@article { author = {Ahmed, Safaa and Nour, Sanaa and Elshahat, Amal and AbdAllah, Inas}, title = {Effect of Maternal Semi-Sitting, Dorsal Recumbent and Lithotomy Positions on the Progress of Labor: A Comparative Approach}, journal = {Zagazig Nursing Journal}, volume = {8}, number = {2}, pages = {1-17}, year = {2012}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2012.38866}, abstract = {Although various positions adopted during labor and delivery has been studied over thepast 40 years, controversy still surrounds the results regarding obstetric variables. The aim ofthis study was to compare the effect of maternal semi-sitting and dorsal recumbent versuslithotomy positions on the progress of labor. A Quasi-experimental research design wasadopted. Setting: The study was carried out in the labor ward of the General Hospital and theHealth Insurance Hospital in Beni Suef Governorate. The sample were eighty parturientrecruited in each of the three labor positions: semi-sitting (SS), dorsal recumbent (DR), andlithotomy (LI) positions. Tools of data collection were; a structured interview schedule, anassessment sheet of mother fetal condition, and observation checklist: to collect data aboutdetails of second and third stage of labor. The results of the study revealed that the meanduration, frequency, and intensity of the uterine of the contractions were highest in the SSgroup, and lowest in the LI (p<0.001). No significant differences were noticed among thethree groups in their vital signs, but women in the SS group had women who were highermean diastolic pressure (p<0.001). The mean duration of the second and third stages in theSS group was lower than those in the DR and LI groups. Conclusion: The frequency,intensity, and duration of the uterine contractions were better compared to dorsal recumbentand lithotomy positions. The mean durations of the second and third stages were alsosignificantly shorter. Recommendations: the utilization of the semi-sitting labor positionmust be encouraged, with randomized clinical trial to provide further confirmation of thestudy findings.}, keywords = {Semi-sitting,Dorsal recumbent,Lithotomy,Second stage of labor}, url = {https://znj.journals.ekb.eg/article_38866.html}, eprint = {https://znj.journals.ekb.eg/article_38866_6307e612fc622222ee80b75b67f3e6a0.pdf} } @article { author = {El-Demerdash, El-Demerdash and Abo Gad, Reda}, title = {Educational Environment as Perceived by Nursing Students at Tanta University}, journal = {Zagazig Nursing Journal}, volume = {8}, number = {2}, pages = {18-33}, year = {2012}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2012.38867}, abstract = {Background: In a nursing programme, the main objective is to produce nursing graduateswho can provide comprehensive care and treatment to the community. A good approach tothe systematic design of a learning environment can lead to positive outcomes for graduates.Aim: The aim of this study was to identify students’ perception of the educationalenvironment at Nursing Faculty at Tanta University. Design: Comparative design was used.Setting & sample: The study was conducted at Faculty of Nursing at Tanta University. Theresearch design was carried out on 399 nursing students are selected randomly from 4th, 3rd,and 2nd year students and willing to participate in the study. Tools: the data of the study wascollected using Dundee Ready Educational Environment Measure (DREEM) instrument.Results: results of study reveals that the global mean score of 4th year students 112.42 withmean percent 56.2% is higher than what is observed in 3rd, and 2nd year students 107.20,107.140 with mean percent 53.6%, 53.5%, respectively. The highest mean percentage score is59.4%, 57.6% and 56.6% for 2nd, 4th and, 3rd year students respectively, are for students’perception of teachers with mean score 26.114±5.1315, 25.366±5.3813 and 24.911±6.3038respectively, while, nursing students` lowest mean percentage is 48.7%, 48.6% and 47.8% for2nd 4th, and 3rd year students’ perception of atmosphere with mean score 23.386±6.3323,23.333±6.7033 and 22.948±6.8668, respectively. Conclusion: Remedial measure should beneeded in the subscales for the three years students` perceptions of atmosphere, as well asstudents’ academic self perception and students’ social self perceptions for 2nd year studentsneed further improvement It recommended that the need for the creation of a supportiveenvironment, in addition to designing and implementing interventions to remedyunsatisfactorily elements of the learning environment for more effective and successfulteaching and learning.