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Effect of Conflict Management Program on Staff Nurses' Performance 冲突管理项目对护理人员绩效的影响
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259023
A. Mohammed, M. Ahmed, A. El-shaer, A. Zakaria
Background :Conflict in the nursing profession is normal and unavoidable, and it occurs on a regular basis in healthcare settings. As a result, conflict management is critical for organizational success and efficiency, and staff nurses must be able to effectively handle conflict in order to create an environment that fosters personal growth while also ensuring high-quality patient care. Aim: The present study aimed to investigate the effect of conflict management program on staff nurses' performance Method: Quasi experimental design was conducted on 70 nurses working at intensive care units affiliated to AL-sadder teaching hospital in Iraq-Missan. conflict management techniques assessment questionnaire and observation checklist of nurse's performance was used to collect data. Results: Most studied staff nurses had poor in conflict management pre- program and the minority had high in managing conflict post and after 3 months program implementation. Also, staff nurses’ performance was improved after program implementation. Conclusion: There was a high statistically significant association pre-post and after 3 months between most subscales of staff nurses about managing conflict and most subscales of performance after program implementation. Recommendation: A regular educational program about conflict management should be consistent for staff nurse.
背景:护理专业中的冲突是正常和不可避免的,并且在医疗保健环境中经常发生。因此,冲突管理对组织的成功和效率至关重要,护士必须能够有效地处理冲突,以创造一个促进个人成长的环境,同时确保高质量的病人护理。目的:本研究旨在探讨冲突管理项目对护理人员绩效的影响。方法:采用准实验设计对伊拉克-米桑AL-sadder教学医院重症监护病房的70名护士进行研究。采用冲突管理技术评估问卷和护士绩效观察表收集数据。结果:大多数护理人员在冲突管理计划实施前表现较差,少数护理人员在冲突管理计划实施后及实施3个月后表现较高。项目实施后,护理人员的工作绩效也得到了提高。结论:护理人员冲突管理的大部分量表与项目实施后绩效的大部分量表在项目实施前和实施后3个月有高度的统计学意义。建议:对护士长应定期进行冲突管理教育。
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引用次数: 0
The Effect of Implementing Ischemic Stroke Nursing Management Protocol on Critical Care Nurses’ Knowledge and Practices 实施缺血性脑卒中护理管理方案对重症护理护士知识与实践的影响
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259021
sara abdelhady, M. Mostafa, Nahed Kandeel, Wafaa Ali
Background: Stroke is a medical emergency disease that affects millions of people worldwide annually. Early nursing interventions provided during the acute stage of ischemic stroke are essential in increasing survival rates and shaping patients’ long-term prognosis. Critical care nurses have a crucial role in providing high-quality care for ischemic stroke patients which can improve their clinical outcomes. Hence, they must have ongoing and periodical training programs about ischemic stroke nursing management. Aim: The study aimed to evaluate the effect of implementing the ischemic stroke nursing management protocol on critical care nurses’ knowledge and practices. Method: A quasi-experimental design was utilized on 56 critical care nurses who were working in the intensive care units affiliated with a University hospital in Egypt. Data were collected by using one tool: Nurses’ Knowledge and Practices Regarding Ischemic Stroke Nursing Management Protocol. Results: Highly statistically significant differences were found in nurses’ knowledge and practices pre and post the implementation of the ischemic stroke nursing management protocol (P<0.001). Conclusion: The implementation of the ischemic stroke nursing management protocol can improve nurses’ knowledge and practices regarding the care of ischemic stroke patients. Recommendations: Continuous in-service training programs on ischemic stroke management should be organized for critical care nurses to enhance their knowledge and practices, and keep them up-to-date and competent.
