Hanan Abd Elwahab El Sayed, Heba Abdel-Fatah Ibrahim, S. Aboud, A. Sarhan
Background: Physical activity behaviour during the postpartum period is very important to improve maternal health and prevent complications both in the short and long term. This study aims to evaluate the effect of a trans-theoretical model based intervention on physical exercises behaviour among postpartum women at Benha City, Egypt. Methods: A quasi-experimental design was utilized. The study was conducted at family planning outpatient clinic affiliated to Benha teaching hospital. A purposive sample of 86 postpartum women were included in the present study. Three tools were used for data collection; first tool: structured interviewing schedule to collect data about the subjects' demographic characteristics, medical and obstetric history and knowledge towards postpartum exercises. Second tool; the trans-theoretical model of behaviour change questionnaire, it composed of the four main dimensions that are stage of change, self-efficacy, decisional balance (pros and cons), experiential and behavioural process of change. Third tool; international physical activity questionnaire short-form to assess the postpartum physical activity level. Results: The mean age of the studied women was 28.885.89 years. There were statistically significant improvements (PConclusion: The trans-theoretical based intervention was efficient in improving women's knowledge, postpartum exercise behaviour. This was observed in increasing women's self-efficacy, decisional balance pros, experimental and behavioural processes of change. While reducing decisional balance cons. Recommendation: The nurse should implement trans-theoretical model based interventions for postpartum women to promote postpartum exercise behaviour.
{"title":"The Effect of a Trans-Theoretical Model Based Intervention on Physical Exercises Behaviour among Postpartum Women at Benha City, Egypt","authors":"Hanan Abd Elwahab El Sayed, Heba Abdel-Fatah Ibrahim, S. Aboud, A. Sarhan","doi":"10.12691/AJNR-7-3-15","DOIUrl":"https://doi.org/10.12691/AJNR-7-3-15","url":null,"abstract":"Background: Physical activity behaviour during the postpartum period is very important to improve maternal health and prevent complications both in the short and long term. This study aims to evaluate the effect of a trans-theoretical model based intervention on physical exercises behaviour among postpartum women at Benha City, Egypt. Methods: A quasi-experimental design was utilized. The study was conducted at family planning outpatient clinic affiliated to Benha teaching hospital. A purposive sample of 86 postpartum women were included in the present study. Three tools were used for data collection; first tool: structured interviewing schedule to collect data about the subjects' demographic characteristics, medical and obstetric history and knowledge towards postpartum exercises. Second tool; the trans-theoretical model of behaviour change questionnaire, it composed of the four main dimensions that are stage of change, self-efficacy, decisional balance (pros and cons), experiential and behavioural process of change. Third tool; international physical activity questionnaire short-form to assess the postpartum physical activity level. Results: The mean age of the studied women was 28.885.89 years. There were statistically significant improvements (PConclusion: The trans-theoretical based intervention was efficient in improving women's knowledge, postpartum exercise behaviour. This was observed in increasing women's self-efficacy, decisional balance pros, experimental and behavioural processes of change. While reducing decisional balance cons. Recommendation: The nurse should implement trans-theoretical model based interventions for postpartum women to promote postpartum exercise behaviour.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123185954","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}
K. Al-Sayaghi, H. Mosa, M. Atrous, A. El-soussi, Ahmed Y. Ali, Sahar Hossni El-shenawi
Background: Central venous pressure (CVP) monitoring remains in common use as an index of circulatory filling and cardiac preload. Positive end-expiratory pressure (PEEP) in mechanically ventilated patients can affect CVP via increasing intra-thoracic pressure. Critical care nurses should be able to measure the CVP competently and identify the factors affecting its readings. Aim: The current study was conducted to determine the effect of PEEP on the CVP readings in mechanically ventilated patients. Methods: a descriptive design used in this study. A convenient sample of 200 adult critically ill patients of both sex, hemodynamically and respiratory stable, having a central venous catheter (CVC) in place, and attached to a mechanical ventilator and pulse oximeter were included in the study. The patient's baseline CVP was recorded while the patient connected to the mechanical ventilator, then the patients were temporary disconnected from the mechanical ventilator and the CVP measured again without the effect of PEEP. Results: About 40% of the study sample aged 45 to 64 years, 52.5% were males, 50 % suffered from respiratory disorders, and 49% were overhydrated. Eighty eight percent of the study sample was on PEEP levels between 5 to 2O. The CVP readings while the patients connected to MV were higher than CVP reading while the patients without PEEP, but these differences were not significant. Conclusion: CVP readings are not significant affected by the PEEP up to 15 cmH2O. The CVP can be reliably measured while patients are connected to MV. Recommendations: Measurement of CVP can be obtained while the patient is connected to MV.
