iosr-JNHS   Volume-7 ~ Issue-1 ~ Jan-Feb 2018

Abstract: Background: Critically ill patients in the intensive care unit (ICU) often experience pain, anxiety, fear, dyspnea, and other forms of distress related to ICU interventions and mechanical ventilation. When a patient is intubated and mechanically ventilated, communication is often accomplished through facial expressions, gestures, and/or writing, however, these simple modes of communication are not always effective. Communication board is one of the methods that help patients point to a picture which express their complain Aim: This study was conducted to evaluate the effectiveness of using nonverbal communication method versus traditional methods toward expressing needs ,anxiety level and satisfaction for mechanically ventilated Patients. Design: A quasi-experimental study design was used.........

Keywords; Developed communication board. Nonverbal communication. Patient on mechanical ventilator. Traditional methods.

[1] Klisiari A., Gaki A. (2012): The Concept of Communication between nurse and patient in the catheterization laboratory, Hospital Chronicles; 7(1): 26–30
[2] Happ M., Tuite P., Dobbin K., DiVigilio-Thomas D. & Kitutu J. (2009): Communication ability, method, and content among nonspeaking non surviving patients treated with mechanically ventilation in the intensive care unit. American Journal of Critical Care; 3: 210– 218.
[3] Patak A., Wilson-Stronks J., Costello R., Kleinpell E. Henneman A. & Person C. (2009) : Improving patient-provider communication: a call to action, J. Nurs. Adm. 39 372–376
[4] Khalaila R., Zbidat W., Anwar K., Bayya A., Linton DM.& Sviri S.(2011): Communication
difficulties and psychoemotional distress in patients receiving mechanical ventilation, Am J Crit Care.;20:470–9
[5] Ten Hoorn S., Elbers P., Girbes A. & Tuinman P (2016) :Communicating with conscious and mechanically ventilated critically ill patients: a systematic review, Critical Care (2016) 20:333 DOI 10.1186/s13054-016-1483-2

Abstract: The public opinions are extremely powerful tool in forming social norms and values. Despite the nursing profession has significant progress, nurses still face remarkable challenges related to its' image that effect on their power, self –esteem and public image. Aim: to Identify relationship among public nursing image, self-image, and self-esteem of nurses. Design: correlational research design was used in this study. Setting: The study was carried out at all Minia University Hospitals. Sample: The subjects of this study consisted of (320) all nurses who work in Minia University Hospitals at the time of data collection. Tools: personal characteristics of data, nursing image Likert scale, the Perceptions of Professional Nursing Tool (PPNT) and self-esteem scale. Results: both nurse's self- image and public nursing image was negative, which affect negatively on nurses' self-esteem .Conclusion: nurses' suffering from negative self- image, self –esteem and public image. Recommendations: Providing positive nursing image by the media to enhance public nursing image.

Keywords; Public nursing image, self –esteem.

[1]. Lee, S.R. "Nurse Image, Satisfaction of Manor effect on Nursing Professionalism of Male Students in Nursing" Unpublished master's thesis, Ajou University, Gyunggi Province, 2011.
[2]. Kim, J.H. "Clinical Nurses' Professionalism, Job stress and organizational commitment" " published master's thesis, Ajou University, Gyung-gi Province, 2015.
[3]. Inkyung Kim&Jinhyun , Kim,. The Relationship between Nurse Image and Nursing Professionalism according to Nursing Students' Gender, Advanced Science and Technology Letters Healthcare and Nursing, 2016; Vol.132
[4]. Abdel El-Halem GE, El Hawashy ZI, Gamal El-Dein AA, TahaEE. Undergraduate Male Nursing students' Perception about the Image of the Nursing Profession, Journal of American Science, 2011;7(3) http://www.americanscience.org
[5]. Yilmaz AA, Ilce A, Cicek SC, Yuzden GE, Yigit U. The effect of a career activity on the students' perception of the nursing profession and their career plan: A single-group experimental study. Nurse education today. 2016;39:176-80.

