Background: Menstrual disorders are frequent health concerns for adolescent girls and cannegatively affect school performance, social participation, and daily functioning. Buildingeffective self-care skills is essential for alleviating symptoms and promoting healthierlifestyles. Aim: Assess self-care practices of menstrual disorders among secondary schoolfemale students in Alexandria. Design: A descriptive study design was adopted to accomplishthis study. Settings: The study was carried out in eight educational districts. Onegovernmental secondary school was randomly chosen from each district, and a stratifiedsample was recruited.). Subject: 1,200 secondary school female students were allocatedTools: Data were gathered using three tools: a structured questionnaire on self-care, amenstrual disorders assessment scale, and self-care practices scales specific to menstruation.Results: The findings of the present study revealed that nearly two-thirds of respondentsreported severe dysmenorrhea. Self-care practices were found to be inadequate; studentsrelied mostly on external aids, with limited use of coping skills, physical activity, sufficientrest, and balanced nutrition. Analgesics were often taken without medical supervision, whilealternative or spiritual approaches were rarely used. Statistically significant links were notedbetween menstrual patterns, lifestyle factors, and the presence of menstrual disorders, aswell as between dysmenorrhea severity and self-care practices (p = 0.001). Conclusion: Thefindings reveal major gaps in adolescents’ ability to manage menstrual symptoms throughself-care. Comprehensive health education programs are needed to strengthen awareness,foster effective coping methods, and enable young girls to actively manage their menstrualhealth and quality of life. Recommendations: Improve awareness about menstrual health,safe self- care practices, and when to seek medical help; provide structured sessions onmenstrual hygiene, nutrition, and stress management; improve availability of gynecologicalconsultations and affordable treatment options in school clinics and foster open dialogue toreduce cultural taboos and empower individuals to discuss menstrual health without shame.
Background: Primary dysmenorrhea remains a common health concern amongadolescents, necessitating accessible and cost-effective management strategies.Objective: This study aimed to determine the effect of pelvic bridge exercises on painintensity among adolescent girls with primary dysmenorrhea. Study design: A quasiexperimentaldesign was conducted in this study. Setting: this study was conducted inthe Technical Institute of Nursing, Faculty of Nursing, Alexandria University, duringthe academic year 2023/2024. Subjects: A convenience sample of 100 female studentswas allocated into study and control groups. Tools: Pain intensity was assessed usingthe Visual Analogue Scale (VAS) and the Modified Behavioral Pain Scale before theintervention and at four- and eight-weeks post-intervention. Results: At baseline, nostatistically significant difference was observed between the two groups (p = 0.764).After four weeks, the study group showed a statistically significant reduction in painseverity compared to the control group (p < 0.001). At eight weeks, improvement wasmore pronounced in the study group, with the majority reporting mild pain and nocases of severe pain, whereas most participants in the control group continued toreport severe symptoms (p < 0.001). Conclusion: Pelvic bridge exercises is a safe,cost-effective, and non-pharmacological nursing intervention that significantlyreduces menstrual pain intensity and enhances quality of life among adolescents withprimary dysmenorrhea. Recommendations: Pelvic bridge exercises must beintegrated into school and community health programs.
