Zagazig University
Faculty of Nursing
1st
Medical Surgical Nursing Department Scientific Conference of
Faculty of Nursing Zagazig University
18th
April, 2016 – Zagazig, Egypt
Under the Patronage of
Prof. Dr. Khaled AbdEl-Bary
President of Zagazig University
Prof. Dr. Amal Mohamed El Dakhakhny Dean of Zagazig Faculty of Nursing
Conference's President
Prof. Dr. Nadia Mohamed Taha Head of Medical Surgical Nursing Department
Conference's Coordinator
Dr. Elham Hamad Mohamed
Conference's Secretary
Dr. Howida Kameel Zaiton
Future Vision of Nursing
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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FUTURE VISION FOR NURSING
Nadia Mohamed Taha
Professor of Medical Surgical Nursing and the head of department
Introduction:
The nursing profession needs to begin to recognize new trends and patterns that are
emerging in health care. Change theory tells us that unsettled a time, a form of
unfreezing of old patterns, is also an era of opportunity. Changes are inevitable,
and both nursing and especially nursing education are in an excellent position to
lead rather than follow. But that is not easy. It takes energy, ideas and commitment.
This is our time of opportunity! It is crucial that nurses become involved in the
political process and that we teach our students and future leaders how to do that. It
is crucial that nurses learn to collect data to document health care needs and our
impact on the health of our societies. Nurses must learn how to identify those
health care needs of patients, families, communities and societies; to communicate
those needs to policy and decision makers and not allow those needs to be lost in
the frenzy of cost cutting options. It is crucial that nurses learn to generate new
ideas for care, utilizing the new medical and communication technologies that are
blossoming daily, but also keeping our high touch together with the high tech. It is
crucial that nurses learn the terminology of finance and business concepts that are
driving health care systems today and generate those new ideas for care with fiscal
responsibility, and seeking new ways to lower costs. It is crucial that nurses learn
about implementation strategies for those ideas. That we learn to deal with
opposition, and that we can present our arguments well; that we learn to develop
coalitions and a supportive constituency; that we learn to compromise in ways that
develop win-win situations and that we learn what we can give up and what we
cannot. These are major challenges for nurses and nurse educators today and in the
future. Nursing educators have a major responsibility in this arena and need to be
aware of and responsive to new trends and changes in the health care milieu. They
and the students they prepare should be a portal through which this information is
communicated to nurses in the field, who often don’t have sufficient resources or
time to keep abreast of new developments. Although strategic planning can be used
to develop nursing practice and educational programs of the future, in today’s
world change is coming rapidly, and those strategic plans cannot be static.
Practicing nurses, nurse administrators and nurse educators must respond to
changes quickly, as well as being proactive, based on recognition of trends and
external environmental dynamics.
Conference's President
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Conferences' Objective
Conferences' Axes
Present New Innovation of Professional Nursing Care and Education
1. Nursing Technology.
2. Education for Professional Nursing Practice.
3. Dealing with chronic illness.
4. Qualities and patient outcomes.
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Prof.Dr. Aml El Dkhakhny Prof.Dr. Sanaa Noor El Dien
Prof.Dr. Mohamed El-khashab Prof.Dr. Salwa Abbas
Prof.Dr. Nadia M Taha Prof. Dr. Amany Sobhy
Prof.Dr. Zeinab Hussein Ali Dr. Elham Hamad Mohamed
Dr. Eman Abd-El Aziz Dr. Howida Kameel
Dr. Eman El-Sayed Assist.Lect. Mona Abd-Allah
Assist.Lect. Mona Abd-Allah Assist.Lect. Magda Kamal
Assist. Lect. Mona Fathe Assist.Lect. Rehab Ragab
Dem. Mohamed Hebeshy Assist.Lect. Eman Ali
Ins. Doaa Sabry Assist.Lect. Fatma Mohamed
Dr. Aida Ahmed Dr. Maha Sakr
Dr. Gehan Hafez Dr. Naglaa Abd- Elkareem
Assist.Lect. Samah Mahmoud Assist.Lect. Aml Hamed
Dem. Amira Sabry Dem. Hala Abd- Elsaboor
Assist.Lect. Zienab El- Baramony Ins. Lamiaa Zaki
Dem. Mohamed Hebeshy Ins. Wafaa Amer
Ins. Ahmed Elmarakby Ins. Shefaa Abd el Naser
Ins. Samar Nabil Ins. Doaa Sabry
Ins. Salwa Hassan Ins. Taisir
Scientific Committee:
Advisory Committee:
Printing Committee:
Advertising Committee
Registration Committee Organizing Committee
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Monday, 18 April, 2016
9:00 AM - 3:30 PM
9:00 - 10 AM Registration
10 - 11:00 AM Opening Ceremony
11:00 - 1:00 AM Session 1
1:00 - 1:30 PM Coffee Break & Noon prayer
1:30 - 2:30 PM Session 2
2:30 – 3:00PM Recommendations & Closure
3:00 - 3:30 PM Certification
Conference's program
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Speaker Topic Time
Prof. Dr. Mohamed
El-khashab
Mode of transmission of viral hepatitis 11-12:00 AM
Dr. Misaa Abdella Zika Virus
12:00-12:30
AM
Dr. Atef Goda Palliative care of cancer patients 12:30-1:00 pM
Discussion 12:40-1:00 PM
Coffee Break
1:00-1:30 PM
Session (1) Monday, 18 April, 2016
(11:00 AM - 1:00 PM)
Chairpersons:
1- Prof. Amal El-Dakhakhny 2- Prof. Dr. Mohamed El-khashab
3. Prof. Dr. Nadia Mohamed Taha
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Speaker Topic Time
Hend Salah eldin
Mohamed
Fast -Track Gynecological Oncologic Surgery: A suggest
Care Pathway Booklet 1:00- 1:15 PM
Dr.
