Ohoud El-Sheikh

Background: Earthquake disaster preparedness in schools is an effective, adaptable, and long-lasting approach to disseminating disaster education. Undoubtedly, systematic, quantifiable, and effective measures to increase the capacity of school community members will lessen the impact of catastrophe risk in schools. Aim: To evaluate the effect of using a simulation strategy on preparatory school students' earthquake preparedness. Design: A quasi-experimental design pre-and post-tests were utilized. Setting: The study was carried out at El-Shaheed Ahmed Bahaget Preparatory School in Damanhour. Sample: A multi-stage stratified sample consists of 60 preparatory students. Data collection tools: The student's personal data questionnaire, preparatory school students' knowledge regarding preparedness for earthquakes, and preparatory school students' skills during and after the earthquake were implemented. Results: There was a highly significant improvement in preparatory sch...

Background: Patients with thalassemia major require significant setup management of routine blood transfusion each three to four weeks, and chelation treatment to push out iron from the body makes a refinement that creates well again the result. Aim: To determine the impact of educational guidelines based on video-assisted on nurses' performance regarding pediatric blood transfusion-dependent β- thalassemia major. Methods: Design: To carry out the current investigation, a quasi-experimental research design was employed. Settings: The study was carried out in inpatient and outpatient pediatric departments affiliated with Mansoura University Hospitals. Subjects: All 50 nurses who were included in the convenient sample. Tools of data collection: Tool 1: A structured interviewing questionnaire, consisting of three parts; part 1: Nurses’ demographic data, part 2: and Nurses’ knowledge Questionnaire; Tool 2: Routine Blood Transfusion Knowledge Questionnaire; and Tool (3): Nurses’ obse...

Background: Survival rates for children who require intensive care for the treatment of life-threatening illness or injury have dramatically improved worldwide. In pediatric critical care, decreased mortality has been accompanied by increased morbidity. This has resulted in a shift in the contemporary focus of the international critical care community from mortality reduction alone to the optimization of survivor outcomes. Aim: to assess nurses' knowledge and their practices regarding post intensive care syndrome of critically ill pediatric patients. Method: adescriptivedesign has been used to conduct this study in the Pediatric Medical Intensive Care Unit affiliated with the Mansoura University Children's Hospital, was conducted withall available nurses in pediatric intensive care setting. Data was collected by using a questionnaire sheet for socio-demographic characteristics and knowledge and observational checklists for practices were used to collect data. Results: the va...

Background: Bell's palsy is a frequent cranial neuropathy that results in idiopathic, unilateral, or bilateral facial nerve paralysis and acute, lower motor neuron–only facial paralysis on one side of the face. A significant factor in ensuring continuity of care is tele-nursing. Aim: To determine the effect of tele-nursing instructions on mothers' knowledge and practices regarding their children with Bell's Palsy during covid -19 lockdown. Design: A quasi-experimental research design was used to conduct this study. Setting: The study was conducted at the physical therapy department of Sohag University Hospital. Subject: A convenience sample of all 100 Bell's palsy-affected mothers and their available children. Tools: Two tools were used for data collection, Tool1: A structured interview questionnaire: Included three parts; characteristics of mothers, characteristics of their children, mothers’ knowledge about Bell's palsy (pre, post, and follow-up) phases of tele...

Familial hypercholesterolemia, hypertrophic cardiomyop- athy, and long QT Syndrome are genetic cardiovascular conditions which may lead to sudden cardiac death at a young age. Preventive measures include lifestyle modifica- tions, medications, and/or cardiac devices. Hence, identi- fication of carrier children can protect them for the potentially life threatening consequences at a young age. Yet, informing children about their genetic risk status and subjecting them to treatment may have negative consequen- ces. This preliminary study aimed to explore (1) how the health-related quality of life of carrier children compares to the quality of life of Dutch children in general; and (2) to what extent the carrier children's quality of life and their parents' perception thereof concur. Our method involved carrier children (n ¼ 35), aged between 8 and 18 years, and their parents (n ¼ 37) who completed a self-report ques- tionnaire. Children's health-related quality of life was assessed with a children and parent version of the KIDSCREEN. Dutch reference data were available from a representative national sample. Our results show no statisti- cally significant differences in scores between carrier children and the reference group. Also, no differences were found between carrier children and their parents' ratings, with the exception of the scale ''psychological well being''. Parents rated their child's psychological well being significantly lower. We identified no problems with the well-being of carrier children as compared to a representa- tive sample of peers. This may offer some initial reassurance to those who have concerns about the implications of genetically testing children for one of these cardiovascular conditions. Yet, attention to possible problems in these children remains warranted. 2008 Wiley-Liss, Inc.

