American Journal of Nursing Research最新文献

{"title":"Effect of Vitamin D Supplementation on Glycemic Control in Children with Type 1 Diabetes Mellitus: A Randomized Clinical Trial","authors":"R. El-sayed, Samar El Hoseiny Abd El Raaouf, W. Laimon","doi":"10.12691/AJNR-7-4-15","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-15","url":null,"abstract":"Background: Vitamin D endocrine system is a potential immune system modulator and has been implicated in the pathogenesis of several autoimmune diseases including type 1 diabetes mellitus. A relationship between type 1 diabetes and vitamin D deficiency has been reported, in which low vitamin D levels are shown to have a negative effect on beta-cell function. The aims of the study were to investigate vitamin D status and to evaluate the effect of vitamin D3 supplementation on glycemic control in children with type 1 diabetes. Method: A randomized clinical trial including 80 children who were newly diagnosed with type 1 diabetes and randomly assigned into either control or intervention arm was used. Vitamin D status and Glycohemoglobin (HbA1c) were assessed initially for both the study two arms. Diabetic children of the intervention arm who had vitamin D deficiency and insufficiency were treated with 4000 units of vitamin D3 and calcium (500 mg/day) in oral liquid form. After the study interference (3 months later), HbA1C was measured again for both arms as an indicator for glycemic control. Differences in mean±SD HbA1C and body mass index were assessed before and after the study. Results: The mean of body mass index in intervention arm was 14.77±3.49, while in control arm was 17.84±3.87, with statistically significant deference between two arms P<.001. Furthermore, the mean change in HbA1c levels in intervention arm was 6.78±1.94 compared with 7.03±1.83 in control arm, with no statistically significant deference detected between children of the study two arms P<.460. Conclusion: Vitamin D3 supplement on the clinical base improves glycemic control in pediatrics with type I diabetes mellitus and vitamin D deficiency.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133583194","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":"Educational Program on the Knowledge and Attitude of Pregnant Women Regarding Neonatal Jaundice","authors":"Fatma R. Khalaf, H. Mohamed, A. Hassan, Safaa H. Mohamed, A. Ibrahim","doi":"10.12691/AJNR-7-4-16","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-16","url":null,"abstract":"Background: Early awareness of pregnant women about neonatal jaundice (NNJ) has an essential role in preventing severe hyperbilirubinemia and its dangerous complications. Aim: the study aimed to assess the level of knowledge and attitude of pregnant women regarding NNJ and to evaluate the effect of an educational program for neonatal jaundice among the target population. Subject and methods: three hundred pregnant women attended the Antenatal Clinic at Women Health Hospital in Assiut University were divided into 150 pregnant women as study and 150 as control groups. Quasi-experimental research design was applied. Tool: Using a structured interview questionnaire including five parts; personal data, obstetric, medical and family history, assessment of knowledge, attitude toward neonatal jaundice, and neonatal follow up. Results: There was a statistically significance difference between level of knowledge and attitude in pre- vs. post-test in the study group compared with the control group and there was statistical evidence of neonatal outcomes for improving women's breast feeding and decrease number of jaundice days. Conclusion: This study revealed that pregnant women had inadequate knowledge regarding NNJ and their attitude was negative while the application of an educational program has led to significant improvement in the level of women's knowledge and attitude in the study group, which was reflected on the newborn positively. Recommendations: Implementing a routine health education program for pregnant women about NNJ and raising awareness of the relatives as they were identified as the main source of knowledge.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128007940","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":"Fatigue and Self-management among Multiple Sclerosis Patients","authors":"Afnan Seraj Jamal Shawli, I. Abdulmutalib, E. A. Nagshabandi","doi":"10.12691/AJNR-7-4-17","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-17","url":null,"abstract":"Fatigue is considered as the most revealed symptoms in multiple sclerosis patients, reported by 88% of patients and has significant impact on all stages of life such as altering in daily living activity or psychosocial/mental functions. The pathogenesis of fatigue remain poorly understood and how its impact on self-management. The aim of study was to assess fatigue and self management among multiple sclerosis patients. A quantitative descriptive correlational design was used in this study. The study was conducted at both King Abdulaziz University Hospital and King Fahad Armed Forces Hospitals in Jeddah City from January till March 2018, data collected from outpatients’ clinic and Inpatients’ medical-wards. A convenience sample of 50 Multiple Sclerosis patients. Data was collected through the main one tool, it consists of three parts; Part I, Socio-demographic and clinical data