Tanta University; Faculty of NursingTanta Scientific Nursing Journal2314-559518120200501Efficacy of Implementation Management program about Infection Control practices for Nursing Staff418210768810.21608/tsnj.2020.107688ENRehab M.MareyMaster in Nursing Services Administration, Faculty of Nursing, Tanta UniversityFouada M.ShabaanProfessor of Nursing Service Administration, Faculty of Nursing, Tanta UniversityReda A.Abo GadAssistant Professor of Nursing Service Administration, Faculty of Nursing, Tanta UniversityJournal Article20200205Back ground: Management program about infection control is important to help head nurses gain knowledge to perform their roles, and for nurses to comply with standard infection control measures . Objective: Evaluate efficacy of implementing management program about infection control practices for nursing staff. Setting: All departments in Tanta University Emergency Hospital. Subjects: All head nurses (N= 31) and nurses (N =175) working in all departments of emergency hospital. Tools: (1) Infection Control Knowledge Questionnaire sheet, (2) Head Nurses' Performance Role on Infection Control Assessment Scale and, (3) Observational checklist, related to Infection Control practices. Results: Head nurses 58.1% and nurses 80.0% had poor level of total knowledge about infection control pre- program , while majority (90.3%- 86%) were at high level post program. Head nurses 61.3% had poor level of total specific knowledge pre-program, changed to be 90.3% and 87.1% had good level of knowledge post program . Pre-program majority (90.3%) of head nurses had mild level of performance of educational , consultation, research and support team in surveillance roles decreased to (3.2%) post program. Nurses range (15.4% - 22.9%) showed compliance level to infection control practices pre-program, improved to range (75.4% - 84.0%) post program with highly statistically significant differences (p= < 0.001). Conclusion: At Tanta University Emergency Hospital nursing staff basic knowledge, head nurses specific knowledge and role performance and nurses' compliance were low and statistically improved after implementation of needed management program. Recommendation: conduct regular training programs for nursing staff and encourage culture of compliance to infection control practices.https://tsnj.journals.ekb.eg/article_107688_dedc10893497b6414272b4f0e4eb5602.pdfTanta University; Faculty of NursingTanta Scientific Nursing Journal2314-559518120200501Workplace Bullying and its effect on Staff Nurses' Work Engagement8310910769310.21608/tsnj.2020.107693ENAmira Ali MohammedAttiaB.Sc. N- Faculty of Nursing -Tanta UniversityReda Abd El-FatahAbo GadAssist. Prof. of Nursing Services Administration, Faculty of nursing, Tanta UniversityMaha EidShokirLecturer of Nursing Services Administration, Faculty of nursing, Tanta UniversityJournal Article20200102Back ground: Workplace bullying is a social and organizational problem within the health care, it has several adverse effects and closely associated with nurses' work engagement. Aim: The study aimed to assess the effect of workplace bullying on nurses' work engagement. Research Design: Descriptive correlational research design was used in the study. Setting: the study was conducted at EL-Menshawy Hospital, which affiliated to the Ministry of Health and Population. The study subjects: Consisted of a represented sample of staff nurses (n= 250). Tools: Data was collected by using two tools. 1) workplace bullying questionnaire; 2) nurses' work engagement questionnaire. Results: The result showed that majority of staff nurses had high level of bullying and more than two-fifths of the staff nurses had low level of work engagement. Conclusion: There was statistically significant correlation between nurses' bullying and their engagement. Recommendation: As bullying seems to be a serious problem among staff nurses at EL-Menshawy Hospital, Nurses at all levels, Nursing administrators need to develop policies to prevent bullying and setting up mechanisms that allow nurses who exposed to workplace bullying to report incidents of bullying.https://tsnj.journals.ekb.eg/article_107693_c803d0e34674af51d61dc6fafe5be4a2.pdfTanta University; Faculty of NursingTanta Scientific Nursing Journal2314-559518120200501Effect of Educational Program about Authentic Leadership and Mindfulness Factors on Head Nurses Practice Self – Evaluation11013310769710.21608/tsnj.2020.107697ENSabah BastawesyAbd ElmawlaMaster of Nursing Service AdministrationFouada MohamedShabaanProfessor of Nursing Service Administration
Faculty of Nursing, Tanta UniversityAmal HamdyAbo RamdanLecturer of Nursing Services AdministrationJournal Article20200110Authentic leadership is an emerging perspective in the field of leadership focuses on leaders values and beliefs . Components of authentic leadership were self-awareness, balanced processing, relational transparency, and an internalized moral perspective. Mindfulness perspective permits head nurses to be fully present, aware of themselves and their impact on other people, and aware of their reactions in stressful situations. Mindfulness include five factors; observing, describing, acting with awareness, non-judging of inner experiences and non-reactivity to inner experiences. Authentic leadership and their mindfulness if combined together create head nurses that have clearer, extra focused thinking, and growth mindset that help subordinates improve and grow . So , the aim of present study is to determine the effect of educational program about authentic leadership and mindfulness factors on head nurses practice self – evaluation. Study was conducted at two hospitals affiliated to Ministry of Health namely Elmenshawy General Hospital and Kafer El sheikh General Hospital. All (70) head nurses working at different clinical departments. Three tools were used including head nurses self-evaluation for authentic leadership, head nurses self evaluation for mindfulness factors and structured questionnaire to assess head nurse knowledge. The result of present study revealed that preprogram half (50%) of head nurses had high level of total authentic leadership, improved statistically significant immediate post program to be ( 65.7% ). Preprogram low percent 8.6% of head nurse had high level of total mindfulness level improved to be 98.6% immediately post program. Preprogram no one had good level of total knowledge, changed to be all and 98.6% of head nurses got good level respectively<br />immediate and three months post program. Recommendation : Authentic leadership and mindfulness educational training programs