scholarly journals Protocol for improving nursing performance towards placental examination at labor units

2017 ◽  
Vol 5 (2) ◽  
pp. 1
Author(s):  
Hanan Elzeblawy Hassan ◽  
Shaimaa Hassan Mohamady ◽  
Neama Abd El-Fattah Abd El-Gawad
Keyword(s):  
Clinical Skills ◽  
Fetal Tissue ◽  
Structured Interview ◽  
Maternity Hospital ◽  
University Hospital ◽  
Maternity Hospitals ◽  
Significant Difference ◽  
Quasi Experimental ◽  
High Level ◽  
Hospital Group

Objective: The placenta is derived from both maternal and fetal tissue with approximately one fifth derived from fetal tissue at term. The placenta should be examined, as it reflects disease in the mother and the fetus. Aim: The aim is to implement a protocol for improving nursing performance towards placental examination at labor units.Methods: Design: A quasi-experimental design was adopted. Setting: The current study was conducted at the labor unit at Ain Shams maternity hospital and Beni-Suef University hospital. Sample: 42 nurses who were affiliated to labor units (21 nurses of Ain Shams maternity hospital group and 21 nurses of Beni-Suef University hospital group). Tools: Two tools were used for data collection; structured interview questionnaire and an observation checklist.Results: There was no significant difference between both groups in general characteristics. The majority of the studied nurses from Ain Shams and Beni-Suef hospital, respectively, did not attend any training related to placental examination before conducting the study. Meanwhile, there was a significant improvement in nurses’ performance towards placental examination after implementing the program.Conclusions: The placental examination program was effective in improving the nurse’s performance at labor units.Recommendation: Policymakers should formulate a national plan of continuing education to help nurses already in the labor force to retain and update their knowledge and clinical skills especially in such topic placental examination and encourage nurses to participate in programs in order to maintain a high level of health care in maternity hospitals.

scholarly journals Non-invasive care technologies: nurses' contributions to the demedicalization of health care in a high-risk maternity hospital

2019 ◽  
Vol 23 (2) ◽  
Author(s):  
Juliana Amaral Prata ◽  
Lana Priscila Meneses Ares ◽  
Octávio Muniz da Costa Vargens ◽  
Carlos Sérgio Corrêia dos Reis ◽  
Adriana Lenho de Figueiredo Pereira ◽  
...  
Keyword(s):  
High Risk ◽  
Structured Interview ◽  
Maternity Hospital ◽  
University Hospital ◽  
Care Process ◽  
Care Model ◽  
Human Relationships ◽  
Non Invasive ◽  
Maternity Hospitals ◽  
Nurse Midwives

ABSTRACT Objective: to discuss the use of non-invasive care technologies by nurse-midwives in a high-risk maternity hospital. Method: a descriptive and qualitative study with ten nurse-midwives who work at the obstetric center of a high-risk maternity at a university hospital in Rio de Janeiro City. Data collection took place in June and July 2017, through a semi-structured interview. The material was submitted to content analysis. Results: The participants use non-invasive care technologies from the perspective of health work technologies and demedicalization, setting up a care process centered on sensitive work and soft technologies. Thus, they shift the focus away from interventionist procedures and develop a care based on human relationships, integrality and female protagonism. Conclusion: with these technologies, nurse-midwives perform a new way of caring in high-risk maternity hospitals, contributing to the humanization of care and rearrangement of these fields. Implications for the practice: the use of these technologies drives the change of the care model by focusing on sensitive work and soft technologies instead of rough work and procedural hegemony.

scholarly journals EFFECT OF EDUCATIONAL PROGRAM ON NURSES’ PERFORMANCE FOR CHILDREN WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Sahar Wasfy ◽  
Rahma Soliman ◽  
Ebtisam El-Sayed ◽  
Basma Mahmoud
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Educational Program ◽  
Clinical Skills ◽  
Structured Interview ◽  
University Hospital ◽  
Basic Knowledge ◽  
Thrombocytopenic Purpura ◽  
Pediatric Hematology ◽  
Blood Disorder ◽  
Knowledge And Practice