背景:中风是一种医学急症,每年影响全世界数百万人。在缺血性脑卒中急性期提供早期护理干预对于提高生存率和塑造患者的长期预后至关重要。重症监护护士在为缺血性脑卒中患者提供高质量的护理以改善其临床预后方面发挥着至关重要的作用。因此,他们必须有关于缺血性中风护理管理的持续和定期的培训计划。目的:探讨实施缺血性脑卒中护理管理方案对重症监护护士知识和实践的影响。方法:采用准实验设计对56名在埃及某大学附属医院重症监护病房工作的重症监护护士进行研究。数据通过一个工具收集:护士关于缺血性卒中护理管理方案的知识和实践。结果:实施缺血性脑卒中护理管理方案前后护士的知识和实践差异有高度统计学意义(P<0.001)。结论:实施缺血性脑卒中护理管理方案可提高护士对缺血性脑卒中患者护理的知识和实践水平。建议:应组织重症监护护士进行缺血性脑卒中管理的持续在职培训,以提高他们的知识和实践,使他们保持最新的能力。
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引用次数: 0
Comparing Between the Effectiveness of Twill and Adhesive Tape Techniques in Securing the Endotracheal Tube and Maintaining the Integrity of Oral Mucous Membrane among Critically Ill Patients 斜纹与胶带技术在危重患者气管插管固定及维持口腔粘膜完整性中的效果比较
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.258996
Rehab Ali, Marrwa Fathallah, Nahed Kandeel
Background: Tracheal intubation is one of the most common emergency procedures performed for patients in intensive care units. Many life-threatening complications result from improper nursing management regarding endotracheal tube fixation. Various techniques have been utilized by critical care nurses to ensure endotracheal stabilization in order to maintain a patent airway and prevent or minimize complications. The optimal stabilization method should not only be secured but also requires other considerations as ease of use, few complications, and time effectiveness with patient comfort. Thus, this study aimed to compare the effectiveness of Twill and adhesive tape techniques in securing the endotracheal tube and maintaining the integrity of the oral mucous membrane among critically ill patients. Method: A quasi-experimental research design was utilized to conduct this study among 74 orally intubated patients in three surgical intensive care units affiliated with Mansoura Emergency Hospital in Egypt. Two tools were used to collect data for this study; endotracheal tube placement assessment sheet and oral assessment guide scale. Result s: There were highly statistically significant differences between the two groups regarding the ETT slippage at 30, 60, and 120 minutes (P =0.011 <0.001& < 0.001). Moreover, 5.4% of the participants in the Twill group had severe oral mucositis compared with 27% of the participants in the adhesive tape group with statistically significant differences between the two groups ( P < 0.001). Conclusion: The Twill technique is more effective than the adhesive tape technique for securing the ETT and maintaining the integrity of the oral mucous membrane among critically ill patients. Therefore, the Twill technique is recommended to be used in intensive care units to ensure effective management during ETT routine care and avoid the occurrence of slippage.
背景:气管插管是重症监护病房患者最常见的急诊程序之一。许多危及生命的并发症是由于气管内固定管的护理管理不当造成的。重症监护护士使用各种技术来确保气管内稳定,以维持气道通畅并预防或减少并发症。最佳的稳定方法不仅要安全,而且还需要考虑其他因素,如易用性,并发症少,时间有效性和患者舒适度。因此,本研究旨在比较斜纹和胶带技术在重症患者气管插管固定和维持口腔粘膜完整性方面的有效性。方法:采用准实验研究设计,对埃及曼苏拉急救医院附属3个外科重症监护病房74例经口插管患者进行研究。本研究使用两种工具收集数据;气管插管放置评估表及口腔评估指导量表。结果:两组在30min、60min和120min的ETT滑脱有高度统计学差异(P =0.011 <0.001& <0.001)。此外,Twill组有5.4%的受试者有严重的口腔黏膜炎,而胶带组有27%的受试者有严重的口腔黏膜炎,两组差异有统计学意义(P < 0.001)。结论:斜纹技术比胶带技术更能有效地固定气管外膜,维持危重患者口腔黏膜的完整性。因此,建议在重症监护室使用Twill技术,以确保ETT常规护理期间的有效管理,避免滑脱的发生。
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引用次数: 1
Endotracheal Tube Nursing Care: Current Evidence 气管插管护理:当前证据
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.259016
Fatma Alzahraa Saad, H. Ahmed, Nassef Rezk, Nahed Kandeel
Background: Endotracheal intubation is a common clinical procedure applied for protecting critically ill patient's airway, and supporting their ventilation needs through the insertion of a large-bore, flexible, plastic tube in the trachea between the vocal cords called an endotracheal tube. Endotracheal tube care is an essential nursing practice for maintaining patient safety. The incompetent endotracheal tube care can increase patients’ hospital stay, treatment costs, and morbidity and mortality. The literature highlighted that until now nurses’ practices depend greatly on rituals and traditions. Critical care nurses are assigned to deliver safe nursing care directed by the best evidence. Most incompetent nursing care for intubated patients may be due to a lack of nurses’ awareness and knowledge of the current evidence-based practice. To optimize nursing care quality; the nursing practice should be fed by scientific knowledge and standardized evidence-based practice. Hence, this review aims to highlight the recent evidence related to endotracheal tube nursing care.
