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Effect of Implementation of Teaching Modules about Physiological and Psychological Parameters on Expected Clinical Outcomes of Patients with Chronic Obstructive Pulmonary Disease
Soheir Mohamed Wehieda,
Amal Amin El-Sheikh,
Salwa Abd El Gawad Sallam
Issue:
Volume 6, Issue 5, October 2017
Pages:
370-381
Received:
19 July 2017
Accepted:
2 August 2017
Published:
8 September 2017
Abstract: Dyspnea and fatigue, the two most common symptoms experienced by patients with chronic obstructive pulmonary disease, are believed to result in decreased activity levels and poor quality of life. This study was carried out to determine effect of implementation of teaching modules about physiological and psychological parameters on expected clinical outcomes of patients with chronic obstructive pulmonary disease. A quasi experimental research design was utilized to achieve the aim of this study. This study was conducted at chest department of Menofia University Hospital. A purposive sample of 140 adult patients, three tools was used for data collection. Bio socio demographic assessment questionnaire, physiological measurement tool and anxiety scale. There were highly statistical significant differences between study and control groups post one and two months of teaching regarding dyspnea, fatigue, cough vital signs and anxiety. Also it was found that there was a positive correlation between dyspnea, fatigue and anxiety. A teaching carried out for the patients of the study group had positive effect on dyspnea, fatigue, cough, vital signs and anxiety and there was a positive correlation between dyspnea, fatigue and anxiety. Initiate outpatient hospital based pulmonary rehabilitation program. A booklet should be available and distributed for all patients with choronic obstructive pulmonary disease.
Abstract: Dyspnea and fatigue, the two most common symptoms experienced by patients with chronic obstructive pulmonary disease, are believed to result in decreased activity levels and poor quality of life. This study was carried out to determine effect of implementation of teaching modules about physiological and psychological parameters on expected clinical...
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Nursing Students’ Expectations and Evaluations of Mentors’ Competences and Mentors’ Self-Evaluations as Indicators of Mentoring Process Quality
Robert Lovrić,
Nada Prlić,
Ivana Barać,
Radivoje Radić
Issue:
Volume 6, Issue 5, October 2017
Pages:
382-386
Received:
20 August 2017
Accepted:
13 September 2017
Published:
19 September 2017
Abstract: Important information about the clinical education can be revealed by nursing students’ initial expectations and final evaluation of mentors’ competences, and mentor’s self-evaluation of their competences. The aim of this study was to examine whether these constructs can be used for evaluating the atmosphere in clinical education. This was a nonexperimental prospective study. Data were collected between January and April 2012, in 12 clinics at the University Hospital Osijek. The participants were undergraduate nursing students in years 1, 2, and 3 (n = 150) and their mentors (n = 35) at the Faculty of Medicine, University of Osijek, during the academic year of 2012/2013. The instrument was a modified version of the questionnaire taken from The Nursing Clinical Teacher Effectiveness Inventory (NCTEI). Prior to clinical practice, the students evaluated the desirability of each competence expected from a mentor; after the clinical practice, the students estimated how often their mentor possessed and applied those competences. Mentors have evaluated their own competences according to the same items. Comparison of students’ expectations and estimates shows significantly higher expectations of first and third year students (p <0.001). Mentors’ self-assessed competences, compared to students' evaluations, were rated significantly higher by mentors of all three years (p <0,001). The comparison of nursing students’ initial expectations and final evaluation of mentors’ competences, and mentor’s self-evaluation of their competences, when they are significantly different, can provide relevant information about potential problem in clinical education.
Abstract: Important information about the clinical education can be revealed by nursing students’ initial expectations and final evaluation of mentors’ competences, and mentor’s self-evaluation of their competences. The aim of this study was to examine whether these constructs can be used for evaluating the atmosphere in clinical education. This was a nonexp...
