iosr-JNHS   Volume-8 ~ Issue-4 ~ July-August 2019

Abstract: Clinical alarms of medical devices in intensive care units considered a health technology hazard and one of the most essential methods that warn the critical care nurses for immediate or potential threats facing critically ill patients.The aim of the study was toevaluate the effect of implementing clinical alarm interventional program on nurses' knowledge, practice and patient outcomes at intensive care unit.A quasiexperimental research design was utilized in this study. The study was conducted at post-anesthetic, and
emergency intensive care unit Tanta University and Emergency Hospital. All critical care nurses working in the unit (40) andprovide direct care..........

Keywords: alarm management, nurses' knowledge, nurses' performance, patient outcome, alarm fatigue

[1]. Vanderveen T. Alarm management: Using reliable data to eliminate unnecessary alarms. Patient Safety & Quality Health, (2014);
11 :(6) 38-45.
[2]. National Patient Safety Goals Effective January 1, 2016; 1-17.
[3]. The Joint Commission National Patient Safety Goal on Alarm Management– Joint Commission Perspectives,2013; 33 (7).
[4]. ECRI Institute. Executive Brief: Top 10 Health Technology Hazards for 2017. A Report from Health Devices. November 2016.
[5]. Sowan A, Gomez, T, Tarriela A, Reed C & Paper B. Changes in default alarm settings and standard in-service are insufficient to
improve alarm fatigue in an intensive care unit: A pilot project. JMIR Human Factors, (2016); 3 (1): 22-34...

Abstract: Background Nowadays faculties of nursing and all higher educational institutions should develop and enhance their student's soft skills to be sure that its products meets or exceeds market requirements aim:this study was conducted with the aim todetermine the relationshipbetween soft skills and academic achievement among 4th year nursing student.. Subject and method: at Nursing FacultyAssiut University, about 170 students from the fourth year were examined using soft skill questionnaire and students achievement sheet. Results:The present study results revealed that; the majority of 4th year nursing students were female (79.4%), and (58.2%) of themare lived in urban areas, and they had satisfactory soft skills regarding truth with achieved point (81.7%),followed by emotional expression with achieved point (79.5%), and managerial skill with achieved point (76%). Conclusion:The present study concluded that there were positive correlation between 4th year nursing students' academic............

Keywords: Nursing, Students, Soft Skill, Academic Achievement

[1]. Ginting, H. Developing Soft skills Measure in an Indonesian University: Procedure, Validity, and Reliability; International Journal
of learning and Teaching The Journal of Learning and Teaching International Journal of Learning and Teaching . 2016; 2 (2):139-
147.
[2]. Nugroho, W. Nizam, R., Samik, I. and Handayani, P."Graduate employability in Indonesia," in GraduateEmployability in Asia,
Bangkok. 2012;6 (3):5-23.
[3]. Robert T., David, M., Kristen, D. Exploring Predictability Of Instructor Ratings Using A Quantitative Tool For Evaluating Soft
Skills Among MBA Students American Journal Of Business Education – Third Quarter.2014;7(3) :175-182.
[4]. Kechagias, K.Teaching and Assessing Soft Skills, Neapolis (Thessaloniki), 1st and 2nd Chance School of Thessaloniki, 2011;
44(35):15-18.
[5]. Abbot, S. 21st century skills. The Glossary of Education Reform 2014. Retrieved from http://edglossary.org/21st-century-skills/.

Abstract: Background:Most older adults with hip joint replacement surgery experience functional decline, to need knowledge and practice to improve health.The aim: This study was to assess older adults knowledge and practices regarding Hip Joint Replacement surgery. Design:A descriptive research design will be utilized in this study. Setting: The study was conducted at the Orthopedic Out-patient Clinics at Al-Helal Hospital at Cairo. Egypt.Sample:A purposive sample consists of fifty male and female older adults who are subscribe in Out-patient Clinics.Tools:Twotoolswereusedfordatacollection, (tools 1): older adult Socio demographic data and knowledge regardingHip Joint......

Keywords: Older adults, knowledge and practices, Hip Joint Replacement.

1. Abd-Elatty F. (2015). The needs and problems of older adult (OA) clients with total hip replacement (THR).Ain Shams University. Egypt El-Demrdash and Al-Helal Hospitals, submitted partial of master
degree in Community Health Nursing Ain Shams University.
2. Adams (2013). My Guide to Total Hip Joint Replacement. London Health Sciences Centre, University Campus, London, Ontario, Canada. London Health Sciences Foundation.

Abstract: Children deserve medicines that are adapted to their needs. Medical errors resulting in Adverse Drug Reactions (ADRs), pose a significant public health problem. A drug-nutrient interaction is defined as the result of a physical, chemical, physiological, or pathophysiological relationship between a drug and a nutrient. These interactions may occur out of accidental misuse or due to lack of knowledge about the active elements involved in the related substances. Aim of study: is to evaluate the effect of food-drug interactions educational program on knowledge and practices of nurses working at the pediatric out-patients' clinics in El-Beheira General Hospitals. A quasi-experimental research design. The study was conducted at pediatric out-patients' clinics in El-Beheira General........