背景:气管插管是一种常见的临床手术,用于保护危重患者的气道,并通过在声带之间的气管中插入一根大口径、柔软的塑料管来支持他们的通气需求。气管内管护理是维护患者安全的必要护理实践。气管插管护理不到位会增加患者的住院时间、治疗费用、发病率和死亡率。文献强调,到目前为止,护士的做法在很大程度上取决于仪式和传统。重症护理护士被指派在最佳证据指导下提供安全护理。大多数对插管患者护理的不称职可能是由于护士缺乏对当前循证实践的认识和知识。优化护理质量;护理实践应以科学的知识和规范的循证实践为基础。因此,这篇综述旨在强调最近的证据与气管内管护理。
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引用次数: 0
Effect of an Educational Intervention on Knowledge and Self-Care Practices of Patients with Diabetic Retinopathy 教育干预对糖尿病视网膜病变患者知识和自我保健行为的影响
Pub Date : 2022-01-01 DOI: 10.21608/mnj.2022.258999
D. Abid, Walaa Othman, W. Ali
Background: Diabetic retinopathy is considered a common and specific microvascular complication of DM that develops over a period of time and causes irreversible blindness. The study aimed to: Evaluate the effect of an educational intervention for diabetic retinopathy patients on improving their knowledge and self-care practices. Method: Quasi-experimental research design was utilized in this study. Sample: A purposive sample of 100 patients from Mansoura Ophthalmic Hospital was included in this study and the sample had been divided equally into study and control groups. Tools: Data were collected using two tools; first tool was a structured interview questionnaire sheet and the second tool was self-care practices checklist. Main results: There were highly statistically significant differences among the study and control groups regarding their total knowledge and total self-care practices post implementing the educational intervention and at follow-up phases. In conclusion: Applying the educational intervention was effective in improving patients' knowledge and self-care practices. Recommendations: Ophthalmic nurses should be fully aware of their educational roles in preventing progression of the disease, collaboration between DM follow-up clinics and eye clinics in screening for DR was strongly recommended and this study should be replicated on a large sample to generalize its results.
背景:糖尿病视网膜病变被认为是糖尿病的一种常见和特殊的微血管并发症,它会在一段时间内发展并导致不可逆的失明。本研究旨在:评估教育干预对糖尿病视网膜病变患者知识和自我护理的影响。方法:采用准实验研究设计。样本:本研究选取曼苏拉眼科医院100例患者作为目的样本,将样本平均分为研究组和对照组。工具:使用两种工具收集数据;第一个工具是结构化访谈问卷,第二个工具是自我保健实践清单。主要结果:实验组与对照组在实施教育干预后及随访阶段的总知识和总自我保健行为有高度统计学差异。结论:教育干预对提高患者的护理知识和自我护理行为是有效的。建议:眼科护士应充分意识到他们在预防疾病进展中的教育作用,强烈建议糖尿病随访诊所和眼科诊所在筛查DR方面进行合作,并应在大样本中复制本研究以推广其结果。
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引用次数: 2
mothers' knowledge and practice regarding bronchial asthma among pre-school children 母亲对学龄前儿童支气管哮喘的认识与实践
Pub Date : 2021-09-09 DOI: 10.21608/mnj.2021.90275.1077
S. Mohamed
Background Bronchial asthma is the most common chronic disease among children. It develops in childhood before age five years that impacts morbidity and mortality rates among children as well as their quality of life. Consequently, it is important to address mothers' awareness of the management and prevention of bronchial asthma attack among their children. The aim of this study is to assess mothers' knowledge and practice regarding bronchial asthma among pre-school age children. Methodology: A cross sectional study design was carried out on 383 mothers in selected family health centers and primary health care units at Mansoura districts. Four tools were developed by the researcher for collecting the data of this study as the following: socio-demographic and economic characteristics of mothers and their children, Structured interview questionnaire to assess knowledge, and subjective practice of mothers regarding bronchial asthma. Results: The study revealed that mothers had moderate level of knowledge about bronchial asthma in addition most of the studied mothers had improper practices regarding to prevention of bronchial asthma attack. Conclusion: It is necessary to improve mothers' knowledge and practice regarding bronchial asthma. Finally, the researcher recommended that a continuous health education program regarding bronchial asthma for mothers.