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Factors Affecting Nurses’ Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital
Issue:
Volume 6, Issue 5, October 2017
Pages:
387-395
Received:
26 July 2017
Accepted:
31 August 2017
Published:
25 September 2017
Abstract: Prevention of pressure ulcers is an indicator of quality of care. Nursing care has a major effect on pressure ulcer development and prevention. Hence, many people believe that most pressure ulcers are preventable if the appropriate interventions are implemented. The study aimed to assess factors affecting nursing compliance in preventing pressure ulcer. Descriptive correlation design was used which is a type of non-experimental design to collect data from medical, surgical units and the critical cardiac unit at King Abdulaziz University Hospital in Jeddah city. Purposive sampling technique was carried out to select 113 nurses and 113 patients. Data were collected by three tools, tool 1 is a structured questionnaire divided into 2 parts, included demographic data and list of barriers facing nurses in preventing pressure ulcer, tool 2 is an observational checklist and tool 3 is the Waterlow pressure ulcer risk assessment tool. The study concluded that there is significant correlation between barriers and nursing compliance in prevention pressure ulcer. Heavy workload/staff shortage is considered as the most barriers facing nurses’ compliance regarding prevention pressure ulcer. The study recommended that the managers should review nurses’ workload which the findings of this study have shown to be a major barrier in the priority given to the prevention of pressure ulcers.
Abstract: Prevention of pressure ulcers is an indicator of quality of care. Nursing care has a major effect on pressure ulcer development and prevention. Hence, many people believe that most pressure ulcers are preventable if the appropriate interventions are implemented. The study aimed to assess factors affecting nursing compliance in preventing pressure u...
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Comparing Job Expectations and Satisfaction: A Pilot Study Focusing on Men in Nursing
Julius Mulwa Kitutu,
Khadejah Fahmi Mahmoud
Issue:
Volume 6, Issue 5, October 2017
Pages:
396-400
Received:
22 August 2017
Accepted:
7 September 2017
Published:
28 September 2017
Abstract: Purpose: The purpose of this study is to evaluate undergraduate male nursing job expectations and compare it to those continuing graduate students and male nursing alumni. Principle Results: Working male nurses’ alumni had significantly higher perception of professional status compared to both baccalaureate and graduate male nursing students (p=.028). In addition, male nurses’ alumni reported higher perception of professional status compared to graduate male nursing students (p=.007). Meanwhile, baccalaureate male nursing students reported higher expectation of satisfaction with pay compared to Alumni male nurses with BSN (p=.046). Major Conclusions: The findings of this study help inform both the academic and health institutions practices regarding male nurses’ expectations and factors that influence their job satisfaction in an attempt to increase male nurses’ recruitment and retention.
Abstract: Purpose: The purpose of this study is to evaluate undergraduate male nursing job expectations and compare it to those continuing graduate students and male nursing alumni. Principle Results: Working male nurses’ alumni had significantly higher perception of professional status compared to both baccalaureate and graduate male nursing students (p=.02...
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Effect of Implementing Clinical Pathway Guidelines on Patients' Clinical Outcomes with Acute Coronary Syndrome
Safaa Eid Sayed Ahmed,
Nagwaa Ibrahim Abbas,
Sameh Samir Khalil
Issue:
Volume 6, Issue 5, October 2017
Pages:
401-417
Received:
8 August 2017
Accepted:
6 September 2017
Published:
29 September 2017
Abstract: Acute coronary syndrome refers to a range of potentially life-threatening conditions that affect the coronary artery blood supply to the heart. It is associated with increased patient mortality, length of hospital stay and health care costs. Clinical pathways are now one of the main tools that used to manage the quality in healthcare concerning the standardization of care processes. Hence, the aim of this study is to evaluate the effect of implementing a clinical pathway guideline on the clinical outcomes of patients with acute coronary syndrome. A quasi experimental research design was utilized in this study and it was conducted on 60 adult patients at the Cardiac Intensive Care Unit of Tanta University Hospital. The patients were divided into two groups (control and study group) 30 patients in each. The control group: non-clinical pathway group involved patients receiving the routine management regimen while the study group: clinical pathway group (CP group) involved patients who received management according to the clinical pathway guidelines. The findings of this study revealed that a significant changes among control and study group from admission to discharge regarding mean scores of body temperature, Pulse and respiration rate where P<0.05. There was significant increased mean score of central venous pressure among control group compared to study group on admission, after 2 hrs and on 2nd day of admission with P=0.013, 0.007 and 0.001, respectively. The present study showed that low percentages (20.0 %) of control group had cardiogenic shock compared to none patient in the study group with a significant difference between two groups, where P=0.012. Insignificant difference was observed between control and study group regarding duration of stay in ICU and status of patients on discharge with P=0.075 and 0.206. Also it was noticed that the level of reduction of the mean of Hamilton Anxiety Score in the study group was higher than its level in the control group on discharge. It can be concluded that the established pathway achieved its goal of, improving physiological parameters and decreasing patient's complications, length of stay, and anxiety levels. Based on the findings of this study, the following recommendations are suggested; clinical pathway should be implemented routinely for patients with acute coronary syndrome. Integrating ACS clinical pathway into plan of care to replace the traditional nursing care plan.
