PHDtheses:Nursing

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Care Seeking Behavior and Management of Malaria among Mothers of Under-5 Children in Damazin Locality Blue Nile State 2018
(Al Neelain University, 2018) Asfa Elnour Mohammed Elfaki
Introduction: Malaria is a major public health problem and a common cause of death in the Sudan, as in other tropical countries. It remains one of the most important causes of child morbidity and mortality in sub-Saharan Africa with more than 80% of the population south of the Sahara are at risk of the disease. Objective: the overall objective of this study was to study care seeking behavior and management of malaria episodes for under-five children across Damāzīn locality in Blue Nile State to highlight the different efforts exerted to fight against under-five children morbidity and mortality. Methodology: This is a descriptive cross-sectional community-based study conducted in Damāzīn Locality, Blue Nile State. Interviews were done with deliberately selected 443 mothers from each of the target Administrative units according to the number of families with under-5 children. Data was collected by Focus Group Discussion(29) mothers and fathers in Al-Hijrah, Tabūk and Al-Nīl areas in Abū Hashīm district were included. The purpose of these Focus Group Discussions was to ascertain the perceptions, beliefs and illness experiences about malaria in under-5 children. Checklist observation was also used to validate the mothers’ behavior. The study was carried out in two phases, using both qualitative and quantitative tools for collecting data. The data were collected, processed and analyzed using the Statistical Package for Social Sciences programme - version 15. Results: (38.6%) of mother’s knew the main signs and symptoms of malaria, (37%) of mothers stated that convulsion was the most serious complication of malaria among under-five children. As for their knowledge about the causes of malaria, (10.4%) knew the causes. Concerning erroneous traditions, habits and beliefs, (19.2%) of the mothers left their children at home without medical care and with the use of traditional medicines and 70% use home compounds until their children’s health conditions deteriorate. Roughly (50%) of the respondent mothers believe that analgesics affected the result of Blood Film for Malaria, 30.1% of mothers delayed their child management due to inaccessibility to the health facility.39.8% of mothers with low income completed managing their children.40.1% of mothers with low income was nor, gave their children nutritional supplementary.83% of mothers in focus group discussions had just waited until the child health deteriorated. Conclusion: most of the respondents participated in delaying management due to their lack of sufficient knowledge regarding malaria signs, symptoms and treatment, and going through many options before consulting health providers. Furthermore, the low level of education, low family income, and remoteness from health facilities, habits, culture and traditions were the main factors staining mother’s practices. Most of the respondents had negative beliefs regarding the first aid of fever. Recommendations: importance of raising mother’s awareness regarding knowledge about malaria episode, complication and best management. Enhancing and encouraging collaboration and integration in malaria management.
Determinants of Treatment Defaulting among Tuberculosis Patients- Khartoum State, Sudan-2018
(AL-Neelain University, 2018) ZINAB ELRASHID ELGAILI ALMOKASHFY
Background: Persons who default from tuberculosis treatment are at risk for clinical deterioration and complications including worsening drug resistance and death. Although tuberculosis care is provided free of charge in Sudan, a high number of patients voluntarily discontinue their treatment before the end. Treatment Default is a major obstacle in the ﬁght against the disease. The aim of the study: was to study the determinants of tuberculosis treatment default among defaulters in Khartoum (Sudan) State in order to improve treatment adherence among tuberculosis patients. Research methodology: the study was descriptive cross-sectional Facility-based study carried out on 204 defaulter patients in tuberculosis management units (Khartoum State (Sudan). A standardized administered questionnaire was used the data was collected by the researcher and three data collectors. Pre-test was canied out. The data were analyzed using statistical package for social sciences version 20. Results: In age between 20-40 years (58.8% of sample), Men (68.1%) were more likely to be non-adherent than women (31.9 %). Patients residing in urban areas constitute 74% of the sample. There was a statistically signiﬁcant association between the Patients feelings of being stigmatized versus psychological family support (P value 0.000). There was a statistically signiﬁcant association between patients feeling of being stigmatized and commitment to visits scheduled by the doctors (P-value 0.02). On the other hand, there was association (P value=.016) between commitment to visits scheduled versus the doctor and ﬁnancial problems. Long duration of treatment was considered the reason of default among 64.2% of the defaulters. Period of discontinuation of treatment among patients was more common in the early months from the beginning of treatment 81.9%. 60.8% of participants had Knowledge about complication of non-treatment adherence and the rest were no. regard to Previous Knowledge of pts about complication of not adherence of TB treatment,29% spread of the disease to other, 62.9% the body resistance to treatment, 2.4% increasing the cost of treatment, 2.4% major side effects and 3.2% spread of the disease to others- the body resistance to treatment of participants Previous Knowledge about complication of defaulting TB treatment. Conclusion: two third of defaulters proximately In ages between 20-40 , men were more likely to be non-adherent than women .Patients residing in urban areas constitute. There was a statistically signiﬁcant association between the patient feelings of being stigmatized by psychological family support (P value 0.000). There was a statistically signiﬁcant association between patients feeling of being stigmatized versus commitment to visits scheduled by the doctors (P-value 0.02).. Period of discontinuation of treatment among patients was more common in the early months from the beginning of treatment . two third of participants had Knowledge about complication of non-treatment adherence and the rest were no. regard to Previous Knowledge of pts about complication of not adherence of TB treatment ,most of patients proximately mentions one complication. Recommendations: the necessity of early health education and counseling for patients, their families and all members of the community about the importance of taking the full dose of tuberculosis treatment and explaining the complications of defaulting treatment; we should also explain the modes of transmission to reduce the stigma and improve the economic status of patients in order to decrease the rate of default.
Effect of the Educational program on Compliance to treatment and Quality of life i n Patients with heart failure At Sudan heart C enter - Khartoum - Sudan
(AL Neelain University, 2015) Mugahed Ali Ahmed Al-khader
Abstract Background and objectives The education of patients with heart failure (HF) is an essential part of disease management . HF is known t o decrease the quality of life especially in non - compliance patients with regards to medication and life style changes. Heart failure educational program known to be beneficial for HF patient’s and many of studies worldwide have proven the positive outcomes in HF patients , but not previ ously developed and tested in Sud a n situation. Hens the aim of the present study is to evaluate the effectiveness of educational program on c ompliance to treatment and quality of life among Sudanese patients with heart failure, to explore new strategies in supporting patients to be better informed and more active. Methodology A prospective, one group, pre - intervention / post - intervention quasi - experimental study design, this study was conducted from January – October 2014 on all admitted heart failure patients (132) at the Sudan heart center. Demographic and clinical data including the compliance (medication, sodium restriction, fluid restriction, daily weighing, exercise, and appointment - keeping) and quality of life using the Minnesota Living with Hea rt Failure Questionnaire were collected from all patients and the Data were analyzed using SPSS software program version21 , Frequency distribution, mean, Mc Nemar Test, Wilcoxon Signed Ranks Test and chi - square .P value of ≤ 0.05 was considered statistical ly significant. Results The result of present study revealed that proportion of overall of 132 patients’ compliance before HF educational program was (non - compliance 118 (89.3%), 14(10.65%) compliance to HF treatment), and the overall of 132 patients’ compliance post HF educational program (non - compliance 25 (18.9%), 107(81.1%) compliance to HF treatment). the high rate of compliance was found in medications 117 10 (88.6%) and follow – up appointment keeping 108 (81.8%). The highest rates of non - compliance are found in fluid restriction 7(5.3%), and exercise 16 (12.12%), and daily weighing 22 (16.6%). The present study finding show that , compared to baseline, there were statistically significant differences in QOL for HF patients participate in this study , The mean(SD) QOL of our study 78.401(22.226) pre - test , and 67.7(8.832) post - test which presented significant improvement ,The present study confirmed that there was a considerable improvement in overall t reatment compliance after the HF educational program and it is established as significant (p value =0.00). Conclusion Over all finding showed that there is low compliance that leading to poor quality of life in the majority of Sudanese patients with heart failure . The present study confirmed the important of educating and counselling program in changing the attitude of HF patients. This was obvious in the c onsiderable improvement in overall t reatment compliance following the HF educationa l program. Key words Educational program; Heart Failur e; treatment Compliance ; Quality of life; Sudan
