-
The Impact of MERS-Cov: Service and Systems Re-design: The Creation of the Caswell – Hijazi Model
Angela Caswell,
Raed Hijazi
Issue:
Volume 8, Issue 5, October 2019
Pages:
200-209
Received:
11 May 2019
Accepted:
5 July 2019
Published:
5 August 2019
Abstract: Middle Eastern Corona virus (MERS-Cov) has been acknowledged globally as a novel and evolving pathogen. First detected in 2012, approximately 1,000 confirmed cases reported by World Health Organization and linked to travel to Saudi Arabia. The declaration of an epidemic in the Arabian Peninsula gained the global attention. The summer of 2015 witnessed a MERS-Cov outbreak resulting in the closure of a major Middle Eastern university teaching hospital. Overcrowding and delays were acknowledged as contributory factors. Patient flow processes were not streamlined resulting in frustration amongst staff and patients. Lack of knowledge related to the mode of transmission of this pathogen added to the challenges faced within the Emergency Department. A complete system and service re-design took place with the introduction of the Kingdom’s first Drive Through Screening and Streaming Unit (along with secondary screening and surveillance checkpoints) using an Acute Respiratory Illness tool, to direct potentially infected patients to designated isolation areas to a flu clinic equipped to manage all suspected cases of MERS-Cov and isolated away from the main Emergency Department. This novel concept has been developed to ensure safe and efficient screening and streaming of suspected cases, The Caswell – Hijazi Model.
Abstract: Middle Eastern Corona virus (MERS-Cov) has been acknowledged globally as a novel and evolving pathogen. First detected in 2012, approximately 1,000 confirmed cases reported by World Health Organization and linked to travel to Saudi Arabia. The declaration of an epidemic in the Arabian Peninsula gained the global attention. The summer of 2015 witnes...
Show More
-
Effect of Sexual Educational Package on Knowledge and Female Sexual Function for Pregnant Women
Doaa Mohamed Sobhy Elsayed,
Amira Refaat Said,
Ola Abdel-Wahab Afifi Araby
Issue:
Volume 8, Issue 5, October 2019
Pages:
210-222
Received:
8 June 2019
Accepted:
29 June 2019
Published:
5 August 2019
Abstract: Background: Sexual activity is a mutual relationship and any change in women’s sexual function may result in an increase in sexual disorders among the couples. Many previous studies have suggested that sexual education during pregnancy can improve the sexual function of the pregnant women. Aim: of this study was to evaluate effect of the sexual educational package on knowledge and female sexual function for pregnant women. Design: Quasi- experimental design was utilized. Sample: A purposive sample of (a total of 100 primigravida, control group (n=50) and study group (n=50) who attended antenatal clinic during six months. Setting: The study was carried out in the antenatal clinic at Benha University Hospital. Tools: Data were collected through two main tools: A structured self-administered questionnaire to assess demographic data, personal characteristics and knowledge of the studied sample regarding sexuality and sexual function during pregnancy, and Modified Female Sexual Function Index to assess sexual function in primigravida. Results: showed that the mean age of study and control groups were 23.80 ± 3.43years and 24.18 ± 1.63years respectively. A highly statistical significant difference was observed in knowledge between the two groups after implementing sexual education package (p < 0.001). There was a highly significant difference between study and control groups regarding mean FSFI six domains and total scores during the different study phases after implementing sexual educational package (p < 0.001). Conclusion: The sexual educational package had a significant effect on improvement of primigravida pregnant women sexual function and knowledge after implementing sexual educational package. Recommendation: Educa¬tional sexual package intervention must be integrated into prenatal consulta¬tions and care; establishing strategies to facilitate the women’s understanding to discuss sexual disorders freely through applying this study on a large sample in the obstetrics and gynecological outpatient clinics.
Abstract: Background: Sexual activity is a mutual relationship and any change in women’s sexual function may result in an increase in sexual disorders among the couples. Many previous studies have suggested that sexual education during pregnancy can improve the sexual function of the pregnant women. Aim: of this study was to evaluate effect of the sexual edu...
