the sense of labor pain.  Aim:  to assess the effectiveness of two different positions during the active phase on labor pains among primiparae. Method: A systematic review based on the PRISMA guidelines including a quantitative and qualitative review on maternal position and labor pain during the first stage of labor. A literature search was conducted using: CINAHL, MEDLINE and PubMed through the Saudi Digital library database. The search was conducted over the last seven years. All the included studies were critically appraised using Hawker et al. tool. After the selection process, seven studies matching the inclusion criteria identified and were incorporated in the review. Results: The literature review content categorized into three themes: sitting position, sideline position and both sitting and side line position. Conclusion: According to the literature findings, this review paper has some contradictory finings in the studies regarding the relationship between positions during the active phase on labor pains among primiparae. There is need for more studies to confirm this relationship.

Keywords: first stage, labor pain, labor position, sitting position, side-lien position.

Title: Effectiveness of Two Different Positions During the Active Phase on Labor Pains Among Primeparea

Author: Abrar Ahmad Alghatis, Prof. Wafaa Faheem, Dr.Amal Salem Sijeeni

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Contraception is one of the means to prevent unwanted pregnancies and to ensure good health outcomes in both mother and baby. Good knowledge of contraception has been associated with proper and effective use of contraceptive methods, which in turn prevents the incidence of unintended pregnancy and abortion.

Aim: To determine the effectiveness of educational interventions for improving knowledge and/or use concerning contraception in women of reproductive age.

Methods: A scope review of all articles related to contraceptive education, knowledge and use. The search strategy including data base such as: ProQuest, CINAHL and Medline. Grey literature also searched as Google Scholar. The search was conducted over the last three years. All the included studies were critically appraised using Hawker et al. tool. After the selection process, 9 studies matching the inclusion criteria identified and were incorporated in the review.

Results: The literature review content categorized into three themes: effect of contraceptive education on knowledge, effect of contraceptive education on use and factors associated with utilization of modern contraception; and the most common among them was effect of contraceptive education on use of contraception.

Conclusion: This review provides clear evidence that a wide range of educational tools can effectively increase client knowledge and use of contraception. Future studies should assess what aspects of educational interventions are most effective in changing women's fertility behavior.

Keywords: Birth control, contraceptive counseling, contraceptive education, contraception knowledge, contraception use, family planning, women.

Title: Effectiveness of Educational Interventions on Women's Knowledge and Use of Contraception: A Scoping Review

Author: Hamdah M. Alruweili, Wafaa A. Fahim

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: maternal-infant bonding (MIB) is a vital process which has tremendous implications for both mother and infant. It is one of the most challenging experiences in a woman’s life and although most women navigate the process successfully, a small percentage may develop impaired relationships with their infants. MIB may affected by many factors. Identifying such factors enable healthcare staff to detect those mothers with bonding difficulties. Objectives: To identify factors associated with postpartum MIB. Methods: a descriptive study that included a convenience sample of 360 postnatal women attending El Shatby and Dar- Ismail Maternity hospital in Alexandria, free of any medical condition and willing to participate in the study. A structured validated interview questionnaire was used to collect socio-demographic characteristics, reproductive history and the MIA Scale. Results: A 6 weeks after delivery, 345(95.8%) and 15(4.2%) of mothers respectively had normal and abnormal bonding. Normal mother bonding was significantly more among educated (85.2%) , employed(78.9%),  highly socially supported(38.3%), primigravidous (24.3%) and primiparous (34.8%) mothers having urban residency(84.3%), full-term(90.4%) breast fed(56.5%) boy (60.9%), planned pregnancy(84.3%) and no history of abortion(65.2%) (p<0.001).While abnormal bonding was significantly frequent among illiterate (60%), housewives (100%), low socially supported(20%) & primigravidous (100%)who gave birth to premature (6.1%)& bottle fed (80%), girls(40%) respectively and had unplanned pregnancy(100%) (p<0.05). Conclusion: Bonding is significantly associated with maternal and infant factors. Maternal factors include women education, occupation, residence, social support, gravidity, parity, abortion and pregnancy planning status, whereas infant related factors included infant gender, feeding pattern, maturity and type of care received.

Keywords:  Maternal infant bonding, postpartum, factors associated.

Title: Factors Associated With Postpartum Maternal-Infant-Bonding

Author: Asmaa Mostafa M. Abd Elwadood, Prof.  Sahar Anwar Rizk, Assistant Prof. Samar Kamal Mohamed Hafez

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: This study aimed to assess Medication Errors among Nurses in the Intensive Care Unit. Setting this study was conducted at Kafrelsheikh University Hospital, 3critical care units Medical ICU, surgical ICU & Cardiac care unit CCU. Sampling; a convenient sample of 59 nurses working in the mentioned setting. Tools two tools were used for data collection. First tool; a self-administered questionnaire sheet consisted of two parts. Part I concerned with nurses’ demographic data. Part II concerned with nurses’ knowledge assessment. Second tool; was nurses’ practice observational checklist. Results most of the studied nurses had errors in their knowledge and practice of medication safety, regarding all components medication Conclusion; most of the studied nurses had unsatisfactory of both levels knowledge and practice regarding all components medication. Recommendations: the study recommended that; Arranging continuous education programs for nurses, about medication safety and prevention of medication errors.

Keywords: medication safety, medication errors, nurses & intensive care unit.

Title: Assessment of Medication Errors among Nurses in the Intensive Care Unit

Author: Shimaa Ibrahim Abd Elgwad, Prof. Dr. Kamelia Fouad Abdallah, Assist. Prof. Basma Khalil

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The COVID-19 pandemic underscores society’s reliance on health care workers both on the front line and on the nursing internship students as are part of second line for fighting virus transmission, which makes them more vulnerable to anxiety and stress and thus it affects their quality of life. Aim: of this study was to assess the implications of covid-19 on knowledge, anxiety level and quality of life of nursing internship students. Design: A descriptive correlation design was used for the conduction of this study. Setting: The study was conducted at Technical Institute of Nursing, Fayoum University. The sample: A convenience sample of 286 nursing internship students. Tools of data collection: .A) self-administered questionnaire divided two parts to assess 1) the socio-demographic characteristics of internship students.2) internship student’s knowledge related to covid-19 characteristics, second tool was Anxiety level scale to assess Anxiety level of internship students and third tool self- report quality of life scale to assess quality of life for nursing students during spread of Covid-19 period. Results: Three quarters of internship students had satisfactory knowledge about coronavirus. The minority of the male internship students reported they had severe anxiety and two third of female student had sever anxiety. Mean score total quality of life of male students higher than female students. Conclusion: The internship students had satisfactory knowledge about Corona disease. This knowledge led to a higher rate of anxiety for female students than for male students, which led to the quality of life for female students being lower than for male students. Recommendations: Design educational and counseling programs to reduce anxiety level between interns to assist students in identifying the influence of anxiety on quality of life during Covid-19 pandemic crisis. 

