International journal of Nursing Didactics http://innovativejournal.in/index.php/ijnd <p>The International journal of Nursing Didactics (IJND) [ISSN: 2231-5454] is an international, peer-reviewed, scientific journal. IJND contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. We have launched Volume 1 of online journal entitled " International journal of Nursing Didactics” publishes innovative papers, reviews, mini-reviews, and rapid communications and scheduled to appear monthly. For this purpose we would like to ask you to contribute your excellent papers in International journal of Nursing Didactics. Currently, there are several papers under review consideration for the upcoming issues. I hope you find this journal informative and useful. It is a new initiative. Your comments will help us improve the quality and content of the journal.</p> en-US editor@innovativejournal.info (Innovative journal) editor@innovativejournal.info (innovative) Thu, 09 Aug 2018 06:25:45 +0000 OJS 3.1.1.2 http://blogs.law.harvard.edu/tech/rss 60 Impact of socio-demographic factors on different aspects of violence against women in Upper Egypt http://innovativejournal.in/index.php/ijnd/article/view/2264 <p>Violence against women is social violence though practiced on individual level because the society accepts this violence and in many cases encourages it. Condemnation of any kind of violence is a basic assumption in our current research.<strong>The aim</strong>of this study was to explore impact of various socio-demographic factors on different aspects of violence against women.<strong> Descriptive design</strong>was used to conduct this research .This study was carried out in faculty of Nursing&nbsp; atSohag University. The sample consisted of 194 clients.<strong>Tools</strong>used in this study, included patient assessment sheet (tool I),the Socio-Economic statues (Tool II), and the aspects of violence against women questionnaire (Tool III). <strong>Results:</strong>The current study showed predominance of various aspects of domestic gender based violence, as The majority of our clients opinion preference of having male children (69%), and favoring female circumcision (51%). A considerable proportion of the study participants encouraged early mirage of girls (24%), polygamy (15.5%), support negligence of female opinion (27%), believe in his right of wife beating (14%) or rape (12%), and wouldn’t mind of controlling his wife’s income (9%).<strong>Conclusion&amp; Recommendation:</strong>Considerable proportions of our clients showed negative attitude towards female gender in terms of preferring male than female children, early marriage of female children, polygamy and spousal violence that may take the following forms; wife batting, wife rape, control of wife income or stingy behavior toward wife.So it is prudent to highlight the purpose and essence of marriage in religion. It is also judicious to maximize the role of health care providers, as nurses in identifying women at high risk of domestic violence (through screening programs in prenatal clinics) and backing and teaching them how to manage an illness tacking into consideration WHO recommendations.</p> Amany A. Ahmed, Evon S. Shokre ##submission.copyrightStatement## http://innovativejournal.in/index.php/ijnd/article/view/2264 Thu, 09 Aug 2018 00:00:00 +0000 Effect of Implementing Nursing Guideline on Nurses' Performance Regarding Patients Undergoing Cataract or Glaucoma Surgery http://innovativejournal.in/index.php/ijnd/article/view/2265 <p><strong><em>Background</em></strong><em>:&nbsp;</em>Nowadays, intraocular surgery is widely performed and the ophthalmic nurse is the backbone of the eye care. Any deficiency in providing adequate nursing care pre or post eye surgery can lead to serious complications. <strong><em>The study aimed to:</em></strong> Evaluate the effect of implementing the nursing guideline on nurses' performance regarding patients undergoing cataract or glaucoma surgery. <strong><em>Method:</em></strong> Quasi-experimental research design was utilized to conduct this study. <strong><em>Sample:</em></strong> A convenience sample of 36 nurses working at Ophthalmology Mansoura Hospital was included in this study. <strong><em>Tools:</em></strong> Data were collected using two tools, first tool was pre/post structured questionnaire sheet, and it included two parts; part 1- included socio demographic characteristics of the studied nurses and part 2- included nurses' knowledge regarding the care provided to patients with cataract or glaucoma surgery. Second tool was pre/post observation checklist for nurses' practice pre, and post surgery. <strong><em>Results:</em></strong> Post implementing the guideline; there were high statistical significant differences in nurses’ knowledge, preoperative practice, and postoperative practice (p&lt;0.001) and a statistical significant relation was found between nurses' educational level with their knowledge, preoperative practice, and postoperative practice (p=0.044, 0.050, 0.048 respectively). <strong><em>Conclusion:</em></strong> Applying the designed nursing guideline is effective in improving nurses' knowledge, and practice regarding the care provided to patients with cataract or glaucoma surgery. <strong><em>Recommendation:</em></strong> It is recommended to; develop a specialized orientation program for the newly appointed nurses, provide the nurses with continuous training courses, set restrict supervision on nurses' application for infection control precautions, and encourage them to become involved in research studies.