Egyptian Nursing Journal最新文献

{"title":"The relationship between ethical work climate and organizational commitment among staff nurses: a comparative study","authors":"Elsayed Mohamed, F. Abed, Sahar Hassan","doi":"10.4103/ENJ.ENJ_29_20","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_29_20","url":null,"abstract":"Background Ethical work climate of staff nurses has been used in many workplaces to explain issues related to organizational commitment ethical climate or is reflected in an organization’s objectives, which aim to develop its staff by providing them good working environment and condition, as well as assisting and supporting them in having job satisfaction, and thus, these all will enhance commitment among the staff toward the organization. Aim The current study assesses the relationship between ethical work climate and organizational commitment among staff nurses. Design A descriptive correlational design was used. Setting The current study was conducted in inpatient departments at governmental and private hospitals. Patients and methods The study sample composed of all staff nurses who were working in governmental hospital and private hospital and accepted to participate in the study, totaling 268 nurses. At private hospital, their numbers were 157 staff nurses, and at governmental hospital, the numbers were 111 nurses. Tools Data were collected by using two tools: the first tool was ethical work climate questionnaire and the second tool was organizational commitment questionnaire. Result There were highly statistically significant differences between governmental and private hospitals in the ethical climate and organizational commitment. Conclusion There is a highly statistically significant correlation between ethical climate and organizational commitment. Recommendation The executives should clearly understand the factors that reinforce organizational climate and organizational commitment. the factors of organizational climate which that organizations should focus on the open system factor including innovation and flexibility, outward focus, reflexivity.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126349947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing intervention sessions to improve newly mothers’ home care practices for their newborns in slum areas in Cairo","authors":"Rasmia Abd El-Sattar Baih","doi":"10.4103/ENJ.ENJ_9_20","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_9_20","url":null,"abstract":"Background Neonatal health is the key to child survival. Improving neonatal home care practice may substantially improve survival of newborn babies in the first month of life. Aim The study aims to assess the effect of nursing intervention sessions on improving newly mothers’ home care practices for their newborns in slum areas in Cairo. Setting The study was conducted at three Maternal and Child Health Centers that are attached to slum areas in Cairo Governorate, which are Al-Zawya Al-Hamra, El-Khusus, and El Wailya in El-Abassia area. Patients and methods A purposive sample was recruited, consisting of 162 postnatal primipara mothers and their alive newborns. The tool for data collection is newly mothers’ interviewing questionnaire (pre/post), which included (a) demographic characteristics; (b) newly mothers’ knowledge and the reported practice (pre/post) regarding breast feeding, thermal control, skin care and hygienic, safe cord care, and safety measures practices; and (c) the nursing intervention sessions for newborn’s home care practice. The results of the study revealed that mothers’ ages ranged from 18 to 40 years, and the mean of age was 23.3±5.6 years. Most of the studied mothers (87.7%) lived in flat, and 54.3% of them were living in one room, with 48.1% of them having moderate ventilation. Moreover, there are marked improvements in all aspects of mothers’ home care practice after implementation of the nursing intervention (paired t=3.708). Conclusion The study concluded that the implementation of nursing intervention sessions regarding newly mothers’ home care practices had a positive effect on improving newly mothers’ reported practices. Recommendations The study recommends that intervention classes for newly mothers should be conducted on a regular basis to discuss and teach them different aspects of home care practices for their newborn and replication of this study with a larger sample of different slums areas with longitudinal follow-up, so that the results could be generalized.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"42 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120996469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Negotiation as a management strategy for conflict resolution and its effect on enhancing collaboration between nurses and physicians","authors":"E. Ebrahim","doi":"10.4103/ENJ.ENJ_22_20","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_22_20","url":null,"abstract":"Aim The aim was to investigate negotiations as a management strategy for conflict resolution and its effect on enhancing collaboration between nurses and physicians. Background Conflict is the main cause of poor collaboration between nurses and physicians, and negotiation is the best way to resolve conflicts between health care professionals. Participants and methods A mixed-method (quantitative method and qualitative method) design was used in this study. The study was conducted on 222 participants (154 nurses, 56 doctors, and 12 nursing managers) from two Ministry of Health hospitals using four tools: a personal data sheet, Jefferson’s scale of attitude toward nurse–physician collaboration, negotiation style to a conflict resolution questionnaire, and semistructured interviews. Results There was a strong positive correlation between negotiation and collaboration in both nurses and physicians (0.496FNx08 and 0.506FNx08 respectively), besides the support of qualitative data to this result. Regarding collaboration, the nurse mean scores were higher [48.45 (80.7%)] than physician mean scores, whereas in negotiation, physician mean scores were higher [99.86 (80.5%)] than nurse mean scores. Conclusion The qualitative data in this study supported quantitative data. Negotiation helps enhance collaborations between nurses and physicians. Nursing managers must stress that the negotiation to be effective need training and administrative support for the beginners. Regarding the implications for nursing management, managers in managerial positions should conduct training sessions for nurses and young doctors on negotiation skills and techniques and their benefits for collaboration between health care professionals and for healthy work settings.