Keywords:  Covid-19 Pandemic, Knowledge, Anxiety level, Quality of life, Nursing Internship students.

Title: The Implications of COVID-19 Pandemic on Knowledge, Anxiety level and Quality of Life of Nursing Internship Students

Author: Fatma  A. Eiz – Elregal, Enaam Abd-El latif, Mona T. El-Nady

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Administration in hospital is the art and science of guidance, leadership, and control of the efforts of a group of individuals towards some common goal. A common goal is quality patient care. The hospital administrator has a great responsibility to understand and appreciate the aspects of the patient care. The purpose of the study was to examine the relationship between the quality of administrative system and health care provided to patients among hospital managers. Design: A descriptive comparative research design was utilized in the current study. Setting: This study was conducted at inpatient and critical care units at Menoufia University Hospitals.  Methods: A simple random sample for each category of study participants was selected. They were 57 Nurses' managers, 55 physicians' managers, 33 administrative managers, and 75 patients. Two instruments were used for data gathering. The first instrument was managers’ observational checklist. The second instrument was patients structured interview questionnaire. Results: The main findings of this study revealed that the administrative system total quality in Menoufia University Hospital among managers was high (70.3%). Majority of patients denoted that the quality of health services provided to them were moderate quality. Conclusion: More than two thirds of patients' perceived that the quality of services was moderate. There was high significant difference between patients' perception and all hospital managers and the total quality score of administrative system. It was recommended that in-service educational programs based on management educational needs for novice hospital managers must be developed to maintain the quality of administrative tasks. Further researches studies are required to pay more attention toward comparing between in-patient departments regard quality of structure of administrative system.

Keywords: Administrative System, quality, Health Care, Patients.

Title: Evaluation the Quality of Administrative System and Health Care Provided to the Patients among Hospital Managers

Author: Manal M. Bakr, Nabila M. Shrief, Amany A. Elnahas

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Innovative behavior plays a critical role in evolution of quality of nursing practice for elder care and organizational success. Nurse managers need further development in their commitment to innovation to meet the pressing challenges of the health care needs for hospitalized elderly patients. Aim: To develop nurse manager innovative behavior and evaluate its effect on the quality of care for elderly patients. Subjects & Method: A quasi-experimental design was used. Setting: The study was conducted at the inpatient units that included the elderly patients` at Shebin El-Kom university hospital in the Delta region of Egypt. A purposive sample of 100 elderly patients invited to assess posttest nurse manager's innovative behavior application. Also, they were invited to assess their own perception toward quality of care they received. De Jong and Hartog instrument were used to assess nurse manager's innovative behaviors to provide an explanation of how an individual’s innovate and implement new ideas. Results: The mean score for all components of innovation behavior (opportunity exploration, Idea generation, Idea championing and Idea implementation) were noticed higher in posttest than pretest. The highest total mean posttest score was 33.1 ± 6.1 compared to the lowest total mean pretest score that was 26.8 ± 10.1. The highest mean score for quality of elderly care 34.73 ± 5.8 were noticed in discipline aspect of quality care, nearly equal mean score (34.45 ± 5.16, 34.6 ± 5.64) were found in both responsiveness and assurance aspects of quality elderly care followed by mean score of communication aspect (29.69 ± 3.62). There was a positive correlation between the elderly patient's total score for quality of care and nurse managers mean posttest score for application of innovative behavior. Conclusion: The nurse managers who receive the innovative behavior training program had a higher mean posttest score as compared to pretest score. There was an elderly patient’s agreement about nurse manager innovative behavior after innovative behavior training program. Recommendations: Healthcare organizations should focus on the development of the innovative behaviors among the nurse managers to grantee the quality of care for the hospitalized elderly patients. Education should pay more attention to sustain learned behavior, and to learn how to reflect on behavior. Further research is needed to factors which are stimulating or obstructing innovation behavior and to the way in which innovation behavior can be sustained in practice.

Keywords:  (Elderly patients, Innovative behavior, Nurse Managers, Quality of care).

Title: Development of Nurse Manager Innovative Behavior and Its Effect on the Quality of Care for Elderly Patients

Author: Manal Mohamed Baker, Tawheda Mohamed Khalefa El-saidy

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: A moral dilemma is different from the classical ethical dilemma in which the individual sees a problem but is confused about choosing an action among different choices of actions with different downsides but are ethically appropriate. A moral dilemma is when one is sure of the right action to take but is unable to take it. Nursing students are exposed and are vulnerable to moral distress during their clinical training. Very few studies have been done regarding moral distress among students. The objective of this study is to identify moral distress levels in senior and sophomore nursing students and to explore if there is a correlation between academic year and moral distress levels in the form of a descriptive correlational study. The majority of the nursing students had experienced moral distress during their clinical training. Although the levels of moral distress experienced by the nursing students were at varying degrees from mild to the worst possible level of moral distress, the statistical tests showed no significant difference in their moral distress level; also, the year level of the students has no significant correlation to their moral distress. Students withhold their actions during morally distressing situations because of varied reasons that include not having enough confidence to believing that students don’t have any right in speaking up in such situations to being afraid of clinical preceptor or clinical instructor and being concerned over grades.

Keywords: Moral distress. Nursing students, sophomore, senior, ethical dilemma.