Introduction: Idiopathic Thrombocytopenic Purpura is an autoimmune blood disorder associated with decrease platelets level less than normal, which may result in bleeding occurrence. The actual cause is unknown. It may be progressive if untreated, but may remit spontaneously for several years. The aim of this study was to evaluate the effect of health educational program on nurses’ performance for children with Idiopathic-Thrombocytopenic-Purpura. Methods: The study was Quasi- experimental research design used for 50 nurses working at Pediatric Hematology Unit of Tanta University Hospital and Pediatric Hematology Unit of Al- Mabra Tanta Hospital. Two Tools were used to collect required data: structured interview schedule to collect biosocial data of nurses and observational check list regarding nursing practice. Results: The present study-represented that, three quarter of nurses had poor-knowledge and all of them had unsatisfactory level of practice before the-educational-program-implementation. While immediately and after one month from the implementation of the program the total-scores-of-nurses' knowledge and practice improved. Conclusion: There was a-significant improvement in nursing knowledge and practice in relation to nursing care for children with Idiopathic-Thrombocytopenic-Purpura. Recommendations: In-service-training program should be conducted periodically for nurses' teaching the basic knowledge and clinical skills.

scholarly journals Digital Storytelling or Traditional Storytelling to develop EFL Students’ Oral Communication?

2020 ◽  
Vol 3 (1) ◽  
pp. p33
Author(s):  
Mahmoud Kamal Ibrahim Mostafa
Keyword(s):  
Primary School ◽  
Digital Storytelling ◽  
Oral Communication ◽  
Structured Interview ◽  
Communication Performance ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Primary School Pupils ◽  
Experimental Group ◽  
Traditional Storytelling

The present study investigated the effect of storytelling versus digital storytelling on developing fifth year EFL primary school pupils’ oral communication performance. The study adopted the quasi-experimental design. Sixty pupils of Dr. Ahmed Zewail primary School were distributed into two experimental groups. One group served as the first experimental group (n=30) who was taught in digital storytelling, whereas the second experimental group (n=30) was taught in traditional storytelling. The experiment lasted for six weeks. The instruments of the study included an oral communication skills test, an oral communication checklist, a semi-structured interview and a reflective log. They were approved by a panel of jury. Results indicated that there was a statistically significant difference between the mean scores of the first experimental group and that of the second one on the post-administration of the oral communication test for the first experimental group. Moreover, results revealed that there was a statistically significant difference between the responses of the first experimental group and that of the second one on the post-administration of the semi-structured interview favoring the first experimental group. As such, it was concluded that storytelling versus digital storytelling had a positive effect on developing fifth year EFL primary pupils’ oral communication performance.

scholarly journals Effect of Lavender Essential Oil Inhalation on Anxiety Level for Patients Undergoing Closed Magnetic Resonance Imaging

2020 ◽  
Vol 2 (3) ◽  
pp. 9
Author(s):  
Eman A. A. Dabou ◽  
Yasmin F. M. AbdElazeem ◽  
Hend A. E. Elshenawie
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Essential Oil ◽  
Imaging Techniques ◽  
Structured Interview ◽  
Anxiety Level ◽  
University Hospital ◽  
Control Group ◽  
Resonance Imaging ◽  
Significant Difference