{"title":"Effect of Positive End Expiratory Pressure on Central Venous Pressure in Mechanically Ventilated Patients","authors":"K. Al-Sayaghi, H. Mosa, M. Atrous, A. El-soussi, Ahmed Y. Ali, Sahar Hossni El-shenawi","doi":"10.12691/AJNR-7-3-20","DOIUrl":"https://doi.org/10.12691/AJNR-7-3-20","url":null,"abstract":"Background: Central venous pressure (CVP) monitoring remains in common use as an index of circulatory filling and cardiac preload. Positive end-expiratory pressure (PEEP) in mechanically ventilated patients can affect CVP via increasing intra-thoracic pressure. Critical care nurses should be able to measure the CVP competently and identify the factors affecting its readings. Aim: The current study was conducted to determine the effect of PEEP on the CVP readings in mechanically ventilated patients. Methods: a descriptive design used in this study. A convenient sample of 200 adult critically ill patients of both sex, hemodynamically and respiratory stable, having a central venous catheter (CVC) in place, and attached to a mechanical ventilator and pulse oximeter were included in the study. The patient's baseline CVP was recorded while the patient connected to the mechanical ventilator, then the patients were temporary disconnected from the mechanical ventilator and the CVP measured again without the effect of PEEP. Results: About 40% of the study sample aged 45 to 64 years, 52.5% were males, 50 % suffered from respiratory disorders, and 49% were overhydrated. Eighty eight percent of the study sample was on PEEP levels between 5 to 2O. The CVP readings while the patients connected to MV were higher than CVP reading while the patients without PEEP, but these differences were not significant. Conclusion: CVP readings are not significant affected by the PEEP up to 15 cmH2O. The CVP can be reliably measured while patients are connected to MV. Recommendations: Measurement of CVP can be obtained while the patient is connected to MV.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122936602","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}
Pain is the most important complaint experienced by patients undergoing cardiac catheterization. Many patients consider hospitalization and cardiac catheterization to be psychologically distressing. In recent years, there has been a focus on complimentary therapies to manage or alleviate pain and anxiety. Body massages is one of complimentary therapies and have been tested in different populations and found to have marked effect in decreasing pain and anxiety. Aim: The aim of the study is to examine the effect of massage intervention on the mood and pain of patient after cardiac catheter. Design: A randomized single blind clinical trial design was used. Setting: The study was conducted in in the Coronary Care Unit at King Fahd Hospital of the University in Al-Khobar, Kingdom of Saudi Arabia. Sample: A random sample of 40 adults post cardiac catheterization. Tools: Three tools were used to collect data: tool 1: Demographic and Medical data Sheet, tool 2: The Profile of Mood States (POMS). Tool 3: The McGill Pain Questionnaire. Results: There was a highly significant reduction in pain scores after the sessions of the massage therapy, and there were a highly significant difference between before and after message sessions intervention in relation to all components and total mean score of mood profile. Conclusion: integrating the massage therapy into nursing intervention can enhance the mood and ability state and decreased anxiety, depressions, confusion and pain of patients after cardiac catheterization,. Recommendations: Based on the result of the present study, it can be recommended that further study should be applied in relation to increase the sample of the study in control and experimental group, examine the relationship between illness perceptions and mood across coronary artery disease patients.
