Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Perception of Nurses and Physicians toward Safety Culture at Damanhour National Medical Institute1173919910.12816/0029146ENSeham MohamedDarwishNurse Manager of operation department- Damanhour National Medical Institute-
DamanhourGehan GalalEl BialyAssistant Professor- Nursing Administration Department- Faculty of
Nursing, Alexandria UniversityYaldez KhairyZein El DinLecturer- Nursing Administration Department-
Faculty of Nursing- Damanhour UniversityJournal Article20190706Background: International patient's safety strategies advocate measuring safety culture as a<br />strategy to improve patient's safety. Safety culture is the set of values, beliefs, and norms<br />about what is important, how to behave, and what attitudes are appropriate when it comes to<br />patient safety in a workgroup. Aim: To identify health nurses and physicians’ perception<br />toward patient safety culture. Setting: All inpatients and outpatients units at Damanhour<br />National Medical Institute (n=18). Subjects: 50 Professional nurses, 200 technical nurses and<br />100 physicians. Tool: Hospital Survey on Patient Safety Culture (HSPSC) was used. The<br />tool contains 42 items that measure 12 dimensions each dimension includes 3 or 4 survey<br />items. Results: The dimension "teamwork within units" received the highest mean percent<br />score for nurses (80.3±10.4) and physicians (74.0±12.7), while, "handoffs and transitions"<br />dimension received the lowest mean percent score for nurses (58.9±13.5). As for physicians,<br />the lowest mean percent score was for “team work across units” with a score of (61.6±10.2).<br />Regarding nurses’ educational qualification, nursing staff differed significantly in their<br />perception to the overall patient safety culture (p=0.029). Regarding the physicians, there<br />were significant differences in their perception of the overall patient safety culture as for age<br />groups (p=0.004), their working hours (p=0.014), their years of experience in hospital<br />(p=0.000) and years of experience in unit (p=0.000). Conclusion: The study concluded that<br />the dimension "teamwork within units" received the highest mean percent score for nurses<br />and physicians, while "handoffs and transitions" dimension received the lowest mean percent<br />score for nurses. As for physicians, the lowest mean percent score was for “team work across<br />units”. Recommendations: A training program for nurses about appropriate patient handoff<br />and transfer, for physicians about the importance of team work and how to establish an<br />effective team.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Prevalence of Falling among Elderly at Home in Rural Area of Zagazig District18353920010.12816/0029147ENShimaa BadieMahmouedB.Sc. NursingEman ShokryAbd AllahAssistant Professor of community health nursing- Faculty of
nursing- Zagazig UniversitySafaa Abd El-MoezEl-NaggarProfessor of Industrial Medicine and Occupational
Health- Faculty of medicine- Zagazig UniversityJournal Article20190706Background: Falls are a major cause of morbidity and mortality among older people. Aim of<br />the study: To identify the prevalence of falling among elderly at home in rural area of<br />Zagazig district. Setting: It was conducted in Shieba village at Zagazig district. Sample: It<br />consist of 236 community dwelling elderly. Tools: Three tools were used in the present study.<br />An interview questionnaire sheet which composed of four parts; the first part entails data<br />about demographic characteristics, the second part composed of questions to collect data<br />about past and present history of chronic diseases, any sensory or motor disabilities; and<br />medications. The third part contains past and present history of falling, and the fourth part<br />covered home environmental condition. Modified Falls Efficacy Scale for measuring fear of<br />falling, Timed Up & Go test Scale for measuring basic functional mobility. Results: The<br />study findings revealed that approximately two-third of the elderly in the study sample had<br />previous falling, mostly at home in the bathroom due to slipping and dizziness. Also, the<br />majority of fallers were taking more than one medication. Most elderly have low confidence<br />in performing the activities of daily life and abnormally long timed up-and-go test. A number<br />of intrinsic, behavioral, and environmental factors seem to increase the risk of falling. About<br />two-thirds of the elderly had subsequent phobias of falling again. Conclusion; The falls were<br />higher with increasing age, among females, lower educational level, elderly working, and the<br />unmarried. Recommendations: Health programs should be proposed to help improve home<br />environment, with teaching the elderly the proper actions to be taken while falling. Further<br />research is suggested to explore the effectiveness of nursing interventions with multiple<br />approaches for the falling among elderly.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Impact of Internet Usage on the Student Attitude and Academic Achievement at two Faculties in BeniSuif University36493920210.12816/0029148ENAlyaa AbdallahEl-ezazyDemonstrator of Psychiatric and Mental Health Nursing-Faculty of Nursing-