Amany Hamed Gad
Mohamed
Risk Factors for Birth Related Perineal Truama among Low
Risk Parturient Women and Nursing Implications
1:15- 1:30 PM
Dr. Eman Elsayed
Hussein Mohammed Professional Nursing : bringing caring back to future
1:30 – 1:40 PM
Dr. Naglaa Abd-
Elkareem Maghazi Nursing Informatics: Current and future trends 1:40-1:55 PM
Dr.Aida Mohammed
Ahmed
Complementary Therpay
1:55 - 2:10 PM
Rehab Ragab
Bayomi, Magda
AbdElaziz Mohamed,
Nadia Mohammed
Taha, Hala Ibrahim
Zaiton
Nurses' Role Regarding Problems And Needs Encountered
Among Postoperative Cataract Patients
20:25 -2:40 PM
Eman Ali Metwaly,
Nadia Mohamed
Taha , Elham Hamad
Mohammed
Nurses' Performance Regarding Nasogastric Tube Feeding
in Intensive Care Units
2:40 -2:55 PM
Session (2) Monday, 18 April, 2016
(1PM - 3:30 PM)
Chairpersons:
1- Prof. Dr/ Nadia Mohammed Taha 2- Prof. DR/ Atef Goda
3- Prof.Dr/ Missa Abdella
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Zeinab Mohamed
Ahmed, Howida
Kameel Zatton, Safaa
Hussein Mohamed &
Magda Abd Elaziz
Mohamed
Needs and Problems Encountered Among Post Mastectomy
Patients: Suggested Nursing Guidelines
2:55-3:5 PM
Samah Mahmoud
Mohamed, Nadia
Mohammed Taha, Impact of simulation training on second year nursing
students' clinical skills in faculty of nursing at Zagazig
University
3:5-3:15 PM
Suzan Mohammed
El-Sayed, Eman
Mohammed Abd -
Elaziz & Magda Abd
Elaziz Mohamed .
Prevalence and Influencing Factors of Unsafe Intravenous
Injection Practice among Nurses at Zagazig University
Hospitals
3:15-3:25 PM
Fatma Mohammed
Abdelhamied, Nadia
Mohammed
Taha)&Maha Dosoky
Sakr
Factors Affecting Wound Healing and Needs among Patients
with Diabetic Foot Ulcer: Suggested Nursing Guidelines
3:5-3:35 PM
Wafaa Mohamed
amer, Mohamed El-
khashab Nadia
Mohamed Taha
&
Howida Kameel
Zaton
Nurses Knowledge and Practice Regarding Gastrointestinal
Endoscopy and Suggested Nursing Guidelines
3:35-3:40 PM
Mona Mohammed
Fathy Rezk,Dr.Eman
Mohamed Abd El-
Aziz, Nadia
Mohamed Taha
Self-Care Practices for Patients on Chemotherapy at Zagazig
University
3:40 -3:50PM
Recommendation & Closure 3:50- 3:55 PM
Certification
3:55- 4:00 PM
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Dr. Topic P
Nadia Mohamed Taha, Howida
Kameel, and Nahla Ahmed Abd Elaziz
Effect of A Health Educational Guidelines on
The Knowledge, Self-Management Practice And
Self-Efficacy of Patients With Type-2 Diabetes
1-
Asma Abood, Nadia Mohamed Taha
Maha Desokey Saleh
Impact of Training Education Program on
Improving of Nurses Knowledge and
Performance Regarding Infection Control In
Endoscopy Unit
2-
Samia Farouk Mahmoud Department of
community health nursing, Faculty of
Nursing , Zagazig University
Stem Cells and Diabetes
3-
Suzan Mohammed El-Sayed, Zeinab
Mohamed Ahmed, Fatma Mohammed
Abdelhamied What is Zika Virus?
4-
Mona Abdallah Chronic Care Management Model: Interactions
to promote the patient as the expert in managing
chronic conditions
5-
Samah Mahmoude Mohamed,Nadia
Mohamed Taha,HanaaHamdey Ali,
&Shaimaa Mohamed Nageeb
Fatigue, Depression And Sleep Disturbance
Among Hemodialysis Patients
6-
Samah Ebrahim Eldsouky, Nadia
Mohammed Taha, & Maha Desoky
Saleh
Nurses’ knowledge and practice in maintaining
adequate fluid and electrolyte balance among
patients with congestive heart failure
7-
Posters Monday, 18 April, 2016
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Abstracts
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Fast -Track Gynecological Oncologic Surgery: A suggest Care Pathway
Booklet Hend Salah Eldin Mohamed
Assist prof Obstetrics and Gynecology Nursing ,Faculty of Nursing ,Zagazig University
ABSTRACT
Background: Fast Track Surgery (FTS) programs have been adopted by many specialties with
documented improved patient outcomes and reduced length of stay (LOS). The aim of this study
was to design care path way booklet of patients following a fast-track (FTS) program, after major
gynecological/gynecological oncologic surgery and analyses elements that may have aided in
their early discharge. Sample: Purposive sample Design: prospective, intervention study design.