Show More
-
Preoperative and Postoperative Hope Level of Patients with Newly Diagnosed Gastric Cancer
Wang Lingyan,
Shen Fang,
Wu Xiaodan
Issue:
Volume 8, Issue 5, October 2019
Pages:
223-226
Received:
30 May 2019
Accepted:
25 July 2019
Published:
16 August 2019
Abstract: Background: Hope is an essential factor to consider when caring for patients with cancer, It is a key component of coping with adversity and important for patient well-being. Treatment can relieve a patient's symptoms or cure the disease. It may also increase the patient's level of hope. Objective: This study aimed to explore the preoperative and postoperative hope level of patients with newly diagnosed gastric cancer, and identify how it changes over time. Methods: The study sample included 162 patients who diagnosed with gastric cancer in Sun Yat-sen University Cancer Center. The study was conducted between January 2018 to July 2018. Herth Hope Index was used to assess hope level of patients before surgery, one month and six months after surgery. Results: The score of hope level of the patients before surgery, one month and six months after surgery was (34.20±3.75), (37.78±4.10) and (39.16±4.73) respectively. It was found that the score was gradually increasing (P<0.01). In particular, the dimensions of temporality and future (T) and interconnectedness (I) escalated obviously (P<0.01). Conclusions: This study indicates that the hope level of newly diagnosed gastric cancer patients was gradually improved after surgery. The finding remind us that we can take targeted measures to improve preoperative hope level of gastric cancer patients.
Abstract: Background: Hope is an essential factor to consider when caring for patients with cancer, It is a key component of coping with adversity and important for patient well-being. Treatment can relieve a patient's symptoms or cure the disease. It may also increase the patient's level of hope. Objective: This study aimed to explore the preoperative and p...
Show More
-
An Education Program to Increase the Utilisation of Australian NSW Health Paediatric Clinical Practice Guidelines in Rural Emergency Departments
Julia Fattore,
Sarah Louise Cohn,
Khalil Soniwala,
John Connors,
John Spencer Preddy
Issue:
Volume 8, Issue 5, October 2019
Pages:
227-231
Received:
24 July 2018
Accepted:
4 August 2019
Published:
23 August 2019
Abstract: Clinical practice guidelines (CPGs) are evidence-based publications designed to provide direction and recommendations in the assessment and management of patients. They aim to reduce the level of inappropriate practice and improve safety for patients. However, CPG development does not guarantee their utilisation. A study directly investigated the barriers to utilisation in a population group within rural Australia. They found the most common reason for underutilisation were: a lack of awareness of the guideline, a lack of access to the guideline and the belief that there was inadequate education and training in the guidelines. This study evaluates the effectiveness of an evidence-based education program (EP) to increase the utilisation of New South Wales (NSW) Health paediatric CPGs in rural NSW within Australia. This study investigates the effectiveness of an evidence-based multifaceted EP, targeting pre-determined barriers to utilisation, which was subsequently delivered to ten rural emergency departments within the Murrumbidgee Local Health District. Following the intervention, a review of patient records over a three-month period was conducted to determine its effectiveness in change of utilisation. Compliance rates of CPG utilisation was found to significantly improve from 52.1% to 75.8% over 3 months. Furthermore, the evidence-based EP significantly increased CPG compliance, potentially improving the care of sick children in rural NSW Australia.
Abstract: Clinical practice guidelines (CPGs) are evidence-based publications designed to provide direction and recommendations in the assessment and management of patients. They aim to reduce the level of inappropriate practice and improve safety for patients. However, CPG development does not guarantee their utilisation. A study directly investigated the b...