Abstract: Background: Employee empowerments now considered a key element in the successful implementation of new management strategies and play an important role in determining the degree of job commitment and satisfaction of the employee as well as their motivation, Aim: the Study aimed at to examining the relation between empowerment and organizational Commitment among Staff Nurses. Research design: a descriptive correlational design was used in this study. Setting: This study was carried out at Minia University Hospitals, and Minia general hospital. Sample: 100 staff nurses, working in critical areas, tools: data was collected by using two types of tools namely I. Conditions of Work Effectiveness Questionnaire- (CWEQ), and II. Organizational commitment questionnaire.......

Keywords; Empowerment and organizational commitment, nurses.

[1] Abdu. S.M,: Assess Stress And Empowerment Among Nurses Interns During The Internship Year At Mansoura University Hospital, Un Published Master Theses, Faculty Of Nursing, 2011 Zagazig University
[2] El Sayed W: A Motivating Work Factors And Empowerment Among Staff Nurses At Mansoura University Hospital, Master Degree Thesis, Faculty Of Nursing, ,(2008); Ain Shams University, Empowerment Questionnaire(Conditions Of Work Effectiveness Questionnaire- (Cweq-Ii), Pp. 128.
[3] Hosni .E.K, Effect of Workplace Civility and Empowerment on Newly Graduated Nurses Organizational Commitment at Hospitals in Assiut City, Doctorate Thesis (2014); In Nursing Administration, Pp.6faculty of nursing Assiut university.
[4] Abduallah And Ramy M, I : Antecedents Of Organizational Commitment Of Banking Sector Employees In Pakistan, Serbian Journal Of Management; 2012: 7(1): 89-100
[5] Rubel M. R.B, &Kee D. M. H, Perceived Fairness Of Performance Appraisal, Promotion Opportunity And Nurses Turnover Intention: The Role Of Organizational Commitment. Asian Social Science; 2015; 11(9).

Abstract: Background: The disease of a major influence is hepatitis C. The serious, advanced, and possibly life-threatening infection is Chronic HCV infection.Objectives: the purpose of this study was to value the outcome of applying infection control instruction on health care workers' practice. Design: quasi-investigationalstudydesignwas done in this study. Setting: The study directed at the Egyptian Liver Institute in Sherbein Dakahlia. Sample: A conveniencesection of 61 health care workers was designated. Tools of the study: Two tools were used to gather the requiredstatistics for this study: Tool I: Health care workerspracticeworksheet. Tool II: Infection control instruction. Result: There was a statistically significantamongtotalpractice and agein immediateapplicationstage were (p=.038).Conclusion: There was progress in health care workers' practice in direct:......

Keywords; Infection Control Guideline, Health Care Workers, practice, Hepatitis C

[1] M.A.Blomé, P.Björkman, V. Molnegren, P. Höglund, and A. Widell, Hepatitis C viremia patterns in incident hepatitis C infection and one year later in 150 prospectively tested persons who inject drugs,Plos One, 9(5), 2014,e97022.
[2] A. Gi, A.M. Matos, and C. Luxo, Hepatitis C Treatment: What to Expect in 2017,ARC Journal of Hepatology and Gastroenterology, 1(1), 2016, 9-12.
[3] L. Gheorghe, L. Sporea, S. Iacob, R. Şirli, A. Trifan, D. Dobru, M. Diculescu, C. Stanciu, O. Pascu, M. Acalovschi, C. Brisc, C. Cijevschi, C. Gheorghe, Z. Spârchez, I. Rogoveanu,and D. Dumitrascu, Position Paper on Treatment of Hepatitis C in Romania, 2017,J Gastrointestin Liver Dis., 26 (2),2017, 171-181.
[4] A. Elgharably, A.I. Gomaa, M.M. Crossey, P.J. Norsworthy, I. Waked, and S.D. Taylor-Robinson, Hepatitis C in Egypt – past, present, and future,Int J Gen Med., 10, 2017, 1–6.
[5] A. Kandeel, M. Genedy, S. El-Refai, A.L. Funk, A. Fontanet,and M. Talaat, The prevalence of hepatitis C virus infection in Egypt 2015: implications for future policy on prevention and treatment, Liver Int., 37(1), 2017, 45-53..