Setting: Gynecology department, Zagazig University. Tools of data collection:
tool1:.demographic data. Tool 2: The principles adopted for care of elective gynecological
patients, preoperative, intraoperative, and postoperative data. Results: ongoing research.
Key words: fast –track. Gynecological oncologic surgery, care pathway
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Impact of a health educational guidelines on the knowledge, self-management
practice and self-efficacy of patients with type-2 diabetes
1Nadia Mohamed Taha, Howida Kameel, and
2Nahla Ahmed Abd Elaziz
1Medical-Surgical Nursing Faculty of Nursing at Zagazig University and
2Community Health Nursing at Ain Shams University
Diabetes is a common costly condition associated with significant morbidity and mortality.
The process of teaching individuals to manage their diabetes had been considered an important
part of the clinical management of individuals with diabetes. The goals of self-management
education are to optimize metabolic control, prevent acute and chronic complications, and
optimize quality of life; Aim: The aim of this study was to evaluate the impact of a health
educational intervention guidelines for T2DM on Patients' knowledge, self-efficacy, and self-
management practices. Design: quasi-experimental uncontrolled design with pre-post assessment
on 50 patients evaluated at three time intervals: before the intervention, at its completion, and 6
months after completion. Setting: The study was carried out in the outpatient clinics of
Endocrinology and Metabolism at Zagazig University Hospital. Tools: three tools were used, 1st
tool was an interview questionnaire, self-efficacy scale and patients’ self-reported self-
management behaviors concerning self-care practices. Results: There were statistically
significant improvements in patients’ knowledge (p<0.001), self-efficacy (p<0.001), and self-
management (p<0.001), which continued through follow-up. Multivariate analysis showed that
the knowledge and self-efficacy scores positively predicted the scores of self-management.
Conclusion: The study demonstrates the effectiveness of health educational intervention
guidelines in improving T2DM patients’ self-management behaviors and self-care practices
through provision of sound information and fostering their self-efficacy. The slight decline at the
follow-up phase indicates the need for periodic booster doses of the intervention. Therefore, the
study recommends generalization of such educational guidelines in all health care settings
providing services to T2DM patients. Such guidelines should particularly address the patients
with low educational attainments, long history of T2DM, and those residing in rural areas. More
research is needed to investigate the long-term effect of such educational interventions.
Key Words: type 2 diabetes, self-efficacy, self- management behaviors and self-care
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Impact of Training Education Program on Improving of Nurses
Knowledge and Performance Regarding Infection Control In
Endoscopy Unit Asmaa A. Abd-Elhamid
1, Mohamed N. El-khashab
2, Nadia M. Taha
3, and Maha Desokey Saleh
4.
1 Assis. Lecturer of Medical Surgical Nursing, Faculty of Nursing, Fayoum university.
2 Professor of Tropical medicine, Faculty of medicine, Zagazig University.
3 Professor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University. 4 Lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University.
\
Background: Endoscopes are complex and reusable devices. Understanding infection control in
the context of endoscopy is important in reducing the transmission of infection. This study aim
was to evaluate effect of an educational program on improving nurse's knowledge and practice
regarding infection control in endoscopy unit at Zagzig University Hospital. Research design: A
quiz experimental research design was used. Setting: The study was conducted in the endoscopy
unit at Zagazig University Hospitals. The study sample All available endoscopy nursing staff
Tools: First tool was Questionnaire sheet, to assess nurses' knowledge. The second tool was
observational checklist to assess nurses' practice. Results revealed that, than tow third of nurses
ware in the age group of more than 40 years with mean age 42.2 ± 8.4 years, while majority of
the sample had more than 10 years of experience. There was improvement in total level of
nurses' knowledge, and practice regarding infection control with highly statistically significant
difference between pre-post and pre-follow up program phase as regarding to infection control.
Conclusion: The implantation of health educational program had improved nurse's knowledge
and practice regarding endoscopy infection. Recommendations: Continuous educational
infection control training programs are recommended in endoscopy units. So incorporation of
such interventions apply in all endoscope unite all over Egypt
Keywords: Educational Training Program, Gastrointestinal Endoscopy, Infection control, Endoscopy Reprocessing.
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Risk Factors for Birth Related Perineal Truama among Low Risk Parturient
Women and Nursing Implications
Amany Hamed Gad Mohamed
Lecturer of Obstetrics and Gynecological Nursing- Faculty of Nursing- Zagazig University
Abstract: Perineal trauma related to vaginal delivery may occur spontaneously during vaginal
birth or when a surgical incision (episiotomy) is intentionally made to enlarge the diameter of the
vagina outlet.
The aim of the study was to determine the incidence of perineal trauma among low risk
parturient women, find out the harmful and non harmful practices behind the occurrence of
perineal trauma, and conducting a work shop for nurses working in labor unit about measures
used to prevent perineal trauma.
