International journal of Nursing Didactics en-US International journal of Nursing Didactics 2231-5454 Association between organizational climate and head nurses’ administrative creativity <strong>Background:</strong> Today's Hospitals' organizational climate is becoming more important than the past because its impact on administrative creativity<sup>.</sup>.When organization climate ease idea creation; knowledge distribution and creative problem-solving, head nurses in that setting are more likely to produce creative ideas. <strong>Aim: </strong>The aim of the present study is to investigate the association between organizational climate and head nurses’ administrative creativity. <strong>Method: </strong>Descriptive   design was used .The study was conducted at new surgery Zagazig University Hospital. All (65) head nurses from the above mentioned setting. The data was collected by using (1)<strong> </strong>Work environment scale<strong> </strong>and, (2) administrative creativity scale. <strong>Results:</strong> The result of this study showed that high percent (78.5) of head nurses had moderate level of organization climate. Above half (53.9%) of head nurses had moderate level of administrative creativity, significant association at P0.01was found between   total organization climate and head nurses` total administrative creativity. <strong>Conclusion:</strong> High percent of head nurses at Sew Surgery Zagazig University Hospital had moderate level of organization climate and its factors. Also, they had moderate level of total administrative creativity and its dimensions. Significant association was found between  head nurses' total level of  organization climate , its factors and  their total level of administrative creativity and  its dimensions except ,head nurses 'levels of intellectual fluency and  mental flexibility dimensions of administrative creativity  had no significant association with   levels of  nurse -client relationship  and nurse - supervisor relationship factors of organization climate , also head nurse ' level of sensitivity to problems dimension of administrative creativity  had no significant association with peer to peer evaluation organization climate. <strong>So,</strong> top nursing management should pay more attention to the vital role of organization climate as a valuable strategy for upgrading head nurses' creative abilities. Safaa Mohammed El-Demerdash Wafaa Mostafa ##submission.copyrightStatement## 2018-01-07 2018-01-07 8 01 01 09 10.15520/ijnd.2018.vol8.iss01.268.01-09 Professional Forces of Magnetism and Patient Safety Culture at Suez Canal University Hospitals <strong>Background:</strong> Attainment of the forces of magnetism improves the recruitment and retention of nurses.<strong> </strong>Also, the higher levels of nurses' autonomy and empowerment in magnet hospitals improve patient safety culture.<strong> </strong>The need for assessing patient safety culture within hospitals and determining the areas of improvement become urgent. <strong>The aim of the study:</strong><strong> </strong>This study aims to identify the relationship between the fourteen forces of magnetism and patient safety culture at Suez Canal University hospitals. <strong>Subject and method:</strong> A descriptive correlational design was utilized to carry out this study.<strong> </strong>A<strong> </strong>sample of 324 staff nurses was included in this study. The study was conducted in Suez Canal University Hospitals. <strong>Tools:</strong> two tools were used. <strong>Tool1:</strong> "Forces of magnetism questionnaire" was developed by the researcher. <strong>Tool2:</strong> "Hospital survey on patient safety culture" was adopted from Agency for healthcare research and quality (AHRQ) and modified by the researcher. <strong>Results:</strong> There are positive correlations between all forces of magnetism and patient safety culture at Suez Canal University Hospitals. There is a highly significant positive correlation between total magnetism and patient safety culture at Suez Canal University Hospitals. <strong>Conclusion:</strong> Suez Canal University Hospitals were evaluated by the majority of studied nurses as moderate magnetic hospitals. Only five dimensions of patient safety culture were considered as areas of potential improvement at Suez Canal University Hospitals. <strong>Recommendations:</strong> Modification of hospital policies of remaining and recruiting nurses and establishing a climate of communication openness, teamwork and non-punitive response to errors Alaa Mohamed Salah El-Demerdash Wafaa. A. Elhosany Mohamed Ahmed Mahmoud Hefny ##submission.copyrightStatement## 2018-01-08 2018-01-08 8 01 10 18 10.15520/ijnd.2018.vol8.iss01.269.10-18 Relationship between Adaptive Functioning and Severity of Symptoms among Children with Attention Deficit Hyperactivity Disorder The study aims at assessing the relationship between adaptive functioning and severity of symptoms among children with Attention Deficit Hyperactivity Disorder (ADHD). A descriptive correlation design was used. The sample consisted of (100) children diagnosed by a psychiatrist as being affected with ADHD at psychiatric outpatient clinic in Mansoura University Hospitals (MUH).  