Keywords:pharmacokinetics, food and drug interactions (FDI), Knowledge, practices.

[1]. Turner et al. Paediatric drug development: The impact of evolving regulations. Advanced Drug Delivery Reviews 73 (2014) 2–13.
[2]. Mukattash T, Hawwa F, Trew K, McElnay C. Healthcare professional experiences and attitudes on unlicensed/off-label paediatric
prescribing and paediatric clinical trials. Eur J Clin Pharmacol (2011) 67:449–461.
[3]. Richey et al. Manipulation of drugs to achieve the required dose is intrinsic to paediatric practice but is not supported by guidelines
or evidence. BMC Pediatr, 13 (2013), p. 81.
[4]. McCabe B. Prevention of food-drug interactions with special emphasis on older adults. Current Opinion in Clinical Nutrition and
Metabolic Care. 7(1):21-26, JAN 2004.
[5]. Frankel EH. (2003). Basic Concepts. In: Hand book of food-drug Interactions, McCabe BJ, Frankel EH., Wolfe JJ (Eds.) pp. 2,
CRC Press, Boca Raton, 2003.

Abstract: Schizophrenia is a severe and debilitating disorder, which affects general health, functioning, autonomy, subjective well being, and life satisfaction of those who suffer from it. It had impact on the life and coping of schizophrenic patient .Therefore, this study aimed to assess quality of life and resilience among patients with schizophrenia. A descriptive research design was selected for this study .A purposive sample consisted of one hundred and twenty patients suffering from schizophrenia attended the outpatient clinic of El- Abassia mental health hospital were used .Three tools of data collection were used, the first was sociodemographic questionnaire of patients with schizophrenia , the second was the schizophrenia quality of life scale revision four (SQLS-R4)...........

Keywords: Quality of Life - Resilience - Schizophrenia

[1]. Alshowkan A & Curtis J. (2015): Factors Affecting the Quality of Life for People with Schizophrenia in Saudi Arabia: A
Qualitative Study. J Psychiatry 18:295.
[2]. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. (2014): American Psychiatric
Association; 6th ed. Arlington, VA:. p.102
[3]. Chin, H.(2018): The impact of cognitive insight, self-stigma, and medication compliance on the quality of life in patients with
schizophrenia, European Archives of Psychiatry and Clinical Neuroscience. Vol 268, Issue 1, pp 27–38.
[4]. Connor ,M & Davidson, MD.(2003): The Development of Anew Resilience Scale: The Connor- Davidson Resilience Scale, J
Depression and anxiety,18:76- 82.
[5]. Feggi, A .(2017 ): schizophrenia and major depression: resilience, coping styles, personality traits, self-esteem and quality of life
.https://doi.org/10.1016/j.eurpsy..

Abstract: Background: Adhering to the regimen of hemodialysis requires elderly individuals to cope with a countless physical and emotional unique stressors in addition to disruption in family roles and commitments. Older adults had different life experiences/backgrounds and at different developmental stage, and had much comorbidities which make their experience with HD are completely different. Aim: To identify the perceived Stressors and Coping schemes of Geriatric Patients Undergoing Hemodialysis in
Egypt. Research design:a cross - sectional descriptive research design was utilized Sampli ng and setting:A convenience sample of 60 patients with a mean age of 65.1 years was recruited at 2 dialysis centers in Northern.......

Keywords: Coping, Geriatric Patients, Gerontological Nursing,Hemodialysis, Stressors

[1]. M. Mallappallil, E. Friedman, B. Delano, S. McFarlane and M. Salifu, Chronic kidney disease in the elderly: evaluation and
management, Clinical Practice, 11(5),2014, 525–535.
[2]. L. Stevens and A. Levey, Chronic kidney disease in the elderly-how to assess risk, The New England Journal of Medicine,
352(20),2005, 2122-2124.
[3]. A. Levey, J.Coresh, E.Balk,A.Kausz,A.Levin,M.Steffes, andG. Eknoyan, Practice guidelines for chronic kidney disease: evaluation,
classification, and stratification, Annals of Internal Medicine, 139(7),2003, 137-605.
[4]. S. Meiner,Gerontologicalnursing 4thed(USA: Mosby com., 2011) 554-559.
[5]. K. Osborn, C. Wraa, andA.Watson.Medical-surgical nursing: preparation for practice(USA: Pearson com., 2010) 1475-1490.
[6]. R. Saran, B. Robinson, K. Abbott, L. Agodoa, J. Bragg-Gresham, R. Balkrishnan, ……..and V. Shahinian, US Renal Data System
2018 Annual Data Report: epidemiology of kidney disease in the United States,American Journal of Kidney Diseases, 73(3), 2019,
1 -772..

Abstract: Background: Spirituality is recognized as personally essential thing to older adults and it affects their health. Although the research on spiritual well-being and needs of elders with chronic diseases increases, there is limited research about community dwelling older adults in Egypt. Aim: The aim of this study was to determine the spiritual needs, well-being, and perception of health among community dwelling older adults. Method: Descriptive (cross-sectional) research design was used. This study was carried out at four randomly selected districts affiliated to Dakahlia Governorate, Egypt. A purposive sample of 250 community dwelling older adults were enrolled in the study. Data was collected using socio-demographic and health related data structured interview schedule, Spiritual......