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123330593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting fixation of endotracheal tube among children in intensive care units","authors":"Shaymaa Gebril, M. Darwish, Naglaa F. Mahmoud, M. Aziz","doi":"10.4103/ENJ.ENJ_25_20","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_25_20","url":null,"abstract":"Background Correct positioning and proper fixation of the endotracheal tube (ETT) among children can be challenging in pediatric intensive care units (PICUs), and improper fixation may be associated with higher rates of complications. Aim The study aimed to explore factors affecting fixation of ETT among children in ICU. Patients and methods A descriptive exploratory design was utilized. Setting: the study was conducted at PICUs in two Pediatric University Hospitals affiliated to Cairo University hospitals. Sample: a convenient sample of 101 intubated children in ICUs was enrolled in the study. Tools: the required data were collected by using personal data questionnaire for child, assessment sheet of factors affecting ETT fixation in PICU, and observational checklist of securing an ETT. Results The current study results revealed that more than half of the children had improperly fixed ETT, and more than two-thirds of them were less than 1 year old and two-thirds of them were males. Years of experience of the assigned nurse in PICU less than 2 years, inappropriate child position in bed, ETT fixation with adhesive tape without tube holder, traction of ETT, inappropriate mechanical ventilator (MV) circuit position, inappropriate handling of child during performance of procedures and care, nurse shift (morning shift), incorrect ETT retaping by the assigned nurse, absence of documentation of ETT card, and increase length of stay on MV and in PICU were statistically significant factors associated with improper ETT fixation. Conclusion Absence of salivary secretions in child mouth was the most frequent finding in children with properly fixed ETT, followed by appropriate MV circuit position, appropriate child position in bed, experience of the assigned nurse of more than 2 years in PICU, passive movement of child, no traction of ETT, and appropriate handling of child. On the contrary, ETT fixation with adhesive tape without tube holder was the most frequent finding in children with improperly fixed ETT followed by no documentation of ETT card, uncuffed ETT, morning shift, stay in PICU more than 2 weeks, MV days more than 1 week, and nurse’s experience in PICU of less than 2 years. Recommendations Standard method of fixation of ETT should be used in all children by adhesive tape with tube holder, and also ETT position should be checked and documented with every nursing shift.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128236126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of small-group teaching on nurses’ competency level regarding patients undergoing cholecystectomy","authors":"E. Metwaly, R. Bayomi, N. Taha","doi":"10.4103/ENJ.ENJ_26_20","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_26_20","url":null,"abstract":"Background Competence is a fundamental component of nursing care and plays an important role in the quality of services provided by nurses. Therefore, the aim of the study was to evaluate the effect of small-group teaching on nurses’ competency level regarding patients undergoing cholecystectomy at Zagazig University Hospitals. Participants and methods A quasi-experimental research design was used to achieve the aim of the study. The study was conducted in Internal and General Surgery Department in New Surgery Hospital at Zagazig University Hospitals. A convenience sample of 30 nurses working in Internal and General Surgery Departments in New Surgery Hospital was included. Two tools of data collection were used: first, a self-administered structured questionnaire (pretest/post-test); and second, observational checklist. Results There was a statistically significant improvement of nurses’ knowledge after implementation of small-group teaching, with mean±SD of 22.83±0.59, than before, with a statistically significant difference (P=0.00). Moreover, there was a statistically significant improvement of nurses’ competency level after implementation of small-group teaching, with mean±SD of 241.86±3.49, than before, with a statistically significant difference (P=0.00). Moreover, there was a positive correlation between total nurses’ level of knowledge and their level of competency. Conclusion It can be concluded that small-group teaching for nurses had a positive effect on improvement of nurses’ knowledge, which reflected then on improvement of their competency level. Recommendation Continuous in-service training programs are recommended to improve and maintain nurses’ competency level regarding patients undergoing cholecystectomy.