Nursing & Midwifery

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    Incidence and risk factors of postpartum hemorrhage in the north-west bank of Palestine
    (2021) Eman Alshawish; Shaima abd al- Kareem sabbagh; Razan Bassam Ahmed; Amal alaa al-deen sleem; Sara Ahmad Yonis Said; Lena Farooq Nawahda
    ▪ Introduction :- Pregnant women can experience many complications during labor and especially at the third stage of labor and post-delivery that affect her health and her newborn, there are many causes for these complications such as postpartum hemorrhage (PPH). which remains a leading cause of maternal deaths, and we did this study for Measuring the incidence of PPH and Identifying the risk factors which may contribute to PPH. ▪ Methods: A Quantitative retrospective study , was conducted at four health facilities in north west bank of Palestine (Dr Khaleel sliman governmental hospital , Al-shaheed Yasir Arafat governmental hospital, Rafeedia governmental hospital , Al-shaheed thabet thabet governmental hospital) , Data collected by using computerized files of postnatal women with PPH and the file that met inclusion criteria which it is 100 women , checklist filled and reviewed by researchers then another 100 files without PPH selected randomly for comparison . ▪ Results: Among 5500 deliveries occuring between (june 2020 - july 2021) we identified 100 cases complicted of PPH and another 100 cases not complicated with PPH chose randomly. the incidence of PPH is 1.8% , the main cause of PPH is uterine atony (64%),then retaned placenta (25%),The frequency of PPH is significantly associated with age (P-value = 0.000 ), BMI (p-value = 0.004), Education level (p-value = 0.000), gravity (p-value = 0.013), have a History of previous PPH ( p value = 0.000) , and History of uterine fibroma (p-value = 0.003), Hypertension (p-value = 0.003) , Diabetes mellitus (p-value = 0.027) , Anemia (p 6 value = .0000), Preeclampsia (p-value = .017) , Coagulation disorders (p-value = .001) , Placenta disorders like placenta previa & abruptio placenta (p-value = .002) , prolong labor & precipitous delivery (p-value = .000) , Multiple pregnancy (p-value = .03) , Type of delivery (p-value = .0000) had high risk of PPH. ▪ Conclusion: The study showed that women aged more than 18 is more risk for PPH, increasing of BMI increased the risk of PPH, women with low educational level is high risk of PPH, increasing parity increased risk of PPH, women with Previous history of PPH or uterine fibroma is high risk of PPH, women who had hypertension, diabetes mellitus, preclampisa, anemia and coagulation disorders had high risk of PPH, Women with abruptio placenta and placenta previa is higher risk than normal placenta, CS delivery is higher risk of PPH than NSVD and instrumental delivery, Prolong and precipitous labor more risk than normal duration of labor, Multiple pregnancy More risk of PPH, finaly the study showed that antenatal visit, weight of baby and gastational age didn’t have relationship with PPH.
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    Effect of maternal factors on the placental Weight/birth weight ratio and Apgar score.
    (2021) Eman Alshawish; Bayan Thabit Sawaftah; Balsam Faisal Abdullah; Shaymaa Mohammad Nazzal; Ruba Suliman Zuhari; Safaa Faisal Hardan
    Pregnancy, maternal health, and child development during prenatal and postnatal periods can be influenced by many factors, among these factors are smoking, age, parity, antenatal care, and anemia. Therefore, we will conduct this research to find out the effects of each of these factors on the newborn and the mother's health. This study aims to detect the relationship of maternal factors (age, parity, ANC, smoking, and anemia) on the PWBW- ratio and Apgar score of the newborn and to detect the relationship between placental weight and birth weight. This was a cross-sectional study which was carried out at the labor department in hospitals in Nablus, Jenin, and Tulkarm from August to October 2021, by using a checklist to fill about maternal factors, and a weighing scale to weigh the placenta and baby weight, the subject was 500 women with gestational age 37 weeks or more of pregnancy. The mean birth weight for babies was 3222 grams with a standard deviation (SD) of 456 grams, while the mean placental weight was 672 grams (SD = 143 grams), resulting in a mean PWBW ratio of 22.07% (SD = 4.5%).In conclusion, there was a significant difference in Apgar scores among different maternal age categories, where the percentage of lower Apgar scores (4-6) were found in older mothers, moreover, there was a significant relationship between smoking and higher PWBW-ratio. Lastly, a higher birth weight was significantly associated with higher placental weight.
