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Nurses' Knowledge and Practice Regarding Epilepsy in Mansoura University Hospital 曼苏拉大学医院护士对癫痫的认识与实践
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259011
Walaa Zahran, W. Sherif, Hanan Mohamed
Background Epilepsy is one of the most common neurological disorders; affecting about 65 million people worldwide. Patients with epilepsy have higher rates of injury and premature death than the general population. Nurses, who are the first to recognize seizures in patients with epilepsy in the ward environment, must have the required knowledge and skills related to epilepsy to meet the diverse needs of patients and protect them from any injury. Therefore, the aim of the study, was to assess nurses' knowledge and practice regarding epilepsy in Mansoura University Hospital. Methodology, descriptive study research design was conducted at Neurology department in Mansoura University Hospital. Convenient sample of 28 nurses were participated in this study. Results, indicates that almost half of nurses had poor knowledge level and the majority of them had unsatisfactory practical level about epilepsy. Conclusion, there needs to provide nurses with educational guidelines that will enhance nursing knowledge and skills.
癫痫是最常见的神经系统疾病之一;影响全球约6500万人。癫痫患者受伤和过早死亡的比率高于一般人群。护士是病房环境中第一个识别癫痫患者癫痫发作的人,必须具备癫痫相关的必要知识和技能,以满足患者的多样化需求,并保护他们免受任何伤害。因此,本研究的目的是评估曼苏拉大学医院护士对癫痫的知识和实践。方法:描述性研究设计在曼苏拉大学医院神经内科进行。方便抽样28名护士参与本研究。结果表明,近一半的护士对癫痫的知识水平较差,大部分护士对癫痫的实践水平不理想。结论:需要为护理人员提供教育指导,提高护理知识和技能。
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引用次数: 0
Workflow Interruptions and Nursing errors among staff nurses in Intensive Care Units at Oncology Center Mansoura University 曼苏拉大学肿瘤中心重症监护病房工作流程中断和护理失误
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259018
E. Youns, H. Elsabahy, A. Kassem
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引用次数: 0
Maternal -Newborn skin to skin contact and Initiation of Breastfeeding in Relation to Different Delivery Modalities 产妇-新生儿皮肤接触和开始母乳喂养与不同分娩方式的关系
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259014
Amany Shahba, A. El-Nemer
Background : Different delivery modalities as vaginal delivery and cesarean delivery seem to have an impact on early breastfeeding practices. Aim: The study aimed to evaluate maternal-neonatal skin to skin contact and initiation of breastfeeding in relation to different delivery modalities. Subjects and Method: A descriptive design was utilized with a convenient sample from 223 lactating women (130 delivered by CS, and 93 by vaginal birth). Setting: The study was conducted at governmental Health Unit in Aga City, Egypt. Tools of data collection: Structured interview questionnaire. Results: Cesarean delivery was significantly associated with delayed skin to skin contact (p<0.001), delayed breastfeeding initiation (p<0.05%). In addition, more breastfeeding difficulties (p<0.001). Conclusion and Recommendations: The study concluded that CS had a negative effect on early breastfeeding practices. Women who have had a caesarean delivery should receive additional support and learn more about breastfeeding technique. In addition, women should be encouraged to seek antenatal care on a regular basis.