Background: Intensive care units' (ICUs) scoring systems are clinical tools thatobjectively quantify a patient's severity of illness, predict outcomes, such asmortality, and assess organ dysfunction. They enhance patient safety, reducepractice variability, and facilitate communication among healthcare professionals.Nurses, as primary caregivers, play a pivotal role in applying these scoringsystems, which guide interdisciplinary decisions—particularly in ICUs where evenminor changes in a patient’s condition can significantly influence clinicaloutcomes. Aims: To assess critical care nurses’ knowledge and perceived barriersregarding the use of scoring systems. Settings: This study was conducted in sixICUs at Alexandria Main University Hospital, Egypt. Subjects: A conveniencesample of 130 critical care nurses directly involved in patient care was recruitedfor this study. Tools: One tool was used. Part one: Socio-demographic and ClinicalData. Part Two: Critical Care Nurses’ Knowledge Regarding Scoring Systems.Part three: Perceived Barriers to Using Scoring Systems. Results: The findingsdemonstrated that 119 nurses (91.5%) failed, indicating a substantial lack ofknowledge regarding the use and interpretation of scoring systems in critically illpatients, with statistically significant differences observed. Conclusion: criticalcare nurses’ lacked knowledge about scoring systems and there are severalbarriers underutilized scoring systems in ICUs, including increased nursingworkload, frequency of scoring that disrupts patient care, absence of hardcopies, insufficient unit policies. Recommendations: Critical care nurses shouldattend training programs and workshops on scoring systems to improve theirknowledge and competency. Administrative policies and protocols should beestablished to encourage CCNs to incorporate scoring systems into ICU patientcare, along with providing educational materials to support their understanding oft h e s e s y s t e m s
Background: Substance use disorders are frequently associated with emotionalprocessing difficulties and maladaptive coping patterns. Alexithymia and defensive functioningmay play an important role in maintaining substance use and complicating recovery. Aim: Thisstudy aimed to assess alexithymia and defensive functioning among clients with substance usedisorders and to examine the relationship between them. Design: A descriptive correlationalresearch design was used. Setting: The study was conducted at the outpatient clinic of El-Maamoura Hospital for Psychiatric Medicine, Alexandria, Egypt. Subjects: A conveniencesample of 270 outpatient clients with substance use disorders was recruited. Tools: Datawere collected using a socio-demographic and clinical data structured interview schedule, theToronto Alexithymia Scale-20, and the Defense Style Questionnaire-40. Results: The majorityof the studied clients had high alexithymia (75.6%), with a total TAS-20 mean score of 65.43 ±8.88. The overall DSQ-40 mean percentage score indicated a moderate level of defensivefunctioning (58.08 ± 9.19%). Immature defenses showed the highest use (60.55 ± 12.06%). Astatistically significant weak positive correlation was found between alexithymia andoverall defensive functioning (r = 0.175, p = 0.003). Higher alexithymia was associated withgreater use of immature defenses and lower use of mature defenses. Conclusion: Clients withsubstance use disorders showed high alexithymia and frequent use of immature defenses. Thesefindings highlight the need for psychiatric nursing interventions that enhance emotionalawareness, emotional expression, and adaptive coping. Recommendations: Psychiatricnursing interventions should integrate emotional awareness training, emotion regulationskills, and strategies that reduce immature defenses and enhance adaptive coping amongclients with SUDs.
Background: Pain experienced during venipuncture is a substantial concern for childrenundergoing venipuncture procedure. So, it is pivotal to mitigate such pain by usingpromising adjunctive non-pharmacological methods such as cryovibratory stimulation andshot blocker. Objective: to determine the effect of cryovibratory stimulation versus shotblocker on pain intensity among children undergoing venipuncture procedure. Setting:The study was conducted at Surgical Unit at Smouha university children's hospital inAlexandria. Subjects: A convenient sample of 90 preschool age children undergoingvenipuncture procedure comprised the subjects. They have to fulfill the following criteria,age ranges from 3-6 years, Free from neurological and mental disorders and not receivingany analgesics before venipuncture. Tools: Four tools were used to collect the neededdata. Children's Characteristics and Medical Data Record, Physiological Parameters ofChildren Undergoing Venipuncture Procedure Assessment Sheet, Children's BehavioralResponses to Pain Observational Checklist and Oucher Numerical Scale. Results: It wasfound that 43.3% of children were relaxed and comfortable in the cryovibratorystimulation group compared to 13.3% and 20.0% of children in the shot blocker group andthe control group respectively. Statistical significance difference was found between themwhere p=0.008. Furthermore, it was found that, only 20.0% of children in thecryovibratory stimulation group experienced severe pain compared to 40.0% and 56.7% ofchildren in the shot blocker group and the control groups respectively. After venipuncture,it was obvious that, 80.0% of children in the cryovibratory stimulation group were relaxedand assumed comfortable position compared to 50.0% of those in the shot blocker group.On the other hand, only 30.0% of children in the control group were relaxed andassumed comfortable position. Conclusion: It was concluded that both cryovibratorystimulation and shot blocker were effective in minimizing pain responses during and aftervenipuncture among children undergoing venipuncture procedure. However, children whoreceived cryovibratory stimulation experienced less pain than those who received shotblocker. Recommendations: Cryovibratory stimulation and shot blocker techniques shouldbe incorporated in the surgical units' protocol of care to minimize pain intensity.
