eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2013-07-01
9
2
1
14
10.21608/znj.2013.38657
38657
Original Article
Nurses' Knowledge, Attitude and Practices Related to Patient’s Health Assessment in Minia University Hospital
Inshrah Mohamed
1
Sahar Abood
2
lobna Gamal
3
Gehan G Ali
4
Lecturer of Medical and Surgical Nursing-Faculty of Nursing- Minia University,
Assistant Professor of Nursing Administration- Faculty of Nursing-Minia University
Lecturer of Medical and Surgical Nursing- Faculty of Nursing- Minia University,
Lecturer of Medical and Surgical Nursing- Faculty of Nursing- Minia University
Background: Health assessment is an essential nursing function which provides foundationfor quality to nursing care and intervention. It helps to identify the strengths of the patient thatpromoting his health. Aim of this study: To evaluate nurses' knowledge, attitude andpractices related to patient's health assessment in Mina university hospital. Research Design:Descriptive study design was carried out in the present study. Setting: This study was carriedout in Minia University hospital, in medical, surgical and intensive care unit. Subjects: Thestudy sample included all nursing staff currently assigned to work in the departments inmorning shift in Minia University Hospital with total number (n=59). Tools of the study:Two tools were used that are an interview questionnaire and an observational checklist.Results: The results revealed that a statistical significant was found between nurses’ practicesand their age. Concerning the years of experience, there was a statistical significant betweennurses’ practices and their years of experience. The results revealed that a statisticalsignificant was found between the level of knowledge and level of practices with (P=0.09).Conclusion: The study concluded that, a statistical significant was found betweennurses’ knowledge and their qualification. There is higher knowledge percent among nurseswith Bachelor degree than diploma nurses. The results revealed that a statistical significantwas found between the level of knowledge and level of practices. Finally, the findingsshowed that the nurses with good level of knowledge have fair practices. The studyrecommended that in-services training program should be provided to nurses about clinicalhealth assessment role in nursing practice, adding a clinical health assessment form hasrecorded by a nurse and it is documented in patient's file.
https://znj.journals.ekb.eg/article_38657_2632e0a49325e978481a809741affe56.pdf
Nurses’ Knowledge and Practices
Health Assessment
Minia University Hospital
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2013-07-01
9
2
15
30
10.21608/znj.2013.38658
38658
Original Article
Impact of postpartum family planning counseling on use of female contraceptive Methods in upper Egypt
Amany Ahmed
1
Sanaa Nour
2
Amina Genied
3
Nour mostafa
4
Assistant lecturer of obstetrics and gynecological nursing- Faculty of Nursing- Sohag University,
Professor of obstetrics and gynecological nursing- Faculty of Nursing- Zagazig University
Assistant professor of obstetrics and gynecological nursing- Faculty of Nursing- Zagazig University
Lecturer of obstetrics and gynecological nursing- Faculty of Nursing- Sohag University
Background: Postpartum family planning (FP) is the initiation and use of FP methods duringthe first year after delivery to decrease unintended pregnancies. The aim of this study is toevaluate the effect of FP counseling on women knowledge and utilization of postpartumcontraceptive methods (PCMs). Research design: an experimental design was used. Setting:This study was conducted on clients in postpartum period, who attended for immunization oftheir babies. Sample: This study included 980 females from which a sample of 200 primiparaclients was selected to quasi-experimental study to assess the effect of counseling program onFP use. Tools consisted of interviewing questionnaire form, pretest evaluation and posttestsheet. Results: Most of women, were of 21-30 years of age, had intermediate degrees ofeducation, were house wives, lived in urban areas, and had low socio-economic status. FPknowledge was present in 92% and FP use in 21% of clients. Pregnancy occurred in 188clients, most of them (n=151) were non intended. In experimental study, the rates of initial andfinal uses of FP methods were higher in wives in intervention group than in those in controlgroup (P<0.0001). Conclusions: PCM led to significant increase in FP use.Recommendations: Counseling programs of FP have to be directed to women who attend FPcenters for immunization of their babies.