Contents: Magnetic resonance imaging (MRI) is one of the medical diagnostic imaging techniques that can provoke or exaggerate anxiety in certain patients. It may sometimes lead to the cancelation of the MRI.   The lavender essential oil has a long historical anxiolytic benefit. Aim: This study aimed to examine the effect of lavender essential oil inhalation with a massage on anxiety level for patients undergoing closed magnetic resonance imaging. Methods: A quasi-experimental research (study/control group) was used to achieve the aim of this study. The study conducted at Magnetic Resonance Imaging Unit in Main University Hospital, Alexandria, Egypt. A convenient sample of 100 patients divided into the study and control group (50 patients for each). Two tools were used in the present study. Those were structured interview questionnaire that elicited the patients' sociodemographic characteristics, and State-Trait Anxiety Inventory to identify the patients' anxiety levels. Results: There were no statistically significant differences between both groups concerning the anxiety level before the MRI procedure (χ2=2.041, P = 0.495). While there were statistically significant differences between both groups concerning anxiety level post-MRI procedure and after receiving of interventions (χ2 =35.135, P=0.000), there was a highly statistically significant difference between anxiety level before and after receiving intervention in study group patients (t= 77.059, P=0.000). Conclusion: Patients undergoing a closed magnetic resonance imaging who inhaled and massaged their hands with Lavender essential oil exhibited a reduced level of anxiety compared to the control group and compared to their preintervention level. The study recommended using the lavender essential oil, which is an inexpensive and noninvasive intervention in reducing MRI anxiety or other anxiety-producing procedures.

scholarly journals The Impact of an Android Application on Compliance With Iron Supplementations in Pregnant Women

2021 ◽  
Vol 7 (3) ◽  
pp. 237-244
Author(s):  
Enny Susilawati ◽  
◽  
Yuli Suryanti ◽  
Lia Artika Sar ◽  
Ika Murtiyarini ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Maximum Level ◽  
Android Application ◽  
Initial Examination ◽  
Iron Supplements ◽  
Significance Level ◽  
Maternity Hospitals ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Impact

Background: Monitoring the adherence of pregnant women to taking iron supplements indicates controlling the appropriateness of taking a certain number of supplements. This increases the odds of effective iron absorption; a process that occurs by consuming at least 30 iron pills a month to prevent gestational anemia. This study aimed to determine the effects of monitoring pregnant women’s compliance in taking up iron supplements through an Android application in Jambi City, Indonesia. Methods: This was a quasi-experimental single group study with a pre-test-post-test design. The study subjects included 50 pregnant women in their third trimester referring to 3 maternity Hospitals in Jambi City, Indonesia, in 2020. Initial data were obtained through Hemoglobin (Hb) measurements before being given a monitoring application and subsequent Hb level checks after giving the application. The obtained data were analyzed by t-test and Mann-Whitney U test in SPSS v. 16. A significance level of 5% was considered. Results: The results obtained in the initial examination indicated that the minimum Hb level was equal to 7.3 g/dL and the maximum level was measured as 11.2 g/dL. After the intervention, the Hb level increased to a minimum of 7.6 g/dL and a maximum of 12.2 g/dL. The Mann-Whitney U test data suggested a significant difference in the degree of compliance of pregnant women with iron supplementation (P=0.010). Conclusion: Monitoring through the Android application increased pregnant women’s compliance with taking iron supplements and presented a linear impact on increasing their Hb level.

scholarly journals Effect of teaching strategies on adherence to antiepileptic drugs and recurrence of seizures among epileptic patients

2018 ◽  
Vol 9 (4) ◽  
pp. 8
Author(s):  
Asmaa Sayed Abd-Almageed ◽  
Marwa Ali Almasry
Keyword(s):  
Antiepileptic Drugs ◽  
Teaching Strategies ◽  
University Hospital ◽  
Factors Affecting ◽  
Significant Difference ◽  
Epileptic Patients ◽  
Adherence Scale ◽  
Assessment Sheet ◽  
Quasi Experimental ◽  
Purposive Sample

Background and objective: Adherence to medications is the backbone to effectiveness of a treatment. Adherence to antiepileptic drugs (AEDs) is essential to prevent the risk of seizures recurrence. The aims were to study the effect of teaching strategies on adherence to antiepileptic drugs, recurrence of seizures, and identify factors affecting the adherence level among epileptic patients.Methods: Research design: Quasi-experimental design. Setting: Neurology Department at Neurological and Psychiatric Assiut University Hospital. Sample: A purposive sample of sixty male and female adult patients diagnosed with epilepsy. Tools: Tool I-Patient assessment sheet. Tool II-Morisky Medication Adherence Scale. Tool III-Liverpool Seizure Severity Scale.Results: There was a statistically significant difference between pre and post applying of teaching strategies as regard drug adherence and recurrence of seizures among epileptic patients (p < .001). Also, forgetfulness, side effects of medications, and absence of family or friend were the main factors of non- adherence to AEDs.Conclusions and recommendations: Teaching strategies had statistical significant effects on adherence to antiepileptic drugs and on reducing recurrence of seizures among epileptic patients. Simple educational pamphlet for epileptic patients and their family members to improve adherence to AEDs should be available in Neurology Department and Outpatient Neurology Clinics.