背景:不同的分娩方式,如阴道分娩和剖宫产似乎对早期母乳喂养有影响。目的:本研究旨在评估母婴皮肤接触和开始母乳喂养与不同分娩方式的关系。研究对象和方法:采用描述性设计,从223名哺乳期妇女(130名经顺产分娩,93名经阴道分娩)中选取方便的样本。环境:该研究在埃及阿加市的政府卫生单位进行。数据收集工具:结构化访谈问卷。结果:剖宫产与皮肤接触延迟(p<0.001)、母乳喂养延迟(p<0.05%)显著相关。此外,母乳喂养困难较多(p<0.001)。结论和建议:研究得出结论,CS对早期母乳喂养有负面影响。剖腹产的妇女应该得到额外的支持,并学习更多的母乳喂养技巧。此外,应鼓励妇女定期寻求产前护理。
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引用次数: 0
The Effect of Implementing CAUTIs Bundle on Prevention of Hospital- Acquired Urinary Tract Infections among Critically Ill Patients 实施CAUTIs捆绑治疗对预防危重患者院内获得性尿路感染的效果
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259013
soad el sharoud, M. Sultan, H. Ahmed, Nahed Kandeel
Background : Catheter-associated urinary tract infections (CAUTIs) are among the most common types of nosocomial infections. Approximately 30% of these cases have been reduced in the United States of America by using multidimensional preventive approaches including the CAUTIs bundle. Aim: This study aimed to investigate the effect of implementing the CAUTIs bundle on the prevention of hospital-acquired urinary tract infection among critically ill patients. Method: A quasi-experimental research design was used with a convenience sample of 80 patients recruited from three intensive care units affiliated with an Egyptian University Hospital. The participants were randomly assigned either in the CAUTIs bundle group who received the CAUTIs bundle care or the traditional care group who received the routine care of the unit. Data were collected using three tools: urinary catheter insertion tool, urinary catheter maintenance checklist, and CAUTIs rate checklist. Results: The results revealed statistically significant differences between both groups regarding the implementation of insertion and maintenance bundles. implementation of the CAUTIs bundle has resulted in an approximately 50% decrease in the CAUTIs rate between the studied group. A low CAUTIs rate was noted among CAUTIs bundle patients (16.5 per 1000) than traditional care patients (30.7 per 1000). Conclusion and Recommendations: Implementation of the CAUTIs bundle was significantly effective in reducing the CAUTIs rates among critically ill patients. This urged the need for incorporating such bundle elements in patients' daily routine care in intensive care units. Further large-scale investigations are recommended to enrich the evidence related to urinary catheter care.
背景:导尿管相关性尿路感染(CAUTIs)是最常见的医院感染类型之一。在美利坚合众国,通过使用包括CAUTIs包在内的多维预防方法,这些病例中约有30%已减少。目的:本研究旨在探讨重症患者实施CAUTIs捆绑治疗对预防医院获得性尿路感染的效果。方法:采用准实验研究设计,从埃及大学附属医院的三个重症监护室招募80名患者作为方便样本。参与者被随机分配到接受CAUTIs捆绑治疗组或接受常规护理的传统护理组。使用三种工具收集数据:导尿管插入工具、导尿管维护检查表和CAUTIs发生率检查表。结果:结果显示两组在插入和维持束的实施方面有统计学意义。CAUTIs捆绑治疗的实施使研究组之间的CAUTIs发生率降低了约50%。CAUTIs捆绑组患者的CAUTIs发生率(16.5 / 1000)低于传统护理患者(30.7 / 1000)。结论和建议:在危重患者中实施CAUTIs捆绑治疗可显著有效地降低CAUTIs发生率。这就迫切需要在重症监护病房患者的日常护理中纳入这些捆绑要素。建议进一步进行大规模的调查,以丰富与导尿管护理相关的证据。
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引用次数: 0
Evidence Related to Predictive Scales for Trauma Patients' Outcome: Literature Review 创伤患者预后预测量表的相关证据:文献综述
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259015
Aya Hassan, H. Ahmed, Nahed Kandeel
Background Trauma is a serious public health problem and one of the most common causes of disability and mortality all over the world. Globally, roads mortality continues to be unacceptably high, with an estimated 1.35 million people dying each year. This high prevalence leads to increased treatment costs, disease burden, and workload of treatment staff, particularly nurses. In intensive care units, numerous scoring systems are used to predict patients' morbidity and mortality which is significant for better treatment planning and improving the overall patient care quality. This review aimed to present an overview summary of trauma, its incidence, and the current evidence related to the use of the Glasgow coma scale and the full outline of unresponsiveness score in the prediction of traumatized patients’ outcomes in intensive care units.
