American Research Journal of Nursing

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

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.