The effect of an educational program on mothers' knowledge and care practices of thalassemic children in Jordan 2018
(Al-Neelain University, 2019) Seirin Mohammad Hammed AL-khresheh
Background: Thalassemia is the most common blood disorder among children in Jordan that characterized by abnormal hemoglobin production. Major effort has been done in Jordan in response to the critical need to discover beta thalassemia in early stage to decrease incidences of genetic disorders rates from thalassemia. Objectives: To evaluate the effectiveness of an educational program on mothers' knowledge and care practices of thalassemic children in Jordan. Methods : A quantitative study using quazi-experimental research design with pre-post test was used. A convenience sampling technique was used to select participants. Forty-Five mothers and their children were selected from the three governmental hospitals during the period between 1st of June to 30 of November 2018.Data were collected through an interview- structured questionnaire. Evaluating the knowledge and care practices after health education session program using the tool composed of questions related to the health education session’s content and training mothers about administration of Dieferal. Data were analyzed collectively using /SPSS version 16. The intervention composed of an educational program about thalassemia evaluated the knowledge and care practice mothers of thalassemic children. A pre-test was done for mothers before one month of implementing the health education program and the post-test was done after the implementation program in the three thalassemia center. Results: Results showed that the mean age of mothers' was (35.7, SD=13.3) years,44.4%of them were between 30 to 39 years old,88% were married, 53.3% had monthly income more than 300 JD,37.7% had high level of education, The mean age of the thalassemic children was (7.8, SD= 5.0).Where as 53.3% of thalassmic children are male, 51.1% of them between 6-10 years. Results of assessment phase pre intervention showed that the knowledge level and care practices of thalassemia among mothers is low. Results showed that post intervention the mothers' overall level of knowledge about thalassemia had significantly increased (t= 96.75, P=.000) compared with the pre intervention results. The overall knowledge score ranged from 34 to 49 with a mean of 45.11.Significant improvements in mothers' knowledge scores were observed on all subscales of the knowledge scale. Conclusions and recommendation: These results indicated the effectiveness of the educational program in improving the knowledge and practices of mothers of thalassemic children about the thalassemia disease There is a need to implement similar health educational program at the other thalassemia centers in Jordan for all mothers' of thalassemic children. A Similar study can be conducted on larger samples to generate findings. خلفية الدراسة:فقر دم حوض البحر الابيض المتوسط هو أكثر أمراض الدم الشائعة بين الأطفال تم بذل جهد كبير في الأردن استجابة للحاجة الماسة إلى اكتشاف فقر دم حوض البحر الابيض المتوسط الكبرى في المرحلة المبكرة لخفض حالات الإصابة بمرض الاضطرابات الوراثية الناجمة عن الإصابة بالمرض.الأهداف: تهدف الدراسة الى قياس و تقييم فعالية برنامج تعليمي حول معرفة وممارسات الرعاية الصحيه لامهات أطفالفقر دم حوض البحر الابيض المتوسط في الأردن. طريقة الدراسة : تم استخدام دراسة كمية باستخدام تصميم البحوث التجريبية مع اختبار قبلي وبعدي الى البرنامج التعليمي. تم استخدام تقنية أخذ العينات لاختيار المشاركين. تم اختيار 45 أمًا وأطفالهن من الثلاثة المستشفيات الحكومية خلال الفترة ما بين 1 حزيران إلى 30 تشرين الثاني 2018. تم جمع البيانات من خلال استبيان منظم المقابلة .تم تقييم معرفة و ممارسات والرعاية لامهات اطفالفقر دم حوض البحر الابيض المتوسط قبل و بعد اعطاء برنامج التثقيف التعليمي الصحي باستخدام استبانة تتألف من الأسئلة المتعلقة بمحتوى جلسة التثقيف الصحي والتدريب على كيفية اعطاء علاج الديسفرال تم / تحليل البيانات باستخدام .SPSS 16. ولتقييم مدى فاعلية تطبيق البرنامج التعليمي والتدريبي تم إجراء اختبار مسبق للأمهات قبل تنفيذ برنامج التثقيفي الصحي . سنة (SD = 13.3النتائج:أوضحت النتائج أن متوسط عمر الأمهات كان ( 35.7 , 44.4٪ منهن بين 30 الى 39 سنة ، 88٪ منهن متزوجات ، 53.3٪ لديهن دخل شهري أكثر من 300 دينار ، 37.7٪ لديهن نسبة عالية. مستوى التعليم ،. كان متوسط عمر أطفالفقر دم حوض البحر الابيض المتوسط53.3٪ من الأطفال المصابين هم من الذكور ، 51.1٪ منهم بين 6-10 سنوات. أظهرت نتائج المرحلة السابقة للتقييم أن مستوى معرفة المرضفقر دم حوض البحر الابيض المتوسط ومهارات الممارسه لاعطاء علاج الديسفرال .بين الأمهات منخفض. وأظهرت النتائج بعد تدخل البرنامج التعليمي أن المستوى العام لمعرفة الأمهات حول افقر دم حوض البحر الابيض المتوسطقد زاد بشكل كبير (96.75= t ، P = .000) مقارنة مع نتائج التدخلات السابقة. تراوحت نقاط المعرفة الإجمالية بين 34 و 49 بمتوسط 45.11. لوحظ تحسن كبير في درجات معرفة الأمهات في جميع مقاييس المعرفة..الاستنتاجات والتوصيات: أشارت هذه النتائج إلى فعالية البرنامج التعليمي في تحسين معرفة وممارسات أمهات الأطفال المصابين بفقر دم حوض البحر الابيض المتوسط هناك حاجة لتنفيذ برنامج تعليمي صحي مماثل في مراكز فقر دم حوض البحر الابيض المتوسط الأخرى في الأردن لجميع أمهات الأطفال المصابين بالمرض. يمكن إجراء دراسة مماثلة على عينات أكبر لتعميم النتائج
Effect of an Educational Programme on Knowledge of Patients with Replaced Heart Valves Regarding Warfarin Therapy.
(Al Neelain University, 2017) Mohammed Khalid Hussien Khalid
Background: Since the inception of heart valve replacement surgical operations, the lives of millions of patients with damaged heart valves have been saved. However, the replaced valves constitute triggering factors for intravascular thrombosis in these patients. Thus, anticoagulation medication becomes a necessity as a lifelong management. Warfarin is one of the preferred anticoagulants in common use with the advantage of being orally administered. However, it has a narrow therapeutic range so much so that bleeding or coagulation is an easily reached complication. Therefore, the drug should be kept under tight control that depends on the measurement of international normalized ratio and monitoring of the early warning signs and symptoms. Successful management of the patient depends on the full awareness of the treating personnel and the patient as the principal stakeholder about the drug and its side effects. This goal can be achieved through patient education about the drug, which is considered in many anticoagulation systems as a part and parcel of the medical management. Objective: This study aimed at evaluates the effect of a structured educational programme on the knowledge of patients with replaced heart valves on long term Warfarin anticoagulation therapy. Methodology: This study is an interventional descriptive hospital based study with non-probability Convenience sampling One hundred and twenty five (125) patients with replaced heart valves on long term Warfarin anticoagulation therapy were enrolled in the study. the sample size collected over a period of Nine months, from June 2015 to February 2016 they divided in to Five groups, each group receive lectures and education about all aspects related to warfarin use over one week, blood sample of (INR) was collected before and after the educational programme then the participants Knowledge and attitude about different aspects of warfarin as an anticoagulant was assessed before and after the implementation of structural educational programme. . After that, the difference in knowledge was evaluated statistically through the appropriate statistical methods. Results: In the post-test, the participants’ knowledge of warfarin improved significantly compared to their knowledge in the pre-test. Conclusion: The educational programme had a significant positive impact on the participants’ knowledge of warfarin drug and the effects of its usage. It was concluded that such an educational programme should be considered as a part of patients’ management because it can significantly improve the treatment outcome with warfarin therapy.
