@article { author = {Emam, Ekbal and Ahmed, Mervat}, title = {Improvement of women's knowledge, attitude and practice regarding osteoporosis after an interventional educational program}, journal = {Zagazig Nursing Journal}, volume = {9}, number = {1}, pages = {1-14}, year = {2013}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2013.38627}, abstract = {Background: Osteoporosis is a major health problem adversely affecting the qualityof life and incurring extra costs on the patient and the society. Primary prevention is mostimportant through healthy dietary habits and proper physical exercise. Aim: the study wascarried out with the aim of evaluating the effect of an educational program about osteoporosison improving women's knowledge, attitudes and practices. Setting: it was conducted in Miniacity in Upper Egypt using a quasi-experimental design. Sample: a systematic random sampleof 150 women was recruited from the registries of home visit program in the faculty ofNursing at Minia University. Tool: Data were collected using an interview questionnairesheet assessing women's medical history, knowledge, attitude, and practices as well as riskfactors for osteoporosis. An educational program based on pertinent literature, and in the lightof the findings of the assessment phase was developed, implemented, and evaluated at the endof the program, and during the 3-month follow-up period. The results revealed that women’spre-program knowledge was low, but significantly improved at the post and follow-up phases(p<0.001). Pre-program attitude and practice were better than knowledge; however,significant improvements were detected after the program. Multivariate analysis revealed thatattendance of the program was the most important independent predictor of the scores ofknowledge, attitude, and practice. Conclusion: the educational program based on needsassessment was effective in improving women’s knowledge, attitude, and practice related toosteoporosis. Recommendations: it is recommended to use this educational program incommunities where the risk factors of osteoporosis are prevalent. The role of health careprofessionals, including nurses, should be more activated.}, keywords = {Osteoporosis,Women Health,Knowledge,Attitude,Practice,education,Intervention}, url = {https://znj.journals.ekb.eg/article_38627.html}, eprint = {https://znj.journals.ekb.eg/article_38627_44757599c89cfb63e172dbe1c8cb0d94.pdf} } @article { author = {Hussein, Farida}, title = {Relationship between Structural Empowerment, Work Engagement, and Job Satisfaction among Nursing Staff at Zagazig University Hospitals}, journal = {Zagazig Nursing Journal}, volume = {9}, number = {1}, pages = {15-30}, year = {2013}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2013.38631}, abstract = {Background: In any health care setting, the nursing staff plays an important role fororganizational achievement. Therefore, it is very important for the nurse managers torecognize nurses’ work and provide them with opportunities to grow and to look after theircomfort (1). Aim: identify the relationship between structural empowerment, workengagement, and job satisfaction among nursing staff at Zagazig University Hospitals.Design: Descriptive correlational, cross-sectional study. Setting: The study was conducted atall Zagazig University Hospitals Sample: Stratified random sample was used. 100 full timestaff nurses who have a minimum of 6 months’ nursing experience in the organization wereselected. Tools of data collection: A demographic sheet, the Conditions for workEffectiveness Questionnaire-II (CWEQ-II), the Utrech Work Engagement scale, and theabridged job in general scale (AJIG scale) were used. Results The sample of 100 staff nurseswas females with a mean age of (33.45), and an average of 15.18 years of experience. Themajority of them had diploma qualification. 41% of nurses had satisfactory scores in relationto structural empowerment, and 48% of them had satisfactory scores in relation to workengagement. While nearly half of them have satisfactory scores in relation to overall jobsatisfaction (53%). Statistical significant correlation between structural empowerment andwork engagement (r= .224*), and job satisfaction and both of structural empowerment(r=.348**) and work engagement (r=.297**) were detected. Also, work engagement haspartial mediation effect on empowerment/ overall nurse’ job satisfaction relationship.Conclusion: There were highly significant positive correlation between job satisfaction andboth of structural empowerment and work engagement among nurses working in ZagazigUniversity Hospitals. Moreover, work engagement has partial mediation effect onempowerment/overall nurse’ job satisfaction relationship. Recommendation: NurseManagers at Zagazig University Hospitals should develop and implement strategies to engagetheir staff in work}, keywords = {Structural Empowerment,work engagement,Job Satisfaction,Staff nurses}, url = {https://znj.journals.ekb.eg/article_38631.html}, eprint = {https://znj.journals.ekb.eg/article_38631_1c78a48afa32f4ae5d49b8e9ec7eb69c.pdf} } @article { author = {Abd El-Aziz, Eman and Sorour, Amany}, title = {Perception of Clinical Decision Making among Nurses: Students versus Interns}, journal = {Zagazig Nursing Journal}, volume = {9}, number = {1}, pages = {31-42}, year = {2013}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2013.38635}, abstract = {Back ground: Clinical Decision-Making (CDM) is a dynamic and complex thinking processthat nurses have to make frequently each day while planning and delivering care. The aim ofthis study was to compare between baccalaureate (final year) nursing students and internsregarding their perception of clinical decision-making. Setting & Sample: An analytic crosssectionaldesign was used to conduct the study at the Faculty of Nursing, Zagazig Universityon 100 baccalaureate nursing students and 124 interns selected by convenience sampling.Tool: A self-administered questionnaire form including the Clinical Decision-Making inNursing Scale was used to collect data. The fieldwork lasted from September to November2012. The results showed no significant differences between the students and interns in themean and median scores of all four subscales and the total score. In both, the scores are higherfor the subscales of searching for alternatives and canvassing objectives/values. The mediantotal scores were equal for males and females (3.16) and almost equal for single (3.18) andmarried (3.15) respondents. Age and academic grade achievement had no influence onperception of decision-making. The study concludes that final year nursing students andnurse interns have average clinical decision-making with no difference in the perceptions ofthe two groups. Recommendations: The faculty of nursing should give more emphasis on thedevelopment of this skill in undergraduate curricula and in internship programs, withprovision of needed resources for research and evidence-based practice. Further research issuggested for identification of the factors that may improve or impede the development of thisskill among nurses.}, keywords = {Clinical decision making,Nurse Students,interns,perception}, url = {https://znj.journals.ekb.eg/article_38635.html}, eprint = {https://znj.journals.ekb.eg/article_38635_5d187dea6cb3df68167189587e00dc80.pdf} } @article { author = {Sorour, Amany}, title = {General Health Problems among Oncology Nurses Handling Antineoplastic Agents: A Comparative Study}, journal = {Zagazig Nursing Journal}, volume = {9}, number = {1}, pages = {43-55}, year = {2013}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2013.38638}, abstract = {Background: The antineoplastic drugs pose an occupational hazard to nurses. The GeneralHealth problems have not been addressed in the literature although they might provide earlyindicators for safety of nurses. Aim: to compare general health problems among oncologynurses handling antineoplastic agents and those in other departments not dealing with thesehazardous exposures. Setting & sample: Retrospective study was conducted on 50 nurses inthe oncology department at the nuclear medicine centre, and 50 control nurses from thedepartments of ophthalmology and orthopedic at El-kasr El Aini hospital. Tool: A selfadministeredquestionnaire covering personal data, menstrual and reproductive history, andgeneral health problems, and assessment of exposure to antineoplastic agents in exposednurses was used for data collection. Results: More exposed nurses suffered dysfunctionalbleeding (p=0.006), and menorrhagia (p=0.005), especially with no identified causes. TheOdds Ratios (ORs) ranged between 2.7 for irregularity to 7.4 for dysfunctional bleeding. Theyhad more dysuria (p=0.03), dermatitis (p=0.01), and stomatitis (p<0.001), with ORs 2.5 to4.9. Menstrual problems increased with the duration of exposure, with ORs 4.3 for bleedingand 16.7 for menorrhagia, and significant positive correlations. Conclusion: The studyconfirms the hazardous effects of nurses' occupational exposure to antineoplastic agents ongeneral health. Recommendations: The findings corroborate the need of health educationprogram to maintain safety measures, medical examinations for nursing staff prior to theirappointment and Periodic screening for early detection of any deviations from normal, withprompt occupational health intervention.