iosr-JNHS   Volume-5 ~ Issue-4 ~ July-August 2016

Abstract: In today's world nurses are facing a lot of stress. Nursing practice involves many stressors related to both clients and the work environment. The present study was undertaken to assess the effectiveness of self instructional module regarding stress management among staff nurses in selected hospitals of the city using an evaluative approach. Objectives of the study were to assess the knowledge of stress management among staff nurses, to evaluate the effectiveness of self instructional module and to compare the level of knowledge on stress management with the selected demographic variables............

Keywords: effectiveness, stress among staff nurses, self instructional module, stress management, stress.

[1]. S.K. Avasthi, A comparative study to assess occupational stress level among male female employees of selected hospital at Indore, M.Sc. Nursing Dissertation , Devi Ahilya Vishwavidyalay, Indore, 2007.
[2]. B. Mishra, SC Mehta Evaluation of work place stress in health university workers, Indian journal of community medicine, 36(1), 2011.
[3]. A Berman, G Erb, B Kozier, SJ Snyder, Fundamentals of nursing concepts process and practice (Dorling Kindersley, India:2009)
[4]. Light Irin C and Bincy R, Effect of stress management interventions on job stress among nurses working in critical care units, Nursing Journal of India. 103(6), 2012, 269-71.
[5]. Uma R. Adhikari, A study to identified specific problem faced by the married staff nurses between the age of 25-45years in rendering nursing services in a selected private hospital in Kolkata, Nursing Image. 11(5).

Abstract: Effectiveness of Self Instructional Module on knowledge regarding the selected care of pre-eclampsia patient among nurses. Background: Pre-eclampsia mothers are more dependent on nurses to meet their basic needs than other Antenatal mothers. It is syndrome of hypertension and proteinuria, is a major cause of maternal and perinatal morbidity and mortality. To minimize mortality and morbidity, it is important to identify cases of pre-eclampsia, to provide efficent and effecticve nursing care to them. Aim: To assess the effectiveness of self instructional module on knowledge regarding preeclampsia among nurses............

Keywords:Nurses knowledge, Self instructional modules, Preeclampsia..

[1]. Thangaratinam S, Coomarasamy A. Tests for predicting complications of pre-eclampsia. The journal of the Royal Socityofhealth . march 2003;vol.120:13
[2]. Diane M Fraser Margerat A Cooper ; Myles Textbook for Midwives .14th edition, published by Churchill Livingstone;2008:page 398-755
[3]. LynnaY.Littleton; Maternity Nursing Care.British Library. 3rd edition ;2001:350-36
[4]. SabaratnamArukumaram; Essentials of obstetrics.Japee Brothers;2006:62-19.

Abstract: Purpose: This study has examined the effect of counseling on secure bonding among domestically abused women with an unintended pregnancy. Methods: This interventional study was conducted at two randomly selected Maternity Educational Hospitals, one in Egypt and the other in Jordan. An instrument was developed by the investigators based on previous literature consisting of two sections: demographic and obstetric data and Observational checklist to Assess Secure Bonding............

Keywords: Counseling, Domestic Violence, Maternal-Child Relations.

[1]. Andreassen Carol and West Jerry (2007). Measuring socioemotional functioning in a national birth cohort study. Infant Mental Health Journal. 28, (6), 627–646.
[2]. Berlin, L. (2005). Interventions to Enhance Early Attachment. In Berlin L., Ziv Y., Jackson L. Amaya, & Greenberg M., Enhancing Early Attachments: Theory, Research, Intervention, and Policy. New York: The Guilford Press, pp. 3-34.
[3]. Berlin, L., Cassidy, J., & Appleyard, K. (2008). The Influence of Early Attachments on Other Relationships. In Cassidy, J. & Shaver, P (eds.) Handbook of Attachment: Theory, Research, Clinical Applications. New York: Guilford Press.

[4]. Bowden, Vicky R. and Greenberg, Cindy Smith. (2011). Pediatric Nursing Procedures. Third edition LWW co. Philadelphia.

[5]. Clementina, Pires de Almeida, Eduardo, Sá, Flávia Cunha. & Ermelinda, P. Pires. (2013). Violence during pregnancy and its effects on mother–baby relationship during pregnancy. Journal of Reproductive and Infant Psychology, 31(4), 370-380..