The Effect of Educational program on Women with Breast Cancer regarding Management of Acute Side Effects of Radiotherapy In National Cancer Institute NCI (Wad Madani )Gezira state 2014 - 2015
(Neelain University, 2018) Eman Yassin Ali Fadol
Abstract The purpose of this study was to determine the effect of implementing a teaching module on managing acute side effects of radiotherapy in breast cancer patients. M ethodology: This study is a quasi-experimental design (pre-test/post- test). The study sample consisted of One hundred (100) subjects’ selected using non probability Convenience sampling methods from the speciﬁed population, which comprised breast cancer patients treated with radiotherapy at radiotherapy unit of National Cancer Institute — University of Gezira. The sample size collected over a period of seven months, from June 2016 to January 2017, they received lectures and education about all aspects related to radiotherapy and it’s side effect over two week. The participants Knowledge and attitude about different aspects of radiotherapy Was assessed before and after the implementation of structural educational program. The ’[00| Of data collection: used in the present study is a structured interviewing questiormaire which was used to collect data on: l. socio- demographic characteristics; 2- pre-test and post-test based on Pender's
The Effect of postpartum Hemorrhage training programe on knowledge and practice of Midwives in Aljenina_west Darfur Sudan 2016- 2021
(Al-Neelain University, 2022) Nafisa Ibrahim abdelgader abdelmola
Abstracts Introduction: Post-partum hemorrhage is one of the most alarming and serious emergencies which midwives face when hemorrhage occurs ,her prompt and competent action will be crucial in controlling blood loss and reducing the risk of maternal morbidity or even death. The midwife plays central role in prevention and treatment of post-partum hemorrhage Objective: To study the effect of training program of midwives knowledge and practices on timely management of postpartum Hemorrhage Methods: A quiz- experimental pre-posttest was conducted in Aljenena city – located in West Darfur A total coverage(86) of village and nurse midwives in Aljenena city, two tools were used to collect data structured interviewing questionnaire and observational check list. Data were analyzed by using statistical package for social sciences Result: (48.8%) of midwives had very good knowledge related to types of post-partum hemorrhage in pretest. while, in posttest all most all (96.5%) of them had very good knowledge. (41.9%) of midwives had very poor score of knowledge regarding risk factor of post-partum hemorrhage during antenatal period in pretest while these score changed to (54.7%) poor knowledge in posttest and(61.6%) of midwives had very poor score of knowledge about prevention of post-partum hemorrhage before intervention. while, their knowledge significantly improved after intervention (44.2%). Conclusion: the study concluded that the majority of midwives were lacked of the essential knowledge regarding postpartum hemorrhage and improve the knowledge after intervention. Recommendation: Updated PPH protocol to provide midwives with the knowledge needed for early identification and intervention that would hopefully positively influence consistent care and improve patient outcomes. Key word: midwifery training, postpartum hemorrhage المستخلص نزيف ما بعد الولادة يعد من احد المخاطر التى تواجه القابلة لذلك تدخلها السريع وكفاتها تعد من الامر الضرورية لوقف الزيف وتقليل مخاطر الاعاقة الوفيات للامهات, وتلعب القابلة دورا اساسيا فى حماية وعلاج نزيف ما بعد الولادة. التصميم : دراسة تجريبة ذات الاختبار القبلى والبعدى . المكان: اجريت هذه الدراسة فى مدينة الجنينة التى تقع فى غرب دارفور الهدف: دراسة اثر التدريب القابلات فى العلاج الزمنى لنزيف ما بعد الولادة. منهجيةالبحث:اجريت هذه الدراسه بتغطية جميع قابلات القرية ومستشفى في مدينة الجنينة وعددهم (86) تم جمع البيانات بواسط استبيان المقابله الشخصية واستمارة مراقبة وتم تحليلها باستخدام الحزم الاحصائيه للعلوم الاجتماعية . النتائج: قد اوضحت الدراسة ان (48.8%) من القابلات لديهم معرفه جيدة جدافيما يتعلق بانواع نزيف ما بعدالولادة فى الاختبار القبلى بينما فى الاختبار البعد96.5.%) احرزوا معرفة جدا(41.9%) من القابلات قد احرزن معرفه ضعيفة جدا فيما يختص بالعوامل المساعدة فى حدوث النزيف اثناء الولادة فى الاختبار القبلى بينما تغيرت المعرفة الى(54.7%) فى الاختبار البعدى و(61.6%) من القابلات قد احرزن معرفه ضعيفه فيما يتعلق بطرق الوقاية فى الاختبار القبلى حيث تغيرت النسبه الى (44.2%) فى الاختبار البعدى. الخلاصة: خلصت الدراسة الى ان القابلات ليس لديهم معرفة بنزيف ما بعد الولادة قبل البرنامج بينما تحسنت معرفتهم بعد البرنامج . التوصيات: بروتوكول لتذويد القابلات بالمعرفة المطلوبة التى تساعد فى المعرفة والحماية المبكرة و التى تساعد بدورها فى تحسين وضع المرضى.
Effectiveness of Health Education Program regarding Bowel Stoma Care on Nurses’ Performance in Khartoum State puplic Hospitals – 2021
(Al-Neelain University, 2021) Alaa Mohmed Ahmed Shreef
Abstract Background: Nurses play a vital a role in promoting excellent health education by teaching basic capabilities and offering information about intestinal ostomy management .Objective: To study the effectiveness of education program on nurses' performance regarding bowel stoma care Methods: A quasi-experimental hospital based. Conducted in three public hospitals,fifty nurses were chosen by using Probability Proportional to Size (PPS) sampling technique. Data were collected using questionnaire for knowledge assessment and checklist for practice assessment. Data were analyzed using Statistical Packages for Social Sciences (Version 23) presented in tables and figures. Results: showed that the mean of total knowledge score changed from poor to adequate as well as mean of total practice score changed from poor to good .so there was a highly significant difference at p˂ .001 between pre- and post-implementing education program.Conclusion:on light of the study results it can be concluded that there was a highly significant improvement in all knowledge and practice items between pre and post education program Recommendation: The study recommended that there should be an in-service training and periodic educational programs targeting nurses to improve nurse’s knowledge and practices. المستخلص المقدمة:يلعب الممرض دورا حيويا و رئيسيا في تعليم وتعزيز وتحسين معرفة المرضي فيما يتعلق للمرضي بالعناية بفتحة الأمعاء. الهدف: هدفت الدراسة الي تقييم فعالية البرنامج التعليمي حول أداء الممرضين فيما يتعلق بالعنايةبفتحة الأمعاء .المنهجية: أجريت هذه الدراسة شبه التجريبية في ثلاثة مستشفيات حكومية حيث تم اختيار خمسين ممرضا باستخدام تقنية أخذ العينات الاحتمالية المتناسبة مع الحجم.جمعت البيانات باستخدام الاستبانة لتقييم المعرفة وقائمة تحقق لتقييم الممارسة. تم تحليل البيانات باستخدام برنامج الحزم الإحصائية للعلوم الاجتماعية (الإصدار 23) وتم عرض النتائج في الجداول واشكال. النتائج: تبين أن متوسط مجموع درجات المعرفة تغير من ضعيف الى مرضي وكذلك متوسط مجموع نقاط الممارسة ارتفع من ضعيف الي جيد. لذلك كان هناك علاقة معنويةذات دلالة إحصائية p ˂.001 بين برنامج التعليم قبل وبعد التنفيذ. الخلاصة:على ضوء نتائج الدراسة الحالية خلصت الدراسة إلى أن هناك تحسنا كبيرا في جميع بنود المعرفة والممارسة بين نتائج برنامج التعليم قبل وبعده. التوصيات: أوصت الدراسة بضرورة وجود تدريب أثناء الخدمة وبرامج تعليمية دورية تستهدف الممرضين لتحسين المعرفة والممارسة
Effectiveness of Nurses` Training Program in Prevention of Intravenous Infiltration and Extravasation among Children at Khartoum State Children's Hospitals – Sudan
(Al-Neelain University, 2018) Howaida Mohammed Gassmalla Hassan
