Zagazig University; Faculty of NursingZagazig Nursing Journal2090-61108220120701Effect of Maternal Semi-Sitting, Dorsal Recumbent and Lithotomy Positions on the Progress of Labor: A Comparative Approach1173886610.21608/znj.2012.38866ENSafaa SolimanAhmedAssist. Lecturer of Maternity and Gyne. Nursing, Faculty of Nursing, Beni Suef University,Sanaa AliNourProfessor of Obstetrics and Gynecological Nursing, Faculty of Nursing , Zagazig
UniversityAmal MohamedElshahatProfessor of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal
University,Inas MohamedAbdAllahLecturer of Maternity and Gynecological Nursing, Faculty of Nursing, Ismailia,
Suez Canal UniversityJournal Article20190703Although various positions adopted during labor and delivery has been studied over the<br />past 40 years, controversy still surrounds the results regarding obstetric variables. The aim of<br />this study was to compare the effect of maternal semi-sitting and dorsal recumbent versus<br />lithotomy positions on the progress of labor. A Quasi-experimental research design was<br />adopted. Setting: The study was carried out in the labor ward of the General Hospital and the<br />Health Insurance Hospital in Beni Suef Governorate. The sample were eighty parturient<br />recruited in each of the three labor positions: semi-sitting (SS), dorsal recumbent (DR), and<br />lithotomy (LI) positions. Tools of data collection were; a structured interview schedule, an<br />assessment sheet of mother fetal condition, and observation checklist: to collect data about<br />details of second and third stage of labor. The results of the study revealed that the mean<br />duration, frequency, and intensity of the uterine of the contractions were highest in the SS<br />group, and lowest in the LI (p<0.001). No significant differences were noticed among the<br />three groups in their vital signs, but women in the SS group had women who were higher<br />mean diastolic pressure (p<0.001). The mean duration of the second and third stages in the<br />SS group was lower than those in the DR and LI groups. Conclusion: The frequency,<br />intensity, and duration of the uterine contractions were better compared to dorsal recumbent<br />and lithotomy positions. The mean durations of the second and third stages were also<br />significantly shorter. Recommendations: the utilization of the semi-sitting labor position<br />must be encouraged, with randomized clinical trial to provide further confirmation of the<br />study findings.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-61108220120701Educational Environment as Perceived by Nursing Students at Tanta University18333886710.21608/znj.2012.38867ENEl-Demerdash MohamedEl-DemerdashLecturers of Nursing Administration, Faculty of Nursing, Tanta UniversityReda Abd El-FatahAbo GadLecturers of Nursing Administration, Faculty of Nursing, Tanta UniversityJournal Article20190703Background: In a nursing programme, the main objective is to produce nursing graduates<br />who can provide comprehensive care and treatment to the community. A good approach to<br />the systematic design of a learning environment can lead to positive outcomes for graduates.<br />Aim: The aim of this study was to identify students’ perception of the educational<br />environment at Nursing Faculty at Tanta University. Design: Comparative design was used.<br />Setting & sample: The study was conducted at Faculty of Nursing at Tanta University. The<br />research design was carried out on 399 nursing students are selected randomly from 4th, 3rd,<br />and 2nd year students and willing to participate in the study. Tools: the data of the study was<br />collected using Dundee Ready Educational Environment Measure (DREEM) instrument.<br />Results: results of study reveals that the global mean score of 4th year students 112.42 with<br />mean percent 56.2% is higher than what is observed in 3rd, and 2nd year students 107.20,<br />107.140 with mean percent 53.6%, 53.5%, respectively. The highest mean percentage score is<br />59.4%, 57.6% and 56.6% for 2nd, 4th and, 3rd year students respectively, are for students’<br />perception of teachers with mean score 26.114±5.1315, 25.366±5.3813 and 24.911±6.3038<br />respectively, while, nursing students` lowest mean percentage is 48.7%, 48.6% and 47.8% for<br />2nd 4th, and 3rd year students’ perception of atmosphere with mean score 23.386±6.3323,<br />23.333±6.7033 and 22.948±6.8668, respectively. Conclusion: Remedial measure should be<br />needed in the subscales for the three years students` perceptions of atmosphere, as well as<br />students’ academic self perception and students’ social self perceptions for 2nd year students<br />need further improvement It recommended that the need for the creation of a supportive<br />environment, in addition to designing and implementing interventions to remedy<br />unsatisfactorily elements of the learning environment for more effective and successful<br />teaching and learning.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-61108220120701Effect of Maternal Semi-Sitting, Dorsal Recumbent and Lithotomy Positions on the Labor Outcome: A Comparative Approach18333886910.21608/znj.2012.38869ENSafaa SolimanAhmedAssist. Lecturer of Maternity and Gyne. Nursing, Faculty of Nursing, Beni Suef UniversitySanaa AliNourProfessor of Obstetrics and Gynecological Nursing, Faculty of Nursing , Zagazig
