Mother & Childhood Nurs.

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    Palestinian Women Knowledge towards Pelvic Organ Prolapse in West Bank, Palestine: Across sectional study
    (Al-Quds University, 2024-08-20) Doha Khaleel Moheasen; ضحى خليل محيسن
    Pelvic organ prolapse (POP) is a common disorder among women of different ages, although, the prevalence of pelvic organ prolapse is high in developing countries and its negative impact on women life who have this problem, previous research detected a lack of knowledge and awareness among women as well as limitation in their seeking care behaviors towards POP. Aim: to assess women’s knowledge about Pelvic organ prolapse in the southern area of West Bank, Palestine. Methodology: A cross-sectional study was conducted among 317 married women of different ages. The sample of this study was convenient. Women from Hebron and Bethlehem areas were invited to participate in this study. A questionnaire in Arabic language was developed by the researchers and then was validated to achieve the purpose of the study. Data collection was conducted by using electronic and paper questionnaire. SPSS version 25 was used for data analyses, Kruskal-wallis H and mann whitney u test was used. Results: Approximately, 208 (65.6%) of the participants had low level of knowledge about POP in term of risk factors, diagnosis and treatment. The major source of knowledge with regards the POP is the surrounding community 95 (30%). Moreover, around 89 (28.1%) did not aware and did not hear about POP. Medical science education and report sign and symptoms (S&S) of POP and the awareness about POP had strong relationships with the level of knowledge of pelvic organ prolapse. The prevalence of women who had POP symptoms is 182 (57.4 %), 151 (82.9 %) of them didn’t seek health care regarding POP symptom. There are no relationships between demographic and obstetrical data and presence of POP symptoms. The highest mentioned reason 106 (70.19%) for not seeking health care was that the symptoms are not annoying”, the next reason 103 (68.2%) is the belief that the condition they suffer is normal. iv Conclusions: There are low level of knowledge and awareness among Palestinian women regarding POP as well as high level of POP symptoms and high level of not seeking health care among women who had symptoms of POP151 (82.96). intervention needed to improve Palestinian women knowledge towards POP risk factors, treatment, prevention and early detection and promote their seeking care behavior by encouraging them to visit the gynecologic clinics.
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    Asessment of Midwives knowledge and Compliance toward Active Management of Third Stage of Labour at Hebron hospital in Palestine
    (Al-Quds University, 2024-08-26) Ikhlas Mahmoud Ahmad Hmidat; اخلاص محمود احمد حميدات
    Introduction: Postpartum hemorrhage (PPH) is a serious maternal life-threatening complication in the third stage of labor that leads to maternal morbidity and mortality globally, particularly responsible for about 25%of maternal deaths in developing countries ( WHO, 2018). PPH can be preventable by using Active Management of the Third Stage of Labor AMTSL as the use of AMTSL reduces the PPH occurrence in about 60%. Moreover, AMTSL is important worldwide intervention protocol to prevent PPH by shortening the time of the normal third stage of labor by using a uterotonic drug (oxytocin), delaying cord clamping, controlling cord traction, and checking uterine tones to achieve delivery of the placenta safely and decrease blood loss in labor, and to complete placental delivery in less than 30 minutes. This study evaluates the knowledge and competency of midwives in Hebron hospitals, Palestine, regarding AMTSL. Aim: To assess midwives' knowledge and competency in AMTSL and examine the correlation with socio-demographic variables toward active management of the third stage of labor at Hebron hospitals in Palestine. Methodology: This study used a Quantitative, descriptive cross-sectional design, conducted in the main six governmental and private hospitals in Hebron city. The sample size was 125 midwives. Data were collected using two validated and reliable separate tools (Questionnaires was used to collect the data for assessing midwives knowledge and observational checklist was used to evaluate midwives practices of AMTSL ). Ethical approval was obtained from the Ethical Committee at Al-Quds University, and permission was taken from the Palestinian Ministry of Health, the nursing directors of private hospitals, and the head midwife in each ward of