}, keywords = {Oncology nurse,antineoplastic,Occupational Exposure,general health problems}, url = {https://znj.journals.ekb.eg/article_38638.html}, eprint = {https://znj.journals.ekb.eg/article_38638_a67227298cbaeb7c47bf1ecebf1d64bc.pdf} } @article { author = {Ahmed, Zeinab and Zatton, Howida and Mohamed, Safaa and Mohamed, Magda}, title = {Needs and Problems Encountered Among Post Mastectomy Patients: Suggested Nursing Guidelines}, journal = {Zagazig Nursing Journal}, volume = {9}, number = {1}, pages = {56-68}, year = {2013}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2013.38640}, abstract = {Background: Breast cancer is the most prevalent cancer worldwide with about one millionnew cases annually. Breast cancer remains major health problem all over the world. Thelife-threatening nature of breast cancer and the consequences of the aggressive treatmentregimes can result in a wide range of physical, emotional and social consequences mayinfluence the patients' needs. Aim of this study: assess problems and needs whichencountered among breast cancer patients following mastectomy and develop suggestednursing guidelines. Subjects and methods: Descriptive design was conducted for sample of60 adult female patients admitted to oncology units, at Zagazig University hospitals through:using interview questionnaire sheet. Results: This study revealed that, most patients sufferedfrom pain, difficulty in hand movement at surgical site, high costly treatment, chemotherapyand radiotherapy side effects following mastectomy. There are significant relations betweenpatients’ ages and needs for helping in eating, clothing and bathing, between level ofeducation and needs for economic help and between constipation and patients’ needs fornursing guidelines. Conclusion: Patients’ substantial needs and problems require professionalsupport even after completion of the patients’ treatment. Continued assessment of thepatients’ needs and symptoms provide the basis for purposeful counseling and education.Recommendations: Rehabilitation programs for patients should be developed andimplemented in clinical practice.}, keywords = {Mastectomy- Problems- Needs-Nursing Guidelines}, url = {https://znj.journals.ekb.eg/article_38640.html}, eprint = {https://znj.journals.ekb.eg/article_38640_58f57e2f1ca420b3589fcdad70ed6446.pdf} } @article { author = {Metwaly, Eman and Mohammed, Elham and Mohammed, Magda}, title = {Nurses' Performance Regarding Nasogastric Tube Feeding in Intensive Care Units}, journal = {Zagazig Nursing Journal}, volume = {9}, number = {1}, pages = {69-86}, year = {2013}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2013.38641}, abstract = {Background: Nasogastric tube (NGT) feeding is a common practice in Intensive care Units(ICUs). The aim of study was to assess nurses' performance regarding nasogastric tubefeeding in Intensive Care Units. Subjects and methods: A descriptive correlation design wasused in this study. All nurses (100) in all ICUs at Zagazig University Hospitals wereincluded. Two tools were used for collecting data, 1) questionnaire sheet to collect knowledgeabout socio-demographic characteristics of study nurses and questions to assess nurses'knowledge regarding nasogastric tube and feeding administration. 2) Observational checklistto assess nurses' practice regarding NGT insertion and feeding administration. Results: thestudy finding revealed that there was a statistical significant relation between total knowledgeand total practice concluded that nurses had unsatisfactory level of knowledge about NGTinsertion and feeding, and their level of practice was unsatisfactory. It can be concluded thatthe majority of nurses in intended ICUs did not apply the most recommended nursingpractices regarding nasogastric tube insertion and feeding administration. It is recommendedto provide a training program for all nurses who provide care to critically ill patients in ICUs,periodic evaluation of nurses' practice.}, keywords = {performance,Nasogastric tube,Intensive Care Units}, url = {https://znj.journals.ekb.eg/article_38641.html}, eprint = {https://znj.journals.ekb.eg/article_38641_5629797e3aef53df44c6f4974c1d91e4.pdf} } @article { author = {Attia, Noura and Nour, Sanaa and Genaid, Amina and Mohamed, Eman}, title = {Risk Factors and Pregnancy Outcome of Placenta Previa at Zagazig University Hospitals}, journal = {Zagazig Nursing Journal}, volume = {9}, number = {1}, pages = {87-102}, year = {2013}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2013.38643}, abstract = {Background: Placenta previa is a major cause of third trimester hemorrhage complicatingbetween 0.3% and 0.5% of pregnancies and accounting for significant maternal and perinatalmortality The aims of this study was to; determine the risk factors responsible for rising ratesof placenta previa and compare pregnancy outcomes between women with placenta previaand those with normal placental situation. A prospective case control design was selected incarrying out this study and a representative sample of 200 parturient women (100 withplacenta previa being hospitalized or none hospitalized before delivery and 100 withnormally situated placenta) were recruited for this study. The tools used for data collectionwere; an interview questionnaire sheet, a clinical assessment form, the partograph, a summaryof labor sheet and a neonatal assessment sheet. The results of the present study revealed thatthe risk of having placenta previa was significantly increased with increased maternal age,high gravidity, mal-presentation as well as the history of infertility and use of ART, andprevious cesarean section (p=0.001). They were less likely to have pre-eclampsia, multiplegestations, exposure to smoking and previous abortion. Anterior localization was morecommon and complete and incomplete placenta previa constitute three fifth of the cases andthere was increased risk of abnormal adherence of the placenta. It can be concluded that,placenta previa was associated with considerable maternal and fetal morbidity and mortality.The study recommended that: Early diagnosis of placenta previa, identification of riskfactors, adopting recent modalities of diagnoses and management in appropriate setting andwith adequate resources may help in better outcome by reducing the feto-maternalcomplications.