UniversityAmal MohamedElshahatProfessor of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal
UniversityInas MohamedD AbdAllahLecturer of Maternity and Gynecological Nursing, Faculty of Nursing, Ismailia,
Suez Canal UniversityJournal Article20190703The interest in the evaluation of the various positions adopted during labor and delivery with<br />respect to pain relief and comfort for women, in addition to better outcomes, have yet to be<br />fully clarified and there is thus as yet no consensus with regard to the optimal position to be<br />adopted . The aim of this study was to compare the effect of maternal semi-sitting and dorsal<br />recumbent versus lithotomy positions on labor outcome and women satisfaction. A quasiexperimental<br />design was adopted in this study. Setting: the study was carried out in the labor<br />ward of the General Hospital and the Health Insurance Hospital in Beni Suef Governorate.<br />The sample: eighty parturient women were recruited in each of the three labor positions:<br />semi-sitting (SS), dorsal recumbent (DR), and lithotomy (LI) positions. Tools of data<br />collection were; a structured interview schedule, an assessment checklist, and a satisfaction<br />sheet. Results: revealed that women in the SS group had significantly lower rates of<br />episiotomy, labial injury, vaginal edema, perineal lacerations, and postpartum hemorrhage<br />(p=0.001). Their newborns had the highest Apgar scores at the first and fifth minutes, and<br />none of them had fetal complications (p<0.001). Most (88.8%) women in the SS group were<br />satisfied with the position, had less problems, preferred to assume this position in the next<br />labor, and will recommend the position to others (p<0.001). Conclusion: semi-sitting position<br />during labor and delivery was found to have clinical advantages without risk to mother or<br />infant. Enhanced maternal and fetal outcomes included better Apgar score, improved perineal<br />integrity, vulvar edema, less blood loss and better women satisfaction. Recommendations:<br />the utilization of the semi-sitting labor position must be encouraged, with randomized clinical<br />trial to provide further confirmation of the study findings.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-61108220120701Effect of an Educational Program on Self Efficacy for Patients with Type 2 Diabetes Mellitus53703887110.21608/znj.2012.38871ENBahia GalalAbdel-RazikAssistant lecture Medical-Surgical Nursing, Faculty of Nursing , port said UniversityMarwa MoustafaRaghebAssistant Professor of Medical-Surgical Nursing, Faculty of Nursing Banha University,Magda Abdel-AzizMohammedProfessor of Medical-Surgical Nursing Faculty of Nursing -Ain Shams UniversityJournal Article20190703Background: Self-efficacy has important theoretical and practical applications for health<br />promotion and disease prevention among older adult. The present study aimed to evaluate<br />the effect of an educational program on self efficacy for patients with type 2 diabetes mellitus.<br />Setting: The study was conducted at outpatient clinic at Benha University Hospital in<br />kaluobia governorate. Sample: The study was applied on 50 adult patients with type 2<br />diabetes mellitus aged between 20-50 years selected randomly from both sexes without<br />disabilities and who can at least read and write. Tools: Data were collected through an<br />interviewing questionnaire including (socio-demographic data and medical history), Patient’s<br />knowledge & practice questionnaire sheet, and Diabetes Management Self-Efficacy Scale<br />(DMSES). Results: The results of the study concluded that there were highly significant<br />statistical differences in total knowledge, practice, and self efficacy scores of the studied<br />sample after implementation of the educational program; an extremely statistical significant<br />difference was found in mean scores of glycosylated hemoglobin (A1c) levels after applying<br />the educational program. Conclusion: After implementation of the educational program,A1C<br />levels had been improved significantly (an extremely statistical significant difference was<br />found in mean scores of hemoglobin A1C levels after applying the educational program, there<br />was a highly statistical significance difference in total knowledge, practices, and self efficacy<br />scores of diabetic patients after applying the educational program. Recommendations: The<br />study recommended that further programs with continuous follow up for peoples with<br />diabetes should be applied in all health care centers to help them to improve their self care<br />behaviors and self efficacy.