ORIGINAL_ARTICLE
Sleep Disturbances and Fatigue among Postnatal Women
The aim of this study is to assess the prevalence of sleep disturbances and fatigue amongpostnatal women, and find out the association between sleep disturbance and fatigue. Crosssectionalstudy was carried out at Alnour Specialist Hospital in Makah in kingdom SaudiArabia on 500 postpartum primiparous women in reproductive age who delivered vaginally.Tools for data collection were, postnatal women sociodemographic data structured interviewschedule, Global Sleep Assessment Questionnaire for sleep pattern (GSAQ), andMultidimensional Fatigue Symptom Inventory-Short Form (MFSI-SF). The results revealedthat 18.4% of the women had sleep disturbances, and 32.4% had fatigue, sleep disturbanceand fatigue were significantly higher among non-Saudi women, and a statistically significantpositive correlation was revealed between the sleep disturbance and fatigue. It is concludedthat sleep disturbance and fatigue are positively correlated. It is recommended that, thedischarge plan prepared by the nurse must include all the details of postnatal care, along withinstructions for the women regarding sleep and rest. Special care must be given to womenwho are at higher risk of developing postnatal fatigue and sleep disturbances, such as workingmothers and those living in home environment not encouraging rest as living with extendedfamilies, and high crowding index.
https://znj.journals.ekb.eg/article_38596_5fef879b8e3ce6d4f011dd246cf056fe.pdf
2011-01-01
1
16
10.21608/znj.2011.38596
Sleep
Fatigue
postnatal
Nursing
Somaya
Mohamed
1
B.Sc. Nursing,
AUTHOR
Sanaa
Nour Eldin
2
Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Zagazig University
AUTHOR
Yosr
Elmasri
3
Lecturer of Psychiatric Nursing, Faculty of Nursing , Mansoura University
AUTHOR
ORIGINAL_ARTICLE
The Relationship between the First Line Managers’ Practices of Delegation Process and Their Time Management and Productivity among the Selected Health Sectors
Background: The ability to delegate safely and effectively is essential for all nurses;however, it is vital for the nurses in a leadership position. Delegation is one of prime supportsto effective time management. The ability to manage time makes any job easier, improveperformance and increase productivity. Very little research related to this subject has beendone in health care settings in this country. The comparison of the results of the differenttypes of settings and samples will allow a better understanding of the relationship betweendelegation process, time management and productivity and thus help to determine ifdelegation process is worth the extra effort. Aim: The present study aimed to identify therelationship between the first line managers’ practices of delegation process and their timemanagement and productivity among the selected health sectors. Methods: A convenientsample of 89 first line managers was included in the study. This study was conducted at threehospital affiliated to the following selected three sectors (1) University, (2) Private and(3) Ministry of health and population (MOHP) sector. Data were collected by threetools. First, productivity (Curtine, 1984), second one, time management questionnaire(University Advising Center, 1999) and the last one, delegation process self assessment(College of St. Scholastica, 2003). Results: The present study concluded that, there were ahighly statistically significant difference among the selected sectors regarding the practiceof the delegation process by the first line managers, their time management andproductivity. Also, First line managers’ age, years of experience and continuingeducation were highly statistically significant correlated to their delegation, timemanagement, and productivity. As well as, there was a highly statistically significantcorrelation between the delegation process which practiced by the first managers,their time management and productivity. Conclusion: The first line managers’understood the importance of practices of the delegation process and identifiedthat delegation process can be beneficial in their time management andproductivity in nursing practice. Implications and recommendations: Furtherstudy should identify the barriers to effective delegation in different sectors.
