Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
9
1
2013
01
01
Improvement of women's knowledge, attitude and practice regarding osteoporosis after an interventional educational program
1
14
EN
Ekbal
Abd El -Rheim
Emam
Lecturer in woman health and Maternity Nursing Dept., Faculty of Nursing, Minia
Mervat
Abdel Kader
Ahmed
Lecturer of nursing community health Dept. Faculty of Nursing, Minia
University
10.21608/znj.2013.38627
Background: Osteoporosis is a major health problem adversely affecting the quality<br />of life and incurring extra costs on the patient and the society. Primary prevention is most<br />important through healthy dietary habits and proper physical exercise. Aim: the study was<br />carried out with the aim of evaluating the effect of an educational program about osteoporosis<br />on improving women's knowledge, attitudes and practices. Setting: it was conducted in Minia<br />city in Upper Egypt using a quasi-experimental design. Sample: a systematic random sample<br />of 150 women was recruited from the registries of home visit program in the faculty of<br />Nursing at Minia University. Tool: Data were collected using an interview questionnaire<br />sheet assessing women's medical history, knowledge, attitude, and practices as well as risk<br />factors for osteoporosis. An educational program based on pertinent literature, and in the light<br />of the findings of the assessment phase was developed, implemented, and evaluated at the end<br />of the program, and during the 3-month follow-up period. The results revealed that women’s<br />pre-program knowledge was low, but significantly improved at the post and follow-up phases<br />(p<0.001). Pre-program attitude and practice were better than knowledge; however,<br />significant improvements were detected after the program. Multivariate analysis revealed that<br />attendance of the program was the most important independent predictor of the scores of<br />knowledge, attitude, and practice. Conclusion: the educational program based on needs<br />assessment was effective in improving women’s knowledge, attitude, and practice related to<br />osteoporosis. Recommendations: it is recommended to use this educational program in<br />communities where the risk factors of osteoporosis are prevalent. The role of health care<br />professionals, including nurses, should be more activated.
Osteoporosis,Women Health,Knowledge,Attitude,Practice,education,Intervention
https://znj.journals.ekb.eg/article_38627.html
https://znj.journals.ekb.eg/article_38627_44757599c89cfb63e172dbe1c8cb0d94.pdf
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
9
1
2013
01
01
Relationship between Structural Empowerment, Work Engagement, and Job Satisfaction among Nursing Staff at Zagazig University Hospitals
15
30
EN
Farida
Mahmoud
Hussein
Lecturer of Nursing Administration, Faculty of Nursing - Zagazig University
10.21608/znj.2013.38631
Background: In any health care setting, the nursing staff plays an important role for<br />organizational achievement. Therefore, it is very important for the nurse managers to<br />recognize nurses’ work and provide them with opportunities to grow and to look after their<br />comfort (1). Aim: identify the relationship between structural empowerment, work<br />engagement, and job satisfaction among nursing staff at Zagazig University Hospitals.<br />Design: Descriptive correlational, cross-sectional study. Setting: The study was conducted at<br />all Zagazig University Hospitals Sample: Stratified random sample was used. 100 full time<br />staff nurses who have a minimum of 6 months’ nursing experience in the organization were<br />selected. Tools of data collection: A demographic sheet, the Conditions for work<br />Effectiveness Questionnaire-II (CWEQ-II), the Utrech Work Engagement scale, and the<br />abridged job in general scale (AJIG scale) were used. Results The sample of 100 staff nurses<br />was females with a mean age of (33.45), and an average of 15.18 years of experience. The<br />majority of them had diploma qualification. 41% of nurses had satisfactory scores in relation<br />to structural empowerment, and 48% of them had satisfactory scores in relation to work<br />engagement. While nearly half of them have satisfactory scores in relation to overall job<br />satisfaction (53%). Statistical significant correlation between structural empowerment and<br />work engagement (r= .224*), and job satisfaction and both of structural empowerment<br />(r=.348**) and work engagement (r=.297**) were detected. Also, work engagement has<br />partial mediation effect on empowerment/ overall nurse’ job satisfaction relationship.<br />Conclusion: There were highly significant positive correlation between job satisfaction and<br />both of structural empowerment and work engagement among nurses working in Zagazig<br />University Hospitals. Moreover, work engagement has partial mediation effect on<br />empowerment/overall nurse’ job satisfaction relationship. Recommendation: Nurse<br />Managers at Zagazig University Hospitals should develop and implement strategies to engage<br />their staff in work