Benisuif UniversitySayeda AhmedAbdel- LatifProfessor of Psychiatric and Mental Health Nursing- Faculty
of Nursing- Cairo UniversityHanaa HamdyAliLecturer of Psychiatric and Mental Health Nursing-
Faculty of Nursing- Zagazig UniversityJournal Article20190706Background: Internet is one of the beneficial tools in the area of IT not only for business but<br />for academic point of view and enhances the skills and capabilities of students which assist<br />them in studies and in professional life. Aim: The aim of this study was to assess the impact<br />of internet usage on the Student Attitude and Academic Achievement at two Faculties in<br />BeniSuif University. Setting & Sample: a representative sample of 450 students (261from<br />faculty of nursing and 189 from the faculty of veterinary medicine were recruited for this<br />study. Tools used for data collection were a socio-demograghic data questionnaire,<br />Psychological measurement of Internet addiction, internet attitude scale and Academic<br />achievement scale. Results: revealed that the majority of students were female, less than 21<br />years old. The majority of students was used the internet for scientific information and<br />accessed the internet from their homes. There was a positive correlation between total internet<br />addiction and total academic achievement. There was a negative correlation between total<br />internet addiction and total internet attitude. Conclusion: It can be concluded that, most of the<br />studied sample had a positive attitude toward the internet and had not internet addiction.<br />Recommendations: Early diagnosis of internet addiction, raise awareness about positive<br />usage of the internet and identify the reasons of internet addiction and its management.<br /><br />Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701The Relationship between Nurses’ Perception of Job Demand and their Satisfaction with the Work Family Balance50663920610.12816/0029149ENFaten AbdelghaniAhmedLecturer of Nursing Administration Department- Faculty of Nursing- Menoufia UniversityHuda MohammedBakeerLecturer of Nursing Administration Department- Faculty of Nursing- Menoufia UniversityJournal Article20190706Background: Nurses, like other female employees, are faced with the demands of work and<br />home responsibilities as their main daily tasks. Attempting to understand role overload as<br />perceived by RNs in the acute care setting needs to be a consideration for hospital<br />administrators and nursing leaders as they are problem solver and develop strategic plans to<br />promote care quality in the acute care setting. Aim: The present study aimed to examine the<br />relationship between nurses’ perception of job demand and their satisfaction with the work<br />family balance. Setting: The study was carried out at two hospitals in Menoufia<br />governorate, Egypt, namely Shebin El-Kom University Hospital, and Teaching Hospital.<br />Sample: A total number of 160 nurses in the study units who agreed to participate in the<br />study from the selected study hospitals in Menoufia governorate constituted the study sample<br />(78 nurses from University Hospital, and 82 nurses from teaching hospital). Tool: The<br />following tools were used: job demand scale and Satisfaction with the work–family balance<br />scale. Results: The results indicated that there was a significance negative correlation<br />between nurses’ overall perception of job demand and their overall satisfaction with the<br />work–family balance. Conclusion: The study concluded that nurses' overall perception of<br />job demand is associated with nurses’ satisfaction with the work–family balance.<br />Recommendations: It’ s recommended that hospital management needs to be conscious of<br />this status of female nurses and provide a reasonable workload to help these women achieve<br />work-family balance which could be enhanced by rearranging work conditions to reduce<br />excessive workload and irregular work schedule.