Assessment the nurses performance in providing care to patients undergoing nasogastric tube in suez canaluniversity hospital

Nasogastric tube feeding is the introduction of liquid, via a tube inserted through the nose and running directly to the stomach. In general, tube feeding is a technique used for those who are unable to eat on their own. The aim of the present study is to assess nurses' performance in providing care to patients undergoing nasogastric tube. The study was a descriptive research design was used to conduct this study; a total number of 50 nurse were selected randomly using systematic sampling technique. Data were collected over a period of four months, using two tools: Tool [1] Questionnaire sheets to assess nurses knowledge about care provided to patients undergoing nasogastric tube. Tool [2]: Observational checklist to assess the nurses practice in providing care to patients undergoing nasogastric tube. The results of the present study revealed that unsatisfactory level of performance in providing care to patients undergoing nasogastric tube among nurses in the sample. Age and experience was correlated with levels of nurse's knowledge. However, there were statistical significant differences between practice and gender, marital status and graduation. The study recommended that they had satisfactory theoretical knowledge and clinical applications nasogastric tube care and feeding parts should be taught together, to facilitate learning continuous evaluation of nurse's knowledge and performance is essential to identify nurse's needs

Assessment of the nurses performance in providing care to patients being weaned from mechanical ventilation in suez canal university hospital

Mechanical ventilation refers to the use of life support technology to perform the work of breathing for patients who are unable to breathe effectively on their own. Patients requiring mechanical ventilation include: critically ill patients with advanced and potentially reversible respiratory failure due to pulmonary or non-pulmonary processes, patients who are only temporarily unable to ventilate adequately on their own following general anesthesia, and patients who have chronic respiratory or neuromuscular disorders that may prevent them from breathing effectively without mechanical support. Weaning from mechanical ventilation generally refers to the progressive reduction in mechanical support that is delivered to patients as they progressively increase their own contributions to breathing. The aim of the study is to assess nurses' performance in providing care to patients undergoing weaning from mechanical ventilation in Suez canal university hospital. To answer the question; what are the most common area of satisfactory and area of negletion in nurses' performance in providing care to patients undergoing weaning from mechanical ventilation? The sample comprised 50 nurses working in intensive care units and intensive cardiothoracic units [N =2wards] at Ismailia university hospital.. 31 nurses from the intensive care units, 19 nurses from intensive cardiothoracic units at Ismailia university hospital. The tools for data collections were structured of questionnaire sheet and Observational checklist. The result show that un satisfactory performance between nurses in Ismailia university hospital. The study concluded that all nurses need to improve their performance during care of weaning from mechanical ventilation. The study recommended that they had satisfactory theoretical knowledge and clinical applications weaning from mechanical ventilation should be taught together, to facilitate learning continuous evaluation of nurse's knowledge and performance is essential to identify nurse's needs

Assessment the nurses performance in providing care to patients undergoing chest tube in Suez Canal university hospital

Chest tube care is one of the most important nursing procedures because patients who need chest tubes are usually seriously ill and require advanced nursing care. Accordingly, vigilant and expert nursing care can prevent serious complications. The aim of the present study is to assess nurses' performance in providing care to patients undergoing chest tube. The study was a descriptive research design was used to conduct this study; a total number of 70 nurses were selected randomly using systematic sampling technique. Data were collected for a period of four months, using two tools: Tool [1] Questionnaire sheets to assess nurses, knowledge about care provided to patients undergoing chest tube. Tool [2]: Observational checklist to assess the nurses' practice in providing care to patients undergoing chest tube. The results of the present study revealed that unsatisfactory level of performance in providing care to patients undergoing chest tube among nurses in the sample. There was significant relation between nurses, knowledge, practice and degree of qualification. Also there was no correlation between nurses, knowledge and practice .The study recommended that improve nurses, theoretical knowledge and clinical applications of chest tube care and continuous evaluation of nurse's knowledge and performance is essential to identify nurse's needs

Factors affecting quality of life for chronic renal failure patients undergoing hemodialysis

