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   Table of Contents - Current issue
Coverpage
May-August 2017
Volume 14 | Issue 2
Page Nos. 59-189

Online since Friday, January 12, 2018

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ORIGINAL ARTICLES  

Innovation behavior levels and its relation with TIGER-based nursing informatics competencies among critical care nurses Highly accessed article p. 59
Magda Abd El Hamed Abd El Fattah
DOI:10.4103/ENJ.ENJ_13_17  
Background Currently, worldwide nursing experts have been inspiring nurses to pursue innovation in nursing in order to improve nursing outcomes. As a consequence, practicing nurses ought to have the capability to be receptive to the innovation in their practice environment; therefore, a new specialty called ‘nursing informatics’ (NI) has emerged to keep pace with these emerging innovations. Aim The aim of this study was to measure the relationship between innovation behavior levels and TIGER-based NI competencies among critical care nurses. Participants and methods A descriptive correlational design was used in carrying out this study. This study was conducted in a Critical Care Unit at an International Private Hospital in Egypt. The convenience sampling method was used to select 30 participants who met the inclusion criteria to join the study. Data were collected using a three-section questionnaire as follows: (i) demographic data sheet; (ii) Innovation Behavior Questionnaire; and (iii) Nursing Informatics Competency Assessment Tool. Results More than half of the participants had a moderate level of innovation behavior. Moreover, more than one-third of the studied sample rated themselves as competent in NI. In addition, a significant positive relationship was found between innovation behavior and overall NI competency levels as perceived by the participants. Conclusion This study contributes to the identification of informatics competency levels that are pertinent to the role of critical care nurses. Moreover, this study signifies that the innovative behavior of critical care nurses would help in generating proactive approach concerning developing a NI competency level in the future. Recommendation Future studies should relate the demonstrated and perceived NI competency levels in critical care units and other work settings. Moreover, integration of the NI and nursing innovation courses as one of the core courses, and not as an elective, in the nursing curriculum is recommended.
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Emotional intelligence among visually impaired and sighted female adolescents p. 70
Azza Medhat Mansy, Zeinab Abd El Halim, Enayat Abd Al Wahab
DOI:10.4103/ENJ.ENJ_14_17  
Background Emotional intelligence (EI) has a positive impact on adolescents’ personal as well as scholastic life. Thus, emotionally intelligent adolescents either visually impaired (VI) or sighted have higher levels of psychological adjustment and emotional well-being, and present a higher quality and greater quantity of interpersonal networks and social support. Aim This study aimed to assess EI among VI and sighted female adolescents. Subjects and methods and methods A purposive sample of 120 female adolescents (60 with VI and 60 sighted adolescents) was selected from El-Noor and El-Amal School for the Blind Female and El Saneya Prep/Secondary School. Two tools were used to measure the current study variables. A Structured Adolescents’ General Profile Questionnaire and EI Scale was used. Results Findings revealed statistical significance differences between the studied VI and sighted female adolescents as regards the total EI and its subscales except for general mood Conclusion To conclude, EI during adolescence is essential in the modern society as life is becoming very complex and conflicting day by day for both VI and sighted adolescents as EI guides an individual’s thoughts, actions, and in adjusting to stressful life events easily. There must be counselors to teach students the basics of EI and how they could develop positive self-concept and enhance their self-esteem.
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Stressors encountered by patients undergoing open-heart surgery at a Cairo University Hospitals p. 78
Amaal F Ahmed, Nahla S Khalil, Warda Y Morsy
DOI:10.4103/ENJ.ENJ_23_17  
Background Coronary artery bypass grafting (CABG) as one of the treatment modalities for patients with coronary artery diseases has a major physical, psychological, and emotional impact on the patients. Therefore, these patients must routinely be assessed for the effect of stressors, especially before and after surgery. Aim The aim of this study was to assess stressors encountered by patients undergoing open-heart surgery at a Cairo University Hospitals. Research questions a) What are perceived preoperative stressors in patients undergoing open heart surgery during hospitalization? b) What are the perceived post operative stressors in patients undergoing open heart surgery during hospitalization? Research design A descriptive exploratory design was utilized. Sample A convenience sample consisting of 60 patients was included in the current study. Setting This study was carried out at a Cardiothoracic Department and an ICU of a cardiothoracic surgery, affiliated to one of the Cairo university hospitals. Tools Demographic data, medical data; and Intensive Care Unit Environmental Stressor Scale (ICUESS) were utilized to collect data pertinent to the current study. Results Preoperative stressors in the current study were found to be due to: continuous lighting, use of curtains as spacers between beds, nurses working in urgency, repeated awakening patients up to give medicines, workers’ loud voice, the death of other patients, hearing other patients’ complaints and sleep disturbance. However postoperative stressors were due to: inability to sleep, seeing families and friends only for few minutes and seeing each visitor individually, having pain, thirst, presence of nasal, oral and chest tubes, unfamiliarity with time, day or date. Conclusion and Recommendations Routine preoperative assessment of patients undergoing CABAG is recommended to identify and reduce stressors. Furthermore, preoperative patients’ education should be incorporated into routine nursing practice to reduce anxiety and prevent postoperstive complications.
