eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
1
17
10.12816/0029146
39199
Original Article
Perception of Nurses and Physicians toward Safety Culture at Damanhour National Medical Institute
Seham Darwish
1
Gehan El Bialy
2
Yaldez Zein El Din
3
Nurse Manager of operation department- Damanhour National Medical Institute- Damanhour
Assistant Professor- Nursing Administration Department- Faculty of Nursing, Alexandria University
Lecturer- Nursing Administration Department- Faculty of Nursing- Damanhour University
Background: International patient's safety strategies advocate measuring safety culture as astrategy to improve patient's safety. Safety culture is the set of values, beliefs, and normsabout what is important, how to behave, and what attitudes are appropriate when it comes topatient safety in a workgroup. Aim: To identify health nurses and physicians’ perceptiontoward patient safety culture. Setting: All inpatients and outpatients units at DamanhourNational Medical Institute (n=18). Subjects: 50 Professional nurses, 200 technical nurses and100 physicians. Tool: Hospital Survey on Patient Safety Culture (HSPSC) was used. Thetool contains 42 items that measure 12 dimensions each dimension includes 3 or 4 surveyitems. Results: The dimension "teamwork within units" received the highest mean percentscore for nurses (80.3±10.4) and physicians (74.0±12.7), while, "handoffs and transitions"dimension received the lowest mean percent score for nurses (58.9±13.5). As for physicians,the lowest mean percent score was for “team work across units” with a score of (61.6±10.2).Regarding nurses’ educational qualification, nursing staff differed significantly in theirperception to the overall patient safety culture (p=0.029). Regarding the physicians, therewere significant differences in their perception of the overall patient safety culture as for agegroups (p=0.004), their working hours (p=0.014), their years of experience in hospital(p=0.000) and years of experience in unit (p=0.000). Conclusion: The study concluded thatthe dimension "teamwork within units" received the highest mean percent score for nursesand physicians, while "handoffs and transitions" dimension received the lowest mean percentscore for nurses. As for physicians, the lowest mean percent score was for “team work acrossunits”. Recommendations: A training program for nurses about appropriate patient handoffand transfer, for physicians about the importance of team work and how to establish aneffective team.
https://znj.journals.ekb.eg/article_39199_bca807b2350f5bdb0808768897ec76b7.pdf
Patient Safety Culture
HSPSC
Team work across units
handoffs and transitions
overall perception of safety culture
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
18
35
10.12816/0029147
39200
Original Article
Prevalence of Falling among Elderly at Home in Rural Area of Zagazig District
Shimaa Mahmoued
1
Eman Abd Allah
2
Safaa El-Naggar
3
B.Sc. Nursing
Assistant Professor of community health nursing- Faculty of nursing- Zagazig University
Professor of Industrial Medicine and Occupational Health- Faculty of medicine- Zagazig University
Background: Falls are a major cause of morbidity and mortality among older people. Aim ofthe study: To identify the prevalence of falling among elderly at home in rural area ofZagazig district. Setting: It was conducted in Shieba village at Zagazig district. Sample: Itconsist of 236 community dwelling elderly. Tools: Three tools were used in the present study.An interview questionnaire sheet which composed of four parts; the first part entails dataabout demographic characteristics, the second part composed of questions to collect dataabout past and present history of chronic diseases, any sensory or motor disabilities; andmedications. The third part contains past and present history of falling, and the fourth partcovered home environmental condition. Modified Falls Efficacy Scale for measuring fear offalling, Timed Up & Go test Scale for measuring basic functional mobility. Results: Thestudy findings revealed that approximately two-third of the elderly in the study sample hadprevious falling, mostly at home in the bathroom due to slipping and dizziness. Also, themajority of fallers were taking more than one medication. Most elderly have low confidencein performing the activities of daily life and abnormally long timed up-and-go test. A numberof intrinsic, behavioral, and environmental factors seem to increase the risk of falling. Abouttwo-thirds of the elderly had subsequent phobias of falling again. Conclusion; The falls werehigher with increasing age, among females, lower educational level, elderly working, and theunmarried. Recommendations: Health programs should be proposed to help improve homeenvironment, with teaching the elderly the proper actions to be taken while falling. Furtherresearch is suggested to explore the effectiveness of nursing interventions with multipleapproaches for the falling among elderly.