Abstract: Background: Adolescents' Reproductive health (ARH) is an integrated approach to the health and development needs of adolescens. The reproductive health needs of adolescents have been mostly overlooked to-date by existing reproductive health services and information. Health awareness teacher or school nurse has an important role in the provision of school health services. Aim of this Study: was to evaluate the effectiveness of health education program on health awareness teachers' knowledge and practice toward adolescent's reproductive health............

Keywords: Adolescents' reproductive health, knowledge and practice, breast self-examination, Health awareness teacher or school nurse.

[1] Naeem, Z. (2013).Medical and Behavioral Problems among Saudi Adolescents.Int J Health Sci (Qassim). 2013 Jun; 7(2): V–VI.
[2] UNICEF.(2011). The state of the world's children: Adolescence an age of opportunity. United Nations Children Fund (UNICEF). February 2011.
[3] US Census Bureau.Internationalprograms.International data base. (2014) Available at:
http://www.census.gov/population/international/data/idb/region.php?N=%20Results%20&T=10&A=separate&RT=0&Y=2014&R=-1&C=SA Accessed April 11, 2014 [4] AlBuhairan, F., & Olsson. T. (2014).Advancing adolescent health and health services in Saudi Arabia: Exploring healthcare providers' needs, attitudes andknowledge.Adv Med EducPract, 5, pp. 281–287 [5] Obermeyer, C., &Bott, S. Sassine, A. (2015).Arab adolescents: Health, gender, and social context. J Adolesc Health, 57, pp. 252–262

Abstract: Conditions found in patient transport are not always the most favorable and are the main contributors to a precarious ergonomic performance. Ergonomics is the relationship between man and the working environment; it effectively contributes to a good development of tasks and makes us to position properly to carry out activities in the exercise of function against any physical effort that might be harmful to the musculoskeletal system. The study aimed to characterize the socio-demographic profile of patient's rescuer drivers, knowing the physical activities developed and their complaints about transport use............

Keywords: Ergonomics, Equipment design, Ambulance, Patient care

[1]. Portaria nº 2.048/GM, de 5 de novembro de 2002. Dispõe sobre o regulamento técnico dos sistemas estaduais de urgência e emergência. Diário Oficial da União. 2002 dez 9: p. 70-71.
[2]. ANVISA. Adequação dos veículos utilizados no transporte de viajantes enfermos ou suspeitos; 2011.
[3]. Jorge MCTC. A postura de trabalho em pé: um estudo com trabalhadores lojistas Florianópolis; 2013.
[4]. Célia RCRS, Alexandre NMC. Distúrbios osteomusculares e qualidade de vida em trabalhadores envolvidos com trasporte de pacientes. Rev Bras Enf. 2003 set. / out.; 56(5): p. 494-98.
[5]. Fukumoto EK, Cavalcante ALBL. Análise ergonômica do trabalho dos socorristas no interir de uma ambulância de resgate todoviário. Projetica. 2013 jan. / jun.; 4(1): p. 163-78.

Abstract: Purpose: Our objective was to determine how ophthalmic services were utilized by the people of the Asawaseconstituency in the Ashanti region of Ghana Methods: One thousand six hundred and thirty (1630)Asawase citizens were sampledthrough a population-based, cross-sectional study. Study respondents underwent comprehensive eye examination. An interview session was used to source information on their demographics, socioeconomic status, medical and ocular history and recent eye care visits............

Keywords: Eye care, services, optometrist, ophthalmologist, underutilization

[1] World Health Organization: Vision 2020. Global initiative for the elimination of avoidable blindness. In Fact Sheet No 1213. Geneva: WHO; 2000.
[2] Fotouhi A, Hashemi H, Mohammad K. Eye care utilization patterns in Tehran population: a population based cross-sectional study. BMC ophthalmology. 2006;6(1):1
[3] Shengelia B, Murray CJL, Adams OB: Beyond Access and Utilization: Defining and Measuring Health System Coverage. In Health Systems Performance Assessment: Debates, Methods and Empiricism. Edited by: Murray CJL, Evans DB. Geneva: WHO; 2003:221-234.
[4] American Academy of Ophthalmology: Comprehensive Adult Eye Evaluation. American Academy of Ophthalmology Preferred Practice Patterns Committee; 2000:12.

