iosr-JNHS   Volume-6 ~ Issue-3 ~ May-June 2017

Abstract: Enterocutaneous fistulas represent a challenging situation with respect to wound care and stoma therapy. Large wounds with exposed bowel require the utilization of multiple wound care modalities to provide a method of control and isolation of fistula effluent to allow for maximum wound healing. An understanding of the principles of wound care and the various techniques and materials that are available is of vital importance to enhance patient comfort and recovery as well as facilitate fistula healing. Skin barriers, adhesives, dressings, pouches, and negative pressure dressings are all materials that are available in the armamentarium of the enterostomal therapist.............

Keywords: Enterocutaneous fistula (ECF ), pouches , negative pressure dressings, skin barriers and wound management

[1]. Fisher Scott, Enterocutaneous Fistula , Common Surgical Diseases: An Algorithmic Approach to Problem Solving (New York - Springer 1998 ) 164-167

[2]. Holzheimer RG, Mannick JA, Surgical Treatment: Evidence-Based and Problem-Orient (Munich: Zuckschwerdt 2001) NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.
[3]. Irrgang S, Bryant R. Management of the enterocutaneous fistula (continuous education credit) J Enterostomal Ther. 1984;11(6):211–228. [PubMed]

[4]. Draus JM Jr, Huss SA, Harty NJ, Cheadle WG, Larson GM. Enterocutaneous fistula: are treatments improving? Surgery. 2006;140:570–576; discussion 576-578. [PubMed]

[5]. Hollington P, Mawdsley J, Lim W, Gabe SM, Forbes A, Windsor AJ. An 11-year experience of enterocutaneous fistula. Br J Surg. 2004;91:1646–1651. [PubMed]

Abstract: RNTCP was started in 1997 and has covered the entire nation in March 2006. At this time it also became to be known as RNTCP II, which started to initiate services to TB/HIV, MDR-TB and to extend RNTCP to the private sector. With RNTCP both diagnosis and treatment of TB are free. There is also atleast in theory, no waiting period for patients seeking treatment and TB drugs.
Materials and Methods: This observational, cross-sectional study was conducted in 2016 among a total of 133 graduating interns and PG students. Study tool was in english , pre-designed, pre-tested, self administered , semi constructed questionaire, to collect information relating to transmission, diagnosis and treatment of pulmonary tuberculosis.The data collected was tabulated, analysed and interpreted by proper statistical methods..............

Keywords: Interns, Knowledge, pulmonary tuberculosis, RNTCP.

[1]. Kakar R. TBfreeworld. Available at; http://www.tbfreeworld.org. Accessed on July 12, 2015.
[2]. WHO. Global tuberculosis report 2014 by WHO. Available at; http://www.Who.int/tb/publications/globalreport/en/. Accessed on July 12, 2015.
[3]. Bogam RR and Sagare SM. Knowledge of tuberculosis and its management practices amongst postgraduate medical students in Pune city. Natl J Community Med 2011;2(1):52-59.
[4]. Basu M, Das P. Assessment of knowledge regarding tuberculosis in the context of revised national tuberculosis control program among budding doctors. Chron Young Sci 2014;5:59-64.
[5]. Patle RA, Khakse GM. Knowledge about Tuberculosis and Multi-Drug Resistant Tuberculosis among Interns. Natl J Community Med 2014; 5(1): 51-53.

Abstract: In Egypt, breast cancer ranks the first among cancer affecting females. Aim: The aim of this research was to assess breast cancer risk factors and screening practices among women attending Family Health Centers. Design: A descriptive exploratory research design was adopted in this research. Setting: data were collected from two family health centers Ein EL Sera and Abo EL-Sooud family health centers. Sample: A purposive sample was used as all available women in selected family health centers and who fulfill the inclusion criteria were included in this study. Tool for data collection: A breast cancer structured interview questionnaire was developed by researchers. It included three parts; Part I: Demographic characteristics, obstetric history and Knowledge about breast cancer. Part II: Risk factors of breast cancer..............