}, keywords = {Educational Environment,student perception,DREEM,Nursing students}, url = {https://znj.journals.ekb.eg/article_38867.html}, eprint = {https://znj.journals.ekb.eg/article_38867_ddacea7fc3824f8d386e25f7752d17a5.pdf} } @article { author = {Ahmed, Safaa and Nour, Sanaa and Elshahat, Amal and d AbdAllah, Inas}, title = {Effect of Maternal Semi-Sitting, Dorsal Recumbent and Lithotomy Positions on the Labor Outcome: A Comparative Approach}, journal = {Zagazig Nursing Journal}, volume = {8}, number = {2}, pages = {18-33}, year = {2012}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2012.38869}, abstract = {The interest in the evaluation of the various positions adopted during labor and delivery withrespect to pain relief and comfort for women, in addition to better outcomes, have yet to befully clarified and there is thus as yet no consensus with regard to the optimal position to beadopted . The aim of this study was to compare the effect of maternal semi-sitting and dorsalrecumbent versus lithotomy positions on labor outcome and women satisfaction. A quasiexperimentaldesign was adopted in this study. Setting: the study was carried out in the laborward of the General Hospital and the Health Insurance Hospital in Beni Suef Governorate.The sample: eighty parturient women were recruited in each of the three labor positions:semi-sitting (SS), dorsal recumbent (DR), and lithotomy (LI) positions. Tools of datacollection were; a structured interview schedule, an assessment checklist, and a satisfactionsheet. Results: revealed that women in the SS group had significantly lower rates ofepisiotomy, labial injury, vaginal edema, perineal lacerations, and postpartum hemorrhage(p=0.001). Their newborns had the highest Apgar scores at the first and fifth minutes, andnone of them had fetal complications (p<0.001). Most (88.8%) women in the SS group weresatisfied with the position, had less problems, preferred to assume this position in the nextlabor, and will recommend the position to others (p<0.001). Conclusion: semi-sitting positionduring labor and delivery was found to have clinical advantages without risk to mother orinfant. Enhanced maternal and fetal outcomes included better Apgar score, improved perinealintegrity, vulvar edema, less blood loss and better women satisfaction. Recommendations:the utilization of the semi-sitting labor position must be encouraged, with randomized clinicaltrial to provide further confirmation of the study findings.}, keywords = {Semi-sitting,Dorsal recumbent,Lithotomy,labor outcomes}, url = {https://znj.journals.ekb.eg/article_38869.html}, eprint = {https://znj.journals.ekb.eg/article_38869_db7123941f9c36db1d97d6cbe07be68a.pdf} } @article { author = {Abdel-Razik, Bahia and Ragheb, Marwa and Mohammed, Magda}, title = {Effect of an Educational Program on Self Efficacy for Patients with Type 2 Diabetes Mellitus}, journal = {Zagazig Nursing Journal}, volume = {8}, number = {2}, pages = {53-70}, year = {2012}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2012.38871}, abstract = {Background: Self-efficacy has important theoretical and practical applications for healthpromotion and disease prevention among older adult. The present study aimed to evaluatethe effect of an educational program on self efficacy for patients with type 2 diabetes mellitus.Setting: The study was conducted at outpatient clinic at Benha University Hospital inkaluobia governorate. Sample: The study was applied on 50 adult patients with type 2diabetes mellitus aged between 20-50 years selected randomly from both sexes withoutdisabilities and who can at least read and write. Tools: Data were collected through aninterviewing questionnaire including (socio-demographic data and medical history), Patient’sknowledge & practice questionnaire sheet, and Diabetes Management Self-Efficacy Scale(DMSES). Results: The results of the study concluded that there were highly significantstatistical differences in total knowledge, practice, and self efficacy scores of the studiedsample after implementation of the educational program; an extremely statistical significantdifference was found in mean scores of glycosylated hemoglobin (A1c) levels after applyingthe educational program. Conclusion: After implementation of the educational program,A1Clevels had been improved significantly (an extremely statistical significant difference wasfound in mean scores of hemoglobin A1C levels after applying the educational program, therewas a highly statistical significance difference in total knowledge, practices, and self efficacyscores of diabetic patients after applying the educational program. Recommendations: Thestudy recommended that further programs with continuous follow up for peoples withdiabetes should be applied in all health care centers to help them to improve their self carebehaviors and self efficacy.