</p> Doaa Awad Abid, Amira Ahmed Hassanin, Heba Abubakr M. Salama ##submission.copyrightStatement## http://innovativejournal.in/index.php/ijnd/article/view/2265 Thu, 09 Aug 2018 00:00:00 +0000 Effect of Preventive Bundle Guidelines on Reducing Iatrogenic Pressure Injuries among Critically Ill Neonates http://innovativejournal.in/index.php/ijnd/article/view/2266 <p><strong><em>Background:</em></strong>There is an emerging awareness that acutely ill and immobilized neonates are at risk for iatrogenic pressure injury. Therefore, it is crucial for nurses to understand the physiologic indices of pressure injury development and their interventions should be based on evidence-based information to reduce neonatal morbidity and mortality while increasing quality of care in the neonatal care setting.<strong>The aim of this study </strong>was to evaluate the effectiveness of preventivebundle guidelineson reducing iatrogenic pressure injuries among critically ill neonates.<strong><em>Research design:</em></strong> A quasi-experimental design was used. <strong><em>Settings</em></strong><em>:</em>This study was conducted at the neonatalintensive care units in Benha Specialized Pediatric Hospital.<strong><em>Sample:</em></strong>A Convenient sample of nurses' (n=50) and critically ill neonates(n=60) were included from the above thementioned setting<strong>.</strong>Those neonateswere divided equally into two groups(study and control).<strong><em>Tools of data collection:</em></strong>Four tools were used namely; structured interviewing questionnaire format,pressure injury preventive bundle compliance checklist,Braden Q Risk Assessment Scales, andnurses opinion likert scale. <strong><em>Results</em></strong><em>:</em>High percentage of the neonates (76.7%&amp; 83.3%), in the study group were not at risk of pressure injury in the first and second week of admission respectively;this increased to 90.0%before discharge. While around (40%) of neonates in the control group were at high risk of pressure injury from the first week of admission till before discharge. Moreover. The result revealed that there was a significant improvement in nurses knowledge regarding pressure injuries as well as their compliance with preventive bundle guidelines after bundle implementation.<strong><em>Conclusion:</em></strong>The implementation of preventive bundle guidelines proved to be effective in improving nurses' knowledge and their compliance, with a positive impactontheincidence of pressure injury among critically ill neonates. <strong><em>Recommendation:</em></strong> Preventive bundle guidelines should be implemented in all hospitals caring for children to reduce the harm associated with hospital-acquired pressure injuries.</p> Amal Gharib Sabaq, Samah Abdalha Mohamed Amer ##submission.copyrightStatement## http://innovativejournal.in/index.php/ijnd/article/view/2266 Thu, 09 Aug 2018 00:00:00 +0000 Use of Anti-Hypertension Drug Safety (Labetalol and Nifedipine) During Pregnancy http://innovativejournal.in/index.php/ijnd/article/view/2267 <p>Efforts to manage hypertension in pregnancy, on <em>evidence based medicine</em> using pharmacological therapy lower blood pressure, so it can reduce morbidity and mortality in the maternal and prinatal. Therefore, prior to administration of anti-hypertensive drugs, the need to consider pharmacodynamic and pharmacokinetics that occur in the mother and fetus. Labetalol and nifedipine are category C (FDA) antihypertensive drugs that can be used as an option in the treatment of hypertension during pregnancy, because they do not have teratogenic risks for both pregnant women and the fetus. The making of this article is intended to determine the safety of the use of antihypertensive drugs, labetalol and nifedipine during pregnancy.</p> Fitra Arsy Nur Cory'ah, Siti Mardianingsih ##submission.copyrightStatement## http://innovativejournal.in/index.php/ijnd/article/view/2267 Thu, 09 Aug 2018 00:00:00 +0000 Effect of Hydrocolloid Dressing versus Paraffin Gauze Dressing on Wound Healing and Pain for Split Thickness Skin Graft Donor Site http://innovativejournal.in/index.php/ijnd/article/view/2269 <p>Ideal wound care for split-thickness skin graft donor sites should include dressings that promote healing, prevent complications, and are cost-effective. The <strong><em>aim</em> </strong>of this study is to evaluate the effect of hydrocolloid dressing versus paraffin gauze dressing for <strong>split thickness skin grafting donor sites in terms of pain and wound healing. <em>Methods</em>: quasi-experimental design was conducted over period of one year for 35 patients who admitted for </strong>skin graft<strong>. The participants were recruited from one of the big teaching hospitals in Cairo at Egypt. The Numeric Rating Scale (NRS) and Bates</strong> Wound Assessment Tool (BWAT<strong>) were used alongside a background/medical data sheet to collect the data. The selected two dressing material were changed for three to four times.