Keywords: Risk factors, obesity, screening practices

[1]. Al-Zalabani A. H., Alharbi K. D., Fallatah N.I., Alqabshawi R.I. & Al-Zalabani A.A. & Alghamdi. S. M. (2016). Breast Cancer
Knowledge and Screening Practice and Barriers Among Women in Madinah, Saudi Arabia. American Association for Cancer
Education.
[2]. Bray F., Ren J.S., Masuyer E., Ferlay J. (2013).Global cancer prevalence for 27 sites in the adult population. Int J Cancer; 132(5):
1333–1145.
[3]. Faronbi J.O., Abolade, J. (2012). Breast Self Examination practices among female secondary school teachers in a rural community in
Oyo State, Nigeria. Open Journal of Nursing; 2: 111–115.
[4]. Shrivastava S.R., Shrivastava P.S. & Ramasamy J. (2013). Breast- Self Examination: A Tool for Early Diagnosis of Breast Cancer.
American Journal of Public Health Research 2013; 1 (6): 135–139.
[5]. Adesunkanmi A.R., Lawal O.O., Adelusola K.A. & Durosimi M.A. (2013). The severity, outcome and challenges of breast cancer in
Nigeria. Epub 15 (3): 399–409.

Abstract: Skin care of critically ill patients plays an important role in prevention of infection, pressure ulcers as well as promotion of hygiene and comfort. The best method of translating evidence to skin care practice is through formulation of evidence based guidelines. Objective: This study was designed to find the level of evidence available regarding skincare of critically ill patients. Methods: Review of all literature available between 1995 and 2015 was done in relevant accessible databases, after defining the search area, terms, limits and search questions. Retrieved evidence was screened for relevance and appropriateness, extracted, synthesized, categorized and graded based on American Association of Critical Care Nurses (AACN) levels of evidence..............

Keywords: Clinical Nursing Practice Guidelines, Critically ill, Evidence level, Grading evidence, Skin care, Search strategy

[1]. Skin and soft tissue infections in hospitalized and critically ill patients: a nationwide population-based study | BMC Infectious Diseases | Full Text [Internet]. [cited 2017 Apr 25]. Available from: https://bmcinfectdis.biomedcentral.com/articles/10.1186/1471-2334-10-151
[2]. Session5: Creativity in clinical practice: Reducing pressure damage in critical care - Tags: Abstracts Bedsores— Prevention [Internet]. [cited 2013 Jan 9].Available :http://connection.ebscohost.com/c/abstracts/65928647/session-5-creativity-clinical-practice-reducing-pressure-damage-critical-care
[3]. Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet [Internet]. 2003 [cited 2013 Jan 29];362(9391):1225–1230. Available :http://www.tractionproject.org/sites/default/files/upload/Events/Mind-the-Gap/Grol_2003_From_best_evidence_to_best_practice.pdf
[4]. Patterson etal. Choosing the Best Evidence to Guide Clinical Practice: Application of AACN Levels of Evidence. Critical Care Nurse, 34 (2), April 2014, 58-69.

Abstract: Background: Pulmonary embolism is the main cause of mortalities in lower limb Deep Venous Thrombosis (DVT). It leads to yearly 50-200 thousand deaths in the United States (US). Hence, DVT is an important condition that needs to be considered for the safe care of hospitalized patients to avoid related morbidities and mortalities Aim of the current study was to evaluate the effect of implementing nursing care guidelines on the occurrence of deep vein thrombosis among orthopedic patients Method; causal comparative research design used in carrying out this study that was conducted at orthopedic departments of Mansoura Emergency Hospital...............