Abstract: IntroductionHand hygiene is the basic measure against hospital infections. Nurses have the possibility to reduce the morbidity and mortality on hospital infections providing high health care quality. Aim: To assess the level of knowledge and adherence of pediatric nurses in hand hygiene during the children's shickcare. Methods In this descriptive study 90 nurses from Pediatric Hospitals of Athens region completed a self-administered questionnaire from May 2013 - January 2014. Socio-demographic data of nurses were recorded. Data were analyzed with the SPSS statistical package, version 21.0.............

Keywords: Adherence, compliance, hand hygiene, nurses.

[1] EN. Berezin, F. Solorzano, and Latin America Working Group on Bacterial Resistance. Gram-negative infections in pediatric and neonatal intensive care units of Latin America,Journal of Infection in Developing Countries, 13 (8), 2014, 942-953
[2] World Health Organization. Improved hand hygiene to prevent health care associated infections. Available from: http:// www. who. int/ gpsc/tools/faqs/ evidence_hand_hygiene/en/2014

[3] VS. Sharma, S. Dutta, N. Taneja, and A. Narang. Comparing hand hygiene measures in a neonatal ICU: a randomized crossover trial, Indian Pediatrics,50(10), 2013,917-921.

[4] HY. Park, SK.Kim, YJ.Lim, SH.Kwak,MJ. Hong, HM. Mun, SY. Park, HJ. Kim, HR. Choi, JS. Jeong, MN. Kim, and SH. Choi. Assessment of the appropriateness of hand surface coverage for health care workers according to World Health Organization hand hygiene guidelines. American Journal of Infection Control, 42(5), 2014, 559–561.

Abstract: Aim: This study aimed to assess early versus late oral feeding on selected post cesarean section outcomes. Subjects and Methods: a quasi-experimental research design was used to conduct this study on 80 women who underwent uncomplicated planned cesarean section at Mans our a University Hospital. The intervention group (n=40) initiated oral feeding early; at 2 hours post cesarean section, and the control group (n=40) initiated feeding according to the study setting protocol. The required data were collected using a structured interviewing questionnaire schedule.............

Keywords: Oral feeding, cesarean section, outcomes

[1]. Gibbons Luz , José M. Belizán , Jeremy A Lauer , Ana P Betrán , Mario Merialdi and Fernando Althabe. (2010) The Global Numbers and Costs of Additionally Needed and Unnecessary Caesarean Sections Performed per Year: Overuse as a Barrier to Universal Coverage World Health Report, Background Paper, No 30.
[2]. Belfort M, Clark S, Saade G, Kleja K, Dildy G, Van T, et al. Hospital readmission after delivery: evidence for an increased incidence of non urogenital infection in the immediate postpartum period. American Journal of Obestetrics and Gynacology. 2010; 202(7):75-80.
[3]. MOHP (2014): Egyptian Demographic and Health Survey. Retrived at http://dhsprogram.com/pubs/pdf/PR54/PR54.pdf.
[4]. Naeem, M., Muhammad Khan, Z., Abbas, S., Khan, A., Adil, M., Khan, M., (2015): Rate and Indication of elective and emergency cesarean section: a study in a tertiary care hospital of peshawar. J Ayub Med Coll Abbottabad; 27(1):151–4.
[5]. Helal AS, Abdel-Hady ES, Refaie E, Warda O, Goda H, Sherief LS. Rising rates of caesarean delivery at Mansoura University Hospital: A reason for concern. Obstetrics and Gynecology. 2013;3(2):146. doi:10.4172/2161-0932.1000146

Abstract: The objective of this survey is to explore the reality of the the health promotion standards in the governmental teaching hospitals in Iraq. The researchers used the Health Promotion Self-Assessment Questionnaire for Companies to measure the health promotion standards in these hospitals. The study sample included nurses and physicians from 42 hospitals across Iraq..............