{"title":"Effect of Massage Therapy on the Mood and Pain of Post Cardiac Catheterization Patients","authors":"H. Hassan, F. Mokabel, Noor Ali ALRadwan","doi":"10.12691/AJNR-7-3-21","DOIUrl":"https://doi.org/10.12691/AJNR-7-3-21","url":null,"abstract":"Pain is the most important complaint experienced by patients undergoing cardiac catheterization. Many patients consider hospitalization and cardiac catheterization to be psychologically distressing. In recent years, there has been a focus on complimentary therapies to manage or alleviate pain and anxiety. Body massages is one of complimentary therapies and have been tested in different populations and found to have marked effect in decreasing pain and anxiety. Aim: The aim of the study is to examine the effect of massage intervention on the mood and pain of patient after cardiac catheter. Design: A randomized single blind clinical trial design was used. Setting: The study was conducted in in the Coronary Care Unit at King Fahd Hospital of the University in Al-Khobar, Kingdom of Saudi Arabia. Sample: A random sample of 40 adults post cardiac catheterization. Tools: Three tools were used to collect data: tool 1: Demographic and Medical data Sheet, tool 2: The Profile of Mood States (POMS). Tool 3: The McGill Pain Questionnaire. Results: There was a highly significant reduction in pain scores after the sessions of the massage therapy, and there were a highly significant difference between before and after message sessions intervention in relation to all components and total mean score of mood profile. Conclusion: integrating the massage therapy into nursing intervention can enhance the mood and ability state and decreased anxiety, depressions, confusion and pain of patients after cardiac catheterization,. Recommendations: Based on the result of the present study, it can be recommended that further study should be applied in relation to increase the sample of the study in control and experimental group, examine the relationship between illness perceptions and mood across coronary artery disease patients.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125650326","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}
M. Saadoon, M. I. Abouzeid, Ebtsam Salah Shalaby Salama, N. Wahba
Background: End of Life care is a critical topic for pediatric patients with terminal conditions, aiming at improving their life in spite of prognosis. It is the most traumatic aspect of pediatric nursing due to unpleasant sensations and experiences that obstruct nurses’ abilities to apply satisfactory care regarding End of Life. Aim: to identify the association between self-rated anxiety and attitude responses of pediatric nurses surveyed about providing End of Life care. Method: A descriptive correlational design was utilized. The sample composed of 48 nurses in neonatal and pediatric intensive care units in general hospitals in Port Said Governorate. Tools: The 20-item state anxiety questionnaire and the nurses’ attitudes toward pediatric end of life care were used to collect data. Results: 46.8% of the studied nurses had demonstrated generally positive attitude toward End of Life care. 33.3% of them had tendered to reported sometimes to have anxiety symptoms, there is a statistical significant relation between level of anxiety and the attitude toward areas with comfort in discussing the pediatric End of Life care, and physician involvement. Conclusion & Recommendation: positive attitude of pediatric nurses concerning End of Life care. Moreover, negative nurses’ attitude toward the benefits of pediatric nursing care relating End of Life, and there was a statistical significant relation between level of anxiety and the attitude toward comfort in discussing the pediatric nursing care regarding End of Life, and physician involvement. Therefore, The study findings emphasize the need for acquainting pediatric nurses with effective coping strategies to overcome anxiety to improve their attitude toward End of Life care.