Abstract Background and Objective: Infiltration and extravasation are complications of intravenous therapy involving unintended leakage of solution into the surrounding tissue. Consequences range from local irritation to amputation. Studies emphasize the need for regular education for nurses to tackle current deficiencies in knowledge and skills including evidence-based education. The study aimed to evaluate the effectiveness of the nurses` training program in the prevention of intravenous infiltration and extravasation among children in Khartoum state hospitals. Methodology: An Interventional hospital based study pre -post training for the same group, was conducted in four children's governmental hospitals in Khartoum state, Ahmed Gasim Children's Hospital, Mohammed Elamin Hamid Children's Hospital, Gafar Ibn Auf Children's Referral Hospital, and ELbuluk Children's Hospital.165 participants were selected using a simple random sampling technique. Data was collected by a structured face to face interview questionnaire to assess nurses’ knowledge, and an observational checklist to assess nurses’ practice, based on Standards of Practice developed by the Infusion Nursing Society (INS).Reliability of the tools was tested by a pilot study. Pre and post intervention-training covering knowledge and practice was done. Data were analyzed by using the computer Statistical Package for Social Sciences (SPSS) version 20. Results: The study revealed that; only (1.8%) of the participants had good level of knowledge about definition of extravasation preprogram which improved to (78.8%) post program. (3.6%) of the participants had good level of knowledge that the insertion site must be visible preprogram, knowledge improved to (97.0%) post program, moreover the study showed that (20.0%) of the participants had poor practice, they flushing intravenous cannula with sterile water, which improved to (90.3%) post training. In addition to that 57.6% of the participants had poor practice, they dilute vesicant medications with less amounts than required, compared to (88.5%) post training. The overall results showed significant differences between levels of participants' knowledge and practice pre/post study (P value 0.001). Conclusion: The training program had a significant positive effect on the participants' knowledge and practice .It was concluded that training programs should be considered as a part of nurses' improvement. The study recommended that education, guideline, in-service training, and standards for intravenous therapy should be adopted in all paediatric hospitals to ensure the best practice in each hospital. مستخلص الدراسة خلفية البحث والاهداف: التسريب الوريدي والانصباب الدمى من مضاعفات العلاج بالاوردة حيث يتسرب المحلول حول الانسجة المحيطة بالوريد. عاقبة ذلك التسريب تتراوح بين التحسس الموضعى الى البتر . وتؤكد الدراسات على الحاجة إلى التدريب المنتظم القائم على الأدلة للممرضين والممرضات لمعالجة القصور في المعرفة . هدفت الدراسة الحالية إلى تقييم تأثير برنامج تدريبي للممرضين فيما يتعلق بالاجراءات الوقائية للتسريب الوريدي والانصباب الدمى بين الاطفال بمستشفيات الاطفال فى ولاية الخرطوم.طرق البحث دراسة تدخلية (قبل وبعد التدريب) اجريت فى اربع مستشفيات اطفال فى ولاية الخرطوم (مستشفى احمد قاسم ,محمد الامين حامد, جعفر ابنعوف والبلك) تم اختيار165مشارك عن طريق العينة العدلية البسيطة بمحتلف سنوات الخبرة . تم جمع البيانات باستخدام الاستبيان بالمقابلة وجها لوجه وقائمة تدقيق لتقييم معرفة وممارسة الممرضين والممرضات للاجراءات الوقائية للتسريب الوريدي والانصباب الدمى بين الاطفال. وقد تم استخدام الوسيلتين قبل االبرنامج التدريبى وبعد ثلاثة أشهر من البرنامج التدريبى . تم تحليل البيانات ببرنامج الحزم الاحصائية للعلوم الاجتماعية النسخة 20. النتائج: اظهرت نتائج الدراسة ان (1.8%) من المشاركين عرف الانصباب الدمي قبل البرنامج التدريبى تحسنت المعرفة الى (78.8%)بعد التدريب وان (3.6%) من المشاركين لديهم معرفة بأن موضع إدخال القسطرة الوريدية يجب ان يكون مرئيا قبل البرنامج التدريبى, تحسنت المعرفة بعد التدريب الى (97.0%).وكذلك كشفت الدراسة ان (20.0%) من المشاركين لديهم ممارسة غير علمية بتمرير الماء المقطر لغسل القسطرة الوريدية قبل البرنامج التدريبى تحسنت الممارسة بعد البرنامج التدريبى الى (90.3%) بالاضافة الى ان(57.6%) من المشاركين خفف الادوية المنفطة (الحارقة) بكمية اقل من المطلوب تحسنت الممارسة بعد البرنامج التدريبى الى (88.5%). الخلاصة: أظهرت نتائج الدراسة الحالية وجود فروق ذات دلالة إحصائية ايجابية بين مستويات معرفة وممارسة المشاركين المكتسبة قبل وبعد البرنامج التدريبى وذلك بعد ثلاثة أشهر.التوصيات: اعتماد معايير وتوجيهات عند العلاج بالاوردة وعلاج المضاعفات الناتجة مثل التسرب الوريدي والانصباب الدمى. انشاء مراكز للتعليم المستمر ومراكز التطوير فى كل مستشفي .انشاء فريق للعلاج الوريدي والابلاغ عن مضاعفات العلاج الوريدى لضمان افضل تطبيق عملى .المزيد من البحوث لمعرفة مدي الاصابة بالتسريب الوريدي والانصباب الدمى بين الاطفال.
Evaluation of Quality of Wound dressing among Nurses in Surgical wards in Three Teaching Hospitals in Khartoum State 2012 - 2013
(Neelain University, 2014) AMANI MUKHTAR MUSTAFA
Abstract Introduction: Quality of wound dressing was very important in order to prevent infection, improve quality of life in order to amputation and even death, in addition to enhance patient’s satisfaction. Objective: - This cross sectional descriptive study was carried out to evaluate the quality ofwound dressing among nurses including dressing techniques, available resources and patients’ satisfaction with nursing care of wound and hospital services in three teaching hospitals in Khartoum State. Material and Method: Design: a descriptive cross sectional hospital base study. Total coverage sample were used involving seventy eight nurses, and none probabilityof convenient sampling of one hundred and seven patients with wounds were admitted to surgical wards in three teaching hospitals (Khartoum, Omdunnan and Khartoum North teaching hospitals). Data were collected by i observational checklists for Nurses performing wound dressing and available resources via hospitals and interviewing questionnaire for patients to assess _ their satisfaction. Data were analyzed by SPSS version 16 and were calculated to evaluate nurses who performed wound dressing and patient’s satisfaction. Statistical signiﬁcance was accepted when P value equals to or less than 0.05. Results: The result showed that 81% of participants performed the dressing by one nurse while 19 % were performed by two nurses during the procedure. Also more than 90% of participants did not follow barrier nursing (wash hands, wear gown, cap and face mask) in preparation of sterile ﬁeld. Conceming sterilization less than 20% per three hospitals who depended on autoclave by proper methods while 80% depends on hot_ oven for sterilization for both instruments and gauze plus surgical towels. In addition that all of participants did not maintain sterility during procedure such as surgical hand washing, wearing of sterile gloves and handling of instruments. The researcher conducted from the satisfaction of the patients that hospitals facilities and services in relation to wound care,, 32% was bad and, 49% was very bad. Conclusion: Most of participants had poor skills and did not apply proper good quality of wound care that may lead to poor out come and unsatisfactory patients. Recommendation: ' There is a need for health care facilities to develop policy and educational programmes for refreshment courses for staﬂ’ and put protocol of standard wound dressing for each surgical ward in the hospitals.
Health education program in knowledge, attitude and practice among primary school students towards dental caries in Najran - Saudi Arabia
(Aِl neelain universityِ, 20) Nahid khalil El Faki Idrees
Abstract Background: Health education program about dental health is one of the reasons behind the declining of dental caries’ rates in many industrialized countries. Other reasons include consumption of ﬂuoridated toothpastes, effective and accessible oral health services. Objectives: The aim of the present study was to assess the effect of health education program in knowledge, attitudes and practice towards dental caries among school children during the period from 2013- 2016. Material & Methods: School-based interventional study design was adopted. A systemic random sample technique was used to obtain sample of 288 students from 3 different public primary schools for girls. The principal method of data collection was a semi structured questionnaire beside clinical examination that guided by DMFT index. Results: The result shows that 209 students out of 288 have dental caries (a rate of 72.57%). DMFT mean of the surveyed subjects was 0.73. Around 16% of the examined students didn't know the causes of dental caries. The study also revealed that 37% of the students get their knowledge about oral issues from their parents. 90% of students with dental problems have positive family history. After conducting the health education program the students’ knowledge was signiﬁcantly (p< 0.01) improved about ﬂuoridated toothpastes, hygiene practices and the importance of visiting dentists was signiﬁcantly (p< 0.01) increased. Conclusion: Poor oral hygiene practices, lack of parental guidance, hereditary factor together with lack of appropriate dental knowledge and frequent exposure to cariogenic foods are the main risk factors for dental decay among the surveyed students. ‘ Recommendation: Extra emphasis on dental health education programs in cooperation between education and medical authorities should be considered and implemented in Najran area.