https://znj.journals.ekb.eg/article_39200_5a97ef7f2a66ce1a582ff6d0bf07b420.pdf
Elderly
Falls
prevalence
Rural area
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
36
49
10.12816/0029148
39202
Original Article
Impact of Internet Usage on the Student Attitude and Academic Achievement at two Faculties in BeniSuif University
Alyaa El-ezazy
1
Sayeda Abdel- Latif
2
Hanaa Ali
3
Demonstrator of Psychiatric and Mental Health Nursing-Faculty of Nursing- Benisuif University
Professor of Psychiatric and Mental Health Nursing- Faculty of Nursing- Cairo University
Lecturer of Psychiatric and Mental Health Nursing- Faculty of Nursing- Zagazig University
Background: Internet is one of the beneficial tools in the area of IT not only for business butfor academic point of view and enhances the skills and capabilities of students which assistthem in studies and in professional life. Aim: The aim of this study was to assess the impactof internet usage on the Student Attitude and Academic Achievement at two Faculties inBeniSuif University. Setting & Sample: a representative sample of 450 students (261fromfaculty of nursing and 189 from the faculty of veterinary medicine were recruited for thisstudy. Tools used for data collection were a socio-demograghic data questionnaire,Psychological measurement of Internet addiction, internet attitude scale and Academicachievement scale. Results: revealed that the majority of students were female, less than 21years old. The majority of students was used the internet for scientific information andaccessed the internet from their homes. There was a positive correlation between total internetaddiction and total academic achievement. There was a negative correlation between totalinternet addiction and total internet attitude. Conclusion: It can be concluded that, most of thestudied sample had a positive attitude toward the internet and had not internet addiction.Recommendations: Early diagnosis of internet addiction, raise awareness about positiveusage of the internet and identify the reasons of internet addiction and its management.
https://znj.journals.ekb.eg/article_39202_bdaadc82c16ca63d9882db5b16b1d55a.pdf
Internet Addiction
internet usage
attitude toward internet
Academic Achievement
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
50
66
10.12816/0029149
39206
Original Article
The Relationship between Nurses’ Perception of Job Demand and their Satisfaction with the Work Family Balance
Faten Ahmed
1
Huda Bakeer
2
Lecturer of Nursing Administration Department- Faculty of Nursing- Menoufia University
Lecturer of Nursing Administration Department- Faculty of Nursing- Menoufia University
Background: Nurses, like other female employees, are faced with the demands of work andhome responsibilities as their main daily tasks. Attempting to understand role overload asperceived by RNs in the acute care setting needs to be a consideration for hospitaladministrators and nursing leaders as they are problem solver and develop strategic plans topromote care quality in the acute care setting. Aim: The present study aimed to examine therelationship between nurses’ perception of job demand and their satisfaction with the workfamily balance. Setting: The study was carried out at two hospitals in Menoufiagovernorate, Egypt, namely Shebin El-Kom University Hospital, and Teaching Hospital.Sample: A total number of 160 nurses in the study units who agreed to participate in thestudy from the selected study hospitals in Menoufia governorate constituted the study sample(78 nurses from University Hospital, and 82 nurses from teaching hospital). Tool: Thefollowing tools were used: job demand scale and Satisfaction with the work–family balancescale. Results: The results indicated that there was a significance negative correlationbetween nurses’ overall perception of job demand and their overall satisfaction with thework–family balance. Conclusion: The study concluded that nurses' overall perception ofjob demand is associated with nurses’ satisfaction with the work–family balance.Recommendations: It’ s recommended that hospital management needs to be conscious ofthis status of female nurses and provide a reasonable workload to help these women achievework-family balance which could be enhanced by rearranging work conditions to reduceexcessive workload and irregular work schedule.
