American Research Journal of Nursing

Zakiah Eid Al-Balawi1, Eman Salman Taie2, Naglaa Alsesei3

Background: Nursing informatics is the specialty that integrates nursing science, information science, computer science, and cognitive science for the purpose of identify, manage, communicate and enhance healthcare data, information, knowledge, and wisdom to improve patient care and the nursing profession Aim: To assess nursing informatics competencies for nursing personnel in primary healthcare centers in Tabuk. Method: It is descriptive study. The study was conducted primary healthcare centers in Tabuk. Distributed based on proximity from the Hospitals into (king Khaled Hospital sector and King Fahad Hospital sector). Study subjects composed (217) nurses personnel. Nursing Informatics Competencies Questionnaire used for data collection. Results: The highest percentage of nursing personnel was female. More than half of study sample had associated nursing degree and less than one third of them had bachelor degree in nursing. About half of study subjects were capable of computer literacy competency and Informatics Literacy Competency. Meanwhile, about one third of them were capable in Information Management Literacy Competency. More than half of them were capable regarding total nursing informatics competencies. Conclusion: More than half of them were capable regarding total nursing informatics competencies. Meanwhile, more than one third were partially capable and less than one quarter of them was not capable. Recommendation: Involve nursing informatics competencies in nursing personnel performance appraisal. Conducts competency based nursing informatics training programs for nursing personnel according to their needs and to be up to date with new competencies. Develop curricular based competencies and further researches to investigate correlation between nursing informatics competencies and patient safety.

Jumana Nayef Almomani

Congenital Heart diseases (CHD) are considered the most common severe congenital anomalies among infants. Present studies revealed that quality of life associated with long life caring process has been improved through understanding the parents’ lived experience of infants with CHD. In Jordan, no studies were published to determine parents’ lived experience. This present study is conducted to explore parents’ lived experience of the child with CHD in Jordan. This descriptive phenomenological study was conducted at Queen Alia Center for Cardiac Surgery in Royal Medical Services /Jordan, from February to April (2019). A sample of 11 parents of infants with CHD were invited to participate in a semi-structured recorded interview over 90 minutes. This interview utilizing Colaizzi’ methods (1978) and extracting four thematic statements: “Fear of uncertainty and the unknown”, “Mothers’ fatigability in caring process”, “Knowing alleviate anxiety, tension and stress”, “Spiritualization and socialization being as helpful in coping process”. Recognition and enrichment of parents’ knowledge using teaching programs or handouts were found to be useful

Mr. Ibrahim Mubarak Al Baalharith1, Dr. Ester Mary Pappiya2, Mr. Hamad Salem Al Grad3

 Background of the study: Spiritual care has recognized as part of holistic nursing care in promoting health and well-being. A holistic approach encourages the nurses to address all the physical, mental, emotional, spiritual and social needs of the patient by providing a complete model of care.Aim:To investigate the nurse’s perceptive on spiritual care competence. Materials and Methods: Cross-sectional descriptive design was used to describe the perceptive of nurses on spiritual care competency at selected hospitals in Najran. Convenience sampling technique with 100 samples and the data was obtained through the spiritual care competence scale (SCCS) and a demographic questionnaire. Data were analysed by descriptive and inferential statistics using SPSS statistical package. Results:The results showed that the mean score for the nurse’s perceptive on spiritual care competence was 67.6 that indicates that the nurses were average in providing spiritual care competency. The highest score was related to attitude towards patient spirituality mean, that is, 22.43 with SD 0.57 and the lowest score was related to communication domain that is, 10.6 with 0.68 standard deviation. Conclusion: The research findings suggest that the perceptive of nurses on spiritual care competency is average and they have to pay attention to the patient spiritual care to improve their spiritual needs.

Susan Wynn, BSN, MSN, RN & Dr. Cheryl Holden, DHSc, MSN, RN-BC

This paper explores incivility among nursing faculty employed in a mid-size, public university located in Northwest Arkansas. The survey identified common incivility behaviors among nursing faculty and the perception that nursing faculty believe incivility is psychologically and emotionally harmful. Resources and support for nursing faculty is discussed and faculty indicate that incivility training could better prepare them to navigate incivility in the workplace.  