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    The psychological distress among Palestinian nurses while dealing with critical illness cases
    (2021) Yousef Ahmad Mehdawi; Rawan Khader Qawasmi; Maram Mohammed Fiomy • Tasneem Saeed Majdalawi; Nizar Ashraf Barahmeh; Maram Mohammed Fiomy; Tasneem Saeed Majdalawi
    Background: The Intensive Care Unit (ICU), Cardiac Care unit (CCU) is one of the most aggressive, stressful and traumatic hospital environments. Patients and the multidisciplinary team, especially the nursing, are exposed to these unfriendly conditions on a regular basis, with scenarios of ready attendance, serious patients, isolation, fatalities, This makes hospital work arduous . As a result, these professionals are likely to be exposed to a variety of stress-related elements that are prevalent in that setting. Aims : To determine prevalence of psychological distress (stress, anxiety and depression), among Palestinian nurses who working in critical care units in Nablus hospitals. This study investigates the Relationship between nurses’ demographic factor and their( level of distress , emotional fatigue, lack of humanity ,self-achievement , overall burnout ) among Palestinian nurses who working in critical care units in Nablus hospitals. Method : The study is conducted using self‐administered questionnaires, a cross-sectional quantitative design , were conducted with 100 participants in a cardiac care unit (CCU) and intensive care unit (ICU) in governmental and non-governmental hospitals in Nablus city to determine the prevalence of psychological distress. The research involves nurses with diploma , bachelors and master certificate, who choosded by simple random sampling method Result : In general, they showed a significantly higher level of emotional fatigue among nurses who are 26 – 30 years old (p-value = 0.022), and a significantly higher dimension of self-achievement among nurses who work in evening and night shifts (p-value = 0.001). On the other hand, no other demographic factor was significantly related to any difference in nurses distress level or burnout subscales and overall scale Conclusion: It found that the mean distress level was 27.63, which can be considered mildly above the normal distress level according to some previous studies here was a significant moderate positive correlation between higher psychological distress levels and overall burnout scores.
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    Nurses' knowledge, practices and attitude toward prevention of catheter-associated urinary tract infection.
    (2021) Roa yaseen; Mahmoud Obaid; Areen Salman; Ahmad Abd Rabo; Anwar Abo Khalil.
    Background: Urinary catheter insertion considered as the most important predisposing factor for catheter associated urinary tract infection (CAUTI) (Lo et al., 2016). The daily risk varies from 3-7% for an acquisition of bacteriuria when the urinary catheter remains in situ (Nicolle, 2014). Catheter-associated urinary tract infection is one of the most common Hospital-Acquired Infections (HAIs). The global burden of HAIs is underestimated in developing countries due to lack of surveillance systems. Aim: will be assess nurses' knowledge, practices and attitude toward prevention of CAUTI at Najah National University Hospital and Rafidia Surgical Hospital. Research design and method: A cross-section, correlational design will be used to assess nurses' knowledge practices and attitude toward prevention of CAUTI. This study will be conducted by using a convenience sample of 90nurses. Knowledge and Practices Questionnaire will be completed by participants. It included two parts: Part I: Socio-Demographic Questionnaire. Part II: Level of Knowledge and Extent of Practices Questionnaire. Data will be collected from February, 2021 to November, 2021.. Data were analyzed using the SPSS version 22.The study will be conducted in Najah National University Hospital and Rafidia Surgical Hospital. Results and discussion: A total of 90 nurses working in Najah National University Hospital and Rafidia Surgical Hospital were included in the study with (86.8%) of response rate. Based on the results of the present study, a high percentage has shown a good implementation of different practices towards catheter indications and CAUTI prevention. However respondents’ knowledge (82.73%) was satisfactory and among respondents, (83.1) show a positive attitude. Lastly, there were no influence of demographics characteristics on knowledge, attitudes and practice in this study (p> 0.05). Conclusion: According to the results of this study, some nurses have shown a good implementation of different practices towards catheter indications and CAUTI prevention. But their knowledge was satisfactory is a high level of knowledge and among them a moderate percentage show a positive attitude. There were no associations of knowledge, attitudes and practice with the demographics in this study therefore there is a need for another study to about relationship between nurses’ knowledge, attitude and practice.