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-61108220120701The Impact of Health Education Intervention on Nurses' Knowledge and Practice for Preventing Infection in Operating Rooms in Zagazig University Hospitals71863887210.21608/znj.2012.38872ENMona Emad EldienHussienAssistant lecturer, community health nursing department, Faculty of Nursing, Mansoura
UniversitySalwa AbbassAliProf. of Community Health Nursing- Faculty of Nursing-Zagazig UniversityAmany RashadAboel- SeoudProf. of Community Medicine - Faculty of Medicine- Zagazig UniversityAmany SobhySorourAssistant Prof. of
Community Health Nursing- Faculty of Nursing- Zagazig UniversityJournal Article20190703Background: Infection is one of the major problems in the operating rooms. Many<br />studies showed that nurses are dangerously exposed to many hazards; such as needle stick and<br />sharps injuries with high incidence in the operating room due to many factors such as lack of<br />experience, cross infection, and work overload. Nurses need more attention for ensuring<br />effective compliance with universal precautions. Aim of study: Assess nurses' knowledge and<br />practice about universal precautions, plan and implement health education program for nurses<br />about universal precautions and evaluate the impact of health education on nurses' knowledge<br />and practice about universal precautions. Setting: emergency hospital (ambulatory surgery<br />unit), and new surgery hospital. Study sample: consists of 70 nurses, 30 nurses from the<br />operating rooms in the emergency hospital and 40 nurses from operating rooms in the new<br />surgery hospital. A quasi – experimental design was used in this study. Tools: included<br />questionnaire sheet about nurses' demographic characteristics and their knowledge about<br />universal precautions, an observational checklist for assessing practice and health education<br />program. Results: the study findings showed statistical significant relationship between<br />nurses' knowledge related to infection cycle pre & post program, (p<0.05), universal<br />precautions pre post program, (p = 0.000), waste management pre & post program, (p<0.005),<br />role of scrub and circulatory nurse and their personal characteristics pre post program<br />(p=0.000). Regarding nurses' observed practice most of nurses practiced its items correctly<br />pre program and improved post program. (p=0.000). Conclusion: from the findings of the<br />present study, it can be concluded that nurses' knowledge level was low concerning most of<br />the items such as infection cycle, disinfection and sterilization pre program among both<br />groups of nurses (study & control) and increased post program among the intervention group.<br />The study recommended that all nurses must be medically checked up periodically; and<br />continuous in-service training should be conducted for nurses related to infection control in<br />operating rooms.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-61108220120701Relationship between leadership style of the nursing institutes’ leaders and their teachers’ job satisfaction and motivation871003887510.21608/znj.2012.38875ENGehan AbdallahAbo El MaattiBSc. of nursing, faculty of nursing, Zagazig UniversityEman ShokeryAbd-AllahAssistant prof. of
Community Health Nursing، Faculty of Nursing ,Zagazig UniversityMaha AbdeenAbdeenlecturer of
nursing administration, Faculty of Nursing ,Zagazig UniversityJournal Article20190703Background: Nurse Teachers' dissatisfaction is often attributed to heavy workloads,<br />inadequate leadership styles used by their leaders, lack of motivation, inadequate training,<br />and lack of recognition and respect. The aim of this study is to investigate the relationship<br />between leadership styles of the nursing technical institutes' leaders and nurse teachers’ job<br />satisfaction and motivation to work. Setting: It was conducted in 18 different Nursing<br />Technical Institute at Elsharkia governorate affiliated to the Ministry of Health and<br />Population (MOHP), the National Health Insurance Organization (HIO), and Zagazig<br />University Hospitals using a cross-sectional analytic design. The study sample included 36<br />technical institutes’ leaders and 116 nurse teachers. Tools: Data were collected using selfadministered<br />questionnaires for both groups. The results revealed that leadership scores were<br />generally low, and 69.4% of the leaders predominantly used the transactional style, compared<br />to 30.6% using the transformational style, with no significant relation to their personal<br />characteristics. Of the nurse teachers 62.1% had total high job satisfaction, and it was<br />significantly related to age, experience, and qualification; 77.6% of them had high<br />motivation, with no significant associations with any of their personal characteristics.