Keywords: Health Promotion Standards, Teaching Hospitals

[1]. World Health Organization. The Ottawa Charter for Health Promotion 1986. 2016. 7 May 2016. <http://www.who.int/healthpromotion/conferences/previous/ottawa/en/>.
[2]. Groene, Oliver and Svend Juul Jorgensen. "Health promotion in hospitals—a strategy to improve quality in health care." The European Journal of Public Health 15.1 (2005): 6-8.
[3]. McKee, Martin and Judith Healy. Hospitals in a Changing Europe. Buckingham: Open press University, 2002. <http://www.euro.who.int/__data/assets/pdf_file/0004/98401/E74486.pdf>.
[4]. McKee, Martin. "For Debate – Does Health Care Save Lives?" Croatian Medical Journal 40.2 (1999): 123-128. <http://www.cmj.hr/1999/40/2/10234053.htm>.
[5]. Garcia-Barbero, Milagros. "Evolution of health care systems." Feasibility, Effectiveness, Quality and Sustainability of Health Promoting Hospital Projects. Ed. Juergen M. Pelikan, Karl Krajic and Hubert Lobnig. Vienna, Austria: G. Conrad Health Promotion Publications, 1997. 27-30. 7 May 2016. <http://www.retehphitalia.it/Allegati/proceeding_5conf.pdf>.

Abstract: Background: Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a serious cause of direct maternal morbidity and mortality in hospitals, that is highly preventable. Literatures strongly support patient education on VTE prevention as it can promote strategies such as early ambulation and encourages self assessment and self reporting of VTE signs and symptoms. Aim of this study was to assess the effect of educational nursing program on reducing the incidence of VTE among postpartum women at Assiut Women's Health Hospital, postpartum unit and followed up at post partum outpatient clinic.............

Keywords: Deep Venous Thrombosis; Pulmonary embolism; Postpartum period;

[1]. An Official American Thoracic Society/Society of Thoracic Radiology Clinical Practice Guideline-Evaluation of Suspected
Pulmonary Embolism in Pregnancy. Am J Respir Crit Care Med. 2011 Nov 15;184(10):1200-8.
[2]. Alonso-Coello P, Ebrahim S, Guyatt GH, Tikknen K AO, Eckman MH, Neumann L, McDonald SD, Akl EA, and Bates S M(2012):
Evaluating patient values and preferences for thromboprophylaxis decision making during pregnancy: a study protocol.
[3]. -Bates SM, Greer IA, Middeldorp S, Veenstra DL, Prabulos AM, and Vandvik PO.(2012): VTE, thrombophilia, antithrombotic
therapy,and pregnancy. Chest;141(2 Suppl):e691S-e736S.
[4]. -Davis,P.(2004): DVT prevention…is it possible? Journal of Orthopedics Nursing 8 February : 58-59
[5]. -Dino W.R and Kenneth V.L.(2004): deep venous thrombosis and Pulmonary Embolisms: Part II. Treatment and Prevention
American Faculty Physicians, vol.69. No. 12: 2841-2847..

Abstract: Prostate-specific antigen (PSA) and its derivatives are some of the most commonly used serum biomarker for the detection of prostate disorders in high risk populations.However, there are controversies regarding their clinical usefulness and benefits. In the current work, we aimed to evaluate serum level of sarcosine and these PSA derivatives in 150 prostate cancer (PCa) patients and 200 matched controls in our localities.Results showed serum sarcosine concentration of 64.94±0.81nmol/dl and 134.13±2.21nmol/dl, total PSA of 2.75±0.22ng/ml and 33.09±2.78 22ng/ml , f PSA of 0.72±0.03 22ng/ml...........

Keywords:Sereum sarcosine,PSA derivaties, cancer of the prostate.

[1]. Jemal A, Bray F, Center MM, Ferlay J, Ward E and Forman D. (2011). Global cancer statistics. CA Cancer J Clin;61(2):69–90.
[2]. Schröder,,FH,, Jonas Hugosson., Monique J. Roobol, Teuvo L.J. Tammela, et al.(2009) Screening and Prostate-Cancer Mortality in a Randomized European Study. N Engl J Med; 360:1320-1328.
[3]. Fornaro M, Plescia J, Chheang S, Tallini G, Zhu YM, King M, Altieri DC and Languino LR (2003) .Fibronectin protects prostate cancer cells from tumor necrosis factor-alpha-induced apoptosis via the AKT/survivin pathway. J Biol Chem. 2003 Dec 12;278(50):50402-11
[4]. Matthew,R. C,Deborah,P. L,Shilpa, S and Mehtapeter R. C. (2003) Time Trends in Clinical Risk Stratification for Prostate Cancer: Implications for Outcomes (Data From CaPSURE). The Journal of Urology, 170 :( 6), S21–S27
[5]. Martin AJ, Lord SJ, Verry HE, Stockler MR, Emery JD (2013)Risk assessment to guide prostate cancer screening decisions: a cost-effectiveness analysis. Med J Aust. 3;198(10):546-50..