the selected hospitals. The verbal consent form was taken from each participant and from delivered mother . The study duration lasted six months from (June to December)/ 2023. Data were analyzed using the Statistical Package for Social Sciences (SPSS 26). Results: Results showed a poor level of knowledge among the midwives toward the AMTSL with a total knowledge score of (76%). However, midwives reflect good level of knowledge (86%) For (Domain 1) 'Before Placental Expulsion. In contrast, Domain 2 and Domain 3 (During Placental Expulsion and After Placental Delivery), indicate a lower level of knowledge in about (68% and 62%) respectively. However, the Midwives practices of AMTSL at the hospitals in Hebron governorate were considered good practice which accounts for a score of (89.3%). A very weak correlation was found between the total knowledge score and practice implementation R (correlation) was (0.056) with p-value of (0.534). There was a significant correlation between the midwives' age and their knowledge of AMTSL in (D1&D3), marital status correlated with their knowledge in (D3), and years of experience also correlated with their knowledge in (D3). The training on AMTSL correlated positively with their knowledge of (D1&D2) and with their Practice (D2) and the availability of written protocols on AMTSL in the institution correlated positively with the total knowledge in (D1&D2) and practice (D2). Conclusions: The results of this research emphasize how critical it is for midwives to have ongoing professional development, standardized protocols, and sufficient resources to improve their adherence to AMTSL practices. This study highlights the need for continuous education and training programs to enhance midwives' proficiency in AMTSL, aiming to reduce PPH and improve maternal health outcomes in Palestine. Recommendations include facilitate regular professional development workshops and standardized protocols across healthcare facilities. Moreover, activate the monitoring system at hospital to maintain the application of AMTSL practices
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    Teachers' Knowledge Attitudes and Practices of School Bullying among Children in Northern Areas of the West Bank of Palestine
    (Al-Quds University, 2024-05-29) Enas Hani Abedalateef Amer; إيناس هاني عبد اللطيف عامر
    : Bullying among school children is a big concern, as it leads to several negative consequences for the children and their school achievements. School teachers need to have adequate knowledge and the proper level of positive attitude and practices towards how to deal with such phenomenon. Aim: to examine the knowledge, attitudes, and practices of school teachers of bullying in northern areas of the West Bank of Palestine. Methodology: The study employed a quantitative design and a convenient sample of 424 school teachers from 22 randomly selected schools in the Northern areas of West Bank – Palestine. Teachers were asked to answer a self-administered questionnaire. The questionnaire was taken from previous studies. It was then modified and distributed online Data analysis was undertaken using SPSS, and ethical considerations were considered. Results: Teachers had a median age of 42 years old, 60.8% were females, and 54.7% reported facing bullying issues with children before. Median (IQR) knowledge, attitude, and practice scores were 74.29 (5.71), 87.0 (4) and 73.33 (8), respectively, significantly higher among females, older teachers, with higher educational levels, and who faced bullying before with children. Also, more experienced teachers had more positive attitudes and practice, while teachers in boy's schools had less positive attitudes. Significant correlations were found between knowledge and attitude (r = 0.361, p-value < 0.001), knowledge and practice (r = 0.282, p-value < 0.001) and attitude and practice (r = 0.290, p-value < 0.001). Conclusion: The phenomenon of school bullying among children is worth studying, and school teachers showed high levels of knowledge, positive attitudes, and accepted level of practices in the North West Bank of Palestine. It is recommended to establish more educational training for teachers and conduct further studies in this area in other settings of Palestine. Conclusion: The phenomenon of school bullying among children is worth studying, and school teachers showed high levels of knowledge, positive attitudes, and accepted level of practices in the North West Bank of Palestine. It is recommended to establish more educational training for teachers and conduct further studies in this area in other settings of Palestine.