https://znj.journals.ekb.eg/article_38658_59a73c3104e4c3581dff5d9523a4a64c.pdf
Postpartum FP counseling
FP methods
Upper Egypt
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2013-07-01
9
2
31
48
10.21608/znj.2013.38659
38659
Original Article
Maternal and Neonatal Outcome in Grandmultiparaous Women at Zagazig University Hospitals
Eman Gouda
1
Sanaa Nour
2
Amina Genaid
3
Eman Mohamed
4
Demonstrator, Obstetrics and Gynecological Nursing Dep.- Faculty of Nursing- Zagazig University,
Professor of Obstetrics and Gynecological nursing- Faculty of Nursing- Zagazig University
Assistant Prof. of Obstetrics and Gynecological nursing-Faculty of Nursing- Zagazig University
Lecturer of Obstetrics and Gynecological nursing- Faculty of Nursing-Zagazig University
Background: Egypt is over populated and continuing population growth places a majorstrain on land and resources alike. Grandmultiparity can impose costly burden on Egypt; notonly that, but also it can hinder economic development, increase health problems for themother and children and erode the quality of life by reducing access to education, nutritionand employment. The aim of the present study was to compare maternal and neonataloutcome between grandmultipara and low parity women. Research design: A case controldesign was used in carrying out this study and a representative sample of 200 grandmultiparaand low parity women were recruited for this study. The tools used for data collection were;an interview questionnaire sheet, a clinical assessment form, the partograph, a summary oflabor sheet and a neonatal assessment sheet. The results of the study revealed that,grandmultipara women were more than 35 years, illiterate or can read and write and wereliving in rural areas. Previous abortion (54.0%), neonatal deaths (51.0%) and previous CS(63.0%) were more common and they had a statistically higher rate of contraceptive failure(p= 0.020). Their current pregnancy was associated with a higher proportion of anemia(65.0%), gestational diabetes and mal-presentation. They also had more failure of laborprogress, uterine inertia, elective type of CS (67.6%), and postpartum hemorrhage. Neonataldeaths (5.0%), need of resuscitation as well as admission to NICU were also more commonamong grandmultipara women. It can be concluded that, the grandmultiparity wasassociated with ante-partum, intra-partum and postpartum complications, as well as neonatalmorbidity and mortality. It was recommended that, the antenatal care and quality deliveryservices, adequate counseling to improve patient’s awareness pertaining to family planningand on issues relating to education, economic empowerment, as well as the misuse of cultureand tradition that impedes their progress.
https://znj.journals.ekb.eg/article_38659_b79c841aa74bbe0a209a76f2418c664f.pdf
Grandmultiparity
Obstetrical complications of grandmultipara
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2013-07-01
9
2
49
65
10.21608/znj.2013.38842
38842
Original Article
Health Education Intervention for Controlling of Stress Urinary Incontinence among Elderly Women at Zagazig City
Reda El Badawy
1
Salwa Ali
2
Amany Abo El-Seoud
3
Eman Abd Allah
4
Assistant lecturer of community health nursing, faculty of nursing, Zagazig University,(
Professor of community health nursing, Faculty of nursing, Zagazig University,(
Professor of community Medicine, Faculty of medicine, Zagazig University,
Assistant Professor of community health nursing, Faculty of nursing, Zagazig University
Background: Urinary incontinence is the involuntary or uncontrolled loss of urine from thebladder. Stress incontinence is the most common types of urinary incontinence. The aims ofthe study: to evaluate the interventional study for controlling of stress urinary incontinenceamong elderly women; Research design Quasi- Experimental design was utilized in thisstudy. Setting: the geriatric social club at Zagazig City. Sample; a purposive samplecomposed of 80 elderly women complain from stress urinary incontinence. Tools used in thepresent study were; an interview questionnaire sheet which composed of five parts The firstpart entails data about socio-demographic characteristics of the elderly women, the secondpart composed of questions to collect data about medical, obstetric, and problem of urinaryincontinence history, the third part covered the women's knowledge about urinaryIncontinence problem, the fourth part covered daily living activities and, level ofindependence. , and the fifth part deal with the psychological impact of urinary incontinenceon the elderly women, and voiding training record. Results; of the current study revealed thatmore than half of elderly women with stress urinary incontinence aged 65 years, with astatistically significant difference was found between both groups (p- value= 0.001). Morethan half of the studied group reported that there were improvement, and nearly all of controlgroup reported no improvement after the intervention of the health program. Conclusion; thehealth education, and training program improve stress urinary incontinence knowledge amongthe study group, and more than half of them reported their condition improved post healtheducation intervention. The study recommended that; provide geriatric, social club, clinicwith necessary education media about urinary incontinence, and implement practice sessionfor kegel exercise.