Structural Empowerment,work engagement,Job Satisfaction,Staff nurses
https://znj.journals.ekb.eg/article_38631.html
https://znj.journals.ekb.eg/article_38631_1c78a48afa32f4ae5d49b8e9ec7eb69c.pdf
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
9
1
2013
01
01
Perception of Clinical Decision Making among Nurses: Students versus Interns
31
42
EN
Eman
Mohammed
Abd El-Aziz
Lecturer of medical-surgical nursing, Faculty of nursing, Zagazig university
Amany
Sobhy
Sorour
Assistant Prof. of community health nursing, Faculty of nursing, Zagazig university
10.21608/znj.2013.38635
Back ground: Clinical Decision-Making (CDM) is a dynamic and complex thinking process<br />that nurses have to make frequently each day while planning and delivering care. The aim of<br />this study was to compare between baccalaureate (final year) nursing students and interns<br />regarding their perception of clinical decision-making. Setting & Sample: An analytic crosssectional<br />design was used to conduct the study at the Faculty of Nursing, Zagazig University<br />on 100 baccalaureate nursing students and 124 interns selected by convenience sampling.<br />Tool: A self-administered questionnaire form including the Clinical Decision-Making in<br />Nursing Scale was used to collect data. The fieldwork lasted from September to November<br />2012. The results showed no significant differences between the students and interns in the<br />mean and median scores of all four subscales and the total score. In both, the scores are higher<br />for the subscales of searching for alternatives and canvassing objectives/values. The median<br />total scores were equal for males and females (3.16) and almost equal for single (3.18) and<br />married (3.15) respondents. Age and academic grade achievement had no influence on<br />perception of decision-making. The study concludes that final year nursing students and<br />nurse interns have average clinical decision-making with no difference in the perceptions of<br />the two groups. Recommendations: The faculty of nursing should give more emphasis on the<br />development of this skill in undergraduate curricula and in internship programs, with<br />provision of needed resources for research and evidence-based practice. Further research is<br />suggested for identification of the factors that may improve or impede the development of this<br />skill among nurses.
Clinical decision making,Nurse Students,interns,perception
https://znj.journals.ekb.eg/article_38635.html
https://znj.journals.ekb.eg/article_38635_5d187dea6cb3df68167189587e00dc80.pdf
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
9
1
2013
01
01
General Health Problems among Oncology Nurses Handling Antineoplastic Agents: A Comparative Study
43
55
EN
Amany
Sobhy
Sorour
Assistant Prof. of community health nursing, Faculty of nursing, Zagazig University
10.21608/znj.2013.38638
Background: The antineoplastic drugs pose an occupational hazard to nurses. The General<br />Health problems have not been addressed in the literature although they might provide early<br />indicators for safety of nurses. Aim: to compare general health problems among oncology<br />nurses handling antineoplastic agents and those in other departments not dealing with these<br />hazardous exposures. Setting & sample: Retrospective study was conducted on 50 nurses in<br />the oncology department at the nuclear medicine centre, and 50 control nurses from the<br />departments of ophthalmology and orthopedic at El-kasr El Aini hospital. Tool: A selfadministered<br />questionnaire covering personal data, menstrual and reproductive history, and<br />general health problems, and assessment of exposure to antineoplastic agents in exposed<br />nurses was used for data collection. Results: More exposed nurses suffered dysfunctional<br />bleeding (p=0.006), and menorrhagia (p=0.005), especially with no identified causes. The<br />Odds Ratios (ORs) ranged between 2.7 for irregularity to 7.4 for dysfunctional bleeding. They<br />had more dysuria (p=0.03), dermatitis (p=0.01), and stomatitis (p<0.001), with ORs 2.5 to<br />4.9. Menstrual problems increased with the duration of exposure, with ORs 4.3 for bleeding<br />and 16.7 for menorrhagia, and significant positive correlations. Conclusion: The study<br />confirms the hazardous effects of nurses' occupational exposure to antineoplastic agents on<br />general health. Recommendations: The findings corroborate the need of health education<br />program to maintain safety measures, medical examinations for nursing staff prior to their<br />appointment and Periodic screening for early detection of any deviations from normal, with<br />prompt occupational health intervention.