}, keywords = {Educational Program,Self_Efficacy,Type 2 diabetes mellitus}, url = {https://znj.journals.ekb.eg/article_38871.html}, eprint = {https://znj.journals.ekb.eg/article_38871_279bb1787dff22d14d4a5b301d75b9e2.pdf} } @article { author = {Hussien, Mona and Ali, Salwa and Aboel- Seoud, Amany and Sorour, Amany}, title = {The Impact of Health Education Intervention on Nurses' Knowledge and Practice for Preventing Infection in Operating Rooms in Zagazig University Hospitals}, journal = {Zagazig Nursing Journal}, volume = {8}, number = {2}, pages = {71-86}, year = {2012}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2012.38872}, abstract = {Background: Infection is one of the major problems in the operating rooms. Manystudies showed that nurses are dangerously exposed to many hazards; such as needle stick andsharps injuries with high incidence in the operating room due to many factors such as lack ofexperience, cross infection, and work overload. Nurses need more attention for ensuringeffective compliance with universal precautions. Aim of study: Assess nurses' knowledge andpractice about universal precautions, plan and implement health education program for nursesabout universal precautions and evaluate the impact of health education on nurses' knowledgeand practice about universal precautions. Setting: emergency hospital (ambulatory surgeryunit), and new surgery hospital. Study sample: consists of 70 nurses, 30 nurses from theoperating rooms in the emergency hospital and 40 nurses from operating rooms in the newsurgery hospital. A quasi – experimental design was used in this study. Tools: includedquestionnaire sheet about nurses' demographic characteristics and their knowledge aboutuniversal precautions, an observational checklist for assessing practice and health educationprogram. Results: the study findings showed statistical significant relationship betweennurses' knowledge related to infection cycle pre & post program, (p<0.05), universalprecautions pre post program, (p = 0.000), waste management pre & post program, (p<0.005),role of scrub and circulatory nurse and their personal characteristics pre post program(p=0.000). Regarding nurses' observed practice most of nurses practiced its items correctlypre program and improved post program. (p=0.000). Conclusion: from the findings of thepresent study, it can be concluded that nurses' knowledge level was low concerning most ofthe items such as infection cycle, disinfection and sterilization pre program among bothgroups of nurses (study & control) and increased post program among the intervention group.The study recommended that all nurses must be medically checked up periodically; andcontinuous in-service training should be conducted for nurses related to infection control inoperating rooms.}, keywords = {Infection,operating room,universal precautions,ambulatory surgery}, url = {https://znj.journals.ekb.eg/article_38872.html}, eprint = {https://znj.journals.ekb.eg/article_38872_a83fb5ba0e714e6cfe132a7577c8f835.pdf} } @article { author = {Abo El Maatti, Gehan and Abd-Allah, Eman and Abdeen, Maha}, title = {Relationship between leadership style of the nursing institutes’ leaders and their teachers’ job satisfaction and motivation}, journal = {Zagazig Nursing Journal}, volume = {8}, number = {2}, pages = {87-100}, year = {2012}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2012.38875}, abstract = {Background: Nurse Teachers' dissatisfaction is often attributed to heavy workloads,inadequate leadership styles used by their leaders, lack of motivation, inadequate training,and lack of recognition and respect. The aim of this study is to investigate the relationshipbetween leadership styles of the nursing technical institutes' leaders and nurse teachers’ jobsatisfaction and motivation to work. Setting: It was conducted in 18 different NursingTechnical Institute at Elsharkia governorate affiliated to the Ministry of Health andPopulation (MOHP), the National Health Insurance Organization (HIO), and ZagazigUniversity Hospitals using a cross-sectional analytic design. The study sample included 36technical institutes’ leaders and 116 nurse teachers. Tools: Data were collected using selfadministeredquestionnaires for both groups. The results revealed that leadership scores