Pediatric Nursing تمريض الأطفال
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- ItemThe Quality of Nursing Documentation at Paediatric` Departments in Governmental Hospitals in Gaza Governorates, Palestine(Al-Quds University, 2024-12-16) Nehal Tayseer Hassan Shabat; نهال تيسير حسن شباتNursing documentation is an important part of ensuring good quality patient care, particularly in departments of pediatric. Timely documentation reflects the nursing care provided by healthcare professionals and decreases risks such as medical errors and malpractice entitlements. Inadequacies in nursing documentation can affect patient safety and quality of care quality. The purpose of the study was to assess the quality of nursing documentation at pediatric departments of governmental hospitals in GS, Palestine. A quantitative descriptive research, cross-sectional design was applied. The study sample was 90 nurses and 200 pediatric medical records. A structured questionnaire was designed for data collection. The statistical analysis was analyzed by using SPSS version 25. The results showed that overall perception about the level of quality of nursing documentation in pediatric departments in governmental hospitals in GS was good (72.33%) also the moderate overall score about quality of nursing documentation was high (84.67%). The highest hospital quality of nursing documentation was El-Najar Hospital 92.07% followed by Al-Aqsa Martyrs Hospital (84.67%), Al-Durra Children's Hospital (83.58%) while the lowest one Al- Rantisy-Hospital (77.94%). Most of the participants were female (80%), while only 20% were male. The study concluded that the quality of nursing documentation in pediatric departments in government hospitals in Gaza ranged from moderate to high. Implement regular, structured training programs for nurses in pediatric hospitals to improve their documentation process, especially focusing on weakness areas that are illustrated in the results like pain assessment forms and discharge planning.
- ItemNeonatal Nurses Practices Related to Infection Control at Neonatal Care Units at Governmental Hospitals in Gaza Strip(Al-Quds University, 2023-05-23) MOHAMMED ABD ALLH MOHAMMED ALHELOU; محمد عبدالله محمد الحلوNeonates are a vulnerable group that requires special attention and precautions while in the hospital. Neonatal mortality remains an issue globally, there are approximately 6700 neonatal deaths every day in 2020. Regrettably, most deaths are due to conditions that can be prevented with appropriate neonatal care. Nurses play a vital role in observing the signs and symptoms of neonatal infection, which is very important for early diagnosis and intervention. The study aimed to assess neonatal nurses' practices related to infection control at neonatal care units at governmental hospitals in the Gaza Strip. The study design was a quantitative, descriptive cross-sectional, conducted at the neonatal care units affiliated with the government hospitals. The study sample involved 167 respondents, and the questionnaire was dispersed among them at six governmental hospitals in the Gaza Strip. The results showed that out of 167 respondents, more than half (51.5%) were female, and the highest age group was those above 35 years old (37.1%). The highest group in the level of education was the bachelor's qualification mean percentage of 79%; The results showed that the neonatal nurses had a high level of hand washing practice, with an average percentage of 86.62%. As for washing hands after using the computer and telephone inside the units, the average rate was 76%. Also, the percentage of hand rubbing practice is 81.74%. While a rate of 82.14% was about waste disposal methods and 71.46% was about the use of physical barriers, about sterilization and disinfection practices, with an average rate of 82.4% and about the factors influencing adherence to infection control, with an average rate of 74.12%. The study recommended the continuation of training courses on infection control practice through educational and training programs and regular lectures for neonatal nurses in order to maintain and obtain a better infection control practice.