Abstract: Objective: To find out the relationship between breastfeeding and osteoporosis. Methods: A purposive sampling consist of one hundred women whose aged ≥ 40 years who had breastfeeding history and diagnostic osteoporosis attending Baghdad Teaching Hospitals /Rheumatology Department from 14th Feb. to 16th March 2016. Determined validity and reliability of questionnaire through pilot study. Analyze data by using descriptive and inferential statistical procedures. Results: The study show that the highest percentage (40%) of the study sample is within age group (50-59) years, (40%) of them had 6 or more children of breastfeeding, more than half (58%) of them were ≥ 13 months the duration of breastfeeding, (53%) of them was 4 times/ day breastfed..............

Keywords: Breastfeeding History, Relationship, Osteoporosis

[1]. WHO (2003) Global Strategy for Infant and Young Child Feeding. Geneva: WHO.
[2]. Gorial FI, Aubaese ND, Husaeen NH. Prevalence and associated factors of osteoporosis in postmenopausal Iraqi women: A CrossSectional Two Centers Study. I J Mod Bio and Med 2013; 3(1) :41-9.
[3]. Berger C, Goltzman D, Langsetmo L, et al. Peak bone mass from longitudinal data: implications for the prevalence, pathophysiology, and diagnosis of osteoporosis. J Bone Miner Res 2010;25:1948-57.
[4]. Karlsson MK, Ahlborg HG, Karlsson C. Female reproductive history and the skeleton—a review. BJOG. 2005;112(7):851-6.
[5]. Bolzetta F, Veronese N, De Rui M, Berton L, Carraro S, Pizzato S, et al. Duration of breastfeeding as a risk factor for vertebral fractures. Bone 2014;68:415

Abstract: Background: Delaying umbilical cord clamping allows blood flow between the placenta, the umbilical cord and the baby to continue. The blood which transfers to the baby between birth and cord clamping is called placental transfusion. Placental transfusion may improve circulating volume at birth, which may in turn improve outcome for preterm infants. Early clamping allows for immediate transfer of the infant to the neonatologist. Objectives: to assess the knowledge of nurse – midwives about early timing of umbilical cord clamping, to identify the effect of early timing of umbilical cord clamping on mother and neonate, to identify the relationship between knowledge and socio-demographic variables...............

Keywords: Umbilical cord, early clamping

[1]. Rabe H, Jewison A, Alvarez RF, et al;: Milking compared with delayed cord clamping to increase placental transfusion in preterm neonates: a randomized controlled trial. Obstet Gynecol, Vol.117, NO.2, Pt.1, 2011, pp:205–211
[2]. Susan J, Philippa M, Therese D, et al;: Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes, Evidence-Based Child Health: A Cochrane Review Journal , Vol. 9, Issue 2, 2014, pp: 303–397.
[3]. Amir K, Liron B, Arieh R, et al ;: Immediate versus Delayed Umbilical Cord Clamping in Premature Neonates Born < 35 Weeks, american journal of perinatology, vol.24, NO.5, 2007,PP: 307-315.
[4]. McDonald S and Middleton P.: Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes, Cochrane Database of systematic Reviews Vol.16, Issue 2, 2008.
[5]. Uwins C and Hutchon D.: Delayed umbilical cord clamping after childbirth: potential benefits to baby's health, Browse Journals Pediatric Health, Medicine and Therapeutics Vol. 5,2014, pp: 161-171

Abstract: Objective: To compare the effect of dynamic soft tissue mobilisation and Mulligan traction straight leg raise in increasing hamstrings flexibility by active knee extension range of motion and passive SLR. Research design: Pre test and post test structured, comparative study design. Participants: Sixty healthy asymptomatic subjects were taken aged 17-30 years from SVNIRTAR, Olatpur Cuttack, Odisha. Outcome measures: Active knee extension and passive SLR...........