Title: Moral Distress among Nursing Students during Clinical Training

Author: Nadiah Baghdadi, Zuhour Alsomali, Maisa Eid Alanazi, Malak Alasmari, Raghad Alfaqi, Razan Alsofayan, Wireen Leila T. Dator, Ghalia A. Malki

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journal

Abstract: Health centers acquired infections are a worldwide problem, leading causes of death. Health care personnel are at real risk for exposure to patient's blood and body fluid through providing comprehensive and continuous care and consequential at risk of acquiring blood borne pathogens. Blood borne pathogens include hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). The aim of this study is to measure of the nurse's knowledge and practices to the standard precautions of infection control measures. Setting This study was conducted at 5 health centers for health directorate in Shoubra El Kheimah. Sample all nurses were working in health centers, the total number were 140. Two tools were used for data collection first tool was a self – administered questionnaire for collecting data related to socio-demographic characteristics of nurses, work characteristics and nurses knowledge about infection control measures and the second tool was an observational checklist for assessing nurses compliance to universal precautions of infection control measures. Results this study found that approximately one third of the nurses had poor knowledge related to infection control measures and more than half of them had unsatisfactory compliance toward infection control measures, It is clear that proportion of nurses with poor knowledge has a higher unsatisfactory compliance. Conclusion the results of the study showed that nurses with poor knowledge has a higher unsatisfactory compliance. Also statistical results insignificant relation between demographic characteristics of nurses and their compliance to infection control and there was statistical insignificance relation between structure environment and nurse compliance to infection control measures. Recommendation developing the training programs for nurses to strength the knowledge and improves their performance toward infection control, adequate and appropriate supplies for compliance with infection control should be ensured for all nurses at all time.

Keywords: Infection control measures, universal precautions, health centers, role of nurse.

Title: Universal Precautions for Infection Control in Health Care Centers in Shoubra El Kheimah

Author: Prof. Dr. Hanaa A. El Hakiem, Prof. Dr. Maha Mohamed, Prof. Dr. Hala Mohamed, Mervat Samir

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Primary Dysmenorrhea Is A Common Gynecologic Disorder Among Young Females.

Aim: To assess the effect of two non-pharmacological pain relief interventions on the severity of pain among adolescent girls complaining of primary dysmenorrhea.

Study design: Quasi-experimental research design.

Setting: Karmouz; Zizenia; and Alamrhia Secondary Commercial Schools for Girls, Alexandria, Egypt.

Sample size: Purposive sampling of 90 female students with moderate to severe primary dysmenorrhea from November 2019 to February 2020 according to certain inclusion criteria. Participants were randomly divided into three equal groups: two experimental groups (knee–chest position group & heat compresses group) and one control. Samples were randomized to knee–chest position, heat compresses, and control groups (n = 30 each) via simple random sampling technique.

Tools: Self-administered structured questionnaire, Verbal Multidimensional Scoring system (VMS), and Visual Analog Scale (VAS).

Results: No statistically significant reduction in VAS score in the two studied groups compared to control group before intervention in same menstrual cycle, but a highly statistically significant difference between them after intervention use in the same menstrual cycle and second menstrual cycle (p = <0.001**).

Conclusion: Knee–chest position and heat compresses reduce dysmenorrhea pain intensity level. Dry heat compresses were more effective than knee–chest.

Recommendation: Encouraging all females with dysmenorrhea to use dry heat compresses and knee–chest position to release dysmenorrheal pain, avoiding overreliance on pharmacological painkillers.

Keywords: Dysmenorrhea, Non-pharmacological interventions, Pain, Adolescent girls, Knee–chest position, hot compresses.

Title: Effects of Two Non-pharmacological Pain Relief Interventions on the Severity of Pain among Adolescent Girls Complaining from Primary Dysmenorrhea

Author: Hala Ahmed Thabet, Howaida Amin Hassan Fahmy Elsaba, Amany Hussein Abd Elsattar Hassan

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Central Line Associated Blood Stream Infection are expensive, common,  potentially fatal and have greater impact on the patient which can lead to  increase in costs, length of stay and morbidity and mortality rates, especially among critical ill  patients. The aim of this study was to assess central line associated blood stream infection among critical ill patients. Design: a descriptive exploratory study. Setting: the study was carried out at Medical Intensive Care Units at at El-Hussein Hospital, Al-azhare University. Study subjects: a purposive sample of 30 adult patients with different age group and gender were included in this study. Data collection tools: structured patient assessment sheet and assessment sheet for insertion site. Results: this study revealed that, 13.3% of critical ill patients developed Central Line Associated Blood Stream Infections and the predominant causitive microorganisms were Coagulase-negative staphylococcus(6.7%). Conclusion: based on the study finding, The prevalence of CLABSI was particularly high in intensive care units and can be prevented. Recommendations: this study recommends the importance of prevention of central line associated blood stream infection in intensive care units.

Keywords: Central venous line, Central line-associated blood stream infection, Critical ill patients.

Title: Assessment of Central Line Associated Blood Stream Infection among Critical Ill Patients

Author: Rasha Mohamed Elsayed Ali Elauoty, Prof. Dr. Zeinab Hussein Ali, Prof. Dr. Gamal Ali Bader, Dr. Mohamed Elsayed Abo Ghabsha

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Central line-associated bloodstream infection is an important healthcare-associated infection in the critical care units. It causes substantial morbidity, mortality and incurs high costs. The use of central venous line bundle has been shown to decrease the incidence of CLABSIs. The aim of this study was to assess the effect of implementing central line bundle care on reducing blood stream infection among critical ill patients. Design: a quasi-experimental study. Setting: the study was carried out at Medical Intensive Care Units at at El-Hussein Hospital, Al-azhare University. Study subjects: a purposive sample of 60 adult patients with different age group and gender were included in this study. Data collection tools: structured patient assessment sheet and assessment sheet for insertion site. Results: this study revealed that, there was astasitically significance diferance between study and control group in wich study group show lower incidence of CLABSIs than control group. Conclusion: based on the study finding, applying central line bundle care during insertion and maintain dialy care after insertion decrease the incidance of central line associated blood stream infection. Recommendations: this study recommends The importance of implementation of central venous line bundle in intensive care units and empahsis on bundle compliance.

Keywords: Central venous line, Central line-associated blood stream infection, Central line bundle, Critical ill patients.