https://znj.journals.ekb.eg/article_39206_53af99c3f97fd731589d83a824600f32.pdf
Job demand
satisfaction with work family balance
Nurses
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
67
79
10.12816/0029150
39208
Original Article
Evaluation of nurses’ compliance with standards of quality management system
Elham Elhanafy
1
Lecturer of Nursing administration- Faculty of Nursing-Damanhour University
Background: Quality management system (QMS) incorporates quality planning, provideframework for managing the activities that enable the health organization to create items andservices which consistently satisfy the patient and regulatory requirements. Aim of thestudy: Evaluate the nurses’ compliance with standards of quality management system.Design; descriptive explorative design was used. Sample & setting: convenience sampleconsisted of (40) nurses working in critical care units. Tools: Data was collected throughobservational form of standards of quality management system, and divided into two parts,the first part was concerned with demographic characteristics of the health care providers(age, unit, qualification, etc.) and the second part included 184 items. Results; Nursesworking in high risk unit reported the highest mean score in relation to the totalimplementation of nursing care standard while nurses working in intensive care unit (ICU)reported the lowest mean score in relation to the total implementation of nursing carestandard. Statistically significant difference among nurses in all items except for items ofcritical care unit (CCU) and item of infection control. Also, the result revealed that there wasno significant statistically difference in total and all items of nursing care standard. The72.5% of studied nurses were moderately implemented standards of quality managementsystem. Conclusion; the study findings revealed that there more than two third of studiednurses are moderately implemented standards of quality management system.Recommendation; planning workshops for manager and staff nurses about qualitymanagement system to be effectively communicated to them, Continuous follow up andsupervision for staff nurses to firmly implementation of standards of quality managementsystem and, In-service training and education programs about applying infection controlsmeasures should be conducted to staff nurses.
https://znj.journals.ekb.eg/article_39208_6f9d1cda3c02f011a6cdb588b83bbc22.pdf
Evaluation
Quality- Management
System- Critical area
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
80
95
10.12816/0029151
39211
Original Article
Foot Self Care: Knowledge, Practice and Barriers among Diabetic Patients
Magda Mohsen
1
Amal Shehata
2
Professor- Department of community Health Nursing- Faculty of Nursing- Menofia University,
Assist. Prof. - Department of Medical Surgical Nursing- Faculty of Nursing- Menofia University
Background: Diabetic foot is one of the most frightened complications of diabetes and is theleading cause of hospitalization among diabetic patients. Aim: This study was carried out toevaluate foot self care Knowledge, Practice, and barriers among diabetic patients. Subjects:A convenient sample of 118 adult diabetic patients was chosen. Setting: The study wasconducted at the medical outpatient department and in patient ward at Menofia UniversityHospital and Shebin El - Kom Teaching Hospital. Tool: A Structured interview questionnairewas developed and utilized by the researchers. It included six parts. Results: the mean age ofsubjects was 47.63± 9.66 years. About two thirds of patients (63.6%) had no diabetic footcare education experiences. More than three fourths of subjects who had poor foot carepractice (77.6%) didn’t have complete information about foot care (80%). The majority (81%)of subjects who had poor foot care practice didn’t have diabetic foot care education practice.55% and 73.3% of subjects who had fair knowledge about diabetes , foot problem and carerespectively had good foot care practice. 63.2% and 73.5% of subjects who had fairknowledge about diabetes, foot problem and care respectively, had good foot wear practice.Conclusions: Low level of diabetic foot care education practice has significant associationwith current foot care practice. Incomplete information about foot care is the most importantbarrier associated with poor foot care practice. Recommendations: A diabetes self care handbook about diabetes information, foot problems, prevention and care should be available forall diabetic patients. Specialized team for diabetic foot care should be available in outpatientclinic to assess, prevent and manage any foot problems. Also this team should providecontinuous education for diabetic patient about proper foot care.