&nbsp; <em>Result </em></strong>it was observed that there was a gradual decrement in the Bates Wound Assessment Tool scores during&nbsp; &nbsp;4<sup>th</sup> ,7<sup>th</sup> ,10<sup>th</sup> ,and 14<sup>th</sup> days during changing the dressing at duoderm /hydrocolloid&nbsp; and paraffin&nbsp; gauze dressing&nbsp; sites, But, decrement at the duoderm sites was greater and faster than paraffin gauze dressing sites with a mean and standard deviation equal to(23.34±.998, 16.20±2.03, and 13.77±1.13 versus 25.80±1.53, 23.14±2.15,and 18.85±1.61)respectively. <strong>The</strong> mean healing time for complete re –epithelialization was equal to 8.6 day ±1.08, for hydrocolloid sites versus 15.2 day± 3.02 &nbsp;for paraffin gauze site)respectively. Also, there were a statistical significance difference &nbsp;between the three durations of changing the dressing at the paraffin and duoderm sites for the same subjects with F/ratio/P value equal to( 17783.959 /&nbsp; .000*).As regards to pain subjects exhibited lesser pain intensity &nbsp;during&nbsp;&nbsp;&nbsp; ,7<sup>th</sup> ,10<sup>th</sup> ,and 14<sup>th</sup> days during changing duoderm dressing &nbsp;sites in comparison with paraffin gauze sites. <strong><em>Conclusion</em></strong>: Hydrocolloid dressing resulted in shorter healing time, faster re –epithelialization, fewer dress­ing changes and reduced pain when compared with paraffin gauze dressing. <strong><em>Recommendation</em></strong> Hydrocolloid dressing is recommended dressing for partial <strong>split thickness skin grafting donor sites.</strong> A larger randomized study is required to generalize the findings.</p> Asmaa Diab Abdel-Fattah Hassan, Heba Ahmed Mohammed ##submission.copyrightStatement## http://innovativejournal.in/index.php/ijnd/article/view/2269 Tue, 14 Aug 2018 00:00:00 +0000 Comorbid Psychiatric Problems among Children with Autism Spectrum Disorder in an Egyptian Sample http://innovativejournal.in/index.php/ijnd/article/view/2270 <p>The study aims to assess comorbid psychiatric problems among children with Autism Spectrum Disorder in an Egyptian sample. A descriptive exploratory cross sectional design was utilized with a sample of 90 children diagnosed with Autism spectrum disorder who attended the children's outpatient clinic of psychiatry department at Mansoura University Hospital. Data was collected by using three tools. Results revealed&nbsp; that the majority of the studied sample had low and very low levels of socioeconomic status (53.4%), about two thirds (68.9%) of the studied sample have a moderate level of severity of autism symptoms, while (31.1%) of the studied patients have a high level of severity of autism symptoms. The most common comorbid psychiatric problems of studied sample were hyperactivity, learning problems, conduct problems, impulsive-hyperactive, anxiety and psychosomatic problems (19.07 ±3. 01), (9.91±1.01), (8.77 ±2.76), (8.32 ±1. 68), (6.16 ±1. 60) and (1.12±1.06) respectively. There is statistically significant correlation between severity of autism, and all comorbid psychiatric problems (except the anxiety) ( p ? 0.001). In conclusion, the results of the current study indicate the importance of early recognition of symptoms of autism, comorbid psychiatric problems and active involvement in comprehensive health educational programs for caregivers of children with ASD are recommended.</p> Asmaa Maher Zein El-abdeen, Amal Yassien Haikel, Nashwa Ibrahim ##submission.copyrightStatement## http://innovativejournal.in/index.php/ijnd/article/view/2270 Tue, 14 Aug 2018 00:00:00 +0000 Ruminative Thoughts and Severity of Depression among Patients with Depressive Disorders http://innovativejournal.in/index.php/ijnd/article/view/2271 <p><strong><em>Background:</em></strong>Depressive disorder is the most prevalent psychiatric disorder that influences 350 million individuals worldwide. It negatively affects social, familial functioning, and work productivity due to depressive symptoms that include disturbed eating and sleep habits, lack the desire to do things, impaired social and occupational functioning, and inability to maintain successful relationship besides the depressed mood. In response to their depressive symptoms, some individuals use ruminative thoughts to identify why they feel depressed in an attempt solve their problem. However, rumination exaggerates the depressive symptoms and may impair social problem solving.&nbsp;</p> <p><strong><em>Method:</em></strong>A descriptive cross sectional research design was conducted in the in-patient Psychiatry Department at Mansoura University Hospital. The data was collected from 85 patients living with depression who fulfilled the inclusion criteria. The Ruminative Response Scale (RRS) and Beck Depression Inventory (BDI-II) were used to achieve the purpose of the study.<strong><em>Results:</em></strong>The results of the current study revealed that severity of depression positively significantly correlated with ruminative thoughts (p= 0.010). Furthermore, weak negative significant correlation between severity of depression and reflection domain of rumination in (RRS)wasdetected (p=0.011).Weak positive significant correlation between severity of depression and brooding domain of rumination in (RRS) (p=0.007).&nbsp;</p> <p><strong><em>Conclusion:</em></strong>in conclusion, the severity of depressive disorder was positively correlated with ruminative thoughts.</p> Nahed Maher Ali AbdElshakour, Osama Ahmed El-Boraie, Nashwa Ibrahim ##submission.copyrightStatement## http://innovativejournal.in/index.php/ijnd/article/view/2271 Tue, 14 Aug 2018 00:00:00 +0000