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124611151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of energy conservation strategies on fatigue and daily living activities among patients with systemic lupus erythematosus","authors":"Eman El Fadeel, D. El-Deen","doi":"10.4103/ENJ.ENJ_20_20","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_20_20","url":null,"abstract":"Background Systemic lupus erythematosus (SLE) is a chronic autoimmune disease, with a significant effect on function, daily living activities, work ability, and patients’ quality of life. Aim To evaluate the effect of energy conservation strategies on fatigue and daily living activities among patients with SLE. Research hypotheses H1: there will be a significant difference in the mean scores of fatigue among the study group that received energy conservation strategies compared with the control group that received routine hospital care. H2: there will be significant difference in the mean scores of daily living activities among the study group that received energy conservation strategies compared with the control group that received routine hospital care. Design Pre–posttest nonequivalent control group quasi-experimental design was used. Sample A convenient sample of 60 patients with SLE was recruited along 6 months, at one teaching hospital affiliated to Cairo University. Tools Three tools were used to collect data: Structured Interview Questionnaire, Global Fatigue Index, and Barthel Index of Activities of Daily Living. Results There was a statistically significant difference in the mean scores of fatigue as well as daily living activities among the study group that received energy conservation sessions when compared with the control group that received routine hospital care. Conclusion Energy conservation strategies could be effective in decreasing fatigue level and improving the level of independence during practicing daily living activities. Recommendation The energy conservation strategies should be applied for the patients with SLE in the early course of the disease to have a maximum benefit.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131887951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of customized venipuncture nursing technique on selected responses and insertion difficulty among patients with blood disorders","authors":"Safaa M. Hassanein, H. Deif","doi":"10.4103/ENJ.ENJ_17_20","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_17_20","url":null,"abstract":"Background Peripheral intravenous access is one of the most commonly performed technical nursing procedures in hospitals, and it is mandatory for patients with blood disorders. Obtaining venous access is an essential first step in patient care. Peripheral intravenous success rates, rely heavily on clinician experience and patient physiology. Obtaining peripheral intravenous access may be difficult and cause patient anxiety, discomfort, and pain, and this may cause delays in patient management and employment of additional personnel, leading to lengthening of procedure times. Aim The aim was to evaluate the effect of a customized venipuncture nursing technique (CVNT) on selected responses and insertion difficulty among patients with blood disorders. Design: A quasi-experimental non-equivalent control group design was used. Research hypothesis: H1: The study group that received the CVNT will exhibit improvement in selected responses than the control group that received only routine hospital venipuncture. H2: The study group that received the CVNT will have a significant lower mean insertion difficulty score than the control group that received only routine hospital venipuncture. Patients and methods A total of 60 participants were included in the study (30 for the study group and 30 for the control group). The participants were selected using a simple random sampling technique. Five tools were used to gather data: first, demographic and medical data sheet; second, Beck anxiety inventory; third, numerical pain rating scale; fourth, Likert comfort scale; and fifth, insertion difficulty scale. Results The mean±SD age was 47.7±13.8 and 47.0±14.5 years and BMI was 23.5±1.2 and 23.4±1.2 among the study and control groups, respectively. There was statistical significant difference in needle insertion difficulty (before and after the procedure) among the study group who received CVNT; regarding respiration, pulse, and systolic blood pressure (49.2, 4.2, and 3.4, respectively, with P=0.000). There was a statistical significance difference between the study and the control groups regarding anxiety intensity, pain intensity, comfort, and measure difficulty, as one of the indicators of needle insertion difficulty, total scores, which were 2.9, 8.9, 12.8, and 15.3, respectively, with P value of 0.000. Conclusion Built on the current study findings, the researchers concluded that; CVNT was effective in reducing the pain, anxiety, and difficulty in needle insertion based on the measure difficulty indicator and promoted comfort of such patients during venipuncture. Also it enhanced selected patient parameters such as respiration, pulse, systolic blood pressure, thereby increasing patient comfort. Recommendation Nurses should consider the using of CVNT technique, and be conscious that; there is a need of having evidence-based protocols to care for patients with blood disorders.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130318300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of diaphragmatic breathing exercise on postoperative nausea, vomiting, and retching among orthopedic surgery patients","authors":"H. Ibrahim, Hanan Al Sebaee, D. El-Deen","doi":"10.4103/ENJ.ENJ_19_20","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_19_20","url":null,"abstract":"Background Postoperative nausea, vomiting, and retching (PONVR) is still the most common and distressing complaint after surgery and general anesthesia. Despite the potency of pharmacological management of PONVR, patients still experience such problem. Nonpharmacological strategies such as diaphragmatic breathing exercise could be integrated with pharmacological management to minimize the possibility of PONVR. Aim The aim was to evaluate the effect of diaphragmatic breathing exercise on selected postoperative complaints such as nausea, vomiting, and retching among postoperative orthopedic patients. Design One-group pretest–post-test quasi-experimental design was used. Research hypotheses H1: The mean score of nausea before will be different from the mean score of nausea