Keywords: Nursing care, DVT, Orthopedic patients

[1] Pollack, C. V. (2011). Advanced Management of Acute Iliofemoral Deep Venous Thrombosis: Emergency Department and
Beyond. Annals of Emergency Medicine, 57: (6), 590-599
[2] Geerts, W. H., Bergqvist, D., Pineo, G. F., et al. (2008). Prevention of venous thromboembolism: American College of Chest
Physicians evidence-based clinical practice guidelines. CHEST Journal, 133: (6_suppl), 381S-453S.Lunn
[3] warwick, D.( 2012). Prevention of venous thromboembolism in total knee and hip replacement. Circulation, 125: (17), 2151-2155
[4] Lee, S. Y., Ro, D. H., Chung, C. Y., et al. (2015.) Incidence of deep vein thrombosis after major lower limb orthopedic surgery:
analysis of a nationwide claim registry. Yonsei medical journal, 56: (1), 139-145
[5] Won, Y. S., Kim, M., Jun, K. W., et al.( 2014). Incidence and Clinical Characteristics of Deep Vein Thrombosis (DVT) after Total
Knee Arthroplasty (TKA) with DVT Chemoprophylaxis. World Journal of Cardiovascular Diseases, 4: (11), 531-538.

Abstract: Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) is the leading cause of death among adolescents in Kenya according to National AIDS Control Council (NACC) report. For that reason, new, innovative and creative HIV prevention strategies among this high risk group are required. The purpose of this survey was to investigate the level of HIV/AIDS awareness, attitudes towards HIV testing, source of HIV/AIDS information, HIV status awareness, behavioral change among fresh first year students at a public university. This was a descriptive survey conducted between the months of September to October 2016 at Kirinyaga University...............

Keywords: HIV/AIDS, HIV testing, Youth, HIV prevention, Condom

[1]. NACC. 2016. Kenya AIDS Progress Report.http://nacc.or.ke/wp-content/uploads/2016/11/Kenya-AIDS-Progress-Report_web.pdf. Downloaded on 20th February, 2017.
[2]. WHO. 2016. Supplementary guidelines on HIV testing.http://apps.who.int/iris/bitstream/10665/251655/1/9789241549868-eng.pdf.
Downloaded on 21th February, 2017

[3]. UNAIDS. 2015.Global AIDS Response Progress Report.
http://www.unaids.org/sites/default/files/media_asset/JC2702_GARPR2015guidelines_en.pdf. Downloaded on 23rd February, 2017.
[4]. B Zaba, E Pisani, E Slaymaker, and J.T Boerma, Age at first sex: understanding recent trends in African demographic surveys.
Sexually transmitted infections, 80(suppl 2), 2004, ii28-ii35.
[5]. GC Patton, SM Sawyer, JS Santelli, DA Ross, R Afifi, N.B Allen, Our future: a Lancet commission on adolescent health and
wellbeing. The Lancet, 387(10036), 2016, 2423-2478.

Abstract: The study determined the different types of conflict experienced by medical and nursing personnel of King Khaled Hospital (KKH), Hail General Hospital (HGH) and Maternity and Children's Hospital (MCH) in Hail City and compared the conflict resolution strategies they utilized. A researcher-made instrument that included respondent demographics, frequency of types of conflict encountered by the respondents at the workplace and the Conflict Self-Assessment test by Hurst that determined conflict resolution strategies was used for data-gathering...............

Keywords: Conflict, Conflict Resolution Strategies, Supervision, Management, Teamwork

[1]. Likert, R., & Likert, J. (1976). New Ways of Managing Conflict. New York: McGraw-Hill.
[2]. Kreitner, R., &Kinicki, A. (2010). Organizational Behavior, 9th Edition. New York, NY: McGraw-Hill.
[3]. Swansburg, R. (2003). Introduction to Management and Leadership for Nurse Managers, 3rd Edition. Jones and Bartlett Publishers, Sudbury, Massachusetts
[4]. Marquis, B., & Huston, C. (2014). Leadership Roles and Management Functions in Nursing: Theory and Application, 8th Edition. Lippincott Williams and Wilkins, Philadelphia.
[5]. Hayes, J. (2008). Workplace Conflict and How Business can Harness it to Thrive. CPP Human Capital Global Report. Retrieved March 12, 2016 from https://www.cpp.com/pdfs/CPP_Global_Human_Capital_ Report_Workplace_Conflict.pdf.