支气管哮喘是儿童中最常见的慢性疾病。它发生在5岁以前的儿童时期,影响儿童的发病率和死亡率以及他们的生活质量。因此,提高母亲对孩子支气管哮喘发作的管理和预防意识是非常重要的。本研究的目的是评估母亲对学龄前儿童支气管哮喘的知识和实践。方法:对曼苏拉地区选定的家庭保健中心和初级保健单位的383名母亲进行了横断面研究设计。研究者开发了四种工具来收集本研究的数据:母亲及其子女的社会人口统计学和经济特征,结构化访谈问卷评估知识,以及母亲对支气管哮喘的主观实践。结果:调查结果显示,母亲对支气管哮喘的知识掌握程度中等,大部分母亲在预防支气管哮喘发作方面存在不正确的做法。结论:提高母亲对支气管哮喘的认识和实践是必要的。最后,研究人员建议对母亲进行持续的支气管哮喘健康教育。
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引用次数: 0
Critical care nurses’ practices in implementing the “ABCDE bundle” among mechanically ventilated patients 重症监护护士在机械通气患者中实施“ABCDE束”的实践
Pub Date : 2021-07-04 DOI: 10.21608/mnj.2021.77147.1053
E. Elkady, Nahla Khalil, M. Elshafey, F. Reshia
One of the principal complications in patients in the intensive care unit (ICU), particularly in those receiving mechanical ventilation (MV), is delirium, which is a disturbance of consciousness, attention, cognition and perception that develops over a short period of time usually hours to days and tends to fluctuate during the course of the day .It is associated with increased mortality, prolonged mechanical ventilation, and prolonged hospital length of stay (LOS). The ABCDE is stand for Awakening and Breathing Coordination, Delirium monitoring/management, and Early exercise/mobility bundle that has been proposed as an interdisciplinary, multi-component intervention in ICUs to reduce incidence of delirium. Aim of study: this study aims to evaluate the effect of implementing the ABCDE bundle on reduction of delirium among mechanically ventilated patients at Damietta hospital. Methods: A quasi experimental research pre/post intervention design will be used to conduct this study to demonstrate causality between an intervention and an outcome. The study was carried out at ICU of Damietta Chest Disease Hospital. A purposive sample of 65 adult mechanically ventilated critically patients aged between 18 and 60 of both sexes will be included. Sedation and Delirium assessment tools are used. Result: This study shows that mechanically ventilated patients who exposed to implementation of ABCDE bundle were experienced less delirium signs than prior to ABCDE bundle implementation (usual care). So; there were significant differences in delirium scores among the studied patients before and after intervention with x2=52.52 and p-value=0.001*
重症监护病房(ICU)患者,特别是接受机械通气(MV)的患者的主要并发症之一是谵妄,谵妄是一种意识、注意力、认知和知觉的障碍,通常在数小时至数天的短时间内发生,并在一天中趋于波动。谵妄与死亡率增加、机械通气时间延长和住院时间延长有关。ABCDE是苏醒和呼吸协调、谵妄监测/管理和早期运动/活动捆绑的缩写,已被提出作为icu中跨学科、多组分的干预措施,以减少谵妄的发生率。研究目的:本研究旨在评价在Damietta医院机械通气患者中实施ABCDE束对减少谵妄的效果。方法:采用准实验研究的干预前/干预后设计进行本研究,以证明干预与结果之间的因果关系。该研究在Damietta胸病医院ICU进行。有目的的样本包括65名年龄在18至60岁之间的男女成人机械通气危重患者。使用镇静和谵妄评估工具。结果:本研究表明,机械通气的患者接受ABCDE捆绑治疗后,谵妄症状比接受ABCDE捆绑治疗前(常规护理)少。所以;干预前后患者谵妄评分差异有统计学意义,x2=52.52, p值=0.001*
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引用次数: 0
Assessing the Social-emotional and Adaptive Behavior Scores of Bayley-IIIScales, for Normal Egyptian Infants and Toddlers 对正常埃及婴幼儿的社会情绪和适应行为评分的bayley - iii量表评估
Pub Date : 2021-07-01 DOI: 10.21608/mnj.2021.213079
Eman Nofal, R. Hassan, M. Bassiouny, S. Hashem
Background : Early assessment of the child's developmental skills especially socialemotional and adaptive behavior skills is very important for early treatment and preventing problems. TheBayley-III scales are a worldwide valid tool for assessment of the children`s different developmental skills.This study aimedtoassess the social-emotional and adaptive behavior scores of Bayley-III scales, for normal Egyptian infants and toddlers . Method:Across-sectional comparative design was used .Setting :The study was performed at the neonatal intensive care unitfollow-up clinic and the Staff Day Work nursery both affiliated to Mansoura University Children Hospital .Subjects :a convenience sample of all available young children ranged in age 3 months to 42 months and 16 days of both genders )n=140 .(Tools:tool (I):structured interview questionnaire sheet developed with ؛ Part (1 :(characteristics of the participated infants/toddlers .Part (2 :(characteristics ofthe participated children`s parents،tool (II :(The researcher has adopted and used twointerview questionnaires of the Bayley-III scales of Infant and Toddler Development ، Third Edition :(1) Social-emotional scale questionnaire and (2) Adaptive behavior scale questionnaire.Results :This study demonstrated that the social-emotional scale of the Bayley-IIIhadahighmean row score and mean composite score which exceeded the USA scores .Conclusion :The results suggested that the social-emotional scale and the adaptive Behavior scale of the Bayley-III can be feasible instruments for assessment of the Egyptian children'sdevelopment.Recommendations:An adapted translated version of the Social -emotional and Adaptive behavior Scalescanhelp in improving and contributing to the research and clinical field.
