AL NEELAIN NURSING SCIENCE JOURNAL - VOL - 01

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AL NEELAIN NURSING SCIENCE JOURNAL -Editorial
(Faculty of Nursing Sciences - Al Neelain University, 2020) Editor in Chief
AL NEELAIN NURSING SCIENCE JOURNAL -The cover
(Faculty of Nursing Sciences - Al Neelain University, 2020) Faculty of Nursing Sciences
AL NEELAIN NURSING SCIENCE JOURNAL-INSTRUCTIONS TO CONTRIBUTORS
(Faculty of Nursing Sciences - Al Neelain University, 2020) Editor in Chief
Challenges Regarding Application of Nursing Process among Pediatric Nurses at Governmental Pediatric Hospitals in Khartoum State, Sudan
(Faculty of Nursing Sciences - Al Neelain University, 2020) Madiha AbdulKader Saleh AlSharmani, Amal Abdelgadir Ali; Hanadi Mohammed Elhassan, Egbal Abbashar Algmar Almkiy
Background: The use of nursing process in clinical settings facilitates with high quality nursing care, improves client health outcomes and promotes nursing as a professional and scientific discipline. The biggest problem currently facing the nursing profession is the implementation of nursing process. The overall aim of this study is to assesses the challenges regarding the application of nursing process. Method: the present study is a descriptive cross-sectional hospital-based study, conducted in 2018 on nurses working at three governmental pediatric hospitals in Khartoum State – Sudan. 138 nurses from different departments were enrolled as the sample of the study. As the major instrument of collecting primary data, the researcher developed a structured questionnaire which consisted of three parts. A Likert scale was used to measure the level of nurses’ knowledge about nursing process. The collected data were analyzed by using the Statistical Package for Social Sciences (SPSS) version 25. The data were presented in form of tabulation and graph. Results: the findings revealed that: one third (33.3%) of the respondents were aged between (24 – 34) years; half (50.0%) of the respondents had a BSc. in Nursing and most of them had work experience of more than 10 years in various departments. The results also indicated that60.9% of the nurses were responsible for more than 10 patients per shift. They further show that while (37.0%) of the nurses had excellent knowledge in nursing process, (63%) of them did not apply nursing process properly. It was also found out that (19.6%) of the respondent nurses applied nursing process all the time to patients who were present in the hospital. The researcher concluded that the level of nurses' practice is poor, whereas the level of knowledge is excellent. Significant factors which affected the application of nursing process were: workload, time and resources. Key terms: nursing process, factors, application,pediatric hospitals.
Competence of Nurses in Providing Care Management of Premature Rupture of Membranes at Maternity Hospitals.
(Faculty of Nursing Sciences - Al Neelain University, 2020) Ihsan Elyamni Abdullah
Background Nurses provide critical, life-saving care to women and their babies. Effective midwives must be clinically competent with the required knowledge and skills to provide quality care. Objective To study nurses competence regarding providing care management of premature rupture of membranes. Methods Descriptive hospital based study design. Conducted among the nurse maternity hospitals in Khartoum State. Seventy respondents from antenatal words were enrolled in the study .Structural self administered questionnaire and standard check list were adopted for participants knowledge and skill. Data were analyzed by Statistical Package for Social Sciences (SPSS) version 25. Data were presented in simple frequency tables. Results: participants knowledge about monitoring temperature 94%and restricted per vaginal examination88% but their practice of auscultation fetal heart is poor practice 62% for assessing fetal wellbeing, conclusion According to the results participants knowledge is good while their practice were poor in assessing fetal wellbeing .The researcher suggested that management guideline and protocol should be applied to improve participants practice .
Documentation in Nursing
(Faculty of Nursing Sciences - Al Neelain University, 2020) Khozima Mohammed Abdala, Egbal Abbashar Algamar Almkiy
Historical Perspectives: Since the time of Florence Nightingale, nurses have viewed documentation as a very important aspect of their professional practice. Nightingale described the need to document data with an aim of collecting and retrieving information to aid in proper patient management. Previous study, confirmed that whereas the aim of documentation in Nightingale’s time was mainly to communicate implementation of doctors orders. Today’s nursing documentation is applied in all the steps of the Nursing process from assessment to the evaluation. Virginia Henderson, a nurse theorist, promoted the use of documentation when she introduced the idea of using the nursing care plans to communicate nursing care during the 1930’s. However, the nursing documentation was discarded after the patient had been discharged. Since 1970’s, nursing documentation has become more important reflecting the changes in nursing practice, regulatory agency requirements and legal guidelines. Nursing documentation has also evolved as an important mechanism in determining monetary reimbursement of the care provided to clients/patients (1)Over the last few decades, more efforts have been made to advance nursing documentation to increase its usability. One of these initiatives was the development and use of research based standardized nursing terminologies such as the International Classification of Nursing Practice (ICNP) and the International Nursing Diagnoses Classification (NANDA International) Standardized nursing languages provide common definitions of nursing concepts and allow for theory based and comparable nursing data to emerge there for they promote shared understanding and continuity of care and make it possible to use records for research and management purposes The introduction of electronic documentation systems into care practice has led to the transformation of nursing record-keeping. Electronic documentation systems can improve health professionals access to more complete, accurate, legible and up-to-date patient data(2) Background: Documentation is sometimes viewed as burdensome and even as a distraction from patient care.)3) Documentation and record keeping is a vital part of registered nursing practice. The quality and coordination of client care depends on the communication between different health-care providers. (4) Nursing documentation is a vital component of safe, ethical and effective nursing practice, regardless of the context of practice or whether the documentation is paper-based or electronic(5)
Effectiveness of Teaching Program in Awareness believes and Attitudes of Breast self-examination among Al-Quwayiyah Applied Medical Science Students, Shaqra University, Saudi Arabia.
