Noura Abdullah, Yousria A. Elsayed, Diaa Abdelhalim, A. AbdelMonem
Background Ectopic pregnancy (EP) is a major contributing factor to the burden of maternal mortality and morbidity in the early half of pregnancy. The aim of study was to assess the prevalence of EP in women under study and determine the risk factors of EP in the study sample. Design A descriptive exploratory design was adopted in this study. Sample A convenience sample of 121 women who were diagnosed with EP were included, whereas those who were diagnosed with intrauterine pregnancies were excluded from the study. Tool A structured interviewing questionnaire was used to collect data related to sociodemographic characteristic, medical surgical, and obstetric history. Results The prevalence of EP in the current study was 0.52, 0.62, and 0.72% in 2018, 2019, and 2020, respectively. Risk factors of EP were grand multigravidity (55.2%), history of abortion (43.3%), history of pelvic inflammatory diseases (40%), history of abdominal and pelvic surgery (22.60%), history of infertility (19.1%), history of assisted reproductive technology usage (16.5%), failure of intrauterine devices (13.3%), history of previous EP (9.2%), and history of cesarean section deliveries more than three (5.8%) times sequentially. Conclusion EP is an increasingly common and potentially catastrophic condition. The prevalence of EP among women who present to emergency with first trimester bleeding or pain or both was matched with the worldwide prevalence. Risk factors of EP were seen in grand multigravida, abortion, and pelvic inflammatory disease, being the most common risk factors of EP. Recommendations Early diagnosis of an EP via detailed history, focusing on identification of risk factors for EP, will promote successful medical management, thus reducing surgical intervention and ultimately reducing maternal morbidity/mortality with preservation of future fertility.
{"title":"Prevalence and associated risk factors of ectopic pregnancy among pregnant women at El-Galaa Teaching Hospital","authors":"Noura Abdullah, Yousria A. Elsayed, Diaa Abdelhalim, A. AbdelMonem","doi":"10.4103/enj.enj_39_22","DOIUrl":"https://doi.org/10.4103/enj.enj_39_22","url":null,"abstract":"Background Ectopic pregnancy (EP) is a major contributing factor to the burden of maternal mortality and morbidity in the early half of pregnancy. The aim of study was to assess the prevalence of EP in women under study and determine the risk factors of EP in the study sample. Design A descriptive exploratory design was adopted in this study. Sample A convenience sample of 121 women who were diagnosed with EP were included, whereas those who were diagnosed with intrauterine pregnancies were excluded from the study. Tool A structured interviewing questionnaire was used to collect data related to sociodemographic characteristic, medical surgical, and obstetric history. Results The prevalence of EP in the current study was 0.52, 0.62, and 0.72% in 2018, 2019, and 2020, respectively. Risk factors of EP were grand multigravidity (55.2%), history of abortion (43.3%), history of pelvic inflammatory diseases (40%), history of abdominal and pelvic surgery (22.60%), history of infertility (19.1%), history of assisted reproductive technology usage (16.5%), failure of intrauterine devices (13.3%), history of previous EP (9.2%), and history of cesarean section deliveries more than three (5.8%) times sequentially. Conclusion EP is an increasingly common and potentially catastrophic condition. The prevalence of EP among women who present to emergency with first trimester bleeding or pain or both was matched with the worldwide prevalence. Risk factors of EP were seen in grand multigravida, abortion, and pelvic inflammatory disease, being the most common risk factors of EP. Recommendations Early diagnosis of an EP via detailed history, focusing on identification of risk factors for EP, will promote successful medical management, thus reducing surgical intervention and ultimately reducing maternal morbidity/mortality with preservation of future fertility.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116898500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sherif Abdullah, Nahla Khalil, F. Soliman, M. Soliman
Background Critically ill, mechanically ventilated patients in ICUs are most likely to experience delayed gastric emptying and intolerance of enteral feeding. Recently, greater attention has been paid to the use of herbal remedies such as ginger, which has no adverse effects, to improve gastrointestinal motility. Aim To evaluate the effect of ginger on gastric residual volume among mechanically ventilated patients. Research hypothesis Mechanically ventilated patients receiving ginger would have significantly lower mean gastric residual volume 4 h after enteral feeding on the second day during breakfast and lunch than on the first day in the same patients receiving enteral feeding without ginger. Design A quasi-experimental design (pre/posttest design) was used. Setting This study was conducted in one of the ICUs of Kaser EL-Aini Hospital. Sample A purposeful sample of 50 adult male and female mechanically ventilated patients was recruited. Tools Baseline characteristics and gastric residual volume measurement data were used in data collection. Results The study findings revealed dominance of male patients (74%). Most patients’ age ranged between 51 and 59 years, and the mean age was 42.5±15.4 years. In addition, there were significant statistical differences in the mean gastric residual volume with and without intervention of ginger during breakfast time (t=11.825, P≤0.000) as well as lunch time (t=7.286, P≤0.000). Conclusion The current study concluded that ginger effectively reduces the gastric residual volume in mechanically ventilated patients in ICUs. Recommendation Herbal remedies such as ginger, which has no adverse effects, should be used to improve gastrointestinal motility and enhance food tolerance in the nursing care of critically ill patients receiving enteral nutrition.