Abstract: Acute coronary syndrome refers to a range of potentially life-threatening conditions that affect the coronary artery blood supply to the heart. It is associated with increased patient mortality, length of hospital stay and health care costs. Clinical pathways are now one of the main tools that used to manage the quality in healthcare concerning the...
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Developing Nursing Management Protocol for Maternity Nurses Regarding Emergency Obstetric Care
Eman Mohammed Abdelhakm,
Amira Refaat Said
Issue:
Volume 6, Issue 5, October 2017
Pages:
418-425
Received:
19 August 2017
Accepted:
4 September 2017
Published:
11 October 2017
Abstract: The aim of the study was to develop nursing management protocol for maternity nurses regarding obstetric emergencies. An intervention (quasi experimental) study design was used. The study was conducted in the Obstetrics and Gynecology Emergencies Department at Benha University Hospital. A convenient sample of all nurses working in Obstetrics and Gynecology emergencies department at Benha University Hospital (40 nurse). Two tools were used for data collection; I) A structured interviewing questionnaire: include two parts; Part 1: Socio demographic characteristics of the study nurses: included (Age, educational level, years of experience, previous training program). Part 2: Assessment of nurses’ knowledge regarding obstetric emergencies such as definition, causes, basic priorities and preparations for emergency obstetrics care. II) Observational checklist for evaluating nursing management regarding obstetric emergencies such as resuscitation, nursing management of preeclampsia, eclampsia, infection, trauma & shock and assessment of fetal wellbeing. The study results showed that 88.7% of nurses had poor knowledge before intervention of the protocol. However, 75.7% of them had good knowledge after intervention respectively. As well as, 77.5% of them had unsatisfactory practices toward emergency obstetrics care before intervention of the protocol. Meanwhile, after intervention 82.3% had satisfactory practices respectively. The study concluded that Nurses’ management protocol has appositive effect on nurse’s knowledge and practices regarding obstetric emergencies. There was a highly statistically significant difference before / after protocol of the studied nurses’ knowledge and practice regarding obstetrics emergencies (P ≤ 0.001). The study recommended that Simple guidelines regarding emergency obstetrical nursing care can be attributed to nurses in the emergency obstetrics department. Continuous refreshment courses and follows up programs for nurses regarding emergency obstetrics care.
Abstract: The aim of the study was to develop nursing management protocol for maternity nurses regarding obstetric emergencies. An intervention (quasi experimental) study design was used. The study was conducted in the Obstetrics and Gynecology Emergencies Department at Benha University Hospital. A convenient sample of all nurses working in Obstetrics and Gy...
