Elderly people are the most vulnerable group for high morbidity and mortality from Covid-19. As nurses are at the front of fighting this pandemic in all geriatric settings, they have faced several stressors and fear of corona which can affect the provided elderly care. This study aimed to determine nurses' fear of Covid-19 and stress and their effects on health care behaviors towards elderly people. Research design: A cross-sectional descriptive research design was carried out on 185 nurses who are working in geriatric health care settings of ten governorates of Egypt and completed an online questionnaire which distributed from September 2020 to February 2021. Tools: Demographic characteristics and three scales were used: (1) The Fear of COVID-19 (FCV-19S), (2) The Nursing Stress Scale (NSS), and (3) The Caring Behaviors Inventory scale (CBI). Results indicated that 41.0 of the studied nurses had a mild level of fear from COVID-19 and 20% of them experienced severe stress. Besides, there was a significantly positive correlation between nurses' Fear of COVID-19 and their stress (r=.77, p <.001), while, significant negative correlations between (fear of COVID-19 & nursing stress) and caring behaviors with (r= -61, p <.001) & (r= -.55, p <.001) respectively were found. Conclusion: This study demonstrated that 41% and 35% of the studied nurses had mild levels of fear from Covid-19 and stress respectively, added to nurses' fear of Covid-19 and stress affected health care behaviors toward elderly people negatively. Recommendations: Psychological intervention for geriatric nurses is needed to ensure adequate adaptation and high quality of elderly care despite this global crisis.

Background: Falling among elders is the most causative factor of unintentional injuries resulting in disability and hospitalization. Aim: Was to identify the modifiable and non-modifiable risk factors and the adverse consequences of falling among elderly people. Methodology: A descriptive study was conducted on 384 elderly participants at Minia governorate, Egypt. Tools: A structured questionnaire, Timed Up and Go Test Scale, Katz Scale, and Mini-Nutritional Assessment questionnaire were used. Results: Findings showed that 45.6% of the participants were at risk of falling based on the performed timed up and go test and 63.5 % of them had a falling history. Female gender, age, and chronic diseases were the main non-modifiable risk factors, while the detected modifiable factors of falling included; absence of toilet seats (95.9 %), absence of grab bars (76.2%), poor lighting (56.6%), and slippery floor (54.1%). Additionally, 93.4% had a lack of assistive devices, inactivity (81.6%), anemia (65.2%), and poor vision (50.8%). Likewise, 73.0%, 35.2%, 26.6%, and 100% of the fallers reported back pain, cut wounds, fractures, and fear respectively as adverse consequences. Conclusion: Hazardous environment, declined physical activities, walking problems, lifestyle, malnutrition, and body mass index were the most reported modifiable risk factors of falls. Recommendations: Early detection of the modifiable risk factors is essential for preventing falling and its adverse consequences among elderly people.

Nurses play a crucial role in helping curb the hazardous health impact of coronavirus disease 2019 (COVID-19), their quality of lives, psychological aspect and major functioning has been greatly affected by the pandemic. Aim: to evaluate the effectiveness of nursing intervention program on quality of life, Post-traumatic stress symptoms and dispositional resilience among nurses who caring patients with corona virus at quarantine hospitals. Method: Quasi experimental design was conducted among 90 nurses at quarantine hospitals in El-Fayoum university hospitals. Four tools were used for data collection after reviewing of relevant data as the following; questionnaires to collect nurse’s demographic data, nurses Quality of life SF-12 questionnaires (QoL), Impact of Event Scale Revised (IES-R) and Dispositional Resilience Scale (DRS). Results: revealed that the most of nurses were females, there were statistically significant improvements nearly in all domains as well as in the total mean score ofQOL, IES-R and DRS-15 among nurses pre and post program implementation. Total scores of quality of life and DRS domain were improve after implementation of nursing intervention program, while total score of IES-R was decreased after implementation of nursing intervention program, a highly statistically significant positive correlation between total scores of QOL and DRS after the program implementation. Conclusion: The nursing intervention program tailored to needs is effective in improving nurses' quality of life and dispositional resilience, as well as decrease post-traumatic stress symptoms level. It was recommended to continuous educational program for nurses in clinical area to adapt with stressors through use dispositional resilience to enhance their quality of life. On-the-job continuing nursing education activities should be developed and implemented regularly to respond to nurses’ unmet needs.