https://znj.journals.ekb.eg/article_39211_cc03a7531a1efac7b06eb94e70659bb4.pdf
Diabetic patients
Foot Self Care
Knowledge
Practice and Barriers
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
96
116
10.12816/0029152
39213
Original Article
Effect of Rehabilitative Nursing Interventions on Patients with Chronic Tension-Type-Headache
Nabila Saboula
1
Sabah El-amrosy
2
Assist. Prof. of Community Nursing-Faculty of Nursing-Menoufia University
Lecturer of Psychiatric Nursing- Faculty of Nursing- Menoufia University
Background Chronic tension-type headaches (CTTH) are one of the most common presentingcomplaints in ambulatory care clinics and are the most common reason for using over-thecounteranalgesic medications. Aim: The aim of study was to evaluate the effect ofrehabilitative nursing intervention (RNI) on patients with CTTH. Setting: the study wasconducted at neuro-psychiatric out-patient in two hospitals in Shebin El-kom city, MenoufiaGovernorate and patient's homes for follow up. Sampling: A purposive sample of 60 CTTHdiagnosed patients was included. The cases were followed up for 8 weeks to determine theeffect of (RNI) on improving heath profiles of CTTH patients. Tools: A semi-structuredinterviewing questionnaire, Nottingham Health Profile (NHP) and visual analogue scale(VAS) were used .Results: the mean age of studied patients was 35.60±12.75 years, 46.7%had high education, 56,7% were female , The highest percent (68.3%) was married. The higherpercent of triggering factor (70%) was due to nervousness. There was statistically significantpositive correlation between age and Notingham Health Profile scores. A highly significantimprovement was found among widows patients post intervention compared with pre. Therewas improving in all dimensions of health profiles (part & part II) post intervention. Thedifference mean score between post and pre for improvement was higher in energy/tolerancebut the difference mean score was the little in physical mobility. Conclusion: CTTH have adisabling, annoying effects on diseased patients, implementation of RNI for patients with CTTHhave a positive effect on improving all patients' health dimensions and wellbeing.Recommendations: application of rehabilitative nursing intervention supported withmedication regimen and increase duration of follow up time in future studies is useful inalleviation of the negative impact of CTTH.
https://znj.journals.ekb.eg/article_39213_5d50a89e01c775cf3ba8151170d15fbd.pdf
CTTH
relaxation
trigger factors
self help management
and rehabilitation
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
117
132
10.12816/0029153
39215
Original Article
Clinical Practice Guidelines for Prevention of Central Line Infection
Samera Sadawy
1
Eman Abd El-Aziz
2
Magda Mohammed
3
B. sc .N. - Faculty of Nursing- Zagazig University
Lecturer of Medical-Surgical Nursing Dep.- Faculty of Nursing- Zagazig University
Prof. of Medical-Surgical Nursing- Faculty of Nursing- Ain- Shams University
Background: Improving patient safety, reducing and preventing central line –relatedinfection especially in the intensive care unit are now a priority for hospitals. Therefore;nurses play an integral role in preventing infections. Aim of the study is to develop < br />guidelines for prevention of central line infection and examine the effect of implementation ofthose guidelines on the nurses' knowledge and practice. Setting: The present study wasconducted in intensive care unit of New Surgical Hospital affiliated to Zagazig UniversityHospitals. Sample: The study sample was included 40 nurses who are working in the abovementioned setting. Tools: Two tools were used for data collection which includesquestionnaire sheet and observational checklist. Results: The study results revealed that priorto guidelines implementation; majority of nurses had unsatisfactory knowledge score andpractice. In post guidelines, the findings pointed out to significant improvement. There was astatistically significant correlation between knowledge and practice score. Conclusion:Nurses' knowledge and practice improve after implementation of the guidelines for preventionof central line infection. Recommendations: Provision of continuous education andguidelines for prevention of central line infection, all needed equipment and supplies andfurther studies to examine the impact of guideline on patients' outcomes are required.