- ItemHealth Related Stigma and Self-Adherence to Treatment among Adolescents with Type 1 Diabetes in the West Bank, Palestine(Al-Quds University, 2023-05-31) Hammam Nizar Mukhemer Yaghi; همام نزار مخيمر ياغيBackground: Type 1 diabetes (T1D) is a chronic illness caused by the destruction of B cells in the pancreas, leading to complete insulin deficiency. It is a highly demanding illness that requires regular treatment, care, and medical follow-up. T1D has many complications related to the degree of exposure to hyperglycemia. T1D treatment involves continuous blood glucose monitoring, insulin injecting or inserting an insulin pump infusion set, regulating food intake, and calculating insulin doses. These treatment methods can cause psychological issues, such as fear of rejection, low self-esteem, and anxiety about how others will react to the illness. Stigma is also a major issue faced by individuals with T1D, which can negatively impact social, emotional, and behavioral status. Stigma arises from the visibility of self-management instruments such as insulin pump or insulin needle injections, and the high potential for symptomatic hypoglycemia. Nevertheless, adherence to treatment is crucial to ensure glycemic control and prevent complications. Objectives: The overall aim of this research is to assess the level of health-related stigma and self-adherence to treatment among adolescents with T1D in the West Bank, Palestine, and to identify factors that may influence these outcomes. It aims to assess differences in socio-demographic characteristics, such as age, gender, and socioeconomic status, in relation to self-adherence to treatment and health-related stigma. In addition, medical characteristics, such as diabetes duration, mode of insulin administration, and HbA1C, will also be examined to identify any differences in relation to health-related stigma and self-adherence to treatment. Furthermore, this study will examine the correlation between health-related stigma and self-adherence to treatment among children with T1D. By identifying factors that may influence health-related stigma and self-adherence to treatment, this research can inform interventions aimed at improving the health outcomes and quality of life for adolescents with T1D in the West Bank, Palestine. Methodology: a cross-sectional quantitative design was used to assess level of health related stigma and self-adherence to treatment among adolescent aged from 12-18 years old who have type 1 diabetes mellitus (T1D). An adapted questionnaire containing demographic, medical data, stigma scale and self-adherence to treatment was filled by adolescents who have T1D after the consent of their parents. Results: 192 individuals participated in this study, the mean age of participants was 15.1 years old, the Min age was 12 years old and the Max age was 18 years old. More than half of the participants were female 58.8%, while 45.8% were male. According to the data analysis the participants have a moderate level of adherence 57% and have no stigma. Also A negative small correlation was found between health related stigma and self-adherence to treatment among adolescents (r=-0.153, p=0.034). This means when stigma increase, adherence will decrease. Also the results shows a significant difference between stigma and self-adherence to treatment and socio-demographic data (school grade, place of residence, father’s and mother’s education, and economic status) and medical characteristics (date of diagnosed and way of insulin administration, p=<0.001). Conclusions: Children and adolescents with T1D in West Bank, Palestine have a moderate level of adherence to treatment and a significant level of stigma between the independent variables (socio-demographic data and medical characteristics. Also the results shows a small correlation between health related stigma and self-adherence to treatment among adolescents with T1D, which means that the higher level of stigma, the less is the adherence. Recommendation: The study is cross-sectional; it only gives an overview of participants' experiences at one specific time. a longitudinal study that follows participants over time might offer a more dynamic understanding of the relationship between stigma and adherence to treatment. Uses a quantitative approaches as well, which might not adequately represent the complex nature of the experiences of young people with T1D. It may be possible to gain a deeper knowledge of the social, cultural, and psychological aspects that affect stigma and treatment adherence in this population by using qualitative research techniques like focus groups and interviews.