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Background: Patients who have undergone a hysterectomy should get care that meets both their physical and psychological requirements, and this care must include the patients' relatives. Aim:  To evaluate the effect of designed nursing guidelines applying on knowledge and anxiety among women undergoing hysterectomy. Design: A quasi-experimental design was used to accomplish this study (pre/post-test). Setting: The study was conducted at the obstetric outpatient clinic at Mansoura University Hospital. Subject: A convenient sampling technique of 50 women undergoing hysterectomy who were attended in the previously selected setting was used. Tools: two tools were used (I) a structured-interview questionnaire, which consisted of three parts demographic data, obstetric history and history about hysterectomy, and Women's knowledge regarding hysterectomy, and (II) a State-Trait Anxiety Inventory. Results: The current study found that there was a highly statistically significant difference between women's knowledge of pre and post-designed nursing guidelines applying. women undergoing hysterectomy who were exposed to the designed nursing guidelines experienced lower mean anxiety scores post-nursing guidelines than those pre-nursing guidelines applying (P= <0.05). Conclusion: Designed nursing guidelines applying have a positive effect on improving knowledge and reducing anxiety among women undergoing hysterectomy.

Background/Aim: Orthostatic hypotension is an important problem that commonly occurs in elderly people. It causes a burden on public health, is associated with impaired motor performance, and negatively affects physical functioning and activities. This study aimed to detect the risk of orthostatic hypotension in elderly people. Materials and methods:A descriptive research design was used. The study was conducted at the Badr geriatric home and outpatient clinic of Fayoum university hospital, Egypt. Subjects: A total of 300 elderly individuals. Tools: Structured interview questionnaire, Orthostatic Hypotension Symptom Assessment Questionnaire, and supine to stand test.Results: About three-fifths of the sample were aged 60-69 years old and more than one third of the participants (34.0%) were aged 70-79 years old. In addition, 53.3% of the clients were male and 46.7% were female. Regarding to the residence, more than three quarters of the participants (79.3%) were from rural areas and 40.0% of them were illiterate, not working (86.7%), and married (62.0%). In addition, 24.0% of the elderly clients suffered from orthostatic hypotension (OH) which affected activities that required walking or standing for a long time. In addition, a longer time was required for a shower (86.1%), prolonged bed rest (55.6%), carbohydrate-heavy meals (54.2%), obesity (52.7%), hypertension (43.1%), diabetes mellitus (36.1%), cardiac diseases (27.8%), and anemia (16.7%) were the main precipitating factors for OH in elderly clients. Conclusion:Approximately one-fifth of the clients suffered from OH. The main precipitating factors included a long time for a shower, prolonged bed rest, heavy carbohydrate meals, obesity, hypertension, diabetes mellitus, cardiac diseases, and anemia. Recommendations: All older adults especially those with chronic diseases should receive regular monitoring of blood pressure to detect OH and prevent complications.

In today's world, junk food is widely consumed, and its negative effects cannot be ignored. Due to the lack of vitamins, minerals, and trace amounts of energy and protein in junk food, there is likelihood that the child will feel full and lose interest in eating nutritious foods. The aim was to determine the effect of a designed nursing program regarding junk food on school-age children's awareness and their growth. Subjects and method: Design: This study's objective was accomplished using a quasi-experimental research design. Setting: The study was carried out at Sohag University Hospital's Medical Pediatric Outpatients Clinic. Subjects: In this study, a purposeful sample of 100 school-age children was used. Tools for data collection: A structured interview questionnaire which consisted of five parts; part (I) demographic characteristics of the school-age children; part (II) school-age children's knowledge regarding junk food (pre/post), part (III) school-age children 'attitude regarding junk food (pre/post), part (IV) school-age children selfreported practices regarding junk food (pre/post), and part (V) An anthropometric measurement sheet. Results: The study's findings showed that children in school showed highly substantial improvements-age children's knowledge, attitude, BMI, and practice regarding junk food post one month of the designed nursing program (P<0.001). there was a statistical correlation between junk food and the growth status of children was significant, so children who haven't had junk food, have grown more favorably than the other children (P<0.05). A positive significant correlation (P=0.005) was found between school-age children's knowledge scores, attitude, growth, and practices post-one month of the designed nursing program. Conclusion: The current study found that implementing a designed nursing program improved school-age children's knowledge, attitudes, growth, and practices toward junk food. Recommendations: The study suggested that school-age children should be informed about nursing programs that are aimed to teach knowledge, a healthy attitude, growth, practice, and the negative consequences of junk food. To generalize the findings, the current study must be replicated with a wider sample of school-age children in various contexts.

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