}, keywords = {Placenta Previa,risk factors,Outcome}, url = {https://znj.journals.ekb.eg/article_38643.html}, eprint = {https://znj.journals.ekb.eg/article_38643_ea0d075e9cd5cb9ce717e24334f54cd2.pdf} } @article { author = {Elsalamoni, Marwa and Abdel Aal, Mona and Ali, Salwa and Abd El-Fattah, Sorayia}, title = {The Effect of Psychosocial Counseling Sessions on Family Caregivers Living with Patients having Dementia}, journal = {Zagazig Nursing Journal}, volume = {9}, number = {1}, pages = {103-118}, year = {2013}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2013.38647}, abstract = {Background: Each caregiver responds differently to his/her role, depending primarily on theemotional closeness that existed prior to assuming the responsibility, and the ability to adaptto the strain incumbent within the caregiver role over an extended period of time. Aim: Thisstudy was conducted to assess the effect of psychosocial counseling sessions on familycaregivers living with patients having dementia. Quasi-experimental design was used in thisstudy. Setting : the outpatient clinic of El-Abassia government hospital for mental health, andgeriatric center in Ain shams university hospital. It included sample of 61 caregivers in precounseling that decreased in post counseling to 49 caregivers. The tools of data collection;were interview questionnaire form, burden of the family caregivers, and adaptive copingscale. The study results showed that the majority of family members who got anxiety ordepression were 95.1%in pre test, while 12.2% in post test. Implementation of counselingintervention sessions showed a statistically significantly improvement in family caregivers’knowledge about the disease. The study concluded that psychosocial counseling session forfamily caregiver of dementia patient improves caregiver knowledge and coping strategiesincreased post counseling. The study recommended, health education should conducted anevery caregiver setting provide care for demented patient about knowledge about disease, andsupport family by provided them with educating caregivers about this target and explainingthat they must take care of themselves is of utmost importance.}, keywords = {Dementia,psychosocial counseling,Coping strategies,family caregivers}, url = {https://znj.journals.ekb.eg/article_38647.html}, eprint = {https://znj.journals.ekb.eg/article_38647_31e397916b78d10f098e04c55dc45975.pdf} } @article { author = {Abd Elnaser, Mona and Soror, Amany and Elzeiny, Hanaa and Elmasry, Yosr}, title = {Aggression and Depression among Orphanages resident Children}, journal = {Zagazig Nursing Journal}, volume = {9}, number = {1}, pages = {119-134}, year = {2013}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2013.38649}, abstract = {Background: aggression and depression are common problems among children inorphanages. Occur in the form of disobedience, anger, verbal hostility and self blame,and affected on academic achievement, less concentration and cause withdrawal fromsociety. The aim of these study aim was to assess aggression and depression amongorphanages' resident children. Sample & setting: A descriptive cross sectional design wasselected in carrying out this study on a sample of 97 orphan child residing 5 orphanages;Epnaty, Phagr El Eslam, El Safa. El Amal and Tahsin El Seha Shelters). Tools: the maintools used for data collection were; aggression scale and depression scale. The results of thepresent study revealed that 29.9% of orphans children had depressive symptoms and 35.1%had aggressive symptoms. Additionally, males had more depressive symptoms than females,while females had aggressive symptoms more prevalent than males. Physical aggression wasrecorded among 20.0% of orphans children having depression and a total aggression wasrecorded among 20.6% of orphans children having depression. It can be concluded thatfemales orphans were more aggressive than males and male ones were more depressive thanfemales. Increased aggression and depression among orphans was related to increase timespent in orphanage. The study recommended that health educational programs should begiven to caregivers in orphanages and teachers regarding how to deal appropriately withthose children.}, keywords = {Orphanages,school age orphans,aggression,depression}, url = {https://znj.journals.ekb.eg/article_38649.html}, eprint = {https://znj.journals.ekb.eg/article_38649_1175f0cfafa3f75f4a71761d8e61a40d.pdf} }