should be provided periodically for head nurses to keep them updating their essentials knowledge and practis regarding authentic leadership and mindfulnesshttps://tsnj.journals.ekb.eg/article_107697_3fb936cc2302be3d939940c793be005c.pdfTanta University; Faculty of NursingTanta Scientific Nursing Journal2314-559518120200501Head Nurses' Evaluation and Nurses' Self Evaluation for Performing Chest Nursing Care Procedures84010859910.21608/tsnj.2020.108599ENAzza EElamiaMaster degree in nursing service adminstration ,Faculty of nursing ,Tanta univeristyFouada MShabaanProfessor of Nursing Service Administration, Faculty of Nursing, Tanta UniversityNagwa RagabAtiaProf. of Nursing Medical Surgical department, Faculty of Nursing, Tanta UniversityMaha ESkokierLecturer of Nursing Services Administration, Faculty Nursing, Tanta UniversityJournal Article20200113Head nurse evaluation of the nurses' performance of chest care procedures is vital to quality patient care at ICU. While nurses' self-evaluation help nurses to pay attention to their own performance, raise their self-awareness and efficacy to make efforts for improvement in performing of six chest care procedures. So head nurses and nurses actually need an educational training program for enforcing them for continuous performance improvement and updating knowledge .Objective: study head nurses' evaluation and nurses' self -evaluation of performing chest nursing care procedures. Setting: Tanta University Hospitals at Mobark ,Chest , and Tanta University International Educational Hospital. Tools two tools used Tool I: Evaluation and self -evaluation for nurses' actual performance of chest nursing care procedures observation checklists. And tool II: Knowledge assessment of chest nursing care procedures steps, evaluation and self -evaluation process. Result Preprogram researcher head nurses evaluation and nurses self -evaluation showed that nurses performance were at unsatisfactory level for all items of the six chest care procedures. Head nurses 55%,95%,100% and 85% showed poor level for plan ,needed information ,principles of evaluation and methods ,respectively . All head nurses evaluation and nurses self- evaluation level of knowledge pre- program was poor . Actually no one of nurses showed excellent level preprogram for performing items of vibration, coughing and suctioning procedures which changed post program to 65%, 78.8% and 100% , and at 3 month post program changed to 65%, 83.3% and 100% respectively . All head nurses and 80% of nurses had poor overall knowledge about six chest care procedure standard evaluation and self- evaluation principles preprogram .Implementation of educational program improved head nurses and nurses overall knowledge about chest care, evaluation and nurses self -evaluation statistically significant at P <0.01.Conclusion: Head nurses at Tanta university hospital were not evaluating nurses performance of chest care procedures leading to unsatisfactory nurses performance .Actually head nurses have insufficient knowledge to evaluate nurses performance and nurses have insufficient knowledge to perform chest care procedures according standard and cannot make self-evaluation for their performance. Implementation of educational program about evaluation principles,chest care procedure standard and self- evaluation principles successfully improved nurses staff performance and knowledge. Recommendation: Conduct regular training programs workshops and seminars for head nurses to update their knowledge and skills related to evaluation of nurses performance. Conduct periodical in service training program for nurses to refresh their knowledge and skills related to chest care procedure performance according to standard of its performance. Head nurses should encourage nurse self-evaluate their performance and provide supportive health work environment to help nurses improved their performance of chest care procedureshttps://tsnj.journals.ekb.eg/article_108599_27ed9061d9ce1cb41785839168ff1f69.pdfTanta University; Faculty of NursingTanta Scientific Nursing Journal2314-559518120200501Effect of Home-based-Nursing Intervention on Knowledge, Daily Living Activities and pain for Patients after Coronary Artery Bypass Graft13415910860010.21608/tsnj.2020.108600ENNabila ESaboulaProf. of Community Health Nursing, Faculty of Nursing/ Menoufia University, Egypt-
Taif University, KSA 1Amal AHusseinAss. Prof. of Community Health Nursing, Faculty of Nursing/ Menoufia University2Abeer G. A.HabouhNurse Specialist at Mahalla Cardiac Center, Al-Gharbia Governorate, M.O.H -EgyptJournal Article20200117The advantages of nursing support for cardiac rehabilitation patients can improve the health outcomes and reduce the risk of a new cardiac event through education, support, supervision, and reinforcement .The aim of this study was to assess the effectiveness of home-based-nursing intervention on knowledge, daily living activities and pain for patients after coronary artery bypass graft. Study Design: A quasi experimental research design was utilized. Study Setting: The study was conducted in the out- patient clinics of Mahalla Cardiac Center, Mahalla city, Al-Gharbia Governorate, Egypt. Study Sample: A purposive sample of 140 post- coronary artery graft surgery patients was included. The total sample was divided randomly into two groups study group (70 patients) and control group (70 patients). Study Tools: 1) A structured interviewing questionnaire including; 1) the socio- demographic data of studied patients. 2) Medical data including patient information about present and past history .3) Knowledge assessment data. 4) Barthel Index Scale of measuring activities of daily living (BIS). Study Results: After implementing the Home Based Nursing Intervention, there was high statistical significance improvement in study groups’ total knowledge compared to controls. Pain level had significantly improved, as well as daily living activities among study group than control group. Conclusion: Home based nursing intervention was effective in improving patient’s knowledge, level of pain and daily living activities after coronary artery bypass graft. Also, it played an important role in improving those patients through tailoring health education about healthy life styles for complete recovery and preventing complications. Recommendations: Nurses have to povide awareness program for educating patients about Home based nursing intervention to prevent complication and attaining complete recovery after coronary artery bypass graft (CABG) surgeryhttps://tsnj.journals.ekb.eg/article_108600_8a7ea810d1929169b6d1f9588e4e731c.pdf