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[3]. Wang SS, Whitney SL, Burdett RG and Janosky JE (1993) Lower extremity muscular activity in long distance runners. Journal of Orthopedics & Sports Physical Therapy 17(2): 102 -107.
[4]. American college of sports medicine, (ACSM) Guidelines for exercise testing and prescription (2000) 6: 158-162.
[5]. Bandy WD, Iron JM, Briggler M (1998) The effect of static stretch and dynamic range of motion training on the flexibility of the hamstrings muscles. Journal of Orthopedics Physical Therapy 27(4): 295-300.

Abstract: World Health Organization Advisory Group (1956), "Accident is defined as an unpremeditated event resulting in recognizable damage". Road Traffic Accident can be defined as "An event that occurs on a way or street open to public traffic resulting in one or more persons being injured or killed, where at least one moving vehicle is involved". According to The Global status report on road safety 2015, reflecting information from 180 countries, indicates that worldwide the total number of road traffic deaths has plateaued at 1.25 million per year, with the highest road traffic fatality rates in low-income countries.

[1]. Park K. Textbook of Preventive and Social Medicine. 22nd Ed. Bhanot. 2009; 374.
[2]. RTA Report 2011-Epidemiology of Road Traffic Accidents in India: a Review of Literature. Sir Ratan Tata Trust; 2011. [Online]. 2006 [cited 2011]. Available from: http//:www.youthforroadsafety.org/uploads/nieuws_bijlagen/rta_report.pdf.
[3]. State Traffic Police Report 2011-47000 dead in Haryana road mishaps last year. Chandigarh: The Indian Express Limited; 2011. Available from: http://www.archieve.indainexpress.com/news/47000-dead-in-haryana-road-mishaps-last-year/79543412.
[4]. Salve S.B, Dase R. K, et al. A study on awareness and behavior of adolescents towards road traffic accidents. International Journal of Current Medical and Applied Sciences. 2014; 4(1):33-40. Available from: http://www.ijcmaas.com/pdffileDownload?id=78.
[5]. The Hindu: Mobile Edition 2014-Students override all road safety rules. The Hindu; 2014. [Online].2014 [cited 2014 Nov 6]. Available from: http://www.thehindu.com/news/cities/Madurai/students-override-all-safety-rules/articles6570293.ece/.

Abstract: Inspiratory muscle training is a therapeutic strategy that aimed at preventing post-operative pulmonary complications. Aim: this study aimed to study the effect of inspiratory muscle training on clinical outcomes of patients underwent cardiothoracic surgeries. Materials and Method: A quasi-experimental study was conducted in Cardiothoracic Surgery Department at Student Hospital affiliated to Tanta University. A sample of 40 adult patients of both sexes underwent cardiothoracic surgeries based on statistical power analysis were selected and divided into 2 equal groups: Group 1 (Control Group): was received routine hospital care...........

Keywords: Inspiratory muscle training, clinical outcomes

[1] Finkelmeier B. Cardiothoracic Surgical Nursing. 5thed. New York. Lippincott Williams and Wilkins com. 2009; 9: 99-111.
[2] Lesser D. Cardiac Surgery Manual for Nurses Orientation, Policy and Procedures. 3rd ed. USA. 2007; 6: 29-41.
[3] http://en.wikipedia.org/wiki/Cardiothoracic surgery, Retrieved on 20/4/2015.
[4] Al-Qubati F. Incidence and outcome of pulmonary complications after open cardiac surgery.Egyptian Journal of Chest Diseases and Tuberculosis. 2013;62(4): 775- 80.
[5] Statical analysis of Tanta University Hospital, 2014.

Abstract: Urinary incontinence & sexual Dysfunction is very common among female. It causes social or hygienic problem. It is an embarrassing condition & distressing, that will answer the question why the prevalence and incidence studies of Female Sexual Dysfunction with urinary incontinence is very difficult to be recognized. Community studies that took a place at USAby Sarit& Roger(22) indicated that the prevalence of female sexual dysfunction with urinary incontinence ranges from 25 to 63%. It provides a probability sample among 1749 women and 1410 men living in the USA, aged 18 -59 years, and is based on face-to-face interviews conducted by trained interviewers. The study found that sexual dysfunction with Urinary incontinence is more prevalent in women than men (43 vs 31%). Lack of interest was the most frequently reported female sexual complaint............