scholarly journals Effect of Designing and Implementing Nursing Guidelines on Nurses' Performance in Caring Women with Ectopic Pregnancy

2019 ◽  
Vol 1 (3) ◽  
pp. 13
Author(s):  
Hanan A. F. Mohamed ◽  
Mahmoud R. Fayed ◽  
Somaya O. Abd El Meneam ◽  
Ola M. El-Sayed
Keyword(s):  
Ectopic Pregnancy ◽  
Nursing Care ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
Knowledge And Practice ◽  
Nursing Guidelines ◽  
Nurses Knowledge

Context: Ectopic pregnancy is a condition presenting as a significant health problem for women of the childbearing period. Ectopic pregnancy remains one of the primary causes of maternal mortality. Aim: The study aimed to evaluate the effect of nursing guidelines for improving maternity nurses' performance regarding ectopic pregnancy. Methods: A quasi-experimental design used to achieve the aim of the study. The study conducted at Obstetrics and Gynecology Department at Benha University Hospital. A convenient sample of all nurses (90 nurses) working in Obstetrics and Gynecology departments at Benha university hospital. Tools of data collection included a structured self-administrated questionnaire to assess nurses' knowledge regarding ectopic pregnancy, an observational checklist to evaluate nursing practice regarding ectopic pregnancy before and after the implementation of the nursing guidelines. Results: shows that 78.9% of the studied nurses had total incorrect knowledge pre-program, which improved to 88.9% of them, had correct knowledge post-program. The study also shows that 47.2% of the studied nurses had unsatisfactory total practice score pre-program, which improved to 54.4%  of the studied nurses had high satisfactory total practice post-program. There was a highly statistically significant difference before and after nursing guidelines of the studied nurses’ knowledge and practice regarding ectopic pregnancy (P ≤ 0.001). Conclusion: The study concluded that nursing guidelines have a positive effect on the nurses' performance in terms of their knowledge and practice regarding ectopic pregnancy. The study recommended that simple guidelines regarding ectopic pregnancy nursing care should be distributed to nurses in the emergency obstetrics department to standardized and optimized nursing care provided to women with ectopic pregnancy. Continuous refreshment courses and follows up programs for nurses regarding ectopic pregnancy.

scholarly journals Association between gastric Candida colonization and surgical site infections after high-level hepatobiliary pancreatic surgeries: the results of prospective observational study

2020 ◽  
Author(s):  
Kazuyuki Gyoten ◽  
Hiroyuki Kato ◽  
Aoi Hayasaki ◽  
Takehiro Fujii ◽  
Yusuke Iizawa ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Gastric Juice ◽  
Significant Role ◽  
Significant Risk ◽  
Surgical Site Infections ◽  
University Hospital ◽  
Anesthesia Induction ◽  
Candida Colonization ◽  
Significant Difference ◽  
High Level

