iosr-JNHS   Volume-6 ~ Issue-4 ~ July-August 2017

Abstract: Objective: The present study aimed to evaluate the effectiveness of an educational program on nurses' knowledge toward nursing management of chronic obstructive pulmonary disease Patients at AL Sadder teaching hospital in Al-Amara City. Methodology: A quasi-experimental design was carried out at Al-Sader Teaching Hospital for period from October 29th, 2016 to August 1st, 2017.
The present study aimed to evaluate the effectiveness of an educational program on nurses' knowledge and practices toward nursing management of chronic obstructive pulmonary disease Patients at AL Sadder teaching hospital in Al-Amara City.............

Keywords: Effectiveness, Nursing, Educational program, chronic obstructive pulmonary disease.

[1]. Ahmed A and Hakema S: The Effectiveness of Nursing Educational Program on Nurses Practices toward Cardiac Rehabilitation for Patients with Heart Attack. A dissertationThe Department of Adults Nursing ⁄ College of Nursing ⁄ University of Baghdad2014.
[2]. Al Kandary,S;AlJeheidli,A;Ghayath,T;AlHaid,N:Perceivedcompetence in cardiopulmonary resuscitation ,knowledge and practice among qualified nurses in Kuwait. alexandria bulletin Journal, 2007; Vol.43:P.P.1-9.
[3]. Benner P: Using the Dreyfus Model of Skill Acquisition to describe and interpret skill acquisition and clinical judgment in nursing practice and education. The Bulletin of Science, Technology and Society J. 2004; Vol. 24: P.P188–199.

[4]. Fujino Y, Tanaka M, Yonemitsu Y, Kawamoto R. Int J Nurs Pract. 2015 Vol. 21 ;No.6: P.P.876-81.

[5]. 5. Lui L; So W, Fong D:. Knowledge and attitudes regarding pain management among nurses in Hong Kong medical units. Journal of Clinical Nursing 2008; Vol.17: P.P.2014-2021.

Abstract: Physical restraints are commonly used in health care settings especially in intensive care units to reduce the risk of injury and maintain patients'safety.However,there is still great augment aboutitsbenefits andrisks and ethical concerns associated with its use in critical care settings.Therefore,this study aimedto evaluate the effect of clinical practice guidelines of physical restraint on nurse's practice, attitude and critically ill patient's safety at Intensive Care Unit in Tanta University hospital. To achieve this aim, a quasi-experimental research design (pre-posttest design)was utilized. A convenience sample of thirty critical care nurses was included, with one group before and after clinical practice guidelines.In...........

Key words: Physical Restraint, Clinical Practice Guidelines, Patient's Safety, Intensive Care Unit

[1]. Al-Khaled T, Zahran E and El-Soussi A. Nurses' related factors influencing the use of physical restraint in critical care units, American Science J., 2011;7(8):13-22.
[2]. Gayle L, Shelley S, Egan. Restraints In Intensive Care Units-A Mixed Method Study, Intensive And Critical Care Nursing, 2011; 27, 67-75.
[3]. Jacobi J, Fraser G and Coursin D. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult, Critical Care Medicine J, 2002; 30: 119–41.
[4]. Sullivan-Marx E and Strump N. Restraint-free care for acutely ill patients in the hospital. AACN Clinical Issues, 1996; 7: 572-78.
[5]. Nirmalan M, Dark P, Nightingale P and Harris J. Physical and pharmacological restraint of critically ill patients: clinical facts and ethical considerations. British Journal of Anesthesia, 2004; 92: 789-92..

Abstract: Background: Colposcopy examination is one of the clinical gynecological procedure to examine, illuminate, magnified view of the cervix for evaluating cervical cytological abnormalities, vagina and vulva. It's widely used for early diagnosis of pre-invasive and invasive cervical cancer cells. Objectives: To assess the women's knowledge referred to colposcopic examination before and after applying an instructional program and to find out the relationship between socio-demographic, gynecologic and obstetric variables with their level of knowledge...........