Quality of life is an important issue for dialysis patients due to the multiple stressors and potential loss of life style, which affect them. This study aims to identify factors affecting quality of life for chronic renal failure patients undergoing hemodialysis. The study was conducted in hemodialysis units at Ain Shams Specializes Hospital and Ain Shams University Hospital. One hundred adult patients on hemodialysis had period not less than one year, Data were collected by self administered quality of life scale and patient' assessment sheet to assess a quality of self-care for hemodialysis patients. The most interesting finding of this study was, home condition had a significant effect on spiritual wellbeing and on total quality of life. While socioeconomic status and patient educational levels had a significant effect on physical, psychological, social and total quality of life. Also the total self care score had a significant effect on physical and spiritual well being and the total quality of life. While patient age and sex, had an insignificant effect on the patient quality of life in all items. Further research must focus on developing a quality of life standard assessment approach for chronic renal failure patients under going hemodialysis

Serum leptin concentrations in patients with liver cirrhosis due to hepatitis c infection and its correlation with soluble tumor necrosis factor receptor I levels

The aim of this work is to study the serum levels of leptin and sTNF-RI and study the correlation between these two factors in patients with liver cirrhosis due to HCV. The present study was performed on 80 individuals; 60 patients with liver cirrhosis due to HCV Infection and 20 normal age and sex matched subjects as a control group. Serum leptin and sTNF-RI levels were measured by ELI.SA. The results showed significantly elevated serum leptin. [the mean value +/- SD 8.8 +/- 4.0 ng/mL vs 4.4 +/- 2.69 ng/ml. p<0.001], and serum sTNF-RI[mean +/- SD 6.2 +/- 2.3 ng/mI vs 2.25 +/- 0.39 ng/mI, P<0.001] in cirrhotic patients versus controls. There was positive significant correlation between serum leptin and serum total bilirubin [p<0.05] and negative significant correlation with serum albumin, and total protein [p<0.01]. There was positive significant correlation between serum sTNF-RI and serum total bilirubin. direct bilirubin, AST and ALP [p<0.05] and negative significant correlation with serum albumin, total protein. A /G ratio [p<0.01] and BMI [p<0.05]. There was Positive significant correlation between serum sTNF-RI and serum leptin [r=0.62, P=0.001]. In conclusion, in patients with liver cirrhosis, there is increase in the serum level of leptin due to increased levels of some cytokines as sTNF-RI the increase in serum leptin leads to loss of appetite and malnutrition

Effect of health education on modifiable risk factors for patient with angina pectoris

Patient education has demonstrated its potential to improve modifiable risk factors. The aim of this study is to assess the effect of health education delivered to angina patients with risk factors. Sixty patients complaining of angina pectoris who fitted the stated criteria were included in this study conveniently. They were divided into 2 equal groups [the study and the control groups], thirty patients for each. The study group was exposed to an educational program, while the control group was not. Effect of patient education was measured through follow-up of the risk factors. The results revealed a statistically significant difference between the 2 groups regarding most of the risk factors assessed. patients who participated in the educational program showed an improvement in modifiable risk factors compared to the control group who did not participate in the program, which could shed light on validating effectiveness of the designed program. The study recommended the development of innovative strategies that promote management of cardiovascular disease

Evaluation of some new diagnostic modalities for deep venous thrombosis

The aim of this work is to evaluate some new diagnostic modalities; D-dimer test, Duplex imaging and MR venography; for Deep Venous Thrombosis [DVT]. Thirty patients were included in this study with clinically suspected Dm. Full history taking and thorough clinical examination together with routine, Laboratory investigation, resting ECG, Trans- thoracic Echo-Doppler Murex D-dimer test and Duplex imaging were done for all patients. MR venography was done only for the 16 cases with the clinical pretest intermediate probability for DVT. The results of the present study showed that 20 cases showed positive duplex, 7 with popliteal, 7 fern oral and 6 cases with femoral and popliteal DVT. 19 cases showed positive D-dimer test Vs 11 with negative test. The 16 cases subjected to MR venography showed results coincide with same findings as Duplex apart from 3 cases in which soleal and ilia1 DVT not detected by Duplex study. Conclusion: From the results, it was found that: Duplex ultrasonography is now considered the diagnostic modality of choice in evaluation of the venous system of lower limbs. Because of its safety, accuracy, high specificity, sensitivity, and its availability, all these makes it a modality of choice. D-dimer test is specific degradation product of fibrin, in our study and other studies have shown its high sensitivity moderate specificity and high negative predictive value for suspected deep vein thrombosis. Its value varies from, one study to another according to the type of D-dimer assay used in the study. When D-dimer test combined with clinical pretest probability, its negative predictive value is markedly increased up to 100%. MR venography and Duplex sonography have been found to be identical for evaluation 01 DVT in venous system as regard of popliteal and femoral veins, but it is superior to Duplex study in evaluating venous system of the pelvis and iliac veins. Its availability, lack of operator experience and its cost limit its application. Recommendation: Duplex ultrasound is the diagnostic modality of choice for DVT of lower limbs and MR venography is preferable only in selected cases. D-dimer test when combined with clinical probability is a good negative test which can reduced the need for Duplex imaging

