Mansoura University, Faculty of NursingMansoura Nursing Journal2735-41217120200101ASSESSMENT OF NURSES' KNOWLEDGE AND PRACTICES ABOUT MEDICATIONS ADMINISTRATION VIA NASOGASTRIC TUBE AT EMERGENCY HOSPITAL11817575010.21608/mnj.2020.175750ENHala AhmedAbdelrahmanCritical Care and Emergency Nursing, Faculty of Nursing, Mansoura UniversitySamar RadwanMohammedNursing Specialist, Faculty of Nursing, Mansoura UniversitySamir AhmedMohammed AttiaFaculty of Medicine, Mansoura UniversityJournal Article20191106Abstract<br />Background: Directing a patient their medications through nasogastric tube (NGT) is a sensibly basic nursing intervention that involves various aptitudes, including preparing the medication, confirming the tube position, flushing the tube and evaluating for potential complications. Inappropriate prescription and preparation of oral drugs given through NGT may result in significant harm to patients. Aim of the study: To assess the nurses' knowledge and practices about medications administration via nasogastric tube at Emergency Hospital. Subjects and method: A descriptive exploratory research design was utilized to conduct this study on fifty eight nurses who are associated with giving direct care for critically ill patients in Emergency Hospital, Mansoura University. Data were collected through using two tools: nurses' knowledge assessment questionnaire and nurses' practice observational checklist. Results: Most of nurses had unsatisfactory knowledge and practice level regarding medications administration via nasogastric tube in percentage of 74% &71% respectively. There was no significant statistical correlation existed between total and subtotal knowledge and practices scores regarding medication administration via nasogastric tube. Conclusion: Based on findings of the present study, it can be considered that nurses had deficient knowledge and practices about medications administration via nasogastric tube. There is a need for continuing education to upgrade nurses' knowledge and improve their practice. Recommendation: The study recommended providing training programs/ sessions for nurses regarding safe medications administration via nasogastric tube to enhance their knowledge and improve their practices; availability of printed universal guidelines illustrated simply in posters and booklets for guiding nurses practice regarding medications administration via nasogastric tube; and replication of this study on large probability sample.https://mnj.journals.ekb.eg/article_175750_87730a2afce34ca295f0b2871313d95c.pdfMansoura University, Faculty of NursingMansoura Nursing Journal2735-41217120200101MOTHERS' KNOWLEDGE AND SUBJECTIVE PRACTICE TOWARD MOST COMMON DOMESTIC INJURIES AMONG UNDER-FIVE CHILDREN193517575110.21608/mnj.2020.175751ENHeba M.NagehCommunity Health Nursing department, Faculty of Nursing, Mansoura University, EgyptSamar EL.Abd El-RaoufCommunity Health Nursing department, Faculty of Nursing, Mansoura University, EgyptSamia M.Abd El-MoutyCommunity Health Nursing department, Faculty of Nursing, Mansoura University, EgyptJournal Article20190806<br />Background: Domestic injuries are one of the greatest public health challenges in the 21st century especially in low and middle income countries (LMICs) with considerable association between social and economic costs. These injuries are common among children under-five in rural Egypt. Poisoning, burns, falls, wounds are common causes of children injuries at their homes. There are so many factors that had a direct or indirect effect on children injuries including child age, gender and behavior, maternal education, family socio-economic status and number and home environment. Therefore, it`s important to increase mothers` knowledge and practice continuously to be cared of their children. This study aimed to assess mothers' knowledge and subjective practice toward most common domestic injuries among under-five children. A cross sectional study design was utilized to accomplish this study at Mansoura locality from both urban and rural areas (Mansoura city and El-Baramoun village) through home visits. Convenience sampling technique was used in this study and 100 mothers of under-five children from both genders were included in the sample, while excluding children with special needs. The study was conducted throughout preparation phase, operational phase including literature review and developing the study tools and implementation phase including initial data collection. Results. Study results revealed that more than of the studied mothers had secondary education. Less than half of the studied children' age ranged from 2 to less than 3 years during occurrence of domestic injury, moreover about one fourth of them their injuries were caused by falls, in addition to about three fourths occurred due to unsafe home environment. Consequently less than two thirds of studied children exposed to low risk which can be treated at home. All of the studied mothers had improper practice