AbstractBackground: Temporary pacing is an emergency intervention used to manageinadequate cardiac output resulting from bradycardia. It delivers electrical stimulationto maintain an appropriate heart rhythm until a permanent pacemaker is implanted, orthe underlying condition is corrected, and it is essential for maintaining tissue perfusionin critical care settings. Aim: To determine the factors contributing to temporarypacemaker–related adverse events among critically ill cardiac patients. Setting: Thestudy was conducted in the coronary care units of Alexandria Main University Hospitaland Smouha General Hospital. Subjects: A convenience sample of 60 critically illcardiac patients, aged 18–65 years, who were admitted to the specified units andindicated for temporary pacemaker insertion, was included. In addition, approximately30 nurses providing direct care to these patients in the same settings participated in thestudy. Tools: Three tools were utilized. Tool I was the Cardiac Critically Ill Patient’sTemporary Pacemaker Assessment Record. Tool II was the Nurses’ KnowledgeRegarding Temporary Pacemaker Care Questionnaire. Tool III was the ObservationalChecklist for Coronary Care Nurses’ Practices Regarding Temporary Pacemaker Care.Results: The findings demonstrated that the most common adverse event related totemporary pacemaker was insertion site infection (25%), with a low rate of adverseevents related to the device. A statistically significant positive correlation was identifiedbetween nurses’ unsatisfactory levels of knowledge and practice (p<0.001) and theoccurrence of these adverse events. Conclusion: The study indicated that temporarypacing effectively manages complete heart block by improving hemodynamic stability.However, it also identified risks, including infection and lead dislodgement, associatedwith prolonged use of temporary pacemakers. Recommendations: Early transition topermanent pacemaker implantation, strict adherence to aseptic techniques, appropriatesecurement protocols, and enhanced nursing education are recommended to reducecomplications and improve patient safety and care outcomes. Develop and implementstandardized, evidence-based protocols for the insertion, monitoring, and removal oftemporary pacemakers to minimize practice variation and associated complications
Work stress in nursing education arises when job demands exceedcoping resources, leading to adverse physical, psychological, and social outcomesthat affect performance, well-being, and organizational effectiveness. Objective: Toassess the Nurse Educators’ prospective of work stress level. Settings: The studywas conducted in six MOHP Technical Institutes of Nursing in Alexandria namedAboQuir Technical Nursing institute, Ras El teen Technical Nursing Institute, Elgomhoria Technical Nursing Institute, Dar Esmael Nursing institute, AmeryaTechnical Nursing Institute, Borg El-Arab Technical Nursing institute for girls, twoinstitutes was recently opened named Borg El-Arab Technical Nursing institute forboys and Day Abees Technical Nursing institute for boys Subjects: The studyincluded all eligible nurse educators working in the selected institutes (N = 55).Tools: Data were collected using demographic questionnaire, and validated WorkStress Index (WSI). Results: The overall mean percentage score of the work stressindex ranged from 40.27% to 47.08%, indicating that nurse educators experienceda moderate level of perceived work stress. Conclusion: the persistence of moderatestress highlights the need for continuous organizational attention to workplaceconditions and supportive strategies that promote educators’ well-being andprofessional effectiveness Recommendations: Implementing supportive workplacestrategies and stress management interventions is recommended to enhance nurseeducators’ well-being and maintain manageable levels of work stress
Background: Primary dysmenorrhea significantly compromises women's quality of life byinducing multidimensional impairments, including physical, social, psychological, and emotionaldisturbances. Among these, pain and discomfort are key contributors to the deterioration of QOL,which underscores the condition's substantial impact on overall well-being. The management ofPD is a critical component in mitigating its adverse effects on adolescent females' QOL andensuring overall menstrual health. Mitchell’s relaxation technique is regarded as one of the mostaccessible and cost-effective non-pharmacological interventions for the management of chronicpain. Objective: To determine the effect of Mitchell's Physiological Relaxation Technique on painintensity and quality of life among adolescent females with primary dysmenorrhea. Settings: Thestudy was conducted at the Faculty of Nursing, Alexandria University, at Obstetrics&Gynecological nursing skill’s lab, Egypt. Subjects: A convenient sample of 100 female nursingstudents was selected from the first academic year at the previously mentioned setting. The samplewas divided into two equal groups (50 students for each group). Tools: Four tools were used.Tool I: “Adolescent Females’ Basic Data Structured Questionnaire". Tool II: “Pain IntensityVisual Analogue Scale (VAS)" Tool III: Dysmenorrheal severity Verbal Multidimensional Scoring(VMSS) system scale questionnaire. Tool IV: The 26-itemWorld Health Organization Quality-of-Life Scale questionnaire. Results:The study showed that there was a significant improvement indysmenorrheal pain intensity in the study group more than in the control group after 4 and 8weeks of intervention (P= 0.004 and 0.001 respectively). Furthermore, the study groups exhibitedsignificant improvement in overall quality of life than the control group after 4 and 8 weeks ofintervention (p=0.015& p= 0.001 respectively). Conclusion: Mitchell's Physiological RelaxationTechnique has a significant effect in reducing intensity of PD and improving the overall quality oflife among adolescents’ females. Recommendations: Maternity nurses should conduct healthteaching classes for adolescent females with PD to teach them about the benefits of MPRT andencourage them to practice it at home to ameliorate the severity of their symptoms and improvetheir quality of life.