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Effect of education program on nurses’ knowledge and practice regarding care of central venous line in pediatric hemodialysis: evidence-based practice guidelines Highly accessed article p. 87
Madiha H Bayoumi, Naglaa F Mahmoud
DOI:10.4103/ENJ.ENJ_16_17  
Introduction Catheter-related blood stream infections (CRBSIs) are the main cause of hemodialysis (HD) failure in infants and children. Active prevention of CRBSIs required multiple interventions and adherence to evidence-based practice guidelines. Aim The aim of this study was to investigate the effect of education program on nurses’ knowledge and practice in pediatric HD unit evidence-based practice (EBP) guidelines. Participants and methods A quasiexperimental design was utilized. The study was conducted in the Pediatric Hemodialysis Unit at Benha University Hospital and the Hemodialysis Unit at Benha Fever Hospital. A convenient sample of 40 nurses from the previously mentioned setting was included in the study. Two tools were used: a questionnaire sheet for assessing nurses’ personal data and knowledge about CRBSIs and EBP guidelines, and an observational checklist to assess nurses’ practice toward care of pediatric HD catheter. Results The study results showed that there was a highly statistically significant improvement in total knowledge level of nurses immediately after implementation and 6 months after implementation of education program guidelines. Moreover, there was a highly statistically significant relation in nurses’ practice and their educational level, occupation, years of experience, and attendance of training course, before implementation/immediately after implementation and 6 months after implementation. Conclusion The current study concluded that the nurses who received evidence-based guidelines educational program as regards central vascular catheter maintenance and care showed high score level in nurses’ knowledge and practice after implementation of the program than that before recommendation. The study recommended that training and continuing education of the EBP guidelines for staff nurses are important to improve care provided in the pediatric hemodialysis units.
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Oral health intervention program among primary school children at El-Qalyubia Governorate p. 100
Eman M Seif El-Nasr
DOI:10.4103/ENJ.ENJ_15_17  
Background Oral health is a major public health issue affecting all groups of the population. Poor oral health during childhood is directly associated with poor oral health outcomes during childhood and throughout adulthood. Aim The aim of this study was to evaluate the effect of an Oral Health Intervention Program among primary school children. Patients and methods A quasiexperimental study was used to fulfill the aim of the study. This study was conducted at two experimental schools in El-Qaliubiya Governorate. A purposive sample of all students in the fifth grade who fulfilled the inclusion criteria from the two schools was included in the study. Two tools were developed: the oral health structured interviewing questionnaire, which included two parts (personal data and oral health knowledge), and observational checklist for oral hygiene practice. Results The results revealed that the mean age of the study participants was 10.63±0.63. As regards the causes of tooth decay, 50 and 66%, respectively, recognized the causes before and after the intervention program, and 33 and 63%, respectively, identified the consequences of tooth decay before and after the intervention program. A highly statistically significant difference was found between the study participant’s total knowledge before and that after the intervention program (P<0.000), and a highly statistically significant difference was found between study participant’s practices of oral hygiene before and that after the intervention program (P<0.000). Conclusion Primary school children represent a high-risk group for oral health problems, and this study indicated that the oral health intervention program was effective in increasing knowledge and practices toward oral health. Recommendations It is recommended to empower periodic screening for school students to detect oral problems, disseminate the oral health intervention program to parents, school teachers, and nurses for early detection of student’s dental problems, and connect to referral system for care, which is integrated in school insurance program.
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Relationships between health risk behaviors and protective factors among adolescent school students by adopting the Structural Equation Model p. 109
Elham H Tawfik, Shehata Farag
DOI:10.4103/ENJ.ENJ_22_17  
Background Many adolescent school students suffer needlessly, unable to access appropriate resources for recognition, support, treatment. Many health risk behaviors are established during adolescence, which often continue into adulthood, affecting their health, well-being in later life. Aim The aim of the present study was to investigate the relationships between health risk behaviors and protective factors among adolescent school students by adopting a Structural Equation Model. Research design A cross-sectional, descriptive research design was used. Participants Preparatory school students of grades 1, 2, and 3 aged 13–15 years were included. Consent for participation was obtained from their parents. The total sample included 969 students. Setting Six preparatory governmental schools from urban and rural districts in El-Beheira Governorate were included, with three schools from each area.
