AL NEELAIN NURSING SCIENCE JOURNAL - VOL - 02
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Item AL NEELAIN NURSING SCIENCE JOURNAL - Editing word(Faculty Of Nursing Science, 2022) AL NEELAIN NURSING SCIENCE JOURNALItem Assessment of nurses’ knowledge and attitude about professional Nursing Etiquette at Elmek Nimer University Hospital. Shandi .Sudan(Faculty Of Nursing Science, 2022) Mohammed Jeberldar Abuanjanimer; Amel Ahmed Hassan MohammedBackground: Nursing etiquette used in clinical practice worldwide to deliver quality-individualized carكe to patients who lead to strengthen relationships with patient and present a positive professional image. The study aimed to assess nurse’s knowledge and attitude regarding professional nursing etiquette. Methods: Descriptive cross-sectional hospital-based study was carried out in Elmek Nimer university hospital. The study includes 120 nurses. The data was collected by structured interview sheet, designed by researcher based on reviewing of literature. The data is analyzed by using statistical package of social science version 20. Result: The study showed that majority of nurses applied professional nursing etiquette in the hospital. More than two third (75%) of nurses mentioned that characteristic of shoes should be white in color. while, more than third (36.7%) reveled that heel should be less than 2.5 cm without heel. More than half (53.3%) of nurses had acceptable knowledge about dress. Near to two third (61.2%) of nurses they smile in patient face. Majority of nurses have acceptable knowledge about walking, sitting in chair, squatting to pick up something from the floor and pushing the treatment chart in nursing work place. More than two third of nurses had acceptable knowledge about carrying treatment tray. While (83.3%) nocked the door first and use their hands to open room. Conclusion and recommendation: The study concluded that nurses had acceptable knowledge about nursing etiquette with positive attitude. The study recommended regular training and further studies in the Sudan. Key wards: Nursing, Etiquette, Dress, Medication, Attitude, ProfessionalItem Birth Outcomes of Teenage Pregnancy at Maternity Hospitals at Khartoum State, Sudan 2022(Faculty Of Nursing Science, 2022) Zeinab Abaker Ahmed Saad; Mustafa Khidir Mustafa El Nimeiri; Amal Badwi BushraBackground: Teenage pregnancy and childbirth to women less than 20 years old continues to be a major global public health concern, affecting more than 16 million girls and young women worldwide. Teenage pregnancy has been considered to have a higher risk than pregnancy in an adult woman, because of biological immaturity of the teenager. The rate of pregnancy among adolescents is increasing, especially in developing countries, with higher adverse health outcomes such as preterm labor, intrauterine growth retardation and low birth weight, neonatal death, obstructed labor and maternal mortality. Aim: The study aimed to study birth outcomes of teenage pregnancy. Methods: This was a hospital-based cross-sectional which was carried out in two maternity hospitals in Khartoum State. It included (240) participants and was selected through systematic sampling method. The data were collected using a standardized administered questionnaire and were analyzed by the Statistical Packages of Social Sciences (SPSS), version 25 and were presented in form of tables and figures. Results: The study revealed that, more than half of the participants delivered stillbirths. About one-third of babies were born by cesarean section while two-thirds were delivered by normal vaginal delivery. A high percentage of participants were subjected to preterm labor. The number of low birth-weight babies and the low Apgar score were higher among adolescent mothers. There was strong statistically significant association between maternal outcomes, fetal outcomes and the participant’s age (P-value = 0.00). Conclusion: Teenage pregnancy is a public health problem of great magnitude in both developed and developing countries. Preterm labor was the most common birth outcome associated with teenage pregnancies followed by low birth-weight and low Apgar score for newborns. The study recommended strengthening