Background: Social media use has become prevalent among young adults,particularly university students, raising concerns about its potential impact on mentalhealth. Excessive use may lead to social media addiction, which has been linked toloneliness and depression. Objective: To investigate the relationship between socialmedia addiction, loneliness, and vulnerability to depression among undergraduatenursing students. Settings: The study was conducted at the Faculty of Nursing,Alexandria University, Egypt. Subjects: A total of 600 undergraduate nursingstudents from different academic levels were included in the study. Tools: Three toolswere used: the Social Media Addiction Scale–Student Form (SMAS-SF), the PatientHealth Questionnaire (PHQ-9), and the UCLA Loneliness Scale (UCLA-8). Results:The findings revealed that 42.83% of students were classified as addicted to socialmedia, while only 14.33% were non-addicted. Additionally, 35.17% of studentsexperienced mild depression, 33.83% moderate depression, and 22.50% severedepression. A significant positive relationship was found between social mediaaddiction and both depression and loneliness, where higher levels of social mediaaddiction were associated with higher depression and loneliness scores. Moreover,students in earlier academic levels demonstrated significantly higher levels of socialmedia addiction, depression, and loneliness compared to senior students.Conclusion: Social media addiction is highly prevalent among undergraduatenursing students and is significantly associated with increased loneliness andvulnerability to depression in earlier academic levels. Recommendations:Educational and psychological interventions are needed to promote healthy socialmedia use and support students’ mental well-being.
Background: Frailty is a multidimensional geriatric syndrome associated with increasedvulnerability to adverse health outcomes. Among older adults, dignity represents a corepsychological need that can be compromised by functional decline and chronic illness.Perceived social support (PSS) also plays a crucial role in coping, maintainingwell‑being, and preserving dignity. Understanding how dignity and PSS relate to frailty isessential for informing holistic gerontological and psychiatric nursing care. Objectives:To examine the relationship between self‑perceived attributed dignity, perceived socialsupport, and frailty among community‑dwelling older adults. Research design:Descriptive correlational research Setting: Data was collected from two older adult clubsin Alexandria (El Wafaa club and El Hayaa we El Aml club). Subject: A convenientsample included recruited 100 older adults. Tools: Data were collected using 6 tools werethe Arabic version of the Mini-Cog©Test, the Arabic version of the Patient HealthQuestionnaire-2 (PHQ-2), an Jacelon Attributed Dignity Scale, MultidimensionalPerceived Social Support Scale, Frailty Index for Elders, and a structured interviewschedule. Results: More than half of participants (56%) were classified as frail. Frailtywas significantly negatively correlated with dignity (r = –0.395, p < 0.001) and PSS (r =–0.304, p = 0.002). Dignity emerged as a significant predictor of frailty in regressionanalysis, whereas social support did not. Several demographic and clinicalcharacteristics—including marital status, education level, income sufficiency, residence,and presence of chronic disease were significantly associated with dignity, social support,and/or frailty. Conclusion: Self-perceived attributed dignity is a key predictor of frailty incommunity-dwelling older adults, with higher dignity correlating to lower frailty levels.While social support also displayed a negative relationship with frailty, it was not asignificant predictor. The study emphasizes the need to consider socio-demographic andhealth-related factors, such as marital status, education, and chronic diseases, which mayinteract with perceived dignity and social support in influencing frailty among the elderly.Recommendations: Gerontological and psychiatric & mental health nurses should adopta comprehensive bio-psychosocial model rather than a purely biomedical model byconsidering the associations between attributed dignity, PSS and frailty while craftingpersonalized prevention and care to understand and improve the health of the elderly.