https://znj.journals.ekb.eg/article_38842_826e3a90fa78637eca7c63aa90c6e2c6.pdf
Stress Urinary Incontinence
elderly women
health education
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2013-07-01
9
2
66
84
10.21608/znj.2013.38844
38844
Original Article
Effect of Health Instructions on Improving Knowledge and Practices of Thalassemic Adolescents at Zagazig University Hospital
Eman Aboelela
1
Amal El-Dakhakhny
2
Mervat Hesham
3
Samah Bassam
4
Demonstrator, Pediatric Nursing Dep., Faculty of Nursing, Zagazig University,
Professor of Pediatric Nursing, Faculty of Nursing, Zagazig University
Professor of Pediatrics, Faculty of Medicine, Zagazig University,
Lecturer of Pediatric Nursing, Faculty of Nursing, Zagazig University
Background: Thalassemic adolescents need information about their disease in order toprovide appropriate care, to decrease uncertainty, and to hold realistic expectations for theirselves.Aim of the study: the present study aimed to identify the effect of health instructionson improving knowledge and practices of thalassemic adolescents at Zagazig universityhospital. Subjects and Methods: a quasi-experimental study was conducted. Setting &Sample: sample of 50 thalassemic adolescents at the Pediatric Hematology Outpatient Clinicat Zagazig University Hospital in Sharkia Governorate, Egypt. Tools: Three tools were usedin the present study as follows; structured interview questionnaire, clinical checklist andhealth instructions to educate the studied adolescents about β thalassemia major and itsmanagement. Results: the studied adolescents did not have satisfactory knowledge abouttheir disease and its management before implementation of the health instructions.Thalassemic adolescent’s knowledge, and practices scores had been improved significantlyafter implementation of health instructions either immediately or 2 months later (P<0.01).Conclusion: health instructions had improved thalassemic adolescents' knowledge andpractices. Recommendations: Based on the results of the present study continuous healthinstructions and educational programs should be conducted for thalassemic adolescents aboutthe disease, its treatment regimen and care practices. Further researches are needed to studythe impact of health instructions on thalassemic children’s compliance with their treatmentregimen.
https://znj.journals.ekb.eg/article_38844_66f0e285d22b6f679546893117bae098.pdf
thalassemia
thalassemic adolescents
Health Instructions
patient education
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2013-07-01
9
2
85
102
10.21608/znj.2013.38846
38846
Original Article
Effect of Maternal Health Educational Program on Improvement of Care Provided to Their Nephrotic Children
Khadiga Mustafa
1
Amal El- Dakhakhny
2
Ali Abo-Zaid
3
Nadia Taha
4
Assist. Lecturer, Pediatric Nursing Dep., Faculty of Nursing, Zagazig University
Prof. of Pediatric Nursing, Faculty of nursing, Zagazig University
Prof. of Pediatric Medicine, Faculty of Medicine, Zagazig University
Assist. Prof. of Medical-Surgical Nursing, Faculty of nursing, Zagazig University
Background: Nephrotic syndrome is a chronic illness characterized by relapses andremission. Mothers and their children should be discharged from the hospital with completeinstructions about management. Aim: The aim of the present study was to evaluate the effectof maternal health educational program on improvement of care provided to their nephroticchildren. Setting: The study was conducted at The Pediatric Nephrology Unit and ThePediatric Out- Patient Nephrology Clinic at Zagazig University Hospitals. Sample:Convenient samples of 50 mothers having children suffering from nephrotic syndrome whoaccompany their children participate in this study. Tools: Tools for data collection included astructured interview questionnaire to assess mothers' knowledge about care of nephroticsyndrome& observational checklist to assess mothers' practice toward the associatedproblems of their nephrotic children. Results: The study results revealed that there werestatistical significant differences in relation to the total practice score of the nephroticchildren's mothers throughout the three phases of the educational program. Conclusion, itwas concluded that the educational program has a positive effect on mothers' practiceregarding care provided to their nephrotic children. Recommendation of this study was tocontinue educational programs for mothers of nephrotic children to provide them withessential knowledge about the disease and its management.
https://znj.journals.ekb.eg/article_38846_d20e43f2e0dd521994dd43959fe7aa48.pdf
Nephrotic Syndrome (NS)
maternal
health educational intervention
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2013-07-01
9
2
103
115
10.21608/znj.2013.38850
38850
Original Article
Impact of Work Stress on Quality of Nursing Care among Nurses at EL-Minia University Hospitals
Heba Ali
1
Sahar Abood
2
Nahed Abo EL-Magd
3
Demonstrator of Nursing Administration- Faculty of Nursing - Minia University
Assistant Professor of Nursing Administration -Faculty of Nursing - Minia University
Lecturer of Nursing Administration- Faculty of Nursing - Assuit University
Background: Nursing is a stressful career; occupational stress is a common occurrence inhealth professions. Job stressors and low job control have been shown to be risk factors forpatient safety and lead to poor job performance including reduced quality of nursing care.This study aimed to identify the impact of work stress on quality of nursing care amongnurses at EL-Minia University Hospitals. The study was developed within descriptiveapproach, and was carried out at EL-Minia and Suzan Mubarak University Hospitals in El-Minia Governorate. Sample & setting: Subjects of the study were all nurses (158) whoworked in all general and critical departments at El-Minia University Hospitals, three toolswere used for data collection: 1- Demographic data sheet 2- Stress scale 3- Quality of nursingcare scale. Results: The findings of the study showed that Less than two thirds of the studiednurses had moderate level of stress; more than two thirds of the studied nurses had severelevel of the stress. The majority of the studied subjects had accomplished fair quality gradewhile one quarter had accomplish poor quality grade. Conclusion: It was concluded that therewere an inverse relation between stress level and quality of nursing care. Recommendations:organizing stress management program that focuses on different categories of nurses at allhierarchical levels, and organizing a system for continuing education program for nurses.