contraceptive service promotion and provision for teenagers by giving special attention to rural ones and showing the consequences of divorce in the community. ________________________________________ Key word: Teenage pregnancy, Maternal, Fetal, Birth, Outcomes. الخلفية: لا يزال حمل وولادة اليافعات للنساء دون العشرين من العمر مصدر قلق عالمي رئيسي للصحة العامة ، حيث يؤثر على أكثر من 16 مليون فتاة وشابة في جميع أنحاء العالم. يُعتبر حمل اليافعات أكثر خطورة من الحمل لدى المرأة البالغة ، بسبب عدم النضج البيولوجي لليافعة. معدل الحمل بين اليافعات آخذ في الازدياد ، لا سيما في البلدان النامية ، مع نتائج صحية ضارة أعلى مثل الولادة المبكرة وتأخر النمو داخل الرحم وانخفاض وزن المواليد ووفيات الأطفال حديثي الولادة والمخاض المتعسر ووفيات الأمهات. الاهداف : دراسة نتائج الولادة لحمل اليافعات. منهجية البحث : هذه الدراسة عبارة عن دراسة وصفية مقطعية فى مستشفيات الولادة فى ولاية الخرطوم. وتضم (240) مشاركة. تم استخدام الطريقة المنهجية لاختيار المشاركات من المستشفيات. استخدم الاستبيان لجمع المعلومات المتعلقة بالمشاركات فى الدراسة وقد تم تحليل البيانات التى تم جمعها بواسطة الحاسوب واستخدم فى ذلك برنامج الحزمة الاحصائية للعلوم الإجتماعية، الاصدارة 25. تم عرض البيانات في شكل جداول ورسوم بيانية وجداول متقاطعة. النتائج: كشفت الدراسة أن أكثر من نصف المشا ركات أنجبن جنين ميت . وُلد حوالي ثلث الأطفال بعملية قيصرية بينما وُلد ثلثاهم عن طريق الولادة الطبيعية. نسبة عالية من المشاركات تعرضن للولادة المبكرة. كان عدد الأطفال منخفضي الوزن عند الولادة ودرجة حرزأبغار المنخفضة أعلى بين الأمهات اليافعات. كانت هناك علاقة ذات دلالة إحصائية قوية بين نتائج الأم والنتائج الجنينية وعمر المشارك p -value = 0.00). الخلاصة: يعتبر حمل اليافعات مشكلة صحية عامة كبيرة الحجم في كل من البلدان المتقدمة والنامية. كان المخاض المبكر هو النتيجة الأكثر شيوعًا للولادة المرتبطة بحمل اليافعات ، يليه انخفاض الوزن عند الولادة وانخفاض درجة حرز أبغار لحديثي الولادة. وأوصت الدراسة بتعزيز استخدام خدمات منع الحمل وتوفيرها لليافعات من خلال إيلاء اهتمام خاص للريفيين وإظهار عواقب الطلاق في المجتمع.Item Nurses' Knowledge Regarding Ventilator’s Alarms in Critical Care Units At Khartoum Public Hospitals(Faculty Of Nursing Science, 2022) Mahamoud Mohammed Ibrahim Mahamoud; Higazi Mohammed Ahmed Abdallah Awad; Hanadi Mohammed Elhassen MukhtarIntroduction Ventilator Alarms are extensively utilized in critical areas. They are an important component of most machines, specifically mechanical ventilators (MV), because they notify nurses to changes in patients' conditions. As a result, nurses must understand the functions and limitations of ventilator modes, in addition to that they should have knowledge about alarm management (1). Intensive care unit (ICU) nurses are constantly exposed to alarms, which may not require immediate attention (2) (3). Excessive alarm exposure can affect patient safety (4) (5). The study aimed to study nurses' knowledge regarding Ventilator’s Alarms in Critical Care units. Methods This study is a descriptive cross sectional hospital based study, conducted at public hospitals in Khartoum State. 100 nurses working at Critical Care units were enrolled in this study. Data was collected by a self-administered questionnaire and analysed by statistical package of social sciences computer program. Results The study revealed that, total knowledge of participants was poor and there was a significant relationship between participants’ qualification and their knowledge to manage ventilator alarms. Conclusion The level of knowledge regarding assessment of ventilator alarms was good while total knowledge about ventilation alarm management was poor. Recommendation Regular in-service training of staff based on evidence-based practices pertaining to mechanical ventilation alarm practices is imperative that research be done to perform those practices. Key words: Keywords: Nurses, competence, mechanical ventilation alarm, critical care units..Item Nurse’s Perspectives in Utilization of Non- Pharmacological Pain Management among Post- Operative Patients at Khartoum Public Hospitals, 2021-2022(Faculty Of Nursing Science, 2022) Areeg Saif Eldein Abdel Rahman Mahjoub; Higazi Mohammed Ahmed Abdallah Awad; Omima Idris Mohamed IdrisBackground: Pain in surgical patients considered one of the most serious complaints in the postoperative period. The nurses should