weregenerally low, and 69.4% of the leaders predominantly used the transactional style, comparedto 30.6% using the transformational style, with no significant relation to their personalcharacteristics. Of the nurse teachers 62.1% had total high job satisfaction, and it wassignificantly related to age, experience, and qualification; 77.6% of them had highmotivation, with no significant associations with any of their personal characteristics.Transformational leadership had a significant association with nurse teachers' satisfaction andmotivation. A statistically significant moderate positive correlation was revealed between thescores of motivation and satisfaction (r=0.466), and a negative correlation between the scoresmotivation and transactional style (r=-0.185). It is concluded that leaders of the technicalnursing institutes have low leadership scores, and are predominantly using the transactionalleadership style. The use of transformational leadership style is associated with highersatisfaction and motivation. Therefore, it is conclusion that the leaders of nursing institutesimprove their leadership skills through periodic on-the-job training courses, and continuingeducation, and this should be a pre-requisite for appointment to leader position. Futureresearch is recommended to test the effectiveness of interventions to enhance nurse teachers’job satisfaction and motivation such as leadership training programs for leaders and staffdevelopment programs for nurse teachers.}, keywords = {leadership,Job Satisfaction,motivation}, url = {https://znj.journals.ekb.eg/article_38875.html}, eprint = {https://znj.journals.ekb.eg/article_38875_d8cb1ea2cef18a751e8bb54e31eafef3.pdf} } @article { author = {Abood, Sahar and Mosallem, Fadia and Ewis, Ashraf}, title = {Clients' Satisfaction with Maternal and Child Health Care Service at El - Minia Governorate, Egypt}, journal = {Zagazig Nursing Journal}, volume = {8}, number = {2}, pages = {101-111}, year = {2012}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2012.38877}, abstract = {Background: Health care services are being provided by health facilities to the communitywith the objective of fulfilling their satisfaction but sometimes the target population can notbe always satisfied. Client satisfaction measurement is a routine tool in health care facilities toassess the quality of service and know whether it meets the clients' expectations. Aim: Ourstudy was conducted to assess the satisfaction of clients receiving maternal and child healthservices at El-Minia MCH facilities in order to elicit suggestion for improving the services.Research design: It is a cross-sectional descriptive study Settings: This study was conductedduring April-October 2010, at El-Minia governorate, in Upper Egypt, 234 Km south to Cairo,Egypt. In El-Minia governorate, 233 different health facilities are providing MCH care (10urban centers and 223 rural health units). Sample: The target sample size 300 adult women.Tool: An interview questionnaire was developed by the authors and filled out from theanswers of the female clients who attended the services at El-Minia MCH facilities during aperiod from April to October 2010. Results: As regard to client satisfaction with the providedMCH services, 56.3% of the clients were not satisfied while 43.7% of clients accepted theservices and described it as good. Most of the clients (57%) expressed their responses as notsatisfactory regarding the assessment of physicians and 66.7 for nursing staff. Conclusions:The majority of the interviewed women were not satisfied with most of the aspects thatinclude dealing with the health care providers at all the urban and rural MCH facilities of El-Minia governorate. Consequently, the policy makers and health care providers must revisetheir quality and quantity of services, and accordingly actions must be taken to improve themto meet the clients' expectations. Recommendations: In order to overcome this low level ofsatisfaction we recommend holding regular mothers' meetings inviting opinions andsuggestions from the clients. On the other hand, adoption of an extensive national educationaland training program for the proper dealing and patients’ rights among health care serviceproviders. Moreover, in the university education for medical and nursing students, there mustbe special emphasis on patients’ rights, human dealings and quality of service that satisfies allhealth care clients.