Keywords: older adults, perceived health status, spiritual needs, spiritual well-being.

[1]. Tabloski, P.A. (2010). Gerontological nursing (2nd ed.). London: Pearson Education Ltd.
[2]. Rahimi A., Anoosheh, M., Ahmadi,F., Foroughan M. (2013). Exploring spirituality in Iranian healthy elderly people: A
qualitative content analysis. Iranian Journal of Nursing and Midwifery Research, 18(2): 163–170. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3748574/
[3]. You, K.S., Lee, H.O., Fitzpatrick, J.J., Kim, S., Marui, E., Lee, J.S., Cook, P. (2009). Spirituality, depression, living alone, and
perceived health among Korean older adults in the community. Archives of Psychiatric Nursing, 23(4), 309–322.
https://doi:10.1016/j.apnu.2008.07.003
[4]. Büssing, A., Koenig, H.G. (2010). Spiritual needs of patients with chronic diseases. Religions, 1, 18-27.
https://doi.org/10.3390/rel1010018
[5]. Meiner, S.E. (2011). Gerontological nursing (5th ed.). USA: Mosby..

Abstract: End of life care is very pivotal for patients on palliative care and their family. Patients have symptoms like pain, nausea& vomiting that needs to be resolved, besides diet, rest and sleep is essential and needs interventions to be managed. Use of life sustaining treatment and supportive measures is part of routine care for patients and family, but social, physical constraints of illness, feeling of emotional isolation, loneliness meeting spiritual needs are imperative for a holistic care for patients in hospital. The concept of EOL care has matured with time, it delivers comfort for dying patient and addresses family to deal with the condition which is difficult .EOLC provide specialized treatment to people whose illness is not curable, terminally ill. It affords quality care as all humans are.......

Keywords: End of life care (EOLC), symptom management, terminally ill. Physical needs.

[1]. Bomba, P.A., Kemp, M. and Black, J.S. POLST: An improvement over traditional advance directives. Cleveland Clinic Journal of
Medicine. July 2012, Vol. 79, Issue 7, p. 457-64.
[2]. Bomba, P.A., Sabatino, C.P. POLST: An Emerging Model for End-of-Life Care Planning. The ElderLaw Report. February 2009,
VolumeXX, Number 7, 1-5.
[3]. •Adams J, Andersron RA, Docherty SL, Tulsky JA, Steinhauser K E, & Bailey DE (2014) Nursing strategies to support family
members of ICU patients at high risk of dying Heart and Lung 43, 5 pp406 – 415
[4]. Baile WF, Buckman R, Lenzi R, Glober G, Beale EA &Kudelca AP(2000) SPIKES: A six step protocol for delivering bad news to
the patient with cancer Oncologist 5 pp302-311

Abstract: Background: Infection is the most common cause of hospitalization in hemodialysis patients and has become the second major cause of death. Lack of hygiene by staff increases the chance of infection. Aim of this study was to evaluate the effect of educational program on the nurses' practices about infection control measures in hemodialysis units. Research design: Pre /post quasi experimental design was used in this study. Sample: A convenient sample of all nurses in hemodialysis units, were included setting: the study was
conducted in pediatric hemodialysis units at Minia University and Minia General Hospitals. Tools for Data Collection: A structured interview questionnaire sheet in Arabic language was used for the studied nurses as pre/posttest. It composed of the following......

Keywords: Infection Control, Pediatric Hemodialysis, Nurses Practice

[1]. AbdElfatah A.H.A, (2013).Assessment of nursing knowledge and practice related to nursing care of children undergoing
hemodialysis at Assuit city, Unpublished Master thesis, Department of medical surgical nursing science, Faculty of Nursing .Cairo
University.
[2]. AbdElHafeez.S, Bolignano.D, D'Arrigo.D, Dounousi.E, Tripepi.D, and Zoccali.C,(2018). Prevalence and burden of chronic kidney
disease among the general population and high-risk groups in Africa: a systematic review,BMJ Open; 8(1): e015069.
[3]. AbdElsatir. S,(2013). Evaluation of nurses' awareness and practice of hemodialysis access care in Khartoum state, Sudan. Arab
Journal of nephrology and transplantations, 6(2), 119-121. Retrieved from (http://www.ajol.info/index.php/ajnt/article/view/88699).
[4]. Abd-HadySh,Khalifa ,M .Zein El-Dein.N.Hemdan.H,(2011).Effect of an infection control competency based protocol on the
occurrence of blood brone infection in hemodialysis unite at Minofiya university hospital Asian J.Med.pharm Res.1(1):26-38.

[5]. Abou El-Enein ,Y&ELMahdy.H,(2011).Standard precaution study among nurses in the dialysis unite in a University hospital in
Alexandria Egypt .Journal of the Egyptian public health association ,86(1-2):3-10.