https://znj.journals.ekb.eg/article_38597_1b6d9478ca80946ecd4a3fd27e2e7d77.pdf
2011-01-01
17
32
10.21608/znj.2011.38597
First line managers
Time Management
productivity
delegation process
Manal
Ibrahim
1
D. Nsc, Assistant professor of nursing administration department, Nursing Faculty, Menoufia University
AUTHOR
Magda
Abdel Fatah
2
D. Nsc, Assistant professor of nursing administration department, Nursing faculty, Cairo University
AUTHOR
ORIGINAL_ARTICLE
Effect of Regular Perineal Massage during Last Month of Pregnancy on Perineal Outcomes
Antenatal perineal massage has been proposed as one method of decreasing the incidence ofperineal trauma. It contributes to the softening of the tissues and relaxation of the pelvic floormuscles also decrease resistance to pressure during delivery. Most women are keen to givebirth without perineal tears, cuts and stitches, as those often cause pain and discomfortafterwards, and can impact negatively on sexual functioning. The aim of this study was toevaluate the effect of regular perineal massage during last month of pregnancy on perinealoutcomes. The research design used for the study was the quasi experimental design. A totalof sixty pregnant women (massage and control groups each group consisted of 30 women)was recruited randomly for this study from the ante natal clinic and labor ward at El- MiniaGeneral Hospital. Tools used for data collection consisted of interviewing sheet, Intrapartumassessment sheet, Visual Analogue Scale (VAS), and follow up sheet. The Results of thestudy revealed that two thirds of massage group had intact perineum as compared to aroundone third in the control group. Also the first degree tears was less among the massage group(10.0%) compared to (23.3 %) in the control group, the third and fourth degree tear wereobserved in only one woman in the control group. The study concluded that perineal massagewas effective in reducing perineal trauma, better labor progress and perineal outcomes. On thelight of the study findings it is recommended that explanation about perineal massage shouldbe a routine part of childbirth preparation, which is usually offered by nurses. Emphasize onthe importance of antenatal follow up for women’s education about perineal massage andspecific recommendation for future research would be to replicate this study in other settingswith different patient population is needed to increase the ability to generalize the findings.
https://znj.journals.ekb.eg/article_38600_01b4b63b424fcfe8b6f79cef4e491adc.pdf
2011-01-01
33
50
10.21608/znj.2011.38600
perineal massage
perineal trauma
Second stage of labor
Hoda
Mohamed
1
Lecturer of Obstetrics & Gynecology Nursing, Faculty of Nursing, El-Minia University
AUTHOR
Nahed
Elngger
2
Lecturer of Pediatric Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Perception of Nurses about Their Role in Clinical Teaching at Different Hospitals
Background: Shortage of clinical teachers in nursing and absence of hospital nursing staffrole in clinical teaching may lead to incompetent graduates and poor quality patient care. Aimof study: To assess the perception of nurses about their role in clinical teaching at differentthree hospitals in Assiut City. Subjects and methods: A descriptive study design was carriedout in the present study. Data collection was started in 1st March and ended in May 2009.Setting: This study was carried out at Assiut University Hospital, El-Mabarrah Hospital, andEL-Shamallah Hospital. The study sample included (300) nurses staff currently assigned towork in the selected hospitals. Assiut University Hospital (n=175), El-Mabarrah Hospital(n=75) and EL-Shamallah Hospital (n=50). Tool: Tool used for data collection consisted offour parts: 1st part related to socio-demographic characteristics of the study sample (age,gender, marital status, level of education, job position, years of experience, and years workingwith nursing students). 2nd part consisted of fifteen variables related to Nurses' clinicalteaching roles scale, Nurses perception scale developed by (Birol 1997). 3rd part related to,nurses reasons for their performance in clinical care roles, 4th part related to Nursesrecommendation for improved clinical teaching performance. Results: more than threequarters of nurses working at Assiut University Hospital provided the patient care materialsand equipment which students requested, helped students to adjust to a clinical environmentand regarded them as team members (82.9%, 88.0% respectively). While, all nurses never didresearch work with students, and never hold teaching role. Conclusion: The majority ofnurses who participated in the study from the three hospitals reported that lack of training tohold a clinical teaching behind their poor in performance students' training. While, themajority of them attributed the level of their clinical teaching performance to beingoverloaded with work, slowness in the students' work, and increase in the students' number.Recommendations: Provision of training courses for nurses on clinical teaching role, cooperationbetween nursing educational institutions and hospitals, nursing educationemphasizes more clinical teaching, provide the nurses the chance to participate in theevaluation of students' performance, allow the nurses to conduct a case study seminar withstudents, encourage the students to plan for educating patients with nurses.