be involved actively in the treatment of pain by using the pharmacological and non- pharmacological methods specially designed for the patient. Non-pharmacologic interventions include many types such as cognitive behavioral therapy, relaxation therapy, the study aimed to study nurse’s perspectives in utilization of non-pharmacological pain management methods for post- operative patients. Methods: This was descriptive cross sectional hospital based study conducted at selected public hospitals in Khartoum State. It’s include (106) nurses working at general surgical words. Data was collected by a self-administered questionnaire and analysed by using computer statistical package of social program and presented in form of tables. Results: study revealed that, total knowledge of participants was adequate and there was a significant relationships between participant’s qualification and their using of guidelines in post-operative pain management. Majority of participants didn’t received any training course about pain management. The participants had inadequate knowledge about utilization of relaxation techniques in managing post- operative pain. Conclusion: The study concluded that, the majority of participants didn’t use standardized tools in assessing and managing the post- operative pain. Half of participants sometimes using non- pharmacological methods to manage post- operative pain and there is no significant relationship between participant’s experience in surgical department, qualification and using of these methods. So, study recommends that, encouragement of in- service training program, continuous professional developmental program should be introduced. Key words: nurses, perspectives, non pharmacological, methods, post-operative pain.Item Nurses’ Knowledge Regarding Bowel Stoma Care in Khartoum State Public Hospitals 2021(Faculty Of Nursing Science, 2022) Alaa Mohmed Ahmed Shreef; Higazi Mohamed Ahmed Abdullah AwadBackground: education program plays a major role in teaching, enhancing, and improving nurses' knowledge and practice regarding bowel stoma care. Aim: To study nurses' knowledge regarding bowel stoma care at the public hospitals in Khartoum state. Methods: A descriptive cross sectional hospital base study was conducted in three governmental hospitals; fifty nurses were chosen by using Probability Proportional to size (PPS) sampling technique. Data were collected using questionnaire. Data were analyzed using Statistical Packages for Social Sciences (Version 23) presented in tables and figures using descriptive percentages, means and stander deviation, chi sure test used for relation significance Results: shows that mean of total knowledge score were poor in majority of them. Conclusion: On light of the study results it can be concluded that there was a highly significant improvement in practice items between pre and post education program, and the study recommended that there should be an in-service training and periodic educational programs targeting nurses to improve nurse’s knowledge. Keywords: Educational program, Nurses, knowledge, stoma care.Item Nurses’ Knowledge regarding Safety Measures toward Blood Borne Diseases in Hemodialysis Units, At Khartoum State- Sudan (2021- 2022)(Faculty Of Nursing Science, 2022) Aldowha Mohammed Aldowha; Higazi Mohammed Ahmed; Hanadi Mohammed Elhassen MukhtarBackground: Nurses play an important role at the dialysis units, they are the key health caregivers responsible for applying the foremost skills and principles of infection control steps throughout the process of hemodialysis. This may reflect their attitude and knowledge of infection control principles.The aim of this study to assess nurses’ knowledge regarding safety measures towards blood borne diseases in hemodialysis units. Methods: This is a descriptive, cross-sectional hospital based study, conducted at Khartoum main haemodialysis centres- Khartoum State, Sudan. Six main public hospitals were selected, plus the hospitals that provide haemodialysis. Seventy nurses providing haemodialysis were enrolled in this study, data was collected using self-administered questionnaire with an observational check list for data collection, data analysis was carried out