after performing diaphragmatic breathing exercises among postoperative orthopedic patients. H2: The mean score of retching before will be different from the mean score of retching after performing diaphragmatic breathing exercises among postoperative orthopedic patients. H3: The mean score of vomiting before will be different from the mean score of vomiting after performing diaphragmatic breathing exercises among postoperative orthopedic patients. Patients and methods The current study was conducted at recovery rooms and orthopedic wards at Kaser Al-Ainy Teaching Hospital, affiliated to Cairo University Hospital, under supervision of the Ministry of Higher Education. A convenient sample of 100 adult male and female conscious patients who underwent orthopedic surgery under general anesthesia were included in the study along 3 consecutive months. Three tools were utilized to collect data: Demographic and Medical Related Data Form; Glasgow Coma Scale; and Index of Nausea, Vomiting, and Retching. Results The study results revealed that the mean total nausea, vomiting, and retching scores are statistically significantly decreased among postoperative orthopedic patients after performing diaphragmatic breathing exercise when compared with before performing. Conclusion Diaphragmatic breathing was effective in reducing the severity and occurrence of PONVR. Recommendations The diaphragmatic breathing exercise should be included in nursing curriculum as a new approach to treat postoperative nausea and vomiting.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129511582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of acupressure therapy on insomnia and dizziness among patients undergoing hemodialysis","authors":"M. Ibrahim, Zeinab M. El-Sayed, S. Abdelaziz","doi":"10.4103/ENJ.ENJ_27_20","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_27_20","url":null,"abstract":"Background Acupressure is a low-cost treatment that has potential as an insomnia and dizziness therapy, especially in patients on maintenance hemodialysis (HD). It helps to improve sleep, relieve stress and tension, relax muscles and joints, minimize headache, as well treat the symptoms of dizziness. Aim The aim was to evaluate the effect of acupressure therapy on insomnia and dizziness among patients undergoing HD. Patients and methods A quasiexperimental (time series design) study was conducted. This study was conducted on the second floor of Nephrology–Dialysis–Transplantation Center at Kasr Al-Aini Hospital, affiliated with Cairo University. A nonprobability convenient consecutive sample of 88 adult male and female patients who have been on regular HD at least for 3 months was enrolled in this study. Three tools were used for data collection: first, Structured Interview Questionnaire regarding demographic and medical-related data; second, Insomnia Severity Index; and third, Dizziness Assessment Tool. Results The study findings revealed that the mean age of the study and control group was 47.3±14.5 and 48.2±14.0 years, respectively. When analyzing insomnia level within three assessments at baseline and after 6 and 12 sessions, correspondingly, a significant difference was found between both groups, with higher reduction in the group that received acupressure (P=0.0001). Moreover, a statistically significant reduction of dizziness level in both groups was also observed, but a higher reduction was observed in the study group (P=0.02). Conclusion Acupressure is effective in improving sleep and dizziness level among patients on HD. Recommendation The study should be replicated on a larger probability sample, matched on the variable of sex.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129303135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of pain response to vein puncture versus heel lance among preterm infants undergoing blood sampling","authors":"S. Mohamed, Sohier Elhamid Dabash, Hanan Mohamed Rashad, Eman Moselhi","doi":"10.4103/ENJ.ENJ_6_20","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_6_20","url":null,"abstract":"Background Pain in neonates is largely underestimated and neglected. Accurate pain assessment is the first step toward effective pain management. Skin-breaking procedures such as heel lances, vein punctures, and arterial punctures are the most frequently performed painful procedures in neonatal ICUs. Few studies have been done to compare preterm infants’ pain response to heel lance vs venipuncture. Aim The aim was to compare pain response to venipuncture vs heel lance among preterm infants undergoing blood sampling. Materials and methods A comparative descriptive research design was used on a convenient sample of 60 preterm infants less than 37 weeks of gestation who were undergoing blood sampling for complete blood count, blood chemistry, or glucose estimation. Neonatal assessment sheet, blood sampling assessment sheet, and premature infant pain profile scale were used to collect data from two neonatal ICUs of both Cairo University Children Hospital (El Monira) and El Manial University Hospital (Kaser El Aini). After a written consent from parents, the same preterm infant pain response was continuously monitored 30 s before procedure and up to 6 min during the procedure over 2 days (one for venipuncture and one for heel lance). Results The total mean premature infant pain profile score significantly increased during venipuncture than heel lance. Behavioral state was significantly more unstable during vein puncture than heel lance. Venipuncture procedure significantly increased heart rate and decreased oxygen saturation more than heel lance. Conclusion Preterm infants perceive pain as demonstrated by premature infant pain profile scale and vein puncture is the more painful procedure than heel lancing for blood sampling in preterm infants. Recommendations Premature infant pain profile scale should be included in the routine assessment for preterm infants.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114283712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}