<br /><br />Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Evaluation of nurses’ compliance with standards of quality management system67793920810.12816/0029150ENElham YoussefElhanafyLecturer of Nursing administration- Faculty of Nursing-Damanhour UniversityJournal Article20190706Background: Quality management system (QMS) incorporates quality planning, provide<br />framework for managing the activities that enable the health organization to create items and<br />services which consistently satisfy the patient and regulatory requirements. Aim of the<br />study: Evaluate the nurses’ compliance with standards of quality management system<br />.Design; descriptive explorative design was used. Sample & setting: convenience sample<br />consisted of (40) nurses working in critical care units. Tools: Data was collected through<br />observational form of standards of quality management system, and divided into two parts,<br />the first part was concerned with demographic characteristics of the health care providers<br />(age, unit, qualification, etc.) and the second part included 184 items. Results; Nurses<br />working in high risk unit reported the highest mean score in relation to the total<br />implementation of nursing care standard while nurses working in intensive care unit (ICU)<br />reported the lowest mean score in relation to the total implementation of nursing care<br />standard. Statistically significant difference among nurses in all items except for items of<br />critical care unit (CCU) and item of infection control. Also, the result revealed that there was<br />no significant statistically difference in total and all items of nursing care standard. The<br />72.5% of studied nurses were moderately implemented standards of quality management<br />system. Conclusion; the study findings revealed that there more than two third of studied<br />nurses are moderately implemented standards of quality management system.<br />Recommendation; planning workshops for manager and staff nurses about quality<br />management system to be effectively communicated to them, Continuous follow up and<br />supervision for staff nurses to firmly implementation of standards of quality management<br />system and, In-service training and education programs about applying infection controls<br />measures should be conducted to staff nurses.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Foot Self Care: Knowledge, Practice and Barriers among Diabetic Patients80953921110.12816/0029151ENMagda MoawadMohsenProfessor- Department of community Health Nursing- Faculty of Nursing- Menofia
University,Amal ElsayedShehataAssist. Prof. - Department of Medical Surgical Nursing- Faculty of
Nursing- Menofia UniversityJournal Article20190706Background: Diabetic foot is one of the most frightened complications of diabetes and is the<br />leading cause of hospitalization among diabetic patients. Aim: This study was carried out to<br />evaluate foot self care Knowledge, Practice, and barriers among diabetic patients. Subjects:<br />A convenient sample of 118 adult diabetic patients was chosen. Setting: The study was<br />conducted at the medical outpatient department and in patient ward at Menofia University<br />Hospital and Shebin El - Kom Teaching Hospital. Tool: A Structured interview questionnaire<br />was developed and utilized by the researchers. It included six parts. Results: the mean age of<br />subjects was 47.63± 9.66 years. About two thirds of patients (63.6%) had no diabetic foot<br />care education experiences. More than three fourths of subjects who had poor foot care<br />practice (77.6%) didn’t have complete information about foot care (80%). The majority (81%)<br />of subjects who had poor foot care practice didn’t have diabetic foot care education practice.<br />55% and 73.3% of subjects who had fair knowledge about diabetes , foot problem and care<br />respectively had good foot care practice. 63.2% and 73.5% of subjects who had fair<br />knowledge about diabetes, foot problem and care respectively, had good foot wear practice.<br />Conclusions: Low level of diabetic foot care education practice has significant association<br />with current foot care practice. Incomplete information about foot care is the most important<br />barrier associated with poor foot care practice. Recommendations: A diabetes self care hand<br />book about diabetes information, foot problems, prevention and care should be available for<br />all diabetic patients. Specialized team for diabetic foot care should be available in outpatient<br />clinic to assess, prevent and manage any foot problems. Also this team should provide<br />continuous education for diabetic patient about proper foot care.