The collection of data was carried out through assessing the socio economic state of child parents using Socio Economic Status scale for health research in Egypt, ADHD level using Conners Parent Rating Scale (CPRS) and the adaptive functioning using Vineland Adaptive Behavior scale (VABS). Results revealed highly significant negative correlation between ADHD severity and adaptive behavior (communication, socialization, DLS, and motor skills) at p&lt;0.001. There is significant negative correlation between adaptive functioning and ADHD sub domains; conduct, psychosomatic, impulsive hyperactive and hyperactivity index at p&lt;0.001, anxiety at p=0.036, while not significant with learning problem at p=0.219. In conclusion, there is high significant relationship between adaptive functioning and severity of ADHD.  Therefore, it is recommended for nurses to enhance adequate training about adaptive behavior for those children to minimize their dependence and disability. Hanan Mahmoud Ali Rania Rabie El-Etreby Hala Ahmed EL boraie ##submission.copyrightStatement## 2018-01-08 2018-01-08 8 01 19 23 10.15520/ijnd.2018.vol8.iss01.270.19-23 Nurses Communication Barriers in Healthcare Centers: Patients’ Perspectives While community health nurses in different healthcare settings, provide competent and qualified services, they have been confronted by numerous types of communication barriers that hindering their necessary functions. The nurse as a community servant should have fitting communication skills to maintain excellent care provision and overcoming the barriers that may hinder these targets. Thus, the current study aims to identify and describe patients’ perceptions about nurses' communication barriers in healthcare centers in KSA.  Cross-sectional, descriptive exploratory design is used in three health care centers in the rural governor of Afif in the Riyadh city, KSA. 300 patients were selected by a stratified proportionate random sampling technique in the three healthcare centers, and for each center, systemic random sampling approach was implemented. The Health Communication Feedback questionnaire (HCFQ) was used for data collection which was developed by Yorkshire Cancer Network in 2006 and modified by Fathi A et al., in 2015. The present research study found that patients in rural healthcare centers have accepted views regarding nurses’ communication behaviors in healthcare centers. While, they perceived some barriers in this communication, such as: 1- Barriers in the side of the patients which including; the disease process, language difficulties, physical and psychological complaints like pain, fever, anxiety, and graving. 2- Barriers in the side of the nurses which involving; limited communication skills and insufficient time. 3- Barriers regarding staff and health care center environment which containing; work crowdedness, noise and uncooperative routine system of management. The last type of barriers is 4-Barries in dealing with health messages which representing that nurses’ health messages may be not related to clients’ need and it may involve terminology which hinders their communication. On the other hand, the study participants provided some suggestions to overcome the previous barriers, for examples: increasing of patient-nurse cooperation, training of nurses on communications skills in health centers and considering that in nursing curricula, and decreasing nurses’ workload. <strong>Conclusion:</strong> Patient’s views are very effective indicators for healthcare professional work. Community health nurses in healthcare centers have some communication barriers which may negatively affect their performance. Moreover, patients illustrated some solutions which should be taken into considerations among stakeholders and nursing curricula planners in KSA. <strong>Recommendations:</strong> In-serve training programs about communication skills, culture, religious norms and role models should be taken by the nurses in simulated virtual environments or reality. The further major study needed in the light of the current study is, develop and implement nursing curricula included real scenarios about nurses-patient communication skills. ALOTAIBi B ##submission.copyrightStatement## 2018-01-12 2018-01-12 8 01 24 34 10.15520/ijnd.2018.vol8.iss01.271.24-34 Association Between Patient Interpretation of Diabetic Peripheral Neuropathy and Foot Self-Care Behaviors <p><strong>Abstract: </strong>Foot-related disease is the most common cause of hospital admissions among the diabetic population. Diabetic foot ulcer-related morbidity could be ultimately prevented by positive patients’ interpretation of peripheral neuropathy and active engagement in foot self-care.</p> <p><strong>Objective</strong>: To identify the association between patient interpretation of diabetic peripheral neuropathy and foot self-care behaviors.</p> <p><strong>Methods</strong>: A convenience sample of 121 adult diabetic patients with either type I or II diabetes were recruited from diabetic clinic at Gamal Abdel Nasar Hospital in Alexandria, Egypt. Four tools were used in the research study (Bio Sociodemographic Sheet, Modified Neuropathy Disability Score, Patient Interpretation Neuropathy (PIN) Questionnaire, and Foot Self-Care Behaviors Questionnaire).</p> <p><strong>Results: </strong>More than a third of patients have moderate peripheral neuropathy. Patients with no past history of foot ulcer obtained higher mean score of illness identity and causes. These differences were found to be highly statistically significant. The severity of peripheral neuropathy greatly affected patients’ interpretation of peripheral neuropathy. The findings also indicated that there are significant differences between patients’ foot self-care behaviors and their interpretation of peripheral neuropathy. Patients who have adequate foot self-care obtained higher mean score than those with inadequate foot self-care behaviors related to all items of peripheral neuropathy interpretations except items related to illness identity and causes.