regarding to burns, falls, poisoning. Conclusion. The home environment is a common place for injuries among under-five children in rural and urban areas in Mansoura locality. Additionally, mothers' subjective practices regarding to most common domestic injuries are improper and as well knowledge of them on such injuries are poor. Finally, it is recommended that continuous health education program and training courses regarding domestic safety for children and first aid measures for the mothers who have under-five children.https://mnj.journals.ekb.eg/article_175751_d95941c36cd40bb7c33c6c496c112ae0.pdfMansoura University, Faculty of NursingMansoura Nursing Journal2735-41217120200101THE EFFECT OF WEB-BASED LEARNING ON ACADEMIC ACHIEVEMENT OF COMMUNITY HEALTH NURSING STUDENTS IN PERSONAL PROTECTIVE EQUIPMENT MODULE365517575810.21608/mnj.2021.175758ENMaha IbrahimIbrahimCommunity Health Nursing department, Faculty of Nursing, Mansoura University, EgyptSahar MohammedSolimanCommunity Health Nursing, Mansoura UniversitySamia MahmoudAbd El-MoatyCommunity Health Nursing department, Faculty of Nursing, Mansoura University, EgyptJournal Article20190906Background: Health care-associated infection (HCAI) is a major problem for patient safety. Personal protective equipment (PPE) as defined by OSHA is specialized clothing or equipment, worn by an employee for protection against infectious materials. So, Proper education of health care workers (HCWs)about PPE is very important in clinical teaching and consider essential part of the undergraduate nursing programs. Web-based learning is rapidly emerging as a predominant paradigm in the delivery of education in society and it can be efficiently used for different types of education. It is platform independent, convenient in access, cost saving, easily updated contents and with emerging technologies it can be made more effective. The aim of this study is to assess the effect of web-based learning on academic achievement of community health nursing students in personal protective equipment module. Method: A randomized control trial research was used. The study was carried out in skill lab of community health nursing at faculty of nursing, Mansoura University from February to May 2017. The subjects of the study included 140 community health nursing students. These students were assigned randomly into two groups: web based group which included 70 students studying with web based learning module (WBL) and traditional group which included 70 students studying with traditional learning using face to face lecture and demonstration. Four tools were used for data collection: Structured self-administered questionnaire to assess students' socio demographic &occupational characteristics, students' knowledge about PPE and students' attitude toward web based learning and finally the practice assessment checklist. Results: the students in the web based group had significantly higher scores on both personal protective equipment knowledge and skill learning than students in the traditional group (P≤ 0.01).The students also showed positive attitude toward the web-based learning module. Conclusion: The study concluded that both traditional and web-based learning resulted in improvement of knowledge and practice regarding PPE. However, the web-based learning was more effective than traditional learning in increasing students’ knowledge and improving skills regarding PPE.https://mnj.journals.ekb.eg/article_175758_4c01d08c02d1768ad78b0e73c3d7b96a.pdfMansoura University, Faculty of NursingMansoura Nursing Journal2735-41217120200101THE EFFECT OF APPLYING NURSING CARE BUNDLE ON CONTROLLING CENTRAL VENOUS LINE INFECTION IN NEONATAL INTENSIVE CARE UNITS567417576210.21608/mnj.2021.175762ENNadia MohammedAlfarDemonstrator in Pediatric Nursing Department, Faculty of Nursing, Kafr El Sheikh University, EgyptOhoud YoussefEL-SheikhPediatric Nursing, Faculty of Nursing, Mansoura University, EgyptRabab EL SayedHassanPediatric Nursing, Faculty of Nursing, Mansoura University, EgyptMohga Abd ElazizSelimMedical Surgical Nursing, Faculty of Nursing, Kafr El Sheikh University, EgyptJournal Article20190606Central venous line (CVL) is a necessary device used frequently in neonatal intensive care units (NICUs) for critically ill neonates who need continuous monitoring and resuscitation treatment. Significant evidence has accumulated indicating that CVL nursing care bundle is considered as an essential component of CVL infection prevention practice to combat the incidence of CVL infection. Aim: This study aimed to examine the effect of applying nursing care bundle on controlling central venous line infection in neonatal intensive care units. Subject and method: A quasi-experimental design was used. The study was conducted at NICU at Kafr El Sheikh General Hospital. The study included a convenience sample of all available bedside/ working nurses (n= 30), 79 preterm infant (recruited for 3 months’ period). Tools: Three tools were used to collect