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Effect of Rehabilitative Nursing Interventions on Patients with Chronic Tension-Type-Headache961163921310.12816/0029152ENNabila El-sayedSaboulaAssist. Prof. of Community Nursing-Faculty of Nursing-Menoufia UniversitySabah HassanEl-amrosyLecturer of Psychiatric Nursing- Faculty of Nursing- Menoufia UniversityJournal Article20190706Background Chronic tension-type headaches (CTTH) are one of the most common presenting<br />complaints in ambulatory care clinics and are the most common reason for using over-thecounter<br />analgesic medications. Aim: The aim of study was to evaluate the effect of<br />rehabilitative nursing intervention (RNI) on patients with CTTH. Setting: the study was<br />conducted at neuro-psychiatric out-patient in two hospitals in Shebin El-kom city, Menoufia<br />Governorate and patient's homes for follow up. Sampling: A purposive sample of 60 CTTH<br />diagnosed patients was included. The cases were followed up for 8 weeks to determine the<br />effect of (RNI) on improving heath profiles of CTTH patients. Tools: A semi-structured<br />interviewing questionnaire, Nottingham Health Profile (NHP) and visual analogue scale<br />(VAS) were used .Results: the mean age of studied patients was 35.60±12.75 years, 46.7%<br />had high education, 56,7% were female , The highest percent (68.3%) was married. The higher<br />percent of triggering factor (70%) was due to nervousness. There was statistically significant<br />positive correlation between age and Notingham Health Profile scores. A highly significant<br />improvement was found among widows patients post intervention compared with pre. There<br />was improving in all dimensions of health profiles (part & part II) post intervention. The<br />difference mean score between post and pre for improvement was higher in energy/tolerance<br />but the difference mean score was the little in physical mobility. Conclusion: CTTH have a<br />disabling, annoying effects on diseased patients, implementation of RNI for patients with CTTH<br />have a positive effect on improving all patients' health dimensions and wellbeing.<br />Recommendations: application of rehabilitative nursing intervention supported with<br />medication regimen and increase duration of follow up time in future studies is useful in<br />alleviation of the negative impact of CTTH.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Clinical Practice Guidelines for Prevention of Central Line Infection1171323921510.12816/0029153ENSamera SadonSadawyB. sc .N. - Faculty of Nursing- Zagazig UniversityEman MohammedAbd El-AzizLecturer of Medical-Surgical
Nursing Dep.- Faculty of Nursing- Zagazig UniversityMagda Abd El-azizMohammedProf. of Medical-Surgical
Nursing- Faculty of Nursing- Ain- Shams UniversityJournal Article20190706Background: Improving patient safety, reducing and preventing central line –related<br />infection especially in the intensive care unit are now a priority for hospitals. Therefore;<br />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 of<br />those guidelines on the nurses' knowledge and practice. Setting: The present study was<br />conducted in intensive care unit of New Surgical Hospital affiliated to Zagazig University<br />Hospitals. Sample: The study sample was included 40 nurses who are working in the above<br />mentioned setting. Tools: Two tools were used for data collection which includes<br />questionnaire sheet and observational checklist. Results: The study results revealed that prior<br />to guidelines implementation; majority of nurses had unsatisfactory knowledge score and<br />practice. In post guidelines, the findings pointed out to significant improvement. There was a<br />statistically significant correlation between knowledge and practice score. Conclusion:<br />Nurses' knowledge and practice improve after implementation of the guidelines for prevention<br />of central line infection. Recommendations: Provision of continuous education and<br />guidelines for prevention of central line infection, all needed equipment and supplies and<br />further studies to examine the impact of guideline on patients' outcomes are required.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Effect of Directed Versus Spontaneous Pushing During the Second Stage of Labor on Birth Outcome among Primiparas1331493921610.12816/0029154ENAmany AbdoHussienDemonstrator in Obstetrics and Gynecological Nursing- Faculty of Nursing-
Zagazig UniversitySanaa AliNourProfessor of Obstetrics and Gynecological nursing- Faculty of
Nursing- Zagazig University.(Hend SalahEl-DinAssist. Prof. of Obstetrics and Gynecological nursing-
Faculty of Nursing- Zagazig UniversityAmany HamedGadLecturer of Obstetrics and Gynecological
