Introduction Sexual harassment as a major problem and traumatic experience can have long-lasting physical, psychosocial and occupational consequences on health care professionals especially nurses who tend to be more prone to the risk of sexual harassment than other health care team members at workplaces (Osman,2012; Celik;2007). They reviewed many studies on sexual harassment in the healthcare industry in Western and Non Western countries and have shown that sexual harassment of nurses is a common problem in hospitals, and in daily clinical settings. According to Naveed (2010), the nature of nursing profession involves working closely with patients and other staff members, which often result in both physical and emotional attachment. Due to this rather fragile state of being, it is easy for nurses to fall prey to those who take advantage of these situations leading to occurrences of sexual harassment. Most publications refer to sexual harassment as a major workplace problem that causes humiliation, embarrassment and damages health care workers' performance which leads to emotional and mental stress to victims. This in turn gives bad impact on victim's performance and affects the quality of their services. Negative effects of sexual harassment in workplace is not only on victims, but also on their family members, colleagues and consequently on patients under their care (Campbell, 2009; Patricia, 2010). Most scholarly definitions of 'sexual harassment' are founded on MacKinnon's (1979) description as 'the unwanted imposition of sexual requirements in the context of a relationship of unequal power'. Sexual harassment is a continuum, ranging from unwanted verbal comments, jokes and sexual gestures, to actions encompassing touching, coercive attempts to establish a sexual interaction and rape (
Background: Breast cancer is a significant health problem worldwide, and a complex disease physically and psychologically. In many cases of cancer breast, mastectomy is a necessary treatment. Mastectomy is not an easy decision for any woman as it leads to changes in her everyday life and has significantly negative influence on those women body image. Consequently, women quality of life is affected with reference to social, mental and physical dimensions. Aim: This study aimed to assess the impact of applying a psycho-educational program on body image concerns and mental adjustment among post mastectomy women at the Oncology Center-Mansoura University. The design of this study is a quasi-experimental one. Subjects consisted of 44 post mastectomy women from the outpatient clinics of the Oncology Center-Mansoura University. In order to collect the necessary information for the study structured interview sheet was used to collect data. Three instruments were used for data collection: Socio-demographic and Clinical Data Structured Interview Schedule, Hopwood Post-Mastectomy Concerns of Body Image Scale, and the Mini-Mental Adjustment to Cancer Scale. Results: the study revealed that, there was statistical significant difference in scores of body image concerns between pre and post the psycho educational program(P > 0.001), there was a statistically significant differences between the mental adjustment to cancer domains" mean score before and after the psycho educational program in relation to hopelessness and helplessness, anxious preoccupation, cognitive avoidance fatalism, and fighting spirit (P > 0.001) and there was statistical significant difference in scores of mental adjustment between pre and post the psycho educational program (P≤0.001). Conclusion: body image and mental adjustment of post mastectomy women improved significantly after the psycho-educational program. Recommendations: Implementation of the psycho educational program post mastectomy to improve women's use of appropriate coping strategies and to enhance their quality of life and Involvement the families of post mastectomy women in psycho educational programs is necessary to teach them how to support the patients socially and psychologically.
Background: Chronic kidney disease (CKD) is a growing public health problem worldwide with treatment options of either lifelong hemodialysis or kidney transplant. Hemodialysis patients usually experience intense emotional stress, caused by an inability to cope with various stressors such as sexual dysfunctions, fear of staying alone, restriction of foods, uncertainties about the future, changes in family structure, interferences at work, sleep disorders and psychological disorders such as anxiety and depression. Therefore, the aim of this pilot study is to assess the correlation between depression and anxiety with coping strategies among patients on maintenance hemodialysis. Method: A descriptive correlation research design was conducted in the hemodialysis units at the New Mansoura General Hospital. The data were collected from 41 hemodialysis patients who corresponded to the inclusion and exclusion criteria. Beck Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI), and Dealing with Illness Inventory were used to achieve the purpose of the pilot study. Results: The results of the current pilot study revealed that depression and anxiety had statistically significant negative correlations with both active cognitive and active behavior coping (P<0.05) while they had statistically significant positive correlations with avoidance coping (P<0.05). Conclusion: Increasing the use of active cognitive and active behavior coping strategies is effective way to reduce symptoms of depression and anxiety. Application of psychiatric nursing intervention programs in hemodialysis units is recommended to enhance using of active coping strategies and discourage using of dysfunctional coping strategies to decrease depressive and anxiety symptoms.
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