Show More
-
The Authority Exercised by Nurses in Healthcare Institutions
Danelia Gómez-Torres,
Karla Sofìa Gómez-Alcántara
Issue:
Volume 8, Issue 5, October 2019
Pages:
232-238
Received:
27 May 2019
Accepted:
5 July 2019
Published:
28 August 2019
Abstract: Modern management in institutions or organizations consists in the creation of an innovative mentality which focuses on permanent learning and sustains the growth of competitiveness and the achievement of goals. Thus the authority enjoyed by nursing in healthcare institutions aims to achieve changes, engendering behavior that enables collective interaction for the benefit for healthcare institutions. The present research aimed to reveal the manner and meaning in which authority is exercised by nurses in the course of their managerial activity in healthcare institutions. Methodology: Qualitative descriptive research in which participated twenty-three senior level nurse managers in healthcare institutions, with interviews conducted using a guide, based on the lead questions and, thus, the research objectives. The criteria for inclusion were that pariticpants had worked as Director of Nursing for more than two years. The data was collected in the managers’ working environment, with the two dimensions – the meaning and type of the authority that nurses possess – selected from the most significant data and then analyzed and discussed in terms of Blumer’s theory of symbolic interactionism. The results revealed the meaning of authority, which is symbolized as respect and discipline, while its exercise requires specific knowledge. The characteristics of the authority wielded by the nurse were also identified, with the moral value of the manager considered to be of the utmost importance. The types of authority exercised by nurses were identified as either formal or moral. The present study concludes that social representation and interaction are revealed as integral by the measurement of authority conducted here, where meaning is distinct to the essence and philosophy of the profession, as they are immersed in an indispensible component – managerial and organizational communication.
Abstract: Modern management in institutions or organizations consists in the creation of an innovative mentality which focuses on permanent learning and sustains the growth of competitiveness and the achievement of goals. Thus the authority enjoyed by nursing in healthcare institutions aims to achieve changes, engendering behavior that enables collective int...
Show More
-
Application of Music Training on Enhancing Auscultation Ability in Nursing Undergraduates: A Pilot Study
Xiaofen Qin,
Xiuhua Wang,
Jia Guo,
Miao Wang,
Jia Chen
Issue:
Volume 8, Issue 5, October 2019
Pages:
239-242
Received:
25 May 2019
Accepted:
12 August 2019
Published:
5 September 2019
Abstract: Art is playing a more important role in nursing education as the two disciplines interconnect. Music has been used in western countries to improve the ability of medical and nursing students’ clinical skills in performing physical examination. But in China, very little literature focuses on music. The aim of this research is to explore the effect of music training in improving students' auscultation ability in the course of physical examination for nursing undergraduates. Second year nursing undergrraduates (n=125) were allocated to either the intervention group or the control group randomly. The control group (n=62) received the traditional training, the intervention group (n=63) received the traditional teaching, plus music training consisted of pitch, rhythm, timing, intensity, tenth, masking into the physical examination course. Both groups were evaluated on their ability to interpret 5 sounds (2 heart sounds, 2 lung sounds and 1 bowel sound) before the course and 15 sounds (6 heart sounds, 5 lung sounds, 2 bowel sounds and 1 mixed sound) after the course. The control group overall score was no significant differences compared to the intervention group which in the heart sounds, lung sounds and bowel sound before the course. After the course, the intervention group score of listening test was significant higher than control group which in the heart sounds, lung sounds and mixed sound. The results showed that the application of music training can improve the students' auscultation ability to a certain extent.
Abstract: Art is playing a more important role in nursing education as the two disciplines interconnect. Music has been used in western countries to improve the ability of medical and nursing students’ clinical skills in performing physical examination. But in China, very little literature focuses on music. The aim of this research is to explore the effect o...