constructed by the researchers. Part П, Modified Fatigue Impact scale; to assess the Impact of fatigue on physical, cognitive, and psychosocial functioning in patient with Multiple Sclerosis.. Part ПІ, Multiple Sclerosis Self Management Scale Revised; to provide a multidimensional and psychometrically assessment of self-management knowledge and behavior among Multiple Sclerosis patients. The study results showed there was a statistically significant negative correlations between fatigue subscales and overall self-management among Multiple Sclerosis patients with p-value (.019). Also, there was a statistically significant negative correlations between self-management factor scales and overall fatigue among Multiple Sclerosis patients with p-value (.019). It was concluded that there was a negative correlations between overall fatigue and overall self-management among Multiple Sclerosis patients, whenever fatigue severity increases, self-management decreases. It was a recommendation to encourage governmental policy and other decision makers in the Saudi community to develop periodically structure health education training program regarding self-management in MS and provide appropriate environments or facilities to conduct such programs, where nurses play a key role through health education and cooperate with other health care system.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124111869","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":"Experiences of Saudi Female Students towards the Phenomena of Bullying Behaviors during Nursing Education Program","authors":"L. Mohamed","doi":"10.12691/AJNR-7-4-12","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-12","url":null,"abstract":"Bullying is a growing problem in nursing education from the academia area to the clinical setting that is under-reported and tolerated by nursing students. Aim: The main aim is to explain the phenomena of bullying behaviors among Saudi female students during their study in nursing education program. Design: The study utilized a cross-sectional quantitative descriptive design. Setting: It conducted in the College of Applied Medical Sciences (CAMS) at University of Hafr Al-Batin (UHB) in Saudi Arabia. Participants: The sample consisted of (130) Saudi female nursing students. Tools: The instrument consists of four parts; the first part involves personal information. The second part contains 25 items of different types of bullying and the third part covers the consequences of bullying. The final part includes four closed ended questions about widespread learning environments (4 options), sources of bullying (7 options), coping strategies (9 options) and reasons for not reporting (8 options). Results: The current study confirmed that Saudi female nursing students experienced different forms of bullying behaviors in the traditional classroom and clinical settings. Recommendations: There is a need to establish policy for identifying the legal implications of bullying and integrating the bullying issue in the curriculum of nursing education program. Conclusion: There is an evidence for presence of bullying phenomena among Saudi female nursing students that deserve to be studied in nursing education and practice.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114078062","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":"Palliative Intervention for Mitigating Fatigue and Sleep Inefficiency among Chronic Obstructive Pulmonary Disease Clients","authors":"A. Saad, Enas Ebrahiem E. Abo Elfetoh","doi":"10.12691/AJNR-7-4-13","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-13","url":null,"abstract":"Chronic obstructive pulmonary disease is a public health problem cause mortality. Palliative intervention is supportive in managing, and helping clients living with chronic obstructive pulmonary disease. Aim: This study aims to evaluate the effect of palliative care intervention for mitigating fatigue and sleep inefficiency among chronic obstructive pulmonary disease clients. Design: A quasi-experimental design was used. Setting: The study was conducted in Chest Outpatient Clinic, Ain Shams University Hospitals. Sample: A purposive sample comprised of 70 clients. Tools: A structured interview questionnaire was used to collect the data and included three parts: Part I. Client's demographic characteristics. Part II. The Pittsburgh Sleep Quality Index. Part III. Fatigue Severity Scale. Results: The sleep quality index was improved from 7.1% of clients had good sleep quality pre intervention to 85.7% post intervention and also fatigue severity was improved from 90% of them had high fatigue pre intervention to 4.3% post intervention with highly statistically significant positive correlation between total fatigue and sleep quality index among chronic obstructive pulmonary disease clients (p= Conclusion: The palliative care intervention had a positive effect on chronic obstructive pulmonary disease clients and helped them to mitigate sleep inefficiency, which led to reduce fatigue. Recommendations: An illustrated booklet containing information about benefits of gradual relaxation exercises should be available in all chest outpatient clinics. Training of the nurses on how to apply the palliative care intervention to chronic obstructive pulmonary disease clients.