prolile of Good clinical instructures as viewed by nursing students and clinical instructors of high institiute of nursing, Assiut

This study aims to determine the profile of good clinical instructor as viewed by the nursing students and clinical instructors. Two group: of 230 nursing students of the four stages and 19 nursing clinica instructors of High Institute of Nursing. Assiut University in 1990-1991 were included in this study. Three groups of attributes were investigated [1] Professional [1] Personal and [3] Interpersonal relationship characteristics. The results revealed that, the interpersonal relationship was rated higher by students than the staff' while professional characteristics were requested. More by students and staff than the others Students disagreed about enthusiastic neat, g aide, referring to resources practice contributing to nursing upgrade, oriented clinically am professionally, skillful and interested in patient care. Both students and instructors disagreed as regards considerate of student's time, promoting inquiry and students want them more. Instructors wan self-confident" more Students also not aareed as regards the intellectual recognizing limitations self-confident decissive and the emotional characteristics empathetic. students agreed about the interpersonal relationship characteristics and disagreed with the instructors and they request sharing ideas with students sensitive, good listener and non-judginental and not with accepting different opinions and approachable more. However, the most important characteristics ranked by the students were: I- Knowledgeable in speciality 2- Fair evaluator 3-relating knowledge to skills 4-role model 5- taking responsibility for action and by the clinical instructors were; 1- role model 2- self confident 3-fair evaluator 4- enthusiastic 5- Taking responsibility for action

Pain in surgical patients: perception, assessment and predictors

Two hundred patients scheduled for abdominal surgery and the nurses responsible for their postoperative care were included in the study. The Chamber Price Modified Pain Scale [CPMP] after certain modifications, Standardized Linear Scale and a checklist derived from [CPMP] were the tools of the study. The research findings revealed that the nurses underestimated the patients' pain intensity in 33% and 68% of cases, respectively. Furthermore, the mean pain score was higher among females and unmarried patients with lower abdominal incision. A great discrepancy was found in relation to age, previous surgical experience and type of operation. A multiple regression analysis for the variables considered as potential predictors of the patients pain perception revealed that unmarried females who are worried and irritable and exhibit facial expression are the overall predictors of the patient's pain intensity postoperatively

Description of some factors associated with the development and/or the recurrence of peptic ulcer

The aim of the study was to describe some factors in relation to the development and/or the recurrence of peptic ulcer in patients. The sample consisted of 45 patients selected from general medical and surgical wards, at the Main University Hospital, University of Alexandria, over a period of five months, through the admission registry of these various wards. A semi structured interview schedule was constructed. It comprised three main areas: biosocial, patient's medical history and factors perceived by patients as precipitating episodes. The results indicated that the majority of the sample were males and that both sexes were in the 4th and 6th decades of life. Moreover, the majority of the patients regardless to the type of work they had, mentioned that their occupations were exhausting [95.54%]. As for dietary habits, it was found that 86.67%, 91.11% and 62.22% of the total sample did not eat their meals at regular hours, did not chew properly and indulged daily in tea and coffee drinking respectively. Heavy smoking was also reported by 71.11%. Familial history of peptic ulcer was inexistant in 86.67% of the total sample. It was reported by 31.11% of the sample that they did not take medications freely or without medical prescription

Factors affecting burned patients perception to different sources of stress

The aim of the study was to determine the influence of certain personal factors on the perception of hospitalized burned patients, on different stressors. Two sets of variables were considered. The independent variables comprised patients age, sex, marital status, occupation, level of education, occupation and site of burn injury. Ten dependent variables were considered: hospitalization, hospital rules and regulations, patients-health personnel relationship, fear of the unknown, guilt feelings, finance, self image, social alienation, disrupture of future plans and pain. The Burn Unit and the Emergency department of the Main General University Hospital, University of Alexandria was used. The sample comprised 52 adult moderately burned patients, with 10%-30% body surface burn. A general information sheet was used to assess patients actual physical condition. In addition, patients were asked to answer 76 adapted questions categorized in 10 categories by authorities in the field. Frequency and percentages of positive answers were calculated. Chi square contingency test was used to study the interdependency of the personal factors and the patients peprception to the different stressors. Results-indicated that responses of male patients were higher than those of the female patients in all stressors except social, self image and pain. As regard age, responses of patients less than 20 years old were higher for all stressors with the exception of finance and pain. Guilt feelings and interpersonal relationship scored least for patients in the age groups of 20-40 years and over 40 years respectively. As for marital status, the responses of the engaged patients were generally lower. For the engaged and single patients, the stressors which were identified most was fear of the unknown. For the married patients, hospitalization ranked highest, in relation to occupation, housewives and skilled workers identified pain as the highest stressors. Fear of the unknown was identifed highest by the unskilled workers. Educated patients ranked pain highest, whereas for illiterate patients, hospitalization ranked highest. Patients-health personnel relationship ranked lowest for the educated patients and future plans for the illiterate patients. In relation to site of burn injury, patients with cosmetic site burn reacted higher to all stessors as compared to other type of burn injury