Title: Effect of Implementing Central Venous Line Bundle Care on Reducing Blood Stream Infection among Critical Ill Patients

Author: Rasha Mohamed Elsayed Ali Elauoty, Prof. Dr. Zeinab Hussein Ali, Prof. Dr. Gamal Ali Bader, Dr. Mohamed Elsayed Abo Ghabsha

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Oral stomatitis is one of the most debilitating complications for patients undergoing chemotherapy, and chronic inflammatory bowel diseases (IBD)  which may be considered specific or unspecific  . Honey is effective and safe because it has anti-inflammatory and healing properties that reducing pain, size, and erythema for stomatitis. Aim: This study aims to explore the effect of honey mouth wash on the outcome of patient with stomatitis. Method: Quasi experimental (study - control group,) was adopted in this study. A purposive sample included sixty patients whose stomatitis were selected randomly by Lottery method include a sixty patients whose stomatitis allocated into two groups (study and control group)who admitted to oncology out-patient clinics and university gastrointestinal clinic at  Minia city. Beck Oral Assessment Scale (BOAS) to assess oral function and oral scale to assess symptoms of stomatitis, Rosenberg self-esteem scale were used. Results: There were improvements in the patients’ oral function and minimizing the symptoms of stomatitis. Conclusion: Honey based mouth wash was effective care among study group whose oral stomatitis as well as improving their oral function. Recommendations: Regular training programs to keep nurses in clinical setting updated with the most recent strategy for oral hygiene that promote oral wellness.

Keywords: Mouthwashes, Stomatitis, Chemotherapy, Inflammatory bowel diseases.

Title: Effect of Honey mouth wash on the health outcome of patient with stomatitis

Author: Inshrah Roshdy Mohammad, Nagwa Mohamed Ahmed, Fathya Rady Magbool

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Agricultural work considered as one of the most hazardous sectors in both developing and developed countries with high rates of accidental deaths, injuries, and work-related illnesses. The aim of this study was assess agriculture hazards on farmer’s health and safety. Design: Descriptive design will be used to conduct this study and achieved the aim. Setting:  the study will be conducted at Burqash Village- Imbaba- Giza Governorate, Sample: Convenient sampling technique used to choice (187) farmers. Tools: two tools were used to accomplish this study. First tool interview questionnaire which contain 6 parts demographic data, past and current medical history, knowledge, attitude, reported and observed practices and types of hazards. Tool two observational checklists to assess farmers PPE, the framework was executed in three months, it started from January 2019 till the end of June 2019.  Results: shows more than half of study sample exposed to agriculture hazards and injuries, less than three quarters had high contributing factors, more than quarter of study sample had negative attitude, nearly half of them had average knowledge , half of study sample had satisfactory level of reported practices  Conclusion: the main risks factors affect on farmers health and safety were educational level ,sex, marital status, and farmers exposed to many different hazards as physical, chemical ,mechanical ,biological and psychological hazards ,and satisfactory practices represent (55.1%) and unsatisfactory practices represent (44.9%). Recommendation: providing educational programs to increase farmer’s awareness about agricultural hazards, and replicate this research finding in another setting and large scale from farmers for generalization. 

Keywords: Agriculture Hazards, Farmers, Health & Safety.

Title: Assessment of Agriculture Hazards on Farmers’ Health and Safety

Author: Ahmed Rezk Abdel-Ghaffar, Dr. Afaf Salah Abdel-Mohsen, Dr / Aliaa Mohammed Othman El-afandy

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Male and female are affected by infertility in different ways. Most couples experience the struggle in much the same way. This is related to the traditional ways male and female have been trained to think, feel and act. The study was aimed to investigate the impact of infertility on quality of life among infertile patients. This study was outpatient clinics of obstetric and andrology in fayoum university hospital, Egypt. A prospective observational Cross sectional design was used. Subjects of this study were 540 infertile patients (210 male and 330 female) either primary or secondary. Tools of data collection were interview questioner for female and male patients which include personal data, Obstetrical history if present, Gynecological history regarding infertility and (WHOQOL – BREF) scale. This study started on October 2012 and ended on September 2013. Results of this study revealed most of female and male were unsatisfactory for physiological, psychological, social, and environmental domains. Conclusion The prevalence of infertility was 93% primary infertility in male and 71% secondary infertility in female. Recommendation Increase fertility awareness of infertile patients / couples by educational programs. Also psychological training programs for nurses to deal correctly with infertile patients / couples were recommended.

Keywords: Infertility – Quality of life – Andrology.

Title: Effects of infertility on the quality of life among infertile patients at Fayoum city

Author: Marwa Yehia Moustafa, Prof.Dr. Nabila Taha Ahmad, Prof.Dr. Talal Ahmed Abd-Elrahim, Dr. Ghadah Abdelrahman Mahmoud

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The position at delivery is divided into supine, which includes lithotomy, and upright position such as sitting. Maternal positions during the second stage of labor can affect maternal and fetal outcomes. Aim: This review was conducted to compare sitting and lithotomy position during the second stage of labor related to maternal and fetal outcomes. Method: Searching for related articles performed in three databases (CINHALE, MEDLINE, and Pub Med) between 2015 to 2020. Out of all searched literature, eight studies retrieved (3 randomized controlled trials, 2 cohort studies, 1 cross-sectional study, 1 descriptive and retrospective study, and 1 Mixed method) to be included with a total of 129 399 laboring women. Results: The literature review indicates emerging categorized into five themes: duration of the second stage, mode of delivery, maternal labor pain, fetal outcomes, and the most common them was perineal tears and performing of episiotomy. Conclusion: Most of the articles demonstrate the positive effect of sitting position during the second stage of labor compared to lithotomy position on maternal and fetal outcomes.

Keywords: sitting position, lithotomy position, maternal delivery outcomes, fetal delivery outcomes, second stage of labor, childbirth.

Title: The comparison between sitting and lithotomy position during the second stage of labor on maternal and fetal outcomes Systematic Review

Author: Hind Mohammad AL-Dahiri, Dr Hala Ahmed Thabet, Dr Wedad Mutar Al Mutairi

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The enhanced recovery after surgery concept emerged as a multimodal approach directed at optimizing the patient experience, standardizing perioperative care, and improving surgical outcomes. Aim: -this study aimed to evaluate the effect of enhanced recovery pathway on women's post-operative recovery process (reducing level of pain, length of stay and return defecation in short hours) on women undergoing hysterectomy operation at Suez Canal University Hospital and General Hospital in Ismailia City. Design: - the design was used in this study called a quasi-experimental study. Sample: - convenient sample of 132 women undergoing hysterectomy operation. Tool: - Structured interviewing questionnaire included questions about pre- and post-operative intervention and care, The Verbal Numerical Rating Scale and Recovery process assessment record. Results: the level of pain encountered by women during first, second and third day in post-operative period, that the women in study group experience less mean score compared to those in control group. More than half (54.5%) of the studied women stayed from1-3 days in hospital compared to controlled group 4-5 days (59.1%) mean duration of hospitalization in the study group was significantly shorter than those in control group (3.46±.86 vs 5.07±1.61 respectively). Women in study group were more likely to have lesser mean time of first defecation after operation compared to control group (10.07±4.15 vs 21.16±8.90 hours). Recommendation: Enhanced recovery pathway management which proved to be successful for women undergoing hysterectomy should be implemented to improve recovery process at the study settings and in other health care settings.