nursing- Faculty of Nursing- Zagazig UniversityJournal Article20190706Background: Although spontaneous and directed pushing techniques adopted during labor<br />have been studied during the past several decades, controversy still surrounds the results<br />regarding obstetric variables. Aim: The aim of this study was to compare the effect of<br />directed pushing versus spontaneous pushing during the second stage of labor on birth<br />outcome. Setting & Subject: The study was conducted in Maternity and Childhood<br />Hospital at Zagazig University Hospitals. It comprised a purposive sample of 200<br />parturient women in their second stage of labor. The study subjects were divided into equal<br />groups of 100 "spontaneous and directed pushing groups". Tools: three tools were used for<br />data collection (a structured interview sheet, physical assessment sheet, visual analogue scale,<br />modified fatigue symptom checklist and birth outcome sheet). Results: revealed that<br />spontaneous pushing had a better and positive effect on maternal vital signs. The duration of<br />pushing was lower in the spontaneous pushing group than directed pushing. Most of the<br />women in the spontaneous pushing group had significantly a lower pain index after 1 hour<br />from full cervical dilatation and perceived less fatigue within 1-4 hours of childbirth<br />(p=0.000). They also had significantly lower rates of episiotomy, perineal lacerations,<br />postpartum hemorrhage and cesarean section. Their newborn had the highest Apgar score at<br />the first and fifth minutes and none of them had fetal complications. Conclusion: It can be<br />concluded that improved fetal status, neonatal and maternal outcomes have been identified<br />when women were allowed to bear-down in response to their own natural urges rather than in<br />response to commands for repeated, sustained pushes using Valsalva maneuver.<br />Recommendations: It is recommended that; the utilization of the spontaneous pushing<br />technique must be encouraged, with randomized clinical trial to provide further confirmation<br />of the study findings.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Sibling Relationship in Families Raising a Child with Chronic Illness as Perceived by Family Caregiver1501623921710.12816/0029155ENAmirat AliEl-SabelyLecturer of Pediatric Health Nursing- Faculty of Nursing- Zagazig UniversityHanem AhmedAbdElkhaleklecturer of Psychiatric and Mental Health Nursing- Faculty of Nursing- Zagazig
UniversitySafaa MohamedMetwalylecturer of Psychiatric and Mental Health Nursing- Faculty of Nursing- Zagazig
UniversityJournal Article20190706Background: Most of the children with chronic illness live in their home, and their<br />presence impacts family members. Siblings may be especially affected because of the<br />common cultural milieu and egalitarian nature of their relationships. The aim of the study<br />was to assess caregiver perception of sibling relationships in families raising a child with<br />chronic illness. Setting: It was conducted at the outpatient clinic of Zagazige University<br />hospital and Altarbia Alfekeria school at Zagazig city. Subjects: The respondents were<br />composed of caregivers of 108 families who have a child with chronic condition. Tool: One<br />tool was used to collect the necessary data. It composed of two parts an interview<br />questionnaire sheet and the Sibling Inventory Behavior (SIB) were used for data collection.<br />The tools consisted of two parts; the first part was used to assess the socio-demographic<br />characteristics of children and their families, the second part used to assess sibling<br />relationships in families with a handicapped child. Results: the result of the study showed<br />that, companionship, empathy, teaching/managing has high percentage among sibling of<br />children with diabetes than those with Down syndrome and Autism as rated by the<br />caregivers. The study also showed that caregivers perceived that there was more<br />companionship behavior among the older siblings than the younger ones, while younger<br />siblings had avoidant behavior towards a child with a chronic condition than the older<br />siblings. Conclusion, this study showed some differences in perception of sibling<br />relationships according to type of chronic condition. It is recommended that, Observational<br />methods might be used in future research to assess sibling relationships.