https://znj.journals.ekb.eg/article_39215_8b4de895bf29946a34872281e5b70f8f.pdf
guidelines
prevention
Central line infection
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
133
149
10.12816/0029154
39216
Original Article
Effect of Directed Versus Spontaneous Pushing During the Second Stage of Labor on Birth Outcome among Primiparas
Amany Hussien
1
Sanaa Nour
2
Hend El-Din
3
Amany Gad
4
Demonstrator in Obstetrics and Gynecological Nursing- Faculty of Nursing- Zagazig University
Professor of Obstetrics and Gynecological nursing- Faculty of Nursing- Zagazig University.(
Assist. Prof. of Obstetrics and Gynecological nursing- Faculty of Nursing- Zagazig University
Lecturer of Obstetrics and Gynecological nursing- Faculty of Nursing- Zagazig University
Background: Although spontaneous and directed pushing techniques adopted during laborhave been studied during the past several decades, controversy still surrounds the resultsregarding obstetric variables. Aim: The aim of this study was to compare the effect ofdirected pushing versus spontaneous pushing during the second stage of labor on birthoutcome. Setting & Subject: The study was conducted in Maternity and ChildhoodHospital at Zagazig University Hospitals. It comprised a purposive sample of 200parturient women in their second stage of labor. The study subjects were divided into equalgroups of 100 "spontaneous and directed pushing groups". Tools: three tools were used fordata collection (a structured interview sheet, physical assessment sheet, visual analogue scale,modified fatigue symptom checklist and birth outcome sheet). Results: revealed thatspontaneous pushing had a better and positive effect on maternal vital signs. The duration ofpushing was lower in the spontaneous pushing group than directed pushing. Most of thewomen in the spontaneous pushing group had significantly a lower pain index after 1 hourfrom full cervical dilatation and perceived less fatigue within 1-4 hours of childbirth(p=0.000). They also had significantly lower rates of episiotomy, perineal lacerations,postpartum hemorrhage and cesarean section. Their newborn had the highest Apgar score atthe first and fifth minutes and none of them had fetal complications. Conclusion: It can beconcluded that improved fetal status, neonatal and maternal outcomes have been identifiedwhen women were allowed to bear-down in response to their own natural urges rather than inresponse to commands for repeated, sustained pushes using Valsalva maneuver.Recommendations: It is recommended that; the utilization of the spontaneous pushingtechnique must be encouraged, with randomized clinical trial to provide further confirmationof the study findings.
https://znj.journals.ekb.eg/article_39216_c69712a54e6de6579237d99e7c6f811f.pdf
Pushing method
Second stage of labor
Valsalva
Fatigue
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
150
162
10.12816/0029155
39217
Original Article
Sibling Relationship in Families Raising a Child with Chronic Illness as Perceived by Family Caregiver
Amirat El-Sabely
1
Hanem AbdElkhalek
2
Safaa Metwaly
3
Lecturer of Pediatric Health Nursing- Faculty of Nursing- Zagazig University
lecturer of Psychiatric and Mental Health Nursing- Faculty of Nursing- Zagazig University
lecturer of Psychiatric and Mental Health Nursing- Faculty of Nursing- Zagazig University
Background: Most of the children with chronic illness live in their home, and theirpresence impacts family members. Siblings may be especially affected because of thecommon cultural milieu and egalitarian nature of their relationships. The aim of the studywas to assess caregiver perception of sibling relationships in families raising a child withchronic illness. Setting: It was conducted at the outpatient clinic of Zagazige Universityhospital and Altarbia Alfekeria school at Zagazig city. Subjects: The respondents werecomposed of caregivers of 108 families who have a child with chronic condition. Tool: Onetool was used to collect the necessary data. It composed of two parts an interviewquestionnaire sheet and the Sibling Inventory Behavior (SIB) were used for data collection.The tools consisted of two parts; the first part was used to assess the socio-demographiccharacteristics of children and their families, the second part used to assess siblingrelationships in families with a handicapped child. Results: the result of the study showedthat, companionship, empathy, teaching/managing has high percentage among sibling ofchildren with diabetes than those with Down syndrome and Autism as rated by thecaregivers. The study also showed that caregivers perceived that there was morecompanionship behavior among the older siblings than the younger ones, while youngersiblings had avoidant behavior towards a child with a chronic condition than the oldersiblings. Conclusion, this study showed some differences in perception of siblingrelationships according to type of chronic condition. It is recommended that, Observationalmethods might be used in future research to assess sibling relationships.