- ItemAssessment of Mothers’ Knowledge Regarding Care of their Premature Babies in the Gaza Strip, Palestine(Al-Quds University, 2023-03-21) محمد حمزة محمد عبد الجواد; Mohammed Hamza Mohammed Abdeljawadالمعرفة الجيدة للأمهات حول الرعاية الأساسية لحديثي الولادة هي الخطوة الأساسية في برنامج صحة الطفل وخاصة في الأطفال الخدج. هدفت الدراسة إلى تقييم معرفة الأمهات فيما يتعلق برعاية أطفالهن الخدج في قطاع غزة ، فلسطين. تم استخدام تصميم مقطعي وصفي، وتم استهداف الأمهات اللواتي ولدن أطفالاً خدجاً في أقسام حديثي الولادة في مجمع الشفاء الطبي ومستشفى الأقصى ومستشفى ناصر ومستشفى الإمارات لملء استبيان. تم استخدام برنامج Epi info لحساب عينة الدراسة في فترة ثقة 95٪ والتي كشفت عن عينة من 164 واستخدمت العينة المتتالية. تم اختيار عينة متناسبة من كل مستشفى مع الأخذ في الاعتبار معايير الاشتمال للأمهات اللواتي ولدن طفلًا خديجًا تم إدخاله إلى إحدى المستشفيات المختارة. تم إجراء دراسة استطلاعية على 10٪ من حجم العينة والتي تم تضمينها في التحليل النهائي. تم أخذ الاعتبارات الأخلاقية في عين الاعتبار خلال فترة الدراسة واستخدم برنامج الحزمة الإحصائية للعلوم الاجتماعية الإصدار 25 لتحليل البيانات. تم تضمين مائة وسبعين امرأة كان لديهن أطفال خدج في الدراسة. متوسط عمر الأمهات اللائي لديهن أطفال خدج هو 28.8 مع أكبر نسبة (36.5٪) في الفئة العمرية (> 30 سنة). على الرغم من أن غالبية النساء وأزواجهن حاصلين على درجة البكالوريوس أو أعلى (51.2٪ و 60٪ على التوالي). معظم النساء ربات بيوت ،و 78.2٪ يعملون. إضافة إلى ذلك، 77.6٪ من العائلات لديها دخل أقل من 1973 شيكل. تشمل عوامل الخطر السائدة على الأمهات ارتفاع ضغط الدم الناجم عن الحمل (45.3٪) ، و القيصرية السابقة (62.4٪) ، و إنجاب توائم (14.1٪) ، و 77.1٪ من النساء اللواتي ولدن في العملية القيصرية. متوسط عدد زيارات الرعاية قبل موعد الولادة هو 5 زيارات، 28.2٪ من النساء تلقين متابعة خاصة أثناء رعاية الأطفال الخدج. فقط 30٪ من النساء تلقين معلومات تتعلق بالرعاية المبكرة أثناء الحمل ، ولكن 83٪ تلقينها بعد الولادة. 40.4٪ من النساء يرون أن المعلومات التي حصلن عليها كافية. وبلغ مستوى معرفة الأمهات برعاية أطفالهن الخدج 63.8 حيث كانت نسبة المعرفة بين فقيرة جيدة وممتازة 34.7٪ و 18.2٪ و 47.1٪ على التوالي. أظهرت الدراسة وجود علاقة ارتباط موجبة بين مستوى جميع المجالات المعرفية للأمهات (التنظيم الحراري ، التغذية ، العلاج بالضوء ، العدوى والعناية بالبشرة) حيث أن جميع قيم مستوى المعنوية> 0.05 كما وجدت الدراسة أربعة عوامل تؤثر على معرفة الأمهات برعاية أطفالهن الخدج. تلقي زيارة رعاية الحمل خاصة برعاية الطفل الخديج ، قيمة كاي= 7.2،مستوى المعنوية= 0.008)، مصدر المعلومات كوسائل الإعلام (قيمة كاي=5.067 ، مستوى المعنوية= 0.024) ، تلقي المعلومات المتعلقة برعاية الخدج بعد الولادة (قيمة كاي=9.42، مستوى المعنوية= 0.002، وتصور المعلومات المستلمة على أنها كافية (قيمة كاي=9.27 ، مستوى المعنوية= 0.010) ومع ذلك ، فإن اكتشاف التحليل متعدد المتغيرات يظهر أن تلقي زيارة حمل خاصة برعاية طفل خديج هو المتغير الوحيد الذي يتنبأ بمعرفة النساء حول رعاية طفلهن الخديج (مستوى المعنوية= 0.038). تشير الدراسة إلى أنه لا تزال هناك فجوة كبيرة في معرفة المشاركين عندما يتعلق الأمر برعاية أطفالهم الخدج. وهذا يعني أن هناك فرصة لتحسين تثقيف الأمهات بشأن الرعاية المناسبة واحتياجات أطفالهن الخدج. تؤكد الدراسة على أهمية البرامج التعليمية التي يمكن أن تساعد في تعزيز معرفة الأمهات حول رعاية الأطفال الخدج.
- ItemSelf-Care Practices among Children with Type-1 Diabetes Mellitus in Gaza Strip, Palestine(Al-Quds University, 2022-12-20) Shereen Rezeq Shaban Halasa; شرين رزق شعبان حلاسةSelf-Care Practices among Children with Type-1 Diabetes Mellitus is very important to improve child health outcome and decrease mortality rate. The purpose of this study was to assess the level of self-care management practices of children with type-1 diabetes mellitus in the Gaza Strip. A cross-sectional study designs. The sample of the study was convenient and consecutive, consisted of 251 children aged 10 to 18 who have DMT1and are attending governmental and UNRWA primary healthcare centers in Gaza strip including jabalia martyrs PHCC, Rimal martyrs PHCC, Dier-Balah martyrs PHCC, Khan-Youns martyrs PHCC, and Rafah martyrs PHCC. The study has been conducted during the period from February 2022 to November 2022. For data collection, the researcher was used call phone questionnaire to assess the level of self-care management practices of children with type-1 diabetes mellitus in the Gaza Strip. A pilot study was conducted on 25 questionnaires, clarity and content validity of the questionnaire was examined by a group of experts, reliability was examined and alpha coefficient was range from 0.740 and 0.825. Different statistical procedures were done to achieve the study objectives and answer research questions. Ethical approval was obtained from Helsinki committee and consent form was attached to each questionnaire for respondent, as well as administrative approval for data collection was obtained from the ministry of health and UNRWA. The total mean score (in days) of self-care management practices of children with DMT1is 3.88 days. Self-care management practice which got the highest mean score is “Testing blood glucose” with a mean 4.38, followed by “Medication practices” with a mean score 4.37. On the other hand, self-care management practice which got the lowest mean score is “Diet” with a mean 2.82. Factors associated significantly with performing self-care practices involve previous hospitalization, child family’s income, parents' education, and site of follow-up. Children have to be monitored in terms of their diet and exercise practices, especially at school and home, and health education activities should stress these two areas. Moreover, developing a protocol for self-care management practices for nurses and other healthcare providers to be followed by them when instructing children with type 1 DM.