iosr-JNHS   Volume-7 ~ Issue-6 ~ Nov-Dec 2018

Abstract: Poor sleep quality is a common problem in rheumatoid arthritis patients that may lead to disease aggravation, increase fatigue and depression. This study aimed to examine sleep quality and its correlates to fatigue and depressive symptoms of rheumatoid arthritis patients. Design: a quasi-experimental research design (study and control group) thirty patients for each one was utilized. Setting: The study was conducted at physical medicine and rehabilitation outpatient clinic of university hospital at Menoufia governorate, Egypt. Subjects: A purposive sample of 60 rheumatoid arthritis patients who fulfill the inclusion and exclusion criteria. Tools: four tools were used for........

Key words: Sleep Quality Improvement, Fatigue, Depressive symptoms and Rheumatoid Arthritis

[1]. Kiltz U, van der Heijde D. Health-related quality of life in patients with rheumatoid arthritis and in patients with ankylosing spondylitis. Clin Exp Rheumatol, (2009), 27:S108–S111.
[2]. Lee YC. et al (2009) The relationship between disease activity, sleep, psychiatric distress and pain sensitivity in rheumatoid arthritis: a cross-sectional study. Arthritis Res Ther 11:R160.
[3]. Luyster FS et al., Sleep quality and functional disability in patients with rheumatoid arthritis. J Clin Sleep Med, (2011). 7:49–55.
[4]. Li Y, Zhang S, Zhu J, Du X, Huang F. Sleep disturbances are associated with increased pain, disease activity, depression, and anxiety in ankylosing spondylitis: a case-control study. Arthritis Res Ther (2012) ;14:R215.
[5]. Kirwan JR, Boonen A, Harrison MJ, Hewlett SE, Wells GA, Singh JA, et al. OMERACT 10 Patient Perspective Virtual Campus: valuing health; measuring outcomes in rheumatoid arthritis fatigue, RA sleep, arthroplasty, and systemic sclerosis; and clinical significance of changes in health. J Rheumatol (2011) ;38:1728-34..

Abstract: Chemotherapy- induced nausea and vomiting are the most undesirable and common side effects of chemotherapy among children undergoing cancer treatment account for 70- 80%. So this study aimed to determine the effect of therapeutic massage on nausea and vomitingamong children with leukemia following chemotherapy.A quasi- experimental researchdesign was used to conduct the study. The study was conducted at Pediatric Oncology Department in South Egypt Cancer Institute atAssiut University and Pediatric Oncology Department at Sohag Cancer Center. A convenience sampling of 66 children with leukemia of aging 4- 16 years were divided into two groups study and control group (33..........

Keywords: Therapeutic massage, Nausea and vomiting, Leukemia, Children and Chemotherapy

[1]. Abrams A, Muriel A & Wiener L (2016):Pediatric Psychosocial Oncology: Textbook for Multidisciplinary Care. Integrative Care in Pediatric Oncology, chapter 16. Springer. USA, P. 298.
[2]. Abusaad F and Ali W (2016): Effect of point 6 acupressure on chemotherapy associated nausea and vomiting among adolescents with cancer. Journal of Nursing Education and Practice. Egypt, 6(4); 122-129.
[3]. Ali A, Sayed A, Sayed D and Mikhail N (2016): Pattern of Pediatric Tumors at Pediatric Department in South Egypt Cancer Institute: Thirteen Years Report, Journal of Pediatrics and Child Nutrition, 2(2); Pp. 3-5.
[4]. Burke T, Wisniewski T and Ernst F (2011): Resource utilization and costs associated with chemotherapy-induced nausea and vomiting following highly or moderately emetogenic chemotherapy administered in the US outpatient hospital setting. Support Care Cancer, 19 (1): 131-40.
[5]. Can G, Erol O, Aydiner A, &Topuz E (2011): Non-pharmacological interventions used by cancer patients during chemotherapy in Turkey. European Journal of Oncology Nursing, 15(2): 178–184...

Abstract: Background:Nowadays,increasingattentionhasbeendevotedtothepatientsafetyculturewithinhealth administrativedepartmentsandhealthcareorganizations.Aim:The study aims to investigatenurses' safety attitude and their readiness for quality improvement at Main University Hospital- Alexandria. Method:A demographic questions and the SAQ and CQI Readiness surveysweredistributed among the study subjects to collect dataabouttheir attitudes regarding patient safety and their readiness for quality improvement.Results:It was found that there was a highly statistically significant difference between nurses' safety attitude with their readiness for quality improvement.Managers should keep in track for changing nurses' attitude toward quality as a worthy goal, notify them with a clear and constant standard of care to be familiar with and engaged them in all steps of the quality cycle to be responsible for quality outcomes.