Keywords: Enhanced recovery program, Hysterectomy and enhanced Recovery after Surgery.

Title: Effect of Enhanced Recovery nursing program on recovery process of women after hysterectomy operation in Suez Canal University Hospital and General Hospital at Ismailia City

Author: Heba Ahmed Galal Atia, Eman Ahmed Keshk, Inas Mohamed Abd-Allah

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Initial antenatal visit is a critical opportunity for maternity nurses to deliver care & support and give information to pregnant women. It is paramount for ensuring optimal health outcomes for women & children. Maternity nurses must be updated in their knowledge and be careful to compliance with initial antenatal guidelines. The purpose of the study was to assess maternity nurses’ compliance with initial antenatal visit guideline. Methods: Descriptive research design. Subjects: Included all nurses (100) working at the ANC clinics.  Setting: The study was conducted at antenatal (ANC) clinics of 5 maternity hospitals in Alexandria. Tools: Two tools were developed, Tool one: Nurses’ knowledge about initial antenatal visit Questionnaire that was consisted of two parts: Part I: Socio-demographic characteristics of the study subjects. Part II: Nurses’ knowledge about initial antenatal visit. Tool two: Maternity nurses’ compliance with initial antenatal visit observational Checklist. Results: More than half (55%) of the studied nurses had fairly answered compared to 44% of them who had good answered. Seventy percent of them were fairly compliant with initial antenatal visit in ANC clinics compared to 27% of them who had poor in their compliance and only 3% of them had good compliance. In addition to, had statistically significant positive correlation between knowledge of maternity nurses about the initial antenatal visit and their compliance. Conclusions: less than three quarters of the studied nurses were fairly compliant with initial antenatal visit in ANC clinics. Recommendation: Periodic participation of nurses in training programs about ANC to improve their knowledge, skills and ensuring from their compliance with guidelines for initial antenatal visit.

Keywords: Maternity nurses, compliance, initial antenatal visit, guidelines.

Title: Maternity Nurses' Compliance with Initial Antenatal Visit Guidelines

Author: Hend Mahmoud, Prof. Magda Mourad, Assistant Prof. Maha El- Habashy

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Hyperbilirubinemia is one of the most common problems during the neonatal period. The aims of the study: were to assess nurses’ knowledge and practices regarding care of the neonates suffering from hyperilirubinemia, design and implement the nursing intervention for nurses about care of the neonates suffering from hyperbilirubinemia based on needs assessment and evaluate the effect of the nursing intervention for both nurses and the neonates. Setting: The study was conducted at the Neonatal Intensive Care Unit at Obstetric and Gynecological Hospital affiliated to Ain-Shams and Cairo University. Subjects: The study subjects included a convenient sample of 50 nurses and 170 neonates. Tools of the study: three tools were used, Structured questionnaire to assess the knowledge of the studied nurses about neonatal hyperbilirubinemia, observational checklists to assess the studied nurses' practices and the neonates' outcome sheet to identify the clinical outcomes of neonates with hyperbilirubinemia. Results: The study results revealed that, the majority of the studied nurses had an adequate knowledge and a competent practices regarding care of the neonates suffering from hyperbilirubinemia post intervention. As well, there was a highly significant difference regarding phototherapy related complications among the studied neonates in the pre and post intervention groups. Conclusion: the study concluded that, there was statistical significant difference between total nurses' knowledge and practices regarding care of neonates with hyperbilirubinemia post intervention. As well, the clinical outcomes of the neonates with hyperbilirubinemia were improved in the post intervention group. Recommendation: Continuous follow up of the neonates suffering from hyperbilirubinemia for occurrence of phototherapy related complications.

Keywords: hyperbilirubinemia, nursing intervention, neonates' outcome.

Title: Effect of Nursing Intervention on Care of Neonates Suffering from Hyperbilirubinemia

Author: Fatma Ragab Abdel-Gafour, Wafaa El-Sayed Ouda, Randa Mohamed Adly

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Concept mapping is a teaching and learning strategy that promotes students' meaningful learning and has demonstrated potential effects in the nursing education process. Aims of the study: This study aimed to assess the students' knowledge regarding concept mapping, design and implement maps in classroom lecture, evaluate the effect of mapping skill intervention on students' achievement in pediatric nursing and compare between mapping skill intervention versus traditional nursing education on students' achievement in pediatric nursing course. Research design: A quasi-experimental design was used. Study setting: The study was conducted at the classroom lecture in Faculty of Nursing affiliated to Ain-Shams University. Subjects: The subjects included the third year students (n=85) enrolled in pediatric nursing course, during the academic year 2015-2016, divided into; control group  (40 students)  subjected to traditional nursing education and study group (45 students)  subjected to mapping skill intervention. Tools of data collection: A structured Questionnaire Sheet, Concept Map Assessment Rubric developed by Taie, (2014), Students’ Achievement Test and Student's Openionaire Sheet. The results: Revealed that, there was statistical significant difference between concept mapping knowledge of the study group pre/post intervention. The majority of students in the study group had higher scores of achievement compared with the control group post intervention. There was statistical significant difference regarding the application of concept mapping skills and the achievement scores among the students in the study group post intervention. In addition, most of students in the study group were satisfied with concept mapping as a learning tool. In conclusion: Mapping skill intervention improved the nursing students' achievements in pediatric nursing course compared with traditional nursing education. The study recommended: Training for the nursing students to acquire concept mapping skills as a learning strategy in their education.

Keywords: Concept mapping, Students’ achievement, Pediatric nursing, Education.

Title: The Impact of Concept Mapping Skills Intervention Versus Traditional Nursing Education on Academic Achievement of Pediatric Nursing Students

Author: Nadia Ibrahim Mahmoud, Wafaa El- Sayed Ouda, Randa Mohamed Adly

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Chest physiotherapy is one aspect of bronchial hygiene and plays an important role in management of mechanically ventilated patients; it is considered one of the most frequently performed intervention in ICU and is widely used among mechanically ventilated patients for both those who are intubated and tracheostomized .Chest Percussion and squeezing are the techniques of chest physiotherapy which are most frequently recommended for mechanically ventilated patients who have impaired cognition or poor coughing ability. Chest percussion and squeezing are used to enhance mucociliary clearance from both central and peripheral airway, and both techniques are more effective in mobilizing secretions that are adherent to the bronchial walls.