Subjects and methods, a cross sectional design was used. The sample included 500 parturient
women admitted to labor room without obstetrical or medical complications. Data collection
lasted 7 months, by using interview questionnaire, maternal assessment record, summary of
labor sheet, and partograph.
Results the incidence of perineal trauma was 43.0% ( 27.0% perineal tear & 16.0% episiotomy),
57.0% had their perineum intact (32.4% had first degree tear with no suture, and 24.6% had
completely intact perineum). Women age, parity, short birth interval, previous perineal trauma
were significantly associated with perineal trauma (p=0.00). There was direct proportion with
increase the frequency and number of vaginal examination, applying fundal pressure during the
second stage of labor, no psychological support, not done correct pushing after complete cervical
dilatation, and not done panting and slow delivery of the head and the occurrence of perineal
trauma.
Conclusion almost three fifths of women had intact perineum "complete intact perineum and
first degree tear" and the rest were exposed to perineal tear and episiotomy. Risk factors
significantly shown to be associated with perineal trauma were; previous perineal trauma and
perineal management technique.
Recommendation more publication and follow up for nursing protocol for the prevention of
perineal trauma should be adopted based on the identified risk factors and taking into
consideration the importance of perineal management techniques and avoidance of unnecessary
vaginal examination and fundal pressure during the second stage of labor.
Key words: episiotomy, perineal tear, risk factors
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Professional Nursing: bringing caring back to future Eman Elsayed Hussein Mohammed
Lecturer of medical surgical nursing, Faculty of nursing, Zagazig University
Leadership, whether it is nursing, medical or health care leadership, is about knowing how to
make visions become reality. The vision that many nurses hold dear to their hearts is one where
patients are treated with dignity and respect at all times; where systems are designed for the
benefit of individual needs; and where the work performed by nurses and other careers is valued
and respected. Achieving such a vision will required a paradigm shift in the philosophy, priorities
policies, and power relationships of the health service. Fundamentally, it will require the rhetoric
of patient centered care to become reality. The following scenario is describes a health service
that is on the pathway to achieve the vision of a patient centered health services: (1) development
of patient centered care measures as a part of performance management and the clinical
governance agenda; (2) leadership based on personal growth and development principles; (3)
new clinical career and competency framework for nursing. Key words: Centered care; Career framework
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Nursing Informatics: Current and future trends Dr. Naglaa Abd-Elkareem Maghazi
lecturer of medical surgical nursing, Faculty of nursing, Zagazig University
Informatization and the need of knowledge in the medical field has significantly grown in this
century. The purpose of informatization aims to prepare nurses, as well as to benefit from
integrating computer technology into everyday practice. It is essential to include concepts related
to the role of computer technology in clinical practice into the future basic nurse training
curricula. The look into the future will be the use of telemedicine and telenursing, in order to
exchange information from one place to another with the purpose of improving the patient’s
health condition. Nurses can also access the patient's electronic health records, and provide the
patients with healthcare information and also with education materials. As such, nurses must be
supported by excellent electronic health record and other technologies. As a conclusion,
information technology is not a remedy, but it will offer this profession an unprecedented faster
capacity for the production and dissemination of new knowledge in the nursing domain. The
short presentation of the supporting terminologies in nursing practice has introduced more of the
information management tools, used by nurses in their work.
KEYWORDS: Nursing Informatics, Information Technology, Electronic Health Record.
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Complementary therapy and nursing responsibilities
Aida Ahmed Mohamed Ibrahim
Lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt
Abstract
The use of complementary and alternative medicine (CAM) is increasing. (CAM) covers a
heterogeneous spectrum of ancient to new-age approaches that purport to prevent or treat disease.
At least 42% of the general population use some form of CAM on a regular basis. The growing is
evidenced by the increased sale of natural substances, such as herbs and vitamins, which has
become a multimillion dollar industry over the last few years. Nurses are encouraged to think
critically before recommending or implementing CAM approaches and to also be open to the
possibilities that are available to help people live to their fullest potential. Nurses are encouraged
to teach clients to use the best of all systems in order to promote positive health outcomes.
Key words: complementary and alternative medicine, heterogeneous, positive health outcomes.
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Nurses' Role Regarding Problems and Needs Encountered Among
Postoperative Cataract Patients Rehab Ragab Bayomi
(1),Magda Abd Elaziz Mohamed
(2), Nadia Mohamed Taha
(3),Hala Ibrahim
Zaiton(4)
(1) Assis. Lecturer of medical surgical Nursing, Faculty of Nursing, Zagazig University,
(2) Professor of Medical Surgical Nursing, Faculty of Nursing, AinShams University, (3) Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University,
(4) Lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University
Background: Cataract is considered as a significant global health problem and represents the
most important cause of visual impairment worldwide. Extraction of cataract is a highly effective
surgical procedure to improve quality of life. The nurse plays a major role through identifying
health needs and assessing care given after surgery. Aim: The present study aimed to assess
nurses' role regarding problems and needs encountered among postoperative cataract patients.
Methods: Descriptive exploratory design was utilized. The present study conducted in
Ophthalmology Department and Out Patient ophthalmology Clinics at Zagazig University
Hospitals. The study subject includes two groups: Group I: 100 patientswith cataract surgery
from both sexes and with age ranging between 30-80 years.Group II: 36 nurse who dealing with
postoperative cataract patients. Tools: Two tools used for data collection. First tool, Patient
interviewing sheet to assess patients' problems and needs after cataract surgery, the secondtool
was Nurse Questionnaire sheet to assess nurses' performance for post operative cataract patients.