{"title":"Self-Rated Anxiety and Attitude Responses of Pediatric Nurses Surveyed about Providing End of Life Care","authors":"M. Saadoon, M. I. Abouzeid, Ebtsam Salah Shalaby Salama, N. Wahba","doi":"10.12691/AJNR-7-3-12","DOIUrl":"https://doi.org/10.12691/AJNR-7-3-12","url":null,"abstract":"Background: End of Life care is a critical topic for pediatric patients with terminal conditions, aiming at improving their life in spite of prognosis. It is the most traumatic aspect of pediatric nursing due to unpleasant sensations and experiences that obstruct nurses’ abilities to apply satisfactory care regarding End of Life. Aim: to identify the association between self-rated anxiety and attitude responses of pediatric nurses surveyed about providing End of Life care. Method: A descriptive correlational design was utilized. The sample composed of 48 nurses in neonatal and pediatric intensive care units in general hospitals in Port Said Governorate. Tools: The 20-item state anxiety questionnaire and the nurses’ attitudes toward pediatric end of life care were used to collect data. Results: 46.8% of the studied nurses had demonstrated generally positive attitude toward End of Life care. 33.3% of them had tendered to reported sometimes to have anxiety symptoms, there is a statistical significant relation between level of anxiety and the attitude toward areas with comfort in discussing the pediatric End of Life care, and physician involvement. Conclusion & Recommendation: positive attitude of pediatric nurses concerning End of Life care. Moreover, negative nurses’ attitude toward the benefits of pediatric nursing care relating End of Life, and there was a statistical significant relation between level of anxiety and the attitude toward comfort in discussing the pediatric nursing care regarding End of Life, and physician involvement. Therefore, The study findings emphasize the need for acquainting pediatric nurses with effective coping strategies to overcome anxiety to improve their attitude toward End of Life care.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124321127","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. A. El-Salam, Abeer Mohammed El-Maghawery Eldeeb, A. Saleh
Care of newborn depends on a lot of knowledge, skills and attitude of the mother. The ideal basic needs for any newborn include warmth, cleanliness and breast feeding. The neonatal period is the most vulnerable time for a child’s survival, in which face the highest risk of dying in their first month of life, so it can be prevented by proper and timely care of the newborn. Aim of the study: Evaluate the effect of instructional program on primipara mothers' knowledge regarding neonatal care. Research design: Quasi-experimental research design was used. Setting: The study was conducted at Maternal and Child Health Centers (Kebly & Bahary) at Shebin El-Kom-Menoufia Governorate, Egypt. Subjects and methods: A purposive sample of 100 primipara mothers who attended to maternal and child health center from June 2017 to September 2017. Results: The study was revealed statistical significant improvement of mothers' knowledge regarding to the neonatal care that were noticed at the post and follow-up test. Conclusion:. Based on the findings of the present study, the primipara mothers' knowledge were increased after the instructional program and also the mother’s had a good knowledge regarding neonatal care with statistical significant difference regarding the aspects of neonatal care knowledge in the post-test compared with the pre-test. Recommendations: Increasing the information and education regarding neonatal care at MCH centers for pregnant women especially primipara is required. Further researches recommended for increasing primipara mothers' awareness and enhancing their level of knowledge related to essential neonatal care which helps to reduce neonatal mortality rate.
{"title":"Effect of Instructional Program on Primipara Mothers' Knowledge Regarding Neonatal Care","authors":"A. A. El-Salam, Abeer Mohammed El-Maghawery Eldeeb, A. Saleh","doi":"10.12691/AJNR-7-3-4","DOIUrl":"https://doi.org/10.12691/AJNR-7-3-4","url":null,"abstract":"Care of newborn depends on a lot of knowledge, skills and attitude of the mother. The ideal basic needs for any newborn include warmth, cleanliness and breast feeding. The neonatal period is the most vulnerable time for a child’s survival, in which face the highest risk of dying in their first month of life, so it can be prevented by proper and timely care of the newborn. Aim of the study: Evaluate the effect of instructional program on primipara mothers' knowledge regarding neonatal care. Research design: Quasi-experimental research design was used. Setting: The study was conducted at Maternal and Child Health Centers (Kebly & Bahary) at Shebin El-Kom-Menoufia Governorate, Egypt. Subjects and methods: A purposive sample of 100 primipara mothers who attended to maternal and child health center from June 2017 to September 2017. Results: The study was revealed statistical significant improvement of mothers' knowledge regarding to the neonatal care that were noticed at the post and follow-up test. Conclusion:. Based on the findings of the present study, the primipara mothers' knowledge were increased after the instructional program and also the mother’s had a good knowledge regarding neonatal care with statistical significant difference regarding the aspects of neonatal care knowledge in the post-test compared with the pre-test. Recommendations: Increasing the information and education regarding neonatal care at MCH centers for pregnant women especially primipara is required. Further researches recommended for increasing primipara mothers' awareness and enhancing their level of knowledge related to essential neonatal care which helps to reduce neonatal mortality rate.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115517317","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}