Keywords: Colposcopy examination, cervical cancer, knowledge

[1]. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer, (2014). Available in www.cancer.org, retrieved in 4-9-2016.
[2]. Castle PE, Fetterman B, Thomas Cox J, et al. The age-specific relationships of abnormal cytology and human papillomavirus DNA results to the risk of cervical precancer and cancer. Obstetric and Gynecologic Journal . 2010; vol (116) PP :76–84. Available in http://www.hpvcentre.net. Retrieved in 16-3-2016.
[3]. Hamed A.G. The Impact of Genital Hygiene Practices on the Occurrence of Vaginal Infection and the Development of a Nursing Fact Sheet as Prevention Massage for Vulnrable Women. Journal of Nursing and Health Science, 2015 Vol (4); PP 55-64 Available in www.iosrjournals.org, retrieved in 8-4-2017.
[4]. WHO. Comprehensive cervical cancer control: a guide to essential practice Geneva, Switzerland: World Health Organization; 2006. Available in :http://whqlibdoc.who.int/publications. Retrieved in 6-4-2016.
[5]. Massad LS, Einstein MH, Huh WK, et al. Consensus Guidelines for the Management of Abnormal Cervical Cancer Screening Tests and Cancer Precursors. Journal of Lower Genital Tract Disease. 2013; vol (17) PP 1-27..

Abstract: Accumulation of secretions in the endotracheal tube occurs in almost every patient in the Intensive Care Unit. Therefore, endotracheal suctioning is an essential component to maintain patent and clear airway for the intubated patient. This study aimed to evaluate the effect of shallow versus deep endotracheal tube suctioning on hemodynamic parameters in mechanically ventilated patients in Intensive Care Unit. This study was conducted in Anesthetic Intensive Care Unit at Tanta University Hospital. Aquasi-experimental research design was utilized. A convenience sample of sixty adults, mechanically ventilated patients fulfilling the inclusive criteria and were selected and divided into.........

Keywords: Deep and shallow endotracheal suctioning, Mechanically Ventilated Patients,Hemodynamic Parameters and ABG.

[1]. Naimi M, Davidson J, Valdes M, Zamudio I and Restrepo RD. (Endotracheal obstruction in the ICU: How bad is it and why? A pilot study. Respiratory Care.2016; 61(10):36-9.
[2]. Ferreira A, Silvino Z, Christovam B and Lima D. Endotracheal suctioning in intensive care unit: An integrative review. J Nurs UFPE.2013;7(4):4910–7.
[3]. AACN. AACN Practice Alert Ventilator Associated Pneumonia. 2008.
[4]. Jelic S, Cunningham JA, Factor P. Clinical Review: Airway hygiene in the Intensive Care Unit. Critical Care. 2008; 12(2):209.
[5]. Abbasinia M, Irajpour A, Babaii A, Shamali M and Vahdatnezhad J. Comparison the effects of shallow and deep endotracheal tube suctioning on respiratory rate, arterial blood oxygen saturation and number of suctioning in patients hospitalized in the intensive care unit: a randomized controlled trial. J Caring Sci.2014; 3(3):157–64.

Abstract: objective: The study aims to examine the impact of the family conflict and religious- emphasis upon the school refusal behavior among the pupils, assess the school refusal behavior at primary schools, and find out the relationship between school refusal behavior and socio-demographic characteristics of parent(level of education, occupation status, marital relationship) and pupils gender.
Methodology: A case - control study was conducted on a "non probability...........

Keywords:impact, family conflict, family Religious- Emphasis, school refusal, primary schools

[1]. Lyon, A. R., and Cotler, S. (2007) Toward reduced bias and increased utility in the assessment of school refusal behaviour: the case for diverse samples and evaluations of context. Psychology in the schools, 44, 551-565.
[2]. Kearney, C: School absenteeism and school refusal behavior in youth: A contemporary review Clinical Psychology Review, 28(2008) 451–471.
[3]. Sewell, J. : School Refusal Australian Family Physician, 37(4) (2008), 406-408.
[4]. King, N.J. & Bernstein, G.A. : School Refusal in Children & Adoelscents: A Review of the Past 10 Years. Journal of the American Academy of Child and Adolescent Psychiatry, 40: 2(2001) 197-205.
[5]. National Educational Psychological Service. A Continuum of Support for Post – Primary Schools. Department of Education and Skills(2011)..