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114004996","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 Antenatal Instructional Package on Pregnant Women' Knowledge, Attitude and Practices","authors":"A. Salama, F. K. Aly","doi":"10.12691/AJNR-7-4-14","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-14","url":null,"abstract":"Background: Antenatal care is a careful, systematic assessment and follow-up of pregnant women that includes education, counseling, screening, and treatment to assure the best possible health of the mother and fetus. Aim of the research was to examine the effect of antenatal instructional package on pregnant women' knowledge, attitude and practices. Design: A quasi-experimental research design was adopted to fulfil the aim of this research. Setting: The research was conducted at obstetrics & gynaecological outpatient clinic in Benha university hospital. Sample: A purposive sample of one hundred and forty pregnant women among those attending the above mentioned setting. Tools: Data were collected through five main tools: A Structured interviewing questionnaire, maternal knowledge questionnaire, maternal health attitude questionnaire, maternal health practices questionnaire, and women's satisfaction sheet. Results: showed that nearly one third of studied women in both study group (41.4%) and control group (37.1%) had source of information from friends and families while minority of them had source of information from newspaper. Also there was no statistical significant difference regarding all knowledge, attitude and practice items about antenatal care between the study and the control group before instructional package implementation. However, a highly statistically significant difference (p-values Conclusion: the study concluded that research hypotheses are supported and the antenatal instructional package had appositive effect on improvement of pregnant women' knowledge and in turn attitude and practices were also improved in study group compared to control group .Also the majority of pregnant women in the study group were satisfied with the antenatal instructional package implementation. Recommendations: From time to time, the antenatal instructional package should be restructured and reviewed to meet up with the health needs of the pregnant women.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124234448","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 Implementing Learning Package of Nesting and Swaddling for Premature Infants on Nurses' Knowledge and Performance in NICU","authors":"G. Ahmed, B. Mohammed","doi":"10.12691/AJNR-7-4-4","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-4","url":null,"abstract":"Premature infants surviving require advanced medical interventions and professional nursing care. Despite the innovative interventions in the medical field, they remain vulnerable for long-term complications, which is the result of early disruption of their intrauterine life and sudden exposure to an entirely unfamiliar NICU environment. One strategy for helping premature grows normally in NICU is developmental care, which includes positioning, nesting, and swaddling as daily routine care. This study aims to assess the effect of learning package regarding nesting and swaddling for premature on nurses knowledge and performance in NICU. A quasi-experimental research design using one group (pre, immediately post and three months later) was used for this study. Setting: The study was conducted at NICU in Abha Maternity and Child Hospital (AMCH), Abah city, Kingdom of Saudi Arabia. Subjects: 77 nurses who work in the previously mentioned NICU as a convenience sample. Tools: two tools used to collect the study: A Structured questionnaire sheet to assess nurses' knowledge regarding nesting and swaddling and the observation sheet to assess nurses' performance of nesting and swaddling in NICU. Results: There was a statistically significant difference regarding nurses' knowledge and performance about nesting and swaddling immediately after and three months later compared with before learning package. Conclusion: There was a significant positive effect of implementing learning package in improving nurses’ knowledge and performance about nesting and swaddling in NICU for premature infants. Recommendations: Neonatal nurses must be provided with the best evidence about applying nesting and swaddling techniques for premature infants as a standard of developmentally supportive care in the NICUs.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121939441","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":"Undergraduate Nursing Students’ Experience in Studying Evidence-Based Practice by Application of Concept Map","authors":"A. Ahmed, R. Mohamed","doi":"10.12691/AJNR-7-4-5","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-5","url":null,"abstract":"Background: Nowadays nurses should be competent in using knowledge in clinical decision-making for nursing intervention. Therefore, the application of evidence-based practice (EBP) in community healthcare settings is a crucial need that fortifies the quality of the provided services. The governmental policies mandate the application of EBP in healthcare services. The lack of EBP competencies among healthcare professionals including nurses is a barrier for achieving this mandate. Incorporating EBP in nursing curricula combined with interactive teaching strategy such as concept map would