The impact of a training program on nurse midwives knowledge and practice regarding immediate care of the newborn in Wad Madani obstetrics and gynaecology teaching hospital, Gezira State / Sudan (2018-2019)
(Al-Neelain University, 2020) Areeg Abdallah Mohamed Alsheikh
Abstract The first 24 hours of life is a crucial period in the newborn life, the newborn has to adapt rapidly to the external environment. Immediate newborn care is most important for the proper development and healthy life of a baby. The nurse midwives are the first contact of the newborn who needs to be aware and knowledgeable about characteristics and care of the newborn. This interventional hospital based study conducted at Obstetrics and Gynecology teaching hospital in Gezira State /Sudan, aimed at assessing the effect of a training program on nurses’ midwives knowledge and practice regarding immediate care of the new born in labor room. The sample size consisted of (49) nurse midwives that constituted the total coverage of study population during the period of the study from Feb 2016 – July 2018. The data were collected using a questionnaire designed for the study and an observational checklist for monitoring nurses ‘midwives performance. The data was analyzed using statistical package for social sciences (SPSS). The study results proved that the means of knowledge for all items of immediate care of the newborn including, dry and stimulate the baby, assess newborn breath and color, Apgar score, umbilical cord care, baby and mother skin to skin contact, initiation of breast feeding, eye care, skin care and VK administration were all significantly improved from (24.8%) before application of the training program to (75.6%) after its application. The means of performance for all items of immediate care of the newborn were all significantly improved from (10.9%) before application of the training program to (74.8%) after its application. It is concluded that there was significant improvement in nurse midwives knowledge and practice regarding immediate care of the newborn after application of the training program. So, it is recommended that continuing education programs for nurse midwives are very important, together with supervision and monitoring of their performance by hospital authorities to ensure quality care .Learning facilities (books, Journals) and guidelines about immediate care of the newborn should be made available in neonatal care units. ألملخص تعتبر الساعات 24 الاولى من ولادة الطفل اهم مرحلة فى حياته ففيها, يحاول الطفل التأقلم مع البيئة الخارجية بسرعة, لذلك تعتبر العناية بالطفل حديث الولادة ضرورية جدا لتساعد على النمو والتطور السليم للطفل. القابلات هنً اول من يستلم الطفل حديث الولادة لذلك يجب ان يمتلكنً معرفة كافية حول خصائص الطفل حديث الولادة وكيفية العناية به. هذه الدراسة تدخلية هادفة إلى تقييم أثر البرنامج التدريى على معرفة ومماراسات القابلات بغرفة الولادة تجاه العناية المباشرة بالطفل حديث الولادة. تتكون العينة من (49) قابلة وهن اللائى يمثلن العينة المتاحة للقابلات أثناء فترة الدراسة من فبراير2016 – يوليو 2018م. تم جمع المعلومات باستخدام استمارة استبيان صممت من اجل الدراسة وقائمة الملاحظة لمراقبة أداء القابلات. تم تحليل البيانات باستخدام برنامج الحزمة الاحصائية للعلوم الاجتماعية (SPSS). اوضحت نتائج الدراسة أن متوسط معرفة الممرضات لكل مفردات العناية المباشرة بالطفل حديث الولادة والتى تشمل على, استلام الطفل وتجفيفه, تقييم التنفس ولون الجلد, اخد مقياس ابقار, العناية بالحبل السرى, ملامسة الجلد بالجلد, الرضاعة الطبيعية, العناية بالعنين والجلد و اعطاء فايتمين ك. تحسنت بصورة واضحة من (24.8%) قبل اجراء البرنامج التدريبى إلى (75.6%) بعد اجرائة. كما ان متوسط اداء القابلات للعناية المباشرة بالطفل حديث الولادة تحسن بصورة واضحة من (10.9%) قبل اجراء البرنامج التدريبى إلى (74.8%) بعد اجرائة. خلصت الدراسة على أن هنالك تحسناً ملحوظاً فى معرفة وممارسات القابلات حول العناية المباشرة بالطفل حديث الولادة بعد اجراء البرنامج التدريبى لذا أوصت الدراسة بأن البرامج التعليمية المتواصلة للممرضات مهمة جداً ، الوسائل التعليمية عن العناية بالمواليد يجب توفيرها بوحدات حديثى الولادة. إنشاء جهاز اشراف بواسطة المستشفى لمراقبة أداء الممرضات مهم جداً لضبط الجودة .
The Impact of a Training Program on Nurses' Knowledge and Practice Regarding Intensive Care Provided to Preterm Infants An Interventional Observational Hospital Based Study
(Al-Neelain University, 2020) Fatima Elhag Ahmed Hag Elttyeb
ABSTRACT Preterm infants are more prone to complications, which can lead to death than full term infants. The care in Neonatal Intensive Care Units is a nursing specialty requiring many studies and additional training to prepare nurses for this role. This study is an interventional hospital based study which was conducted at Wad Medani Pediatric teaching hospital Neonatal Intensive Care Unit (NICU) aiming at assessing the effect of a training program on nurses’ knowledge and practice concerned with nursing care of preterm infant. The sample size consisted of (101) nurses who constituted the total coverage of study population during the period of the study from January-April 2018. The data were collected using a questionnaire designed for the study and an observational checklist for monitoring nurses’ performance when caring for preterm infants. The data was analyzed using statistical package for social sciences (SPSS). The study results showed that the nurses' knowledge for all items of characteristics of premature infants was significantly improved from 37.6% before to 62.4% after application of the training program. The nurses’ knowledge regarding Vital signs of premature infant improved from 27.7% before to 72.3% after application of the training program. The nurses’ knowledge regarding Kangaroo mother care for the premature improved from 21.8% before to 88.2% after application of the training program. 37.6% of the study sample, who responded with correct answers regarding feeding of premature infants before, increased to 79.2% after the program. The nurses’ performance regarding relieving anxiety of parents having premature infant is raised from 16.8 % before to 62.1% after the training program. The study illustrated that 40.6% of the nurses who monitored and recorded temperature correctly before, increased to 88.1% after the program. The 12.9% of the study sample who explained the benefits of the breast-feeding correctly, and the 25.7% of them who measured the abdominal girth correctly before the program increased to 71.3% and 87.1% respectively after the program. The study concluded that there was significant improvement in nursing knowledge and practice regarding premature care after application of the training program. Therefore, the study recommended that continuing training programs for nurses are very important learning facilities for quality training on premature care, which should be implemented at neonatal intensive care units. Supervision and monitoring of the nurses’ training and upgrading of their knowledge and performance should be developed by the hospital, as it is necessary in the long term. الخلاصة لدى الخدج قابلية أكثر للمضاعفات التي قد تؤدي إلى الوفاة من الأطفال مكتملي النمو. الرعاية في وحدات العناية المركزة للولدان هي من تخصصات ا لتمريض الدقيقة تتطلب العديد من الدراسات والتدريب الإضافي لإعدادهم لهذا الدور. أجريت هذه الدراسة التداخلية في مستشفى ود مدني التعليمية للأطفال بهدف تقييم تأثير البرنامج التدريبي على معرفة الممرضات وموقفهن وممارستهن في وحدات العناية المركزة للولدان (NICUs) بشأن الرعاية التمريضية للرضع المولودين قبل الأوان. يتألف حجم العينة من (101) ممرضًا يمثلون تغطية كلية لمجتمع الدراسة خلال الفترة من يناير إلى أبريل 2018. تم جمع البيانات باستخدام استبيان مصمم للدراسة وقائمة مرجعية لمراقبة أداء الممرضات عند رعاية الخدج. تم تحليل البيانات باستخدام الحزمة الإحصائية للعلوم الاجتماعية (SPSS). أظهرت نتائج الدراسة أن المعرفة لجميع عناصر خصائص الرعاية للخدج قد تحسنت بشكل ملحوظ من 37.6٪ قبل تطبيق البرنامج التدريبي إلى 62.4٪ بعده. تحسنت معرفة الممرضات فيما يتعلق بالعلامات الحيوية للرضع الخدج من 27.7٪ قبل تطبيق البرنامج التدريبي إلى 72.3٪ بعده. كما تحسنت معرفة الممرضات فيما يتعلق برعاية الأم في وضعية الكنغر من 21.8٪ قبل تطبيق البرنامج التدريبي إلى 88.2٪ بعد التدريب. استجابات 37.6٪ من عينة الدراسة كانت إجابات صحيحة بشأن التغذية المبكرة قبل أن ترتفع بواسطة البرنامج التدريبي إلى 79.2٪. أرتفع متوسط أداء الممرضات فيما يتعلق بتخفيف القلق لدى الآباء الذين لديهم رضيع سابق لأوانه من 16.8٪ إلى 62.1٪ بعد التدريب. أتضح أن 40.6٪ من عينة الدراسة تراقب وتسجل درجة الحرارة بشكل صحيح قبل أن ترتفع بالبرنامج إلى 88.1٪. 12.9٪ من عينة الدراسة كن يشرحن فوائد الرضاعة الطبيعية بشكل صحيح، قبل أن يرتفعن إلى 71.3٪ بعد التدريب، و25.7٪ منهم يقمن بقياس محيط البطن بشكل صحيح قبل البرنامج ارتفعت نستبهن إلى 87.1٪ بعد البرنامج التدريبي. وخلصت الدراسة إلى أنه كان هناك تحسن كبير في المعرفة التمريضية والممارسة فيما يتعلق بالرعاية المبكرة بعد تطبيق البرنامج التدريبي، لذلك أوصت الدراسة أن برنامج التدريب المستمر للممرضات مهم جدا، وينبغي أن تكون مرافق التعلم حول الرعاية المبكرة المتاحة في وحدات العناية المركزة لحديثي الولادة. يجب أن يتم تطوير الإشراف من قبل المستشفى لمراقبة أداء الممرضات وهو أمر ضروري لضمان الجودة.