Fernanda Raphael Escobar Gimenes, PhD, RN1*, Ana Paula Gobbo Motta, RN, PhD2 Emanuel Nunes, RN, PhD3, Fernanda Ludmilla Rossi Rocha, PhD, RN4, Adriana Inocenti Miasso, PhD, RN5, Mayara Carvalho Godinho Rigobello, RN, PhD6, Maria Lúcia do Carmo Cruz Robazzi, PhD, RN7

Introduction: Risk situations are considered as being caused by the nature of the jobs and as the result of actions or external factors that increase the probability of changes in the workers’ health. Objective: To explore how healthcare professionals in an intensive care unit (ICU) experience safety issues and other safety concerns within their work environment. Methods: The restorative approach in healthcare was used and involved joint identification of the problem and use of a set of visual methods: focus group; photo narration; and photo elicitation. Results: A key finding was that the work conditions and processes pose threats to patients and professionals’ safety. Participants discussed risks existing in their work environment and identified solutions to promote a safer workplace for medication management and for themselves. Conclusions: The visual methods helped participants to develop in-depth discussions on the risk factors detected and engaged them in the proposition of solutions to the problems identified in this complex environment.

Reem Mohammad AL Johani1, Aida Elgamil2, Elham Abduallah Al Nagshabandi3

Background: Diabetes mellitus is affecting a huge percentage of the population in today’s world. This disease is usually accompanied by the risk of development of foot complication that may lead to amputation of the foot. Therefore, diabetes mellitus patients are advised to ensure that they take proper care of their feet to avoid these complication. Aim: This study aimed to determine the effectiveness of a concept map as diabetic foot care educational intervention among type 2 diabetic patients. Methods: The research design adopted for the study was quasi-experimental with pre-test and post-test control groupdesign9. The study was conducted at outpatient department - Diabetic and Endocrine Centre in Al Madinah, Al-Munawara. Saudi Arabia after obtaining the Approval from Ethical Committee, and formal permission was obtained from the hospital authority. The samples were selected by convenient sampling technique, who met the inclusion criteria. The instrument used for the study was to collect the data are demographic variableFoot Care Confidence Scale (FCCS) and Nottingham Assessment of Functional Foot care (NAFF). Results: The calculated Mean score of the foot care self-efficacy of the study group before concept map as intervention was 52.02 and it was significantly increased to 89.64 after concept map as educational intervention. In the control group mean score of before using concept map was 53.93 and in the after using concept map it was slightly increased to 58.23.The calculated Mean score of the foot care behaviour of the study group before using the concept map was 61.50 and it was significantly increased to 88.86 in after using the concept map. The calculated p value after intervention reveals that there was a significant difference between the study and control group at (p<0.001).There was a significant improvement in the foot care behaviour score in both groups after intervention ( p<0.001). Conclusion: Concept maps helps to identify some of the most effective strategies that can be used in the maintaining of healthy feet and preventing bruises and cuts and sores. Concept maps help nurses to improve in critical thinking in providing education on foot care and also advising patients on at-home foot care. This makes it easier for the patient and the practitioner to avoid any foot complications and ensure maintenance of healthy feet. Hence the study clearly depicts the importance of concept maps in educating patients with diabetes on importance of foot care.

Maria Maniou1*, Sofia Zyga2, Spyros Vliamos3, Panagiotis Prezerakos4, Katerina Flora5 Andreas Pavlakis6

Background: There is evidence that self – esteem is important for health. Especially, self – esteem is associated with better health in those with chronic conditions or disability. Purpose: The objective of this study was to examine, in a comprehensive way: (a) the association between insomnia and self-esteem, (b) the association between insomnia and marital status in nursing personnel in the island of Crete, Greece. Method: An investigation was carried out in the area of Crete between August 2017 and January 2018 in fourteen Health Centers, two Primary National Health Networks, four Emergency Department, eleven Intensive Care Units. The study involved 213 nurses. The Hamilton Anxiety Scale (HAM-A) and the Culture-free Self esteem Inventories had been used. Results: Prevalence of insomnia was 49.3% (from mild to very severe symptoms). Multivariate analyses showed that self-esteem was significantly associated with insomnia symptoms (p <0,002). Multivariate models also showed that insomnia-type symptoms were associated with marital status (p <0,026). Conclusions: In a large population of nursing personnel insomnia symptoms are prevalent and associated with self-esteem and marital status. Future studies should assess whether the strengthening of self- esteem improves the sleep problems in nursing personnel.