创伤是一个严重的公共卫生问题,也是全世界最常见的致残和死亡原因之一。在全球范围内,道路死亡率仍然高得令人无法接受,估计每年有135万人死亡。这种高流行率导致治疗费用、疾病负担和治疗人员,特别是护士的工作量增加。在重症监护病房,许多评分系统用于预测患者的发病率和死亡率,这对于更好的治疗计划和提高患者的整体护理质量具有重要意义。本综述旨在概述创伤、其发生率,以及目前与格拉斯哥昏迷量表和无反应性评分完整大纲用于预测重症监护病房创伤患者预后相关的证据。
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引用次数: 0
Effect of Case-Based Learning Approach on Technical Nursing Students' Knowledge about Applying Evidence-Based Practice 案例教学法对护理专业学生应用循证实践知识的影响
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.258993
Aya Salama, A. Ahmed, Eman Samy
Background: Evidence-Based Practice (EBP) implementation is the future challenge of health care services. Case-Based Learning (CBL) is an efficient teaching method that is known to be a more general class of inquiry and discovery learning. CBL generally involves public scenarios aligned with defined learning outcomes that possess an educational value that stimulates interest, produces empathy with the characters, and typically has general applicability. Aim: To investigate the effect of implementing CBL on developing EBP knowledge among students in Technical Institutes of Nursing. Method: A quasi-experimental study design was conducted among (66) technical nursing students who attended the community health nursing course in the second year. Results: The findings showed a statistically significant increase in nursing students' knowledge with a mean of 23.35±2.95 marks and 27.21±2.08 marks immediately post and after two months of CBL sessions’ implementation; respectively. Students’ knowledge was increased in EBP steps related to asking answerable, acquiring research, and appraising research. Conclusion: Applying the CBL as an educational method was highly influential in improving the students' level of knowledge regarding EBP.
背景:循证实践(EBP)的实施是卫生保健服务未来的挑战。基于案例的学习(CBL)是一种有效的教学方法,被认为是一种更普遍的研究性和发现性学习。CBL通常涉及与定义的学习结果相一致的公共场景,这些场景具有激发兴趣的教育价值,产生与角色的共鸣,并且通常具有普遍的适用性。目的:探讨实施CBL对护理职业技术学院学生EBP知识发展的影响。方法:采用准实验研究设计,对66名技术护理专业大二社区卫生护理专业学生进行调查。结果:护生在实施CBL 2个月后和实施后的知识水平分别提高了23.35±2.95分和27.21±2.08分,差异有统计学意义;分别。学生的知识在提出可回答的问题、获取研究和评价研究的EBP步骤中有所增加。结论:将CBL作为一种教育方法,对提高学生的EBP知识水平有重要影响。
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引用次数: 0
The Relation Between Job Demands and Safety Attitudes among staff Nurses 护理人员工作需求与安全态度的关系
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259001
Lamees El-zohery, NehadSaad El-Wkeel, A. El-shaer
Background : Nursing is the backbone of the healthcare sector. They work hard inspite of job demands that cause tension and stress. These demands effect on nurses performance and on their safety. The management should treat staff nurses as a human, give them rest as possible and provide appropriate assignments according to their abilities to help them cope with job demands and achieve safety attitudes. So, the study aimed to investigate the relation between job demands and safety attitudes among staff nurses. Method: descriptive correlational design was used and a convenient sample of (319) staff nurses was included, whom working at Dikirnis General Hospital by using two tools as: job demands and safety attitudes questionnaire. Results: the majority of staff nurses reported moderate level of job demands, more than half of staff nurses had negative perception to safety attitudes, and there was highly statistically significant negative relation between total job demands and total safety attitudes as perceived by staff nurses. Recommendation: Applying of training program for staff nurses continuously on safety issues, how to deal in critical situation, cultural difference and on their area of practice. Development of a favorable work environment by providing sufficient nursing staff and resources to enhance nurses’ ability to deal with work demands and decrease safety risks on nurses
背景:护理是医疗保健部门的支柱。尽管工作要求会导致紧张和压力,他们还是努力工作。这些要求影响护士的工作表现和安全。管理层应该把员工护士当作一个人来对待,让他们尽可能地休息,并根据他们的能力分配适当的任务,帮助他们应对工作需求,实现安全态度。因此,本研究旨在探讨护士长工作需求与安全态度的关系。方法:采用描述性相关设计,采用工作需求问卷和安全态度问卷两种工具,抽取在Dikirnis综合医院工作的319名护理人员作为方便样本。结果:大多数护士长的工作需求为中等水平,超过一半的护士长对安全态度的感知为负向,总工作需求与护士长感知的总安全态度呈高度统计学显著负向关系。建议:持续对护理人员进行安全问题、如何处理危急情况、文化差异和执业领域的培训。通过提供充足的护理人员和资源,营造良好的工作环境,提高护士应对工作需求的能力,降低护士的安全风险
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引用次数: 0