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    Quality of Life and Perceived Social Support among Palestinian Pregnant Women
    (Al-Quds University, 2024-04-02) Sukayna Mostafa Mohammad Nazzal; سكينه مصطفى محمد نزال
    Pregnancy is one of the most significant events in a woman's life, and it is frequently seen as a time of expectation, excitement, and change. Pregnancy, on the other hand, is a situation that frequently generates stress in women. Many changes occur in the bodies of mothers during pregnancy, such as anatomical, biochemical, and hormonal changes that are uncontrollable by the women, rendering them emotionally and spiritually vulnerable. Aim of the study The overall aim of this study was to assess the quality of life and perceived social support of pregnant women who attending antenatal care clinics of Palestinian Ministry of Health in North West Bank. Methods A descriptive cross sectional study was conducted on 423 pregnant women who attending antenatal care clinics of Palestinian Ministry of Health in North West Bank. Data was collected through self-administered questionnaire composed of the SF-36 scale to assess the quality of life and multi-dimintion social support scale. Results The participants' overall quality of life in the current study was moderate level (M=46.17 ±18.1). The physical health level was moderate (M=46.22 ±16.1) and the mental health was Moderate (M=46.12 ±21.8). The perceived social support was high support (M=5.3± 1.0). The highest score was in significant other subscale (M= 5.9±1.2) and the lowest score was demonstrated on the friend’s subscale (M= 4.4±1.6). The analysis revealed that there were no statistically significant differences between the mean quality of life scores and the demographic characteristics of the pregnant women (P > 0.05). Also, the analysis revealed that there were no statistically significant differences between the mean quality of life scores and the obstetric characteristics of the pregnant women (P > 0.05). Furthermore, the analysis revealed that there was a significant small positive relationship between the quality of life scores of the pregnant women and the perceived social support (P<0.01). Conclusions The current study confirmed that Palestinian pregnant women had moderate level of quality of life and high level of perceived social support. Also, the current study indicated that there were no statistically significant differences between the mean quality of life scores and both of the demographic characteristics and obstetric characteristics of the pregnant women. Furthermore, the study confirmed a significant small positive relationship between the quality of life score of the pregnant women and the perceived social support.
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    Teachers awareness and attitudes about attention deficit hyperactivity disorder (ADHD) in Hebron Governorate.
    (Al-Quds University, 2022-12-20) Aseel Bassam mohammed Jibarah; اسيل بسام محمد جبارة
    Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder with a prevalence of 1.5% to 7.2% worldwide. The child with ADHD might experiences symptoms that alter behaviors, and the child becomes hyperactive, hostile, overexcited, impulsive, and inattentive. They could have a short fuse and act out in fits of rage when provoked. They also will lack the maturity of social skills and adaptability. Children with ADHD face unique difficulties in the areas of social and peer interactions, regulation of impulsive behavior and verbal expression, as well as difficulty in keeping on certain tasks and focusing attention. Teachers have a vital role in identifying and supporting children with ADHD in the school settings particularly in the classroom. Teachers can better understand the children needs for attention and behavioral support in the classroom if they engage in frequent, and one-on-one conversations with each student throughout the school day. Aim: The study aimed to determine the level of knowledge and attitudes of elementary school teachers toward ADHD in Hebron governorate. Methodology: A descriptive cross-sectional study design was conducted in 2022, with a sample of 160 teachers that were conveniently recruited for this study. Data was collected by a self-administered questionnaire, that was distributed to the elementary school teachers in Hebron governorate. The questionnaire included personal information of the teachers; in addition to questions about knowledge and attitude of the school educators concerning ADHD among elementary school children in Palestine. Results: The average knowledge of the respondents about ADHD was 84.25 % of the sample size. In regard to the teacher’s knowledge about the Signs and symptoms of ADHD, 71% of them have high level of knowledge. Results showed that 61% of the school educators have high level of knowledge regarding general information related to ADHD. Moreover, 82% of the sample size have high level knowledge regarding treatment of ADHD. However, the teacher’s attitude toward ADHD among children was low in which 49.8% of teachers have negative attitude toward the disorder. Results indicated a relationship between the knowledge and attitude of teachers about children with hyperactivity disorder and ADHD, as the value of statistical significance was (.003). Conclusion: The findings show that teacher’s knowledge of ADHD was not only competent, but much higher than that found in previous studies. In general, attitudes have a pessimistic outlook on working with children who have signs of ADHD. However, teachers who have gotten training on ADHD showed more positive attitudes and in-depth knowledge toward children with ADHD than those teachers who did not got a specialized training. The teacher’s age, years of experience, training, and knowledge, all served as significant predictors of the level of teacher’s knowledge.