iosr-JNHS   Volume-7 ~ Issue-2 ~ March-April 2018

Abstract: Background: Antenatal care (ANC) is widely used to improve the health of pregnant women and encourage skilled attendant at birth. Based on multicenter randomized controlled trial in 2002, WHO recommended implementation of focused antenatal care (FANC) which is a goal oriented antenatal care approach, consisting of four ANC visits and a well-defined set of activities proven to be beneficial for maternal and neonatal health. Despite Kenya having adopted Focused Antenatal Care (FANC) for over a decade ago, little is known about the extent to which the nurses comply with the performance of the procedures stipulated in its guideline. Especially the maternal morbidity and mortality as well as poor perinatal outcomes have remained a major problem......

Key words: Antenatal care guidelines, Focused antenatal care, Nurses' compliance, Siaya County.

[1]. Every Woman Every Child. Saving lives, protecting futures: progress report on the global strategy for women's and children's health. New York: United Nations, 2015.
[2]. Hogan,M C., Foreman, K J., Naghavi, M. Ahn S et al. Maternal mortality for 181 countries,1980-2008. A systematic analysis of progress towards Millenium Development goal 5. Lancet. 375(9726):1609–23.
[3]. WHO. Maternal mortality fact sheet [Internet]. World Health Organization; 2016. Available from: www.who.int/mediacentre/factsheet/fs348/en/
[4]. UNICEF. UNICEF Annual Report 2015. 2015;(February):1–71. Available from: http://unicef.us2.list-manage.com/track/click?u=868bc193d9fcfe837d3fb7bc3&id=2253469023&e=1d4dc2ba38
[5]. UNFPA. UNFPA Kenya | Counties with the Highest Burden of Maternal Mortality [Internet]. UNFPA Kenya News: Dispatch. 2014. Available from: http://kenya.unfpa.org/news/counties-highest-burden-maternal-mortality.

Abstract: Massage therapy is a non-invasive procedure that has positive effect on weight gain the study aimed to evaluate the effect of massage therapy on weight gain and hospital stay for premature neonates. Design: A quasi-experimental research design was used Subjects and Settings: A convenient sample of forty four premature neonates were chosen from the (NICU) at Assiut University Children Hospital and Assiut General Hospital, according to inclusion and exclusion criteria. Tool: A structural questionnaire sheet was developed and divided into three parts: Part 1: Socio-demographic characteristics of premature neonates. Part II- Clinical data of premature neonates which includes medical diagnosis and types of feeding . Part III- Assessment of weight before intervention, after five days and on discharge.............

Key words: Massage therapy, premature neonates.

[1]. Allen MC, Cristofalo EA, & Kim C (2011): Outcomes of preterm infants: morbidity replaces mortality. Clin Perinatol,38(3):441–54.
[2]. Altimier L (2007): The Neonatal Intensive Care Unit (NICU) environment. In: Kenner C, Lott JW, Editors. Comprehensive neonatal care: An interdisciplinary approach. 4th ed. Philadelphia: Elsevier Health Sciences; Pp 488-9.
[3]. Aly F F & Murtaza G (2013): Massage therapy in preterm infants. Pediatric therapeutic, 3 (2): 155, ISSN: 2161-0665 Pediatrics, USA.
[4]. Ang JY, Lua JL, Mathur A, Thomas R, Asmar BI, & Savasan S, (2012): A randomized placebo-controlled trial of massage therapy on the immune system of preterm infants. Pediatrics;130(6):e1549-58.
[5]. Ang Y, Lua L, & Mathur A (2010): Randomized placebo-controlled trial of massage therapy on the immune system of preterm infants. Pediatrics,130(6): e1549-e1558.

Abstract: Background: Hepatitis C was one of the ultimate chronic infectious diseases in up to date years and, is estimated to infect approximately 130–150 million people globally. Aim:Evaluate Effect of an intervention program on health related quality of life (HRQOL) among Hepatitis C patients. Hypothesis:Hepatitis C patients who attend the intervention program exhibits higher health related quality of life (HRQOL) than those who don't attend it.Settings: The study was executed at acenter of liver and treatment of hepatic viruses by interferon in national medical institute in Damanhour, ElBehaira governorate. Subjects: chronic Hepatitis C patients attending the.....

