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   Table of Contents - Current issue
Coverpage
January-April 2019
Volume 16 | Issue 1
Page Nos. 1-51

Online since Friday, May 10, 2019

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ORIGINAL ARTICLES  

The effect of nursing educational program on knowledge and practice of nurses regarding infection control measures for children under hemodialysis p. 1
Youssria E Yousef, Usama M Elashir, Safaa R Mahmoud, Neema Maghraby
DOI:10.4103/2090-6021.257964  
Background/aim The aim of the present study was to assess the knowledge and practice of nurses regarding the prevention of infection for children under hemodialysis, and to evaluate the effect of an educational nursing program on nurses’ knowledge and practice regarding the prevention of infection among children undergoing hemodialysis. Patients and methods We chose a quasi-experimental research design for the present study. The study was conducted in the renal dialysis unit at Assiut Children University Hospital. A convenience sample of 32 nurses working in the pediatric renal dialysis unit, who accepted to participate in this study, were enrolled. Following tools were used in the study. Tool 1, which was a structured questionnaire sheet about nurses’ knowledge including sociodemographic data; and nurses’ knowledge about renal failure, renal dialysis, and general precautions during nursing care for children under hemodialysis. Tool 2, which was an observational checklist sheet developed by the researcher to assess nurses’ practice for children under hemodialysis. It was applied before and after 2 months of the implementation of the educational program. It consisted of general and specific precautions to be taken during care of children under hemodialysis and application of infection control measures. Results The levels of knowledge scores were satisfactory among 90.6% of the nurses. There was a highly significant improvement in the nurses’ practice scores regarding general precautions, hand-washing, wearing gloves, wearing mask, catheter insertion, skin preparation technique, taking care of patients’ equipment, dealing with sharp objects, dealing with blood, body secretions, and fluids, and maintaining clean environment and safe injection practices in addition to the total practice score. There were significant improvements in items of the nurses’ practice such as laboratory-style covering coats, full isolation, and catheter care. The practice score level was adequate among 68.7%, whereas inadequate among 31.3% of the nurses. There were significantly higher nurses’ knowledge score and levels of improvement of their knowledge score after the education program among older nurses and those with Bachelor of Nursing. Conclusion Nurses’ knowledge and practice regarding hemodialysis and infection control guidelines are inadequate. Carrying out nursing education programs about infection control measures when dealing with children under hemodialysis resulted in a significant improvement in nurse’s knowledge and practice. Recommendations Nurses should be encouraged to attend specific meetings such as workshops and seminars held for infectious diseases and infection control to be acquainted with the recent advances and skills in the hemodialysis unit.
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Effect of educational intervention about first aid and ergonomics on improving bakery workers’ performance related to occupational hazards at Zagazig City p. 10
Gamalat M.A El-Ghany, Samia F Mahmoud
DOI:10.4103/ENJ.ENJ_19_18  
Background Workers in bakeries face many hazards in their work environment. Hazards have the potential for causing injury or illness. Aim The aim was to evaluate the effect of educational intervention about first aid and ergonomics on improving bakery workers’ performance related to occupational hazards at Zagazig City. Materials and methods A quasiexperimental design was used, and the period of study lasted from February to April 2018. The study was conducted at bakeries in Zagazig City. All workers in 20 bakeries, randomly chosen from 119 bakeries, were included as the study sample. Three tools were used: tool I was the interviewing questionnaire form that was designed to collect data related to demographic characteristics of the bakery workers, the hazards of job exposures inside bakeries as reported by bakers, and the health problems reported by bakers during the last six months of the study. Tool II was the interview questionnaire form that consists of two parts: knowledge of bakery workers about first aid and ergonomics before/after the intervention. Tool III was an observational checklist used to assess the bakery workers’ practices regarding first aid and practices regarding the ergonomic maneuvers and an observational checklist to evaluate work environment safety of the bakeries. Results The greatest hazard related to job exposure inside the bakery as reported by the study sample was poor position (92.1%), and the lowest hazard is syncope (16.1%). Furthermore, the major health problems reported by bakers during the last six months were musculoskeletal problems (55.1%), and the least was gastrointestinal (4.5%). The total adequate score of their knowledge about first aids increased from 9.0% before sessions to 100.0% after sessions; moreover, none of bakery workers had satisfactory first aids practices at pre-educational sessions compared with 76.4% after the intervention. Additionally, none of the bakery workers before intervention performed practices of ergonomic maneuver, whereas after intervention implementation, the percentage increased to 84.3%. Conclusion The post-test score was higher than the pretest score in both knowledge and practices about first aid and ergonomic maneuver. Recommendations Continuous educational intervention should be initiated for all workers of bakeries in Sharkia Governorate to raise their knowledge and practices about first aid and ergonomics related to occupational hazards.