{"title":"The effect of ginger extract on gastric residual volume among mechanically ventilated patients receiving enteral feedings","authors":"Sherif Abdullah, Nahla Khalil, F. Soliman, M. Soliman","doi":"10.4103/enj.enj_26_22","DOIUrl":"https://doi.org/10.4103/enj.enj_26_22","url":null,"abstract":"Background Critically ill, mechanically ventilated patients in ICUs are most likely to experience delayed gastric emptying and intolerance of enteral feeding. Recently, greater attention has been paid to the use of herbal remedies such as ginger, which has no adverse effects, to improve gastrointestinal motility. Aim To evaluate the effect of ginger on gastric residual volume among mechanically ventilated patients. Research hypothesis Mechanically ventilated patients receiving ginger would have significantly lower mean gastric residual volume 4 h after enteral feeding on the second day during breakfast and lunch than on the first day in the same patients receiving enteral feeding without ginger. Design A quasi-experimental design (pre/posttest design) was used. Setting This study was conducted in one of the ICUs of Kaser EL-Aini Hospital. Sample A purposeful sample of 50 adult male and female mechanically ventilated patients was recruited. Tools Baseline characteristics and gastric residual volume measurement data were used in data collection. Results The study findings revealed dominance of male patients (74%). Most patients’ age ranged between 51 and 59 years, and the mean age was 42.5±15.4 years. In addition, there were significant statistical differences in the mean gastric residual volume with and without intervention of ginger during breakfast time (t=11.825, P≤0.000) as well as lunch time (t=7.286, P≤0.000). Conclusion The current study concluded that ginger effectively reduces the gastric residual volume in mechanically ventilated patients in ICUs. Recommendation Herbal remedies such as ginger, which has no adverse effects, should be used to improve gastrointestinal motility and enhance food tolerance in the nursing care of critically ill patients receiving enteral nutrition.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128812846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Khalaf, G. Mahmoud, Nahed Sh Elmagd, Z. Ahmed, S. Aly
Background Blended learning forms the natural evolution of learning in the contemporary time to cope with current challenges to meet the educational needs of students. Objectives To determine the factors that affect students’ use of blended learning during coronavirus disease 2019 at Assiut University. Study design Descriptive cross-sectional. Settings Ten colleges that were selected by simple random sampling from each sector (medical and nonmedical). Participants One thousand six hundred forty university students. Patients and methods One tool divided into two parts: part I: student personal data; part II: scale to examine the factors influencing blended learning use. Results Lecturer’s factor had the high moderate mean±SD 3.11±0.95, followed by technical support 3.00±0.99, while usability and information quality with low medium mean±SD (2.87±0.99 and 2.87±0.96, respectively). Also, there was statistically significance differences between factors influencing blended learning use and college type, age of students, and class with P value of 0.000. Conclusion Factors of lecturers, technical support, and information quality had valuable effect on the university students’ use of blended learning. Recommendation The university staff should encourage their students to use blended learning as a preferable approach for enhancing their interaction and communication skills.