Materials and Methods: A convenience sample of 60 adult mechanically ventilated patients who were admitted to the ICU and required continuous invasive mechanical ventilation for more than 48 hours were included in the study. These patients were divided randomly into two groups 30 patients each, the control group who were subjected to the routine care applied by nursing staff in the study settings and intervention group who had chest percussion and squeezing applied by the researcher.

Results: Chest percussion and squeezing can improve the oxygenation parameters as the Pulmonary oxygenation capacity index (PaO2/FiO2 readings), SpO₂, PaO₂ and FiO2. There was highly statistical significant difference between the control and intervention groups regarding tidal volume, amount and viscosity of excretory secretions, respiratory inspection and auscultation in favor to the intervention group.

Conclusion: The chest percussion and squeezing are applicable and effective maneuvers for mechanically ventilated patients, it improve alveolar ventilation, gas exchange, decrease the force of breathing, and promote airway patency and  oxygenation by removing airway secretions

Keywords: chest physiotherapy, airway and mucociliary clearance, expiratory rib cage compression, chest squeezing, chest percussion.

Title: Effect of Chest Percussion and Squeezing on Respiratory Status for Mechanically Ventilated Patients

Author: Doaa G. Own, Prof. Nadia T. Mohamed, Assistant Prof.Osama S. Hassan, Assistant Prof.Fatma R. Abd El-Fattah

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Introduction Voluntary Counseling and Testing (VCT) is one of the strategies implemented to stem the spread of HIV infection and reduce risk among sexually active young people. It has been in practice in response to the high burden of HIV infection in Nigeria.  The study assessed the knowledge, attitude and uptake of VCT for HIV among university students in Abia State and determined reasons for not using   the services. Methods A cross sectional study conducted in Abia State University from October to November 2019 using a stratified sampling method. Knowledge, attitude and uptake of VCT for HIV were the main outcome measures. Analysis was with SPSS v.21. Frequency tables and Chi-square test were used to describe the participants and determine differences between proportions. Result A total of 400 students responded with 229 (57.2%) females and a mean age of 23.5years (SD 4.5years).  Majority, 358 (89.5%) and 388 (97.0) were unmarried and of Christian religion respectively. An average, 119(59.3%), 71(37.15%) and 35(18.5%) respondents were knowledgeable, had positive attitude and had used VCT for HIV in the past respectively.  The course of study (χ ² = 7.34, P-value < 0.01), knowledge about VCT (χ ² = 9.89, P-value < 0.001) and attitude towards VCT (χ ² = 10.78, P-value < 0.001) showed a statistically significant association with the uptake of VCT. Conclusion Fear of positive result, stigma and discrimination were reported as major barriers for VCT uptake which highlights the importance of strategic intervention to mitigate these barriers.

Keywords: KAP, VCT, Tertiary Institution, Abia State.

Title: A cross sectional study of knowledge, attitude and utilization of HIV voluntary counseling and testing among University students in Abia State, Nigeria

Author: M.J.Awa, P.E.N.Onyemachi , J.U.Enukeme ,  M.E.C.Ejikem

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The risks of urinary tract infection (UTI) are higher among pregnant women which foster the need for approaches to assist with and maintain behavioral change. Hence this study aimed to assess Self-efficacy and practices of pregnant women with Symptomatic Urinary Tract Infection. Design: descriptive cross sectional design was adopted. Sample: purposive sampling was used to recruit 100 pregnant women attending at primary health care (PHC) centers in Ismailia city. Tools: a structured interviewing questionnaire, UTI Symptoms Assessment questionnaire (UTISA) Results: Frequency of urination has the highest mean of symptoms severity (1.68±1.08), followed by burning urination (1.48±1.16) then lower abdomen pressure (1.45±1.04). Similarly, the most bothersome symptoms were frequency urination followed by burning urination then lower abdomen pressure (1.62±1.13, 1.37±1.18, and 1.35±1.18 respectively). (70%) had unsatisfactory practices pertaining UTI. Areas of unsatisfactory practices included dietary habits and urinary habits (81% and 70%, respectively) in addition to personal hygiene, clothing, sexual hygiene and habits with regard to urinary tract infection. (56%) of the studied pregnant women had low self-efficacy related to performing practices to combat UTI. Conclusion, voiding pattern abnormality followed by irritative symptoms were the most severe and bothersome UTI symptoms reported. Pregnant women with symptomatic UTI had unsatisfactory practices especially regarding dietary habits and urinary habits. And they had low self-efficacy regarding performing practices to prevent and manage urinary tract infection. Recommendations provide health education programs about UTIs focusing on self-care practices and employing self-efficacy. Periodic bacteriuria investigation in pregnant women is critical for treatment and prevention of urinary tract infections.

Keywords: practices, pregnancy, prevention, Self-efficacy, Urinary tract infections.

Title: Self-efficacy and practices of pregnant women with Symptomatic Urinary Tract Infection

Author: Nora Refat Mohamed, Hanan Hassan Hassan Omar, Inas Mohamed Abd-Allah, Sanaa Ali Nour

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: In critically ill patients, venous pressure can be monitoring by inserting a central venous catheter and peripheral venous catheter. Venous pressure monitoring from a central venous catheter is called central venous pressure, obtained from peripheral venous pressure. So, a peripheral venous catheter can be used as a quickly invasive technique to minimize many complications arising from applying the central venous catheters. The aim of this review was describing all published reports of peripheral and central venous catheters regarding venous pressure and complications. Data source: A systematic search of Medline, Science Direct, CINHAL, PubMed, Medscape, and Ovid. Grey literature also searched as Google Scholar and Cochrane databases was performed from inception through January 2013 for reports of adults who received peripheral and central venous catheters regarding venous pressure and complications. We included primary studies or case reports of many literature emphasized on simplicity of peripheral venous pressure, and as an alternative to central venous pressure among critically ill patients. Results: There were three hundred and three articles with 11,332 patients that met all inclusion criteria. We eliminated 20 articles due to duplication either within the same database or across databases. The abstract was screened for the relevancy of the search and 78 were excluded. The articles were narrowed to 22 when assessing full-text articles for eligibility. We included in our search published and non-published articles only quantitative methods are screens. Conclusion: Published data on peripheral venous catheter and central venous catheter are very important among critically ill patients, both catheters are used in intensive care units to monitor fluids and therapy; central venous pressure is measured employing central venous catheters. Further study is warranted to clarify the safety of using peripheral venous catheter as alternative to central venous catheter.