Spinal anesthesia provides excellent outcome for surgeries below the umbilicus like varicose veins surgery. Unfortunately, spinal anesthesia has complications such as Post Dural Puncture Headache (PDPH). Conservative treatments of PDPH include vasoconstrictors such as caffeine that found in coffee. The nurse observes patients for post spinal anesthesia complications especially Post Dural Puncture Headache (PDPH) and gives appropriate nursing interventions. Design: Quasi-experimental research design was used in this study. Aim: to determine effect of coffee consumption on the incidence of Post Dural Puncture Headache among patients receiving spinal anesthesia. Hypothesis of the study: Postoperative patients who consume coffee exhibit less incidence of Post Dural Puncture Headache than who don’t consume it. Setting: The study was carried out in Main University Hospital, Alexandria. Egypt. Subjects: The sample of the study consisted of a convenience sample of 60 postoperative patients (had varicose veins surgery) received spinal anesthesia. They were divided randomly into 2 equal groups, control and study (coffee) groups. Tool: Postoperative Headache Assessment Sheet was used in order to collect data. It included four parts: Part I: Bio-socio demographic data, Part II: Headache diagnosis, Part III: Headache assessment items, and Part IV: Assessment of needing for analgesics. Results: The chief result in this study was that the incidence of PDPH is less in coffee group than in the control group with statistical significant differences between both groups (P= (0.001*, 0.020*, 0.020*, 0.038*) after 4 hours, first, second, and third days, respectively. Conclusion: The study hypothesis was accepted as incidence of Post Dural Puncture Headache is decreased in postoperative patients who consumed coffee than in those who don’t consume it. Recommendation: Replicate this study among different samples (age, sex, diagnosis, type of operation).
{"title":"Effect of Coffee Consumption on the Incidence of Post Dural Puncture Headache among Patients Receiving Spinal Anesthesia","authors":"Eman Aly, Yasmin Fathy Mohammed Abed Elazeem","doi":"10.12691/AJNR-7-3-3","DOIUrl":"https://doi.org/10.12691/AJNR-7-3-3","url":null,"abstract":"Spinal anesthesia provides excellent outcome for surgeries below the umbilicus like varicose veins surgery. Unfortunately, spinal anesthesia has complications such as Post Dural Puncture Headache (PDPH). Conservative treatments of PDPH include vasoconstrictors such as caffeine that found in coffee. The nurse observes patients for post spinal anesthesia complications especially Post Dural Puncture Headache (PDPH) and gives appropriate nursing interventions. Design: Quasi-experimental research design was used in this study. Aim: to determine effect of coffee consumption on the incidence of Post Dural Puncture Headache among patients receiving spinal anesthesia. Hypothesis of the study: Postoperative patients who consume coffee exhibit less incidence of Post Dural Puncture Headache than who don’t consume it. Setting: The study was carried out in Main University Hospital, Alexandria. Egypt. Subjects: The sample of the study consisted of a convenience sample of 60 postoperative patients (had varicose veins surgery) received spinal anesthesia. They were divided randomly into 2 equal groups, control and study (coffee) groups. Tool: Postoperative Headache Assessment Sheet was used in order to collect data. It included four parts: Part I: Bio-socio demographic data, Part II: Headache diagnosis, Part III: Headache assessment items, and Part IV: Assessment of needing for analgesics. Results: The chief result in this study was that the incidence of PDPH is less in coffee group than in the control group with statistical significant differences between both groups (P= (0.001*, 0.020*, 0.020*, 0.038*) after 4 hours, first, second, and third days, respectively. Conclusion: The study hypothesis was accepted as incidence of Post Dural Puncture Headache is decreased in postoperative patients who consumed coffee than in those who don’t consume it. Recommendation: Replicate this study among different samples (age, sex, diagnosis, type of operation).","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123377953","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: A considerable number of studies have identified psychological and social difficulties resulting from night shift work among nurses. However, studies of the risk factors of experiencing the psychological and social impact of night shift work among hospital nurses is crucial but lacking. This study aimed to investigate the psychological and social effects of night shift work and the associated factors among nurses in Saudi Arabia (SA). Methods: This was a cross-sectional, descriptive survey carried out from May to July 2017 among nurses working night shifts in public hospitals in all regions of SA. The data were collected through online or paper-based