https://znj.journals.ekb.eg/article_39217_921659ae0452e54ab4e7d7ef9dd2657a.pdf
caregiver perception
children with chronic illness
Sibling relationships
Down syndrome
autism
diabetes
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
163
180
10.12816/0029156
39219
Original Article
Effect of Infection Control Training Program on Nurse’s Performance and Microbial Results on GIT Endoscopes
Zeinab Ali
1
Nadia Taha
2
Assisat. Prof. of Adult Health Nursing-Faculty of Nursing- Helwan University
Assisat. Prof. of Medical Surgical Nursing- Faculty of Nursing-Zagazig University
Background: Gastrointestinal (GI) endoscopy is an important tool for the identification andtreatment disorders of the gastrointestinal tract. Thorough understanding of infection controland its application to GI endoscopy is crucial to prevent lapses in reprocessing and thepossibility of transmission of infection (Nelson, DB.2003). Aim of the study: The aim of thisstudy was to evaluation the effect of infection control training program on nurse’sperformance and microbial results on GIT Endoscopes. Setting & Subjects: It was conductedat Elnaser Insurance Hospital at Helwan City in Egypt. Purposive sample included allavailable (40) nurses, and 5 GIT endoscopes. Study tools: Tools used for data collectionincluded self-administered questionnaire sheet, an observation checklist, and microbiologicalassessment sheet. Results: The mean ± SD age of the studied nurses were 29.5 ±5.76, abouttwo thirds were female and diploma nurse, and more than phases, these indicated for decreasethe presence of microbial infection. Conclusion: there were a statistical significancedifference between pre implementation of infection control training program and postimplementation the endoscopic reprocessing program lead to improve nurses’ knowledge andskills as well as decrease the incidence of microbial infection transmission through GIT threeyears of experience, these experience from working, There was a highly significant differencein nurses' level of knowledge and skills as well as microbiological testes throughout the studyendoscope. Recommendations: Continuous educational infection control training programsare recommended. So incorporation of such interventions apply in all endoscope unite all overEgypt.
https://znj.journals.ekb.eg/article_39219_d73e0c4959a0fd74b907aa9791eab7b1.pdf
Infection control
Nurse’s Performance
Microbial Results
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
181
200
10.12816/0029157
39220
Original Article
Menopausal Symptoms and its relationship with Quality of Life among women in Lower and Upper Egypt
Sahar Gawad
1
Hend El-Din
2
lecturer of Obstetrics & Gynecology Nursing- Faculty of Nursing- South Valley University (Kena),(
Assistant prof. of Obstetrics and Gynecology Nursing- Faculty of Nursing -Zgazig University
Background: Menopause is normal transition associated with aging and loss of fertility.Women during menopause experience biological, psychological, social and cultural changes.Hormonal changes of menopause may induce numerous physical and psychologicalsymptoms. Aim of the study: To investigate menopausal symptoms and its relationship toquality of life (QOL) among menopausal women attending two university hospitals in Upperand Lower Egypt.). Setting: The study was conducted at gynecological outpatients clinics ofQena University Hospital, South Valley University at Qena city (Upper Egypt province) andBenha University Hospital, Benha University at Benha City (Lower Egypt province)Subjects: The study included 500 women had stopped menstrual cycle since 12 months.Tools: The data were collected by using (MRS) Menopausal Rating Scale (MRS) and (QOL)the World Health Organization quality of life brief questionnaire. Results: Lower Egyptwomen got menopause significantly earlier with significantly longer duration of menopause..Among LE women, mean total MRS score was significantly higher and mean total QOL scorewas significantly lower compared to UE women. Total MRS and QOL scores in and in LEwomen showed a negative significant correlation, while in UE women the relation wasnegative non-significant. QOL evaluation showed a significantly higher number of womenamong good and very good scores in UE compared to LE group. Majority of women indicatedmoderate effect of menopause on their physical health with significantly higher frequency ofUE women among lower scores. About, 39.2% of LE women, while 20.4% in UE indicatedmoderate effect of menopause on their psychological health with significantly higherfrequency of UE women among less effect score. Conclusion: Menopause adversely affectedQOL of women. This effect was more manifested in LE than in UE women.Recommendation: Provision of professional services for post-menopausal women in UpperEgypt is necessary.