}, keywords = {Client satisfaction,maternal and child health services,El-Minia}, url = {https://znj.journals.ekb.eg/article_38877.html}, eprint = {https://znj.journals.ekb.eg/article_38877_9806193a58e3f905d8c81180f14c6816.pdf} } @article { author = {Farag, Doaa and Nour, Sanaa and El Masri, Youser}, title = {Prevalence and Risk Factors for Patients Undergoing Abortion In Zagazig University Hospitals}, journal = {Zagazig Nursing Journal}, volume = {8}, number = {2}, pages = {112-125}, year = {2012}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2012.38880}, abstract = {Background: Abortion is a public health concern because of its impact on maternalmorbidity and mortality. Each year, about 79 million unintended pregnancies, excludingmiscarriage, occur worldwide. More than half of these unintended pregnancies end inabortion. The aims of the present study were to; assess the prevalence, risk factors associatedwith abortion in Zagazig university hospitals. A cross sectional design with nested casecontrol design were selected in carrying out this study and representative samples of 800women (400 aborted women and 400 non aborted women) were recruited for this study. Thetools used for data collection were; an interview questionnaire sheet, clinical assessmentform. The results were; the prevalence of abortion as estimated from the registries ofZagazig University Hospital was 25.0 % during the period from August 2010 till July 2011.Risk factors for abortion include; women’s age, consanguinity, education, job status,exposure to pesticide, passive smoking, coffee intake and previous abortion as well asunwanted the current pregnancy. Eleven women were exposed to illegal and unsafe abortionand use misoprostol to induce abortion. It can be concluded that, the prevalence of abortionwas 25.0 % during the period from August 2010 till July 2011. Risk factors for abortioninclude; unhealthy life style, pregnancy complications and history of previous abortion. Thestudy recommended that; relevant nursing curricula must entail a detailed portion aboutabortion, management and post abortal hygiene. And nursing role for women underwentabortion should be recommended in maternity hospital protocols.}, keywords = {Abortion,prevalence,risk factors,patients,Zagazig University Hospitals}, url = {https://znj.journals.ekb.eg/article_38880.html}, eprint = {https://znj.journals.ekb.eg/article_38880_d63e6c6c8117562f9c9754ada9f0b5d2.pdf} } @article { author = {Farag, Doaa and Nour, Sanaa and El Masri, Youser}, title = {Post traumatic stress disorders for Patients Undergoing Abortion and Nursing Implications}, journal = {Zagazig Nursing Journal}, volume = {8}, number = {2}, pages = {126-139}, year = {2012}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2012.38881}, abstract = {Background: Post traumatic stress disorders [Post abortion syndrome (PAS)] is a term thathas been used to describe the emotional and psychological consequences of abortion.Complications of abortion account for more than 80 % of maternal deaths. The aims of thepresent study were to; determine physical and psychological alarming signals that denotecomplications among aborted women as well as to plan and implement an educationalprogram for upgrading nurse's knowledge pertaining to the management of patientsundergoing abortion. Research design: A Descriptive and an intervention design" wereselected in carrying out this study and representative samples of 400 aborted women and 20nurses were recruited for this study. Setting: Obstetrics and Gynecological Department atZagazig University Hospitals through a period of one year, The tools used for datacollection were; an interview questionnaire sheet, clinical assessment form, the follow upsheet and Pre and post evaluation sheet. The results are; Aborted women suffered immediatephysical and late posttraumatic stress disorders, and there was a statistically significantimprovement in nurse’s knowledge about abortion and its management at the post test of theintervention program.abortion. It can be concluded that, Aborted women suffered immediatephysical and late posttraumatic stress disorders, and there was a statistically significantimprovement in nurse’s knowledge about abortion and its management at the post test of theintervention program. The study recommended that; relevant nursing curricula must entaila detailed portion about abortion, PTSD, management and post-abortal hygiene. And nursingrole for women underwent abortion should be recommended in maternity hospital protocols.