https://znj.journals.ekb.eg/article_38603_c3bdf1165cec981e4179779445ac6619.pdf
2011-01-01
51
65
10.21608/znj.2011.38603
perception
Nurses
Clinical teaching role
hospitals
Sahar
Abood
1
Lecturer of Nursing Administration, Faculty of Nursing- Minia University
AUTHOR
Karima
Abdel-Hafz
2
Lecturer of Nursing Administration, Faculty of Nursing- Assiut University
AUTHOR
ORIGINAL_ARTICLE
Knowledge and Practices of Poultry Workers about Avian Flu in Fayoum Governorate, Egypt
Background: Egypt has H5N1 outbreaks in poultry infecting resulting in disposing fromslaughtering of more than million and culling of more than 36 million birds. Egypt has usedprevention and control measures such as culling and vaccination since 2006 and more thanone billion birds have been vaccinated, but there are no sign that the infection is under controland the government considers the disease to be endemic in the country. Study' aimed atevaluating knowledge and practices of poultry workers about Avian Flu in FayoumGovernorate, Egypt. Subjects and Methods: The study was conducted at El-Fayoumgovernorate {4 reproductive Poultry Centers in 4 Villages; El- Ameria, El-Ajaband, Karvasand El-Beada and 25 chicken shops for the sale and Slaughter at El-Fayoum city}, our samplecomprised 600 male poultry workers, who accepted to participate in the study and working atthe selected settings and available during the period of the study. From May 2008 toDecember 2009, data collection used were structured interviewing questionnaire sheet, thelanguage of structured interviewing questionnaire was a colloquial Arabic; it was in the formof multiple choice questions (MCQ). Results: More than three quarters of the sample (76.3%)aged between 25:↓55 years. Forty seven percent of the participants were representative ofurban and more than half (53.0%) of rural areas, 43.1% of workers believe that birds getinfected from contacting diseased birds. 13.0% of poultry workers believes that AI can betransmitted through air while 35.7% didn't know the actual mode of virus transmission amongbirds. All of them have experienced at least an injury, through occupational time, regardingattending any institutional training programs for work safety, health education or first aidmeasures, all the worker reported that the institute did not organize such programs to attend.Also, all the workers confirmed that they have not received vaccinations against any of thepossible job-related infections. Conclusion: Lack of knowledge among poultry workers aboutAI, and preventive measures used during and after dealing with Poultry and more than half ofthem have inadequate practices about AI and preventive measures. Recommendations:Establish health education programs to poultry workers about importance of using personalprotective equipment (PPE) such as; outer garments (aprons or coveralls), gloves, disposablefoot protection, disposable head protection that can be reused after disinfection. All ruralhealth units should provide health education to poultry workers about how protect themselvesand their families from bird flow and used suitable media such as; TV, posters, and printsmaterials (Q & A booklets, magazine....etc)
https://znj.journals.ekb.eg/article_38605_0e6bd7aed9935d1a88de210ef41d6095.pdf
2011-01-01
66
91
10.21608/znj.2011.38605
Knowledge
Practices
Poultry Workers
Avian Flu
Fayoum Governorate
Egypt"
Mervat
Ahmed
1
Ph.D., lecturer of community health nursing, Faculty of Nursing, Minia University,
AUTHOR
Gamalat
Abd El-Ghany
2
Lecturer of Community Health Nursing, Faculty of Nursing, Zagazig University,
AUTHOR
Kalid
Kashab
3
Prof. of Internal medicine, Faculty of Medicine, El-Fayoum University
AUTHOR