Association Between Leadership Competency, Quality of Work and Readiness For Change Among Head Nurses 护士长领导能力、工作质量与变革准备的关系
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259017
asmaa elhadad, W. Sleem, M. Ahmed
Background: Today, all organizations are working in highly competitive atmospheres that need change in order to adapt to changing market conditions. In this atmosphere, examining the impact of numerous human elements in the successful management and implementation of change projects is more essential. As a result, effective leadership is one of the most important factors influencing organizational change. However, in order to effectively manage the change process, leaders must have a specific set of competencies and produce high-quality work. Aim: the study aimed to investigate the association between leadership competencies, quality of work and readiness for change among head nurses at Specialized Medical Hospital. Method: A descriptive correlational research design was used and the study was conducted on 90 head nurses working at Specialized Medical Hospital using three tools: Leadership Competencies Scale, Quality of Work Scale and Organizational Readiness for Change Scale. Results: More than two thirds of head nurses had low level of leadership competencies, more than half of them had low level of quality of work and high level of readiness for change. There was statistically significant positive correlation between leadership competencies, quality of work and readiness for change. Recommendation: Hospital administrator should provide applications such as weekly lectures on how to apply leadership competencies that improves head nurses' leadership skills and satisfaction in order to promote hospital changes and learning organizations.
背景:今天,所有的组织都在高度竞争的环境中工作,需要改变,以适应不断变化的市场条件。在这种氛围下,检查在成功管理和实施变更项目中的许多人为因素的影响是更重要的。因此,有效的领导是影响组织变革的最重要因素之一。然而,为了有效地管理变革过程,领导者必须拥有一套特定的能力,并产生高质量的工作。目的:探讨专科医院护士长的领导能力、工作质量与变革准备之间的关系。方法:采用描述性相关研究设计,采用领导能力量表、工作质量量表和组织变革准备量表对90名专科医院护士长进行调查。结果:超过三分之二的护士长的领导能力水平较低,超过一半的护士长的工作质量水平较低,变革准备水平较高。领导能力、工作质量与变革准备之间存在显著正相关。建议:医院管理者应提供应用程序,如每周讲座如何运用领导能力,提高护士长的领导技能和满意度,以促进医院变革和学习型组织。
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引用次数: 1
Effect of Cold Compresses on Pain Intensity and Ecchymosis Among Patients Receiving Subcutaneous Anticoagulant Injection 冷敷对皮下注射抗凝血剂患者疼痛强度及瘀斑的影响
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259026
Eman S. Omran, Hend Alan
Background : Subcutaneous anticoagulant injection frequently result in pain, swelling, and bruising at the injection site. Cold compresses are a pain-relieving treatment that works by lowering catecholamine levels, raising endorphin levels, and delaying pain signal transmission to the central nervous system. Aim of the study: To evaluate the effect of cold compresses on pain intensity and ecchymosis among patients receiving a subcutaneous anticoagulant injection. Design : A quasi-experimental research design (study/control group) was utilized. Setting : The research was carried out at Benha University Hospital's Cardiac Care Unit. Participants: A six-month purposive sample of cardiac care unit patients who were treated with subcutaneous anticoagulants (from the beginning of febreuary2021 to the end of July 2021). Tools for gathering data include: Tool I Patient Assessment Tool, Tool Bruising Category Scale, Tool Visual Analogue Pain Rating Scale, and Tool IV Ecchymosis Education Scale are some of the tools used to assess patients. Results : The difference in pain intensity between the study and control groups was highly statistically significant at a p-value of 0.000, with more than half of the control group suffering bruising at the injection site, compared to less than a quarter of the study group. In terms of ecchymosis, more than half of the study group had no ecchymosis, compared to less than a quarter of the control group. Conclusion: Based on the data, it can be concluded that applying cold compresses to the study group reduced pain intensity, bruising, and ecchymosis formation more effectively than in the control group. . Recommendations: To generalize the findings more broadly, the study could be done with bigger sample size.