https://znj.journals.ekb.eg/article_38850_29e6e052b7f885f56245e656a5e52174.pdf
impact
Stress
opinion of nurses
Quality
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2013-07-01
9
2
116
129
10.21608/znj.2013.38852
38852
Original Article
Active versus Conservative Management of Pre labor Rupture of Membranes at Term Pregnancies and Nursing Implications
Hanan El – Sayed
1
Sanaa Nour Eldin
2
Sahar El kheshen
3
Mohammed Mahdy
4
Assistant Lecturer of Maternal and Newborn Health Nursing- Faculty of Nursing- Helwan University,(
Professor of Obstetrics and Gynecological Nursing- Faculty of Nursing- Zagazig University
Lecturer of Maternity and Gynecological Nursing- Faculty of Applied Medical Sciences- MUST University
Professor of Obstetrics and Gynecology- Faculty of Medicine- Zagazig University
Background: Pre- labor rupture of membranes is a spontaneous rupture of the membranesat/or after 37 weeks gestation and before the onset of labor. The aims of the present studywere, to compare the clinical effectiveness and safety of active management versusconservative management in women with pre-labor rupture of membranes. Also to comparethe maternal and neonatal out comes of active management versus conservative managementin women with pre-labor rupture of membranes. A Quasi experimental design was selected incarrying out this study. The setting of the study was the labor word, at Zagazig UniversityHospital. A representative sample of 160 parturient women who had premature rupture ofmembranes and undergoing management according to the inclusion criteria were recruited forthis study. They were categorized into: Study group (n=80) who received oral misoprostol50-200ug and Conservative group (n=80) who were observed for 24 hours and received thenormal management technique. The tools used for data collection were; an interviewquestionnaire, Clinical assessment form, Ultrasonography, Cardio-Tocography, Medicationsheet, Partograph, and Summary of labor sheet. The results of the present study revealed thatwomen in the study group had shorter total duration of labor than the conservative group(7.2±1.4hrs VS 10.1±2.5hrs respectively) and lower rate of cesarean section (6.2% &18.7%respectively). Only one fetal death in the study group was reported compared to 3 in theconservative group. It can be concluded that, active nursing management by using oralmisoprostol resulting in reduction in the mean duration of labour, lower percentage cesareansection rate and better infant outcomes. The study recommended the active nursingmanagement using of misoprostol for faster and safer labor.
https://znj.journals.ekb.eg/article_38852_965e31bb7759ab59ee3577b8e15e8c26.pdf
misoprostol
conservative management
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2013-07-01
9
2
130
144
10.21608/znj.2013.38854
38854
Original Article
Prevalence of Obesity and the Predisposing Factors among Preschool Children in Mansoura City
Doaa Said
1
Amany Sorour
2
Ashraf Elsayed
3
B.SC.N- Faculty of Nursing- Mansoura University
Assistant Prof. of Community Health Nursing- Faculty of Nursing- Zagazig University
Assistant Prof. of Pediatric Medicine- Faculty of Medicine- Mansoura University
Background: Obesity is widely recognized as a major health problem of the 20th century. It isdefined as a state of imbalance between calories ingested versus calories expended whichwould lead to excessive or abnormal fat accumulation. The study aimed at healthpromotion of preschooler children's. A descriptive design was used to accomplish the aimof this study. The study was conducted at six nursery schools at Mansoura City. The sampleconsisted of 200 children and their mothers selected from nursery schools at Mansoura City.The tools used for data collection were assessment questionnaire sheet for the child personaldata and anthropometric measurement, and interview questionnaire for mothers' nutritionalknowledge and habits. The results of the present study revealed that the prevalence ofoverweight and obesity was about one third of the studied sample; there was a statisticallysignificant relation between mother’s knowledge, habits and occurrence of child obesity aswell as there was a statistically significant relation between mother’s knowledge andmother’s habits. The study concluded that obesity constitutes one third of studied sampleand there was a relationship between mother’s knowledge, nutritional habits and theoccurrence of obesity. The study recommended that health educational programs should bedirected to caregivers including predisposing factors of obesity and healthy eating habits.