Abstract: Aim: To evaluate the effect of cognitive training program in chemotherapy treated breast cancer patients. Research design: A quasi-experimental "time series" research design was used. Subjects & Methods: Setting: The study was carried out in Oncology outpatient facility in one of the University Hospitals in Cairo, Egypt. Study subjects: It included two groups of 40 patients each: intervention and control group from the previously mentioned setting who met the inclusion criteria...........

Keywords: Breast cancer, Cognitive training, Chemotherapy, Patients, Program

[1] Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C et al. GLOBOCAN 2012 (2013): v1.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. 11Lyon, France: International Agency for Research on Cancer.
[2] WHO. Fact sheet; February, 2017. Cancer. http://www.who.int/mediacentre/factsheets/fs297/en/. Accessed on April, 2017
[3] Ibrahim AS, Khaled HM., Mikhail N N., Baraka H, and Kamel H. (2014): Cancer Incidence in Egypt: Results of the National Population-Based Cancer Registry Program. Journal of Cancer Epidemiology. Available at: https://www.hindawi.com/journals/jce/2014/437971/cta/. Accessed December, 2016
[4] Turgay, A.S., Khorshid, L. and Eser, I., Effect of the first chemotherapy course on the quality of life of cancer patients in Turkey, Cancer Nurs; 31 (6), 2008, E 19-E23.
[5] Sioka, C. & Kyritsis, A.P. : Central and peripheral nervous system toxicity of common chemotherapeutic agents. Cancer Chemother Pharmacol. 63, 2009, 761–767.

Abstract: Background: Nursing care after thoracic surgery is very important to help preventing pulmonary complications. Intercostal tubes are usually used after cardio-thoracic surgery to drain air or blood from pleural and mediastinal spaces to maintain hemodynamic stability, and also to maintain cardio-respiratory function. Objectives: The aim of the study is determining the effect of implementing nursing guidelines on pain, hemodynamic state and pulmonary complications after thoracotomy............

Keywords: Guidelines, pain, hemodynamic state, pulmonary complications, thoracotomy.

[1]. Akutsu Y, Matsubara H. (2009): Preoperative management for the prevention of postoperative pneumonia with esophageal surgery. Ann Thoracic Cardiovascular Surg.
[2]. Julie C. Reid, Anne Jamieson, Jennifer Bond, Bashir M. Versi, Arpit Nagar, Bernard H.K. Ng, and Julie D. Moreland (2010). A Pilot Study of the Incidence of Post-thoracotomy Pulmonary Complications and the Effectiveness of Pre-thoracotomy Physiotherapy Patient Education. Physiother Can. Winter; 62(1): 66–74.
[3]. Agnostini P and Singh S (2009) Incentive spirometer following thoracic surgery; what should we be doing? Physiotherapy 95: 76-82.
[4]. Reeve J.C., Nicol K., Stiller K., McPherson K.M., Birch P., Gordon I.R. and Denehy L.( 2010). Does physiotherapy reduce the incidence of postoperative pulmonary complications following pulmonary resection via open thoracotomy? A preliminary randomised single-blind clinical trial. European Journal of Cardiothoracic Surgery. 37: 1158-67.
[5]. Reid J.C., Jamieson A., Bond J., Versi B.M., Nagar A., Ng B.H.K. and Moreland J.D. (2010). A pilot study of the incidence of post-thoracotomy pulmonary complications and the effectiveness of pre-thoracotomy physiotherapy patient education. Physiotherapy Canada. 62 (1): 66-74.

Abstract: Knee fracture of the patella is a common injury among adults having higher prevalence among males population. The mechanism of injury either direct or indirect. The most common fracture pattern occurring is the transverse fracture followed by comminuted and vertical fractures. Treatment of patellar fractures depends on fracture type, integrity of extensor mechanism and size of fragment. Conservative management includes splinting and rest. Surgical techniques involve anterior tension band wiring and partial/total patellectomy. Physiotherapy management included early weight bearing followed by gradual mobilization and strengthening of extensor compartment of the knee joint. Fracture............

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[5]. Greene B. Lim S. The role of physical therapy in management of patients with knee fracture. Rheum Dis.2004; 52(4): 133-138.
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