</p> <p><strong>Conclusion: The</strong> results highlight the importance of assessment and understanding patients’ interpretation of peripheral neuropathy to promote foot self-care behavior and prevent diabetic foot complications</p> Amal Samir Ahmed ##submission.copyrightStatement## 2018-01-07 2018-01-07 8 01 43 59 10.7897/ijnd.v8i01.1997 Factors affecting Body Image Change and Sexuality at Mastectomy Females <p><strong>Abstract: </strong>Mastectomy is the primary treatment of breast cancer in women. Scarce information is currently available on the factors affecting body image and sexuality at mastectomy females' reproductive age. <strong>Objective: </strong>to explore the factors affecting body image and sexuality at mastectomy females' reproductive age.<strong> Design:</strong> a descriptive design was used. <strong>Setting:</strong> Tanta university hospitals department of oncology (in and out-patient clinics). <strong>Subjects:</strong> a convenient sample of 78 women who had mastectomy. <strong>Tool:</strong> data was collected using the body image of mastectomy women scale. It consisted of <strong>2 parts</strong>: <strong>1: </strong>socioeconomic characteristics (age in years, marital status, residence, levels of education, occupation, monthly, income and religion), and clinical information (follow up schedule after surgery, type of surgery, and who decided the type of surgery), <strong>2:</strong> The body image of mastectomy women scale (BIMWS) consists of 4 parts: women's emotion, women's body image change, women's self-consciousness, and women’s sexuality. <strong>Results:</strong> Socioeconomic factors (age in years, marital status, and monthly income) significantly affected the studied women's body image self-consciousness (p=0.028, p=0.003, &amp; p=0.004 respectively). Residence significantly affected the studied women's sexuality (p=0,001). The type of surgery significantly affecting the studied women's emotion, body image change, and sexuality (p=0.001, p=0.001, &amp; p=0.026 respectively).<strong> Conclusion:</strong> emotions, body image change, self consciousness and women's' sexuality after mastectomy significantly affected by the socioeconomic factors age, marital status, monthly income, residence and the type of surgery. <strong>Recommendations: </strong>Nurses should have a clear understanding of younger mastectomy females needs and develop care plans based on their socioeconomic and clinical conditions.</p> <p><strong>Key words: </strong>Body image, Sexuality, Mastectomy, Reproductive age</p> Azza Fouad Mohammed El-Adham Zebeda Abdelgwad Elsherif ##submission.copyrightStatement## 2018-01-07 2018-01-07 8 01 60 75 10.7897/ijnd.v8i01.2007 Caregiver Experiences of Caring for a Down Syndrome Child in Saudi Arabia <p><strong><em>Background: </em></strong>Down Syndrome (DS) is a genetic disorder that causes various intellectual and physical developmental problems.Despite the high incidence of DS in Saudi Arabia (SA), there is a dearth of research on the experience of families—especially of the primary caregiver (mother)—with a child with DS in SA. Additionally, the effect on a caregiver’s life of caring for a child with DS in SA is not clear.</p> <p><strong><em>Objectives:</em></strong>To present the findings of interpretive research which identified and described the qualitatively different ways Saudi Arabian (SA) women as primary caregivers’ understood the experience of caring for a child with Down syndrome (DS).</p> <p><strong><em>Methods: </em></strong>We conduct a qualitative study as an innovative research designduring November 2011 to January 2012 on 18 mothers caring for children with DS in Riyadh, Jeddah and Dammam in SA. Methods were guided by accepted phenomenograpic approaches to data collection and analysis. Semi- structured interviews were undertaken with 18Saudi mothers caring for children with DS from centers in three regions of SA (Jeddah, Riyadh and Dammam.</p> <p><strong><em>Results</em></strong><em>: </em>Five categories of description were identified and revealed unique awareness of the group and provide insight into their personal, social and collective understanding (being excluded, being isolated, being disappointed, having difficulty accessing services and needing support). The findings contribute to knowledge needed to support mothers caring for children with DS in SA. The research is useful to inform strategies for supporting families of children with DS, women in similar contexts, and healthcare disability policy and implementation.</p> <p><strong><em>Conclusions</em></strong><em>: </em>Mothers caring for children with DS In SA have qualitatively different understanding of their experiences in caring for their children with DS. In this article Implication are discussed</p> <p>&nbsp;<strong><em>Disclosure:</em></strong></p> <p>I certify that this paper does not incorporate without acknowledgement any material previously submitted in any Journals; and that to the best of my knowledge and belief it does not contain any material previously published or written by another person except where due reference is made in the</p> <p><strong><em>Keywords: </em></strong>Down syndrome; Saudi Arabia; women; family; middle eastern culture; disability; carers; phenomenography; qualitative research</p> Amal Salem Sijeeni Alan Gordon Barnard ##submission.copyrightStatement## 2018-01-07 2018-01-07 8 01 76 86 10.7897/ijnd.v8i01.2008