Background: Pain may be a universal experience and a major source of distress for children and their families similar as health care providers. Pain affects children of all ages, even a fetus. Nursing interventions to manage pain after surgery are vital to stop undesirable physiological and psychological consequences. Numerous nonpharmacological approaches to alleviate hospitalized children’s pain suggest play as a central part. Aim of the study:This study was done to evaluate the effect of a planned play program as a nursing intervention on reducing post-operative pain among children undergoing abdominal surgeries. Method:A quasi experimental research design was used. Subjects: The study included 70 children of both gender and their caregivers. Tools: Four tools were used to collect data; an interview questionnaire sheet for mothers to collect sociodemographic data and clinical data about the child's health problem, physiological pain assessment tool to obtain baseline data and...

Background: Academic advising plays a crucial role in academic success; it was considered an integral part in achieving faculty educational goals. The aim of the current study was to develop corrective actions to improve academic advising process through investigating the obstacles and solutions from the perspective of both academic advisors and students. Method: An analytical cross-sectional research design has been used. The sample included 51 academic advisors and 424 students enrolled in the faculty of nursing at Mansoura University. A Socio-demographic questionnaire, academic advisor’s performance sheet, and academic advising obstacles sheet were used to collect data. Results: Obstacles related to advisors scored higher rather than other obstacles from the students’ point of view. Students' levels varied significantly with advisors’ performance and obstacles. There is no significant correlation between advisors’ performance and academic advising obstacles as preserved by st...

Central venous line (CVL) is a necessary device used frequently in neonatal intensive care units (NICUs) for critically ill neonates who need continuous monitoring and resuscitation treatment. Significant evidence has accumulated indicating that CVL nursing care bundle is considered as an essential component of CVL infection prevention practice to combat the incidence of CVL infection. Aim: This study aimed to examine the effect of applying nursing care bundle on controlling central venous line infection in neonatal intensive care units. Subject and method: A quasi-experimental design was used. The study was conducted at NICU at Kafr El Sheikh General Hospital. The study included a convenience sample of all available bedside/ working nurses (n= 30), 79 preterm infant (recruited for 3 months’ period). Tools: Three tools were used to collect data. Tool 1: An interview questionnaire for nurse's knowledge. Tool 2: Observational checklist used to assess nurses’ performance regarding ...

Aim: To assess the feasibility, acceptability, effectiveness and cost of the integration of a tailored labour companionship model in three public hospitals in Egypt, Lebanon and Syria. Methods: Phased implementation research using mixed methods. Implementation strategies consisted of steering committees in hospitals, seminars for healthcare providers, information, education and communication materials, and adjustments in labour rooms. The labour companionship model consisted of (i) identification of a female relative as labour companion by women; (ii) provision of information, education and communication materials to women and companions; and (iii) allowing companions to accompany women throughout the first stage of labour. Semi-structured interviews with women, labour companions and healthcare providers were used to assess feasibility and acceptability of the model. Effectiveness was assessed through structured interviews with women, information abstracted from medical records and cost data. The comparison was made between the pre-implementation and the implementation phases. Results: This model was found to be feasible, acceptable, effective and cost-beneficial. Women's satisfaction and perception of control improved and caesarean section rates were reduced significantly. Conclusion: This model can be adopted for these countries and elsewhere with comparable health systems. It enhances the quality of care and the provision of equitable and respectful maternity services.

Women's satisfaction and perceived control in childbirth are important attributes of the childbirth experience and quality of care indicators. This article presents findings from the pre-intervention phase of a multi-centre implementation study in Egypt, Lebanon and Syria, to introduce a labour companionship model in these countries. A sample of 2620 women giving birth in three public teaching hospitals from November 2014 to July 2015 in Beirut and Mansoura, and from November 2014 to April 2015 in Damascus were interviewed by trained field workers. Additional information was abstracted from medical charts. An adapted version of the Mackey Childbirth Satisfaction Rating Scale was used to measure women's satisfaction and the shortened version of the Labor Agentry Scale was used to assess perception of control. The total satisfaction score was high in all sites with the lowest being in Egypt. Perceived control was directly related to satisfaction. Women with low education level...

Background: Pain may be a universal experience and a major source of distress for children and their families similar as health care providers. Pain affects children of all ages, even a fetus. Nursing interventions to manage pain after surgery are vital to stop undesirable physiological and psychological consequences. Numerous non-pharmacological approaches to alleviate hospitalized children's pain suggest play as a central part. Aim of the study:This study was done to evaluate the effect of a planned play program as a nursing intervention on reducing post-operative pain among children undergoing abdominal surgeries. Method:A quasi experimental research design was used. Subjects: The study included 70 children of both gender and their caregivers. Tools: Four tools were used to collect data; an interview questionnaire sheet for mothers to collect socio-demographic data and clinical data about the child's health problem, physiological pain assessment tool to obtain baseline data and determine child's physiological response to pain, faces pain scalewas used as a pain assessment tool for younger group (4-7 years), and FLACC behavioral scale for assessing the behavioral responses of children toward postoperative pain. Results:The finding of this study showed that, children with abdominal surgeries who participate in a planned play program were expressed less postoperative pain intensity than those children who receive routine care. Conclusion:It was concluded that the planned play program had a positive effect on reducing post-operative pain of children undergoing abdominal surgeries. Recommendation:The study recommended planning systematic play sessions to help the child coping with the emotional and physical pain resulting from hospitalization or surgical procedures.