self-administered questionnaires. Multivariable logistic regression analysis was utilized to identify the predictors of experiencing the psychological and social impact of night shift work. Results: A total of 1521 nurses completed the survey. The overall median psychological effect score was 14.0 (maximum 20). A total of 88.2% (1341/1521) of the participants reported a psychological impact due to night shift work. The overall median social effect score was 15.0 (maximum 20). A total of 90.9% (1383/1521) of the participants reported a social impact due to night shift work. Being a female nurse, a Saudi or Filipino national, being involved in rotating or fixed night shift work, dislike or occasional dislike for night shift work, and having had 6-10 weeks or over 20 weeks of night shift work in the preceding year were independent predictors of having a psychological impact due to night shift work. Furthermore, being involved in rotating night shift work, dislike or occasional dislike for night shift work, and having had over 20 weeks of night shift work in the preceding year were independent predictors of having a social impact due to night shift work. Conclusion: There was a high psychosocial impact of night shift work among nurses in the study setting. The development of incentives and support structures for nurses involved in night shift work is recommended.
{"title":"Psychosocial Impact of Night Shift Work among Nurses in Saudi Arabia","authors":"A. Alsharari","doi":"10.12691/AJNR-7-3-2","DOIUrl":"https://doi.org/10.12691/AJNR-7-3-2","url":null,"abstract":"Background: A considerable number of studies have identified psychological and social difficulties resulting from night shift work among nurses. However, studies of the risk factors of experiencing the psychological and social impact of night shift work among hospital nurses is crucial but lacking. This study aimed to investigate the psychological and social effects of night shift work and the associated factors among nurses in Saudi Arabia (SA). Methods: This was a cross-sectional, descriptive survey carried out from May to July 2017 among nurses working night shifts in public hospitals in all regions of SA. The data were collected through online or paper-based self-administered questionnaires. Multivariable logistic regression analysis was utilized to identify the predictors of experiencing the psychological and social impact of night shift work. Results: A total of 1521 nurses completed the survey. The overall median psychological effect score was 14.0 (maximum 20). A total of 88.2% (1341/1521) of the participants reported a psychological impact due to night shift work. The overall median social effect score was 15.0 (maximum 20). A total of 90.9% (1383/1521) of the participants reported a social impact due to night shift work. Being a female nurse, a Saudi or Filipino national, being involved in rotating or fixed night shift work, dislike or occasional dislike for night shift work, and having had 6-10 weeks or over 20 weeks of night shift work in the preceding year were independent predictors of having a psychological impact due to night shift work. Furthermore, being involved in rotating night shift work, dislike or occasional dislike for night shift work, and having had over 20 weeks of night shift work in the preceding year were independent predictors of having a social impact due to night shift work. Conclusion: There was a high psychosocial impact of night shift work among nurses in the study setting. The development of incentives and support structures for nurses involved in night shift work is recommended.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116114308","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}
Eman Ramadan, S. A. Said, Nehad Ahmed Ibrahim Zahra, M. Zaghloul
Background: Leg cramps are a common discomfort during pregnancy account 30-50% of pregnant women. Lifestyle intervention help in reducing symptoms and discomfort associated with leg cramps. Aim: Was to study the effectiveness of lifestyle intervention for reducing leg cramps among pregnant women. Research Design: A quasi-experimental design was used. Setting: This study was conducted in Outpatient Clinic at Obstetric and Gynecological Department affiliated at Benha Teaching Hospital. Sampling: A purposive sample of 212 pregnant women having leg cramps and divided into study and control group. Tools: Three tools were used for collecting data; 1) A structured interviewing questionnaire; it includes four parts personal characteristics of studied women, past and current obstetric history, leg cramps history, and studied women's knowledge. 2) Modified Healthy Life Style Assessment Scale. 3) Visual analogue Scale. Results: showed that the mean age in the studied group and control group were 27.06±6.45 & 26.98±7.43 respectively. And secondary education is the education level of the large proportion of both study and control group 49.1% & 57.5% respectively, there was highly significant differences between two groups in all items related to their knowledge pConclusion: implementation of lifestyle intervention was effective in improving pregnant women's Lifestyle, through improving their knowledge and decreasing the severity and frequency of leg cramps. Recommendation: The nurses should provide all pregnant women at antenatal clinics with a self-care guideline about lifestyle intervention for reducing leg cramps during pregnancy to improve their awareness.