using the statistical package for social sciences (SPSS), and the results were presented in descriptive and numerical forms as well as cross table P value considered significant at (0.05). Result: This study, revealed that participant nurses have poor knowledge about hand washing 34 (48.6) and mode of transition 29 (41.4%). The common causes of blood borne diseases was 34 (48.6%), while their knowledge was inadequate towards diseases that can be transmitted through blood 40 (57.1%). There is significant relationship between the course and efficiency of sterilization of the dialysis machine P-value < 0.031. Conclusion: The study concluded that total knowledge of participant was inadequate in spite of that they missed some information about infection control such as hand washing, methods of transmission and sterilization of machine. The study recommend regular in- service training for staff by workshop, seminar and audit regarding establishment and activation of infection control unit in each hospital, and have to employ qualified staff with supervised practice and establish standardize check list and guidelines. Keywords: blood borne diseases, nurses, knowledge, safety measuresItem Knowledge of the Nurses Regarding Care Provided in Cardiac Intensive Care Unit. Khartoum State – Sudan(Faculty Of Nursing Science, 2022) Afaf Farag Alla Babiker Gaafar; Mohamed E. AhmedBackground: The Cardiac Intensive Care Unit (ICU) specialized in the care of cardiac patients which have very specific care needs, requiring the highest standard of professional care and professional team with specific competences for performing continuous monitoring and treatment the aim is to study knowledge of the nurses regarding care provided in cardiac intensive care unit. Method: Descriptive cross-sectional, hospital based-study, conducted at three cardiac intensive care units in Khartoum state. All nurses were enrolled (131) whom providing direct care for cardiac patients of more than six months experience. Data was collected by a self-administered questionnaire. The data was analyzed by statistical packages of social sciences version 21. Results The majority of the nurses (93.1 %) were knew that emergency crash cart should be checked periodically for exchanging the medication based on expiry date, most of them (86.3 %) were recognized that the defibrillator should be connected to the AC(Alternating current) power supply continuously, (87.8 % ) of the nurses had poor knowledge scores on availability of guideline for performing mouth care for ventilated patient, and, most of nurses (80%) showed a good knowledge scores regarding hemodynamic monitoring. There was no statistical significant association between the nurses knowledge and qualification (p value = 0.879). Conclusion: The study concluded that the nurses have a good total knowledge score in Cardiac Intensive Care Unit. Recommendations: The study recommended to enhance the nurses ‘knowledge in the intensive care units, a propose plan for frequent workshops, and in service education to be undertaken. ________________________________________ Key words: Cardiac ICU, knowledge, Nurses, Sudan ________________________________________ الخلفية: وحدة العناية المركزة للقلب (ICU) هي غرفة خاصة ومتخصصة في رعاية المرضي الذين يعانون من أمراض القلب المختلفة والتي تتطلب كادر تمريضي باعلي مستويات الرعاية المهنية وفريق محترف باعلي مستويات الكفاءة للقيام بدوره في المراقبة والعلاج المستمر.تهدف الدراسة لتقيم المعرفة بين الممرضين والممرضات في وحدة العناية المركزة للقلب طرق البحث: دراسة وصفية مقطعية ، أجريت هذه الدراسة في ثلاث وحدات للعناية المركزة للقلب بولاية الخرطوم, تم إدراج جميع الممرضات (131) اللائي يقدمن الرعاية المباشرة لمرضى القلب بخبرة أكثر من ستة شهور. تم جمع هذه البيانات بإستخدام الاستبيان. ثم تم تحليلها بواسطة الحزم الإحصائية للعلوم الاجتماعية الإصدار 21 النتائج :لقد اظهرت النتائج غالبية الممرضين و الممرضات (93.1٪) لديهم مستوي معرفي جيد بضرورة فحص عربة ادوية الطوارئ بشكل دوري بغرض إعادة تعبئته بالادوية بناءًعلى تاريخ انتهاء الصلاحية ، معظمهم (86.3٪) يدركون أن جهازالصاعق الكهربائي (لإزالة رجفان القلب) يجب توصيله بالتيارالكهربائي (التيار المتردد) بشكل مستمر, بينما(87.8٪) منهم لديهم مستوى ضعيف من المعرفة فيمايتعلق بالمبادئ التوجيهية لتنفيذ العناية بالفم ومعظمهم (80٪) ) أظهر مستوى جيدًا من المعرفة بمراقبة الدورة الدموية والعلامات الحيوية. لا توجد علاقة ذات دلالة إحصائية بين درجات المؤهلات العلمية والمعرفة بقيمة إحتمالية 0.879 الخلاصة: لقد خلصت الدراسة إلى أن الممرضين والممرضات حصلواعلى درجات معرفة إجمالية جيدة بوحدة العناية المركزة لامراض القلب .