Abstract Aim High-level hepatobiliary pancreatic (HBP) surgeries are highly associated with surgical site infections (SSIs), in which microorganisms have a significant role. In the present study, we investigated whether gastric Candida colonization had a significant role in SSIs after high-level HBP surgeries. Methods Between May 2016 and February 2017, the 66 patients who underwent high-level HBP surgeries were enrolled in the present study. The gastric juice was prospectively collected through nasogastric tube after general anesthesia induction and was incubated onto the CHROMagar Candida plate for the cultivation of various Candida species. First of all, we compared the incidence of SSIs according to the presence or absence of Candida species in gastric juice. Secondly, we evaluated the variables contributing to the development of SSIs by multivariate analysis. The protocol was approved by the medical ethics committee of Mie University Hospital (No.2987). Results Gastric Candida colonization was identified in 21 patients (group GC) and was not identified in the other 45 patients (group NGC). There were no differences in preoperative variables including compromised status, such as age, nutritional markers, complications of diabetes mellitus, and types of primary disease between the two groups. SSIs occurred in 57.1% (12/21) of group GC and in 17.8% (8/45) of group NGC, showing a significant difference (p = 0.001). Multivariate analysis revealed gastric Candida colonization as a significant risk factor of SSIs (OR 6.17, p = 0.002). Conclusion Gastric Candida colonization, which is not a result of immunocompromised status, is highly associated with SSIs after high-level HBP surgeries. Trial registration Japan Primary Registries Network; UMIN-CTR ID: UMIN000040486 (retrospectively registered on 22nd May, 2020).

A Multicomponent Minimal Intervention Health Promotion Program: Preliminary Results

1987 ◽  
Vol 8 (2) ◽  
pp. 139-156 ◽  
Author(s):  
Richard Spoth ◽  
David M. Dush
Keyword(s):  
Health Promotion ◽  
Health Behaviors ◽  
Type A Behavior ◽  
Cardiac Risk ◽  
Self Report ◽  
Health Promotion Program ◽  
Minimal Intervention ◽  
Significant Difference ◽  
Quasi Experimental ◽  
High Level

This article reports two preliminary studies examining whether a minimal intervention cardiac risk education program incorporating behavioral components to enhance self-efficacy could effectively change health behaviors. The first study utilized a quasi-experimental design in evaluating workshop outcome among 131 AFL-CIO union members. A MANCOVA performed on self-report and physiological outcome measures suggested a significant difference between treatment and waiting list control groups, primarily in the area of nutrition. In the second true experimental study, participants were 307 “at-risk” employees of a local school system. A MANCOVA at a four month follow-up revealed significant differences in several reported health behaviors including Type A behavior, smoking, and nutrition. Results also showed the program's effectiveness was consistent across sex, age, and severity of participants' health risk. Implications for further research on the cost-effectiveness of brief health promotion interventions are discussed in light of the observed impact and the high level (80%) of employee interest and participation.

scholarly journals The Impact of Digital Storytelling on ESL Narrative Writing Skill

2019 ◽  
Author(s):  
Mohd Azmi Zakaria ◽  
Azlina Abdul Aziz
Keyword(s):  
Digital Storytelling ◽  
Structured Interview ◽  
Narrative Writing ◽  
School Students ◽  
Significant Difference ◽  
Writing Skill ◽  
Before And After ◽  
Quasi Experimental ◽  
Tank Test ◽  
The Impact

This paper presents a part of a study on the teaching of narrative writing by incorporating Digital Storytelling. Writing skill is an essential component in mastering English because it incorporates all elements in English. By integrating technology in the learning process, students would be able to improve their writing skill. In Malaysia, students’ performance in examination has declined in recent years since the marks are based mostly on students’ writing. This research aims to know the impact of Digital Storytelling towards Malaysian secondary school students by investigating its impact on content, grammar, vocabulary and overall performance. It also explores students' perception of Digital Storytelling. This quasi-experimental study involved 52 Form four students from a fully-residential school in Melaka who were chosen using convenient sampling as part of the controlled and experimental groups. Data were collected from pre-tests, post-tests and a semi-structured interview. The quantitative data were analyzed using mean analysis, Wilcoxon Signed Tank Test and Independent t-Test while qualitative data were analyzed using thematic analysis. Findings show that there is a significant difference in the score before and after the intervention but there is no significant difference between the score of the experimental group and the controlled group. Participants stated that DS motivates them to write and improves their writing. It is hoped that this study would provide an alternative to teaching narrative writing and adds to the current pool of literature. It is suggested for future researchers to conduct purposive sampling which could yield different results.

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