{"title":"Lifestyle Intervention for Reducing Leg Cramps among Pregnant Women","authors":"Eman Ramadan, S. A. Said, Nehad Ahmed Ibrahim Zahra, M. Zaghloul","doi":"10.12691/AJNR-7-3-1","DOIUrl":"https://doi.org/10.12691/AJNR-7-3-1","url":null,"abstract":"Background: Leg cramps are a common discomfort during pregnancy account 30-50% of pregnant women. Lifestyle intervention help in reducing symptoms and discomfort associated with leg cramps. Aim: Was to study the effectiveness of lifestyle intervention for reducing leg cramps among pregnant women. Research Design: A quasi-experimental design was used. Setting: This study was conducted in Outpatient Clinic at Obstetric and Gynecological Department affiliated at Benha Teaching Hospital. Sampling: A purposive sample of 212 pregnant women having leg cramps and divided into study and control group. Tools: Three tools were used for collecting data; 1) A structured interviewing questionnaire; it includes four parts personal characteristics of studied women, past and current obstetric history, leg cramps history, and studied women's knowledge. 2) Modified Healthy Life Style Assessment Scale. 3) Visual analogue Scale. Results: showed that the mean age in the studied group and control group were 27.06±6.45 & 26.98±7.43 respectively. And secondary education is the education level of the large proportion of both study and control group 49.1% & 57.5% respectively, there was highly significant differences between two groups in all items related to their knowledge pConclusion: implementation of lifestyle intervention was effective in improving pregnant women's Lifestyle, through improving their knowledge and decreasing the severity and frequency of leg cramps. Recommendation: The nurses should provide all pregnant women at antenatal clinics with a self-care guideline about lifestyle intervention for reducing leg cramps during pregnancy to improve their awareness.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127018061","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: However, the hospital malnutrition's prevalence is high; this condition is ignored and, as a result, is not treated. The first step in fighting malnutrition is to know how to identify patients at higher risk of suffering from this condition by using risk screening tools. The aim of the present study was to design child-friendly food guide based on nutritional risk assessment of pediatric inpatients. Method: In this exploratory cross-sectional study, one hundred children in medical departments affiliated to Mansoura University Children Hospital, Egypt was assessed as regarding their admission and discharge weight and height of the body, the body mass index/kg/m2, and biochemical analysis of hemoglobin and serum albumin. A Screening Tool for Assessing Malnutrition in Pediatrics (STAMP) has been applied in order to also assess pediatric inpatients' overall risk of malnutrition. Furthermore, the perspective of hospitalized children/their mothers about the hospital introduced food habits and meals pattern were surveyed. Results: Slightly less than half of the studied children were males and the large percent of the hospitalized children's mothers were highly educated. According to STAMP score, all studied children were considered to be at risk for malnutrition with the underlying diseases were related to neurological or general medical disorders among the largest. The study findings also revealed that the majority of participants tried to escape the delivered hospital meals and reported their needs for a dietary guide contains healthy food varieties to overcome the risk of under-nutrition related to children's hospitalization. Conclusion: every effort must be made to identify children at risk of developing under-nutrition upon admission in order to provide necessary nutritional support for them.