{"title":"Factors affecting students’ use of blended learning during coronavirus disease 2019 pandemic at Assiut University, Egypt","authors":"S. Khalaf, G. Mahmoud, Nahed Sh Elmagd, Z. Ahmed, S. Aly","doi":"10.4103/enj.enj_41_22","DOIUrl":"https://doi.org/10.4103/enj.enj_41_22","url":null,"abstract":"Background Blended learning forms the natural evolution of learning in the contemporary time to cope with current challenges to meet the educational needs of students. Objectives To determine the factors that affect students’ use of blended learning during coronavirus disease 2019 at Assiut University. Study design Descriptive cross-sectional. Settings Ten colleges that were selected by simple random sampling from each sector (medical and nonmedical). Participants One thousand six hundred forty university students. Patients and methods One tool divided into two parts: part I: student personal data; part II: scale to examine the factors influencing blended learning use. Results Lecturer’s factor had the high moderate mean±SD 3.11±0.95, followed by technical support 3.00±0.99, while usability and information quality with low medium mean±SD (2.87±0.99 and 2.87±0.96, respectively). Also, there was statistically significance differences between factors influencing blended learning use and college type, age of students, and class with P value of 0.000. Conclusion Factors of lecturers, technical support, and information quality had valuable effect on the university students’ use of blended learning. Recommendation The university staff should encourage their students to use blended learning as a preferable approach for enhancing their interaction and communication skills.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114797470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Health care organizations that need to be competitive should pay attention to the creation of constructive work design and support effective entrepreneurial leadership to enhance staff nurses’ ability to face challenges in their work environment and develop their innovative behavior and performance. Aim The current study research was carried out to assess work design, entrepreneurial leadership, and innovative work behavior as perceived by staff nurses. Setting This study was done at New Kasr AL-Aini Teaching Hospital, affiliated to Cairo University. Research design This study had a descriptive correlation design. Sample At the time of data collection, a convenience sample of 200 staff nurses who volunteered to participate in the study was included. Tools Data were collected using three tools as follows: (a) job design questionnaire, (b) entrepreneurial leadership questionnaire, and (c) innovative work behavior questionnaire. Results The study results revealed that the total mean percentages for job design, entrepreneurial leadership, and innovative work behaviors were 74.20, 75.25, and 73.87%, respectively. There was no statistically significant correlation between the total perception of staff nurses’ job design and their total perception of entrepreneurial leadership and innovative work behaviors (r=0.08, P=023 and r=0.02, P=0.84, respectively). Only a statistically significant relation (r=0.85 and P=0.00) existed between staff nurses’ overall perceptions of entrepreneurial leadership and innovative work behaviors. Conclusion: data of the present study concluded that there was no statistically significant correlation between total perception of staff nurses’ job design and their total perception of entrepreneur leadership and innovative work behaviors. However, only a statistically significant relationship was found between overall perceptions of entrepreneurial leadership and innovative work behaviors among staff nurses. Recommendations Hospital administrators should ensure that the staff job designs are well designed to increase staff innovative behaviors. Support the adoption of entrepreneurial leadership to achieve the organization’s objectives. Educational programs for nurses’ innovative development should be planned by hospital management. Nurse leaders must realize their critical role in designing procedures that allow nurses to think more creatively and generate new ideas.
{"title":"Work design, entrepreneurial leadership, and innovative work behavior as perceived by staff nurses","authors":"A. Elewa, Sahar Hassan Aly EL Banan","doi":"10.4103/enj.enj_19_22","DOIUrl":"https://doi.org/10.4103/enj.enj_19_22","url":null,"abstract":"Background Health care organizations that need to be competitive should pay attention to the creation of constructive work design and support effective entrepreneurial leadership to enhance staff nurses’ ability to face challenges in their work environment and develop their innovative behavior and performance. Aim The current study research was carried out to assess work design, entrepreneurial leadership, and innovative work behavior as perceived by staff nurses. Setting This study was done at New Kasr AL-Aini Teaching Hospital, affiliated to Cairo University. Research design This study had a descriptive correlation design. Sample At the time of data collection, a convenience sample of 200 staff nurses who volunteered to participate in the study was included. Tools Data were collected using three tools as follows: (a) job design questionnaire, (b) entrepreneurial leadership questionnaire, and (c) innovative work behavior questionnaire. Results The study results revealed that the total mean percentages for job design, entrepreneurial leadership, and innovative work behaviors were 74.20, 75.25, and 73.87%, respectively. There was no statistically significant correlation between the total perception of staff nurses’ job design and their total perception of entrepreneurial leadership and innovative work behaviors (r=0.08, P=023 and r=0.02, P=0.84, respectively). Only a statistically significant relation (r=0.85 and P=0.00) existed between staff nurses’ overall perceptions of entrepreneurial leadership and innovative work behaviors. Conclusion: data of the present study concluded that there was no statistically significant correlation between total perception of staff nurses’ job design and their total perception of entrepreneur leadership and innovative work behaviors. However, only a statistically significant relationship was found between overall perceptions of entrepreneurial leadership and innovative work behaviors among staff nurses. Recommendations Hospital administrators should ensure that the staff job designs are well designed to increase staff innovative behaviors. Support the adoption of entrepreneurial leadership to achieve the organization’s objectives. Educational programs for nurses’ innovative development should be planned by hospital management. Nurse leaders must realize their critical role in designing procedures that allow nurses to think more creatively and generate new ideas.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127657289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Seada, Sahar Hassan Aly EL Banan, Reham Talaat El Banna