Results:The result of the present study showed that, Most of the studied patients had serious
problems after the surgery, while postoperative needs for the majority of them weren't achieved.
In addition the majority of the studied nurses had unsatisfactory level of practices, and about
three quarters had satisfactory level of knowledge. Conclusion: The study findings concluded
that, No statistical significant difference between total patients' needs and serious problems
encountered studied patients. In addition, there was statistical significant between total level of
nurses' knowledge and their practices. Recommendations: The main study recommendation
included that, Pre-service and in-service training program for the purpose of refreshing and
updating the knowledge and practice of the nurses working with ophthalmic surgical patients,
and the proposed protocol of patients' needs management that's evidence – based should be
implemented and evaluated in relation to visual problems post cataract surgery. Key words: Cataract Surgery, Patients' Needs, Nurses' Role
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Nurses' Performance Regarding Nasogastric Tube Feeding in Intensive Care
Units
Eman Ali Metwaly (1), Nadia Mohamed Taha (2) , Elham Hamad Mohammed (3)
(1) Assis. Lec., medical surgical nursing dep., Faculty of Nursing, Zagazig University,
(2) Assis. Prof. of medical surgical nursing dep., Faculty of Nursing, Zagazig University,
(3) Lecturer of medical surgical nursing dep., Faculty of Nursing, Zagazig University.
Background: Nasogastric tube (NGT) feeding is a common practice in Intensive care Units
(ICUs). The aim of study was to assess nurses' performance regarding nasogastric tube feeding
in Intensive Care Units. Subjects and methods: A descriptive correlation design was used in this
study. All nurses (100) in all ICUs at Zagazig University Hospitals were included. Two tools
were used for collecting data, 1) questionnaire sheet to collect knowledge about socio-
demographic characteristics of study nurses and questions to assess nurses' knowledge regarding
nasogastric tube and feeding administration. 2) Observational checklist to assess nurses' practice
regarding NGT insertion and feeding administration. Results: the study finding revealed that
there was a statistical significant relation between total knowledge and total practice concluded
that nurses had unsatisfactory level of knowledge about NGT insertion and feeding, and their
level of practice was unsatisfactory. It can be concluded that the majority of nurses in intended
ICUs did not apply the most recommended nursing practices regarding nasogastric tube insertion
and feeding administration. It is recommended to provide a training program for all nurses who
provide care to critically ill patients in ICUs, periodic evaluation of nurses' practice.
Key words: Performance, Nasogastric tube, intensive care units
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Needs and Problems Encountered Among Post Mastectomy Patients:
Suggested Nursing Guidelines
Zeinab Mohamed Ahmed
(1), Howida Kameel Zatton
(2), Safaa Hussein Mohamed
(3) &
Magda Abd Elaziz Mohamed(4)
(1)
Demonstrator, medical surgical nursing Dep., Faculty of Nursing, Zagazig University,
(2)
lecturer, medical surgical nursing Dep., Faculty of Nursing, Zagazig University,
(3)
lecturer, medical surgical nursing Dep., Faculty of Nursing, Zagazig University
,(4)
Prof. of medical surgical nursing, Faculty of Nursing, Ain Shams University
Abstract:
Background: Breast cancer is the most prevalent cancer worldwide with about one million
new cases annually. Breast cancer remains major health problem all over the world. The life-
threatening nature of breast cancer and the consequences of the aggressive treatment regimes can
result in a wide range of physical, emotional and social consequences may influence the patients'
needs. Aim of this study: assess problems and needs which encountered among breast cancer
patients following mastectomy and develop suggested nursing guidelines. Subjects and
methods: Descriptive design was conducted for sample of 60 adult female patients admitted to
oncology units, at Zagazig University hospitals through: using interview questionnaire sheet.
Results: This study revealed that, most patients suffered from pain, difficulty in hand movement
at surgical site, high costly treatment, chemotherapy and radiotherapy side effects following
mastectomy. There are significant relations between patients’ ages and needs for helping in
eating, clothing and bathing, between level of education and needs for economic help and
between constipation and patients’ needs for nursing guidelines. Conclusion: Patients’
substantial needs and problems require professional support even after completion of the
patients’ treatment. Continued assessment of the patients’ needs and symptoms provide the basis
for purposeful counseling and education. Recommendations: Rehabilitation programs for
patients should be developed and implemented in clinical practice.
Key wards: Mastectomy- Problems- Needs-Nursing Guidelines
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Impact of simulation training on second year nursing students' clinical skills
in faculty of nursing at Zagazig University Samah Mahmoud Mohamed
(1), Nadia Mohamed Taha
(2),
(1) Assis. Lecturer of medical surgical nursing Faculty of Nursing, Zagazig University.
(2)
Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University.