Keywords: prevalence study, urinary incontinence, female sexual dysfunction, prospective study.

[1] Allahdadi K, Tostes R, Webb R. Female Sexual Dysfunction: Therapeutic Options and Experimental Challenges. CHAMC. 2009; 7(4):260-269.
[2] Alsibiani and Rouzi (2010). Sexual function in women with female genital mutilation. PubMed
[3] American Society of Health-System Pharmacists., Borgelt L. Women's Health Across the Lifespan: A Pharmacotherapeutic Approach. American Society of Health-System Pharmacists; 2010.
[4] Anis T. Gheit SA. Saied HS. Alkherbas SA. Arabic translation of female sexual dysfunction index validation in an Egyption population. J. sex Med. 2011:8(12), 3370-8
[5] Aslan, Köseo, Sadik, Gimen, Cihan and Esen. Sexual function in women with urinary incontinence. Int. J. Impot. Res.2004:17 (3): 248-51.

Abstract: Background: Egyptian organizations may be confronting significant challenges as they make efforts to improve levels of employee work engagement In general, the perceived organizational support has a positive reflection on employees and the institution. However, successful organizations know that employees' engagement and citizenship behaviors are crucial. Aim: The present study aimed to assess the relationship between organizational support, work engagement and organizational citizenship behavior as perceived by staff nurses at different hospitals. Setting: This study was conducted at university, health insurance, and private hospital. , Egypt
Research Design: A descriptive correlation comparative design was utilized to achieve the objective of the present study..........

Keywords: Organizational support, Work engagement, Organizational citizenship behavior, Staff nurses

[1]. Abbolghasem, P., Jafar, K., Mahnaz ,M., and Mehdi, M., (2013). The Effect of Demographic Characteristics on Organizational Citizenship Behavior in the Selected Teaching Hospitals in Tehran. African Journal of Business Management Vol. 7(34), pp. 3324-3331, 14 September, 2013.
[2]. Abdalla S, Araf S. and Mohamed F., (2013). Organizational Citizenship Behaviors among Teaching Staff at Nursing Faculties in Upper Egypt. J. Am. Sci. 9 (7)
[3]. Ahmadi, S., Barvarz, R.,and Nami, Y., (2015). The Relationship Between Spirituality In The Workplace And Organizational Citizenship Behavior. Procedia - Social and Behavioral Sciences 114 ( 2014 ) 262 – 264.
[4]. Ahmaed, N., & Jehanzeb, K. Rasheed, A., (2012). An Exploration of Predictors of Organizational Citizenship Behavior and its Significant Link to Employee Engagement. International Journal of Business, Humanities and Technology, Vol. 2 No. 4, 99-106.
[5]. Ahmed N, Rasheed A, Jehanzeb K (2012). An exploration of predictors of organizational citizenship behavior and its significant link to employee engagement. International Journal of Business, Humanities and Technology. 2 (4): 99-106.

Abstract: Background: Performance obstacles and poor ICU work system design may negatively affect the quality and safety of nursing care as well as nursing quality of working life (QWL). Aim: The aim of this study was to investigate performance obstacles and its relation to perceived quality of patient care and quality of working life among ICU nurses. Design: A correlational comparative design was utilized in this study. Setting: The present study was carried out in the intensive care units at three private hospitals and in new kaser El Ainy teaching hospital in Egypt...........

Keywords: Performance Obstacles, Perceived Quality of patient care, QWL and ICU nurses

[1]. Aletras and kallianidou (2014 ) : performance obstacles of nurses in ICU of Greek national health system hospitals. Britich association of critical care nurses .
[2]. Aiken, L.H. (2003): Creating hospital environments to retain great nurses and achieve excellent patient outcomes. Paper presented at Nursing Management‟s Recruitment and Retention Conference, Orlando, FL.
[3]. Adhikari, D. and Gautam, D. ( 2010): Labour Legislations for Improving Quality of Work Life in Nepal. Int. J. Law Manage., 52: 40-53.
[4]. An,J. Yom, J.&Ruggiero, J.I. (2011):Organizational Culture, QWL and Organizational Effectiveness in Korea University Hospital .Journal of Transculural Nursing . 22(1). 22-30.