Key words: Hepatitis C, health related quality of life, educational program

[1] World Health Organization(WHO). (2016) Hepatitis C. Geneva: WHO; [Online] Available At: Http://Www.Who.Int/Mediacentre/Factsheets/Fs164/En/[Cited 2016 Jul 11].
[2] Lavanchy D. (2011). Evolving Epidemiology of Hepatitis C Virus. ClinmicrobiolInfect. 17,107-15.Doi: 10.1111/J.1469-0691.2010.03432.X.
[3] Gao, F.Et Al. (2013).Health-Related Quality Of Life And Survival In Chinese Patients With Chronic Liver Disease. Health Qual Life Outcomes. 11:131. [Online] Available At: Https://Doi.Org.
[4] Estes, C. Et Al. (2015) ―Economic Burden of Hepatitis C inEgypt: The Future Impact of Highly Effective Therapies,‖ Alimentary Pharmacology &Therapeutics. 42(6), 696–706.Doi: 10.1111/Apt.13316. Epub2015 Jul 22.
[5] Blach, S. Et Al. (2016) .Global Prevalence and Genotype Distribution of Hepatitis C Virus Infection In 2015: A Modeling Study. Lancet Gastro enteral hepatol. 2(3), 161–76.Doi: 10.1016/S2468-1253(16)30181-9. Epub2016 Dec 16..

Abstract: Worldwide, there are two billion cases of diarrheal disease that kill approximately 1.5 million children due to dehydration every year, which is treated by fluid and electrolytes replacement. Inappropriate use of intravenous fluids therapy occurs in up to 20% of children receiving fluid therapy leading to brain overload, pulmonary edema, heart failure, embolism and renal failure. In Kenya, 17% of under-fives develop complications due to inappropriate intravenous fluid therapy. Anecdotal and empirical reports indicate that many children on intravenous fluid therapy in Kakamega county hospitals develop complications due to inappropriate fluid therapy. The overall objective of this study was to evaluate nurses' competence on intravenous fluid therapy in under-fives with dehydration in Kakamega County Hospitals. Specifically, to assess the knowledge of nurses on intravenous fluid therapy and to examine the practice of nurses' on intravenous fluid therapy. The study was conducted in Kakamega......

Key words: Intravenous fluid therapy, nurses' competence, under-fives, Dehydration.

[1] Alison Caldwell (2014). Increasing sodium levels in intravenous fluid given to childrenMay present serious health risks.
[2] Davies A (2010). How to perform fluid assessment on patients with Renal Disease Journal of Renal Nursing.
[3] D‟Cruz Ashley L.J (2011). Standard Treatment Guidelines Pediatric and Pediatric Surgery. Journal of Indian Association of Paediatric Surgeons.
[4] Fulcher& Frazer (2007) high volumes of intravenous fluid therapy in children
[5] George Mbevi, Philip Ayieko, Grace Irimu, Samuel Aketch, &Mike English (2016).Prevalence, etiology, treatment and outcome of shock in children admitted to Kenyan hospitals. BMC Medicine.

Abstract: Unless conflicts between students and clinical instructors can be successfully managed, they will certainly result in negative outcomes for the students as stress and low assertiveness level. The conflict management styles of the students should be recognized in detail in order to attain positive outcomes. Also, assertiveness has emerged as an effective moderator of stress for the nursing student. The present study aimed to assess the relation between conflict management styles, assertiveness and stress among nursing students. This study was conducted at the Faculty of Nursing, Zagazig University, using a descriptive correlational design. A stratified random sample of 424 nursing students was used. Data were collected using one tool consisted of four main parts: Demographic data, The......

Key words: Conflict Management Styles, Assertiveness, Stress.

[1] Arieli, D., (2013): Emotional work and diversity in clinical placements of nursing students. J. Nurs. Scholarsh. 45 (2), 192–201.
[2] Chan, J.C.Y., Emily N.M, Sit,W.M. & Lau. Y., (2013): Conflict management styles, emotional intelligence and implicit theories of personality of nursing students, Nurse Educ. Today (2013), http://dx.doi.org/10.1016/j.nedt.2013.10.012.
[3] Hamouda, G.M., Taha, E.E. &Hashish, E.A.A., (2012): Conflict resolution strategies used by nursing educators: students' perspective. J. Am. Sci. 8 (2), 209–216.
[4] Labraguea L.J, Petittebe D.M (2017): An integrative review on conflict management styles among nursing students Nurse Education Today 59 (45–52). www.elsevier.com.

[5] Arslan, E., Akca, N.K. & Baser, M. (2014): Levels of assertiveness and peer pressure of nursing students. International Journal of Caring Sciences; 6 (1): 78 – 86..