AbstractBackground: Moral courage requires professional knowledge, skills andawareness of values and principles of nursing ethics. One of the importantfactors affecting nurses' moral courage is nurses' ethical empowerment. Aimof the study: Determine the effect of an ethical empowerment trainingprogram on moral courage of nursing students. Settings: The present studywas conducted at Karmoze Technical Nursing Institute, Health InsuranceOrganization at Alexandria. Subjects: convenience sampling of 75 students atKarmoze Technical Nursing Institute was included in the study. Tools: twotools were used to collect the necessary data. Tool: Nursing Student's EthicalEmpowerment Scale. Tool II: Assessment of Nursing Students' MoralCourage Scale. Results: The study showed significant improvement in nursingstudent's ethical empowerment and moral courage pre to post1 and remainedelevated after one month. Conclusion: The educational program on ethicalempowerment showed a strong positive correlation between overall ethicalempowerment and overall moral courage among the studied nursing students.Recommendations: Implement periodic ethical empowerment trainingprograms with regular assessments to monitor nursing students’ improvementin moral courage and ethical decision-making.
Respiratory distress among preterm neonates remains a major cause of neonatalmorbidity and mortality. Continuous Positive Airway Pressure offers an effective interventionbut often expensive for low resource settings to afford. Therefore, there is a need for a simple,affordable and locally made respiratory support intervention for preterm neonates withrespiratory distress. Objective: to determine the effect of Improvised Bubble Positive AirwayPressure on decreasing signs of respiratory distress among preterm neonates. Setting: Thisstudy was carried out in the neonatal units at three health centers namely; Yombo VitukaHealth Centre, Mbagala Rangi Tatu Health Centre and Buza Health Center. All previouslymentioned settings are located in Temeke District-Dar Es Salaam City, Tanzania. Subjects: Asample of 60 preterm neonates were conveniently selected and divided equally into twogroups: a study group was those who received IBPAP and a control group was those whoreceived humidified oxygen therapy. Tools: Two tools were used to collect data: Tool I:Preterm Neonates’ Physiological Record. Tool II: Silverman Andersen Respiratory SeverityScore. Results: The findings of the current study demonstrated that, Preterm neonates whoreceived Improvised Bubble Positive Airway Pressure showed a significant reduction inrespiratory distress severity scores, with a marked decline in severe respiratory distress andprogressive improvement toward mild respiratory distress compared to those who receivedhumidified oxygen. A statistical significant difference was found between two groupregarding respiratory distress severity at 12, 24, 36 and 48 hours (P<0.0001). Conclusion:Improvised bubble positive airway pressure is effective in reducing signs of respiratorydistress among preterm neonates compared with routine respiratory support using humidifiedoxygen therapy. Recommendations: Integration of Improvised Bubble Positive AirwayPressure into routine neonatal care is recommended, alongside in-service training programsabout its assembly and administrationto enhance nurses’ skills. Further study using largersample size is also recommended
Thalassemia is a chronic hereditary blood disorder that requires lifelong regular blood transfusions. This place affected children at increased risk of transfusion-related infections.Nurses have a pivotal role in ensuring not only safe blood transfusion practices but also infectionprevention. However, gaps in knowledge and practical performance may negatively affect thequality and safety of care provided to children with thalassemia. Aim: To investigate the effect of aneducational program on nurses’ knowledge and practices regarding infection prevention duringblood transfusion for children with thalassemia. Settings: This study was conducted in six healthcenters at the middle and western regions in Syria. Subjects: All available nurses who working atthe previous mentioned settings (60) and fulfilled the following criteria: have at least three monthsexperience in administering blood transfusion regardless of their educational level. Methods: Aquasi-experimental research design was utilized. Nurses’ knowledge and practices related toinfection prevention were assessed before, immediately after implementing the educationalprogram, and one month later using structured assessment tools. Results The results revealed astatistically significant improvement in nurses’ knowledge and practice mean scores across the threeassessment phases (P = 0.001). Before the educational program, the majority of nursesdemonstrated poor knowledge and unsatisfactory practices (95% for knowledge and 86.7% forpractice). Regarding knowledge, mean score increased from 19.9167 before the educationalprogram to 36.6833 , 2708000 immediately after implementing educational program and one monthlater respectively. While the mean score of practice increased markedly from173.93 before theeducational program to 230.46 immediately after implementing educational program, and furtherimproved to 278.00 one month later, indicating a sustained positive effect of the intervention.Immediately after the program, 33.3% of nurses achieved satisfactory practice scores despitehaving poor knowledge. One month after the intervention, 42.9% of nurses demonstratedboth satisfactory knowledge and satisfactory practice scores. A statistically significant positivecorrelation was observed between nurses’ knowledge and practice scores before, immediately afterimplementingeducational program, and one month later, indicating that improvement in knowledgewas associated with corresponding enhancements in clinical practice. Recommendations:Continuous educational programs on infection prevention during blood transfusion should beimplemented for nurses in pediatric units. Additionally, ongoing monitoring, periodic evaluation, andreinforcement of best practices are recommended to ensure sustained improvement in nurses’performance and enhance children safety.
