Effect of nursing intervention on eliminating radiology induced oral mucositis in head and neck cancer patients

Oral health is often affected by medical conditions and some cancer treatments. This is often underreported, undiagnosed as problematic and inadequately treated. The study aimed to portray the effect of nursing interventions on eliminating radiology induced oral mucositis in Head and Neck Cancer Patients. The study was conducted in Mansoura Main University Hospital, Medical Oncology Department. A convenient sample of sixty adult head and neck cancer patients were randomly assigned to a study [A] and control groups [B] of 30 patients each. Oral care intervention protocol has been designed and used to reduce the incidence and duration of oral mucositis [OM] in the study group. The study results revealed improvement in oral health status in the 7th day of observations in the study group after oral care intervention. There were nearly equal alterations in both groups in the 1st day of observation [36.66%with mild and 63.33% with severe alterations in study group and 33.33% of mild and 66.66% of severe alterations in the control group respectively. Moreover; there was no significant differences among both groups prior to oral care interventions performed to the study group in the 1st day, [p = 0.79]. However, on the 4th day of observation, there were significant differences among both groups [p = 0.3]. Patients in oral care intervention group showed an improvement on the 7th day. According to the results observed, professional and home oral hygiene should be used and adhered also evidence-based clinical practice guidelines presented as a benchmark for nurses to use for routine care for appropriate patients and as a springboard to challenge clinical investigators to conduct high quality trials in oral hygiene and oral care .Nursing management must take an integrated approach as well; nursing care research must be conducted to achieve high quality nursing management of mucositis and other oral complications

How to write meaningful standards: establishing a standards for clinical skills of adult nursing department faculty of nursing, Mansoura university- Egypt

There are many challenges found in the educational system of the Faculty of Nursing. One of these challenges is a learning programme that is not well established by some of the faculty departments. Neither the under graduates students nor the faculty staff have updated or develop the competencies of nursing students' skills due to lack of standard. In order to ensure quality, standards must be established to control practice which then can control and guarantees quality of care. Standards once set, enable the nursing teachers to use them to identify deficiencies in the performance as in the outcomes of nursing care It can also compare the service presently provided with the service required. Standards can be written in a procedure format. This implies that all procedures should contain structure, process and outcome standards. In the assessment of student and staff performance, the result shows that the students and staff nurses are in need to enhance their skills to meet accreditation standards. As a result, the authors aimed to write a standard for clinical skills and procedures for the second year adult care nursing department. Questionnaire Format and Structured Interview sheet was developed by the researchers to update clinical procedures used for adult nursing students. Standards for second year clinical procedures developed. The study recommended to implement the developed standards, and other standards should be developed for all procedures in all scientific departments in Nursing Faculties