التوصيات: أوصت الدراسة بتعزيز معرفة الممرضين و الممرضات بوحدات العناية المركزة وينبغي وضع خطة مقترحة لورش العمل المتكررة والتعليم أثناء الخدمة.Item The Effect of Training Program on Midwife’s Knowledge regarding Postpartum Hemorrhage at Aljenena town /Darfur(Faculty Of Nursing Science, 2022) Nafisa Ibrahim Abdelgadir, Sara Lavinia BrairBackground: Every year it is estimated that worldwide, more than 500 000 women die of complications of pregnancy and childbirth. At least 7 million women who survive childbirth suffer serious health problems Post-partum hemorrhage is one of the most alarming and serious emergencies which midwives face when hemorrhage occurs. The midwife plays central role in prevention and treatment of postpartum hemorrhage. Home birth deliveries are often in high demand, it requires the skills and confidence not only deliver babies, but to recognize early medical attendance or intervention. The aim is to assess the effect of training program on midwives, knowledge regarding of postpartum Hemorrhage Methods: A total coverage of village and hospital midwives in Aljenena town. Sample size consist of (86) midwives data were collected using structured interviewing questionnaire. Data were analyzed by using statistical package for social sciences Result: showed that tow third of midwives had poor knowledge about the causes of post-partum hemorrhage before intervention while their knowledge improved after intervention and more than forty of midwives had poor knowledge regarding risk factor of post-partum hemorrhage in pretest, while these changed to good knowledge in the posttest with highly statistical significant differences p=0.000. Less than tow third of midwives had poor knowledge about preventions of post-partum hemorrhage) before intervention. While, their knowledge improved after intervention. Conclusion: Based on the findings study concluded that the majority of midwives were lacked of the essential knowledge regarding PPH in pretest while knowledge improved after intervention. ________________________________________ Key word: midwifery training, postpartum hemorrhageItem AL NEELAIN NURSING SCIENCE JOURNAL - INSTRUCTIONS TO CONTRIBUTORS(Faculty Of Nursing Science, 2022) AL NEELAIN NURSING SCIENCE JOURNALItem AL NEELAIN NURSING SCIENCE JOURNAL -Cover(Faculty Of Nursing Science, 2022) AL NEELAIN NURSING SCIENCE JOURNALItem Knowledge of Nurses regarding Post Cesarean Section care In Kassala Saudi Specialized Hospital, Sudan2021(Faculty Of Nursing Science, 2022) Sara Salih Mohammed Salih; AbdelAlziem AbdAllah Mohammed Ali; , Hanadi MohammedElhassenIntroduction:- Post-cesarean section nursing care is an important measure to reduce the maternal mortality and morbidity rate and to a give good obstetric outcome. Methods: This was descriptive hospital based study conducted at Kassala Saudi Specialized Hospital from January2016 to September2016. 43 nurses were enrolled in the study (total coverage) .The data was collected through a structured questionnaire. The data was analyzed using SPSS version 23. Results: Most of the participants did not expose to training 84%. There was variation in knowledge concerning the different issues related to cesarean section and cesarean section complications,34.9%had poor knowledge regarding types of anaethesia,53.5% had a good knowledge regarding benefits from assessment of uterine involution also 67.4%had a good knowledge about sign ,symptoms of deep venous thrombosis and 79.1% of participant had a poor knowledge regarding advices that should be provided for mother before discharge . Recommendation: The findings of this paper suggest that continuing educational programs about nurse’s knowledge regarding post cesarean section care should be established to improved nurse's quality and profession. Conclusion: nurses have good knowledge regarding post-operative cesarean section care Keywords: postpartum care, Nurses, Knowledge, post cesarean section,