Background Hospital accreditation programs, which have been implemented in many developing countries, are used as a cornerstone for ensuring a basic level of quality. Nurses play an important role in achieving accreditation standards. Aim To assess the factors affecting the implementation of national nursing services accreditation standards (NNSAS) as perceived by the nursing staff. Design A descriptive exploratory design was used to collect data. Sample A convenience sample of 411 nursing staff who were available and accepted to participate in this study at the time of data collection was included. Setting The study was conducted at El Mahalla El Kobra General Hospital and El Mahalla Cardiac Center. Tools A tool was used to collect data on factors affecting the implementation of nursing services accreditation standards questionnaire. It had two parts as follows: personal data questionnaire and factors affecting the implementation of nursing services accreditation standards questionnaire. Results The results indicated that more than half of the study participants had high agreement about total factors affecting implementation of NNSAS. Other factors parameter was the highest dimension affecting implementation of NNSAS, whereas financial incentives was the lowest from studied nursing staff point of view. Conclusion The first most important factor that affects implementation of NNSAS is the dimension of other factors, followed by medical records and information management. Then regulations, policies, and procedures governing the work were the third most important factor. Recommendations Allocation of sufficient financial and human resources for the application of quality and accreditation standards should be done.
背景:许多发展中国家已经实施了医院认证计划，这是确保基本质量水平的基石。护士在达到认证标准方面发挥着重要作用。目的了解护理人员对国家护理服务认证标准(NNSAS)实施的影响因素。设计采用描述性探索性设计收集数据。选取收集资料时可获得并接受参与本研究的护理人员411名作为方便样本。研究在El Mahalla El Kobra综合医院和El Mahalla心脏中心进行。工具采用工具收集影响护理服务认可标准实施的因素问卷。问卷分为个人资料问卷和影响护理服务认可标准实施的因素问卷两部分。结果调查结果显示，半数以上的调查对象对影响NNSAS实施的总因素有较高的认同。从护理人员的角度来看，其他因素参数是影响NNSAS实施的最高维度，而财务激励是影响NNSAS实施的最低维度。结论影响NNSAS实施的最重要因素是其他因素的维度，其次是病历和信息管理。然后，管理工作的法规、政策和程序是第三个最重要的因素。应分配足够的财政和人力资源用于实施质量和认证标准。
{"title":"Factors affecting the implementation of national nursing services accreditation standards as perceived by nursing staff","authors":"A. Seada, Sahar Hassan Aly EL Banan, Reham Talaat El Banna","doi":"10.4103/enj.enj_13_22","DOIUrl":"https://doi.org/10.4103/enj.enj_13_22","url":null,"abstract":"Background Hospital accreditation programs, which have been implemented in many developing countries, are used as a cornerstone for ensuring a basic level of quality. Nurses play an important role in achieving accreditation standards. Aim To assess the factors affecting the implementation of national nursing services accreditation standards (NNSAS) as perceived by the nursing staff. Design A descriptive exploratory design was used to collect data. Sample A convenience sample of 411 nursing staff who were available and accepted to participate in this study at the time of data collection was included. Setting The study was conducted at El Mahalla El Kobra General Hospital and El Mahalla Cardiac Center. Tools A tool was used to collect data on factors affecting the implementation of nursing services accreditation standards questionnaire. It had two parts as follows: personal data questionnaire and factors affecting the implementation of nursing services accreditation standards questionnaire. Results The results indicated that more than half of the study participants had high agreement about total factors affecting implementation of NNSAS. Other factors parameter was the highest dimension affecting implementation of NNSAS, whereas financial incentives was the lowest from studied nursing staff point of view. Conclusion The first most important factor that affects implementation of NNSAS is the dimension of other factors, followed by medical records and information management. Then regulations, policies, and procedures governing the work were the third most important factor. Recommendations Allocation of sufficient financial and human resources for the application of quality and accreditation standards should be done.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128814083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fatma Al Qawi Oun, O. Idris, R. Aboushady, Walaa.M. Abdel-Rahman
Background Despite their known efficacy, recent studies have found that there is adverse health problem accompanied with Mirena as the following. Therefore, the current study aims to assess adverse health problems among levonorgestrel-releasing intrauterine system (Mirena) users. Design A descriptive design was utilized for the study. Setting This study was conducted at the gynecological clinic in Rofayda Obstetrics and Gynecology Private Hospital, at El Shikh Zaied, El Giza Sector, Egypt. Purposive sample of 50 women using levonorgestrel-releasing intrauterine (Mirena) system for at least 6 months. Two tools were used for the study (a) structured interviewing questionnaire schedule tool and (b) adverse health effect of Mirena assessment tool. Results The mean age among the study sample was 35.56±6.42 years. The common health problems among the study sample were physical problems 24% in the form of headache, 40% had weight gain, dermatological problem, including 34% acne, and 22% of the study sample had menstrual disturbance. Regarding psychological disturbance, 32% had depression and 42% had mood swings. Regarding gynecological problems, 22% had a vaginal infection as well as 8% had a decrease in libido. Conclusion Mirena is a promising and effective option for contraceptive and noncontraceptive methods. It is associated with health problems, as reported by Mirena users. Recommendations Organized educational guidelines facilities and methods about uses, complaints, and health problems toward Mirena such as lectures, handout, and videos should be developed and become accessible to all women in the outpatient clinic.