The Impact of an Educational Program for Nurses on how to Assess and Manage Pain in Children in Governmental Pediatric Hospitals in Khartoum State
(Al-Neelain University, 2014) Salwa Ali Mousa Mohammed
الأطروحة ملخص خلفية : وفقًا للجمعية الدولية لدراسة الألمIASP - 1994 الألم هو تجربة حسية وعاطفية غير سارة مرتبطة بتلف الأنسجة الفعلي أو المحتمل أو موصوف من حيث هذا الضرر". الألم هو أحد الأعراض الحرجة في العديد من الأمراض: يساعدنا الألم في تجنب الأذى الجسدي ، لكن الألم غير المريح قد يكون ضارًا بطبيعته ، نفسياً وفيزيولوجيًا ، وقد يؤدي عدم التدخل المبكر وعلاج الألم إلى حدوث اضطراب وتعطل في الأسر. تعتبر إدارة الألم مسألة معقدة أصبحت ذات أهمية متزايدة في مهنة التمريض ، لدرجة أن تقييم الألم أصبح يعرف باسم العلامة الحيوية الخامسة. تصبح هذه المشكلة أكثر أهمية عند محاولة إدارة الألم لدى مرضى الأطفال. يصبح تقييم الألم معقدًا مع الأطفال نظرًا لأن الممرضة يجب أن تفسر مرحلة نمو الطفل وعمره الزمني. يشمل دور الممرضة في إدارة الألم عملية التمريض بأكملها. تقوم الممرضة بتقييم وجود الألم ، وتخطط لاستراتيجيات إدارة الآلام الدوائية وغير الدوائية مع الفريق الطبي ، وتنفذ الخطة ، وتقيم فعالية التدخلات. تهدف هذه الرسالة إلى دراسة تأثير برنامج تعليمي للممرضات على كيفية تقييم وعلاج الألم للأطفال في مستشفيات الأطفال الحكومية في ولاية الخرطوم " الأهداف الرئيسية للدراسة: - لتقييم معرفة الممرضات في تقييم الألم وعلاجة , قبل وبعد البرنامج التعليمي. - لتقييم التزام الممرضات بالمبادئ التوجيهية لتقييم الألم وعلاجه. - معرفة مدى توفر أدوات تقييم الألم في مستشفيات الأطفال الحكومية. تصميم الدراسة:دراسة تدخلية قبل وبعد التدريب في المستشفى. فترة الدراسة: وقد أجريت الدراسة خلال 2014-2019. مجتمع الدراسة: جميع فئات الممرضات العاملات في مستشفيات الأطفال الحكومية بولاية الخرطوم المنهجية: تم جمع البيانات عن طريق إجراء مقابلات مع المرشحين باستخدام الاستبيانات التي غطت الأهداف قيد الدراسة وتم تحليل البيانات باستخدام برنامج الكمبيوتر SPSS (الحزمة الإحصائية للعلوم الاجتماعية). النتائج: تم الحصول على البيانات من عينة من 169 ممرضة أطفال ، وكان معظم الممرضات المشاركين 31 إلى 40 سنة و 92.3 ٪ من الإناث ، وكان معظم المشاركين ممرضات معتمد و 68.6 ٪ لديهم أكثر من 5 سنوات خبرة طب الأطفال ، معظم الممرضات ( 85.5٪) قالوا إنهم لا يتلقون أي تدريب سابق على الألم. لا يوجد لدى مستشفيات الأطفال الحكومية في ولاية الخرطوم أدوات لتقييم الألم وإرشادات مكتوبة لتقييم الألم وإدارته عند الأطفال. زادت المعرفة بين الممرضات في الأطفال حول كيفية تقييم الألم لدى الأطفال إلى 36.6 ٪ بعد التدريب، زادت المعرفة بين الممرضات حول مستويات تقييم الألم المختلفة لدى الأطفال من (11.8 ٪) في االتدريب القبلي إلى (89.3 ٪) بعد التدريب ، والأغلبية (93.5%) بدأت من الممرضات المشاركين في استخدام علاج الألم الدوائية وغير الدوائية ، لم يوثق معظم (89.9 ٪) من الممرضات المشاركين مستوى الألم من المرضى كإجراء تمهيدي وبدون تغيير في الاختبار البعدي. الخلاصة: يمكن تحسين العجز في علاج الألم عن طريق تنفيذ برامج تعليم تقيم وعلاج الالم . سجل الممرضون انخفاضًا في المعرفة والمعرفة تجاه الألم قبل البرنامج التعليمي ، في حين كان التحسن الكبير في معرفتهم وموقفهم بعد تقديم تعليم الألم واضحًا. التوصيات: 1. توفير أدوات تقييم الألم و و تدريب الممرضات على استخدامها في مستشفيات الأطفال الحكومية بولاية الخرطوم. 2. التدريب المهني والمتابعة للممرضات العاملات في المجال السريري لإدخال تحديث تقييم الألم وعلاجة . 3. توفر البروتوكولات والمبادئ التوجيهية المكتوبة لتقييم الألم وعلاجة لمستشفيات الأطفال الحكومية. 4. تقديم أوراق مصممة في ملف المريض فيما يتعلق بتقييم الألم وإدارته عند الأطفال. Abstract Back ground: According to the International Association for the Study of Pain (IASP - 1994), "Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage”. Pain is a critical symptom in many illnesses. Pain helps us to avoid physical harm, but unrelieved pain might be inherently harmful, both psychologically and physiologically. Lack of early intervention and pain treatment may lead to a state of impairment and disruption in families. Pain management is a complex issue that has become increasingly significant in the nursing profession, so that the assessment of pain has become known as the fifth vital sign. This issue becomes even more crucial when attempting to manage pain in pediatric patients. Assessing pain becomes complicated with children as the nurse must account for the child’s developmental stage and chronological age. The role of the nurse in pain management encompasses the entire nursing process. The nurse assesses for the presence of pain, plans pharmacological and non-pharmacological pain management strategies with the medical team, implements the plan, and evaluates the effectiveness of the interventions. This thesis is to study the impact of an Educational Program for nurses on How to assess and manage pain for Children in government Pediatric Hospitals in the Khartoum State." Main objectives of the Study: -To assess the knowledge of nurses in pain assessment & management, before and after the educational program. -To assess the adherence of nurses to guidelines of pain assessment and management. -To know the availability of pain assessment tools in government pediatric hospitals. Study design: An Interventional study pre-post training hospital-based study. Study Period: The study was conducted during the 2014-2019. Study population: nurses working in these pediatric governmental hospitals in Khartoum State. Study settings: Governmental Pediatric Hospital in Khartoum state. Methodology: Data was collected by interviewing candidates using questionnaires that covered objectives under study, teach the education program by small group discussion, Six months later after program implementation data was recollected again using the same methods and Data was analyzed by using SPSS Results: Data was obtained from a sample of 169 pediatric nurses , Most of participant nurses were 31 to 40 years old and 92.3% were females , Most of participants were certified nurses and 68.6% had more than 5 years pediatric experience , Most of nurses (85.5%) claimed not receiving any previous pain training Governmental pediatric hospitals in Khartoum state do not have pain assessment tools and written guidelines for pain assessment and management in children. , knowledge among nurses in children regarding how to assess pain in children increased to 36.6% in posttest , Knowledge among nurses about different pain assessment scales in children increased from (11.8%) in pretest to (89.3%) post-test , Majority (93.5%) of participant nurses started to use Pharmacological & non pharmacological pain management as posttest which was significant , Most ( 89.9%) of participant nurses did not document patients level of pain as a pretest and there was no change in posttest. Conclusion: Nurses scored low in having knowledge and attitudes towards pain prior to pain education, so educational program has positive impact on pain assessment and management. Recommendations: 1. Provide pain assessment tools and nurses educated and demonstrated on their use in governmental pediatric hospitals in Khartoum state. 2. Professional training and follow-up for nurses working in the clinical field to introduce update pain assessment and management. 3. Availability of protocols and written guidelines of pain assessment and management for Governmental pediatric hospitals. 4. Provide designed papers in the patient's file concerning pain assessment and management in children.