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Mother’s Level of Knowledge on Neonatal Danger Signs and Its Predictors in Chencha District, Southern Ethiopia
Abera Mersha,
Nega Assefa,
Kedir Teji,
Agegnehu Bante,
Shitaye Shibiru
Issue:
Volume 6, Issue 5, October 2017
Pages:
426-432
Received:
30 July 2017
Accepted:
14 August 2017
Published:
29 October 2017
Abstract: Introduction: Neonates and young infants often present with non-specific symptoms and signs of severe illness that indicate presence of severe infection which may require immediate care. So, mother’s knowledge is very important to recognize those symptoms to prevent further complications even dealth. But there is a gap in assessing mothers knowledge in neonatal danger signs. Because, almost all studies in Ethiopia assessed mother’s knowledge based on only one danger sign out of nine WHO recognized danger signs. So, the main aim of this study was to assess level of knowledge about neonatal danger signs based on 10 WHO recognized danger signs in Chencha District, Southern Ethiopia. Methods: Community based cross sectional study was conducted in 630 mothers from February 8- 28, 2017 by using one-stage cluster sampling method. Structured interviewer administered pre-tested questionnaire was used to collect the data. The collected data were entered into Epi data version 3.1 and then exported into SPSS window version 22 for analysis. Bivariate and multivariate analysis was done by using binary logistic regression to see the association between each independent variable and the outcome variable. The goodness of fit was tested by Hosmer-Lemeshow statistic and Omnibus tests. Multi co-linearity test was carried out to see the correlation between independent variables using standard error and collinearity statistics. Variables with P<0.2 in the bivariate analysis were included in to final model and statistical significance were declared at P< 0.05. Result: In this study 50.3% (95%CI: 46.4%, 54.2%) of mothers had good level of knowledge who knows three or more neonatal danger signs out of WHO stated 10 neonatal danger signs. Place of residence, presence of radio in the household and knowledge about essential newborn care were statistically significant association with knowledge about neonatal danger signs with odds (AOR=1.58, 95%CI: 1.05, 2.37), (AOR=1.67, 95%CI: 1.13, 2.49) and (AOR=5.29, 95%CI: 3.61, 7.78) respectively. Conclusion/recommendations: This study revealed that mothers level of knowledge about neonatal danger signs were low. Therefore, strengthening the provision of health information and ENC by designing appropriate strategies like Information Education Communication and Behavioural Change Communications both at facility and community level and advocate to use media as source of information should be promoted.
Abstract: Introduction: Neonates and young infants often present with non-specific symptoms and signs of severe illness that indicate presence of severe infection which may require immediate care. So, mother’s knowledge is very important to recognize those symptoms to prevent further complications even dealth. But there is a gap in assessing mothers knowledg...
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Lumbar Puncture: Nurses` Knowledge, Practice and Patients’ Satisfaction with Nursing Care
Rasha Ali Ahmed Abdelmowla,
Samia Youssef Sayed,
Nahed Shawkat Abo Elmagd
Issue:
Volume 6, Issue 5, October 2017
Pages:
433-439
Received:
30 September 2017
Accepted:
14 October 2017
Published:
31 October 2017
Abstract: Background: Patients` satisfaction with nursing care provided is a good indicator for improving quality of care. Aims: Assess nurses` knowledge and practice regarding lumbar puncture and investigate patients’ satisfaction with nursing care pre and post application of nursing instructions brochure. Research design: Quasi-experimental. Subjects and methods: All available nurses (22) in neurosurgery department at Assiut Neurological, Psychiatric and Neurosurgery University Hospital. Also, a sample of 60 adult patients undergoing lumbar puncture was included and divided into two groups (A and B). Group A (30 patients before application of nursing instructions brochure) and group B (30 patients after application of nursing instructions brochure). Nurses’ knowledge and practice were assessed before and after application of the nursing instructions brochure. Tools: Structured questionnaire to assess nurses` demographic data and knowledge, observation checklist for nurses` practice, patients’ satisfaction with nursing care scale and nursing instructions brochure for nurses. Results: Highly significant differences were found as regarding nurses` knowledge and nurses` practice pre and post application of the nursing instructions brochure. Significant difference was found between groups (A and B) regarding patients’ satisfaction with nursing care. Conclusion: Nursing instructions brochure had a significant effect on improving patients` satisfaction with nursing care. Recommendation: Patients` satisfaction with nursing care should assess periodically in every care settings.
Abstract: Background: Patients` satisfaction with nursing care provided is a good indicator for improving quality of care. Aims: Assess nurses` knowledge and practice regarding lumbar puncture and investigate patients’ satisfaction with nursing care pre and post application of nursing instructions brochure. Research design: Quasi-experimental. Subjects and m...
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