{"title":"Assessment of Adverse Health effect of Levonorgestrel-releasing Intrauterine System (Mirena) among Women Attending Private Clinic","authors":"Fatma Al Qawi Oun, O. Idris, R. Aboushady, Walaa.M. Abdel-Rahman","doi":"10.4103/enj.enj_43_21","DOIUrl":"https://doi.org/10.4103/enj.enj_43_21","url":null,"abstract":"Background Despite their known efficacy, recent studies have found that there is adverse health problem accompanied with Mirena as the following. Therefore, the current study aims to assess adverse health problems among levonorgestrel-releasing intrauterine system (Mirena) users. Design A descriptive design was utilized for the study. Setting This study was conducted at the gynecological clinic in Rofayda Obstetrics and Gynecology Private Hospital, at El Shikh Zaied, El Giza Sector, Egypt. Purposive sample of 50 women using levonorgestrel-releasing intrauterine (Mirena) system for at least 6 months. Two tools were used for the study (a) structured interviewing questionnaire schedule tool and (b) adverse health effect of Mirena assessment tool. Results The mean age among the study sample was 35.56±6.42 years. The common health problems among the study sample were physical problems 24% in the form of headache, 40% had weight gain, dermatological problem, including 34% acne, and 22% of the study sample had menstrual disturbance. Regarding psychological disturbance, 32% had depression and 42% had mood swings. Regarding gynecological problems, 22% had a vaginal infection as well as 8% had a decrease in libido. Conclusion Mirena is a promising and effective option for contraceptive and noncontraceptive methods. It is associated with health problems, as reported by Mirena users. Recommendations Organized educational guidelines facilities and methods about uses, complaints, and health problems toward Mirena such as lectures, handout, and videos should be developed and become accessible to all women in the outpatient clinic.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128373917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Awareness of cervical cancer causes and the implementation of screening program can help in reduction of morbidity and mortality among women. Aim The aim of this study was to examine the effect of nursing educational program based on Health Belief Model (HBM) on women knowledge and beliefs about cervical cancer prevention. Study design This was a quasi-experimental study (pretest and posttest evaluations). Setting This study was conducted in El-Maasara Maternal and Child Health Center, Helwan City, Egypt. Participants and methods A convenience sample of 150 married women was included. The study was conducted from beginning of August 2016 to the end of January 2017 covering a period of 6 months. Two tools were used to conduct this study: a structured cervical cancer knowledge questionnaire and HBM scale. Knowledge and beliefs were assessed using the study tools and then an educational program was designed based on the results of the pretest. The program was implemented followed by evaluation of its effect using the same tools. Results All the women had poor knowledge score regarding cervical cancer prevention before the program. However, after the program, 16 and 84% of the women had an average and good knowledge, respectively, on cervical cancer prevention. This difference was significant (P<0.001). There were a significant increase in the scores of the perceived susceptibility, perceived severity, perceived barriers, perceived benefits, and the cues to action after the program compared with the scores before the program. Conclusion After implementation of the nursing educational program regarding cervical cancer prevention for married women, knowledge improved significantly, and there were significant improvements in perceived severity, barriers, benefits, and the cues to action scores after program compared with the scores before program (P≤0.001). These study results supported the study hypotheses. Recommendations Propagation of educational programs based on HBM on cervical cancer prevention to various age groups would help raise public awareness about cervical cancer and take action for its prevention.