<br />Transformational leadership had a significant association with nurse teachers' satisfaction and<br />motivation. A statistically significant moderate positive correlation was revealed between the<br />scores of motivation and satisfaction (r=0.466), and a negative correlation between the scores<br />motivation and transactional style (r=-0.185). It is concluded that leaders of the technical<br />nursing institutes have low leadership scores, and are predominantly using the transactional<br />leadership style. The use of transformational leadership style is associated with higher<br />satisfaction and motivation. Therefore, it is conclusion that the leaders of nursing institutes<br />improve their leadership skills through periodic on-the-job training courses, and continuing<br />education, and this should be a pre-requisite for appointment to leader position. Future<br />research is recommended to test the effectiveness of interventions to enhance nurse teachers’<br />job satisfaction and motivation such as leadership training programs for leaders and staff<br />development programs for nurse teachers.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-61108220120701Clients' Satisfaction with Maternal and Child Health Care Service at El - Minia Governorate, Egypt1011113887710.21608/znj.2012.38877ENSahar AhmedAboodLecturer, Department of Nursing Administration, Faculty of Nursing, El-Minia
University, El-Minia, Egypt,Fadia Abd El HameedMosallemLecturer, Department of Nursing Administration, Faculty of Nursing, El-Minia
University, El-Minia, EgyptAshraf Abd El- AzeemEwisAssistant Professor, Department of Public Health and
preventive medicine, Faculty of Medicine, El-Minia University, El-Minia, EgyptJournal Article20190703Background: Health care services are being provided by health facilities to the community<br />with the objective of fulfilling their satisfaction but sometimes the target population can not<br />be always satisfied. Client satisfaction measurement is a routine tool in health care facilities to<br />assess the quality of service and know whether it meets the clients' expectations. Aim: Our<br />study was conducted to assess the satisfaction of clients receiving maternal and child health<br />services at El-Minia MCH facilities in order to elicit suggestion for improving the services.<br />Research design: It is a cross-sectional descriptive study Settings: This study was conducted<br />during April-October 2010, at El-Minia governorate, in Upper Egypt, 234 Km south to Cairo,<br />Egypt. In El-Minia governorate, 233 different health facilities are providing MCH care (10<br />urban centers and 223 rural health units). Sample: The target sample size 300 adult women.<br />Tool: An interview questionnaire was developed by the authors and filled out from the<br />answers of the female clients who attended the services at El-Minia MCH facilities during a<br />period from April to October 2010. Results: As regard to client satisfaction with the provided<br />MCH services, 56.3% of the clients were not satisfied while 43.7% of clients accepted the<br />services and described it as good. Most of the clients (57%) expressed their responses as not<br />satisfactory regarding the assessment of physicians and 66.7 for nursing staff. Conclusions:<br />The majority of the interviewed women were not satisfied with most of the aspects that<br />include dealing with the health care providers at all the urban and rural MCH facilities of El-<br />Minia governorate. Consequently, the policy makers and health care providers must revise<br />their quality and quantity of services, and accordingly actions must be taken to improve them<br />to meet the clients' expectations. Recommendations: In order to overcome this low level of<br />satisfaction we recommend holding regular mothers' meetings inviting opinions and<br />suggestions from the clients. On the other hand, adoption of an extensive national educational<br />and training program for the proper dealing and patients’ rights among health care service<br />providers. Moreover, in the university education for medical and nursing students, there must<br />be special emphasis on patients’ rights, human dealings and quality of service that satisfies all<br />health care clients.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-61108220120701Prevalence and Risk Factors for Patients Undergoing Abortion In Zagazig University Hospitals1121253888010.21608/znj.2012.38880ENDoaa ShehetaFaragAssistant Lecturer of Obstetrics and Gynecological Nursing, Faculty of Nursing