Background: Liver cirrhosis is a serious health concern that predispose to higherrates of morbidity and mortality due to ineffective management and failure to fulfillthe educational requirements of patients, highlighting the necessity for ongoing liverrehabilitation programs Aim: Evaluate the effect of implementing a rehabilitationnursing program on functional abilities and biochemical markers of patients withhepatic cirrhosis. Design: A quasi- experimental pre and post-tests research designwas used to achieve the aim of this study. Setting: The study was carried out at theInpatient Department of the Liver Research Institute at Kafr El-Sheikh Governorate,affiliated with ministry of health, Egypt Subjects a purposeful convenient sample of180 adult patients having liver cirrhosis was involved in the study. They wererandomly recruited in to 2 equal groups, group one (the control group) and group two(study group), 90 patients, each. Tools: Three tools were used to collect data. Tool I:Liver Cirrhosis Patients’ Assessment Structured Interview Schedule. Tool II: LiverCirrhosis Patients’ Functional Abilities Observational Checklist. Tool Ⅲ: LiverCirrhosis Patients’ Biochemical Markers Check list. Results: The study demonstrateda small effect (0.208) for basic activities of daily living (ADL) of the controls and amedium effect (0.745) on the study subjects. Also, it was observed that, there was asmall effect (0.355) on instrumental ADLs of the controls and a large effect (0.964) onthe study subjects, there were medium effects on hemoglobin level, platelets countlevel, Prothrombin time and kidney functions tests among the controls, and a largeeffect on the study group subjects. Conclusion: Based upon the findings of the currentstudy, it could be indicated that, the current study signifies the importance of therehabilitation nursing program in the improvement of their functional abilities andbiochemical markers at the end of the rehabilitation nursing program implementation,than those who didn’t receive the proposed rehabilitation nursingprogramRecommendation: Encouraging the T.V, internet’ educational campaigns allover Egypt to, increase LC patients’ awareness and knowledge about LC.
Background: Objective structured clinical examination (OSCE) is widely employed instudents assessment in health care education to assess clinical competenceIt evaluates essential clinical skills through standardized stations that simulate realclinical practice. It enhances the integration of theory into practice and improves thequality of clinical assessment. Objective: to determine the effect of Objective StructuredClinical Examinations (OSCEs) on technical nursing students’ performance, test-relatedanxiety, and their satisfaction. Design: the study A quasi-experimental design. Setting:this study was carried out at the Technical Nursing Institute affiliated with Gamal AbdelNaser Health Insurance Hospital in Alexandria. Subjects: all technical nursing students86 students enrolled in the fourth academic level during the first semester of the academicyear 2023-2024. The students were divided into two groups: study and control, 43students each.. Tools: four tools were used for data collection: Tool one: TechnicalNursing Students’ Knowledge Test ". Tool two: “Technical Nursing Students ClinicalPerformance Observation Checklists ". Tool three: “Examination Anxiety Scale (EAS) ".Tool four: “Technical Nursing Students’ Satisfaction Regarding OSCE Questionnaire ".Results: The study found that students assessed through the OSCE showed better clinicalperformance, compared to those in the control group. They experienced less test-relatedanxiety and expressed higher satisfaction with the assessment method. Overall,integrating OSCE into the curriculum enhanced learning outcomes, reduced stress, andimproved the student experience. Conclusion: OSCE is an effective and valuableassessment tool in nursing education. It significantly improves students’ level ofknowledge and enhances their clinical performance and skill development throughstructured and realistic clinical scenarios. In addition, the OSCE has been shown toachieve a high level of student satisfaction, reflecting its acceptability and educationalvalue. Recommendation: Embed the Objective Structured Clinical Examination in thenursing curricula of health care institutions l, and train both teachers and students on itsimplementation.