背景:皮下注射抗凝血剂经常导致注射部位疼痛、肿胀和瘀伤。冷敷是一种缓解疼痛的治疗方法,通过降低儿茶酚胺水平,提高内啡肽水平,延迟疼痛信号向中枢神经系统的传递。目的:评价冷敷对皮下注射抗凝血剂患者疼痛强度和瘀斑的影响。设计:采用准实验研究设计(研究/对照组)。环境:本研究在Benha大学医院心脏护理科进行。参与者:接受皮下抗凝治疗的心脏护理病房患者为期6个月的目的样本(从2021年2月初到2021年7月底)。收集数据的工具包括:工具I患者评估工具,工具擦伤分类量表,工具视觉模拟疼痛评定量表,工具IV瘀斑教育量表是用于评估患者的一些工具。结果:研究组和对照组疼痛强度的差异具有高度统计学意义,p值为0.000,超过一半的对照组在注射部位出现瘀伤,而研究组的这一比例不到四分之一。在瘀斑方面,超过一半的研究组没有瘀斑,而对照组只有不到四分之一。结论:研究结果表明,与对照组相比,冷敷组在减轻疼痛强度、挫伤和瘀斑形成方面效果更好。建议:为了更广泛地推广研究结果,该研究可以扩大样本量。
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引用次数: 0
Caregivers' Satisfaction Regarding Childhood Vaccination Services in Mansoura Primary Health Care Facilities, Egypt 照料者对曼苏拉初级卫生保健机构儿童疫苗接种服务的满意度,埃及
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259002
A. Abdallah, Amel I. Ahmed Amel I. Ahmed, Samia Abd El mouty
Background Caregivers' satisfaction with vaccination services is an indicator of provider competency. However, evaluating this indicator is very relevant as it is likely affecting the clinical and revisit adherence, service quality, and the global vaccination coverage. Aim: This study aimed at assessing caregivers' satisfaction regarding childhood vaccination services in primary health care facilities. Design: A cross-sectional study was conducted from the first of January to the end of December 2019 at Mansoura district primary health care facilities. Total sample size of 384 parents/caregivers chosen by using convenient sampling technique. Structured interview satisfaction assessment questionnaire was used for exploring children's parents/caregivers' satisfaction about the actually provided vaccination services. Results: The study demonstrated that more than half of caregivers (57.3%) were diploma with mean age of 28.6±8.1 years old. Regarding the study scope, 93.2% of caregivers reported lower satisfaction score with childhood vaccination services at primary healthcare facilities, compared to 6.8% who were highly satisfied with the provide services. Conclusion and recommendation: The study concluded that most of the caregivers were unsatisfied with the provided vaccination services. The level of satisfaction was very low regarding to the primary healthcare facilities structure, vaccinator nurses’ performance, the provided health education, and child health screening. Consequently, more efforts need to be exudated towards improving the PHC delivery system, and provision of vaccination health education. services.
护理人员对疫苗接种服务的满意度是提供者能力的一个指标。然而,评估这一指标非常重要,因为它可能影响临床和复查依从性、服务质量和全球疫苗接种覆盖率。目的:本研究旨在评估护理人员对初级卫生保健机构儿童疫苗接种服务的满意度。设计:2019年1月1日至12月底在曼苏拉地区初级卫生保健机构进行了一项横断面研究。采用方便抽样法抽取384名家长/照顾者样本。采用结构化访谈满意度评估问卷,探讨儿童家长/照料者对实际提供的疫苗接种服务的满意度。结果:半数以上(57.3%)的护理人员具有大专以上学历,平均年龄28.6±8.1岁。就研究范围而言,93.2%的护理人员对初级卫生保健机构的儿童疫苗接种服务满意度较低,相比之下,6.8%的护理人员对提供的服务非常满意。结论和建议:研究得出结论,大多数护理人员对提供的疫苗接种服务不满意。在初级卫生保健设施结构、接种员护士的表现、提供的健康教育和儿童健康筛查方面,满意度非常低。因此,需要作出更多努力,改善初级保健提供系统,并提供疫苗接种健康教育。服务。
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引用次数: 0
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Mansoura Nursing Journal
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