Abstract: Background: Patients on hemodialysis (HD) may experience troubling symptoms, which cause daily distress and negatively affects their quality of life (QOL). Aim of the study: was to assess the psychological problems such as fatigue, depression and sleep disturbance among HD patients. Design: This descriptive cross-sectional design was utilized to conduct this study. Setting: The study was conducted in the HD units at the General and Fevers Hospitals in Zagazig City Sample: A purposive sample of on 105 adult patients on HD who fulfilled the study inclusion criteria. Tools: Four tools were used in the present study; the first tool was an interview form, the second tool was a Sleep Disturbance Scale, the third tool was Beck Depression Inventory Scale, and the fourth tools the Fatigue Severity Scale (FSS) of sleep disorder...............

Keywords: Hemodialysis, Depression, Fatigue, Sleep disorders

[1]. Abd Allah E.S., Abdel-Aziz H.R., and Abo El-Seoud A.R. (2014): Insomnia: Prevalence, risk factors, and its effect on quality of life among elderly in Zagazig City, Egypt. Journal of Nursing Education and Practice; 4(8).
[2]. Abed Elsatar O.M.A., and Elhefnawy K.A. (2013): Patient-Care Practices Associated with Increased Transmission of Hepatitis C Virus Infection among Hemodialysis patients. J Am Sci; 9(3):389- 396.
[3]. Adib-hajbagheri M., Molavizadeh N., Alavi N.M., and Abadi M.H.M. (2014): Factors associated with complications of vascular access site in hemodialysis patients in Isfahan Aliasghar hospital. Iranian Journal of Nursing and Midwifery Research; 19(2): 208–214.
[4]. Ahlberg K., Ekman T., and Gaston-Johansson F. (2005): The experience of fatigue, other symptoms, and global quality of life during radiotherapy for uterine cancer. International Journal of Nursing Studies.;42:377–386.
[5]. Al –Desoky M. (2006): Disturbance .htt;//adf.ly /kowwd. health psychologist an 12-882013

Abstract: Aim: To assess the knowledge of pre- and post menopausal women on osteoporosis. Background: Osteoporosis is a global public health problem currently affecting more than 200 million people worldwide. It is considered to be one of the most prevalent and costly health problems in India posing an economic burden on our country. The National osteoporosis foundation has revealed that one out of two women and one out of eight males in India over the age of 50 years suffer from osteoporosis, making India one of the largest affected countries in the world. Design: Cross sectional Design...............

Keywords: Osteoporosis, pre and post menopausal, knowledge, women

[1]. Ref Facts and statistics/international osteoporosis foundation IOF (cited on 1/27/2014). Available on www.iofbonehealth.org/facts-and-statistics.
[2]. K. AulinPiehl, H Brahm. Osteoporosis is prevented by physical activity, calcium and hormone supplementation. Lakart idningen. 1999 Jan; 96(3): 210-12 http:/ /www.nof.org/men/index.htm
[3]. Anderson Sibyl. The incidence of osteoporosis in African American Men over 50 year's age. 2nd year research elective resident's journal. 1997 – 1998; vol II: 119.
[4]. P Mukkolath effectiveness of a self-instructional module on knowledge of Osteoporosis14.139.159.4:8080/jspui/bitstream/123456789/.../1/CDNNM SN00003.
[5]. Riaz M, Abid N, Patel J, Tariq M, Khan MS, Zuberi L. Knowledge about osteoporosis among healthy women attending a tertiary care hospital. J Pak Med Assoc. 2008 Apr; 58(4):190-4.

Abstract: Background: Application of nursing process helps the nurses to utilize critical thinking for decision making and care activities. There are many factors that interferes the implementation of the nursing process. The aim of study: to identify barriers in implementation of the nursing process from the standpoint of nurses in different settings of Main University hospital, Mansoura. Material & Methods: A descriptive design was used to conduct this study on 100 nurses worked at the pervious setting were included in the study. Two tools were utilized in...............