Diabetes mellitus is one of the most prevalent and significantmetabolic disorders worldwide. Type II diabetes mellitus, is the most common form,accounting for over 90% of all diabetes cases. One of the major complications oftype II diabetes is the development of diabetic foot ulcers (DFUs). Despiteadherence to standard treatment protocols, the healing outcomes for DFUs remainsuboptimal. Objective: Evaluate the effect of topical insulin dressing on healing offoot ulcers among type II diabetic patients. Setting: The present study wasconducted at the Inpatient Vascular Surgery Department of Damanhur MedicalNational Institute. The patients were being followed at outpatient clinic in the abovementioned setting. Subjects: A purposive sample of 80 male and female type IIdiabetic patients with foot ulcers and were divided into two equal groups: Controlgroup and study group. Tools: Two tools were used to collect the necessary data.Tool I: Type II diabetic foot ulcer patient's profile interview schedule. Tool II: TypeII diabetic patient foot ulcer healing observation checklist. Results: The studyshowed that there was a statistically significant difference regarding diabetic footulcer severity among the study and control groups over 4 weeks and 6 weeks afterdaily topical insulin dressing where MCp (<0.001*)in both. The study also showedthat, there was a statistically significant difference among patients in both groupsregarding wound healing evaluation at 6 weeks after assessment (χ2=16.157*, MCp=<0.001*). More than half of patients in study group (55.0%) had complete healingwhile the majority of patients in control group (87.5%) had partial healing.Conclusion: The topical application of insulin demonstrated a significanttherapeutic effect on the healing of diabetic foot ulcers. Recommendations:replication of this study using large probability sample from different geographicalareas to validate the efficacy and generalizability of topical insulin.
The COVID-19 pandemic accelerated the transformation of nursing education, leading to the widespread integration of digital learning platforms capable of replicating hands-on experiences. Scenario-Based Learning (SBL) is an innovative instructional approach that can be integrated into these digital platforms, enabling students to develop clinical competence and essential soft skills through realistic, immersive clinical scenarios in a safe environment. It is essential to evaluate students’ satisfaction with these platforms to determine their effectiveness and sustainability. Aim: To assess nursing students’ satisfaction with digital scenario-based learning. Setting: This study was conducted at the Muhimbili University of Health and Allied Sciences, School of Nursing, in the Clinical Nursing Department. Subjects: A convenient sample of 65 fourth-year nursing students was recruited from the above-mentioned setting. Tools: One tool was used to collect data: The Nursing students’ satisfaction with digital scenarios scale. Results: A high level of student satisfaction was reported (78.5%), with moderate (7.7%) and low (13.8%) satisfaction. Conclusion: The higher level of satisfaction reported indicates the potential of digital scenario-based learning (SBL) as a supplementary teaching strategy. Recommendation: Replicate this research with larger and more diverse samples to validate these findings, using objective measures of performance and engagement.
Background: In the context of rapid technological advancements and increasinghealthcare challenges, fostering a supportive organizational innovation climate(OIC) has become essential for enhancing adaptability, sustainability, and overallorganizational performance. Objective: To assess the relationship between nurses’perception of organizational innovation climate and their demographic andprofessional characteristics. Research Design: A descriptive correlationalresearch design was used in this study. Setting: This study was conducted in boththe critical care and intensive care units of Alexandria Main University Hospital,Alexandria Governorate. Subjects: A non-probability convenience sampling wasused to recruit study nurses (n=348) who had been working in the abovementionedselected settings. Tools: To collect necessary data for the study, twotools were used: Tool one: The Nurse Organizational Innovation Climate Scale,and tool two: demographic and professional characteristics of the studied nurses.Results: The study findings reveal that slightly more than half (53.74%) of thestudied nurses had a moderate perception of overall OIC, with a mean percentscore of 46.94 ± 20.51%. This study indicates that there were no statisticallysignificant differences between the overall mean score of organizationalinnovation climate and demographic and professional characteristics, except formarital status and attendance of innovation training. Conclusion: The resultsshowed that nurses had a moderate perception of the organizational innovationclimate. Innovation training and marital status were identified as the onlysignificant factors influencing nurses’ perceptions of the organizational innovationclimate. Recommendations: Arrange a series of workshops and structuredinnovation training for nurses to explain the concept and its importance, and thepractices of organizational innovation climate.
