Background: Insufficient pain treatment in the early stages after laparoscopic cholecystectomy may cause patients to breathe shallowly and quickly because they are afraid of experiencing pain. Pharmacologic and nonpharmacologic complementary therapies such as foot massage can be used to manage pain and anxiety after laparoscopic cholecystectomy. Aim: To determine effect of foot massage on pain and anxiety levels among patients who underwent laparoscopic cholecystectomy.
Globally, the significant and increasing shortage of nurses is alarming. Male nurses have established their positions in hospitals and community health settings but their overall numbers remain suboptimal. Therefore, this study sought to explore and describe the views of secondary grade male students regarding men in the field of nursing in Egypt. The study was conducted at 2 secondary schools: Omar Makram and the Military Governmental Secondary Schools for boys in Damanhur, Egypt. A total number of 350 male students were recruited in the study and their perceptions and attitudes towards men in nursing were assessed using the Attitudes Towards Men in Nursing Scale (ATMINS), which was developed by Bartfay WJ et al., in 2010. Interestingly, it was found that there is a general positive perception toward men in nursing. Specifically, the most apparent positive attitudes were in the direction to "Mass media portrayal of the male nurse as being gay or effeminate in nature which discourages males to choose it as a career" followed by "Mass media portrayal of nursing to be more suited to women which also discourages males to choose it as a career". On the other hand, their negative perception and disagreement was toward "Encouragement male family members to pursue nursing as a challenging and rewarding career choice". Therefore, "Media description", "No specific job title for men" and "No role model" are the major factors that discouraged male students from choosing nursing as a future career. In contrast, "Gaining good income and travelling abroad" seemed to have potentially shifted their perception. Eligible students chose nursing as a prospective future career right after medicine, pharmacy and engineering. In conclusion, Male students in secondary grade seem to have a positive perception toward men in the nursing field but do not prefer it as a future career. Having said that, a considerable part of society reflects a limited attraction to the nursing profession even though they appreciate it. Future research is indeed warranted to investigate other key factors that may influence the overall male perception toward the profession of nursing.
Background:The main cause of mortality in the developed world is coronary artery disease. Low self-efficacy and self-esteem are associated with it. Self-efficacy is a critical, adjustable personal resource that influences rehabilitation adherence and disease outcomes including health-related quality of life in persons with cardiovascular disease. Aim: This study was aimed to determine the effect of social-platform educational instructions on self-efficacy and self-esteem of patients with coronary artery diseases. Subjects and method: Design: A quasi-experimental research design was utilized. Setting: The study was applied in the cardiology unit and outpatients' clinics at Port-Said University Hospital. Subjects: A Purposive sample of (80) adult patients diagnosed with coronary artery disease. Participants were equally and randomly allocated to an intervention and a control group, (40) patients for each one. Tools for data collection: Tool (1) a structured interviewing questionnaire, Tool (2) cardiac self-efficacy scale, Tool (3) cardiac exercise self-efficacy scale, Tool (4) Coopersmith Self-Esteem Inventory, and Tool (5) adult patients' satisfaction with socialplatform educational instructions. Results: The study result portrays that (82.5%) of the study group and (72.5%) of the control group were of the same age from 30-≤ 60 groups with a mean age (45.21 ± 7.02) (46.61 ± 10.43) respectively. The majority of the patients in the study group had satisfactory knowledge levels, and had high cardiac self-efficacy, self-esteem, and practice exercise self-efficacy post-social-platform educational instructions implementation. The mean score of selfefficacy in the intervention group significantly increased across the two measurement time points as well as self-esteem, while it remained significantly unchanged in the control group. Conclusion: Regarding knowledge, cardiac self-efficacy, cardiac exercise self-efficacy post, and after two months of social-platform educational instructions, there was a statistically significant difference between the study and control groups. Social-platform educational instructions were effective and significantly improved adult patients' knowledge, self-efficacy, and self-esteem. Recommendations: We recommend interventions to improve patient's compliance with treatment should be encouraged. Therefore, nurses can use this strategy to improve these patients' selfefficacy and self-esteem.
Clinical judgment (CJ) is considered a vital and crucial ability for nurses that can help them to improve their practical or clinical capabilities, particularly in the internship period. Nursing interns pass through a transient period with significant job responsibilities. They face multifaceted issues, dilemmas, and problems that oblige them to use CJ skills. CJ is a talent and clever skill which should be acquired by nursing interns. The current study is a quantitative study that aims to determine CJ knowledge and skills among nursing interns in nursing practice. A descriptive exploratory design was used. A systematic random sample of 150 nursing interns out of 305 was selected and assigned as a survey group. The data was collected in internship training hospitals in Damanhur, Egypt (Damanhur Medical National Institute, El Raee El Saleh, El Farok and Kafer El Dawar Hospitals). One tool was used for data collection, the Clinical Judgment Evaluation Sheet (CJES), which included two parts. The first part was the Clinical Judgment Knowledge Test that was developed by the researchers to collect the necessary data regarding the CJ knowledge needs of nursing interns. The Lasater Clinical Judgment Rubric (LCJR) 2009 was the second part. It was developed based on Tanner's work in 2006 and included eleven skills in the four phases delineated with CJ developmental skills (noticing, interpreting, responding, and reflecting). Results revealed that the nursing interns have a serious lack of knowledge about the concept of CJ in nursing practice. Additionally, they have a great deficiency in the knowledge about all phases of the CJ process in nursing practice. As well, they suffered from observed insufficiently CJ skills in the nursing practice, respectfully. These findings confirmed that the nursing interns in Damanhur governorate have necessitated to an educational program about CJ knowledge skills. In conclusion, there is an obvious and serious lack of nursing interns' CJ knowledge and skills in nursing practice in Egypt. Therefore, CJ teaching programs or self-learning references are important for them for developing and improving CJ knowledge and skills. Nurse educators and preceptors should take initiative steps in developing teaching sessions, models, and instructional aides to empower their nursing intern's students in CJ practice.
Patients with hemodialysis face various problems with self-care behavior. Therefore, these patients need to control and manage adherence to enhance self-care, especially during the COVID-19 pandemic, which has particularly high morbidity in the elderly and co-morbid peoples. Self-efficacy was identified as a number of psychological factors that improve adherence and treatment outcomes among hemodialysis patients. This study aimed to investigate self-efficacy among patients with hemodialysis during the COVID-19 pandemic. A comparative descriptive research design was used to conduct the study. A convenience sample of 95 hemodialysis patients (male and females) was selected from Port-Said city, Egypt, and 115 hemodialysis patients (male and females) were selected from Saudi Arabia. Data collection included a structured interview with three parts assessing socio-demographic characteristics, anthropometric measurements, and self-efficacy. This study revealed a statistically significant difference between Egyptian and Saudi hemodialysis patients, mainly in the main score and levels of self-efficacy (p=0.001). There is a significant relationship between socio-demographic characteristics and chronic disease self-efficiency among Egyptian hemodialysis patients in terms of sex, age, marital status, work, and level of education.
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