Simulation offers a fresh approach to psychomotor skills education which allows to nursing
students to integrate knowledge from all three learning domains during practicing psychomotor
skills. Aim: This study aimed to assess the impact of simulation training on second year nursing
students' clinical skills in Faculty of Nursing at Zagazig University. Methods: A quasi
experimental design was used. The study conducted in Medical Surgical Nursing skills labs and
classrooms of Faculty of Nursing at Zagazig University and Medical and Surgical Departments
of AL-Ahrar Hospital. Sample: A purposive sample of 100 second year nursing students were
included, 50 in the study group and 50 in the control group. Tools: Two tools were used for
collection of data; first tool was a knowledge questionnaire sheet to collect data about personal
characteristics of studied nursing students as well as knowledge regarding IM injection and
peripheral intravenous cannulation. Second tool was observational checklists to assess nursing
students' practice regarding IM injection and peripheral IV cannulation. According to nursing
students' assessment (pre-program), the researcher detected needed knowledge and practice, then
developed training program and implemented it through sessions. Results: The study results
revealed statistically significant differences between nursing students in the study group
compared to those in the control group related to knowledge and practice concerning IM
injection and peripheral IV cannulation immediately post program implementation and two
months later. Also, statistical significant relations between nursing students' knowledge and
practice mean scores and their personal characteristics throughout the program phases.
Conclusion: It can be concluded that simulation training program had a positive effect in
improving nursing students' knowledge and practice. Recommendations: It is recommended to
provide a continuous simulation training program for all undergraduate nursing students at
summer to refresh and update their knowledge and practice. In addition, Periodic evaluation of
nursing students' knowledge and practice as regards different nursing procedures at skills labs in
order to obtain data which determine level of knowledge and skills.
Key words: Simulation training, nursing students, skills.
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
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Prevalence and Influencing Factors of Unsafe Intravenous Injection Practice
among Nurses at Zagazig University Hospitals
Suzan Mohammed El-Sayed (1)
, Eman Mohammed Abd - Elaziz (2)
& Magda Abd Elaziz
Mohamed (3)
. (1)
A demonstrator, Medical-surgical nursing dep.- Faculty of Nursing -Zagazig University,
(2)
lecturer of Medical surgical nursing dep.- Faculty of Nursing -Zagazig University, (3)
Prof. of Medical surgical nursing, Faculty of Nursing -Ain Shams University.
Background Unsafe injection practices put patients and healthcare providers at risk of infectious
adverse events and have been associated with a wide variety of procedures and settings. Aim of
this study: Was to measure the prevalence of unsafe intravenous injection practice among nurses
and identify the related influencing factors. Subject & methods: Research design: An analytical
cross- sectional design was used. Setting: The present study was conducted in general wards
(medical and surgical) of Zagazig University Hospitals. Subject: 240 of bedside nurses who are
give direct care and had more than one year of experience were selected. Tool of data
collection: A questionnaire sheet and an observational checklist were used. Results: Majority
(94.6%) of nurses had a series lack of safe injection practices. the majority (96.2%) of hospital
infection control activities were lacking except for the presence of incinerator (93.3%) similarly
low percentage of adequate training (3.8%) and working condition(6.3%)were reported . in
addition , only (8.8%) of nurses had satisfactory knowledge .there were a negative correlation
between practice and each item of age and experience . there were positive correlation between
practice and each item of qualification and supplies availability . Conclusion: The staff nurses in
general wards of Zagazig university hospitals had a series lack of safe intravenous injection
practice, the related influencing factors were inadequate hospital infection control activities,
training, work condition and unsatisfactory level of nurses' knowledge regarding safe injection.
Recommendations: Urgent program for staff development along with promotion of safety
culture in the study setting, provision of needed supplies for safe injection practice and further
research is proposed to test the effectiveness of these changes on nurses' practice of safe
intravenous injection.
Key words: Prevalence, Influencing Factors, Unsafe Intravenous Injection, Nurses, Zagazig University Hospital.
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
22
Factors Affecting Wound Healing and Needs among Patients with Diabetic
Foot Ulcer: Suggested Nursing Guidelines
Fatma Mohammed Abdelhamied
(1), Nadia Mohammed Taha
(2)&Maha Dosoky Sakr
(3)
(1)Demonstrator, medical surgical nursing dep, Faculty of Nursing, Zagazig University,
(2) Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University,
(3)
Lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University
Background: Diabetic foot ulcer is one of the most frightened complications of diabetes and is
the leading cause of hospitalization among diabetic patients. Aim: The present study aimed to
assess factors affecting wound healing and needs among patients with diabetic foot ulcers.
Research design: Descriptive exploratory design was utilized. Setting: The present study
conducted in outpatient clinic at Zagazig University Hospitals Sample: The study subject
includes 70 patients with diabetic foot ulcer as result of diabetes(40 males and 30 females).
Tools: four tools were used for collection of data, first patient's assessment sheet, Thai stress test
(TST) questionnaire, questionnaire sheet about patient knowledge about diabetes mellitus and
foot care, questionnaire about needs of patient with diabetic foot ulcer. Results: The study
finding revealed that the mean age of the study sample was (53.4±10) years Also, there was
statistical significant strong positive relation between knowledge and patients practice about
diabetes. The factors that were significantly affect ulcer healing were age, wound grade, vascular
condition, infection, blood glucose, offloading devices, and mental stress .The psychological
needs and the total needs were significantly affect diabetic foot ulcer healing. Conclusion: The
study findings concluded that, the most factors which affect ulcer healing were age, wound
grade, vascular condition, infection, blood glucose, offloading devices, and mental stress. the
high needs for patient with diabetic foot ulcer were psychological needs followed by physical
and functional needs then socioeconomic needs and spiritual needs. Recommendations: Further
studies are recommended to identify effects of educational programs on improving patient
knowledge and practice regarding care for diabetic foot ulcer.