(Faculty of Nursing Sciences - Al Neelain University, 2020) Aisha M .Adam, Areeg E Alhoime; Shrog S Alqahtanee
Abstract: Background: Breast cancer is the most common women’s tumours and reported as second leading cause of cancer deaths in Saudi Arabia. It considered as a progressive poor prognosis disease if detected late, but it can be early detected by Breast self-examination; which is a simple, nun-invasive, risk-free and low-cost method. Applied medical sciences female students’ are a part of their community that affected by breast cancers more-over health service providers of the future, their teaching of family members, neighbours, friends and the community helps in early detection of breast cancer and thus can reduce the morbidity or mortality Objective: To study the effectiveness of teaching program on elevation the level of knowledge behaviour and attitudes of Breast self-examination among applied medical sciences female students’ in Al-Quwayiyah - Saudi Arabia. Methodology: A total of 108 students were interviewed and assessed pre-and post-interventional educational program which administrated in form of lecture, demonstration and supervised practice concerning Breast self-examination using audio-visual aids as well as leaflets distributed. Results: knowledge of the participants increased from (42.9%) to (96.4%) pre- to post-test as an effect of the planed educational program; Moreover their attitudes became more positive and that increased from (56.5%) pre-intervention, to (84.0%) post-intervention. The planed educational programme had significant improvement in respondents' knowledge and Attitudes regarding Breast self-examination Conclusion: The knowledge and attitudes of studied students regarding Breast self-examination are lower than the researchers’ expectations before the educational program. However, there was a significant improvement in their knowledge and attitudes after the intervention with the educational program. Key words: Breast Self-examination. Knowledge. Attitudes.Nursing.
Factors affecting job satisfaction of nurses working in the ICU and CCU in governmental hospitals in Khartoum state, Sudan
(Faculty of Nursing Sciences - Al Neelain University, 2020) Nour Elhuda Mohammed Ibrahim, Sara Lavinia Brair
Introduction: Job satisfaction is defined as beliefs and emotions individuals have about their job.1.Job satisfaction among nurses promotes effective coronary and intensive care management as well as safe patient care. Objective: to determinethefactors affecting job satisfaction regarding nurses working in intensive care unit (ICU) and coronary care unit (CCU)in governmental hospitals in Khartoum state. Method: Descriptive cross-sectional hospital based study that included 105 nurses working in ICU and CCU as participants. A standardized structured self-administered questionnaire contained of five liked scale (very dissatisfied, .moderate dissatisfied, neither satisfied nor dissatisfied .moderate satisfied, .very satisfied). was used to collect data that consisted of two domains, the first domain contained the demographic variables, including information about the nurses’ age, work area, years of experience nursing degree and type of work. The second domain described factors affecting job satisfaction. Data was analyzed by the computerized method Statistical Package for Social Sciences (SPSS) version 20. Result: The job satisfaction level was satisfying in 60% of nurses, around 33% of them were very satisfied with theirjob and 27% were found to be moderately satisfied with their job. The most factors affecting job nurses satisfaction are nurse age very satisfied42(40. 0%) , vacation very satisfied43 (41.3%),%), vacation very satisfied43 (41.3%), nursing work under Stress very satisfied 42(39.6%) and enough payment very satisfied 33 (32.0 %) Those are most factors affecting job satisfaction among nurses working in (ICU&CCU. Conclusion: according to result finding. Participating nurses demonstrated high levels of job dissatisfaction to those factors, work environment, enough payment, opportunists for nursing career development and promotion.. Keywords: job satisfaction :nurses :job satisfaction, nurses ,ICU, CCU
Hypertension and Determinants Factors among Sudanese Population
(Faculty of Nursing Sciences - Al Neelain University, 2020) Badria A. Elfaki, Hassanat E. Mustafa
