Background: Stroke is a major cause of functional disability, it increased the need for continuous nursing care. Nurses need to pay attention not only to the physical recovery after stroke, but also to the psychological and social recovery. Therefore, it is important to provide training courses to nurses about care of stroke patients. Aim: This study was conducted to evaluate the effect of implementing designed educational training program for neurological nurses on clinical outcomes of stroke patients. Methods: Design: A quasi experimental research design was utilized. Setting: Data were collected from Neurological Intensive Care Units, Wards and Neurological outpatient clinics of Tanta Main University Hospital. Sample: All nurses (n = 35) who are providing direct care for stroke patients and a purposive sample of 30 stroke patients. Tools: Three tools were used to collect data. Tool (I): Assessment of nurses' knowledge questionnaire sheet about stroke; Tool (II): Observational checklist to evaluate nurses' practice regarding care of stroke patients; and Tool (III): Patient's clinical outcomes assessment sheet. Results: The results revealed that there were significant improvements in nurses' knowledge and practice regarding care of stroke patients post training program at p < .01. Also, significant improvements in self-care and activities of daily living among stroke patients were observed from immediately to 2 months later post application of training program. Conclusions:The study findings revealed that the implementation of designed educational training program within 2 months were successful for improving nurses' knowledge and practice regarding care of stroke patients. Furthermore, there was improvement in activities of daily living and self-care among stroke patients. Recommendations: It is recommended to generalize implementation of designed educational training program for neurological nurses as a routine hospital care for stroke patients.
Background: Needle stick and Sharp injuries pose a high risk to internship nursing students. They represent a major risk factor for transmitting blood borne pathogens as hepatitis B , C virus. Interns being vulnerable section are more prone for these injuries, so they need training module program to improve their skills. Aim: This study was conducted to evaluate the effect of implementing training module on competence of internship nursing students performance regarding needle stick and sharp injuries safety issues. Design: A quasi experimental research design was utilized. Setting: Data were collected from the Faculty of Nursing, Tanta University and Tanta Main University Hospital. Subjects: Random sample of (75) internship nursing students who were spent the internship period at Tanta Main University Hospital. Tools: Three tools were used to collect data: Tool (I); Structure Questionnaire Sheet regarding safety measures about NSI; Tool (II); Observation checklist for students' practice regarding safety measures about NSI. Tool (III): Challenges that affect follow up safety measures. Results: revealed that there were significant improvements in internship nursing students' knowledge and practice regarding safety measures of needle stick and sharp injuries post implementation of training module at P < 0.05. Also, the study revealed that the highest percentages of challenges those affect their follow up safety measures were; night shifts and lack of training. Conclusion: The study findings revealed that the implementation of training module were successful for improving nursing students' knowledge and practice regarding needle stick and sharp injuries. Recommendations: it is recommended to students instructions should be continually reinforced, and clinical supervision should be managed to ensure compliance in all clinical experiences regarding NSIs.
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