https://znj.journals.ekb.eg/article_39220_f601cfc52955c207cf004352863bdb50.pdf
Menopause
Quality of Life (QOL)
Upper Egypt (UE)
Lower Egypt(LE)
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
201
217
10.12816/0029158
39222
Original Article
Impact of Nursing Teamwork on Missed Nursing Care in Intensive Care Units at Zagazig University Hospitals
Nora Attia
1
Maha Abdeen Abdeen
2
Saher El-sayed
3
Demonstrator-Nursing Administration Departement- Faculty of Nursing- Zagazig University
Lecturer-Nursing Administration Departement- Faculty of Nursing- Zagazig University
Assistant prof. of Nursing Administration- Faculty of Nursing- Zagazig University
Background: There is no doubt, that teamwork is a critical element in assuring patient safetyand quality of nursing care and effectiveness of nursing performance, in addition reducing ofmissed nursing care. Aim: The aim this study was to examine the effect of nursing teamworkon missed nursing care. Setting: The present study was conducted in Emergency Sectoraffiliated to Zagazig University Hospitals which consists of three hospitals, namely NewSurgical Hospital, which has one a surgical Intensive Care Unit, Internal Medicine Hospital,which has two medical ICUs, and Emergency hospital, which has an Intensive Care CasualtyUnit. Subjects: Convenience sample of staff nurses (182), with minimum one year experienceand have the responsibility for direct nursing care to patients. Tools: Two tools were used fordata collection in the study; the first one was nursing teamwork questionnaire, this tool aimedto measure nurses' opinion about teamwork in ICU. The second was missed nursing carequestionnaire, this tool aimed to identify how frequently the elements of missed nursing carewere missed and its reasons from nurses' opinion. Results: Results revealed that the highestpercentage of nurses perception about the total teamwork was low (86.8%),The majority of nurses perception about missed nursing care was low(83.3%), the highest percentage of nurses perception about reasons of missed nursing carewas high (70.3%). Conclusion: It can be concluded that there was a negative correlationbetween nursing team work and missed nursing care (r=-.298&p=.000). Recommendation:It is recommended that the need to invest in methods of enhancing teamwork in these settingssuch as teamwork training program for nurses to improve their knowledge, skills and attitudetoward teamwork and promote their engagement.
https://znj.journals.ekb.eg/article_39222_d4d775ea1889cc576c483b953dcdb6e6.pdf
Teamwork
Missed nursing
eng
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
2014-07-01
10
2
218
233
10.12816/0029159
39224
Original Article
Outcome of Labor in Nullipara at term with Unengaged vertex
Hemmat Abdel Mageed
1
Sanaa Nour
2
Hend El-Din
3
Amany Gad
4
Clinical instructor in Obstetrics and Gynecological Nursing- Faculty of Nursing- Zagazig University
Professor of Obstetrics and Gynecological nursing- Faculty of Nursing- Zagazig University
Assist. Prof. of Obstetrics and Gynecological nursing- Faculty of Nursing- Zagazig University
Lecturer of Obstetrics and Gynecological nursing- Faculty of Nursing- Zagazig University
Background: Unengagement of the head in primigravida has long been considered a possiblesign of cephalopelvic disproportion. It is associated with a higher risk of obstructed labor.The aim of this study was to; assess outcome of labor in nullipara at term with unengagedvertex. Setting this study was conducted in labor and premature Hospital at ZagazigMaternity Hospitals. Subjects: a representative sample of 200 parturient women (100 hadengaged head and 100 had unengaged fetal head) was recruited for this study. The tools usedfor data collection were; an interview questionnaire sheet, a clinical assessment form, thepartograph, a summary of labor sheet and a neonatal assessment sheet. The results of thepresent study revealed that in more than three fifth (63.0%) of women with unengaged headthe cause was unknown but it was most common among those with deflexed head (25.0%),they also had significantly longer first stage of labor (p=0.000). Cesarean section rate wassignificantly found to be more in the unengaged group being 35.0%. Most of the C-sectionswere carried out due to failed labor progress (76.9%). Patients with unengaged fetal head hadsignificantly lower Apgar scores in 1st (p=0.000) and 5th min (p= 0.446). Conclusion: It canbe concluded that, patients with unengaged vertex are at higher risk for cesarean delivery dueto arrest disorders as well as lower fetal APGAR scores. Recommendations: The studyrecommended that, the watchful expectancy and timely intervention, especially in caseswhere no etiological factor is found, by blotting a partogram and using oxytocin judiciouslywhen labor appears to be taking a protracted course, most of the women with unengaged headwill deliver vaginally with minimal maternal and fetal morbidity.
https://znj.journals.ekb.eg/article_39224_00cd8c83bc6aa62579c92e3359e57aa1.pdf
engaged
unengaged
nullipara
Outcome