overcome this barrier. Aim: The study aimed at providing an overview of the experiences of undergraduate nursing students about studying evidence-based practice by the application of concept map as an educational strategy. Research Design: Qualitative phenomenology study design was used. Setting: The study was carried out at the faculty of nursing, Mansoura University, Egypt during the period from October 2018 until January 2019. Subjects and Sampling: Purposive sampling technique was used to recruit the study participants who were composed of 95 undergraduate nursing students registered at the courses of Community Health Nursing Department. Data collection: Focus group discussion (FGD) was used to collect the required data to achieve the aim of this study. Results: Undergraduate nursing students showed positive views regarding EBP and concept map. They showed interests in studying EBP and applying it in their future career. Nursing students were enthusiastic to use concept map in studying other courses because it helped them in understanding the course content and increased retaining of information. They found the concept map was very helpful in problem-solving. Conclusion and Recommendations: Teaching EBP by using concept map was accepted by undergraduate nursing students. The study recommended the continuity of teaching EBP for undergraduate nursing students and embedding the course of EBP in nursing curricula in post-graduate studies. Concept map would be used in teaching all nursing academic courses.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134378839","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":"Measurement of the Emotional Intelligence Competencies for Effective Leaders among Saudi Nursing Students at King Abdul Al Aziz University","authors":"H. Banjar, Naglaa El Seesy","doi":"10.12691/AJNR-7-4-3","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-3","url":null,"abstract":"The concept of emotional intelligence (EI) is central to future nurses who will practice in the clinical settings. Aim: to measure emotional intelligence competencies to be effective leaders among Saudi nursing students at King Abdul Al-Aziz University. Research design: Cross sectional quantitative descriptive design. Sampling: Convenient sample of approximately 81 students invited to participate voluntarily. Data collection tool: Emotional intelligence questionnaire is a validated tool that was used to measure emotional intelligence competencies to be effective leaders among Saudi nursing students at King Abdul Al-Aziz University. Results: showed that students need attention in descending order, managing emotions, motivating oneself, empathy and social skill as well as self-awareness competencies of emotional intelligence in order to be effective leaders. Recommendations: nursing students needed to be empower and equipped by EI principles, skills and competencies to face complexities of clinical practice. Nursing faculty could mentor students by providing EI-related workshop to enhance students’ ability to control and emotions properly. (E.g. emotion management, interpersonal communication and self-development) through role-play enacting. Nursing educators may boost students’ self-motivation by creating EI training group and workshops, counseling session and other diverse learning activities. Mentors are valuable methods of counselling for students with special attention at developing self-awareness, interpersonal and social relationships and empathy.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121278544","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":"The Effect of Foot Reflexology on Physiological Indicators and Mechanical Ventilation Weaning Time among Open-Heart Surgery Patients","authors":"A.E. ElSayed, Nahed Kandeel, Wafaa Wahdan Abd El-Aziz","doi":"10.12691/AJNR-7-4-2","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-2","url":null,"abstract":"Shortening the length of mechanical ventilation (MV) and lowering dose of sedatives among critically ill patients can decrease complications, intensive care length of stay and mortality rate. Therefore, introducing non-pharmacologic interventions such as reflexology became an issue of concern for critical care nurses. The purpose of this study was to investigate the effect of foot reflexology on physiological indicators and mechanical ventilation weaning time in open-heart surgery (OHS) patients. Methods: Quasi-experimental study with a convenience sampling technique was used to recruit 80 patients who underwent open heart operation and admitted to cardiothoracic intensive care unit (ICU) of Mansoura University Hospital. Random assignment was allocated to the intervention group (foot reflexology) and the control group (routine care). Data were collected using participants' physiological indicators and MV weaning time assessment tool. Results: There were statistical significant differences between the foot reflexology group and the control group concerning all physiological indicators (p p Conclusion: Foot reflexology is an effective method for stabilizing physiological indicators and decreasing ventilator dependence among patients undergoing OHS. Therefore, it can be introduced as an adjunct to daily care of OHS patients in ICU.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116555185","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}