Abstract: Mothers of children having speech and language problems are susceptible to mounting pressure. Raising a family awareness can be rewarding and demanding even in healthy social and economic climates, aim, this study aimed to investigate the effectiveness of a designed psycho -educational program on mothers of children with speech and language problems, Design, A quasi- experimental design was utilized in this study, Setting, The study was conducted at the out - patient clinic of Psychiatry and Addiction ,at alkasr Al aini. hospital, Cairo University, Subjects, A purposive sample consisted of 114 children and their mothMMers .Tools for data collection, personal and medical data that include, data for children and their mothers as child age ,gender, level of education , child ranking, data related to parent include, age, educational level......

Keywords; Psycho -educational, mothers, children, speech and language problems

[1]. Hamaguchi, M. (2010): Childhood Speech, Language, and Listening: What every Parent should Know, 3rd Ed, Themes, United states of America (USA), PP. 3.

[2]. William, G. and Dulm, V. (2014): Language disorder, Available at, http:/ /en.wikipedia. org .

[3]. Mohammed, H. (2011): Role of Mothers Towards Care of their Malnourished Children under 5 years, Master Thesis, Pediatric Nursing, Faculty of Nursing, Ain Shams University, PP. 109.

[4]. Abou El-Ella, M., Saleh, M., Habil, I., El Sawy, M. and El Assal, L. (2015): Prevalence of stuttering in primary school children in Cairo-Egypt. International journal of speech-language pathology, (10): 1-6.
[5]. National Intuited Deafness and other Communication Disorder (NIDCD), (2010): Statistics on Voice: Speech and Language, Available in, https: //www.nidcd-

Abstract: The Objective Structured Clinical Examination (OSCE) is a useful way to assess competence at undergraduate and postgraduate levels. Students and lecturers should be well prepared to make the most of them. OSCE is used increasingly in nurse education, to assess clinical skill proficiency. Good preparation for an OSCE is vital for both those running the assessments and for students. Used effectively, OSCEs can help students gain confidence to use their skills in their clinical work. OSCEas a performance-based assessment method is a well-established student assessment tool. Its popularity in the assessment of clinical competence is well documented and prominent in situations where reliability and content validity are fundamental. Aim: the aim of the study was to evaluate the effect of implementingOSCEfor.............

Keywords; OSCE, Innovative Education Strategies,Competency-Based Learning, Simulated Patients, Clinical Learning Environment, /Formative Assessment, Summative Assessment

[1]. Alinier G (2003) nursing students' and lecturers' perspectives of objective structured clinical examination incorporating simulation. Nurse Education Today; 23: 6, 419-426.
[2]. Amin, Z., & Hoon-Eng, K. (2003). Basics in medical education. New Jersey: World Scientific Publication.
[3]. Australian Nursing and Midwifery Council (ANMC) (2005). National competency standards for the registered nurse. http://www.edcan.org
[4]. Barry M et al (2012). An exploration of student midwives' experiences of the Objective Structured Clinical Examination assessment process. NurseEducation Today; 32: 6, 690-694.
[5]. Bartfay W. J.Rombough R., Howse E, & LeBlance, R. (2004) The OSCE in nursing education: objective structured clinical examinations. The Canadian Nurse; 100(3), 18-25.

Abstract: Background: The primary concern of all stroke patients is to reacquire the capability to balance and walk independently, therefor, physical rehabilitation is imperative for stroke. Aim of the study; To investigated effects ofdual task exercises on gait, balance, and walking speed in stroke patient. Methods;A quasi-experimental research design was applied.The study was conducted in Neurology departments at Mansoura University Hospital. Participants(n=100)were distributed randomly to into two groups.Participants in intervention group have balance, and gait training and perform the cognitive and motor tasks during walking. The practical sessions were 30 min/session, 4 sessions/week for 2 weeks. Three points of assessment were done before intervention, two weeks and one month after intervention............