Medication administration errors among nurses

The issue of healthcare error is one of great importance to the nursing profession. Identifying nurse's medication administration errors is assumed to improve patient care. Aim: to identify medication administration errors among nurses, and to develop guidelines to control medication administration errors. Subjects AND

Methods: This descriptive cross-sectional study was conducted at Ain Shams and El Demardash University Hospitals in 14 Internal Medicine units. The subjects were 100 nurses responsible for transcription, storage, and giving medications. Data were collected using a self-administered questionnaire for knowledge, an audit form of medication prescription and transcription, an observation checklist for nurses' performance, an attitude scale, and the Institute of Safe Medication Practice [ISMP] rating scale to assess hospitals environment in medication administration

Results: nurses in surgical departments had statistically significantly higher percentage of unsatisfactory knowledge related to pharmacology [100.0%], while nurses in ICU had statistically significantly lower percentages of unsatisfactory knowledge related to medication calculation [56.7%], route of administration [23.3%], preparation [80.0%], and administration of medications [76.7%]. Nurses' total performance was unsatisfactory among all of them in the three departments. ICU nurses had statistically significantly lower percentages of performance errors in prescription [60.0%] and transcription [80.0%]. All nurses in the three departments had errors with calculation of IV rates. Nurses in the ICU had statistically significantly lower percentages of errors related to omission, and wrong medication/solution, 16.7% and 0.0%, respectively. Internal medicine nurses had statistically significantly higher percentage of errors related to extra-dose [100.0%]. All nurses had errors related to dose and route. Nurses in the ICU had statistically significantly lower percentages of errors related to wrong time [30.0%]. All nurses in the three departments had total negative attitudes related to medication administration, safety, and accountability. Assessment of safety of medication stock and environment showed no errors related to human resources in all the three departments. Conversely, all of them, had errors related to physical resources. A moderate statistically significant positive correlation [r = 0.55] was revealed between attitude and practice, while knowledge was weakly correlated to attitude [r = 0.23] and performance [r = 0.28]

Conclusion: it is concluded that all nurses showed medication administration errors, and were having inadequate practice during medication administration, and the majority had unsatisfactory knowledge, and negative attitudes. It is recommended that hospitals should establish policies concerning medication administration, and each nurse should be clearly acquainted with such policies. In-service training programs for continuous upgrading of nurses' knowledge and skills related to medication administration are urgently needed. Lastly, hospitals should establish Medication Errors Identification Teams

Dissociation of milk xanthine oxidase and effect of some potent inhibitors on its catalytic function

Milk xanthine oxidase [XO] was prepared and purified by gel chromatographic analysis. Chromatographic runs were made on sephadex G200 column saturated with urea. The elution profile recorded two peaks: Dimeric and monomeric xanthine oxidase, respectively. The inhibitory effect of bisulfite, folate and ascorbate on the catalytic activity of xanthine oxidase was monitored by incubating the enzyme with different concentrations of these inhibitors. On assaying aliquot sample of the incubation mixture in a standardized method, a pronounced lag in rate production was recorded spectrophotometrically at 290 nm. XO activity increased from zero until substrate became limiting, but in case of inhibition the rate of catalysis never reached maximal velocity compared to control. Besides the inhibitory mechanism of morin and myricetin as flavonoids on XO activity were also studied by kinetic analysis. It was concluded that bisulfite, folate, ascorbate and flavonoids could be utilized in chemotherapy of hyperuricemia or gout

Relationship between perceived self-efficacy, functional ability and depressive symptoms in the elderly

This study was conducted to evaluate the relationship between perceived self-efficacy and functional ability and their influence on depressive symptoms in elderly persons. The sample was formed of 150 elderly persons aged above 60 years who were community dwellers and ambulatory. Data were collected through direct interview using four tools; personal data inventory, self-efficacy expectation scale, functional ability scale and geriatric depression scale. The study provided evidence on the strong positive relationship between perceived self-efficacy and functional ability. Also, it indicated that both factors had negative relationship with the level of depressive symptoms. In addition, the study showed that among the personal characteristics, financial independence and having a job had a positive influence on reducing depressive symptoms