}, keywords = {PTSD,Abortion,patients,Nursing Implications}, url = {https://znj.journals.ekb.eg/article_38881.html}, eprint = {https://znj.journals.ekb.eg/article_38881_4ab2196d4bb8ee3dcd4bef5fc33995cf.pdf} } @article { author = {El-Sebaie, Safia and El-Masri, Youser and Abd El-fattah, Sorayia and El-Shafie, Nagwa}, title = {Stress and Coping Patterns among Parents Having Children with Autism}, journal = {Zagazig Nursing Journal}, volume = {8}, number = {2}, pages = {140-154}, year = {2012}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2012.38882}, abstract = {Background: Parents of children with autism may suffer high levels of stress, resulting indisruption in lifestyle and relationship, deprivation of human need, and failure to act in waysto elimination the cause of the distress. Moreover, family stress can contribute to unfavorableprognosis. This study was conducted to assess the stress and coping patterns among parentshaving children with autism using a cross-sectional analytic design at the Child Clinic of theEl-Abassia Governmental Hospital for mental health, and the Special Needs Health CareCenter in Ain Shams University. It included a convenience sample of 80 parents and theirautistic children. The tools used to collect the data were the Child's Medical andDevelopmental Data Sheet, the Parental Coping Strategy Inventory, and the Parenting StressIndex. Data collection was from October 2009 to April 2010. The study findings showed that77.5% of the parents were coping with the situation, and 96.3% had high total stress. Copingincreased with increasing birth order (p=0.002), and mother education (p=0.03). Stress scorehad negative significant correlations with child IQ (r=-0.479), and father education (r=-0.231), and a positive correlation with family size (r=0.230) and the time lapse betweensymptoms and diagnosis (r=0.284). Recommendations: it is recommended to include theassessment of parents' stress level as a part of the screening and assessment ofchildren with ASD. Formation of support groups must be encouraged, with the nursesexerting more effort in this.}, keywords = {autism,Parental Stress,Coping}, url = {https://znj.journals.ekb.eg/article_38882.html}, eprint = {https://znj.journals.ekb.eg/article_38882_20a5162720f1a6eb77f980ef12b72807.pdf} } @article { author = {Ali, Jehan and Gamal, Lobna and Gamal El –Den, Gehan}, title = {Effect of Aerobic Exercises Training in the Reduction of Blood Pressure for Patients with hypertension}, journal = {Zagazig Nursing Journal}, volume = {8}, number = {2}, pages = {155-167}, year = {2012}, publisher = {Zagazig University; Faculty of Nursing}, issn = {2090-6110}, eissn = {}, doi = {10.21608/znj.2012.38883}, abstract = {Background: Hypertension is a very prevalent cardiovascular disease. Medication cannotcure hypertension but it can help to control blood pressure (BP). All current treatmentguidelines emphasis the role of non-pharmacological interventions. Aim: to evaluate effect ofaerobic exercises training in the reduction of blood pressure for patients with hypertension.Sample & setting: 80 adult female patients with hypertension .They were allocated randomlyinto two groups, study and control (40 patients each) who were referred to outpatient clinic ofEl Minia University hospital with the following criteria; their age ranged between 20-59year,suffering only from hypertension, which was mild &moderate hypertension. Tools: used fordata collection were 1) Interview questionnaire data includes a) socio-demographic data. b)Knowledge assessment sheet 2) Patients practice for aerobic exercise training program tomonitor blood pressure (BP) for study group. Each patient received three sessions per week fora period of three months. BP was measured at randomized trials during a cycle ergometerexercise for the control group. Results: This study reveled that, post aerobic exercise leads toa significant reduction in systolic BP (141.0±7.21to132.2±23.4mmHg; P=.000) and diastolicBP (87.7±7.32to 85.0±6.5mmhg; P=.000) Also there were statistically significant differenceswith patient's knowledge between study and control group .Conclusion: aerobic exercisedecreases BP in mild and moderate hypertensive patients and patients who receivedknowledge about disease were improved than patients who did not receive it.Recommendation: aerobic exercise training is an important initial or adjunctive step in thereduction of BP for patients with mild to moderate hypertension. Also education ofhypertensive patients is necessary to achieve an optimum level of healthy life.}, keywords = {Hypertension,Aerobic exercise,blood pressure,Knowledge,patients}, url = {https://znj.journals.ekb.eg/article_38883.html}, eprint = {https://znj.journals.ekb.eg/article_38883_1be5f89e2f17ef7caafcf931487061e1.pdf} }