Helwan UniversitySanaa AliNourProf. of Obstetrics and Gynecological Nursing, Faculty of
Nursing Zagazig UniversityYouser MohamedEl MasriAssist. Prof. of Psychiatric-Mental Health Nursing,
Faculty of Nursing Mansoura UniversityJournal Article20190703Background: Abortion is a public health concern because of its impact on maternal<br />morbidity and mortality. Each year, about 79 million unintended pregnancies, excluding<br />miscarriage, occur worldwide. More than half of these unintended pregnancies end in<br />abortion. The aims of the present study were to; assess the prevalence, risk factors associated<br />with abortion in Zagazig university hospitals. A cross sectional design with nested case<br />control design were selected in carrying out this study and representative samples of 800<br />women (400 aborted women and 400 non aborted women) were recruited for this study. The<br />tools used for data collection were; an interview questionnaire sheet, clinical assessment<br />form. The results were; the prevalence of abortion as estimated from the registries of<br />Zagazig University Hospital was 25.0 % during the period from August 2010 till July 2011.<br />Risk factors for abortion include; women’s age, consanguinity, education, job status,<br />exposure to pesticide, passive smoking, coffee intake and previous abortion as well as<br />unwanted the current pregnancy. Eleven women were exposed to illegal and unsafe abortion<br />and use misoprostol to induce abortion. It can be concluded that, the prevalence of abortion<br />was 25.0 % during the period from August 2010 till July 2011. Risk factors for abortion<br />include; unhealthy life style, pregnancy complications and history of previous abortion. The<br />study recommended that; relevant nursing curricula must entail a detailed portion about<br />abortion, management and post abortal hygiene. And nursing role for women underwent<br />abortion should be recommended in maternity hospital protocols.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-61108220120701Post traumatic stress disorders for Patients Undergoing Abortion and Nursing Implications1261393888110.21608/znj.2012.38881ENDoaa ShehetaFaragAssistant Lecturer of Obstetrics and Gynecological Nursing, Faculty of
Nursing Helwan UniversitySanaa AliNourProf. of Obstetrics and Gynecological
Nursing, Faculty of Nursing Zagazig UniversityYouser MohamedEl MasriAssist. Prof. of
Psychiatric-Mental Health Nursing, Faculty of Nursing Mansoura
UniversityJournal Article20190703Background: Post traumatic stress disorders [Post abortion syndrome (PAS)] is a term that<br />has been used to describe the emotional and psychological consequences of abortion.<br />Complications of abortion account for more than 80 % of maternal deaths. The aims of the<br />present study were to; determine physical and psychological alarming signals that denote<br />complications among aborted women as well as to plan and implement an educational<br />program for upgrading nurse's knowledge pertaining to the management of patients<br />undergoing abortion. Research design: A Descriptive and an intervention design" were<br />selected in carrying out this study and representative samples of 400 aborted women and 20<br />nurses were recruited for this study. Setting: Obstetrics and Gynecological Department at<br />Zagazig University Hospitals through a period of one year, The tools used for data<br />collection were; an interview questionnaire sheet, clinical assessment form, the follow up<br />sheet and Pre and post evaluation sheet. The results are; Aborted women suffered immediate<br />physical and late posttraumatic stress disorders, and there was a statistically significant<br />improvement in nurse’s knowledge about abortion and its management at the post test of the<br />intervention program.abortion. It can be concluded that, Aborted women suffered immediate<br />physical and late posttraumatic stress disorders, and there was a statistically significant<br />improvement in nurse’s knowledge about abortion and its management at the post test of the<br />intervention program. The study recommended that; relevant nursing curricula must entail<br />a detailed portion about abortion, PTSD, management and post-abortal hygiene. And nursing<br />role for women underwent abortion should be recommended in maternity hospital protocols.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-61108220120701Stress and Coping Patterns among Parents Having Children with Autism1401543888210.21608/znj.2012.38882ENSafia RagabEl-SebaieDemonstrator in psychiatric & mental health Nursing, Faculty of Nursing, Zagazig