{"title":"Health Belief Model-based educational program about cervical cancer prevention on women knowledge and beliefs","authors":"S. Ahmed, A. Esa, Ons MohamedEl-zayat","doi":"10.4103/ENJ.ENJ_38_17","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_38_17","url":null,"abstract":"Background Awareness of cervical cancer causes and the implementation of screening program can help in reduction of morbidity and mortality among women. Aim The aim of this study was to examine the effect of nursing educational program based on Health Belief Model (HBM) on women knowledge and beliefs about cervical cancer prevention. Study design This was a quasi-experimental study (pretest and posttest evaluations). Setting This study was conducted in El-Maasara Maternal and Child Health Center, Helwan City, Egypt. Participants and methods A convenience sample of 150 married women was included. The study was conducted from beginning of August 2016 to the end of January 2017 covering a period of 6 months. Two tools were used to conduct this study: a structured cervical cancer knowledge questionnaire and HBM scale. Knowledge and beliefs were assessed using the study tools and then an educational program was designed based on the results of the pretest. The program was implemented followed by evaluation of its effect using the same tools. Results All the women had poor knowledge score regarding cervical cancer prevention before the program. However, after the program, 16 and 84% of the women had an average and good knowledge, respectively, on cervical cancer prevention. This difference was significant (P<0.001). There were a significant increase in the scores of the perceived susceptibility, perceived severity, perceived barriers, perceived benefits, and the cues to action after the program compared with the scores before the program. Conclusion After implementation of the nursing educational program regarding cervical cancer prevention for married women, knowledge improved significantly, and there were significant improvements in perceived severity, barriers, benefits, and the cues to action scores after program compared with the scores before program (P≤0.001). These study results supported the study hypotheses. Recommendations Propagation of educational programs based on HBM on cervical cancer prevention to various age groups would help raise public awareness about cervical cancer and take action for its prevention.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"213 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114357110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Oral mucositis is considered one of the most common debilitating and serious complications of cancer treatment. Aim This study aimed to evaluate the effect of oral cryotherapy versus chewing gum on mucositis in children receiving chemotherapy. Patients and method A quasi-experimental design was conducted on a convenient sample of 90 children from both sex with cancer and undergoing chemotherapy, who attended the pediatric outpatient clinics and in-patient pediatric oncology department in Cancer Institute of South Egypt. The children were in the age range from 6 to 18 years, newly diagnosed with cancer and in the induction stage of chemotherapeutic protocol and had a healthy oral mucosa. Tools A structural interview questionnaire dealt with characteristics, clinical data of children, and oral assessment guide. Results More than half of children in the cryotherapy group and one-third of children in the chewing gum group had moderate mucositis compared with 83.3% of children in the control group who had severe mucositis during day 21. Conclusion Using oral cryotherapy with honey flavor and sugar-free gum lead to healthier oral mucosa and lower mucositis score compared with children using only the routine mouth care. Recommendations Provide in-services, up-to-date, regular training programs to improve nurses’ knowledge and practices regarding the use of flavored cryotherapy and chewing gum technique as routine care for children treated with chemotherapy.
{"title":"Efficacy of oral cryotherapy versus chewing gum on mucositis in children receiving chemotherapy","authors":"E. Sadek, H. Elhay","doi":"10.4103/enj.enj_9_22","DOIUrl":"https://doi.org/10.4103/enj.enj_9_22","url":null,"abstract":"Background Oral mucositis is considered one of the most common debilitating and serious complications of cancer treatment. Aim This study aimed to evaluate the effect of oral cryotherapy versus chewing gum on mucositis in children receiving chemotherapy. Patients and method A quasi-experimental design was conducted on a convenient sample of 90 children from both sex with cancer and undergoing chemotherapy, who attended the pediatric outpatient clinics and in-patient pediatric oncology department in Cancer Institute of South Egypt. The children were in the age range from 6 to 18 years, newly diagnosed with cancer and in the induction stage of chemotherapeutic protocol and had a healthy oral mucosa. Tools A structural interview questionnaire dealt with characteristics, clinical data of children, and oral assessment guide. Results More than half of children in the cryotherapy group and one-third of children in the chewing gum group had moderate mucositis compared with 83.3% of children in the control group who had severe mucositis during day 21. Conclusion Using oral cryotherapy with honey flavor and sugar-free gum lead to healthier oral mucosa and lower mucositis score compared with children using only the routine mouth care. Recommendations Provide in-services, up-to-date, regular training programs to improve nurses’ knowledge and practices regarding the use of flavored cryotherapy and chewing gum technique as routine care for children treated with chemotherapy.