Key words: ( factors affecting wound healing; Diabetic foot ulcer; Thai stress test; Needs).
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
23
Nurses Knowledge and Practice Regarding Gastrointestinal Endoscopy and
Suggested Nursing Guidelines
Wafaa Mohamed amer(1),
Mohamed N. El-khashab2 Nadia Mohamed Taha
(3) & Howida
Kameel Zaton (4)
(1) Assis. lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University
(2) Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University,
(3) Lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University
Aim of the study: to assess knowledge and practice of nurses regarding to Gastrointestinal
Endoscopy procedure and suggested nursing guideline. Research design: Descriptive
exploratory design was utilized. Setting: The present study conducted in gastrointestinal
endoscopy unit at Zagazig University Hospitals. Sample: The study subject includes all
available endoscopy 35 nurses. Tools: Three tools were used for collection of data, first
questionnaire sheet to collect knowledge about socio demographic characteristics of study nurses
and questions to assess nurses' knowledge regarding endoscopy as definition, structure,
complication, nursing role, guidelines and types of endoscopy and her role in the pre-
procedure, during procedure and post –procedure. Second tool was nursing attitude. Third tool
was an observational checklist to assess nurses' practice in the pre procedure, during procedure
and post procedure in endoscopy and Suggested nursing guideline. Results: The study revealed
that the more than half of the nurses , had their age equal 25 years or less and most of them had
diploma degree and that more than half of nurses had, their working experience range from 8
years to less than 28 years. Most of studied nurses had satisfactory level of nurses' knowledge
regarding Gastrointestinal Endoscopy. The majority of nurses had positive attitude. The majority
of nurses had unsatisfactory nurses' level of practice before, during and after GI endoscope,
discharge instructions and manual Disinfecting of endoscopy. Also, there were statistical
significant relationship between total nurses' knowledge regarding GI endoscopy and their age,
training and work duration and not significant with nurse qualification..Conclusion: we can
conclude that the nurse age, training and working duration are affecting the level of nurses'
knowledge regarding gastrointestinal endoscopy including; general precautions, basic steps to
clean and disinfection in endoscopy unit. The majority of nurses had positive attitude. While
training and qualification can affect dealing with patients in addition to nurses' level of practice
before, during and after GI endoscope, discharge instructions and manual Disinfection of
endoscopy. So, we recommend adequate education and training of all nurses working with
gastrointestinal endoscopy unit, with continuous evaluation of nurses' work practice. Periodic
evaluation may help to take decision regarding training programs to increase theoretical l and
practical experience. Further studies are necessary to identify effects of educational programs on
nurses' performance in gastrointestinal endoscopy unit.
Key words: Nurses, knowledge, practice, attitude, gastrointestinal endoscopy, training, education .
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
24
Self-Care Practices for Patients on Chemotherapy at Zagazig University
(1)
Mona Mohammed Fathy Rezk, (2)
Nadia Mohamed Taha , (2)
Eman Mohamed Abd El-
Aziz (1)
Demonstrator of Medical Surgical Nursing, Faculty of Nursing, Zagazig University (2)
Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University,
(3)
Lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University
Background: Self-care is fast becoming an important issue in relation to patients with cancer
because of the introduction of complex treatment regimens which frequently involve the use of
multiple combinations of chemotherapeutic drugs. The complexity of regimens makes it more
likely that patients will experience potentially toxic side effects, requiring prompt and effective
self-management to prevent adverse effects on their treatment and quality of life. Furthermore,
people with cancer have unique and experiential knowledge of living with cancer and its effects
and therefore can effectively contribute to their management. Aim of this study: was to assess
self-care practices for patients on chemotherapy at Zagazig University Hospitals. Setting: the
present study was conducted in the out-patient clinic of chemotherapy and the Oncology
Department at Zagazig University Hospitals. Design: a descriptive exploratory design was
utilized in the current study. Subjects: 159 adult patients receiving chemotherapy at above
mentioned setting selected randomly. Tools of data collection: Three tool were used. A
questionnaire sheet composed of three parts: personal information questionnaire, chemotherapy
side effects questionnaire, Patient knowledge questionnaire, 2nd
tool composed of two parts
general self-care practices questionnaire, specific self-care practices questionnaire, and third tool
factors affecting self-care practices questionnaire was used. Results: majority of studied patients
(93.1%) had unsatisfactory knowledge, Majority of studied patients (89%) had unsatisfactory
total self-care practices, and there were factors affecting 82% of studied patients regarding their
self-care during chemotherapy. there was significant positive correlation between factors
affecting self-care practice score, total knowledge score, and self-care practice score Conclusion:
it can be concluded that the majority the studied patients had unsatisfactory knowledge, and
practice level regarding their self-care during chemotherapy. Furthermore, most of the studied
patients reported that they had various factors (physical, psychological, social, financial, and
beliefs) that affect their self-care during chemotherapy. Recommendations: a manual Prospectus
of side effects of chemotherapy and how to manage it should write in simple words and use
attractive pictures given to the patients, encourage the patient to participate in health teaching and
counseling program about chemotherapy side effects and how to deal with these side effects.