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    Chemotherapy knowledge and handling practice of nurses working in oncology Departments.
    (2021) Essa Manasra; Hatem Abdullah; Juliana Ateia; Marah Yasin
    Background:At any age, many antineoplastic agents are known to be teratogenic and mutagenic to humans. Nurses are the main groups that are exposed to these drugs in hospital settings. Generally, the occupational activities that pose to greatest risk of exposure are the preparation and administration of antineoplastic, cleaning of chemotherapy spills, and handling of patient excreta as well as to assess the change of cytotoxic drug handling practices in wards after a series of pharmacist-based interventions. The characteristics of the drugs that are used in chemotherapy have given rise to many issues, one of which whether the nurses are competent when working with chemotherapy. So nurses should know how to protect themselves and their patients and their work environment against toxic effects of chemotherapy. Aim: assess the nurse's knowledge regarding the mode of exposure to cytotoxic drugs (CDs) and to identify current patterns of use of personal protective equipment while handling anti-tumor chemotherapeutic agents. Significance of study: This study will enhance and increase the nurse's knowledge and practice regarding exposure to and prevention of cytotoxic drugs (CDs) and the use of personal protective equipment while properly handling antitumor chemotherapeutic agents including all preventive measures. This is support them with some kind of resilience in the face of the cytotoxic drugs. Research design and method: Descriptive study design on 125 nurses, the convenience sample technique will be was used to select the study subjects using structured and semi-structured questionnaire. The respondents must have at least 3 months of experience working in oncology department and agree to participate, whose will be selected using a convenience sampling method. Sample: A convenience sample of 125 nurses is voluntarily participated in the study. Software will be used for sample size calculation with response distribution 80 %, the margin of error 5%, and confidence level 95%. Nurses are selected on the basis of the following criteria: Age ≥ 20 of both gender, have at least three months of nursing experience in selected units (working in oncology), speak and read English, and agree to participate in the study Results: In this study, the majority of working nurses 90% (n = 125) belong to 30- 39years, 44.68% are female, 93% have a bachelor's degree, 87% have 3-6 years of experience. Less than 60% of nurses have a satisfactory knowledge of professional ethics. The knowledge about the experience variable of the disease and the method of prevention among specific areas; the total score for nurses' adequate perceptions is (91.4%), and all items have high and sufficient percentages ranging from (89.4%- 97.4%). The results also showed we reject the null hypotheses, so the nurse's knowledge of the method of exposure to cytotoxic drugs does not have any positive effect on the patient at 0.05 level of significance. In addition to there is no positive impact on the patient and the nurse for not using personal protective equipment while fully and correctly handling anti-tumor chemotherapy agents? Conclusion: There are no statistically significant relationships between nurses' knowledge of the method of exposure to cytotoxic drugs and the positive effect on the patient, and there are no relationships between the positive impact on the patient and the nurse for not using personal protective equipment while fully and correctly dealing with antitumor chemotherapeutic agents. While, there is a significant correlation between the working nurses’ knowledge regarding the nurse’s knowledge of the listening materials and the use of personal protection patterns (marital status, taking training courses related to the method of dealing with medications and their dangers in the oncology department), but age and gender were not related to more knowledge of how to use toxic materials and the necessity of wearing personal protective equipment. Recommendation: This study recommends providing opportunities for all nurses in the oncology department to take courses to increase knowledge and experience in the oncology department and use the correct patterns of personal protective equipment in the correct form and in order, in addition to activating the role of the nursing union in laying foundations and instructions for patients in each oncology department about the danger of toxic substances and the necessity of wearing Personal protective equipment.