Keywords: Nursing process, implementation, factors affecting.

[1]. Cruz, D. Guedes, E. Santos, A. Sousa, R. Turrini, T. Maia, M. Araújo, N., Nursing process documentation: rationale and methods of analytical study, Rev Bras Enferm, (1), 2016, 183-189.
[2]. Yildirim, B., Özkahraman, S., Critical Thinking in Nursing Process and Education, International Journal of Humanities and Social Science, 1(13), 2011, 257-262.
[3]. Newfield, SA. Hinz, M. D. Scott Tilley, D. Sridaromont, K. L. Joy Maramba, P., 2007 Cox's clinical applications of nursing diagnosis Adult, Child, Women's, Mental Health, Gerontic, and Home Health Considerations. F. A. Davis Company

Abstract: Approximately 50,000-100,000 patients die from medical and nursing errors annually in the USA [1-4]. Incidents are under reported and it is hard to know the exact prevalence of death and adverse events from medical and nurses' errors. Purpose: This study is intended to describe the perception of undergraduate nursing students regarding the patient safety, quality improvement and nursing errors issues before entering the clinical practice. The research question was what are the perception of patient safety, quality improvement and nursing errors issues among undergraduate nursing students. Methods...............

[1]. Ong MS, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. JtComm J Qual Patient Saf. 2011 Jun; 37(6):274–284.
[2]. Rabøl LI, et al. Descriptions of verbal communication errors between staff. An analysis of 84 root cause analysis-reports from Danish hospitals. BMJ QualSaf. 2011 Mar; 20(3):268–274.
[3]. Craig R, et al. Strengthening handover communication in pediatric cardiac intensive care. PaediatrAnaesth. 2012 Apr; 22 (4):393–399.
[4]. Drachsler H, et al. The Handover Toolbox: A knowledge exchange and training platform for improving patient care. BMJ QualSaf. 2012 Dec; 21 Suppl 1:i114–120.
[5]. Johnson M, Jefferies D, and Nicholls D. Developing a minimum data set for electronic nursing handover. J Clin Nurs. 2012 Feb; 21(3–4):331–343.

Abstract: Objective: the aim of this study was to estimate the parents' satisfaction with nursing care provided for their children in endoscopy procedures. Methods: cross sectional hospital-based design was used and 196 parents were interviewed in Khartoum state public hospitals A consecutive non-probability sampling technique was used. The collected data was cleaned, summarized, analyzed using SPSS version 20.0 and presented in figures and tables. Results: The caregivers of the children were 196 and they might be the parents or others; 82(41.8%) of them were females and 114(58.2%) were males................

Keywords: Satisfaction, Parents, Children, Endoscopy, Khartoum state

[1]. Rashid A and Amina A :( 2014) Patient Satisfaction Survey as a Tool Towards Quality Improvement Oman Med: Oman Med J. 2014 Jan; 29(1): 3–7. doi: 10.5001/omj.2014.02At: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910415/
[2]. Naiire S, Abbas A, Maryam R and Shirin H:(2015) The Process of Satisfaction with Nursing Care in Parents of Hospitalized Children: A Grounded Theory Study International ajaournal of pediatric Volume 3, Issue 6.1, November 2015, Page 1021-103 [3]. Shin-ichiro H etal (2015), Pediatric Patient and Parental Anxiety and Impressions Related to Initial Gastrointestinal Endoscopy: A Japanese Multicenter Questionnaire Study Volume 2015 (2015), Article ID 797564, 7 pages available at: http://dx.doi.org/10.1155/2015/797564 [4]. Amy Carpenter Aquino ,MS: SGNA Gastroenterology Nursing 4th edition 2008 congress cataloging USA [5]. Akash N, Muhammed S, Charles S and Subbaramia S:( )Diagnostic Endoscopy Georgia Health Sciences University, U. S. A available at : http://cdn.intechopen.com/pdfs/43598/intech-diagnostic_endoscopy.pdf