Decision making skill is deemed to be a key feature of the nurse's role in today's health care organizations. Thus, educators should use innovative teaching strategies that grow students' competence in problem-solving and decision making skills like problem-based learning (PBL). The aim of this study is to determine the effect of problem-based learning on nursing students' decision making skills and styles. A quasi-experimental research design was utilized. The sample consisted of 84 students from the fourth year in the Faculty of Nursing, Minia University. Two tools were used: Nursing Students' Decision Making Skills Scale and Nursing Students' Decision Making Style. This study revealed that the mean scores of decision making skills in the study group students increased before and after applying PBL (before: 71 + 8.5, after: 116.3 + 10.4) with a statistical significant difference (p = .001). There was no statistical significant differences between the study and control groups (p = 1.000) before intervention. The most dominant decision-making style among the study and control groups in relation to before and after applying PBL was a behavioral decision style with no statistical significant differences. This study concluded that using PBL has a curial role in developing and improving nursing students' decision making skills; however, it has no effect on decision-making style.
Clinical competence is a crucial distinction for affirming professional, ethical, high quality and safe nursing care as well foster internship skills as decision making. The aim of the study was to assess correlation between clinical competence, clinical decision making, and perceived autonomy support among nursing internship students. Research design: cross sectional correlational design.
Background: Nurses spend several hours a day in work environment; thus, quality of work life and organizational commitment are two important components for the staff, and dissatisfaction of these issues affects their other roles at home and community. The Work Life balance must be maintained effectively to ensure that all employees are working at their peak potential and free from stress. Aim: To assess the relation between quality of Nursing work life and organizational commitment. Research design: A descriptive correlational research design. Subjects: A representative sample 30% of total staff nurses (N= 193). Setting: Chest Diseases Hospital, at Kuwait. Tools of data collection: included two tools; first tool Brook's Quality of Nursing Work Life Survey; second the Organizational Commitment of the Staff Nurses Questionnaire. Results: More than half of staff nurses (57.0%) had the moderate level to the total quality of work life. Most staff nurses (86.5%) had a moderate level of total organizational commitment. There were positive fair association between total organizational commitment of the staff nurses and their work life, work design, work context, work world, and total quality of nursing work life. Also, there were positive association between total quality of nursing work life of staff nurses and their affective, continuance and normative commitment. Conclusion:The findings of this study revealed that quality of nursing work life and organizational commitment were positively correlated. Recommendation: Increase nurses' satisfaction through competitive salaries, encourage the teamwork spirit and conduct periodical meetings to discuss their problems.
Background: Cyclophosphamide is the most widely used alkylating agent in the treatment of haematological malignancies. On the other hand, cyclophosphamide has adverse effects on the fertility of both sexes. Aim of the work: The present work was done to study the histological and stereological changes in the developing ovary of the albino rat after a period of treatment with cyclophosphamide and the effect of rehabilitation after stopping the drug. Materials and Methods: Thirty-six immature female rats (newborn, one week, two weeks, oneand-half month and two-and-half month) were used in this study. They were subdivided into two groups. The control group (n=24) was injected intraperitoneally with dextrose 5%. The experimental group (n= 12) at the age of two weeks, received 100mg/ kg body weight cyclophosphamide intraperitoneally once weekly for four successive weeks. At the end of the treatment period this group was subdivided into two subgroups: subgroup A (treated group) including the rats at the age of one-andhalf month and subgroup B (rehabilitated group) including the rats at the age of two-and-half month which received the same drug regimen, but sacrificed after another four weeks without treatment. The specimens of all age groups were processed and stained with Heamatoxylin and Eosin. Other specimens at the age of one-and-half month were processed for semi-thin and ultra-thin examination. In the two age groups (control and treated) morphometeric measurements were performed. Results: The study showed shrinkage with decrease in the number and the size of the antral follicles, apoptosis and disorganization in the granulosa cell layers. Ultrastucturally, the most important feature observed was the fragmentation and leakage of the cellular nuclear materials of the granulosa cells and their clumping in the antrum. Morphometeric measurements showed a very highly significant reduction in the average follicular and oocytic diameter of the antral follicles and in the number of the healthy antral follicles while there was high significant reduction in the number of atretic antral follicles. In the rehabilitated group the follicles were less affected. Oocytes were affected in both groups; they were either vacuolated or totally absent. Morphometeric measurements showed highly significant reduction of the average oocytic diameter and in the average number of the granulosa cell layers.
Background: cesarean section rises the danger of psychological and physical status for mothers and their babies. It is necessary to exhaustive estimate the mothers' discharge readiness from hospital and prevent adverse outcomes post cesarean section. The aim: To evaluate the effect of discharge teaching quality on women's discharge readiness and post cesarean section outcomes. Setting: the study was carried out at post-partum unit in women health at Assiut University Hospital. Design: quasi experimental research design was used in this study. Sample: a convenience sample of 100 women underwent cesarean delivery, was divided into two groups, study group (50 women), control group (50 women). Tools: Four tools were utilized for data collection in this study, Tool (1) structured interviewing questionnaire, Tool (2) discharge readiness assessment tool, Tool (3) discharge teaching quality assessment tool, Tool (4) post cesarean section outcomes assessment tool. Results: There was highly statistical significance difference between the study and control group regarding the discharge readiness, and post cesarean section outcomes, with p-value 0.001. Conclusion: discharge teaching skills had positive effect on mother-reported discharge readiness and their post cesarean section outcomes. Recommendations: the nurses must practice discharge teaching to enhance the discharge readiness and post-surgical outcomes for women undergoing cesarean section.
Background: Problem-based learning in educational practice that thoroughly had impact on all education levels due to the integration of acquired knowledge across disciplines in which it helps students to acquire knowledge and skills. The aims of the study were to determine the effect of problem based learning VS traditional method on innovation skills among nursing administration course students; and to identify the relationship between nursing administration course students' performance in problem-based learning and their innovation skills. Research design: a quasi-experimental research design. Setting: Faculty of Nursing, Minia University. Subjects: comprised of all 4 th year (first subgroup of first term) during (2019-2020) who registered in Nursing Administration clinical course, total numbers (108) divided with systematic random sample into two equal groups as (54) for each group. Results: the students' total means score of innovation skills and all of its dimensions were higher in posttest than pretest among study group with significant difference; while no significant difference between pretest and posttest among control group. The innovation skills positively correlated to students' performance in problem based learning in first scenario and this correlation increased positively in second and third scenario Conclusion:The implementation of problem-based learning strategy among study group in nursing administration course help nursing students of fourth year to acquire innovation skills rather than the use of traditional method among control group. Recommendation: there is a need for implementing Problem -based learning as a dominant teaching strategy in nursing field for all academic years.
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