UniversityYouser MohammedEl-MasriAssist. Prof. of psychiatric & mental health nursing, Faculty of
Nursing, Mansoura UniversitySorayia RamadanAbd El-fattahProfessor of psychiatric & mental health, Faculty of
Nursing, Ain Shams University,Nagwa AhmedEl-ShafieProf. of pediatric medicine, Faculty of Medicine,
Zagazig University.Journal Article20190703Background: Parents of children with autism may suffer high levels of stress, resulting in<br />disruption in lifestyle and relationship, deprivation of human need, and failure to act in ways<br />to elimination the cause of the distress. Moreover, family stress can contribute to unfavorable<br />prognosis. This study was conducted to assess the stress and coping patterns among parents<br />having children with autism using a cross-sectional analytic design at the Child Clinic of the<br />El-Abassia Governmental Hospital for mental health, and the Special Needs Health Care<br />Center in Ain Shams University. It included a convenience sample of 80 parents and their<br />autistic children. The tools used to collect the data were the Child's Medical and<br />Developmental Data Sheet, the Parental Coping Strategy Inventory, and the Parenting Stress<br />Index. Data collection was from October 2009 to April 2010. The study findings showed that<br />77.5% of the parents were coping with the situation, and 96.3% had high total stress. Coping<br />increased with increasing birth order (p=0.002), and mother education (p=0.03). Stress score<br />had negative significant correlations with child IQ (r=-0.479), and father education (r=-<br />0.231), and a positive correlation with family size (r=0.230) and the time lapse between<br />symptoms and diagnosis (r=0.284). Recommendations: it is recommended to include the<br />assessment of parents' stress level as a part of the screening and assessment of<br />children with ASD. Formation of support groups must be encouraged, with the nurses<br />exerting more effort in this.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-61108220120701Effect of Aerobic Exercises Training in the Reduction of Blood Pressure for Patients with hypertension1551673888310.21608/znj.2012.38883ENJehan SayyedAliLecturer of Adult Care Nursing, Medical Surgical Nursing Dep., Faculty of
Nursing, El-Minia UniversityLobna MohamedGamalLecturer of Critical Nursing, Medical Surgical
Nursing Dep., Faculty of Nursing, El-Minia UniversityGehan AhmedGamal El –DenLecturer of Adult Care
Nursing ,Medical Surgical Nursing Dep., Faculty of Nursing El-Minia UniversityJournal Article20190703Background: Hypertension is a very prevalent cardiovascular disease. Medication cannot<br />cure hypertension but it can help to control blood pressure (BP). All current treatment<br />guidelines emphasis the role of non-pharmacological interventions. Aim: to evaluate effect of<br />aerobic exercises training in the reduction of blood pressure for patients with hypertension.<br />Sample & setting: 80 adult female patients with hypertension .They were allocated randomly<br />into two groups, study and control (40 patients each) who were referred to outpatient clinic of<br />El Minia University hospital with the following criteria; their age ranged between 20-59year,<br />suffering only from hypertension, which was mild &moderate hypertension. Tools: used for<br />data collection were 1) Interview questionnaire data includes a) socio-demographic data. b)<br />Knowledge assessment sheet 2) Patients practice for aerobic exercise training program to<br />monitor blood pressure (BP) for study group. Each patient received three sessions per week for<br />a period of three months. BP was measured at randomized trials during a cycle ergometer<br />exercise for the control group. Results: This study reveled that, post aerobic exercise leads to<br />a significant reduction in systolic BP (141.0±7.21to132.2±23.4mmHg; P=.000) and diastolic<br />BP (87.7±7.32to 85.0±6.5mmhg; P=.000) Also there were statistically significant differences<br />with patient's knowledge between study and control group .Conclusion: aerobic exercise<br />decreases BP in mild and moderate hypertensive patients and patients who received<br />knowledge about disease were improved than patients who did not receive it.<br />Recommendation: aerobic exercise training is an important initial or adjunctive step in the<br />reduction of BP for patients with mild to moderate hypertension. Also education of<br />hypertensive patients is necessary to achieve an optimum level of healthy life.