The impact of an educational program on the knowledge and attitude of caregivers toward the preventive measures of sickle cell crisis at Sickle cell referral clinic in Gaafar Ibnauf children specialized Hospital, (2022)
(ALNEELAIN UNIVERSITY, 2022) Fatma Abdalla Mohamed Abdalla
Abstract: Background: Sickle cell disease is a type of genetic disorder that can be caused by an inherited hemoglobinopathy. It was first identified in 1910 by James Herrick. the condition was caused by a single base pair change in the -globin gene. Following a definitive diagnosis, the parents of children with SCD advised to have an educational program about their condition in order to provide information on the various complications of SCD and the preventive measures of sickle cell crisis. the role of the caregiver in the prevention of sickle cell crisis focuses on avoiding smoking, vigorous physical activities, and environments with low oxygen levels. They can also minimize exposure to the sun and provide hydration for sickler children. Objective: The current study aimed to study the impact of an educational program on the knowledge and attitude of caregivers toward the preventive measures of the sickle cell crisis. Methods: An interventional study was conducted in the Sickle cell outpatient clinic of Gaafar Ibnauf children specialized Hospital, Khartoum, Sudan. By a simple random sampling, 286 caregivers of children with SCD who were on regular follow-up and attended the clinic during the study period were included. Data was collected using a pre-structured investigator-filled questionnaire. A paired samples test was used to assess the variance in the caregiver’s knowledge and attitude after implementing the educational program. Also, Proportion and binomial tests were used to investigate the statistical significance of the variable of interest. Furthermore, a one-way analysis of variance (ANOVA) test was used to investigate the variance in caregivers’ knowledge and attitude toward the preventive measures of the sickle cell crisis related to their socio-demographic characteristics. The level of statistical significance used was< 0.05 and 95% confidence interval where appropriate. The data were analyzed using the software package SPSS version 25. Results: The results of the current study revealed that the level of knowledge and attitude about the preventive measures of SCD crisis among caregivers was significantly higher after the implementation of the educational program. The percentage of caregivers with satisfactory knowledge and positive attitudes toward the preventive measures of the sickle cell crisis increased by 18% and 12%, respectively. The study indicated that the study group’s socio-demographic characteristics do not affect caregivers’ knowledge and attitude toward the preventive measures of sickle cell crisis (the P value was >0.05). Conclusion: As an interventional tool, the educational program effectively improved caregivers’ overall knowledge and attitude toward the preventive measures of the sickle cell crisis (the P value was 0.00). Keywords: Impact, Educational program, Knowledge, Attitude, caregivers, Preventive measures, sickle cell crisis. المستخلص المقدمة: مرض فقر الدم المنجلي هو نوع من الاضطرابات الوراثية التي يسببها خلل وراثي في الهيموغلوبين. تم التعرف عليه لأول مرة في عام 1910 من قبل جيمس هيريك. كانت الحالة ناتجة عن تغيير في واحد من زوج قاعدة جين الغلوبين. بعد إجراء التشخيص النهائي للمرض، ينصح آباء الأطفال المصابين بمرض فقر الدم المنجلي تلقي برنامج تعليمي حول المرض من أجل توفير معلومات عملية حول المضاعفات المختلفة والتدابير الوقائية لنوبات مرض فقر الدم المنجلي. يرتكز دور مقدم الرعاية في الوقاية من نوبات مرض فقر الدم المنجلي على تجنب الطفل المصاب للتدخين والأنشطة البدنية القوية والبيئات ذات مستويات الأكسجين المنخفضة كرحلات الطيران والأماكن المرتفعة. كما يجب تقليل التعرض لأشعة الشمس وتوفير الترطيب للأطفال المصابين بالمرض الهدف: هدفت الدراسة الحالية إلى دراسة تأثير برنامج تعليمي على معرفة وسلوك مقدمي الرعاية تجاه التدابير الوقائية لنوبات فقر الدم المنجلي. منهجية الدراسة: أجريت دراسة تدخلية في العيادة الخارجية لفقر الدم المنجلي التابعة لمستشفى الدكتور جعفر بن عوف التخصصي للأطفال، الخرطوم، السودان. من خلال أخذ عينات عشوائية بسيطة، تم اختيار 286 من مقدمي الرعاية للأطفال المصابين بفقر الدم المنجلي والذين كانوا على متابعة منتظمة وحضروا العيادة خلال فترة الدراسة. تم جمع البيانات عن طريق الاستبانة والمعاينة. تم استخدام اختبار(ت) لعينتين مرتبطتين لتقييم التباين في معرفة وسلوك مقدمي الرعاية بعد تنفيذ البرنامج التعليمي. أيضا، تم استخدام اختبار توزيع النسب واختبار ذو الحدين لفحص الدلالة الإحصائية للمتغيرات الخاصة بالدراسة. كذلك تم استخدم اختبار تحليل التباين من اتجاه واحد لفحص التباين في معرفة وسلوك مقدمي الرعاية تجاه التدابير الوقائية لنوبات فقر الدم المنجلي المرتبط بخصائصهم الاجتماعية والديموغرافية. وكان مستوى الدلالة الإحصائية المستخدمة أقل من 0.05 وفترة الثقة 95٪. تم تحليل البيانات باستخدام الحزمة الإحصائية للعلوم الاجتماعية الإصدار 25. نتائج الدراسة: كشفت نتائج الدراسة الحالية أن مستوى المعرفة والسلوك بشأن التدابير الوقائية لنوبات مرض فقر الدم المنجلي بين مقدمي الرعاية كان أعلى بكثير بعد تنفيذ البرنامج التعليمي. ارتفعت نسبة مقدمي الرعاية الذين لديهم معرفة كافية وسلوك إيجابي تجاه التدابير الوقائية لنوبات فقر الدم المنجلي بنسبة 18٪ و12٪ على التوالي. وأشارت الدراسة إلى أن الخصائص الاجتماعية والديموغرافية لمجموعة الدراسة لم تؤثر على معرفة وسلوك مقدمي الرعاية تجاه التدابير الوقائية لنوبات فقر الدم المنجلي. الخلاصة: كأداة تدخلية، أدى البرنامج التعليمي إلى تحسين المعرفة العامة لمقدمي الرعاية وسلوكهم بشكل فعال تجاه التدابير الوقائية لنوبات فقر الدم المنجلي. الكلمات المفتاحية: التأثير، البرنامج التعليمي، المعرفة، السلوك، مقدمو الرعاية، التدابير الوقائية، نوبات فقر الدم المنجلي.
The Impact of an Educational Programme on Nurse's Knowledge and Practice about Infection Control Post Renal Transplantation in Ahmed Gasim and East Nile Hospital, Khartoum state, Sudan (2012-2013)
(Neelain University, 2013) Sitelgeel Ali Hamouda Babiker
Abstract Background: Nurses are the key personnel in infection control in post renal transplantation service. Their training may improve the quality of this service. This study was aiming at assessment of the impact of an educational programme on the knowledge and practice of the nurses in charge of post renal transplant patients. The participants were the nurses in Ahmed Gasim and East Nile Hospitals. Methodology: The knowledge and practice of the nurses (n=55, total coverage) were primarily assessed via questionnaire and checklist and once again after implementation of the programme. . Results: All the results obtained after application of the educational programme were signiﬁcantly better than the result before application of the programme. Conclusion: The educational programme was found to be very useful in improving the knowledge and practice of the nurses.