Background: Stem cells have tremendous promise uses for the future to treat a variety of diseases, injuries, and other health-related conditions. Their potential is evident to promote the repair response of diseased, dysfunctional or injured tissue. Aim: This study aimed to assess the effectiveness of applying a structured health literacy intervention regarding stem cells therapy (SCT) on the mothers' level of knowledge and attitude. Methodology: A quasi-experimental one-group pre-post test design was utilized. The study involved 302 mothers recruited from the pediatric outpatient clinics of Mansoura University Children Hospital (MUCH), Egypt. Data were collected using two structured interview sheets (knowledge and attitude). Results: There were highly statistically significant differences in mothers' knowledge and attitude one-month post-application of the structured health literacy intervention regarding stem cells therapy compared to pre-application (P=<0.001). Conclusion: Application of a structured health literacy intervention showed a significant improvement in mothers' level of knowledge and attitude regarding stem cells therapy.

Abstract: Poor nutrition is one of the common complications in children with symptomatic congenital heart defects (CHDs). Optimal nutrition for children with CHDs should be considered as early corrective interventions to be intensified. This study aimed to assess the effect of nutritional education intervention on mothers’ knowledge, practices and attitude toward their children with congenital heart defects. A quasi-experimental research design was used. This study was conducted at the outpatient clinic of Mansoura University Children’s Hospital (MUCH). Convenient sample of (77) mothers with their children (77 child suffering from CHDs) were participated. Four tools were used for data collection. Results: The majority of the mothers had poor level of knowledge, practices and attitude pre-implementation of the nutritional intervention. However, significant improvements were achieved in mothers' knowledge, practices and attitude post one-month and post-three months after implementation of nutritional education intervention (P=0.000). Additionally, about three-quarters of  children  had  a  cyanotic  heart  defects.  One  fifth  of  them  (20.8%)  were underweight  based  on  BMI pre-implementation  of  intervention.  However,  it  was  decreased  to  11.7% and 6.5% post one-month and post-three month respectively after implementation of nutritional education intervention. Conclusion: After the implementation of nutritional education intervention, there were improvements in the mothers' knowledge and practices regarding nutritional management of their children with congenital heart defects. In addition, the mothers had significant positive changes in their attitude regarding the nutritional management of their children. Recommendations: There is a need for developing nutritional standards and protocols for nutrition of CHDs to standardize the nutritional care provided to the affected children.

Background: Objective Structured Clinical Examination (OSCE) was assessed from the perspective of student's experience of feedback which considered an indicator of the efficacy of the assessment process. There has been an evolution of various methods of clinical evaluation in undergraduate nursing education in the last four decades. OSCE is a recent method of examination mainly used in sciences particularly medical and nursing education. Aim: The aim of the current study is to explore what is the Nigerian nursing students' perspective toward the OSCE exam? Design: A descriptive exploratory design was utilized for this study. Setting: the study was carried out at pediatric nursing skill lab, faculty of nursing, Mansura University immediately after the exam. Sample: 50 of Nigerian students participated in the current study. Tools: The questionnaire developed by Pierre et al., (2004) to assess the nursing students' judgment of OSCE characteristics, the quality of OSCE performance and perception of the OSCE scoring and objectivity. Results: The study's results showed that the highest percentages of the Nigerian nursing students agreed that OSCE provided opportunities to learn, wide range of knowledge was covered, which allowed the students chance to compensate in some areas, exam was well administered, time allocated to each station was adequate and exam was well structured and sequenced. Conclusion: It is obvious that the Nigerian students' feedback about Objective Structured Clinical Examination was accepted and beneficial for their first trial, as well as it needs some of development and improvement to make it more valuable. Recommendations: OSCE should be a very crucial part of undergraduate students' evaluation as well as, applying it as a tool to examine the postgraduate students particularly to evaluate practical nursing courses.

Introduction: Nocturnal enuresis is a common distressing disorder that carries a significant burden. This disorder has psychological, social and financial implications for the families and their children. Aim: This study aimed to assess the effect of applying health education learning package (HELP) on mothers having children with nocturnal enuresis. Method: A quasi-experimental research design with repeated measures was utilized. A convenient sample of (88) mothers and their children (88) was recruited from the urinary incontinence outpatient clinic that affiliated to Mansoura University Children's Hospital (MUCH), Egypt. Seven structured tools were used for data collection. Results: There were statistically significant differences in mothers' knowledge, practices and attitude post-application of the HELP regarding nocturnal enuresis compared to pre-application (P=0.000). Additionally, the frequency of bedwetting and urination problems as polyurea and urinary tract infection among the affected children were decreased. Conclusion: Applying of health education learning package regarding nocturnal enuresis showed a significant improvement in mothers' knowledge, practices and attitude. As well, the associated clinical manifestations among the affected children were decreased post-application of the HELP. Overall, the studied mother found the HELP is useful and effective in solving problems of the mothers and children related to nocturnal enuresis.