Keywords: Nurses' attitude, Patient safety, Readiness, Quality improvement

[1]. Stoddart G, Evans R. Producing health, consuming health care. Why are some people healthy and others not?: Routledge; 2017. p. 27-64.
[2]. Guldenmund FW. (Mis) understanding safety culture and its relationship to safety management. Risk Analysis: An International Journal. 2010;30(10):1466-80.
[3]. Grol R, et al. Improving patient care: the implementation of change in health care: John Wiley & Sons; 2013.
[4]. Aiken LH, et al. Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. The Lancet. 2014;383(9931):1824-30.
[5]. Ross AC, et al. The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. The Journal of Clinical Endocrinology & Metabolism. 2011;96(1):53-8..

Abstract: Introduction:There are multiple challenges facing the critical care nurse educators encountered in both the classrooms and the clinical environment that could provoke the educators' stressors starting a vicious cycle of burnout and job dissatisfaction.The consequences of stress, burnout, and job dissatisfaction have serious implications for critical care nurse educators directly, students, educational institutions, and ultimately the profession indirectly. The aim of the study isto identify thestress, burnout, and job satisfaction levels of the critical care nurse educators..........

Keywords: Job stress- Burnout – Job satisfaction- Critical carenurse educators

[1]. Winefield A, Jarrett R. Occupational stress in university staff. International Journal of Stress Management 2001;8(4):285-6.
[2]. Jamshidi L. the challenges of clinical teaching in nursing skills and lifelong learning from the standpoint of nursing students and educators. Social and Behavioral Sciences 2012;46 3335-8.
[3]. Günbayi I. Job stressors and their effects on academic staff: a case study. International Journal on New Trends in Education and Their Implications 2014;5(4):58-69.
[4]. Khamisa N, Oldenburg B, Peltzer K, Ilic D. Work related stress, burnout, job satisfaction and general health of nurses. International Journal of Environmental Research and Public Health 2015:652-9.
[5]. Joseph U, Esther U, Lucy U. A critical analysis of career stress among academic staff of tertiary institutions in cross river state. Journal of Educational and Social Research 2013;3(2):15-20.

Abstract: Background: A variety of instructional approaches were used in the skill laboratory such as "see one, do one" method. Although thismethod still extensivelyused, Rodney Peyton has suggested an alternative approach, the "Four-Step Approach". This approach guarantees that the teacher divides the procedure into convenient steps, asks the learner to articulate the steps, and provides repetition to strengthen the learning and correct errors. Purpose: To determine the effect of Peyton's four step approach on critical care nursing students‟ skill acquisition, self-confidence and satisfaction level. Method: Using a quasi-experimental research..........

Keywords: Skill acquisition and retention, self-confidence, satisfaction, cardiopulmonary resuscitation, critical care nursing students

[1]. Kelly C. Students' perceptions of effective clinical teaching revisited. Nurse Education Today 2007;27: 885-92.
[2]. Gaberson K, Oermann M. Clinical teaching strategies in nursing. 3rd ed. New York: Springer Publishing Co, 2010.1-10.
[3]. Hashim R, Qamar K, Khan MA, Rehman S . Role of skill laboratory training in medical education: students' perspective. Journal of the College of Physicians and surgeons Pakistan 2016; 26(3):195-98.
[4]. Ahmed E, Mohamed S. Sim-lab versus traditional lab training on maternity nursing students' satisfaction & self-confidence. IOSR Journal of Nursing and Health Science 2016; 5(2):108-15. ww.iosrjournals.org DOI: 10.9790/1959-050204108115.
[5]. Abdallah B, Irani J, Sailian SD , Gebran VG, Rizk U. Nursing faculty teaching a module in clinical skills to medical students: a Lebanese experience. Advances in Medical Education and Practice 2014; 5: 427–32..

Abstract: First aid is any procedure aiming for protecting life and reducing the adverse outcomes of injuries or acute illness till a professional assistance is available from medical practitioners and nurses. Purpose: to Assess the effect of structured instructional program on compliance of nursery school teachers with First Aid guidelines for preschoolers. Design: A Quasi-experimental design was used. Setting: this study was conducted at five Nursery Schools at Al- Shohdaa City in Menoufia Governorate. Sample: purposive sample, composed of all teachers who were attended the full course of instructional program with the total number of (50).........