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130943497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Patients with burn injuries suffer from lack of quality care that may be partially caused by unmet patient’s physical needs and affect the physical health, mental health, and quality of patients’ life. Physical needs assessment is defined as physiological needs that patients with burn injuries require to improve recovery and to reduce morbidity and mortality rates. Physical needs assessment includes wound care, medications, and adequate nutrition. Aim The study aimed to assess the physical needs for recovery among patients with burn injuries. Design Cross-sectional descriptive design was utilized. Setting Data were collected from the Burn Unit in Beni-Suef Specialized Hospital, affiliated to Beni-Suef University Hospitals. Sample A convenient consecutive sample of 150 adult males and females with burn injuries. Tools Two tools were utilized to collect data: sociodemographic and medical data sheet, and Burn Injury Physical Needs Assessment Tool. Results The current study showed that the higher percentage of the study sample age ranged between 30 and 40 years. Of the study sample, 43.3% had severe pain during wound dressing and 45.3% were moderately malnourished. A statistically significant relation was found between pharmacotherapy needs and wound care needs assessment (r=0.421 at P=0.000). Conclusion The current study concluded that burn patients have essential physical needs required for complete recovery such as wound care, pharmacotherapy, pain and nutritional assessment needs. Recommendations Raising awareness of nurses who care for burn patients regarding the importance of physical needs assessment of burn patients and its application in the protocol of care. Continuing assessment of burn patients in collaboration with a multidisciplinary team is essential for early detection of complications.
{"title":"Physical need assessment of recovery among patients with burn injuries: nursing implications","authors":"Fatma Fahmy, S. Abdelaziz, Ehsan A. Yahia","doi":"10.4103/enj.enj_42_21","DOIUrl":"https://doi.org/10.4103/enj.enj_42_21","url":null,"abstract":"Background Patients with burn injuries suffer from lack of quality care that may be partially caused by unmet patient’s physical needs and affect the physical health, mental health, and quality of patients’ life. Physical needs assessment is defined as physiological needs that patients with burn injuries require to improve recovery and to reduce morbidity and mortality rates. Physical needs assessment includes wound care, medications, and adequate nutrition. Aim The study aimed to assess the physical needs for recovery among patients with burn injuries. Design Cross-sectional descriptive design was utilized. Setting Data were collected from the Burn Unit in Beni-Suef Specialized Hospital, affiliated to Beni-Suef University Hospitals. Sample A convenient consecutive sample of 150 adult males and females with burn injuries. Tools Two tools were utilized to collect data: sociodemographic and medical data sheet, and Burn Injury Physical Needs Assessment Tool. Results The current study showed that the higher percentage of the study sample age ranged between 30 and 40 years. Of the study sample, 43.3% had severe pain during wound dressing and 45.3% were moderately malnourished. A statistically significant relation was found between pharmacotherapy needs and wound care needs assessment (r=0.421 at P=0.000). Conclusion The current study concluded that burn patients have essential physical needs required for complete recovery such as wound care, pharmacotherapy, pain and nutritional assessment needs. Recommendations Raising awareness of nurses who care for burn patients regarding the importance of physical needs assessment of burn patients and its application in the protocol of care. Continuing assessment of burn patients in collaboration with a multidisciplinary team is essential for early detection of complications.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133726273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Nursing collaboration is a key component of promoting a good work environment in a health-care organization, as it helps to support acceptable workloads and levels of complexity, which leads to improved nurses’ quality of life and job satisfaction. Aim To assess the impact of collaboration behavior among staff nurses on their quality of work life and job satisfaction. Design A descriptive correlational study design was utilized. Setting The study was conducted in the medical critical care units at New Kasr El Aini Teaching Hospital. Subject A convenience sample of staff nurses (n=90) who are working in the previous mentioned setting. Tools Three questionnaires were used for this study: nurse collaboration behavior scale (20 items), quality of work life (38 items), and job satisfaction questionnaire (28 items). Results Results of the present study regarding collaboration behavior items revealed that around two-thirds (64.4%) of the participants agreed on listening to each other’s opinions and suggestions item, while 34.4% of them disagreed about no qualms in sharing their ideas with one another item. Also, participants were highly perceived for all-quality work life dimensions (mean%=72.1%) and most of the study participants had a moderate level of job satisfaction (78.9%). However, this study showed that there was a statistically significant positive correlation between nurse collaboration behavior and quality of work life, but no correlation was found between nurse collaboration behavior and job satisfaction (P=0.000). Conclusion The current study concluded that the majority of participants agreed about most of collaboration behavior items, participants were highly perceived for all-quality work life dimensions, and most of them had a moderate level of job satisfaction. However, there was statistically significant positive correlation between collaboration behavior and quality of work life, but no statistically significant correlation between collaboration behavior and job satisfaction as well as there was a positive statistically significant correlation between quality of work life and job satisfaction. Recommendations Nurse managers should display collaboration behaviors to construct an engaging climate, collaborative relationship with nurses and health team to preserve quality of patients’ care, and hospital administration must regularly monitor nurse job satisfaction and resolve points of dissatisfaction to encourage staff affiliation with the organization and to improve quality of work life.