Ekbal Abd El Rheem Emam1, Amany Hassan Abd El Rheem2 Naglaa Mohammed Amein Ghanem3, Hanan Elzeblawy Hassan4*

Background: Despite the established importance of preconception care (PCC), it is still not a well-established service in many countries, and women’s and nurses’ related knowledge and attitudes need to be assessed. Aim of the study: To compare the knowledge and attitude of married women and nurses regarding pre conception care. Subjects and methods: This comparative cross-sectional study was carried out on a stratified cluster sample of 106 nurses and 750 women from Maternal and Child Health (MCH) and Primary Health Care (PHC) centers at Minia city. The data collection tools were a self-administered questionnaire measuring nurse’s awareness, knowledge, and attitudes related to PCC, and a similar interview questionnaire sheet for women. The tools were validated by experts’ opinions and pilot-tested. Data collection lasted from June to November 2017. Results: The majority of the nurses had a diploma (97.2%), 72.6% had training in antenatal care, and 60.4% provided PCC. Women’s age ranged between 17 and 48 years, and 39.5% had an intermediate education. Nurses’ awareness was higher than women (p<0.001). They had higher knowledge scores in most areas and in total knowledge (p<0.001), but women were higher in vaccination (p=0.001). The attitude towards planning for pregnancy was higher among nurses (p<0.001). In multivariate analysis nurses’ higher qualification, longer experience years, and provision of PCC were positive predictors of their knowledge, while age and urban residence were negative predictors. Higher qualification and provision of PCC were positive predictors of nurses’ attitude score, whereas urban residence was a negative predictor. Women’s knowledge was positively predicted by their education, previous pre-term labor, planning pregnancy, having antenatal care, having PCC, and previous counseling, while labor complications and chronic diseases were negative predictors. Their attitude was positively predicted by urban residence, planning pregnancy, having antenatal care, previous counseling, and knowledge score, while education was a negative predictor. Conclusion and recommendations: Nurses’ knowledge and awareness of PCC is better compared to women, and both have hesitant attitudes. The study indicates the need for the urgent establishment of a formal PCC in PHC and MCH centers. 

Maria Maniou1*, Sofia Zyga2, Spyros Vliamos3, Panagiotis Prezerakos4, Katerina Flora5 Andreas Pavlakis6

Introduction: Mobbing in the workplace occurs when someone repeatedly, for a long time is exposed to negative behaviors and may have difficulty in defending himself. In the nursing profession, labor intimidation is common. It is now accepted that anxiety and self-esteem can play a particularly important role in mental and in physical health of nurses. Purpose: The investigation of self-esteem, the existence of anxiety and the phenomena of workplace mobbing of nursing staff working in Primary Health Care, Intensive Care Unit and in the Emergency Department. Methodology: An investigation was carried out in the area of Crete between August 2017 and January 2018 in fourteen Health Centers, two Primary National Health Networks, four Emergency Department, eleven Intensive Care Units. The study involved 213 nurses. The Leymann Inventory of Psychological Terror, the State-Trait Anxiety Inventory and the Culture-free Self-esteem Inventories had been used. Results: The average age of the participants was 41.73. The 45.5% of the sample is working in Intensive Care Units, 24.9% in Emergency Departments and 29.6% in Primary Care Units. The mean value of trait anxiety was 40.82, state anxiety 39.03, and overall anxiety 79.85 for the overall study sample. They were exposed to at least one mobbing behavior in the past 12 months, and for at least once a week, almost daily or daily the 11.3% These 24 nurses attribute this behavior to competition problems (60.9%) and jealousy (58.7%). The most nurses of the total sample (50.5%) had a middle self-esteem. Conclusions: The evaluation of the results shows that the nursing staff of the overall sample of the study experiences mild anxiety symptoms. Mobbing seems to be at high rates. Early recognition of the phenomenon and its management as well as enhancing of the self-esteem should be the best practice of intervention to prevent it.