Keywords: Central Venous Catheter, Peripheral Venous Catheter, Venous pressure, Venous Catheter complications, Critically ill patients.

Title: Peripheral versus Central Venous Catheter Complications and Pressure among Critically Ill Patients

Author: Amnah Mohammed Howthan, Mona Mohamed El-Hady, Nahed Ahmed Mersal

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Medication administration is a task inherent in the scope of practice for nurses, which places nurses at significant risk for experiencing a medication error. Intravenous medication is administered directly into a patient’s vein, thus initiating a rapid systemic response. Aim: This study aimed to assess critical care nurses' performance regarding intravenous medication safety. Design: A descriptive exploratory research design was utilized in the study. Sample: A convenient sample of 60 adult nurses from both genders who worked in the intensive care units. Setting: Data were collected from the Intensive Care Units at El Fayoum University Hospital. Tools: Two tools were used for data collection (1) Administered Questionnaire of Nurse's Knowledge. (2) Observational Checklist. Results: This study revealed that, 78.3%of the studied nurses had unsatisfactory level of knowledge regarding intravenous medication safety, while 86.7% had incompetent level of practice regarding intravenous medication safety. Conclusion: The study concluded that the majority of nurses had incompetent practice and unsatisfactory knowledge regarding intravenous medication safety, while there was statistically significant relation between total nurses' level of knowledge and total nurses' level of practice regarding intravenous medication safety. Recommendation: The study recommended that the importance of in-service training courses which include continuous educational and training programs for nurses about the knowledge ,clinical and administrative procedures for intravenous medication safety and establish hospital protocols and guidelines for intravenous medication safety in Arabic and English language to be readily accessible for physicians, pharmacists and nurses.

Keywords: Critical Care Nurses, Performance, Intravenous Medication Safety.

Title: Assessment of Critical Care Nurses’ Performance Regarding Intravenous Medication Safety

Author: Nora Kourni Mohamed, Taghreed Talaat Shakweer, Furat Hussien Mahmoud

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: preoperative vaginal wash with povidone iodine reduced the vaginal bacteria up to 98% which can in turn reduce ascending bacteria from the vagina to the uterus end reduce post cesarean infection especially endometritis. The purpose of the study was to assess Effect of preoperative vaginal preparation with povidone iodine on post cesarean endometritis among women undergoing elective caesarean delivery Methods: A quasi-experimental design was utilized. Sample: A convenience sample of 162 pregnant women in the full term pregnancy. Setting: The study was carried out at Menoufia University Hospital at Shebin El-Kom and Menouf General Hospital at menouf. Instruments: An interviewing questionnaire, maternal assessment tool, cesarean examination tool, follow up assessment tool. Results: There was a statistically significant reduction in postoperative infection in the study group compared to the control group. Conclusion: preoperative vaginal cleansing with povidion iodine is effective in the reduction of post cesarean endometritis. Recommendations: Preoperative vaginal preparation with antiseptic solution should be incorporated as an essential part of routine preoperative care before cesarean delivery

Keywords: Preoperative, Vaginal Cleansing, Post Cesarean Infection.

Title: Effect of Preoperative Vaginal Preparation with Povidone Iodine on Post Cesarean Endometritis among Women Undergoing Elective Caesarean Delivery

Author: Shaimaa F. Saleh., Prof. Inass K. Ali, Prof. Hamed E . Ellakwa, Assisstant Prof. Marwa A. Shahin

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: preoperative vaginal wash with povidone iodine reduced the vaginal bacteria up to 98% which can in turn reduce ascending bacteria from the vagina to the uterus end reduce post cesarean infection . The purpose of the study was to assess effect of preoperative vaginal cleansing to reduce post caesarean infection. Methods: A quasi-experimental design was utilized. Sample: A convenience sample of 162 pregnant women in the full term pregnancy. Setting: The study was carried out at Menoufia University Hospital at Shebin El-Kom and Menouf General Hospital at menouf. Instruments: An interviewing questionnaire, maternal assessment tool, cesarean examination tool, follow up assessment tool. Results: There was a statistically significant reduction in postoperative infection in the study group compared to the control group. Conclusion: preoperative vaginal cleansing with povidion iodine is effective in the reduction of post cesarean infection. Recommendations: Preoperative vaginal preparation with antiseptic solution should be incorporated as an essential part of routine preoperative care before cesarean delivery

Keywords: Preoperative, Vaginal Cleansing, Post Cesarean Infection.

Title: Effect of Preoperative Vaginal Cleansing to Reduce Post Caesarean Infection

Author: Shaimaa F. Saleh., Prof. Inass K. Ali, Prof. Hamed E . Ellakwa, Assistant Prof. Marwa A. Shahin

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Nurses in intensive care unit should monitor endotracheal tube (ETT) cuff pressure regularly using a cuff pressure manometer which should be the standard of care for each ETT inserted. The main aim of this study was to assess the effect of various body positions on the measurement of endotracheal tube cuff pressure among critical patients. A correlation study was carried out in trauma intensive care unit (ICU) at Minia University hospital of Egypt, including 210 orally intubated patients and attached with positive pressure mechanical ventilation. Patients of the study were turned to 6 different positions (Dorsal recumbent , Lower fowler, High fowler, Left lateral . Right lateral and prone position). The patient's cuff pressure reading was taken after spending (20) minutes in the position every 2 hours. Result: (58.1 %) of the sample were male their mean age between (40.6 ± 8.9) years. (50.5 %) admitted with head trauma. (70.0 %) and (78.6 %) of the patient’s cuff pressure measurements was above (30 cmH₂O) when they were in the dorsal recumbent position and Prone position. Also (50.5 & 51 %) their cuff pressure was above (30 cmH2O) when they were in the high fowler and left lateral rotation of the head. But (58.6 % and 41.9 %) had below (20 cmH2O) cuff pressure when they were in the right lateral rotation of the head and lower fowler position. Conclusion: To adjust the cuff pressure for ICU patients, nurses should monitor it using a cuff pressure manometer, because any change in patient’s head and body position affect the ETT cuff measurements.