Abstract: Background: Nurses professional values are standards for action and provide a framework for evaluating behaviors. Nursing practice is influenced by nurses' perceived professional values.Aim: This study aimed to assess the staff nurses' perception regarding professional values.Methodology:This cross-sectional descriptive study was conducted at Ain Shams University Specialized Hospital. It included a Convenient sample of 95 staff nurses in intensivecare units. The data were collected by a self-administered questionnaire sheet that included a part for socio-demographic characteristics, and the second part included the Nursing Professional Values Scale-Revised (NPVS-R).Results: The finding indicated that the total mean score of the nurses' professional values was high (3.56±0.57). From nurses' perspective items such as "Maintaining confidentiality of patients" Advance the profession through active involvement in health related activities. Establish standards as a guide for practice, Maintain competency in area of practice, Protect health and safety of the public had more importance; however, Act......

Key words: Ethics, Nursing, Professional values, staff nurses.

[1] Allari, R. S., Ismaile, S., And Househ, M. (2017). Professional Values Among Female Nursing Students In Saudi Arabia. Studies In Health Technology And Informatics; 238: 231-234.
[2] American Nurse Association (2017). What Is Nursing?. Georgia, USA.

[3] American Nurses Association (2015).Nursing: Scope And Standards Of Practice, Third Edition. Silver Spring, MD: ANA Pp. 4–5.
[4] Baillie, L. And Black, S. (2015).Professional Values In Nursing. 1sted. London: Taylor And Francis Group; Page 2.

[5] Blais, K. K., And Hayes, J .S.(2015). Professional Nursing Practice: Concepts And Perspectives. 7th Ed. Philadelphia :Pearson Education; Page 70..

Abstract: prolonged lifeafter breast cancer management and repetitive use of contra-lateral breast ultrasonography on follow up those patients has led to increase the incidence of metachronous and synchronous breast cancer detection. Objective:is to assess the role of ultrasound in thorough assessment of other breast in patient previously underwent mastectomy for breast cancer. Patients and method: this is a cross sectional study which include100 patients who underwent mastectomy ,the study was done from the period between October 2016 to September 2017 in radiological unit - oncology teaching hospital /medical city complex where the patients were referred from oncology clinic for follow up of previous mastectomy site and scanning of contralateral breast for any lesion. Results:the mean age of 100 patients who underwent the study is 53 years, the result show that majority of the patients are in 5th and 6th decades......

Key words: synchronous breast cancer, metachronous breast cancer, breast ultrasound, mammography, fine needle aspiration

[1] Majid RA, Mohammed HA, Saeed HM, et al (2009). Breast cancer in kurdish women of northern Iraq: incidence, clinical stage, and case control analysis of parity and family risk. BMC women's health, 9, 33.
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[3] M. Hartman, K. Czene, M. Reilly et al., ―Incidence and prognosis of synchronous and metachronous bilateral breast cancer,‖ Journal of Clinical Oncology, vol. 25, no. 27, pp. 4210–4216, 2007. [2] J. L. Bernstein, R. Lapinski, C. Lynch, T. Holford, and W. D. Thompson, ―Factors influencing mortality among young women with second primary breast carcinoma,‖ Cancer, vol. 95, no. 10, pp. 2051–2058, 2002.
[4] Y. Chen, W. Thompson, R. Semenciw, and Y. Mao, ―Epidemiology of contralateral breast cancer,‖ Cancer Epidemiology Biomarkers and Prevention, vol. 8, no. 10, pp. 855–861, 1999.
[5] M. A. Chaudary, R. R. Millis, E. O. Hoskins et al., ―Bilateral primary breast cancer: a prospective study of disease incidence,‖ The British Journal of Surgery, vol. 71, no. 9, pp. 711–714, 1984. [5] W. Lu, M. Schaapveld, L. Jansen et al., ―The value of surveillance mammography of the contralateral breast in patients with a history of breast cancer,‖ European Journal of Cancer, vol. 45, no. 17, pp. 3000–3007, 2009.