Keywords: structured instructional program, Nursery School Teachers, First Aid guidelines, preschoolers

[1]. AbdellaNha, Abu-Eleven Nrm, Elkazaz Rh & Moussa Mmm., (2015): Intervention Program for the Kindergarten Teachers about Nursery school children's First Aids. American Journal of Research Communication; 3(5): 178± 194
[2]. Ali. A., Abu-Elseoud. An M.Heybah S. &Mohamed A., (2010): Implementation of an Educational Training Program in First Aid for Newly Graduated Nursery School Teachers at Zagazig City. Zagazig Journal of Occupational Health and Safety Vol 3 No.1 Pp: 20-29.
[3]. Altundag, S., &Ozturk, M. C., (2007): The Effects of Home Safety Education on Taking Precautions and Reducing the Frequency of Home Accidents. Turkish Journal of Trauma & Emergency Surgery, 13(3), 180-185.

[4]. Awad S, Faisal M, & Fatimah H., (2015): Primary School Teachers' Knowledge about First Aid. Med. J. Cairo Univ.; 83(1):541±547.
[5]. Başer, M., Çoban, S., Tasci, S., Sungur, G. And Bayat, M., (2007): Evaluating First-Aid Knowledge and Attitudes of a Sample of Turkish Primary School Teachers. Journal of Emergency Nursing, 33(5): 428–432..

Abstract: Background: Hemorrhoid is considered one of the biggest problems all over the world. Hemorrhoidectomy is the most effective treatment method for advanced stages hemorrhoids.
Aim of the study: To evaluate the effects of warm water sitz bath on post-hemorrhoidectomy symptoms. Patients and Methods: Research design: Prospective randomized controlled trial. Setting: General Surgery Wards and Outpatient Clinics of General Surgery at Assiut University Hospital. Sample: A random sample of 60 adult patients with hemorrhoids (grade III or IV) that did not respond to conservative........

Keywords: Sitz bath, Hemorrhoidectomy, Symptoms.

[1]. Ali SA, and Shoeb MF. Recent trends in management of hemorrhoids. Int Surg J 2017; 4 (4): 1276-80.
[2]. Ali ZH, El-Sayed NO, and Taha NM. Effect of conservative measures in improving hemorrhoid stages and relieving symptoms among patients with hemorrhoid. Journal of American Science. 2011; 7 (9), 53-65.
[3]. Al-Mulhim AS, Ali AM, Al-Masuod N, Alwahidi A. Post hemorrhoidectomy pain. A randomized controlled trial. Saudi Med J. 2006; 27 (10):1538-41.
[4]. Amoli HA, Notash AY, Shahandashti FJ, et al. A randomized, prospective, double-blind, placebo-controlled trial of the effect of topical diltiazem on post-hemorrhoidectomy pain. Colorectal Dis, 2011; 13 (3): 328–32.
[5]. Balta AZ, Ozdemir, Y, Sucullu I, Filiz a, Yucel E, Akin ML. Effect of early warm plastic bag application on postoperative pain after hemorrhoidectomy: a prospective randomized controlled trial. The American surgeon, 2015; 81(2):180-184.

Abstract: Background: - Iron and folic acid supplementation with optimal adherence during pregnancy can effectively prevent anemia and its complications. The aim of the study: - to assess knowledge of pregnant women regarding the factors affecting their compliance with iron and folate supplementation. Subjects and Method: -Study design: - In this study, a descriptive cross-sectional study design was used. Study settings: - The study was conducted in outpatient clinics of Maternity Hospitals and Maternal and Child Health (MCH) centers in Tanta City.........

Keywords: Compliance, Iron, Folic Acid supplement, Pregnant women.

[1]. Worldwide prevalence of anemia 1993–2005.WHO Global database on anemia. Geneva: World Health Organization; 2008 Available at. http:// whqlibdoc.who.int/publication/2008/9789241596657 _eng.pdf.Accessed on 7 April 2017.
[2]. El- Ashiry A, El-Ghazaly S and Habil I. Prevalence and determinants of anemia in third trimester pregnancy in Fayoum Governorate-Egypt. Acta Medica Mediterranea; 2014, 30: 1045.
[3]. WHO. Daily iron and folic acid supplementation during pregnancy. Library of Evidence for Nutrition Actions (LENA), 2017; 16:49.
[4]. Soliman G, Azmi Mand Soha El-S. Prevalence of Anemia in Egypt (Al-Gharbia Governorate). The Egyptian Journal of Hospital Medicine ,2007; 28: 295– 305
[5]. Rahman M, Abe S, Rahman M, Kanda M, Narita S, Bilano V, et al. Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: systematic review and meta-analysis. American Journal of Clinical Nutrition; 2016; 103(2):495-504..