Keywords: body positions, measurement, endotracheal tube, cuff pressure, critical & patients.

Title: Effect of various body positions on the measurement of endotracheal tube cuff pressure among critical patients

Author: Marwa Mohammad Abd elbaky, Eman Fadl Abd El khalik

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: uremic pruritus (UP) is one of the skin symptoms encountered in patients with ESRD and affects their sleep and quality of life. It is seen in nearly 20-90% of the patients who receive hemodialysis. Aim of the present study was to evaluate the effect of skin massage using clove oil on uremic pruritus and sleep disturbance for ESRD patients undergoing maintenance hemodialysis. Subjects and method; A quasi-experimental study was conducted in the Dialysis Unit of student hospital affiliated to Tanta University Hospital. A convenience sampling of (60) patients receiving hemodialysis and complain from UP, were divided into two equal groups. Tools: three tools were used for data collection as follow; Tool (I) Structured interview schedule, Tool (II) Five domain pruritus scale, Tool (III) The Pittsburgh Sleep Quality Index. Results; the main results revealed that there was a highly significant improvement in the total pruritus level and sleep disturbance in the study group where (60%) had moderate pruritus pre intervention and (46.6%) had mild pruritus post completion of the nursing intervention, regarding sleep disturbance;(100%) of the two groups had sleep disturbance pre intervention, while there was (30%) of study group had good sleep compared to (3.3%) of the control group patients who had good sleep. Conclusion and recommendations: The skin massage using clove oil has an effect on minimizing severity of pruritus and improving sleep quality among hemodialysis patients, encourages patient compliance with all prescribed medication and skin massage using clove oil & further studies to be conducted on a larger sample size.

Keywords: Maintenance hemodialysis, Uremic pruritus, clove oil.

Title: Effect of Skin Massage using clove oil on Uremic Pruritus and Sleep Disturbance for End Stage Renal Disease Patients undergoing Maintenance Hemodialysis

Author: Heba A Etman, Sherein M Gad, Kamal M Okasha, Afaf A Basal.

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: Most of critically ill adult patients experience remarkable pain during hospitalization. In the intensive care unit (ICU), more than 30% of patients had significant pain at rest, and more than 50% have significant pain during daily routine care. Untreated pain affects the patient’s organs functions’, quality of life, and well-being. The aim of study is to compare between three alternative pain assessment methods among unconscious patients. Non-experimental, correlational comparative design was utilized to achieve the aim of the study and answer research questions.60 patients were included in this study. Data were obtained through two four main tools structural interview questions, behavioral pain scale (BPS), critical pain observation tool (CPOT) and nociception coma scale (NCS). Methods: data were collected over a period of six months from beginning of May 2018 to November 2018. Results: The findings show the behavioral pain scales critical pain observation tool (CPOT) and behavioral pain scale (BPS) are more valid than nociception coma scale (NCS) at pain assessment in mechanically ventilated (non-verbal) critically ill patients. Conclusion: Self-reporting remain the gold standard for the pain perception and assessment in mechanically ventilated patients. The study recommended the utility of behavioral pain scale and critical pain observation as a daily pain assessment scales. The study serves for further research to establish gold standard for pain assessment so pain can be appropriately managed.

Keywords: Pain, Unconscious, Assessment methods, scales, critically ill, nonverbal.

Title: Comparison between Three Alternative Pain Assessment Methods among Unconscious Patient

Author: Alaa Farid Fouad Moustafa, Prof. Zeinab Hussien Ali

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journal

Abstract: The aim of the study was to assess effectiveness of structured teaching programme on knowledge about self-Assessment of fetal well-being among primigravida women. The Design of the study was a quasi-experimental design.The studied participants comprised all eligible pregnant women according to inclusion criteria amounting to 140 of women. Tools of this study included socio-demographic characteristics, and Knowledge of the study group about self-assessment of fetal wellbeing. The findings, most of the studied participants were 20 to 30 years and had bachelor degree, married from about one to two years. There was a highly statistically significant difference between the mean score of total knowledge among the studied participants at the pre-test and the post-test intervention. . It was concluded that, the implementation of structured teaching programme was effective and significantly improved women’s knowledge about self-assessment of fetal well-being after application of the teaching program. Based on the present findings; the study hypothesis was accepted. It is recommended that pregnant woman should be educated on the importance of self-assessment of fetal wellbeing, its goals, methods, and physiological changes during pregnancy within antenatal counseling to ensure healthy outcomes for herself and her infant.

Keywords: Assess, effectiveness, structured teaching programme, fetal well-being, primigravida.

Title: Effectiveness of Structured Teaching Programme on Knowledge about Self-assessment of Fetal Wellbeing among Primigravida women

Author: R. E. A.Algobashy, Prof. I. K. A. kassem, Prof. D. M. K. Eshra

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals

Abstract: The aim of the study was to assess effectiveness of structured teaching programme on practice about self-assessment of fetal well-being among primigravida women. The Design of the study was a quasi-experimental design. The studied participants comprised all eligible pregnant women according to inclusion criteria amounting to 140 of women. Tools of this study included socio-demographic characteristics, fetal kick count chart, antenatal grow chart using fundal height, anthropoemetric measurements and gestational weight chart. The findings, most of the studied participants were 20 to 30 years and had bachelor degree, married from about one to two years. There was a highly statistically significant difference between the mean score of total practice among the studied participants at the pre-test and the post-test intervention. It was concluded that, there was a higher statistical improvement in the maternal' practices about self-assessment of fetal well-being after using fetal kick count chart, antenatal grow chart after measuring symphysiofundal height and gestational weight gain chart than before. This supported the study hypothesis. Based on the present findings; the study hypothesis was accepted. It is recommended that encouraging the use of fetal kick count chart, antenatal grow chart and gestational weight chart to self-assess fetal wellbeing as it is safe and less expensive for pregnant women.

Keywords: Assess, effectiveness, structured teaching programme, fetal well-being, primigravida.

Title: Effectiveness of Structured Teaching Programme on Practice about Self-assessment of Fetal Wellbeing among Primigravida women

Author: R. E. A.Algobashy, Prof. I. K. A. kassem, Prof. D. M. K. Eshra

ISSN 2394-7330

International Journal of Novel Research in Healthcare and Nursing

Novelty Journals