背景:早期评估儿童的发展技能,特别是社会情感和适应性行为技能,对于早期治疗和预防问题非常重要。贝利- iii量表是世界范围内评估儿童不同发展技能的有效工具。本研究的目的是评估社会情绪和适应行为得分的贝利- iii量表,正常的埃及婴幼儿。方法:采用横断面比较设计。环境:研究在曼苏拉大学儿童医院附属新生儿重症监护室随访诊所和职工日班托儿所进行。研究对象:方便样本:年龄在3个月至42个月和16天的所有幼儿,n=140。(工具:工具(I):与第(1)部分:参与研究的婴幼儿特征。第(2)部分:参与研究的婴幼儿特征parents،tool(2)研究者采用并使用了贝雷婴幼儿发展量表第三版的两份访谈问卷:(1)社会情绪量表和(2)适应行为量表。结果:本研究表明,Bayley-III社会情绪量表的hadahighmean row得分和mean composite得分均超过了美国的得分。结论:Bayley-III社会情绪量表和适应行为量表可以作为评估埃及儿童发展的可行工具。建议:社会情绪和适应性行为量表的改编翻译版本可以帮助改善和贡献研究和临床领域。
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引用次数: 0
The Effect of Different Values of Positive End Expiratory Pressure on Ventilation Parameters among Critically Ill Patients 不同呼气末正压值对危重患者通气参数的影响
Pub Date : 2021-07-01 DOI: 10.21608/mnj.2021.213087
Samah Eleraki, H. Ahmed, H. Abdelrahman, Nahed Kandeel
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引用次数: 1
Assessment of Nurses Knowledge and Practice about an Upper Limb Exercise for Burned Children 护理人员对烧伤儿童上肢运动知识与实践的评估
Pub Date : 2021-07-01 DOI: 10.21608/mnj.2021.213086
M. Ibrahim, F. Abusaad, G. Ebrahem
Background:Burns are one of the most serious injuries, they have a great impact on children. Hand function is one of the most important goals of burn rehabilitation and is consequently a vital functional outcome, because it is strongly predictive of sacksful reintegration into life role. Aim: This study aimed to assess the nurses’ knowledge and practice about an upper limb exercise for burned children Design: Descriptive research was useded. Setting: The study was conducted at burn unit at Plastic, Reconstructive and Burn Surgery Center Mansoura and Mansoura New General Hospital at Mansoura city. Subject:A convenience sample of (55) nurses at the previous mentioned settings. Tools: Two tools were used to collect data. Tool 1Structured interview sheet for nurses about upper limb Exercise. Tool II: Observational checklists for nurses about upper limb exercise. Results: Indicated that the majority of the studied nurses didn't receive any training program about upper limb exercise for burned children and more than three fourth of the studied nurses had an unsatisfactory levels of knowledge, as well as the minority of the studied nurses demonstrated competent level of practice regarding upper limb exercise. Conclusion: The present study indicated that the nurses had unsatisfactory levels of knowledge and incompetent level of practice regarding upper limb exercise. Recommendation: In-service training programs for nurses directed toward upper limb exercise for children with burn should be conducted.
背景:烧伤是最严重的伤害之一,对儿童的影响很大。手功能是烧伤康复最重要的目标之一,因此是一个至关重要的功能结果,因为它是强烈预测麻袋重新融入生活角色。目的:本研究旨在了解护理人员对烧伤儿童上肢运动的知识和实践情况。环境:研究在曼苏拉市整形、重建和烧伤外科中心和曼苏拉新总医院的烧伤科进行。对象:方便样本(55)护士在上述设置。工具:使用两种工具进行数据收集。工具1:对护士上肢锻炼进行结构化访谈。工具二:护士上肢运动观察清单。结果:绝大多数受访护士未接受过烧伤患儿上肢运动的相关培训,超过四分之三的受访护士上肢运动知识水平不理想,少数受访护士上肢运动能力较强。结论:本组护士对上肢运动的知识水平不高,实践水平不高。建议:针对烧伤儿童上肢运动的护士进行在职培训。
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引用次数: 0
期刊
Mansoura Nursing Journal
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