Oncology nurse,antineoplastic,Occupational Exposure,general health problems
https://znj.journals.ekb.eg/article_38638.html
https://znj.journals.ekb.eg/article_38638_a67227298cbaeb7c47bf1ecebf1d64bc.pdf
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
9
1
2013
01
01
Needs and Problems Encountered Among Post Mastectomy Patients: Suggested Nursing Guidelines
56
68
EN
Zeinab
Mohamed
Ahmed
Demonstrator, medical surgical nursing Dep., Faculty of Nursing, Zagazig
University
Howida
Kameel
Zatton
lecturer, medical surgical nursing Dep., Faculty of Nursing, Zagazig
University
Safaa
Hussein
Mohamed
lecturer, medical surgical nursing Dep., Faculty of Nursing, Zagazig
University
Magda
Abd Elaziz
Mohamed
Prof. of medical surgical nursing, Faculty of Nursing, Ain Shams
University
10.21608/znj.2013.38640
Background: Breast cancer is the most prevalent cancer worldwide with about one million<br />new cases annually. Breast cancer remains major health problem all over the world. The<br />life-threatening nature of breast cancer and the consequences of the aggressive treatment<br />regimes can result in a wide range of physical, emotional and social consequences may<br />influence the patients' needs. Aim of this study: assess problems and needs which<br />encountered among breast cancer patients following mastectomy and develop suggested<br />nursing guidelines. Subjects and methods: Descriptive design was conducted for sample of<br />60 adult female patients admitted to oncology units, at Zagazig University hospitals through:<br />using interview questionnaire sheet. Results: This study revealed that, most patients suffered<br />from pain, difficulty in hand movement at surgical site, high costly treatment, chemotherapy<br />and radiotherapy side effects following mastectomy. There are significant relations between<br />patients’ ages and needs for helping in eating, clothing and bathing, between level of<br />education and needs for economic help and between constipation and patients’ needs for<br />nursing guidelines. Conclusion: Patients’ substantial needs and problems require professional<br />support even after completion of the patients’ treatment. Continued assessment of the<br />patients’ needs and symptoms provide the basis for purposeful counseling and education.<br />Recommendations: Rehabilitation programs for patients should be developed and<br />implemented in clinical practice.
Mastectomy- Problems- Needs-Nursing Guidelines
https://znj.journals.ekb.eg/article_38640.html
https://znj.journals.ekb.eg/article_38640_58f57e2f1ca420b3589fcdad70ed6446.pdf
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
9
1
2013
01
01
Nurses' Performance Regarding Nasogastric Tube Feeding in Intensive Care Units
69
86
EN
Eman
Ali
Metwaly
Demonstrator, medical surgical nursing dep., Faculty of Nursing, Zagazig University
Elham
Hamad
Mohammed
lecturer of medical surgical nursing dep., Faculty of Nursing, Zagazig University
Magda
Abd -Elaziz
Mohammed
Prof. of medical surgical nursing, Faculty of Nursing, Ain Shams University
10.21608/znj.2013.38641
Background: Nasogastric tube (NGT) feeding is a common practice in Intensive care Units<br />(ICUs). The aim of study was to assess nurses' performance regarding nasogastric tube<br />feeding in Intensive Care Units. Subjects and methods: A descriptive correlation design was<br />used in this study. All nurses (100) in all ICUs at Zagazig University Hospitals were<br />included. Two tools were used for collecting data, 1) questionnaire sheet to collect knowledge<br />about socio-demographic characteristics of study nurses and questions to assess nurses'<br />knowledge regarding nasogastric tube and feeding administration. 2) Observational checklist<br />to assess nurses' practice regarding NGT insertion and feeding administration. Results: the<br />study finding revealed that there was a statistical significant relation between total knowledge<br />and total practice concluded that nurses had unsatisfactory level of knowledge about NGT<br />insertion and feeding, and their level of practice was unsatisfactory. It can be concluded that<br />the majority of nurses in intended ICUs did not apply the most recommended nursing<br />practices regarding nasogastric tube insertion and feeding administration. It is recommended<br />to provide a training program for all nurses who provide care to critically ill patients in ICUs,<br />periodic evaluation of nurses' practice.