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Relationship between electronic medical record utilization and the quality of nursing care at Pediatric Oncology Hospital p. 124
Shimaa Ali Abd-Elmaksoud Romman, Magda Amen Elmola, Magda Abd Elhamid, Manal Amin Zamzam
DOI:10.4103/ENJ.ENJ_20_17  
Background Adopting of electronic medical record is to improve the quality of nursing care by new solutions to make the nursing have the scope of patient centered care. Aim To assess the effect of using electronic medical record on the quality of nursing care. Descriptive correlational design was utilized to attain the aim of the present study. Sample Convenient samples of 94 nurses. Setting In pediatric oncology Hospital were recruited in the study. Tools Data was collected through 3 tools developed by the researcher: First tool: demographic data sheet for staff nurses, second tool: electronic medical record nurses practice observational checklist to observe the nurse competencies on electronic medical record, Third tool: quality of nursing care observational chick list to observe nursing care provided to pediatric oncology patients. Results The study shows that there is a highly statistical significances correlation between electronic medical recording and quality of nursing care dimensions. Conclusion The present study concluded the utilization of electronic medical record by nurses was effective in providing high quality of nursing care. Recommendations preparing separated orientation program for the super-user, charge nurse and the supervision levels so that they can detect and follow the data entry defect of the nurses and guide them.
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Societal factors that induce career change decision among nurses working at different Sohag city hospitals p. 130
Hind I Ali
DOI:10.4103/ENJ.ENJ_17_17  
Background Nurses who have positive professional images will have stronger relations with their patients, peers, and community as a whole. Decision to leave might be an indication that nurses are not committed to their profession. Aim This study aimed to determine the societal factors that induce career change decision among nurses working at different Sohag city hospitals. Study participants The study participants comprised all categories of nursing staff from all age categories and different educational levels. Methods/Tools Societal Satisfaction Questionnaire and Anticipated Career Change Questionnaire were used for data collection. Results On the basis of the analysis of the participant’s responses, the result revealed that there was a highly statistically significant positive correlation between societal satisfaction and participants’ decision to leave the nursing career. Conclusion The study revealed that different sets of societal factors are associated with career change decision among nurses, which are mainly concerned with society’s view of nursing and mass media projection. These data can be useful for understanding nurse workforce challenges, improving mass media recognition, providing feedback to Egyptian nursing leaders as regards the best workplace practices, and informing decisions surrounding workforce policy.
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Factors associated with nurses’ readiness for organizational change at Beni Sueif University Hospital p. 141
Fatma F El-Sayed, Abeer M Seada, Hoda A El-Guindy
DOI:10.4103/ENJ.ENJ_24_17  
Background Organizations are forced to stay and respond to environmental changes in order to survive. Nurses’ readiness for organizational change is considered a key aspect of any organizational change efforts and can be a determining factor of successful change. Patients and methods This study aimed to investigate factors associated with nurses’ readiness for organizational change. A descriptive exploratory design was used in this study. The study was conducted in all In-patient Care Units at Beni Sueif University Hospital. A convenience sample of staff nurses working in the above-mentioned setting constituted the study sample (N=179). Results The studied sample had moderate readiness and low resistance for organizational change. There was a statistically significant positive correlation between nurses’ readiness for organizational change and both professional nursing practice environment and structural empowerment. A negative correlation was found between nurses’ readiness for organizational change and both dispositional resistance to organizational change and emotional climate. Recommendations Nursing leaders’ efforts must be directed toward creating magnet environment that promotes nurses’ readiness for change by providing them with access to opportunity to learn and grow and access to support and create an autonomous work practice. Enhancement of emotional work climate among nurses is of great importance to promote their readiness for organizational change.