Show More
-
Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit
Rawia Abd Elghany Mohamed,
Seham Mohamed Abd Elaziz,
Hanan Nabawy Elaasar
Issue:
Volume 8, Issue 5, October 2019
Pages:
243-254
Received:
17 July 2019
Accepted:
19 August 2019
Published:
25 September 2019
Abstract: Pressure ulcers are a common and highly relevant professional care issues in pediatric intensive care units. The aim of this study was to evaluate the effect of preventive bundle guidelines on nurses’ knowledge and compliance regarding pressure ulcer among critically ill children at Pediatric intensive care unit. Research design: A quasi-experimental design was used. Settings: This study was conducted at the pediatric intensive care unit in Benha Specialized Pediatric Hospital. Sample: A Convenient sample of nurses (n=43) and purposive sample of critically ill children (n=70) were included from the above mentioned setting. Those children were divided equally into two groups (study and control). Tools of data collection: Three tools were used namely; a structured interviewing questionnaire format, pressure ulcer preventive bundle compliance checklist and Braden Q Risk Assessment Scale. Results: Most children in the study group were not at risk of pressure ulcer in the first and second week of admission as well as before discharge than children in the control group. Moreover, the results revealed that there was significant improvement in nurses’ knowledge regarding pressure ulcer as well as their compliance with preventive bundle guideline after bundle implementation. Conclusion: The implementation of preventive bundle guidelines proved to be effective in improving nurses' knowledge and their compliance, with a positive impact on the incidence of pressure ulcer among critically ill children. Recommendation: Preventive bundle guidelines should be implemented in pediatric intensive care units to reduce the harm associated with hospital-acquired pressure ulcer.
Abstract: Pressure ulcers are a common and highly relevant professional care issues in pediatric intensive care units. The aim of this study was to evaluate the effect of preventive bundle guidelines on nurses’ knowledge and compliance regarding pressure ulcer among critically ill children at Pediatric intensive care unit. Research design: A quasi-experiment...
Show More
-
Nursing Students’ Clinical Practice Experience During the Internship Year at Different Hospitals: A Qualitative Study
Samar Sultan Althaqafi,
Hala Abdullah Alhatimi,
Alhanouf Meteb Almalki,
Ola Muneer Alyamani,
Maram Ahmed Banakhar
Issue:
Volume 8, Issue 5, October 2019
Pages:
255-262
Received:
1 August 2019
Accepted:
10 September 2019
Published:
26 September 2019
Abstract: Background: An internship programme is an important period that enables nursing students to work and function as primary nurses, with three to eight patients per shift, in order to develop their clinical skills by integrating theory with practice and improving their assessment, problem solving, and interpersonal skills. Having undergraduate nursing interns from different colleges in one clinical placement may explain the variation regarding the factors, challenges, and barriers that affect students’ clinical practice during the internship period. Study aim: This study aimed to explore the clinical practice experiences of nursing students doing internship years at different hospitals in Saudi Arabia. Method: A descriptive qualitative study was conducted with nursing interns from the Faculty of Nursing at a university in Saudi Arabia, who were doing internship years at different hospitals. The study participants were selected using purposive sampling. The data were collected via three semi-structured focus group interviews and analyzed using thematic analysis. Results: Educational programmes, hospital orientation programmes, and mentorship programmes were all highlighted as the most important influencing factors in the interns’ clinical practice. In addition, unfair treatment, the ignorance of healthcare professionals, and being involved in non-nursing work were highlighted as challenging factors that negatively affected the interns’ clinical practice. Conclusion: There is a need for continuous educational programmes and mentorship programmes to be provided for all nursing interns, in particular by hospital education departments. In addition, a clear job description and list of responsibilities for all nursing interns should be provided at the start of the internship programme in order to prevent interns from being involved in non-nursing work.
Abstract: Background: An internship programme is an important period that enables nursing students to work and function as primary nurses, with three to eight patients per shift, in order to develop their clinical skills by integrating theory with practice and improving their assessment, problem solving, and interpersonal skills. Having undergraduate nursing...