performance,Nasogastric tube,Intensive Care Units
https://znj.journals.ekb.eg/article_38641.html
https://znj.journals.ekb.eg/article_38641_5629797e3aef53df44c6f4974c1d91e4.pdf
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
9
1
2013
01
01
Risk Factors and Pregnancy Outcome of Placenta Previa at Zagazig University Hospitals
87
102
EN
Noura
Mohammed
Attia
Demonstrator in Obstetrics and Gynecological Nursing, Faculty of Nursing,
Zagazig University
Sanaa
Ali
Nour
Professor of Obstetrics and Gynecological nursing, Faculty of
Nursing, Zagazig University
Amina
Saad
Genaid
Assist. Prof. of Obstetrics and Gynecological nursing,
Faculty of Nursing, Zagazig University
Eman
El Said
Mohamed
Lecturer of Obstetrics and Gynecological
nursing, Faculty of Nursing, Zagazig University
10.21608/znj.2013.38643
Background: Placenta previa is a major cause of third trimester hemorrhage complicating<br />between 0.3% and 0.5% of pregnancies and accounting for significant maternal and perinatal<br />mortality The aims of this study was to; determine the risk factors responsible for rising rates<br />of placenta previa and compare pregnancy outcomes between women with placenta previa<br />and those with normal placental situation. A prospective case control design was selected in<br />carrying out this study and a representative sample of 200 parturient women (100 with<br />placenta previa being hospitalized or none hospitalized before delivery and 100 with<br />normally situated placenta) were recruited for this study. The tools used for data collection<br />were; an interview questionnaire sheet, a clinical assessment form, the partograph, a summary<br />of labor sheet and a neonatal assessment sheet. The results of the present study revealed that<br />the risk of having placenta previa was significantly increased with increased maternal age,<br />high gravidity, mal-presentation as well as the history of infertility and use of ART, and<br />previous cesarean section (p=0.001). They were less likely to have pre-eclampsia, multiple<br />gestations, exposure to smoking and previous abortion. Anterior localization was more<br />common and complete and incomplete placenta previa constitute three fifth of the cases and<br />there was increased risk of abnormal adherence of the placenta. It can be concluded that,<br />placenta previa was associated with considerable maternal and fetal morbidity and mortality.<br />The study recommended that: Early diagnosis of placenta previa, identification of risk<br />factors, adopting recent modalities of diagnoses and management in appropriate setting and<br />with adequate resources may help in better outcome by reducing the feto-maternal<br />complications.