Impact of Educational Program on Knowledge and Practice of Nurses Regarding Post Cesarean Section Care in Kassala Saudi Specialized Hospital
(ALNEELAIN UNIVERSITY, 2022) Sara Salih Mohammed Salih
ABSTRACT Introduction : The post-cesarean section nursing care is an important measure to reduce the maternal mortality and morbidity rate and to give good obstetric outcome, the objective of the study to evaluate the effectiveness of educational program on the knowledge and practice of nurses regarding post-cesarean section care . Methodology : This was quasi-experimental study hospital based study conducted at Kassala Saudi Specialized Hospital from January 2016 to September 2016 . A convenient sample size of 43 nurses was selected to act as a source for the data . The data was collected through structured questionnaire and the practice of the nurses was observed using observational check list .The data was analyzed using SPSS version 23 ,it was presented in tables and figures,correlation between some variable of the study was done,the level of significance selected for this study was P value equal to or less than 0.05 was considered statistically significant. Results: Forty three nurses had been approached and only 35 completed the post- program . 88.4% had no previous training courses . The knowledgeable o participant regarding knowledge and a awareness about postpartum complication was increased from 64.2% pre educational program to 91% post intervention. The knowledgeable participant regarding knowledge and a awareness about patient underwent cesarean section was increased from 72.3% pre educational program to 93.3% post intervention . Performance of the participants regarding dressing of cesarean section wound decrease the poor performance from 100% performance 47.1% with statistical significant P.V 0.000 There was strongly positive significant relation between nurses Knowledge and practice and training courses Conclusion :- continuous educational program program increase the knowledge and good performance of the participants. Recommendations : Continues educational programs about knowledge and practice of nurses regarding post cesarean section care should be established to improved nurses quality . مستخلص الأطروحة خلفية : الرعاية التمريضية للأم بعد العملية القيصرية هي من أهم القياسات التي تؤدي لتقليل نسبة الإعاقة ووفيات الأمهات وتعطي نتائج مرضية الأهداف :- الهدف من الدراسة هو تقييم فعالية البرنامج التدريبي علي مستوي المعرفة والممارسة للممرضات حول العناية التمريضية بعد العملية القيصرية. منهجية البحث أجريت هذه الدراسة التدخلية المبنية علي البيانات التي أخذت من مستشفى كسلا السعودي التخصصي في الفترة من يناير إلي سبتمبر 2016 عدد للمشاركين 43 ممرضه كمصدر للبيانات , تم جمع البيانات بواسطة الإستبيان ولوحظت ممارسة الممرضات بواسطة قوائم التحقق . تم تحليل البيانات باستخدام برنامج الحزم الإحصائية للعلوم الإجتماعية إصدار 23 ثم تم عرض النتائج في شكل جداول ورسومات كما تم عمل إ رتباط بين متغيرات الدراسة ومستوى المعرفه والأداء العملي للممرضاتز النتائج :- 43 ممرضه أكملوا البرنامج التدريبي بينما 35 ممرضه أكملوا الإختبار البعدي . اظهرت الدراسة أن 88.4% من الممرضات لم يتلقين برنامج تدريبي . كما أشارت إلي إرتفاع نسبة مستوى معرفة الممرضات العلمي والعملي فيما يتعلق بالجوانب المختلفة المتعلقة بالعملية القيصرية ومضاعفاتها 91% مع مستوي متدني من المعرفة قبل البرنامج التدريبي 64.2%. زيادة معرفة الممرضات فيما يتعلق بالمعرفة والدراية للمعلومات المتعلقه بالمريض الذي يخضع لعملية قيصرية من %72.3 إلى 93.3% .. أظهرت الدراسة أن هناك علاقة قوية بين أداء الممرضات فيما يتعلق بالعناية التمريضية بعد العملية القيصرية والدورات التدريبيه السابقة كما أظهرت الدراسة علي قلة عدد المشاركين الحاصلين علي تقدير مقبول فيما يتعلق بغيار جرح العملية القيصرية من 100% الي 47.1% بعد البرنامج التدريبي. كما اظهرت النتائج ان زيادة فترة الخبرة لايزيد من الكفاءة العملية. الخلاصة :- البرامج التعليمية المستمرة تزيد من مستوى المعرفة والاداء الجيد للممرضين التوصيات : يجب الحرص علي زيادة معرفة الممرضات العلمية والعملية حول رعاية الأم في فترة ما بعد الولادة من خلال التطوير والتدريب المهني المستمر لزيادة الكفاءة المهنية .
Knowledge, Attitude and Practices of Mothers towards Home Management of Fever in Children under ﬁve - At Masaad Village- Gezira State-Sudan
(Aِl neelain universityِ, 2013) Hanadi Mohammed Elhassen Mukhtar
Abstract Background: Fever is a common medical problem in children which oﬁen prompts parents to seek immediate medical care. 20 and 40% of patents reported such an illness each year. As a result, fever is probably the conmionest reason for a child to be taken to the doctor. Feverisli illness is also the second most common reason for a child being admitted to hospital. The overall objective was to study mothers’ knowledge, attitudes and practices about home management of childhood fever in order to provide data for further study or suggest plan for actions. » ' Methodology: community based cross -sectional descriptive study conducted at Masaad village in the Gazera Statel The study subjects were 332 mothers of under ﬁve of children. Cluster sampling technique was used to draw the study sample. A standardized administered questionnaire was developed, pretested and used to generate quantitative data and four focus groups discussion for qualitative data. Data were analyzed using SPSS version 15. Results: About 80% of the respondents deﬁned fever as hotness of all body. However 84% of the respondents did not know the normal body temperature.79% _ of the respondents did not know the beneﬁcial effects of fever. In addition about 80% of the respondents recognized fever by touching the child's body by the palm of the hand. Aspirin from drug seller was the commonest drug used by most of respondents to treat fever. Moreover application of tepidsponing using cold water on the head of the child was the commonest physical method used by 63%of respondents. 62% of respondents their source of knowledge was doctors. Convulsion was the commonest (57%) harm effect experienced by respondents. The study point out highly signiﬁcant relationship between educational level of respondents and knowledge about normal range of body temperature P value 0.001. While the study revealed insigniﬁcant relationship between educational level and methods of recognition of fever P value 0.232.Study point out insigniﬁcant relationship between suitable type of water for tepidsponing and educational level 0.824 and age p value 0.771. Conclusion the result revealed that the knowledge of mothers about fever was poor and there were excessive and widespread uses of antipyretics by mothers to their children at ages less than ﬁve years that could be hannful for their children.
Knowledge, Attitude and Practices of Mothers towards Home Management of Fever in Children under ﬁve - At Masaad Village- Gezira State-Sudan 2013 Dissertation Submitted in Partial Fulﬁlment for the Requirement of the PhD in Paediatric Nursing ~
(Neelain University, 2013) Hanadi Mohammed Elhassen Mukhtar
Background: Fever is a common medical problem in children which oﬁen prompts parents to seek immediate medical care. 20 and 40% of patents reported such an illness each year. As a result, fever is probably the conmionest reason for a child to be taken to the doctor. Feverisli illness is also the second most common reason for a child being admitted to hospital. The overall objective was to study mothers’ knowledge, attitudes and practices about home management of childhood fever in order to provide data for further study or suggest plan for actions. » ' Methodology: community based cross -sectional descriptive study conducted at Masaad village in the Gazera Statel The study subjects were 332 mothers of under ﬁve of children. Cluster sampling technique was used to draw the study sample. A standardized administered questionnaire was developed, pretested and used to generate quantitative data and four focus groups discussion for qualitative data. Data were analyzed using SPSS version 15. Results: About 80% of the respondents deﬁned fever as hotness of all body. However 84% of the respondents did not know the normal body temperature.79% _ of the respondents did not know the beneﬁcial effects of fever. In addition about 80% of the respondents recognized fever by touching the child's body by the palm of the hand. Aspirin from drug seller was the commonest drug used by most of respondents to treat fever. Moreover application of tepidsponing using cold water on the head of the child was the commonest physical method used by 63%of respondents. 62% of respondents their source of knowledge was doctors. Convulsion was the commonest (57%) harm effect experienced by respondents. The study point out highly signiﬁcant relationship between educational level of respondents and knowledge about normal range of body temperature P value 0.001. While the study revealed insigniﬁcant relationship between educational level and methods of recognition of fever P value 0.232.Study point out insigniﬁcant relationship between suitable type of water for tepidsponing and educational level 0.824 and age p value 0.771. Conclusion the result revealed that the knowledge of mothers about fever was poor and there were excessive and widespread uses of antipyretics by mothers to their children at ages less than ﬁve years that could be hannful for their children. X
knowledge,attitude,practice andquality of paper_based docum entation among health care providers in khartoum state situ aitu ation analysesand intervention studies(2013_2016)
(AlNEElAN UNVERSLTY, 2020) Zeinab salih FadlElmula