护理协作是在医疗保健组织中促进良好工作环境的关键组成部分，因为它有助于支持可接受的工作量和复杂程度，从而提高护士的生活质量和工作满意度。目的探讨护理人员协作行为对护理人员工作生活质量和工作满意度的影响。设计采用描述性相关研究设计。本研究在New Kasr El Aini教学医院的重症监护病房进行。在上述环境中工作的护理人员(n=90)的方便样本。工具本研究采用三份问卷:护士协作行为量表(20项)、工作生活质量问卷(38项)和工作满意度问卷(28项)。本研究的合作行为项目结果显示，约三分之二(64.4%)的参与者同意“倾听彼此的意见和建议”项目，而34.4%的参与者不同意“毫不犹豫地分享自己的想法”项目。此外，参与者对所有质量的工作生活维度的感知度很高(平均%=72.1%)，大多数研究参与者的工作满意度中等(78.9%)。然而，本研究显示，护士协作行为与工作生活质量之间存在统计学上显著的正相关，而护士协作行为与工作满意度之间没有相关性(P=0.000)。本研究的结论是，大多数参与者对大多数合作行为项目表示认同，参与者对工作生活全质量维度的认知程度较高，大多数参与者的工作满意度处于中等水平。然而，协作行为与工作生活质量之间存在统计学显著的正相关关系，而协作行为与工作满意度之间存在统计学显著的正相关关系，工作生活质量与工作满意度之间存在统计学显著的正相关关系。建议护士管理者应表现出协作行为，以构建一个有吸引力的氛围，与护士和医疗团队建立合作关系，以保持患者的护理质量，医院管理部门必须定期监测护士的工作满意度，解决不满意的问题，以鼓励员工与组织合作，提高工作生活质量。
{"title":"Impact of collaboration behavior among staff nurses on their quality of work life and job satisfaction","authors":"Eman Etway Hafaz","doi":"10.4103/enj.enj_3_22","DOIUrl":"https://doi.org/10.4103/enj.enj_3_22","url":null,"abstract":"Background Nursing collaboration is a key component of promoting a good work environment in a health-care organization, as it helps to support acceptable workloads and levels of complexity, which leads to improved nurses’ quality of life and job satisfaction. Aim To assess the impact of collaboration behavior among staff nurses on their quality of work life and job satisfaction. Design A descriptive correlational study design was utilized. Setting The study was conducted in the medical critical care units at New Kasr El Aini Teaching Hospital. Subject A convenience sample of staff nurses (n=90) who are working in the previous mentioned setting. Tools Three questionnaires were used for this study: nurse collaboration behavior scale (20 items), quality of work life (38 items), and job satisfaction questionnaire (28 items). Results Results of the present study regarding collaboration behavior items revealed that around two-thirds (64.4%) of the participants agreed on listening to each other’s opinions and suggestions item, while 34.4% of them disagreed about no qualms in sharing their ideas with one another item. Also, participants were highly perceived for all-quality work life dimensions (mean%=72.1%) and most of the study participants had a moderate level of job satisfaction (78.9%). However, this study showed that there was a statistically significant positive correlation between nurse collaboration behavior and quality of work life, but no correlation was found between nurse collaboration behavior and job satisfaction (P=0.000). Conclusion The current study concluded that the majority of participants agreed about most of collaboration behavior items, participants were highly perceived for all-quality work life dimensions, and most of them had a moderate level of job satisfaction. However, there was statistically significant positive correlation between collaboration behavior and quality of work life, but no statistically significant correlation between collaboration behavior and job satisfaction as well as there was a positive statistically significant correlation between quality of work life and job satisfaction. Recommendations Nurse managers should display collaboration behaviors to construct an engaging climate, collaborative relationship with nurses and health team to preserve quality of patients’ care, and hospital administration must regularly monitor nurse job satisfaction and resolve points of dissatisfaction to encourage staff affiliation with the organization and to improve quality of work life.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130089249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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