data. Tool 1: An interview questionnaire for nurse's knowledge. Tool 2: Observational checklist used to assess nurses’ performance regarding CVL care bundle. Tool 3: Laboratory investigations tool for preterm infants. Results: More than half of studied nurses (56.7%) didn't receive any training program about CVL care bundle for controlling CVL infection in NICU and the majority of the studied nurses had insufficient knowledge, as well as the majority of the studied nurses, had an unsatisfactory practice regarding CVL care bundle preprogram. The sufficient knowledge level and satisfactory practices had improved immediately post and 3 months post program implementation. About half (51,9%) had negative CRP post-program implementation, while (54,4%) of neonates had negative blood culture post-program. Conclusion: The program had a positive effect on the NICU nurses’ knowledge & practices immediately post& post 3 months of the program implementation. Recommendation: Including CVL nursing care bundle practices into nurses’ routine care and developing regular and continuous educational programs for the nurses in NICU according to their needs aiming to upgrading their knowledge and improving their practice for critically ill neonates.https://mnj.journals.ekb.eg/article_175762_be666b80ba51bc7d08102166a2aba358.pdfMansoura University, Faculty of NursingMansoura Nursing Journal2735-41217120200101EFFECT OF HEALTH TEACHING HANDOUTS ON PATIENT’S OUTCOME WHO UNDERGOING THYROIDECTOMY IN GENERAL SURGICAL DEPARTMENTS AT MANSOURA UNIVERSITY HOSPITALS759217581210.21608/mnj.2021.175812ENRehab HamdyFouad IbrahimMedical Surgical Nursing department, Faculty of Nursing - Mansoura University, EgyptWafaa IsmailShereifMedical Surgical Nursing department,Faculty of Nursing-Mansoura University, EgyptAmira AhmedHassaneinMedical Surgical Nursing department,Faculty of Nursing-Mansoura University, EgyptHossam GhazyEl-BaeaGeneral Surgical department, Faculty of Medicine - Mansoura University, EgyptJournal Article20190906Background: About 200 to 800 million people in the world have some form of thyroid disease (Vanderpump, 2011). Aim: The current study aimed to examine the effects of health teaching handouts on patients’ outcome who undergoing thyroidectomy in General Surgical Departments at Mansoura University Hospitals. Design: A quasi experimental research design was used. Setting: This study was conducted at the General Surgical Departments at Mansoura University. Subjects: Purposive sample was used and consist of forty-two patients. Tools: Assessment Questionnaire Sheet. It was consisted of three parts to measure the following; general characteristics, the past and present history, and patient knowledge about discharge care. Findings: The majority of the studied patients have poor knowledge about thyroidectomy care pre using of the health teaching handouts, whereas, more than half of the studied patients have fair knowledge about thyroidectomy care post using of the health teaching handouts. There is a highly significant relation between patient’s knowledge post using health teaching handouts on thyroidectomy care. Recommendations: Simple handouts as booklets and brochures about thyroidectomy care should be developed and distributed at the surgical units. Evidence-based thyroidectomy care guidelines should be integrated in medical surgical courses curriculum for nursing students.https://mnj.journals.ekb.eg/article_175812_4110d6a8980b247c2265311188f887ea.pdfMansoura University, Faculty of NursingMansoura Nursing Journal2735-41217120200101EFFECT OF UREMIC PRURITUS EDUCATIONAL INTERVENTION ON KNOWLEDGE LEVEL FOR HEMODIALYSIS PATIENTS9310117581610.21608/mnj.2021.175816ENNesreenMohamedMedical-Surgical Nursing Department, Faculty of Nursing-Kafr Elsheikh UniversityWafaa IsmaielSherifMedical-Surgical Nursing Department, Faculty of Nursing-Mansoura UniversityMohgaAbd El-AzizMedical-Surgical Nursing Department, Faculty of Nursing-Kafr Elsheikh UniversityHanan MohamedBadranMedical-Surgical Nursing Department, Faculty of Nursing-Mansoura University0000-0003-4782-8852Journal Article20191006Hemodialysis (HD) is one of the most important and effective treatment modalities that can help to sustain life of end stage renal disease patient. A large number of HD patients suffer from uremic pruritus(UP). Patient education is an important aspect of clinical management that encourages a continuous and interactive process that looks to improve the patient’s lifestyle and thereby prevent or decrease the UP related complications.Aim of this study:Evaluate effect of uremic pruritus educational interventions on knowledge level for hemodialysis patients.Method: Quasi experimentalresearcherdesign was used in this study. Setting:The current study was conducted in hemodialysis unit at General Kafr Elsheikh governorate hospital.Sample:A purposive sample of (80) HD patients with uremic pruritus was randomly divided into two groups with equal size.Tools: Interview questionnaire sheet consisted