Abstract: Background: patient safety is a basic goal of all healthcare organizations. One of the bigger knowledge gaps is how workplace factors influence safety outcomes. The aim of the study: was to assess work environment perception as a predictor of patient safety culture among nurses at Al- Ahrar Teaching Hospital. Subjects & methods: Research design: A descriptive cross-sectional survey design. Setting: This study was conducted at Al-AhrarTeachingHospital, SharqiaGovernorate,-Egypt. Subjects: Convenience samples of 345 nursing staff members. Tools of data collection: A self-administered questionnaire sheets were used for data collection: 1) personal data. 2) Work environment scale which includes 31 items categorized into the following five subscales: nurse participation in hospital affairs (nine items); nurse manager ability, leadership, and support of nurses..........

Key words: Work environment perception,Predictor, Patient safety culture, Nurses.

[1] Kirwan, M., Matthews, A., Scott, P. The Impact Of The Work Environment Of Nurses On Patient Safety Outcomes: A Multi-Level Modeling Approach. Int. J. Nurs. Stud.2013. 50 (2), 253–263.
[2] Mchugh, M., Stimpfel, A., Nurse Reported Quality Of Care: A Measure Of Hospital Quality. Res. Nurs. Health. 2012. 35 (6), 566–575.
[3] Chebor,A. , Simiyu, K., Tarus,T. ,Mangeni,J., &Obel ,M., Nurses Perception Of Their Work Environment At A Referral Hospital In Western Kenya. IOSR Journal Of Nursing And Health Science (IOSR-JNHS) E-ISSN: 2320–1959.P- ISSN: 2320–1940 Volume 3, Issue 6 Ver. IV (2014), PP 01-06 Www.Iosrjournals.Org
[4] Tregunno, D. (2004): Organizational Climate And Culture. In Quality Work Environments: Nurse And Patient Safety. (Mcgillis Hall, L., Ed.). Jones And Barlett, Sudbury, MA, Pp 67–91.
[5] Lake ET. Development Of The Practice Environment Scale Of The Nursing Work Index. Res Nurs Health. 2002; 25(3):176–88.

Abstract: Objectives: This work was carried out to investigate the efficacy of hand arches training in the improvement of dynamic tripod grasp and handwriting skills in hemiplegic C.P. children. Method: 30 children were joined in this study and at random selection divided into two groups; group A (hand arching training plus popular physiotherapy program) and group B (popular physiotherapy program only). Motor accuracy test was used to locate and follow eye-hand coordination, hand manipulation test to locate and follow translation, shifting and rotation tasks ,functional writing skill was used to locate and follow writing abilities and pinchmeter to locate and follow pinch grasp motor control..............

Key words: Hand arches- dynamic tripod grasp - handwriting skills –cerebral palsy

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Abstract: Needle-stick and sharp injuries (NSIs) are the most common source of occupational exposures to blood and the primary cause of blood-borne infections to healthcare workers (HCW. Internship Nursing students are particularly exposed to occupational hazards such as needle stick and sharp injuries due to limited knowledge and experience. These injuries with sharps may lead to dangerous hazards such as infections with hepatitis B &C and HIV. Aim of the study: Assess the effect of educational program on knowledge and practices of internship nursing students toward prevention of needle stick injuries during clinical training. Subjects and methods: quasi-experimental design with pretest posttest was utilized..............

Key words: Needle-stick injury, blood-borne infections, internship nursing students, educational program.

[1] Abd El-Hay S. A. ,2015, Prevention of Needle Stick and Sharp Injuries during Clinical Training among Undergraduate Nursing Students: Effect of Educational Program, IOSR Journal of Nursing and Health Science (IOSR-JNHS), Volume 4, Issue 4 Ver. VII (Jul. - Aug. 2015), PP 19-32

[2] Al tawil F. A. M. 2013, Knowledge, Environmental Factors, and Compliance about Needle Stick Injuries among Nursing Students, Life Science Journal,; 10(4): p 2467.

[3] Al-Dabbas M. and Abu-Rmeileh N.M.E., 2012, Needle stick injury among interns and medical Students in the Occupied Palestinian Territory, Eastern Mediterranean Health Journal, EMHJ • Vol. 18, No. 7

[4] Amini M., Behzadnia M.J., Saboori F., Bahadori M.., and Ravangard R., 2015, Needle-Stick Injuries Among Healthcare Workers in a Teaching Hospital, Trauma Mon. November; 20(4): pp:1-4

[5] Assiri A. M., Hathout H.M ., Anwar M. M, El Dalatony M. M * and Abdel Kader N. M.,2013, Occupational Infections among Health Care Workers in a Secondary Care Hospital Saudi Arabia, Occupational Medicine & Health Affairs, Volume 1 , Issue 7,pp:1-4.