Show More
-
The Effect of Life Skills Intervention on Social Self Efficacy for Prevention of Drug Abuse Among Young Adolescent Students at Benha City
Hanan Abd Elwahab El Sayed,
Rasmia Abd El Sattar Ali,
Faten Mohamed Ahmed,
Hedya Fathy Mohy
Issue:
Volume 8, Issue 5, October 2019
Pages:
263-273
Received:
3 August 2019
Accepted:
21 August 2019
Published:
26 September 2019
Abstract: Background. Young adolescent has to prepare for a global successful adult life of competition and independent functioning which is possible only through enhancing their psychosocial competencies through life skills training. As a health care provider, the school nurse is in a unique position to act as health educator, a change agent for youth substance abuse prevention. This study aims to evaluate the effect of life skills intervention on social self-efficacy for prevention of drug abuse among young adolescent students at Benha City. Methods. A quasi-experimental design was utilized. The study was conducted at two Preparatory Schools in Benha City (Benha Preparatory School for Boys and Benha Shared Preparatory School). Simple random sample of 120 students were included in the present study. Two tools were used for data collection; first tool. The Children’s Self-Efficacy in Peer Interactions (CSPI). It was used to measure confidence in social interactions. Second tool; The Life Skills Training Questionnaire-Elementary Student (LSTQ-ES). This tool is designed to measure changes in knowledge, attitudes, and behaviors of elementary students related to social confidence and drug resistance skills. Results. The mean age of the studied students was 14.9±0.45 years. There were statistically significant improvements (P<0.05) regarding to students' social self-efficacy in conflict & non-conflict situations, life skills knowledge & anti-smoking knowledge, anti-drinking and anti-smoking attitudes and life skills behaviors after the life skills intervention as compared to before. Conclusion. life skills intervention was efficient in improving students' social self-efficacy in conflict & non-conflict situations. also, knowledge of life skills & anti-smoking knowledge, anti-drinking and anti-smoking attitudes and life skills behaviors were improved after implementation stage on young adolescent students. Recommendation. The school nurse should plan and perform constant life skills training workshops for students as effective tools of drug abuse prevention in schools.
Abstract: Background. Young adolescent has to prepare for a global successful adult life of competition and independent functioning which is possible only through enhancing their psychosocial competencies through life skills training. As a health care provider, the school nurse is in a unique position to act as health educator, a change agent for youth subst...
Show More
-
Effectiveness of Health Education Program Regarding Foot Self-care on Risk for Developing Foot Ulcer Among Patients with Diabetes
Marwa Mosaad Ali,
Samah Elsayed Ghonem
Issue:
Volume 8, Issue 5, October 2019
Pages:
274-287
Received:
15 August 2019
Accepted:
4 September 2019
Published:
29 September 2019
Abstract: Background: Diabetic foot has been considered as a major health problem in adults, because of its high incidence in recent years. Self-care programs have a role in the early prevention of morbidity and mortality rate of the diabetic foot, promoting patients knowledge and self-care practices are a crucial need in this regard. Aim of the study: To evaluate the effectiveness of health education program regarding foot self-care on risk for developing foot ulcer among patients with diabetes Research design: A quasi-experimental research design was used to conduct the current study. Setting: The current study was conducted in diabetes unit and outpatient clinics, at Benha university hospital, during the period from the beginning of September 2018 to beginning of June 2019. Subjects: A purposive sample of 132 patients recruited according to the study formula based on the total number of patients who admitted to the study settings during 2017, were randomly assigned into 68 patients in control group and 64 patients in intervention group, using permuted randomization table. Tools of data collection: Four tools were utilized for data collection, Tool I- Structured interviewing questionnaire sheet, involved (part 3) Structured Knowledge questionnaire, Tool II- Self-care confidence scale, Tool III- Foot self-care behavior scale and Tool IV- Inlow’s 60-second Diabetic Foot Screen. Results: Showed that mean score regarding knowledge, foot self-care confidence and behavior among intervention group were significantly higher after implementing intervention than among control group with a lower incidence of complications as well as there was a highly significant association between knowledge and self-efficacy among the studied groups, moreover the risk of developing foot ulcer was significantly lower among intervention group compared to control group post program implementation. Conclusion: The effectiveness of self-care educational program was approved in improving patients’ knowledge, self-care confidence, behavior and in return lowering the risk of developing foot ulcer. Recommendation: Based on findings in this study, regular continuing self-care programs should be designed to enhance patients’ ability to care for their foot with an emphasis on the most important risk factors and appropriate management in a large population.
Abstract: Background: Diabetic foot has been considered as a major health problem in adults, because of its high incidence in recent years. Self-care programs have a role in the early prevention of morbidity and mortality rate of the diabetic foot, promoting patients knowledge and self-care practices are a crucial need in this regard. Aim of the study: To ev...
Show More