{"title":"Design Child-friendly Food Guide Based on Nutritional Risk Assessment of Pediatric Inpatients","authors":"R. El-sayed","doi":"10.12691/AJNR-7-2-13","DOIUrl":"https://doi.org/10.12691/AJNR-7-2-13","url":null,"abstract":"Background: However, the hospital malnutrition's prevalence is high; this condition is ignored and, as a result, is not treated. The first step in fighting malnutrition is to know how to identify patients at higher risk of suffering from this condition by using risk screening tools. The aim of the present study was to design child-friendly food guide based on nutritional risk assessment of pediatric inpatients. Method: In this exploratory cross-sectional study, one hundred children in medical departments affiliated to Mansoura University Children Hospital, Egypt was assessed as regarding their admission and discharge weight and height of the body, the body mass index/kg/m2, and biochemical analysis of hemoglobin and serum albumin. A Screening Tool for Assessing Malnutrition in Pediatrics (STAMP) has been applied in order to also assess pediatric inpatients' overall risk of malnutrition. Furthermore, the perspective of hospitalized children/their mothers about the hospital introduced food habits and meals pattern were surveyed. Results: Slightly less than half of the studied children were males and the large percent of the hospitalized children's mothers were highly educated. According to STAMP score, all studied children were considered to be at risk for malnutrition with the underlying diseases were related to neurological or general medical disorders among the largest. The study findings also revealed that the majority of participants tried to escape the delivered hospital meals and reported their needs for a dietary guide contains healthy food varieties to overcome the risk of under-nutrition related to children's hospitalization. Conclusion: every effort must be made to identify children at risk of developing under-nutrition upon admission in order to provide necessary nutritional support for them.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130253108","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}
The practices of safety measures by the clinical laboratory workers in hospitals are necessary for the prevention of occupational hazards. The aim of this study was to evaluate the effect of safety training program for laboratory workers' regarding prevention of occupational hazards. Design: A quasi-experimental design was used in carrying out this study. Setting: The study was conducted at four governmental hospitals in Benha City: - are Benha University Hospital, Benha Teaching Hospital, Health Insurance Hospital, and Fever Hospital which included clinical laboratory. The sample of this study included convenient laboratory workers (100) whom are working at four hospitals were participated in this study. Tools: 1- A structured interviewing questionnaire for the socio-demographic characteristics of the laboratory workers, and their knowledge regarding occupational hazards, 2- An observational checklist for safe laboratory environment and practices of laboratory workers regarding prevention of the occupational hazards. Results: Showed a significant positive effect of the program on knowledge and practices of the laboratory workers (P < 0.001). This study concluded that the program has positive effect to upgrade the laboratory workers' knowledge and improving their practices regarding prevention of occupational hazards (P < 0.001). The study recommended that regulatory training program should be strengthened to ensure basic lab safety practices in hospitals, and providing training courses for large number of hospitals laboratory workers about prevention of occupational hazards and safety environmental condition.
{"title":"Safety Training Program for Clinical Laboratory Workers Regarding Prevention of Occupational Hazards","authors":"A. Mahmoud, S. Sabry","doi":"10.12691/ajnr-7-2-3","DOIUrl":"https://doi.org/10.12691/ajnr-7-2-3","url":null,"abstract":"The practices of safety measures by the clinical laboratory workers in hospitals are necessary for the prevention of occupational hazards. The aim of this study was to evaluate the effect of safety training program for laboratory workers' regarding prevention of occupational hazards. Design: A quasi-experimental design was used in carrying out this study. Setting: The study was conducted at four governmental hospitals in Benha City: - are Benha University Hospital, Benha Teaching Hospital, Health Insurance Hospital, and Fever Hospital which included clinical laboratory. The sample of this study included convenient laboratory workers (100) whom are working at four hospitals were participated in this study. Tools: 1- A structured interviewing questionnaire for the socio-demographic characteristics of the laboratory workers, and their knowledge regarding occupational hazards, 2- An observational checklist for safe laboratory environment and practices of laboratory workers regarding prevention of the occupational hazards. Results: Showed a significant positive effect of the program on knowledge and practices of the laboratory workers (P < 0.001). This study concluded that the program has positive effect to upgrade the laboratory workers' knowledge and improving their practices regarding prevention of occupational hazards (P < 0.001). The study recommended that regulatory training program should be strengthened to ensure basic lab safety practices in hospitals, and providing training courses for large number of hospitals laboratory workers about prevention of occupational hazards and safety environmental condition.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129276116","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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