https://znj.journals.ekb.eg/article_38854_8080df9cc845e16a371c61278f7b238a.pdf
prevalence of Obesity
Predisposing factors
preschool children
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2013-07-01
9
2
145
161
10.21608/znj.2013.38855
38855
Original Article
Effect of a Nursing Care Training Program on Staff Nurses' Performance and Empowerment in Emergency Hospital at Zagazig University Hospitals
Heba Abdou
1
Neamat El-sayed
2
Maha Abdeen
3
Fatma Metwally
4
Master degree, Nursing Administration Dep., Faculty of Nursing Zagazig University
Prof. of Nursing Administration Dep., Faculty of Nursing Damanhur University
Lecturer of Nursing Administration Dep., Faculty of Nursing Zagazig University
Lecturer of Nursing Administration Dep., Faculty of Nursing Zagazig University
Background: Improving the quality of patient care is the target of health professionalsanywhere. It is believed that the quality of nursing care offered in a hospital is affected by anumber of factors as nurses' preparation and training at work. The aim of the study was tomeasure effect of a nursing care training program on staff nurses' performance andempowerment. Setting: The present study was conducted in the Emergency Hospital atZagazig University Hospitals. A sample of convenience 60 staff nurses, from the abovementioned settings, were recruited for the study, as inclusion criteria at the start of the studywith overall responsibility for provision of direct nursing care to surgical patients and havingat least one year of experience. Tools: Three tools were used for data collection: Knowledgequestionnaire to examine staff nurses' knowledge related to care of surgical patients, anobservational checklist for nurses' surgical practices and Nurses' psychological empowermentquestionnaire it translate into Arabic. These tools were used before implementation of theprogram, immediately after its implementation and three months later. Results revealed thatthere are highly statistically significant positive correlations between knowledge,performance and psychological empowerment immediately and follow up for nurses caringfor the surgical patients. Therefore, it was concluded that, study revealed lack in nurses'knowledge, performance and psychological empowerment before implementation of thetraining program. However, implementation of the designed training program had a positiveeffect on nurses' knowledge, performance and psychological empowerment immediately andat follow up phase (three months later) for nurses caring the surgical patients.
https://znj.journals.ekb.eg/article_38855_0ed51b8b76b432e017c61facf2a04e4f.pdf
Psychological Empowerment
performance
Emergency Hospitals
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2013-07-01
9
2
162
178
10.21608/znj.2013.38856
38856
Original Article
The effect of workplace violence on nurses' job satisfaction
Reda Abo Gad
1
Entisar Elhossiny
2
Lecturer of nursing service administration- Faculty of Nursing-Tanta University
Lecturer of community health nursing- Faculty of Nursing- Tanta University
Workplace violence in the health sector is a worldwide concern with healthcare workers beingat high risk of being victims. The aim of this study was to examine the effect of workplaceviolence on nurses' job satisfaction at Maternal and Child Health centers and Tanta UniversityEmergency Hospital. Methods; the study was a descriptive correlational design. The studysample included all available staff nurses worked in MCH centers (N = 110) and TantaUniversity Emergency Hospital (N = 327), the total number of the sample was 437 nurses.Two tools of the study were used; the first tool included two parts, sample characteristics dataand job satisfaction survey. The second tool included nurses' perception of workplaceviolence. Results, most of emergency hospital nurses experienced more violence as comparedwith nearly one third of community health nurses. Psychological and verbal violence,followed by physical violence were the most common types of abuse experienced by morethan two third and more than half of emergency hospital nurses, and about one quarterand minor percent of community nurses, respectively. More than two thirds and more thanhalf of emergency hospital nurses and community health nurses were dissatisfied with theirwork. Conclusion; there is a high rate of violence against nurses in emergency hospital ratherthan community health settings. The majority of nurses who experienced workplace violencenot reported the incidence of violence. Psychological and verbal violence followed byphysical violence were the most common types of abuse experienced by the studied subjects.There is a need for workplace policies and procedures that focus on the security of theenvironment, reporting and surveillance, and educational seminars for nurses arerecommended that focus on communication techniques and stress or conflict resolution toeffectively manage violence in the workplace.
https://znj.journals.ekb.eg/article_38856_2d6449d895e1d41b3d26dfb0037dfc1c.pdf
Workplace violence
Nurses
Job Satisfaction