Keywords; Balance, dual task exercises, gait, stroke, walking

[1]. Hugues, A., et al. "Efficiency of physical therapy on postural imbalance after stroke: study protocol for a systematic review and meta-analysis." BMJ open 7.1 (2017): e013348.
[2]. MEHRHOLZ, Jan, et al. Electromechanical and robot‐assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke. The Cochrane Library, 2015.
[3]. MENDIS, Shanthi. Stroke disability and rehabilitation of stroke: World Health Organization perspective. International Journal of stroke, 2013, 8.1: 3-4.
[4]. Feigin, Valery L., et al. "Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010." The Lancet 383.9913 (2014): 245-255.
[5]. FROHMAN, Ashley N., et al. Aquatic training in MS: neurotherapeutic impact upon quality of life. Annals of clinical and translational neurology, 2015, 2.8: 864-872.

Abstract: Background: Colorectal cancer is the second cause of cancer mortality. Clinical nurse specialists play a vital role in delivering a high-quality care to patients from diagnosis, through to and beyond treatment. Aim of study: evaluate effect of pre-operative health education program on post-operative health outcomes of colorectal cancer patients at gastroenterology center(GEC). Method: a quasi-experimental research design was conducted in GEC at Mansoura University. A purposive sample of (98) patients, who divided into control and study groups. Two main tools were used; Socio-demographic characteristics and patient's health relevant data, and Post-operative patient's health outcomes sheet (complications assessment sheet, diagnostic studies assessment sheet.........

Keywords; Colorectal Cancer's Patients, Health Education Program, Health Outcomes, Post-Operative, Pre-Operative.

[1]. Kamal, A., Darwish, R.. K., Saad, S., Salama, M., El-Baradie, T. S., Mahmoud, H. G., …& Elshiwy, Y. (2017). Association of Osteopontin Gene Polymorphisms with Colorectal Cancer. Cancer investigation, 35(2), 71-77.
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[5]. Frick, M. A., Vachani, C. C., Bach, C., Hampshire, M. K., Arnold‐Korzeniowski, K., Metz, J. M., … & Hill‐Kayser, C. E. (2017). Survivorship and the chronic cancer patient: Patterns in treatment‐related effects, follow‐up care, and use of survivorship care plans. Cancer, 123(21), 4268-4276.

Abstract: Myocardial infarction is the clinical and pathologic syndrome results from ischemia and necrosis of myocardial tissue. The site of infarction depends on the vessel blocked; the size of infarction varies, and the area of muscle involved may be small or very extensive.The rehabilitation program for patients having heart attack play an important role on their modifiable risk factors, so patient education has demonstrated it's potential to change and improve risk factors. The aim of this study: To study the impact of health education designed to heart attack's patients having risk factors. Subjects and Methods: An experimental design was conducted at coronary care unit in Benha University Hospitals and Zagazic University Hospitals......

Keywords; Modifiable Risk Factors, Heart Attack, Patients, health education program, nursing, mortality, sudden cardiac death (SCD)

[1]. AhmedZ,Factors affecting quality of life for patient with coronary artery disease , Master thesis , Faculty of nursing , Ain Shams University 2004; 160 – 166 : 188 .

[2]. Allen J, Levy, M, Ades P, et al. Cholesterol management: an opportunity for nurse case manager. Journal cardiovascular nursing 2013; 14(2) 55-60

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Abstract: Astigmatism is a type of refractive error in which the eye does not focus light evenly on the retina. This results in distorted or blurred vision at all distances The aim of this cross-sectional study was to measure the prevalence of astigmatism among the female university students who rely heavily on electronic devices. Also, to find the association between this eye defect and the socio-economic factors and the time duration of using electronic devices. The sample consisted of female students, studying in university, in Jeddah city, who responded to self-administrated questionnaires. It was found that the prevalence of astigmatism was 14.69 %, and there was no statistical significant association with both the socio-economic factors and time duration of using electronic devices.However, the risk of astigmatism is more among Saudi students, and among those who use e-devices more than 8 hours per day.

Keywords; Astigmatism, electronic devices,Jeddah city, female university students.

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