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Effect of Infection Control Training Program on Nurse’s Performance and Microbial Results on GIT Endoscopes1631803921910.12816/0029156ENZeinab HossenAliAssisat. Prof. of Adult Health Nursing-Faculty of Nursing- Helwan UniversityNadia MohammedTahaAssisat. Prof. of Medical Surgical Nursing- Faculty of Nursing-Zagazig UniversityJournal Article20190706Background: Gastrointestinal (GI) endoscopy is an important tool for the identification and<br />treatment disorders of the gastrointestinal tract. Thorough understanding of infection control<br />and its application to GI endoscopy is crucial to prevent lapses in reprocessing and the<br />possibility of transmission of infection (Nelson, DB.2003). Aim of the study: The aim of this<br />study was to evaluation the effect of infection control training program on nurse’s<br />performance and microbial results on GIT Endoscopes. Setting & Subjects: It was conducted<br />at Elnaser Insurance Hospital at Helwan City in Egypt. Purposive sample included all<br />available (40) nurses, and 5 GIT endoscopes. Study tools: Tools used for data collection<br />included self-administered questionnaire sheet, an observation checklist, and microbiological<br />assessment sheet. Results: The mean ± SD age of the studied nurses were 29.5 ±5.76, about<br />two thirds were female and diploma nurse, and more than phases, these indicated for decrease<br />the presence of microbial infection. Conclusion: there were a statistical significance<br />difference between pre implementation of infection control training program and post<br />implementation the endoscopic reprocessing program lead to improve nurses’ knowledge and<br />skills as well as decrease the incidence of microbial infection transmission through GIT three<br />years of experience, these experience from working, There was a highly significant difference<br />in nurses' level of knowledge and skills as well as microbiological testes throughout the study<br />endoscope. Recommendations: Continuous educational infection control training programs<br />are recommended. So incorporation of such interventions apply in all endoscope unite all over<br />Egypt.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Menopausal Symptoms and its relationship with Quality of Life among women in Lower and Upper Egypt1812003922010.12816/0029157ENSahar FahmyGawadlecturer of Obstetrics & Gynecology Nursing- Faculty of Nursing- South Valley
University (Kena),(Hend SalahEl-DinAssistant prof. of Obstetrics and Gynecology Nursing- Faculty of
Nursing -Zgazig UniversityJournal Article20190706Background: Menopause is normal transition associated with aging and loss of fertility.<br />Women during menopause experience biological, psychological, social and cultural changes.<br />Hormonal changes of menopause may induce numerous physical and psychological<br />symptoms. Aim of the study: To investigate menopausal symptoms and its relationship to<br />quality of life (QOL) among menopausal women attending two university hospitals in Upper<br />and Lower Egypt.). Setting: The study was conducted at gynecological outpatients clinics of<br />Qena University Hospital, South Valley University at Qena city (Upper Egypt province) and<br />Benha University Hospital, Benha University at Benha City (Lower Egypt province)<br />Subjects: The study included 500 women had stopped menstrual cycle since 12 months.<br />Tools: The data were collected by using (MRS) Menopausal Rating Scale (MRS) and (QOL)<br />the World Health Organization quality of life brief questionnaire. Results: Lower Egypt<br />women got menopause significantly earlier with significantly longer duration of menopause..<br />Among LE women, mean total MRS score was significantly higher and mean total QOL score<br />was significantly lower compared to UE women. Total MRS and QOL scores in and in LE<br />women showed a negative significant correlation, while in UE women the relation was<br />negative non-significant. QOL evaluation showed a significantly higher number of women<br />among good and very good scores in UE compared to LE group. Majority of women indicated<br />moderate effect of menopause on their physical health with significantly higher frequency of<br />UE women among lower scores. About, 39.2% of LE women, while 20.4% in UE indicated<br />moderate effect of menopause on their psychological health with significantly higher<br />frequency of UE women among less effect score. Conclusion: Menopause adversely affected<br />QOL of women. This effect was more manifested in LE than in UE women.<br />Recommendation: Provision of professional services for post-menopausal women in Upper<br />Egypt is necessary.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Impact of Nursing Teamwork on Missed Nursing Care in Intensive Care Units at Zagazig University Hospitals2012173922210.12816/0029158ENNora MahdyAttiaDemonstrator-Nursing Administration Departement- Faculty of Nursing- Zagazig