of three parts such as demographic data, medical data, and assessment of patient knowledge.Results: The current study showed that the average knowledge scores are nearly the same in both study and control groups at pretest, while at posttest there was a statistical significant difference between study and control groups as the average knowledge scores are significantly higher in study group compared to control group. Conclusion: Hypothesis of the current study was accepted as patients who receive the uremic pruritus educational interventions have an increased level of knowledge.https://mnj.journals.ekb.eg/article_175816_2c95504895522f06b61ff87a649cfade.pdfMansoura University, Faculty of NursingMansoura Nursing Journal2735-41217120200101GUIDING PROGRAM FOR MOTHERS TO IMPROVE THE QUALITY OF LIFE OF THEIR CHILDREN WITH CONGENITAL HEART DISEASE10211817582010.21608/mnj.2021.175820ENNeama SalahEL-GendyPediatric Nursing, Faculty of Nursing,,3Mansoura UniversityRabab EL- SayedHassanPediatric Nursing, Faculty of Nursing, Mansoura University,EgyptMagda AhmedAbd EL- AzizPediatric Nursing, Faculty of Nursing, 3Mansoura UniversityMona MohammedHafezPediatric Medicine, Faculty of Medicine, Mansoura University.Journal Article20190906Background: Congenital heart defects (CHD) is one of the major congenital irregularities among children, representing as a major worldwide wellbeing issue. Aim:this study aimed toexamine a guiding program for mothers to improve the quality of life of their children with congenital heart disease. Design: A quasi-experimental design was used. Setting: The study was carried out at the Cardiology Department and Outpatient Clinic of Mansoura University Children Hospital (MUCH). Subjects: A convenient sample of 70 children with congenital heart defects and their accompanying mothers at MUCH, their age ranged from 3 to 12 years, from both sex and confirmed the diagnosis as congenital heart disease, either cyanotic or a cyanotic. Tools: Data were collected using, an interview questionnaire to collect socio-demographic data, for both mothers and their children with CHD. Assessment of mothers’ knowledge and practice about congenital heart defects, and quality of life scale for studied children (QOL scale).Results: high statistical significant were found between knowledge score and practice post immediate intervention as well as statistically significant differences between immediately post-program knowledge score and immediately post- program QOL score. Conclusion: The study concluded that mothers' knowledge, reported practice, and quality of life of their children with congenital heart disease were improved after the implementation of the guiding program either immediately or 3 months later than before its implementation. Recommendation: Organizing training programs for children with CHD in their homes about their public life such as nutrition, sports, and protection from infection.https://mnj.journals.ekb.eg/article_175820_209990a14df4b6ccad7a1fbc1d721578.pdfMansoura University, Faculty of NursingMansoura Nursing Journal2735-41217120200101MINOR DISCOMFORTS AMONG PREGNANT WOMEN ATTENDING IN BENI- SWEIF UNIVERSITY HOSPITAL12012917582510.21608/mnj.2021.175825ENAdel Al-WehedyIbrahimMansoura Faculty of Medicine, Public Heath Department, Occupational MedicineLaila AwadinAli HassanCommunity Health Nursing, Faculty, Beni- Sweif UniversityJournal Article20190906Most pregnant women suffer from minor discomforts during their pregnancy period. These minor discomforts are due to hormonal change. The common of minor discomforts are nausea and vomiting ,fatigue ,constipation ,heart burn, backache ,Dyspnea, leg cramps varicose vein, insomnia, urerinary frequency, and leucorrhea.<br />Aim: The present study aimed to explore the magnitude and types of minor discomforts among pregnant women attending Beni-Sweif University Hospital. A sample of 90 pregnant women selected from those attending in the antenatal clinic of Beni-Sweif University Hospital. Asructureit interview questionnaire was developed and used for data collection to assess women's socio-demographic and obstetric characteristics, and pregnancy related to problems .<br />Based of data collection of the current study It can be concluded that the majority of the pregnant women complained from minor discomfort during pregnancy period these were; vaginal discharge,,frequenancy of urinantion, back ache ,nausea ,heart burn ,drowsiness difficult of breathing ,constipation heavy breast and muscles spasm. Recommendations Awareness raising programs must be conducted regarding importance of antenatal care to improve mothers' knowledge regarding minor discomfort . In- services training to all nurses and health care provider at maternal health services to up date their knowledge<br />,increase their ability to care for pregnant mother with discomfort and instruct them to avoid their unhealthy lifestyle behaviors.https://mnj.journals.ekb.eg/article_175825_afb64089d109af9b2d07dd97db69751b.pdf