Placenta Previa,risk factors,Outcome
https://znj.journals.ekb.eg/article_38643.html
https://znj.journals.ekb.eg/article_38643_ea0d075e9cd5cb9ce717e24334f54cd2.pdf
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
9
1
2013
01
01
The Effect of Psychosocial Counseling Sessions on Family Caregivers Living with Patients having Dementia
103
118
EN
Marwa
Abd El-Fattah
Elsalamoni
Assistant lecturer, Psychiatric and Mental Health Nursing, Faculty of Nursing- Zagazig
University
Mona
Hassan
Abdel Aal
Assistant Professor of Psychiatric and Mental Health Nursing, Faculty of
Nursing, Ain Shams University
Salwa
Abbas
Ali
Professor of Community Health Nursing, Faculty of
Nursing- Zagazig University
Sorayia
Ramadan
Abd El-Fattah
Professor of Psychiatric and Mental Health Nursing, Faculty
of Nursing- Ain Shams University
10.21608/znj.2013.38647
Background: Each caregiver responds differently to his/her role, depending primarily on the<br />emotional closeness that existed prior to assuming the responsibility, and the ability to adapt<br />to the strain incumbent within the caregiver role over an extended period of time. Aim: This<br />study was conducted to assess the effect of psychosocial counseling sessions on family<br />caregivers living with patients having dementia. Quasi-experimental design was used in this<br />study. Setting : the outpatient clinic of El-Abassia government hospital for mental health, and<br />geriatric center in Ain shams university hospital. It included sample of 61 caregivers in pre<br />counseling that decreased in post counseling to 49 caregivers. The tools of data collection;<br />were interview questionnaire form, burden of the family caregivers, and adaptive coping<br />scale. The study results showed that the majority of family members who got anxiety or<br />depression were 95.1%in pre test, while 12.2% in post test. Implementation of counseling<br />intervention sessions showed a statistically significantly improvement in family caregivers’<br />knowledge about the disease. The study concluded that psychosocial counseling session for<br />family caregiver of dementia patient improves caregiver knowledge and coping strategies<br />increased post counseling. The study recommended, health education should conducted an<br />every caregiver setting provide care for demented patient about knowledge about disease, and<br />support family by provided them with educating caregivers about this target and explaining<br />that they must take care of themselves is of utmost importance.
Dementia,psychosocial counseling,Coping strategies,family caregivers
https://znj.journals.ekb.eg/article_38647.html
https://znj.journals.ekb.eg/article_38647_31e397916b78d10f098e04c55dc45975.pdf
Zagazig University; Faculty of Nursing
Zagazig Nursing Journal
2090-6110
9
1
2013
01
01
Aggression and Depression among Orphanages resident Children
119
134
EN
Mona
gamal
Abd Elnaser
Demonstrator, psychiatric and mental health nursing Dep., Faculty of nursing,
zagazig university
Amany
Sobhy
Soror
Assistant professor of community health nursing, Faculty of
nursing, zagazig university
Hanaa
Hamdy
Elzeiny
Lecturer ,psychiatric and mental health nursing,
Faculty of nursing, Zagazig university
Yosr
Mohammed
Elmasry
Assistant professor of psychiatric and
mental health nursing, Faculty of nursing, Mansoura university
10.21608/znj.2013.38649
Background: aggression and depression are common problems among children in<br />orphanages. Occur in the form of disobedience, anger, verbal hostility and self blame,<br />and affected on academic achievement, less concentration and cause withdrawal from<br />society. The aim of these study aim was to assess aggression and depression among<br />orphanages' resident children. Sample & setting: A descriptive cross sectional design was<br />selected in carrying out this study on a sample of 97 orphan child residing 5 orphanages;<br />Epnaty, Phagr El Eslam, El Safa. El Amal and Tahsin El Seha Shelters). Tools: the main<br />tools used for data collection were; aggression scale and depression scale. The results of the<br />present study revealed that 29.9% of orphans children had depressive symptoms and 35.1%<br />had aggressive symptoms. Additionally, males had more depressive symptoms than females,<br />while females had aggressive symptoms more prevalent than males. Physical aggression was<br />recorded among 20.0% of orphans children having depression and a total aggression was<br />recorded among 20.6% of orphans children having depression. It can be concluded that<br />females orphans were more aggressive than males and male ones were more depressive than<br />females. Increased aggression and depression among orphans was related to increase time<br />spent in orphanage. The study recommended that health educational programs should be<br />given to caregivers in orphanages and teachers regarding how to deal appropriately with<br />those children.
Orphanages,school age orphans,aggression,depression
https://znj.journals.ekb.eg/article_38649.html
https://znj.journals.ekb.eg/article_38649_1175f0cfafa3f75f4a71761d8e61a40d.pdf