UniversityMaha Abdeen AbdeenAbdeenLecturer-Nursing Administration Departement- Faculty of Nursing- Zagazig
UniversitySaher HamdyEl-sayedAssistant prof. of Nursing Administration- Faculty of Nursing- Zagazig
UniversityJournal Article20190706Background: There is no doubt, that teamwork is a critical element in assuring patient safety<br />and quality of nursing care and effectiveness of nursing performance, in addition reducing of<br />missed nursing care. Aim: The aim this study was to examine the effect of nursing teamwork<br />on missed nursing care. Setting: The present study was conducted in Emergency Sector<br />affiliated to Zagazig University Hospitals which consists of three hospitals, namely New<br />Surgical Hospital, which has one a surgical Intensive Care Unit, Internal Medicine Hospital,<br />which has two medical ICUs, and Emergency hospital, which has an Intensive Care Casualty<br />Unit. Subjects: Convenience sample of staff nurses (182), with minimum one year experience<br />and have the responsibility for direct nursing care to patients. Tools: Two tools were used for<br />data collection in the study; the first one was nursing teamwork questionnaire, this tool aimed<br />to measure nurses' opinion about teamwork in ICU. The second was missed nursing care<br />questionnaire, this tool aimed to identify how frequently the elements of missed nursing care<br />were missed and its reasons from nurses' opinion. Results: Results revealed that the highest<br />percentage of nurses perception about the total teamwork was low (86.8%),<br />The majority of nurses perception about missed nursing care was low<br />(83.3%), the highest percentage of nurses perception about reasons of missed nursing care<br />was high (70.3%). Conclusion: It can be concluded that there was a negative correlation<br />between nursing team work and missed nursing care (r=-.298&p=.000). Recommendation:<br />It is recommended that the need to invest in methods of enhancing teamwork in these settings<br />such as teamwork training program for nurses to improve their knowledge, skills and attitude<br />toward teamwork and promote their engagement.Zagazig University; Faculty of NursingZagazig Nursing Journal2090-611010220140701Outcome of Labor in Nullipara at term with Unengaged vertex2182333922410.12816/0029159ENHemmat MoustafaAbdel MageedClinical instructor in Obstetrics and Gynecological Nursing- Faculty of Nursing-
Zagazig UniversitySanaa AliNourProfessor of Obstetrics and Gynecological nursing- Faculty of
Nursing- Zagazig UniversityHend SalahEl-DinAssist. Prof. of Obstetrics and Gynecological
nursing- Faculty of Nursing- Zagazig UniversityAmany HamedGadLecturer of Obstetrics and
Gynecological nursing- Faculty of Nursing- Zagazig UniversityJournal Article20190706Background: Unengagement of the head in primigravida has long been considered a possible<br />sign of cephalopelvic disproportion. It is associated with a higher risk of obstructed labor.<br />The aim of this study was to; assess outcome of labor in nullipara at term with unengaged<br />vertex. Setting this study was conducted in labor and premature Hospital at Zagazig<br />Maternity Hospitals. Subjects: a representative sample of 200 parturient women (100 had<br />engaged head and 100 had unengaged fetal head) was recruited for this study. The tools used<br />for data collection were; an interview questionnaire sheet, a clinical assessment form, the<br />partograph, a summary of labor sheet and a neonatal assessment sheet. The results of the<br />present study revealed that in more than three fifth (63.0%) of women with unengaged head<br />the cause was unknown but it was most common among those with deflexed head (25.0%),<br />they also had significantly longer first stage of labor (p=0.000). Cesarean section rate was<br />significantly found to be more in the unengaged group being 35.0%. Most of the C-sections<br />were carried out due to failed labor progress (76.9%). Patients with unengaged fetal head had<br />significantly lower Apgar scores in 1st (p=0.000) and 5th min (p= 0.446). Conclusion: It can<br />be concluded that, patients with unengaged vertex are at higher risk for cesarean delivery due<br />to arrest disorders as well as lower fetal APGAR scores. Recommendations: The study<br />recommended that, the watchful expectancy and timely intervention, especially in cases<br />where no etiological factor is found, by blotting a partogram and using oxytocin judiciously<br />when labor appears to be taking a protracted course, most of the women with unengaged head<br />will deliver vaginally with minimal maternal and fetal morbidity.