Introduction: Hypertension is common health problem contributes to cardiovascular diseases. Study aim: Aim of the study toassess determinants factors among hypertensive Sudanese rural population. Methods: Descriptive cross-sectional study, conducted at rural Sudan, Sinnar State. Participants at age of 25-64 year. A cluster sampling technique was used to collect data,and the total sample size was 341 participants. Collected data was cleaned, edited and analyzed using (SPSS) version 16.0. Results:Study found hypertension was 21.10%, systolic 5.9%, diastolic 10.0%. and highly significant among age group of 55-64year. Determents factors were varied and high among hypertensive population and significantly associated with hypertension diabetes mellitus18.1%,Cushing syndrome2.8%, steroid therapy5.6%, and participants were has higher probability to develop hypertension approximately 5 times than those without such problems. Also subjects with chronic kidney disease8.3%, hypothyroidism5.6%, and sleep apnea 6.9%, has four times chance to develop hypertension, but these factors insignificant associated with hypertension as indicated by (OR and P-value<0.005). Conclusion: Hypertension was 21.10%, and highly significant among age group of 55-64year.Most of hypertension determinantsfound by the studywere positive history of hypertension, diabetes mellitus, renal disease, emotional stress, and sleep apnea. Thus, thefindings confirmed growing concern about hypertension as a public health problem in rural Sudan. Keywords: Determinants Factors, Hypertension, Population,Rural,Sudan
Intravenous Infiltration and Extravasations: Knowledge among Nurses in Pediatric Hospitals in Khartoum State
(Faculty of Nursing Sciences - Al Neelain University, 2020) Howaida Mohammed Gassmalla Hassan, Abdelmoniem Mohamed Hamid
Background: Infiltration and extravasation are complications of intravenous administration therapies involving unintended leakage of solution into the surrounding tissue. Consequences range from local irritation to amputation. The aim of the study isto study nurses’ knowledge about intravenous infiltration and extravasation. Method: Descriptive cross-sectional, hospital based-study. A study conducted at four pediatric hospitals in Khartoum state. 165 nurses were included using simple random sampling of different working experience.Data was collected by face to face interview questionnaire; knowledge scored according to Likert scale three points, from one to three, 3 being good, 2 for fair and 1 for poor for each question has an answer with more than or equal to three values. The data was managed and analyzed by statistical packages of social sciences version 20. Results: (25.5%) of participants defined intravenous infiltration correctly, most participants (76.4%) had a poor level of knowledge about identification of infiltration, only (1.8%) of participants knew term extravasation, and the majority of nurses (78.2%) had a poor level of knowledge that antibiotics causing extravasation. There was statistically significant with qualification (P value 0.001) Conclusion: The study concluded that nurses had a poor level of knowledge on intravenous infiltration and extravasation. The study recommended (education, guideline and standards) for intravenous therapy should be adopted to ensure the best practices. Key words: Intravenous infiltration, extravasation, knowledge
Nurses Knowledge about Care of Patient with Acute Coronary Syndrome
(Faculty of Nursing Sciences - Al Neelain University, 2020) Hassanat E.M. Mustafa, Badria A. Elfaki
Introduction: Acute coronary syndrome (ACS) is life-threatening condition associated with coronary heart disease. Study aim:The study wasTo assess nurses’ knowledge about care of patient withST-Segment Elevation Myocardial Infarction (STEMI)asone categories of acute coronary syndrome at coronary care unit (CCU)and emergency room(ER) at public hospitals. Methods: A descriptive study with a qualitative approach. Included professional nurseswhoprovidedpatientscare at CCU and ERat Khartoum state, Sudan.Standardized administered questionnaire used for data collection and total participants were139.The data processed using statistical package software (SPSS), version 19for analysis. Chi-Square test usedP-value <0.05 considered statistically significant. Results: It reflected that most of participants were female (84.0%), their ages ranged between 25 - 29 years, and single. There were (85.0%) of participants had an experience in nursing science more than nine years while (42.0 %)has nursing experience in CCU and ER from 1-3 years.Also, the result found more than (60%) ofparticipants had poor level of perception aboutcharacteristics of acute coronary syndrome,initial management, arrhythmias occurred at initial phase and factors may lead to ST segment elevation myocardial- infarction,management, and only(42.0%) had a good perception about acute coronary syndrome categories. Conclusion: Universally, the study population had poor level of perception aboutACS specifically myocardial infarctionwithST segment elevationpatient. Keywords: Acute Coronary Syndrome, Coronary care unit, Emergency room,Nurses, Perceptions, Patients.
Nursing Education
(Faculty of Nursing Sciences - Al Neelain University, 2020) Hanadi Mohammed Elhassen Mokhtar, Amal Abdelgadir Ali Mohamed
Simulation Based Experiences in Nursing
(Faculty of Nursing Sciences - Al Neelain University, 2020) Ihsan Elyamni Abdullah