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Hospital magnet designation attributes for nursing excellence that promotes patient safety culture: certified versus noncertified hospitals p. 152
Magda Abd El Hamed Abd El Fattah, Gehad Ahmed Abo El Ata, Fathi Abdulla Morsy
DOI:10.4103/ENJ.ENJ_18_17  
Background Magnet designation gives a valuable mechanism for evaluating and transforming nursing practice environments that can be attributed to nursing excellence and patient safety culture. Aim The aim of this study was to compare between ISO 9001-certified and noncertified hospitals regarding hospital magnet designation attributes for nursing excellence and patient safety culture. Design A descriptive, comparative, correlational study design was used. Setting This study was conducted at nine critical care units in an ISO 9001-2008-certified hospital and six critical care units in a non-ISO 9001-2008-certified hospital in Cairo, Egypt. Sample A total of 180 critical care nurses who were working in an ISO 9001-2008-certified hospital and 90 critical care nurses working in a noncertified hospital were included in the study. Tools Data were collected by the modified Essentials of Magnetism and patient safety culture questionnaires. Results A significant correlation existed between the overall patient safety culture and hospital magnet designation dimensions in the ISO 9001-certified hospital. In the meantime, insignificant correlations were found between total patient hospital magnet designation and safety culture dimensions in the ISO 9001-noncertified hospital. Conclusion The results concluded that hospital magnet designation attributes in the ISO 9001-certified hospital and the non-ISO 9001-certified hospital are necessary to encourage the critical care nurses to promote patient safety culture. Recommendations Hospital management should conduct educational training programs regarding multidisciplinary teamwork building, communication behaviors during hospital handoffs, and risk management for critical care nurses working in both ISO 9001-certified and noncertified hospitals.
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Efficacy of teaching self-management strategies on auditory hallucinations among schizophrenic patients p. 168
Nadia E Sayied, Zamzam A Ahmed
DOI:10.4103/ENJ.ENJ_25_17  
The study aimed to evaluate the effectiveness of teaching self-management strategies on auditory hallucinations among schizophrenic patients. A quasiexperimental design (pre–post test design) was utilized in this study. The study was carried out at Inpatient Unit at Neuropsychiatry and Neurosurgical Hospital at Assiut University. The study consisted of 30 patients with chronic schizophrenia. Three tools were used to collect data from this study: tool 1, a structured interview tool for the sociodemographic and clinical data of patients with schizophrenia who are suffering from auditory hallucinations; tool 2, phenomenology scale of hallucinations, which is a semistructured interview and was a modified version; and tool 3 structured interviewing tool of self-management strategies to control auditory hallucinations. The study results revealed that there was a statistically significant difference as regards hallucination and coping strategies of self-management to control auditory hallucination before and after intervention. On the basis of the present study it can be concluded that patients can use self-management strategies to reduce the severity of auditory hallucination and help them to cope and succeed in dealing with their own illness. In the light of the result of the present study it is recommended that the psychiatric healthcare provider (psychiatric nurse and/or psychiatrist) provides accurate information to schizophrenic patients who have auditory hallucinations about different self-management techniques. Schizophrenic patients with auditory hallucination should be trained on self-management coping strategies to control their hallucination.
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Effect of instructions on selected self-care practices among type-1 diabetic children p. 179
Azza Abdel Moghny Attia, Eman Abdel Fattah Hassan
DOI:10.4103/ENJ.ENJ_19_17  
Background Type 1 diabetes (T1D), which tends to develop in childhood, needs certain self-care practices to achieve optimal glycemic control. Aim The study aimed to evaluate the effect of instructions on selected self-care practices among T1D children. Patients and methods A quasi-experimental one-group design with pre–post assessment was used in this study, which was carried out in the Pediatric Diabetes and Endocrine Unit at El Monira University Pediatric Hospital, on a purposive sample of 100 diabetic children. The data were collected using a structured interview questionnaire and four observational checklists for self-care practices of insulin injection by syringe and by pen, blood glucose test, and foot care. Results Children’s age ranged between 6 and 14 years, with female predominance. Their readiness for self-care was high, especially for insulin injection, and none of the children had adequate performance of any of the procedures before the intervention. At the postintervention phase, there were statistically significant improvements in all procedures, reaching 76% for insulin injection by syringe, 82 for injection by pen, 77% for blood glucose testing, and 58% for feet care (P<0.001). In total, 80% adequate performance after the intervention was detected (P<0.001). In multivariate analysis, the applied intervention was the main independent statistically significant positive predictor of the child’s performance score, with child age and performance of exercise having a less but statistically significant influence. All children (100%) recommended the program for other diabetic children. Conclusion The study concluded that children’s practice scores of self-care activities improved significantly after the intervention, and readiness of children plays an active role in improving these scores. The participation of parents, particularly with very young children, and more emphasis on foot care are needed. The study recommends that the intervention should be implemented in settings providing care to children with T1D. Feet care for children with T1D was done by parents until the children realize the importance of caring and examining their feet periodically. The impact of the program on glycemic control needs further research.
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