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The effect of health promotion program on female breast self-examination knowledge and practice p. 25
Shereen Abd El-Moneam Ahmed, Sheren Elsayed Shrief
DOI:10.4103/ENJ.ENJ_24_18  
Background Breast self-examination (BSE) is a screening method that should be taught at early ages to make women aware about the importance of early detection of breast cancer. It can be performed without the assistance of health professionals after effective education and requires no special equipment. Aim The aim was to evaluate the effect of a health promotion program on female BSE knowledge and practice. Participants and methods A quasi-experimental pretest/post-test was used to implement the current study, at the surgical outpatient departments affiliated to Suez Canal University Hospitals and Beni-Suef University Hospitals, on a convenience sample of 80 women from September 2017 to December 2017. Two tools were used for data collection: A structured interview questionnaire to evaluate the participants’ sociodemographic data, BSE knowledge, barriers to practice BSE, and an observational checklist to assess the BSE practice among the studied female. Results There was a high significant relationship between sociodemographic variables and women’s knowledge and practice on BSE with an increase in their scores after implementation of the health promotion program. Conclusion and recommendations This study concluded that the designed health promotion program could improve BSE among the studied women. The current study recommended implementing health promotion programs and educational instructions to provide more information based on scientific knowledge about BSE to female patients at the hospitals.
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Effect of weight reduction and exercise program on patients with obstructive sleep apnea p. 36
Howaida K Zatton, Eman A Metwaly, Ashraf E Elshora
DOI:10.4103/ENJ.ENJ_27_18  
Background Obesity is the most important risk factor for obstructive sleep apnea (OSA). Aim The aim of the study was to evaluate the effectiveness of weight reduction and exercise program on patients with OSA at a university hospitals in Egypt. Subjects and methods Research design: A quasi experimental one group pre/post test design was utilized to achieve the aim of the study. Subjects A purposive sample included 30 patients with a confirmed diagnosis of OSA were recruited in this study. The program implemented through 10 months. Tools of data collection Five tools of data collection were used: (1) A structured interview questionnaire. (2) Berlin questionnaire. (3) Epworth sleepiness scale. (4) Questionnaire of sleep apnea, and (5) Questionnaire to assess sleep disturbance symptoms associated with obesity Results There was a significant reduction in weight through decreasing in BMI, neck circumference, and waist circumference with mean±SD 103.87±21.11, 35.27±7.66, 36.67±4.85, 112.83±16.51 respectively after intervention of program that reflected then on decreasing sleep disturbance symptoms associated with obesity. The sleep efficiency increased after intervention of program with mean±SD 88.32±8.50 through increasing in Base SPO2% (oxygen saturation during daytime) and mini SPO2% and reduction in sum of desaturation (difference between sleep and awake), snoring index, AHI (apnea-hypopnea index). In addition, there was a reduction in daytime and nocturnal symptoms of sleep disorder breathing after intervention of program. Conclusion Hence, it can be concluded that the application of a balanced and low calorie dietary intake and regular exercise training for upper airway was effective on improving severity of OSA.
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Depressive symptoms and aggressive behavior among orphanage female children p. 45
Marwa A.E.A El-Slamoni, Rasha M Hussien
DOI:10.4103/ENJ.ENJ_29_18  
Background An orphan’s life is perilous because of their lack of care and support. There are many kinds of stressful events that occur among orphans, such as deprivation from family, aggression, and physical and psychological stress, which may influence their lives and mood, and they become irritable and hopeless individuals. Aim This study was aimed to assess depression and aggression among orphanage residents at Tanta City. Participants and methods Using a descriptive cross-sectional design, the study was conducted at three shelters at Tanta City (Al-Wafaa 1 and 2 and Al-Radwa shelters). It included a sample of 94 children who were selected from the previously mentioned settings. The tools of data collection were an interviewing questionnaire form, a depression scale, and aggression scale. Results The study finding showed that the reason for the increase in depression among adolescents was no known parents (79.6%). There was a statistically significant positive correlation between the depression scores and physical aggression. Conclusion and recommendation The study concluded that highest depression scores were present among adolescents staying in orphanage for more than 12 years. The study recommended that further intervention studies are proposed to deal with these behavioral problems using various approaches pertaining to the structure and function of the orphanage.
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