Key words: Self-Care, practice, Chemotherapy
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
25
FATIGUE, DEPRESSION AND SLEEP DISTURBANCE AMONG HEMODIALYSIS
PATIENTS
Samah Mahmoud Mohamed(1)
, Nadia Mohamed Taha(2)
, Hanaa Hamdey Ali(3)
, & Shaimaa
Mohamed Nageeb(4)
(1)
Assis. lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University (2)
Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University,
(3)
Lecturer of psychatric Nursing, Faculty of Nursing, Zagazig University (4)
Lecturer of psychatric Nursing, Faculty of Nursing, Zagazig University
Abstract
Chronic kidney disease (CKD) is often unpredictable and patients may not feel ill as the disease
progresses to end stage renal disease (ESRD), and requires dialysis or kidney transplant. Patients
on hemodialysis (HD) account for approximately 92% of the overall dialysis population. This
study aim was to assess the psychological problems such as fatigue, depression and sleep
disturbance among hemodialysis (HD) patients. The study design was a descriptive cross-
sectional design. The study was conducted in the hemodialysis units at the General and Fevers
Hospitals in Zagazig City. All patients attending the study settings105during the time of data
collection were eligible for participation in the study if they fulfill the following criteria Adult:
age 18 -65 years on hemodialysis in the study setting for at least 3 months. Data collection tool,
an interviewing questionnaire sheet, Fatigue Severity Scale (FSS), Beck Depression Scale and
Sleep Disturbance Scale. Results: the total sleep problems were 90,5%, the highest weresleep
disturbance (85.7%) and sleep insufficiency (85.7%). Conversely, the lowest type was that of
daytime functioning problems (77.1%). More than one third of the patients in the study sample
had severe depression symptoms (37.1%). An additional third had moderate depression
symptoms (33.3%), while only 12.4% had no such symptoms. The majority of the patients in the
study sample (83.8%) had total fatigue symptoms.There were not any correlation of statistical
significance among patients’ scores of depression, sleep, and fatigue.In conclusion, the patients
on HD have a very high prevalence of various types of sleep problems, depression symptoms,
and fatigue. Patient’s age, income, marital status, and duration of illness have significant
influences on these disorders. Hence, these patients need psychological support in order to
relieve these symptoms and prevent their untoward effects on their health and wellbeing. The
study recommends that the patients on HD must be periodically assessed for the presence or
development of depression, fatigue or sleep problems using simple scales as those used in the
present study by the psychiatric or HD nurse. The psychiatric nurse should provide HD patients
with information regarding healthy sleep habits, and train them in relaxation techniques. Special
care should be provided to older patients, with no education and with insufficient income, and
those with long duration of HD or renal disease. Further research is proposed to test the
effectiveness of nursing interventions in decreasing depression and fatigue symptoms, and
improving the quality of sleep among HD patients.
Key Words: Chronic kidney disease, hemodialysis psychological problems depression,
fatigue, sleep problems.
Medical Surgical Nursing Department 1st Annual Scientific Conference Future Vision of Nursing
26
Nurses’ knowledge and practice in maintaining adequate fluid and electrolyte
balance among patients with congestive heart failure
1Samah Ebrahim Eldsouky,
2Nadia Mohammed Taha, &
3Maha Desoky Saleh
(1) Assis. lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University
(2) Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University,
(3)
Lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University
Abstract
Critical care nurses have a vital role in identifying and treating the physiologic stressors
experienced by critically ill patients that disrupt homeostasis such as the patients with Congestive
Heart Failure (CHF). The aim of this study was to assess nurses’ knowledge and practice
concerning fluid and electrolytes balance among patients with congestive heart failure and
investigating the relation between their knowledge and practice. This cross-sectional analytic
design was carried out at Zagazig Main University Hospital on 160 nurses and 160 CHF patients
for assessing nurses’ practice. The data collection tools consisted of a self-administered
questionnaire sheet and an observation checklist. The study findings revealed that nurses'
knowledge about CHF and related fluid/electrolytes balance was high, with an overall good
percentage having total satisfactory knowledge. The practice was deficient regarding assessment
of peripheral circulation, skin and mucous membranes, signs of altered tissue perfusion,
ineffective breathing pattern, and alteration in fluid balance. Nurses’ knowledge was positively
influenced by their age, while female gender. The practice was negatively influenced by the
knowledge score and the number of medications taken by the patient, and the knowledge and
practice scores are negatively correlated. Hence, nurse’s age and gender as well as the attendance
of training courses are the factors influencing their knowledge, while the factors affecting
practice are their knowledge and the number of medications given to patients. In conclusion,
nurses' knowledge about CHF and related fluid/ electrolytes balance is variable, with an overall
good percentage of total satisfactory knowledge. The practice is generally higher. The knowledge
and practice scores are negatively correlated and the training courses have a negative influence
on nurses’ knowledge. Hence, it is recommended that the nurses working with patients with CHF
improve their knowledge, particularly the younger ones. The content and process of training
courses need to be revised, with more focus on applied knowledge. Further research is proposed
to assess the effectiveness of training programs fostering applied knowledge on nurses’
performance.
Keywords: Congestive heart failure, Fluid-electrolyte balance, Critical care nursing